Gangrene wam'munsi kwambiri mu shuga - momwe mungadziwire koyambira?

Imfa yamatenda athupi lathunthu kapena pang'ono limatchedwa gangrene.

Izi matenda zingakhudze:

• Gawo
• Limb gawo
• Thupi lathunthu.

Pakuwunika, zithunzi zingapo zimatha kusiyanitsidwa:

• Mtundu wobiriwira wakuda,
• Nthawi zambiri zimawononga ziwalo zomwe zimakumana ndi mpweya wabwino,
• Mwina chitukuko cha matenda owonjezera.

Matenda a shuga a shuga

Gangrene imamveka ngati matenda, omwe samangoyambitsa kufa kwa maselo ndi minyewa, komanso amadetsa magazi ndi poizoni.

Poterepa, pakhoza kukhala zovuta mu magwiridwe antchito:

Zotulutsa:

• Zala
• Mapazi athunthu
• Gawo lam'munsi la dzanja.

Matenda oterewa ndi amodzi mwa njira zovuta kwambiri. Pali zinthu zingapo zomwe zimayambitsa kukula kwa gangore.

Zomwe zimayambitsa kukula kwa matenda osokoneza bongo

Matenda a shuga amayamba chifukwa cha zifukwa zingapo:

1. Kusokonezeka chifukwa cha kagayidwe kolakwika ka glucose m'thupi. Pankhaniyi, ziwiya zamanjenje zimakhudzidwa. Matendawa amatchedwa polyneuropathy.
2. Kuwonongeka kwa zombo zazing'ono, zomwe zimapangitsa kuchepa kwa capillary permeability.
3. Kugonjetsedwa kwa zombo zazikulu. Pamaso pa matenda a matenda ashuga, njira zonse mthupi la wodwalayo zimayenda mwachangu.
4. Kusokonezeka kwa kapangidwe ka mafupa. Pali njira yolimbikitsira mafupa. Izi zimadziwika ndi: aseptic necrosis, mafupa am'mitsempha, mapangidwe a fistulas ndi abscesses.
5. Kuchepa mphamvu ya chitetezo chathupi. Pankhaniyi, mutha kuwona kukhalanso kwa matenda ena owonjezereka: bowa, ma virus, mabakiteriya.
6. Kusuta fodya komanso kuledzera.
7. Zovala zolakwika.
8. Kulemera kwambiri.

Chifukwa chake, njira ya atherosulinosis imathandizidwanso kwambiri ndipo imatha kuonedwa:

• Madipoziti am'madzi pazitseko zamitsempha yamagazi,
• Madera akumataya,
• Kuchepetsa ku lumen m'matumba.
• Maonekedwe a chizolowezi cha thrombosis.

Nthawi zambiri zimakhala zotheka kuwona kuphatikizidwa kwa zinthu zingapo zomwe zimangowonjezera zomwe zimachitika wina ndi mnzake.

Zoyambitsa zimayambitsa:

• Kuvulala
• Kuwotcha
• Chimanga,
• Nsapato zolakwika
• Ukhondo wopanda pake.

Youma gangrene

Dry gangrene ya m'munsi malekezero amapezeka ndi kuphwanya patency yamitsempha yamagazi. Matendawa amatha zaka zingapo.

Mawonetseredwe amatsenga ngati awa:

• Zowawa
• Zilondazo zimasiya kumva
• Amakhala ndi mawonekedwe opukutidwa, khungu lowala limawonekera,
• Khungu lozizira,
• Kuchepetsa ripple m'miyendo.

Kudula kumatheka pokhapokha ngati muli ndi matenda owonjezera kapena pazifukwa zodzikongoletsa. Choopsa kwambiri pakupanga mtundu wamtunduwu chimasanduka fumbi.

Madzi Gangrene a shuga

Nthawi zambiri, mtundu uwu wa gangrene umayamba chifukwa cha matenda ena owonjezera.

Pankhaniyi, mutha kuwona:

• Kuwonjezeka kwa minofu yambiri
• Maonekedwe a utoto wamtambo, nthawi zina utoto wobiriwira umatha kuonedwa,
• Pamalo owoneka, amafanana ndi kuwonongeka kwa cadaveric,
• Kodi zotupa zothamanga zimafulumira,
• Mawonekedwe a fungo linalake,
• Mukapanikizika, crepitus (phokoso linalake) limachitika.

Momwe mungadziwire zamatsenga?

Kuti muzindikire matenda amtunduwu, ndikofunikira kwambiri:

• Kuyesedwa kwakunja ndi ululu,
• Kutenga chikhalidwe cha bakiteriya,
• Kuyeza kwa glycemia, urea wamagazi,
• X-ray,
• Dopplerography

Ndipo pokhapokha mutayang'anitsitsa gawo lomwe lakhudzidwa lingathe kunena za kukhalapo kwa gangore. Komabe, pali zofunikira zoyambirira za kupangika kwa matenda.

Zizindikiro zoyambira matenda a shuga

Magulu akumapeto oyambira kumene akuwonetsedwa kudzera pazizindikiro:

1. Mendo wolema.
2. Kuchita dzanzi pafupipafupi.
3. Nthawi ndi nthawi kumva kulira.
4. Kuwonekera kowoneka kumapazi.
5. Kupweteka kwapweteka m'misempha ya ng'ombe.
6. Khungu limakhala cyanotic.
7. Ndi kukhudzana mwachisawawa, kuzizira kwa khungu kumawonedwa.
8. Mapangidwe a pigmentation kapena edema amatha kuonedwa.

Zizindikiro za gangrene mu shuga

Pali zizindikiro zomwe mutha kudziwa magawo okhwima kwambiri a vuto la gangore:

1. Kukhalapo kwa kupweteka kosalekeza.
2. Khungu limatulutsa utoto wakuda kapena kapezi.
3. Kuperewera kwa magazi m'dera lomwe lakhudzidwa.
4. Ndi mtundu wonyowa wa matenda, kufalitsa kwachiwiri kumathandizidwa.
5. Mulingo wapamwamba wamatumbo a purulent.
6. Intoxication. Imadziwulula yokha chifukwa cha mseru, kutentha thupi komanso kuzizira.

Malinga ndi ziwerengero, pafupifupi 80% ya odwala amafa chifukwa chonyowa. Nthawi yomweyo, munthu sayenera kuyiwala za matenda apanthawi yake, omwe nthawi zambiri amakhala chinsinsi chachipambano cha matenda a matenda a mtima.

Kuzindikira matenda osokoneza bongo sikuwonetsa vuto lililonse.

Pankhaniyi, zambiri pazomwe matendawa adatsimikiza:

1. Etiology.
2. Kukula kwa gangore.
3. Mtundu.
4. Fomu.
5. Mtundu wamagulu ogwirira.

Chithandizo cha gangore cha m'munsi chotsika sichitha kuwonetsa kuchiritsa popanda njira yoyenera:

1. Ndikofunikira kusintha moyo wa wodwala.
2. Miyendo imafunika ukhondo nthawi zonse.
3. Chitani zolimbitsa thupi tsiku ndi tsiku.
4. Osaphonya makalasi ochita masewera olimbitsa thupi.
5. Nthawi zonse yang'anirani shuga m'magazi.

Popanga matenda a gangore, mitundu ingapo ya chithandizo ndiyotheka:

1. Kupangira opaleshoni.
2. Mankhwala othandizira.
3. Kuchiza koyenda.

Mankhwala othandizira

Zimatanthauzira njira yokhayo yotulukapo ndi chonyowa gangrene, popeza zamatsenga zimawopseza moyo wa wodwalayo. Nthawi ya opaleshoni, dokotala ayenera kuchotsa onse omwe ali ndi kachilombo pakhungu.

Kuphatikiza pa opaleshoni, imagwiritsidwa ntchito:

1. Ma anti-sipekitiramu othandizira.
2. Chithandizo cha kuchapa.
3. Kuika magazi.

Chithandizo cha Conservative

Chithandizo chamtunduwu chimachitika kuti mupeze zotsatira zabwino:

1. Malangizo othandizira odwala matenda ashuga.
2. Kutsitsa katundu pamalo otsika komanso m'deralo.
3. Chotsani matenda omwe alipo kale kapena pewa kutuluka kwatsopano.
4. Kuchepetsa zizindikiro za kuledzera.
5. Kuwonjezeka kwa chitetezo chakuthupi mthupi mothandizidwa ndi mavitamini.

Chithandizo chofananira

Thercomitant mankhwala akuphatikizapo:

1. Kuchotsa magazi. Nthawi zambiri njirayi imachitika pogwiritsa ntchito kafukufuku.
2. Opaleshoni ya Microsuction kudzera. Imathandizira pokhalitsa mbali yakhudzidwa ndi dzanja.
3. Ndikuluma. Imachepetsa zovuta zoyipa zochitidwa opaleshoni m'thupi la wodwalayo. Pogwiritsa ntchito njirayi, ndizotheka kupewa kudula miyendo.
4. Njira zochizira gawo lovuta kwambiri la ischemia. Chifukwa chake, kupweteka kumatsitsidwa.

Kuneneratu kupezeka kwa matenda oterewa sikovomerezeka. Popeza ndi matenda obwera chifukwa cha matenda ashuga nthawi zambiri amawonedwa. Ndi gangore of the m'munsi malekezero, kukhala ndi moyo kumadalira kupambana kwa chithandizo, chomwe chimatengera mwachindunji kuthetsedwa kwa zinthu zoyambitsa.

Komanso kusintha kwa moyo wathanzi, komwe kumakhala ndi zotsatira zopindulitsa pazida zoyipa za thupi.

Kupewa kwa Matenda a shuga

Mu shuga mellitus, ndikofunikira kutsatira njira zina zodzitetezera zomwe zingathandize kupewa kuyambika kwa chonyansa chamagulu:

1. Chithandizo cha matenda a mtima dongosolo.
2. Chitanani mwachangu ndi ogwira ntchito kuchipatala kuti muwone ngati ali m'munsi mwamtsempha: khungu limasokonezeka, kusinthasintha kwa khungu, ndi kuziziritsa miyendo.
3. Kukayezetsa magazi a ziwiya za thupi lonse.
4. Chitani chithandizo chamankhwala a varicose.
5. Chotsani zisonkhezero zoipa. Popeza ndi iwo omwe angapangitse kukulira kwa gangore.
6. Pamaso pa chimanga kapena ma callus, malo omata sayenera kugwiritsidwa ntchito. Popeza ndi thandizo lawo mutha kuthyola khungu lakumtunda. Zilonda zimatha kupatsidwanso kachilomboka.
7. Zovala zamtundu wosakwanira. Ndi masokosi ong'ambika, kupukutira khungu ndikotheka, komwe kumakwiyitsa maonekedwe a mabala.
8. Nsapato ziyenera kumasulidwa ndikupangidwa kuchokera ku nsalu zachilengedwe.
9. Kwa chilimwe, njira yabwino kwambiri ndikupezeka kwa nsapato zingapo. Popeza mutavala imodzi, chachiwiri chimatha kuyang'aniridwa ndiukhondo.
10. M'mawa ndi madzulo, yang'anani khungu lanu kumapeto kuti musaphonye mawonekedwe a mabala, ming'alu kapena kuvulala kwina.
11. Kutentha kwa madzi nthawi yosamba sikuyenera kupitirira 33 degrees.
12. Ndi mafuta okhazikika a mapazi ndi masamba a masamba, mutha kukulitsa chitetezo cham'miyendo pa miyendo.
13. Chitani masewera olimbitsa thupi tsiku ndi tsiku: khalani pansi, mutambasule miyendo, kukoka masokosi kwa inu, kutambitsani miyendo yanu, kenako ndikusunthanso, kufinya zala zanu ndi malume.

Ndikofunikira kuti nthawi zonse aziwunika momwe miyendo yawo ilili. Izi ndizofunikira kwambiri kwa anthu omwe ali ndi matenda ashuga, chifukwa matendawa amatha kuthetsa mphamvu zathupi.

Zithandizo za anthu

Pali njira zingapo zotchuka zochizira ndi kupewa mitundu yonse ya zilonda zam'mimba:

1. Kupanga compress, mkate wophika kumene, watsopano ndi rye ndi wofunikira. Musanagwiritse ntchito kudera lowonongeka, mchere ndi kumafuna. Kenako ikanipo pa matenda omwe abwera ndikuchoka kwakanthawi.
2. Mu 9% viniga, onjezani anyezi wosankhidwa ndi dothi louma. Knead mapangidwe ndi angagwirizane ndi gangore. Kuti muthe kusintha, ndikofunikira kukulunga compress ndi polyethylene.
3. Mwofanana, sakanizani uchi, rosin, mafuta a masamba ndi sopo wochapira. Pogaya ndi kuwiritsa zonse zosakaniza. Pambuyo, onjezani magalamu 50 a adyo, anyezi ndi aloe ku msuzi. Mafuta awa amayambitsa kuwonongeka pambuyo pakuwotcha koyambirira mpaka madigiri 37.

Izi zitha kulimbikitsidwa ndi chithandizo chamankhwala chapanthawi yake, ntchito zazikulu zomwe ndi:

1. Bwezeretsani magazi m'zigawo zotsogola.
2. Kuchiritsa mitundu yama trophic.
3. Kuyang'anira shuga m'magazi a wodwala.

Ngati chithandizo chachedwa kwambiri kuti muyambe, ndiye kuti zotsatira zake zokha ndiye kuti ndikuduladula miyendo.