Kudulidwa kwa zala zakumaso

• 1 Chifukwa chiyani kudulidwa kumafunikira?
• 2 Mitundu Yodulidwa
• 3 Amayambitsa ndi Zizindikiro za Gangrene
• Kukonzanso pambuyo podzidulira mwendo mu shuga
  • 4.1 Prosthetics
• 5 Kupewa Kwa Gangrene
• Zotsatira
  • 6.1 Ndi angati omwe amakhala pambuyo pa njirayi?

Kwa zaka zambiri osalimbana ndi ma DIABETES?

Mutu wa Bungwe: “Mudzadabwitsidwa kuti kumakhala kovuta motani kuchiritsa matenda a shuga tsiku lililonse.

Matenda a shuga ndi owopsa pakusokoneza machitidwe ndi ziwalo zosiyanasiyana. Kudulidwa mwendo mu shuga kumawerengedwa kuti ndi chimodzi mwazotsatira zoyipa za matendawa. Matenda omwe amapezeka chifukwa cha matenda ashuga komanso okhudza zotengera ndi mitsempha amayambitsa matenda a shuga, ndipo izi sizingathetsedwe mwanjira iliyonse. Opaleshoni imachitidwa ngati njira yomaliza, ngati njira zina zochiritsira zilibe mphamvu. Kuwonongeka miyendo kumatha kupewedwa ndikuwongolera kuchuluka kwa shuga ndikuwongolera moyo womwe umagwirizana ndi chizindikirocho.

Chifukwa chiyani kudulidwa?

Kudulidwa mwendo mu shuga ndi njira yomaliza yochizira matenda osokoneza bongo ndipo sikuyenera kuchita kwa aliyense wodwala matenda ashuga.

Kuchuluka kwa shuga m'magazi kumawononga boma la mitsempha yamagazi ndi mitsempha, kusokoneza ntchito yawo ndikuwononga pang'onopang'ono. Zotsatira zake, zovuta zowopsa zimayamba. Zilonda zam'mimba zimayamba kukhazikika, ndipo mabala aliwonse omwe ali ndi matenda ashuga samachira, omwe nthawi zambiri amayambitsa gangore. Anthu odwala matenda a shuga nthawi zambiri amapezeka kuti ali ndi chala chakumaso. Mosasamala kanthu za chotupa, minofu ya miyendo imamwalira, ndondomeko ya purong imayamba. Ngati njira zochizira sizingathetse vutoli, kuduladula chala kapena chiwalo chonse. Izi ndizofunikira popewa zovuta monga kuledzera chifukwa cha kulowetsedwa kwa zinthu zowonongeka m'magazi, poyizoni wamagazi, komanso kuwonjezeka kwa malo owonongeka.

Bwererani ku tebulo la zamkati

Mitundu Yosintha

Pali mitundu itatu yolumikizidwa mu shuga:

• Zadzidzidzi (guillotine). Opaleshoni imachitidwa ngati kuli kofunika mwachangu kuti achotse gwero la matenda. Chingwe cholumikizira chimakokedwa pang'ono pamwamba pamalire a chotupa, popeza ndizosatheka kudziwa malire.
• Poyamba Imachitika ngati sizotheka kubwezeretsa magazi m'dera lomwe lakhudzidwa ndi mwendo.
• Sekondale Idasankhidwa pambuyo poyeserera yopambana yobwezeretsa magazi.

Bwererani ku tebulo la zamkati

Zomwe zimayambitsa ndi chizindikiro cha gangrene

Ngakhale msomali wokhazikika ungayambitse zilonda pamiyendo.

Matenda a shuga chifukwa cha shuga wamagazi amavuta chifukwa cha matenda amitsempha yamagazi komanso minyewa yamanjenje. Chifukwa cha njira zomwe zayamba, matenda ashuga a mtima ndi minyewa amayamba, zomwe zimapangitsa kuti pakhale ming'alu pakhungu, mabala ndi zilonda zam'mimba. Vutoli ndilowopsa chifukwa cha kuchepa kwa chidwi cha khungu, chifukwa pomwe wodwalayo saona nthawi yomweyo zovuta. Chiyambireni cha gangrene chingakhale kuvulala kulikonse, mwachitsanzo, chikwangwani, msomali wopingidwa, wosadulidwa mosapambana panthawi ya pedicle pedicure. Kuchiritsidwa kwa zilonda zam'mimba ndikazitali, mwayi wokhala ndi zilonda zam'mimba ndizambiri. Ndi chotupa chopanda matenda, gangrene amakula. Ngati mankhwala osokoneza bongo sakugwira, dzanja limadulidwa.

Wodwala ali ndi izi:

• kupweteka m'miyendo, makamaka kumapazi ndi zala, kukulirakulira panthawi yonyamula katundu,
• kuchepa kwa khungu, kutsekeka kwa miyendo,
• mapangidwe a ming'alu, mabala am'mimba oyera ndi zilonda zam'mimba, makamaka phazi,
• Kusintha kwa khungu
• mapangidwe gangore popanda mankhwala.

Kuwonetsedwa kwa gangrene kumadalira mtundu wake:

• Youma gangrene. Imakhala ndi chitukuko chachitali, mpaka zaka zingapo ndipo sichiwopseza moyo. Khungu lomwe limakhudzidwa limasinthidwa kukhala lamtambo kapena lofiira, limasuluka kwambiri. Kusungunuka kwa malo omwe akhudzidwa kumachitika, pambuyo pake minofu yakufa imakanidwa.
• Zowonda kwambiri. Zilonda zomwe zilipo sizichiritsa, zomwe zimabweretsa zotsatira zoyipa. Khungu lomwe lidakhudzidwa limatembenuka kukhala lamtambo kapena labiliwira, pamakhala fungo la zowola ndi zotupa pakhungu. Matendawa amakhudza mitundu yonse ya minyewa yomwe imavunda. Zotsatira zake, mwendo kapena chala chimadulidwa.

Bwererani ku tebulo la zamkati

Kukonzanso pambuyo podzidulira mwendo mu shuga

Mukachotsa mwendo, ndikofunikira kutikita minofu tsiku lililonse.

Pambuyo ndikudula mwendo, komanso mutadula zala zakumiyendo, pamafunika njira yobwezeretsanso njira. Kudulidwa kwa mwendo pamwamba pa bondo mu shuga. Kuchotsa miyendo imodzi kapena ziwiri kumateteza moyo wa munthu, koma ayenera kuphunzira kukhala wopanda nthambi. Pa dongosolo lokonzanso, kuponderezana ndi kutupa, kupewa kukula kwa matenda a m'matumbo, chithandizo cha tsiku ndi tsiku mabala ndi suture zimachitika. Physiotherapy, achire olimbitsa thupi ndi mankhwala. Mwendo wowonongeka uyenera kugona papulogalamu yokweza, yomwe imalepheretsa kutupa. Wodwala ayenera:

• Tsatirani njira yochizira, pangani phazi lanu.
• Bodza pamimba panu sabata lachiwiri komanso lachitatu mutachitidwa opaleshoni.
• Chitani masewera olimbitsa kuti mutambitse minofu yathanzi komanso kupewa atrophy.
• Phunzirani kusasamala ngati wodwalayo adula chala chake.

Ntchito yayikulu yotsitsimutsanso ndikupewa matenda ndikutukuka kwa njira yotupa.

Bwererani ku tebulo la zamkati

Prosthetics

Kuchiritsa mwendo pambuyo pakuchita opaleshoni kuyenera kuchitika modekha kuti popewa zovuta. Pamene bala la postoperative limachiritsidwa, wodwalayo amapatsidwa mankhwala ophunzitsira. Ngati mwendo wachotsedwa, ayenera kuphunzira kuyenda mothandizidwa ndi ma prosthesis ndipo atangoyamba kumene kuphunzitsa, zimakhala bwinoko kwa minofu ya thupi lake lonse. Mano okhazikika amapangidwa payekha. Chitsa ndi kukula zimayezedwa. Ngati mankhwalawa atha kukhala ndi chilema, ayenera kuchotsedwa.

Bwererani ku tebulo la zamkati

Kupewa Kwa Matendawa

Pofuna kupewa kutulutsa ziwalo mtsogolo, muyenera kuchita masewera olimbitsa thupi nthawi zonse.

Kuti mupewe kukula kwa gangrene, muyenera:

• Pewani kuchuluka kwakukulu kwamagazi,
• miyezi itatu iliyonse imayesa mayeso a hemoglobin wa glycosylated,
• muziyang'ana miyendo yanu tsiku ndi tsiku chifukwa cha ming'alu ndi zilonda zam'mimba, ndikuwathandiza ngati apezeka,
• Valani nsapato zabwino
• sewera masewera kapena kuchita masewera olimbitsa thupi,
• kutikita minofu.

Bwererani ku tebulo la zamkati

Zotsatira zake

Pali zotsatira zingapo zakadulidwa:

• Ululu Pambuyo ndikudula, wodwalayo amakhala ndi nkhawa chifukwa cha ululuwo mpaka chitsa chake. Kuti muthane ndi zosasangalatsa zomverera, mankhwala a ululu ndi mankhwala.
• Phantom ululu. Nthawi zambiri atachotsa mwendo, wodwalayo amamva, kupweteka, kuyamwa, kumeza, ngakhale kulibe. Nthawi yomweyo, njira zolimbitsa thupi ndi kutikita minofu zimayikidwa.
• Masewera a minofu. Amachitika pakakhala kuti palibe njira zakukonzanso. Izi ndizovuta kuthana ndi odwala matenda ashuga, chifukwa chake muyenera kuyesetsa kupewa.
• Subcutaneous hematoma. Amapangidwa ngati nthawi ya opareshoni magazi atayimitsidwa molakwika.
• Kukhumudwa Kuwonongeka kwa miyendo kumakhudza kwambiri mkhalidwe wamaganizo wa wodwala.

Bwererani ku tebulo la zamkati

Ndi angati omwe amakhala pambuyo pa njirayi?

Kuchepetsa matenda ashuga kumachitika kawirikawiri chifukwa choti nkotheka kupulumutsa moyo wa munthu. Kuwonongeka kwa mwendo sikukhudza chiyembekezo chamoyo, zonse zimatengera munthu mwini. Potsatira malangizo ena omwe odwala matenda ashuga amafuna ndikuwongolera shuga, mutha kupewa kubwereza zamatenda komanso kupitirira kwa shuga. Proteti yosankhidwa bwino imakupatsani mwayi wokhala ndi moyo wabwino. Nthawi zambiri kuchotsedwa kwa miyendo kumalimbikitsa anthu kuti ayambe kusewera masewera kapena kuyenda. Chifukwa chodulidwa, munthu yemwe ali ndi matenda ashuga amatha kukhala ndi moyo wautali, chinthu chachikulu sikuyenera kutaya mtima.

Kudulidwa mwendo mu shuga

Matenda am'munsi kwambiri mwa odwala omwe ali ndi shuga m'magazi ndi imodzi mwazinthu zowopsa kwambiri zamatenda. Mu 40% ya omwe ali ndi matenda ofanana, kudula mwendo kumachitika chifukwa cha matenda ashuga.

• Kodi kudula mwendo kwa matenda ashuga kuli kofunikira?
• Kodi ayenera kuchotsedwa motani miyendo?
• Youma gangrene
• Zowonda kwambiri
• Moyo atadulidwa mwendo
• Momwe mungasamalire wodwala atadulidwa mwendo?
• Malangizo kwa Odwala
• Kodi ndikofunika kukaonana ndi dokotala munthawi ziti?

Zofewa minofu necrosis ndi njira yotsika ya chitukuko cha matenda ashuga ndipo nthawi zambiri zimabweretsa gawo la odwala olumala. Komabe, si mikhalidwe yonse yomwe imafunikira kuchotsedwa kwa gawo lofunikira mthupi. Zonse zimatengera kuopsa kwa njira ya matendawa komanso kubwezera komwe kufalikira kwazungulira.

Kodi kudula mwendo kwa matenda ashuga kuli kofunikira?

Njira zothanirana ndi matendawa zimagwiritsidwa ntchito komaliza ndipo zimathandiza kuti wodwalayo afe. Popeza pakukhamukira kwa mitsempha ya 100%, kuthamanga kwa magazi m'chigawo chotsikiratu kumayima, kufa kwa minofu yathanzi kumayamba.

Zinthu zonse za metabolic, poizoni, ma microorganism zimatengedwa ndi maselo, zomwe zimatsogolera ku sepsis ndikuwonongeka kwakukulu mumunthu. Popanda thandizo lokwanira, imfa ya poizoni wamagazi imachitika posachedwa.

Kudulidwa mwendo mu shuga kumapangidwira kuti athetse malo a necrosis ndikupulumutsa wodwalayo. Ndi opareshoni kuti achulukitse minofu yonse yosagwira ndi fupa lomwe lakhudzidwa.

Kodi ayenera kuchotsedwa motani miyendo?

Ndikofunika kunena nthawi yomweyo kuti 40% ya odwala ndi omwe amadwala matenda a shuga ndipo 23% yokha ndi yomwe imafunikira mtsogolo. Chilichonse chimatha kuyambira ndikuduladula zala kapena gawo la phazi, kutengera kufalikira kwa matendawa.

Zizindikiro zazikulu zakugwiritsira ntchito kwake ndi:

1. Zosokonekera zopweteka, miyendo yophwanya.
2. Ischemia yovuta kwambiri yoyenda mozungulira chifukwa cha hyperglycemia, atherosulinosis, komanso mtima.
3. Kukula kwa matenda a anaerobic (clostridial lesion).
4. Ma neoplasms oyipa.

Ngati timangolankhula zokhudzana ndi matenda a shuga, ngati chifukwa chakuchotsa gawo la thupi, ndiye kuti tiyenera kutchulanso mitundu ya zilonda zam'mimba.

Kusiyana kwakukulu mu pathogenesis ya mapangidwe awo ndikokula kwa minofu necrosis ndi zizindikiro za cholinga zomwe wodwalayo akumva. Kufunika kolowerera opaleshoni ndi voliyumu yake zimatengera izi.

Youma gangrene

Ndi kukula kwa zowuma (ischemic) zowonongeka, kufalikira kwam'mimba kumachitika ndi zolembera kapena vasospasm chifukwa cha hyperglycemia.

Wodwala adziwitsanso mfundo izi:

1. Phazi ndi mwendo wotsika wa gawo lakhudzidwa ndi thupi sizizizira kukhudza.
2. Khungu limazungulira kapena kutumbulika.
3. Palibe kuluka tsitsi.
4. Chizindikiro chodziwika bwino pakulankhula kwapang'onopang'ono kumawonekera - munthu amadandaula za kupweteka m'mwendo wapansi pakupuma kapena atadutsa mtunda waufupi.
5. Kupangidwe kwa zilonda zopweteka pazala ndi zidendene.

Ngati kupezeka kwa chizindikiro ichi kumawonedwa, ndiye kuti sizotayika zonse. Magazi, ngakhale ali ndi vuto lalikulu, amatha kubwezeretsedwanso mwa kuchitidwa opaleshoni ya mtima.

Mfundo yoti osabwerako ndiyodetsa khungu. Mawonekedwe owuma a necrosis amadziwika ndi kufa pang'onopang'ono kwa malo a distal. Ndi kuyitanidwa mwachangu kwa madokotala a opaleshoni, kudulira zala zakumwa mu shuga mellitus kungakhale chithandizo chokhacho popanda kuwonjezera madera ochotsa.

Zowonda kwambiri

Mitundu yochepetsetsa kwambiri ya zotupa, yomwe imayambitsidwa ndi kuphatikiza kwa matendawa a mitsempha kumapeto kwa mitsempha.

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

1. Imani kutentha kwabwinobwino kapena kutentha.
2. Mtundu wa pakhungu ndi wabwinobwino.
3. Wodwalayo amadandaula za kusoka komanso kudula ululu pakupuma.
4. Pali kuchepa ndi kuwonongeka kwa mitundu yonse yamasoni, komwe kumayambitsa kupangika kwa kuvulala kovutirapo (mabala, abrasions).
5. Zilonda zopweteka zopanda malire.

Munthawi imeneyi, ndikofunikira kuchitira chithandizo chovuta pogwiritsa ntchito mankhwala am'deralo komanso kuchepetsa shuga.

Choopsa kwambiri ndikukula kwa matendawa ndikupanga zotupa za ziwalo zonse m'mizere ndi m'mitsempha. Pali necrosis yathunthu popanda malire omveka.

1. Kukula kwa miyendo yakumaso kukula.
2. Kusintha kwa mtundu wake (buluu, bulauni).
3. Kujowina matenda.
4. Kukwera kowopsa kwa kutentha kwa thupi.
5. Wodwala amatha kulephera kuzindikira.

Chifukwa chakuti ndizosatheka kukhazikitsa malire enieni a imfa ya zida, ndikofunikira kuchita ntchito yayitali. Nthawi zina amatha kuduladula mwendo pamwamba pa bondo mu shuga. Molondola, munthu akhoza kungowunika wodwalayo momwe aliri.

Moyo atadulidwa mwendo

Moyo pambuyo pakuchita opaleshoni ukupitilizabe. Vuto lalikulu ndi kukhumudwa komwe anthu amakumana nako zitachitika izi. Ntchito ya madokotala ndi achibale ndikubwezeretsa m'maganizo ndi kugwiritsa ntchito mankhwala osokoneza bongo panthawi ya ntchito.

Ngati wodwala matenda ashuga azitsatira zonse zomwe dokotalayo amupatsa ndikuyamba kuchita zoyenera, ndiye kuti zotsatirapo za njira zamtunduwu zamankhwala zimakhala zabwino. Kupanda kutero, kugonja kwa miyendo ina yokhala ndi zotulukapo zofananira sikuphatikizidwa.

Njira yabwino kwambiri yodulira mwendo ndi kupewa. Kuti muchite izi, muyenera kusungabe glycemia wabwinobwino. Ndi mfundo zake pamlingo wa 3.3-5.5 mmol / l, kusintha kulikonse kwa m'matumbo sikumachitika, kupatula kukalamba kwachilengedwe.

Momwe mungasamalire wodwala atadulidwa mwendo?

M'masiku oyambirira atadulidwa, chithandizo cha manja chimachitika ndi ogwira ntchito kuchipatala. Komabe, atachoka kuchipatala, ntchitoyi imaperekedwa kwa wodwala ndi abale ake kapena wowasamalira. Nanga ndi malingaliro otani omwe angapatsidwe kwa wodwala pazinthu zotere?

1. Chilondacho chimayenera kukhala chouma nthawi zonse. Malo a bala amayenera kutsukidwa tsiku lililonse ndi sopo wofatsa komanso madzi ofunda. Osakhudza msoko. Madzi amayenera kuyenda bwino pamwamba pake. Simungathe kusamba kapena kusambira.
2. Zilondazo zitachira kwathunthu, ndikwabwino kuti muzikhala otsegula, popanda mabandeji. Yenderani chitsa tsiku lililonse kuti mupeze redness kapena uve.

Malangizo kwa Odwala

Odwala opaleshoni ayenera kuyamba pang'onopang'ono. Kuti muyambe, ingochokerani pa mpando kupita kwa woyenda, kenako kuchokera koyenda kupita kuchimbudzi.

Ndikofunikira kuti muzichita zinthu zanu zatsiku ndi tsiku: kudzipangira nokha mano, kusamba, kuphika chakudya chanu. Munthu ayenera kuyesetsa kuchita momwe angathere iye.

Mukapuma, ndikofunikira kuti chitsa chizikhala chowongoka, pamalo athyathyathya. Chifukwa chaichi, thaulo kapena zofunda zakupinda zingagwiritsidwe ntchito pafupi.

Osadutsa miyendo yanu mukakhala. Izi zitha kuyimitsa magazi kupita ku chitsa chanu.

Zipembedzozi zimatha kudendekera kumapazi a bedi kuti muchepetse kutupa ndi kuchepetsa ululu. Komanso, sikulimbikitsidwa kuyala mapilo ofewa pansi pa chitsa.

Kuphatikiza apo, wodwalayo ayenera kusamutsidwa m'mimba katatu kapena kanayi pa tsiku pafupifupi mphindi 20. Izi zikuthandizira kutukula minofu ya ntchafu, yomwe mtsogolomo ingathandize kukonzekeretsa wodwala kuti azikhala ndi ma prosthetics.

Kodi ndikofunika kukaonana ndi dokotala munthawi ziti?

• Ngati redness iwoneka m'dera la chitsa.
• Ngati khungu lomwe lili pach chitsa latentha mpaka kukhudza.
• Pali zotupa kapena zotupa kuzungulira chilondacho.
• Ngati magazi atuluka atapezeka.
• Mabowo atsopano anawonekera m'dera la bala.
• Kuwonjezeka kwa kutentha kwa thupi mpaka 38 ° C, kupitiliza kamodzi pa tsiku.
• Maonekedwe a madera a necrosis mozungulira bala.
• Kukhalapo kwa zopweteka zatsopano kapena mawonekedwe atsopano, osadziwika kwa inu.
• Fungo losasangalatsa kuchokera pachilonda

Chifukwa chake matenda a shuga amachititsa kuti chala chikhale chodulidwa ndipo ndizotheka kupewa opaleshoni

Ngati matenda a shuga sawalipiridwa kapena sanalipiridwe mokwanira, posakhalitsa izi zimabweretsa zovuta zosiyanasiyana. Chimodzi mwazinthu zoyipa kwambiri ndi matenda a m'munsi am'munsi, pomwe phazi la matenda ashuga limayambitsa minofu necrosis.

Mukakhala kuti mwakonzeka kusuntha mwendo, chala, phazi kapena mwendo ziyenera kudulidwa. Popewa kulumala, aliyense wodwala matenda ashuga ndi malo ake ayenera kuganizira mavuto onse omwe amakhalapo chifukwa choduladula kuti athe kupeza chithandizo chamankhwala panthawi yake.

Zomwe zimadulidwa

Kuphulika kwa kagayidwe kachakudya kumabweretsa kusintha kwamatumbo mu mtima. Kudzikundikira kwa zinthu za ballast m'magazi, kusintha kwa autoimmune kumapangitsa kuti maselo awonongeke chifukwa chodziteteza. Pazifukwa izi, kuchuluka kwa zombo zabwinoko kumachepetsedwa, ndikupereka njira yoyambira kufotokoza bwino, kenako ischemia yodziwikiratu.

Kudula mwendo chifukwa cha matenda ashuga sikungapeweke ngati:

1. Magazi a m'miyendo akupita patsogolo,
2. Kuperewera kwa oksijeni kumapangitsa khungu kutengeka mosavuta ndi matenda,
3. Kutha kukonzanso chitseko kumachepetsedwa,
4. Ndi chithunzi chachipatalachi, kuwonongeka kulikonse kwamakina kumakwiyitsa mapangidwe a zotupa, phlegmon ndi zina zotupa za purulent zomwe ndizovuta kuchiza,
5. Kuwonongeka kwathunthu kwa minofu yamafupa kumakwiyitsa maonekedwe a osteomyelitis - chiwonongeko champhamvu cha minofu yamafupa.

Ndi matenda ashuga, mitsempha imawonongeka pang'onopang'ono, magazi amayenda, komanso mphamvu ya miyendo imachepa. Zotsatira zake, wodwalayo samva kupweteka ndi zotupa za pakhungu. Kupyola chimanga ndi ming'alu, matenda amalowa. Mabala omwe ali ndi matenda "okoma" amachiritsa kwa nthawi yayitali. Pakakhala chithandizo chokwanira, zilonda zam'mimba zimayamba, kenako.

Kutengera ndi kusiyana kwa matendawa pakukula kwa matendawa, zomwe zikuwonetsa opareshoni zalembedwa. Chisamaliro makamaka chiyenera kulipidwa pakukonzanso.

Kuduladulidwa chala mu shuga

Kukhazikitsanso chala ndi chisankho chofunikira. Amatengedwa ngati minyewa singathe kubwezeretsedwanso, ndipo pali chowopsa m'moyo wa wodwalayo, chifukwa phazi la matenda ashuga, makamaka, ndilo lingaliro lakufa.

Pa gawo lapamwamba, kudulidwa kwa chala sikulungamitsidwa, sikukhudza kwambiri magwiridwe antchito a miyendo. Ngati simuyimitsa zolaula za chala, awa sathera vuto.

Pali ntchito zala za pulayimale, sekondale ndi guillotine:

1. Kudula koyambirira kumachitika ndi matenda apamwamba kwambiri, pomwe njira zina sizikugwiranso ntchito.
2. Kuchita opaleshoni yachiwiri kumasonyezedwa pambuyo pobwezeretsa kayendedwe ka magazi kapena ndi chithandizo chosagwira bwino, pakadali nthawi yoti mudziwe kuti ndi gawo liti lamatenda lomwe limwalira.
3. Resection wa Guillotine amagwiritsidwa ntchito pamavuto ovuta kwambiri kuwopseza moyo wa wodwalayo. Madera onse okhudzidwa ndi gawo lathupi lathanzi amachotsedwa.

Wet gangrene amafuna opaleshoni yodzidzimutsa, chifukwa kuchuluka kwa zowonongeka kwa minofu ndikokwanira. Ndi khungu louma, necrosis imawonetsedwa ndi mafelemu omveka bwino m'dera lomwe magazi ake amathamanga. Ikani ntchito yomwe mwakonzekera. Munthawi zapamwamba, ndikumauma pang'onopang'ono, chala chimatha kudzipangitsanso.

Zomwe zimadulidwa miyendo mu shuga

Pa gawo lokonzekera, kuyezetsa kumayesedwa (ultrasound, X-ray, kuyezetsa magazi ndi mkodzo, kufufuza kwa mitsempha) kuti muwone kukula kwa vutoli.

Madzulo atachotsedwa, wodwalayo amasintha kuchuluka kwa mankhwalawa omwe amachepetsa magazi, dokotalayo amapereka malangizo okonzekereratu momwe angachiritsire pambuyo pochita opaleshoni. Kupewa zotsatira zoyipa kuchokera ku mankhwala oletsa kupweteka, ndizoletsedwa kudya ndi madzi tsiku lotsatira la opareshoni.

Pa nthawi ya opareshoni, khungu limatsukidwa ndi ma antiseptics omwe amateteza ku matenda. Chifukwa chaichi, maantibayotiki amatumizidwanso. Pambuyo pa mankhwala ochita opaleshoni (anesthesia yam'derayo imagwiritsidwa ntchito pa chala, nthawi zina, mankhwala ochititsa dzanzi) amachitika mozungulira.

Sulani fupa, chotsani minofu yowonongeka, limbitsani chilondacho ndi khungu labwinobwino komanso suture. Pofuna kuchotsa madzi ambiri. Kutalika kwa ntchito kumatengera zovuta: kuyambira mphindi 15 mpaka maola angapo.

Sabata yoyamba nyengo yochira

Ndi gangrene, malo omwe angadulidwe amatsimikizidwa ndi kusintha kwa matenda. Pambuyo pa opaleshoni, mphamvu ya madokotala imakhala yofuna kupondereza kutupa, kupangitsa zovuta. Zilondazo sizimangamangidwa tsiku ndi tsiku, koma maulalo onse a postoperative amathandizidwanso.

Nthawi yogwira ntchito ndi yowopsa chifukwa mwayi wa matenda a bala ndiwambiri. Chifukwa chake, kuphatikiza pakusamba pafupipafupi suture, wodwalayo amawonetsedwa kudya komanso kupukutira kwapadera. Kubwezeretsa kutuluka kwa magazi, gunditsani miyendo yonse.

Masabata awiri otsatira

Sabata yotsatira, wodwalayo samadwalanso kupweteka kwambiri m'chiwalo. Msoko pang'onopang'ono umachiritsa, zimatenga nthawi kuti matenthedwe asinthe, ngakhale pang'ono.

Anthu odwala matenda ashuga ayenera kuganizira zina:

• Ngati mwendo udadulidwa m'dera lomwe lili pamwamba pa bondo, ndiye kuti nthawi yobwezeretsa pamalopo imapangitsa kuti pakhale zina zomwe zimalepheretsa kuyenda m'chiuno.
• Ndi opaleshoni ya shin, bondo lopanda chitukuko chapadera limavutika kwambiri.
• Njira yochira imaphatikizaponso: kusunthika kambiri, malo ogona - pakama yolimba kwambiri komanso pamimba pathupi.
• Mobwerezabwereza kwa tsiku lomwe muyenera kuchita masewera olimbitsa thupi.
• Njira zonsezi zithandiza kulimbitsa minofu ndikukonzekeretsa thupi kuti libwezeretse ntchito zamagalimoto.

Ndi ntchito zoterezi, ndikofunikira kutsatira njira zonse zowasungira, makamaka, kuyamba kuphunzitsa zida zapadera pafupi ndi kama. Kupanga mikono ndi msana, muyenera kugwirira pakama. Kulimbitsa minofu kumathandiza kwambiri pakukonza chitsa cha ziwonetsero ndi kubwezeretsa magwiridwe antchito.

Zovuta pambuyo pa opaleshoni

Pambuyo pochotsa mbali ya mwendo kapena chala, pali zovuta zingapo - kuchokera pazomwe sizichiritsa kwa nthawi yayitali kuti kutupa ndi kutupa. Pofuna kupewa zotsatira zosafunikira, ndikofunikira kuvala bandeji yokhazikika yomwe imakhazikika pakuyenda kwa magazi ndi kutuluka kwa magazi. Ayenera kukhala olimba, ovulala kwambiri m'munsi mwa chitsa, mavutowo amachepa kumka kumtunda.

Kutikita pafupipafupi kwa chitsa ndi minofu yoyandikana - kugwada, kupukusa, kuwomba - ndikofunikira, chifukwa zimakupatsani kubwezeretsa minofu ya atrophied.

Ndikofunikira kudziwa kuti:

1. Odwala onse amadwala ululu wamphantom. Pankhaniyi, katswiri wama psychologist ndi analgesics athandizira kuyanjananso ndi kutayika.
2. Chithandizo cha mankhwalawa chimagwiritsidwa ntchito onse muzochita zamankhwala (pachimake) ndi physiotherapeutic.
3. Mphamvu zowoneka bwino zimawonedwa ndi masewera olimbitsa thupi komanso mitundu yonse ya kutikita minofu, kuphatikizapo kudzithandiza. Mukachiritsa, mutha kusamba osamba.

Ndi chisamaliro chosauka, kubwezeretsanso minofu necrosis ndi matenda a bala ndikotheka. Kuchita mobwerezabwereza, pakufunika ntchito yayikulu.

Kuneneratu - omwe odwala matenda ashuga angayembekezere

Ngati mwendo wadulidwa m'chiuno, theka la odwala matenda ashuga okha ndi omwe amapulumuka chaka chatha atachitidwa opereshoni. Ziwerengero zofananira zimawonedwa mu ukalamba, pamene shuga imayendera limodzi ndi zovuta zina. Mwa odwala omwe anakwanitsa kuphunzira ma prostheses, kupulumuka kumakhala katatu kwambiri.

Ndikudula mwendo wapansi, ngati palibe kukonzanso zokwanira, 20% ya ozunzidwayo amafa. Enanso 20 peresenti ya opulumuka amafunikanso kudula miyendo - tsopano. Mwa odwala omwe adadwala kale, kufa kwa chaka sikupitirira 7% (pamaso pa matenda achilendo).

Ndi njira yaying'ono yochita opaleshoni (kusanjikanso phazi, kuchotsa chala), chiyembekezo cha moyo chimakhalabe pamlingo wazaka zake.

Kuti mubwezeretse ndikukhalanso wogwira ntchito kwa dzanja lomwe lakhudzidwa panthawi yakusinthika, ndikofunikira kutsatira zonse zomwe dokotala wakulemberani.

Njira zamakono zodziwitsira zala za matenda ashuga - muvidiyoyi

Kukonzekera

Asanadulidwe, wodwalayo amapatsidwa mayeso angapo kuti adziwe kuti akupanga chiyani. Monga lamulo, wodwalayo amatumizidwa kwa x-ray, ultrasound, diagnostics ya mitsempha imachitidwanso, ndipo kuyesedwa kwa magazi ndi mkodzo kumayikidwa kuti adziwe matenda kapena kutupa.

Dokotala amaperekanso malingaliro omwe angafunike kuchitidwa ndi wodwalayo. Opaleshoni isanachitike, wodwalayo amasinthanso kuchuluka kwa mankhwala ophera magazi, ndikulimbikitsanso kukonzekera momwe angapangidwire. Madzulo ndi m'mawa musanachitike njirayi, amaletsedwa kudya ndi kumwa madzi kuti apewe zotsatira za mankhwala opaleshoni.

Kuchita opareshoni kumayambira pakubweretsa mankhwala oletsa ululu, monga lamulo, ndikudulidwa kwa chala, mankhwala oletsa mankhwalawa sagwiritsidwa ntchito. Komanso, pokonzekera wodwalayo, khungu limatsukidwa ndi mayankho apadera kuti muchepetse kukula kwa kachilomboka.

Gawo lotsatira, adotolo amapanga chibwibwi mozungulira, ndikuchotsa minofu yowonongeka pang'onopang'ono, fupa limayendetsedwa bwino, ndipo bala limakhala ndi khungu labwino, ndiye kuti amayamwa. Ngati ndi kotheka, katswiriyo amaika ngalande kuti muchotse madzimadzi pachilonda ndi matenda otsalira.

Kuchita opareshoni sikupweteka konse kwa wodwalayo, chifukwa cha opaleshoni, ndipo kutalika kwake ndikuyambira mphindi 15 mpaka ola limodzi, kutengera zovuta za milanduyo. Pambuyo ndikudulidwa, kupweteka kwa phantom kumatha kuwoneka komwe kumafuna chithandizo motsogozedwa ndi katswiri.

Kukonzanso

Ntchito yofunikira pakuthandiziridwaku imachitidwa pokonzanso chala, ngakhale atadula chala, ndikudula phazi, mwendo wotsika kapena ntchafu, njirayi imafunikira chisamaliro chambiri.

Chowonadi ndichakuti ngati chisamaliro chokwanira cha matenda ashuga, chiwopsezo chachiwiri cha bala chimatheka, ndikuyambiranso minofu necrosis. Izi zimabweretsa kuduladula kwapamwamba komanso kufunika kogwiritsa ntchito ma cell.

Chitsa mutadulidwa

Pakukonzanso, ndikofunikira kuti musinthe kavalidwe kanu pafupipafupi ndikuwathandiza mabala ndi njira zothetsera antiseptic, ndikofunikira kuti mutenge mankhwala ochepetsa magazi, maantibayotiki, ngati adokotala adanenanso. Pofuna kupewa phazi la anthu odwala matenda ashuga, wodwalayo ayenera kuyang'ananso kuchuluka kwa shuga, komanso kuyang'ananso miyendo kuti athandize kuvulala kapena chimanga chilichonse munthawi.

Wodwalayo amalangizidwa kuti azidya moyenera, osalola kulemera ndi kuwonjezeka kwa shuga. Chifukwa chake, zakudya zomwe zili ndi shuga ndizotsutsana, zamchere kwambiri, zokometsera komanso zamafuta. Sitikulimbikitsidwanso kudya zakudya zachangu, zinthu zomalizidwa ndi zakudya zosavuta.

Wodwala amafunika kuphika ndi zinthu zatsopano, amaloledwa kudya nyama yopendekera, chimanga, masamba, zipatso, mkaka, mtedza, zipatso, mazira. Sitikulimbikitsidwa kuti mwachangu chakudya m'mafuta, muyenera kuphika ochepa, mu uvuni, kapena kuphika ndi mphodza.

Ndikofunikira nthawi yakonzanso kuti magazi azitha kufalikira m'malo otsika, chifukwa pamenepa wodwalayo amapatsidwa mankhwala olimbitsa thupi nthawi zonse, kutikita minofu, kusamba kwachilonda mukachiritsa mabala.

Ngati wodwala akuda nkhawa ndi kupweteka kwambiri atachitidwa opaleshoni, amamuika analgesics. Nthawi zambiri, kufunsira ndi katswiri wama zama bongo kumafunikira kuti muchotse zowawa za phantom, popeza wodwalayo sangathe kuyanjananso ndikuwonongeka.

Ndikofunikira kwambiri panthawi yakonzanso ndikatha kusankha nsapato zoyenera kuti zitsimikizike kukhazikika kwa phazi. Ngati chala chachikulu chachotsedwa, mungathe kufunsa kuti mugwire ntchito yokhala ndi phazi. Kugwedeza chala kumathandizanso kuchotsa zovuta zomwe zimakhudzana ndi kusapezeka kwawo.

Mavuto

Pambuyo pochotsa chala mu matenda a shuga, matendawa ndi abwino, koma ngati opareshoniyo idachitika munthawi yake, ndipo atatsata njira yoyenera yokonzanso. Kupanda kutero, zovuta monga yachiwiri kufalikira kwa zimakhala.

Ngati wodwala yemwe ali ndi vuto la matenda ashuga sathamangira kwa dokotala, koma akuyesetsa kuthandizidwa payekha, zotsatirapo zake zimakhala zachisoni kwambiri. Ndikumauma pang'onopang'ono, chala pakapita kanthawi chimangodzicheka, komanso ndi chonyowa, kachilomboka kamafalikira mwachangu, kenako kuti apulumutse moyo, ndikudula phazi lonse ndikofunikira.

Mulimonsemo, pambuyo pa opaleshoni, wodwalayo ayenera kulabadira momwe akumvera, ndipo pakakhala zizindikiro zotsatirazi, funsani dokotala posachedwa:

• Ngati malo ozungulira chilondacho ayamba kutupa, asandulika ofiira ndi zowawa - ichi ndi chizindikiro cha kutupa kwachiwiri.
• Ngati bala lake silikuchira kwa nthawi yayitali, magazi amawonekera kuchokera pamenepo, muyenera kufunsa dokotala,
• Ngati redness, dzanzi, dontho lakuda lomwe likuwoneka ngati chilonda likawoneka m'dera la chitsa kapena pa mwendo wina kapena chala chotsatira, muyenera kulumikizana ndi dokotala nthawi yomweyo, ndiye kuti omwe akhudzidwa akhoza kupulumutsidwa.
• Ngati mukuda nkhawa ndi ululu wowawa womwe suchoka ngakhale mutatha analgesics.

Sikovuta kupewa zovuta pambuyo pakuchita opaleshoni, ndikokwanira kutsatira malingaliro onse a dokotala ndikuchiritsa bala la postoperative. Ndikofunikanso kuyang'anira thanzi lanu, kupewa kutalikirana, kuti musabwezeretsenso necrosis ya minofu ya kumapazi.