Gangrene ndiimfa yakumaloko (necrosis) yamankhwala pachinthu chamoyo. Ndizowopsa chifukwa zimayambitsa magazi ndi ma cadaveric poizoni ndipo zimatsogolera pakupanga zovuta zakupha kuchokera ku ziwalo zofunika: impso, mapapu, chiwindi ndi mtima. Gangrene mu matenda a shuga nthawi zambiri amapezeka wodwala matenda ashuga, ndipo wodwala samalabadira chithandizo chake.
Kuduladula Saw
Matendawa m'matenda a shuga nthawi zambiri amakhudza zala kapena miyendo yonse. Ndi mtundu wokhwima kwambiri wa matenda ashuga othamanga. Itha kukhala chifukwa chimodzi mwa zifukwa ziwiri:
- Mwazi womwe umaperekedwa kumiyendo ya miyendo imalephera kwambiri, chifukwa mitsempha ya magazi imatsekeka kwathunthu chifukwa cha atherosulinosis. Izi zimatchedwa ischemic gangrene.
- Matenda a shuga a matenda ashuga adayambitsa zilonda kumapazi kapena mwendo wotsika womwe sunachiritse kwa nthawi yayitali. Gangrene imachitika ngati mabakiteriya a anaerobic ayamba kuchuluka ochulukitsa m'mabala awa. Izi zimatchedwa matenda opatsirana.
Zomwe zimayambitsa zovuta m'miyendo mu shuga
Mtundu woyamba 1 ndi matenda ashuga 2 ndiwowopsa m'miyendo ya wodwalayo. Anthu odwala matenda ashuga nthawi zambiri amakhala ndi zilonda ndi zilonda m'miyendo yawo omwe sachiritsidwa kwa nthawi yayitali, amasangalala ndipo amatha kudulidwa kapena kufa chifukwa cha gangore. Vutoli limakumana ndi odwala 12-16% omwe ali ndi matenda ashuga, awa ndi mamiliyoni aanthu padziko lonse lapansi. Pazifukwa zokhudzana ndi matenda a shuga, miyendo yotsikitsitsa imadulidwa kuposa zifukwa zina zonse, kuphatikiza ngozi zagalimoto ndi njinga zamoto.
Zilonda zam'miyendo, zomwe mu shuga zimayamba kukhala mabala otupa, sizimachitika mwadzidzidzi. Amawoneka m'malo amenewo pomwe khungu la miyendo lidawonongeka. Mukamatsatira malamulo osamalira odwala matenda ashuga, mutha kuchepetsa ziwopsezozo ndikusiya "kuyenda nokha."
Ngati wodwala matenda ashuga "adziwa" matendawa kwa zaka zopitilira 5 ndipo nthawi yonseyi anali ndi shuga wambiri, ndiye kuti mwina ataduka pang'ono m'miyendo. Mapazi amasiya kumva kupweteka, kupanikizika, kutentha ndi kutentha pang'ono. Izi ndichifukwa choti zanyamula magazi m'misempha yayitali ndikumapha mitsempha yomwe imawongolera kumverera kwamapazi. Mitsempha yomwe imayambitsa kutulutsa thukuta pakhungu la miyendo imamwaliranso. Pambuyo pake, khungu limaleka thukuta, limakhala louma ndipo limakonda kusweka. Khungu louma limakhala pachiwopsezo cha kuwonongeka ndipo limachiritsa kuposa momwe limaphatikizira nthawi zonse. Ming'alu pakhungu imasanduka mabakiteriya owopsa.
Kodi ndichifukwa chiyani mabala amiyendo mu odwala omwe ali ndi matenda ashuga amachiritsidwa? Chifukwa shuga wokwezeka kwambiri amasokoneza magazi m'magulu akulu ndi ang'onoang'ono omwe amadyetsa timiyendo ta miyendo. Kuti muchiritse bala, mungafunike magazi ochulukirapo ka 15 omwe nthawi zonse amakhala ofanana. Ngati thupi silingathe kupereka magazi moyenera ku malo owonongeka, ndiye kuti samachira, koma m'malo mwake amangokulira. Matendawa amatha, ndipo matendawa amafalikira m'miyendo yonse. Kuchulukirachulukira, matenda omwe amayambitsa matenda a shuga sangathe kuchiritsidwa ndi maantibayotiki chifukwa mabakiteriya ayamba kulimbana nawo.
Wuma Gangrene wa Matenda A shuga
Ndi matenda a shuga, gangrene amatha kukhala wouma kapena kunyowa. Dry gangrene imachitika pamene zigawo zamitsempha zam'munsi zimatsika pang'onopang'ono zaka zingapo. Chifukwa chake, thupi limakhala ndi nthawi yosinthira, kuti ipange zida zoteteza. Zouma zokhala ndi matenda ashuga nthawi zambiri zimakhudza zala. Zingwe zomwe zimafa pang'onopang'ono sizitenga kachilomboka.
Ndi matenda owuma, pang'onopang'ono pamatha kupweteka kwambiri, koma pambuyo pake zala zakukhudzidwa zimatha kumverera. Amayamba kukhala ndi mawonekedwe opukutidwa, owoneka bwino kwambiri osiyana ndi matupi athanzi. Fungo palibe. Popeza mayamwidwe a poizoni m'magazi ndi ochepa, mkhalidwe wa wodwalayo sasintha.
Zowuma zokhala ndi matenda ashuga sizowopsa pamoyo. Kudulira kumachitika chifukwa cha zodzikongoletsera komanso prophylaxis pofuna kupewa matenda komanso kuti gangrene asanyowe.
Zowonda kwambiri
Wet gangrene ali ndi zizindikiro zotsutsana. Ngati ma virus a anaerobic apatsira mabala omwe ali ndi matenda am'mimba a shuga, ndiye kuti amachulukana mwachangu kwambiri. Minofu imachulukana, imawoneka mtundu wamtambo-wamtambo kapena mtundu wobiriwira. Mbali yakumapazi yomwe ikukhudzidwa imakhala ngati kuwundana kwa cadaveric, ndipo njirayo imafalikira nthawi zonse mwendo.
Popeza danga pansi pa khungu limadzaza ndi hydrogen sulfide, phokoso linalake lotchedwa kuthengo limamveka likakankhidwa. Fungo losasangalatsa lotayirira limachokera m'dera lomwe lakhudzidwa ndi gangore. Mkhalidwe wa wodwalayo ndi woopsa chifukwa cha kuledzera kwambiri. Ndi chonyansa chamagulu, kungodula mwachangu kokha komwe kungapulumutse moyo wa wodwala matenda ashuga ngati nthawi singaphonye.
Kupewa komanso kuchiza matenda a matenda a shuga
Choyamba, muyenera kuphunzira ndikutsatira mosamala malamulo osamalira odwala matenda a shuga. Miyendo iyenera kutetezedwa mosamala kuti muchepetse kuwonongeka. Kuvala nsapato zamatumbo kumalimbikitsidwa kwambiri. Mwini wodwala matenda ashuga kapena wina wa m'mabanja ayenera kupenda mapazi usiku uliwonse kuti awone kusintha kulikonse. Zitsulo ziyenera kuyang'aniridwa mosamala ndi kalirole.
Ngati abrasions yatsopano, matuza, zilonda zam'mimba, zilonda zam'mimba, ndi zina. Musalole aliyense (ngakhale dokotala) kudula chimanga. Ichi ndiye chifukwa chachikulu cha mapangidwe a zilonda zam'mimba, zomwe zimayambitsa kubala ndi kuduladula phazi. Unikani nsapato zonse zomwe anthu odwala matenda ashuga amavala kuti adziwe zovuta zomwe zimayambitsa chimanga.
Ngati matenda ashuga atayamba kuuma, ndiye kuti kuchitira opaleshoni ya mtima. Opaleshoni yotere, ngati itapambana, imatha kubwezeretsa mitsempha yamagazi yomwe idadyetsa mwendo womwe wakhudzidwa. Nthawi zambiri izi zimapereka mwayi kwa odwala kuti asadulidwe komanso kuti azitha kuyenda okha.
Ndi chonyowa matenda opatsirana, palibe mankhwala pano, kupatula kudula mwadzidzidzi. Komanso, ndiwokwera kwambiri kuposa malo omwe kuvunda kunachokera. Kumbukirani kuti muzochitika zotere, kukana kudulidwa ndiko kudziweruza nokha kuti muphedwe, ngakhale mutakhala achangu, koma zopweteka.
Chifukwa chake, tidaphunzira kuti khungu louma komanso lonyowa ndi liti la shuga. Ngati musamala odwala matenda ashuga, ndiye kuti mutha kupewa izi. Tsatirani pulogalamu ya matenda a shuga a 2 kapena mtundu wa matenda ashuga 1.
Werengani nkhani:
- Matenda a shuga a matenda ashuga ndi chithandizo chake chopewa kudulidwa;
- Kupweteka kwa mwendo mu shuga - chochita;
- Momwe mungachepetse shuga m'magazi kukhala njira yabwino kwambiri.
