Gangrene mu shuga ndi njira ya necrosis yam'thupi lathupi lathupi, chifukwa chomwe matenda amtunduwu amawonedwa. Zinthu za Cadaveric zimalowanso m'magazi, zomwe zimapangitsa kuti vutoli lithe - kugonjetsedwa kwamphamvu kwamkati mwa matenda ashuga - chiwindi, mtima, mapapu.
Kuyimbira mochedwa kwa dotolo, kulandira chithandizo chokwanira, moyo wopanda thanzi, ndikunyalanyaza vutoli kumabweretsa zotsatira chimodzi chokha - iyi ndi njira yodalirika yothandizirana yomwe imaphatikizapo kuduladula miyendo.
Poyerekeza ndi matenda ashuga, malekezero otsika omwe nthawi zambiri amavutika. Munthu wodwala matenda ashuga amatha kupindika phazi, phalax imodzi, imatha kukhudza zala zonse, ndikangosiyidwa osachitapo kanthu, komanso nthawi yayitali, imayipirabe. Ngati simukuonana ndi dokotala panthawi, odwala matenda ashuga azikula, zomwe zimapangitsa kuti mwendo wake udulidwe.
Ndikofunikira kuganizira zomwe zimayambitsa matenda, kuti mudziwe zizindikiro za matenda am'mimba. Kuphatikiza apo, muyenera kudziwa ngati ndizotheka kupewa njirayi, komanso momwe mungachiritsire gangore popanda kuduladula?
Chifukwa chiyani zigawenga zimachitika?
Kudziwa chomwe gangrene ndi, muyenera kudziwa chifukwa chake zingachitike. Kukula kwa gangrene mu shuga kungakhale pazifukwa zosiyanasiyana. Komabe, m'malo ambiri, gangore imayamba chifukwa cha zifukwa zingapo nthawi imodzi.
Njira ya ischemic ya gangrene ndi zotsatira za kusintha kwa ma atherosselotic m'thupi, chifukwa chomwe mitsempha yamagazi imatsekedwa, zomwe zimapangitsa kuti magazi azisokonekera. Zotsatira zake, minofuyo sililandira magazi ndi mpweya wokwanira, ndipo kufa kumachitika.
Phazi la matenda ashuga limadziwika ndi kukula kwa zilonda pamiyendo kapena kumapazi, ndipo ngati sachira kwa nthawi yayitali, kuphatikiza kachilomboka kamajowina, kuwoneka kwa gangrene kwamatenda opatsirana kumapezeka.
Pali zifukwa zina zomwe zimayambitsa matenda osokoneza bongo:
- Zotsatira za kusokonezeka kwa glucose metabolism m'thupi ndi polyneuropathy, yomwe imayamba m'maselo a chapakati mantha. Poona izi, ma cell azinthu zazikulu za mitsempha amakhudzidwa, kukalamba kwa maselo kumawonedwa.
- Ndi kuphwanya kwa ziwiya zing'onozing'ono komanso kuchepa kwa kutsekeka kwa makoma a capillary, gangrene amayamba matenda a shuga.
- Pophwanya ziwiya zazikulu, motsutsana ndi kusintha kwa ma atherosselotic, ma magazi amawoneka mthupi - izi zimachititsanso kuti pakhale gangrene.
- Tissue necrosis ndi chotsatira cha zinthu zambiri monga nsapato zosamasuka, kunenepa kwambiri, kufooka kwakukulu kwa chitetezo chathupi.
Matenda a shuga, kaya akhale mtundu wanji, ndiwowopsa kwa odwala matenda ashuga kuti apeze zovuta zingapo. Ndipo gangrene wa matenda ashuga (chithunzi), m'modzi wa iwo.
Anthu odwala matenda ashuga amatha kukhala ndi zilonda zam'miyendo pamiyendo yawo, komanso kumva pang'ono, chifukwa cholowera chakumapeto, wodwalayo samamva kusintha kulikonse m'thupi lake.
Matenda am'munsi kwambiri omwe ali ndi matenda osokoneza bongo samayamba atangoyamba kumene matenda.
Itha kuwoneka pokhapokha ngati matenda atapezeka, osachepera zaka 5 zapitazo.
Zizindikiro zake zodwala
Mafuta ochulukirapo m'magazi amawononga thupi pang'onopang'ono, chifukwa chomwe mathero amitsempha, omwe amachititsa kuti "kupweteka" afe, amwalira, amalamulira chiwopsezo cha m'munsi.
Pamodzi ndi izi, mitsempha yam'mimbayo yomwe imayendetsa thukuta pakhungu la miyendo imafa, zomwe zimatsogolera pakhungu louma, ming'alu imakonda kuwonekera. Ndipo popeza zonse ndizachilengedwe, matenda owonjezera amalumikizana ndi bala losachiritsika komanso lotseguka, lomwe limangokulitsa zinthu.
Tsoka ilo, ngati munthu ali ndi vuto loti achedwa kuchepa, kugwiritsa ntchito bwino mankhwalawa kumachepetsa. Maantibayotiki samathandiza, chifukwa sangathe kuthana ndi ntchitoyi, mabakiteriya amayamba kulimbana nawo. Ndipo pankhaniyi, kupewa kudula miyendo, sikugwira ntchito.
Chizindikiro choyambirira mwa mawonekedwe akuwonetsa kuti njira ya pathological yomwe ikupanga m'thupi sakhalapo, chifukwa miyendo sikhala nayo chidwi chofananira. Komabe, zizindikilo zoyambirira za omwe azipangitsa kuti azikhala ndi nkhawa azizindikirika:
- Kutopa kwakumapeto kwakumapeto kosaneneka poyenda, pang'ono pang'onopang'ono phazi, kusakhazikika kwamiyendo kukhudza.
- Kusintha kwa phazi, kupweteka m'miyendo.
- Kusintha mtundu wam'mphepete, kapena mapazi, zala. Khungu limakhala lozizira komanso lofiyira, limatha kunenedwa pafupi ndi buluu.
Ngati mutchera khutu kwambiri kwa nthawi yomweyo, ndikuyamba kuchiritsa zilonda zam'miyendo, ndiye kuti matendawa ndi abwino. Chachikulu ndikutsatira malingaliro onse a dotolo, kutsogoza moyo wabwino (zakudya zofunikira).
- M'dera lomwe lakhudzidwalo pali kupweteka kwapafupipafupi, mankhwalawa samachepetsa mkhalidwe wa wodwalayo.
- Madera okhudzidwa amasandulika akuda kapena kapezi, kuwonetsa kuti necrosis ya minofu yayamba.
- Palibe magazi omwe akhudzidwa m'deralo.
- Pali zovuta: matenda. Izi zimachitika makamaka kwa milandu yanyengo.
- Anthu opulula amasulidwa ku bala, kuledzera kwa thupi kumaululidwa.
Tsoka ilo, nkovuta kusiya njira yomwe yayamba, koma ndizotheka ngati wodwalayo akuuzidwa ndi dokotala panthawi komanso osagwiritsa ntchito njira zina wowerengeka kunyumba.
Dokotala wopezekapo, mosakayikira, amayesa kuyang'anitsitsa dzanja, akuwonetsa kafukufuku wa bakiteriya, kuyezetsa shuga, magazi ndi mayeso a creatine, kuyesa kwa magazi m'thupi kumayikidwa.
Mitundu yamavuto
Mu shuga mellitus, mitundu iwiri ya gangore imayamba: gangonda youma komanso yonyowa (yonyowa).
Dry gangrene amakula mu zochitika izi pomwe mawonekedwe a mitsempha ya magazi amachepetsedwa. Izi zitha kukhala zaka 2-3. Nthawi imeneyi, munthu amatha kukhala phee osamva kusintha kwa thupi lake, ndipo thupi limasinthika ndimatenda amtunduwu, limayamba kugwira ntchito yoteteza.
Munthawi zambiri, khungu louma limawoneka zala zakumanzere, njira zopatsirana sizikugwirizana.
Mtundu wamtunduwu umadziwika ndi zizindikiro zotsatirazi: kupweteka kwambiri m'miyendo, komwe kumatsalira pakapita nthawi. Pakufufuza kwakunja, dera lomwe lakhudzidwalo limasiyana mosiyana ndi malo athanzi, palibe fungo. Chilondacho sichikhudzanso thanzi.
Monga lamulo, palibe chowopsa ndi mtundu wamtunduwu, ndipo mwendo ukhoza kudulidwa kokha ndi zodzikongoletsera zodzikongoletsera. Kapena muzochitika zomwe zimakhala ndi chiopsezo cha 100% cholowa mu malo onyowa.
Wet gangrene amadziwika ndi izi:
- Ngati wodwala ali ndi phazi la matenda ashuga, ndiye kuti kuwonjezera kwa mabakiteriya ndi nthawi, amayamba kuchulukana mwachangu, chifukwa chomwe dera lomwe lakhudzidwalo likukula.
- Chiwalo pang'onopang'ono chimatha kudziwika ndi mawu oti "cadaveric", matendawa amapita mwachangu, minofu yathanzi imakhudzidwa.
- Fungo losasangalatsa limamveka kumadera omwe ali ndi kachilomboka, chilondacho chimakhala chonyowa nthawi zonse, ndipo sichitha.
- Kupha poizoni kumachitika, popeza zinthu zambiri za cadaveric zalowa m'magazi.
Ndi chonyowa gangrene, dera lomwe limalowedwa mkati mwa matenda a minyewa limadzaza ndi hydrogen sulfide, kotero mukadina chilonda, mumatha kumva mawu.
Ndikofunika kudziwa kuti mtundu uwu wa gangore suchiritsidwa, pafupifupi sungathe kupulumutsa mwendo, ndipo njira yabwino pothana ndi izi ndikudula mwendo.
Kodi kuchitira gangore?
Chithandizo cha gangore ndi matenda a shuga chitha kuchitika m'njira ziwiri - uku ndi kuchitira opaleshoni ndikuthandizira odwala. Komabe, chithandizo chothandiza kwambiri ndichochita opareshoni.
Mwa chithandizo chokhazikika, adotolo amayesa kuti alipire chipepeso pamatendawa, amachepetsa katundu pamiyendo (makamaka m'dera lomwe lakhudzidwa), achepetse kufalikira kwa njira zopatsirana ndi maantibayotiki, ndikuchepetsa poizoni m'thupi la wodwalayo.
Panthawi yamankhwala othandizira, mavitamini a odwala matenda ashuga ndi mitundu yama mchere amathandizidwa, omwe amalimbitsa chitetezo cha mthupi la munthu ndikuwonjezera ntchito zake zotchinga zachilengedwe.
Njira yakuchita opareshoni ndiyo chithandizo chachikulu cha chonyowa, ndipo njira yokhayo yomwe ingathandize kuti asafe. Pamodzi ndi kuchotsedwa kwa makina a minofu yakufa, zinthu zotsatirazi zimachitika:
- Mankhwala othandizira antibacterial kudzera anti-wodziwika ma antibayotiki.
- Zizindikiro zochizira zomwe zimachepetsa thupi kuledzera.
- Kuika magazi.
Odwala ambiri ali ndi chidwi ndi kuchuluka kwa momwe amakhala ndi zowawa zotere? Matenda owuma samakhudza kutalika kwa moyo wa munthu, ndipo nthawi zina sasowa kwambiri kwa odwala.
Komabe, wodwalayo amatha kufa chifukwa cha matenda omwe adayambitsa matenda awa. Mwachitsanzo, mwa okalamba, kukula kwa gangrene kumachitika chifukwa cha atherosulinosis, yomwe ingayambitse imfa.
Nkhani yonyowa yamatenda, popanda kulandira chithandizo chokwanira, moyo wa munthu sudzatha masiku atatu, ndipo ola lililonse limawerengeka. Ndikofunika kudziwa kuti simungathe kuchiritsa matenda anuwo kunyumba, palibe mafuta a gangrene omwe angathane nawo, komanso kutikita minofu ya matenda ashuga.
Njira zopewera
Ululu m'miyendo ndi matenda ashuga ndizovuta zosatha kwa odwala, makamaka kwa anthu omwe ali ndi mitundu iwiri ya matenda. Kuti mukhale ndi thanzi lanu, kuti muchepetse kukula kwa zovuta, ndikofunikira mukazindikira matendawa, yambani kuchita kupewa.
Ndikofunikira kusiya zizolowezi zoyipa zomwe zimatha kubweretsa kusokonezeka kwa magazi m'thupi, zomwe zimawonjezera mwayi wokhala ndi kusintha kwa atherosselotic ndi phazi la matenda ashuga. Zonsezi motsatira tcheni zimatha kukhala chifukwa cha gangore.
Ngati callus ikupezeka pamapazi, zomata zomatira, ndiye kuti, zinthu zomata, sizigwiritsidwa ntchito. Mukamachotsa chigamba chomatira, pali mwayi wochotsa khungu lakumaso, zomwe zimapangitsa kuti chilonda chikuyamba kutenga kachilomboka.
Nsapato sizofunika kwenikweni. Nsapato kapena nsapato zosavomerezeka zimatha kubweretsa kukula kwa miyendo m'miyendo. Ndikofunikira kuvala nsapato zapamwamba zokha, siziyenera kukanikiza ndi kupukusa, kuphwanya, etc.
M'nyengo yotentha, muyenera kukhala eni ake a nsapato zingapo, ndipo muyenera kuvala motembenuka, ndiye kuyeretsa osalephera. Tsiku lililonse muyenera kuyang'ana miyendo yanu kuti iwonongeke komanso mabala, chisamaliro chapadera chimaperekedwa ku dera lodyera pakati.
Kupewera kumakhala ndi mfundo zambiri, ndipo kumangoyang'anira mosamalitsa kokha komwe kumakupatsani mwayi wopulumutsa thanzi lanu ndikupewa kukula kwa phazi la matenda ashuga. Kuyang'anira shuga, magazi ndi miyendo, komanso moyo wathanzi kumachepetsa chiopsezo cha zovuta. Kanemayo munkhaniyi amapereka njira yothanirana ndi gangore.
