Gangrene mu shuga - zimayambitsa, chithandizo

Matenda a matenda ashuga ndi necrosis ya zimakhala zomwe zimayamba chifukwa cha shuga wambiri. Nthawi zambiri, miyendo yam'munsi imakhudzidwa, izi zimachitika chifukwa cha kuzungulira kwa magazi. Popita nthawi, amayamba kukhala amdima chifukwa chodzikundikira ndi chitsulo ndi sulfide yachitsulo. Zinthu izi zimayikidwa m'magazi chifukwa cha kupindika. Necrosis ya miyendo imachitika chifukwa kuchepa kwa mpweya kwa ma capillaries. Mwa anthu omwe ali ndi matenda ashuga omwe ali ndi zaka zopitilira 20, chiopsezo chotenga matendawa chimakwera mpaka 80%.

Zifukwa

Choyambitsa chachikulu cha gangrene cha m'munsi kwambiri m'matenda a shuga chimagwirizanitsidwa ndi kuwoneka kwa zovuta za trophic. Zina mwa izo ndi:

• Polyneuropathy ndimatenda amomwe amanjenjemera amawonongeka.
• Microangiopathy ndi matenda omwe amaphatikizana ndi kuphwanya kwa capillary permeability.
• Macroangiopathy ndi zotupa zamagazi akuluakulu.
• Kupangidwe kwamkati mwa mafupa ndizomwe zimayambitsa matenda oyamba a mafupa. Matenda oterewa amathanso kutsogolera mtima.
• Njira zopatsirana - kuchepetsa kuchepa kwa mitsempha yamagazi.
• Kuchepetsa mphamvu yolimbana ndi matenda a shuga.
• Kupezeka kwa zizolowezi zoipa: kuledzera, kusuta fodya, kunenepa kwambiri.
• Valani nsapato zapamwamba.
• Zowonongeka kapena kuwotcha kumadera otsika.

Gulu

Gangrene ndi chotupa chachikulu cha madera akumunsi omwe amayambitsidwa ndi kufa kwa minofu. Zimabweretsa ululu waukulu, chifukwa chomwe munthu amataya mwayi wokhala ndi moyo wokhazikika. Masiku ano, akatswiri amasiyanitsa mitundu iwiri ya gangrene: yowuma ndi yonyowa.

Youma gangrene

Dry gangrene ndi chotupa cha khungu, chomwe chimayambitsa kuphwanya magazi. Mwachizolowezi, mtundu uwu wa matendawa umapezeka mwa odwala omwe ali ndi matenda osokoneza bongo otopa kapena kutopa kwambiri. Chotupacho chimakula pang'onopang'ono, chimadziwika ndi kuyanika kunja kwa minofu. Popita nthawi, khungu pamiyendo limayamba kugundana ndikulimba, kukhala ndi bulauni kapena mtundu wakuda. Munthu sangakhale moyo wabwinobwino, amakhala wolumala. Matenda owuma amatha kuzindikiridwa ndi:

• Zowawa m'zigawo zotsikirapo;
• Kuchepetsa kapena kusazindikira;
• Khungu lozizira lamiyendo;
• Zomverera pafupipafupi za dzanzi;
• Kukoka kosakwanira m'miyendo kapena chifukwa chosowa;
• Kuchuluka kwamiyendo;
• Kukongola kwa khungu.

Pankhani ya kusowa kwa chithandizo kwakanthawi, matenda opatsirana ndi mabakiteriya angayambitse kuledzera. Kuzindikira poyizoni wa thupi ndikotheka ndikuwonjezera kutentha kwa thupi, nseru, kusanza, kuzindikira. Ngati munthu sakumva bwino, dokotalayo sathamangira kutumiza wodwala kuti am'chitire opareshoni. Chithandizo chothandizira ndi mankhwala othandizira, mankhwala a mtima ndi isotonic solution imachitika.

Zowonda kwambiri

Wet gangrene amatha kuzindikiridwa ndi mawonetsedwe omwewo ngati chiwindi chouma. Nthawi zambiri, zotupa zotere zimapezeka mwa odwala omwe ali ndi shuga wambiri. Nthawi zambiri, odwala otere nthawi zambiri amakhala ndi edema komanso kukokana kwa m'munsi. Zilonda zokha ndizonyowa, zilibe nthawi kuti ziume. Chophimba chotere chimatengedwa kwambiri ndi matenda opatsirana komanso a bacteria, komanso chimatha kuyambitsa chidakwa chachikulu. Wet gangrene amatha kupha. Izi zitha kuzindikirika ndi zizindikiro izi:

• Zowawa kwambiri m'munsi;
• Nthawi zonse muziwoneka bwino;
• Kuwonjezeka kwa kutentha kwa thupi;
• Fungo lawola kuchokera kumunsi;
• Kapangidwe ka mawanga ofiira pakhungu;
• Pulsation alipo m'miyendo;
• Kusanja malekezero akumunsi, amapeza buluu kapena utoto wofiirira;
• Mawonekedwe a misempha m'miyendo.

Njira zochizira

Chithandizo cha gangore ndi matenda a shuga amafunika njira yolumikizira. Ndikofunikira kutsatira malangizo onse a adotolo, chifukwa kunyalanyaza malangizowo kungayambitse zovuta zazikulu.

Mothandizidwa ndi mankhwala, gangrene sangathe kugonja, koma amathandizira kusintha magazi ndikuchepetsa chiopsezo cha zovuta. Njira zotsatirazi ndizofunikira kwambiri pochiza:

• Angioplasty ndi stinging ndi njira zomwe zimathandizira kuthana ndi vuto lalikulu la matenda ashuga. Ndi thandizo lawo, ndizotheka kusiya miyendo. Chinsinsi cha njirazi ndi kuyambiranso kwa ziwiya zowonongeka, zomwe zimabwezeretsa magazi. Zowunikira zimachitika kuchipatala, popanda opaleshoni - kudzera pamatumbo ang'onoang'ono, adokotala amachita zojambula zonse zofunikira ndi chida chapadera. Pakusintha, munthu samataya magazi.
• Kuchita opaleshoni ya mtima ndi njira yolowerera yomwe ingapangitse magazi kuzungulira m'munsi, komanso kuthana ndi ischemia. Njira iyi ndiyosasintha, ndipo imachitika pansi pa opaleshoni yotupa. Chofunika cha kulowererapo ndikuchotsa zombo zomwe zikukhudzidwa ndi ma conductor apadera omwe amagwira ntchito ya mitsempha.
• Kulumikizidwa khungu ndi kachitidwe kamene dokotala amayang'anira madera akhungu ndi omwe afa. M'malo mwa ziwopsezo zomwe zakhudzidwa, minyewa yapadera yamankhwala imatha kusoka. Madokotala amathanso kuulutsa ziwalo zina za thupi.
• Ndikudula mwendo ndikuchita opaleshoni pomwe dokotalayo amatha kudutsa gawo lonse lathunthu. Nthawi zambiri njirayi imagwiritsidwa ntchito pokhapokha ngati njira zina sizibweretse zotsatira zomwe mukufuna. Izi zimachitika pofuna kupewa kufalikira kwa mabakiteriya komanso matenda mthupi. Kuchita opareshoni kumachitika pansi pa opaleshoni yayikulu ndipo kumafuna nthawi yayitali kuti achire. Mukachotsa nthambi imodzi, ndikofunikira kuyang'anitsitsa momwe winayo aliri, popeza chiopsezo chopitiliza kukula kwa gangrene chimakhalabe chachikulu.

Njira zina

Akatswiri ena amati kusala kudya kwamankhwala othandizira kungathandize kuyimitsa kukhazikika kwa matenda osokoneza bongo. Iyi ndi njira yachidziwikire yowunikira iyenera kuyang'aniridwa ndi dokotala pafupipafupi. Ndikofunika kuchita izi kuchipatala chapadera. Pa magawo oyamba a magulu ovuta, kufa ndi njala kumatha kuletsa njira za pathogenic. Komanso, katundu tsiku ndi tsiku pamiyendo amathandizira kukhazikitsa magazi.

Kupewa

Matenda a shuga ndi vuto lalikulu la endocrine lomwe limayambitsa matenda ambiri. Shuga wokwezeka wamagazi amasokoneza thanzi la mitsempha yamagazi, yomwe imatha kuwononga minofu. Pankhani ya kunyalanyazidwa kwanthawi yayitali, matenda a shuga amayambitsa zovuta zazikulu zomwe nthawi zambiri zimakhudza madera otsika.

Kuti muchepetse chiopsezo chotenga matenda otere, ndikofunikira kutsatira njira zotsatirazi:

• Kanani zikhalidwe zonse zoyipa zomwe zimawononga magazi: Kusuta, kumwa mowa;
• Bwezerani kulemera kwa thupi lanu, chifukwa chake kuthamanga kwa magazi;
• Sankhani nsapato zanu mosamala: ziyenera kukhala zapamwamba komanso zabwino;
• Penyani zakudya zanu, sizikhala ndi glucose;
• Nthawi zonse muzivala masokosi - ayenera kupangidwa ndi nsalu zachilengedwe;
• Khalani ndi nsapato zingapo - awiri omwewo sangathe kuvalidwa masiku opitilira 2;
• Yenderani miyendo yanu yam'munsi tsiku lililonse;
• Ngati mabala aliwonse akuwonekera pamwamba pa malekezero apansi, achiritseni;
• Osamavala masokosi a holey, chifukwa amatha kuwononga khungu;
• Ngati chimanga kapena chimanga chikawoneka, kukulunga mwendo ndi bandeji - chida chothandizira chimatha kuvulaza kumtunda kwa khungu;
• Pewani kusamba koyaka komwe kumathandizira magazi;
• Usiku, ikani mafuta achilengedwe pakhungu lomwe limathandizira kulimbikitsa ndikubwezeretsa khungu.

Kuchita njira zosavuta zopewera kungakuthandizeni kupewa kapena kusiya kukula kwa zigawo zatsika. Mukazindikira zizindikilo zoyambirira mwa inu nokha, funsani dokotala.