I-Gangrene eyomile: ukuxela, unyango

Kukho ezininzi izifo ezibeka engozini ubomi bomntu. Ngethuba ngaphandle kokucela uncedo, unokuhlala ungavumelekanga ebomini. Esinye sezi zifo sisifo. Masiqonde, kutheni kuvela ntoni, indlela yokuphatha kunye nantoni na ukuchazwa kwesi sifo.

Luhlobo luni lwesifo esiyingozi?

Ukukhankanywa kwesi sifo kwafunyanwa nakwiHippocrates noCelsus. Igama elithi "i-gangrene" livela kwi-graino yaseGrisi, oku kuthetha "ukugaya." Kwiintsuku zakudala abantu bathi lesi sifo "u-Antonov umlilo."

I-Gangrene sisifo esichazwe ngokufa kwamathambo omzimba. Bafikelela emnyama, emdaka okanye emnyama. Ukusasaza i-gangrene kunakho kokubili izicubu kunye namalungu. Ngokomzekelo, kwiiseli zesikhumba, i-fat fatcut, imisipha, imiphunga, amathumbu njalonjalo. Esi sifo sinokukhawuleza okanye sihambe ngokukhawuleza.

Ubumnyama beethambo zesisu buchazwe yinto yokuba i-hemoglobin iqokelela kule mimandla, ekhupha isinyithi, iya guqulwa ibe yityuwa - yensimbi ye-sulphate, yile ngqungquthela eyenza lo mbala. Abantu abaninzi abachaphazelekayo banesifo esibuhlungu, besifo entliziyweni kunye nesifo se-vascular ekuguga. Xa ukuphuma kwegazi kuphazamiseka, igazi lijikeleza kakuhle, ngakumbi kwiindawo ezikude entliziyweni, ngoko ke izandla kunye neenyawo zihlala zichaphazeleka kakhulu kwesi sifo.

Ulwahlulo oluthatyathwa njani

Esi sifo sabiwe kwiimpawu eziliqela.

1. Ngokubunjwa kweethambo ezichaphazelekayo:

• I-gangrene eyomileyo;
• Iimbumba ezinqabileyo.

2. I-etiology ye-gangrene yile:

• Sulela;
• Ukuguqula;
• Inetyhefu.

3. Nge-pathogenesis:

• Gesi;
• Umbane ngokukhawuleza;
• Isibhedlele.

Njengomgaqo, ukuphuhliswa kwefomu elumanzi kuqhubeka ngokukhawuleza, kwaye i-gangrene eyomileyo ikhula ngokukhawuleza.

Iimbangela ze-necrosis zezicubu

Kukho izizathu ezininzi zokubakho naluphi na uhlobo lwesilonda:

1. Ukuchithwa kwegazi. Iphule kancane kancane, ngelixa izitho ezingezantsi zisesichengeni. Ngoko i-gangrene ikhula yome. Kwakhona kukho izinto ezinokubangela ukuphazamiseka kwegazi :

• Ukubetha ngokugqithiseleyo, ukubethelwa ngokungafanelekileyo kwepelita, ityhila imithana yegazi kwaye iphazamise ukuhamba kwegazi;
• Hlala uhlala phantsi kwezinto ezinzima ezinzima xa kunenhlekelele;
• I-tourniquet eyeka ukuphuma kwegazi ixesha elide ingalo ingalo okanye umlenze.

2. Izifo zesistim senhliziyo:

• I-pathology yentliziyo;
• Atherosclerosis;
• Thrombosis;
• Thromboembolism;
• Ukuphelisa i-endarteritis.

3. Usulelo. I-Gangrene ingahlakulela ngenxa yentsholongwane ngokuxhwaleka. Umngcipheko omkhulu wokulimala kwabashukela besifo sikashukela kunye nabantu abanesifo se-vascular. Ehlabathini kukho iindawo ezincinci ezinokuthi zenze i-gangrene, ingene kwilonda:

• Enterobacteria;
• E. coli;
• Streptococcus;
• Proteus.

Iyona yingozi kakhulu i-clostridia, enokubangela i- gas gangrene, kwaye ihlala kwindawo engena-oxygen.

4. AmaFrostbites kunye nokutshisa. I-Gangrene eyomileyo inokuvela ngokutshisa ngama-acid acids, kunye ne-alkalis.

Ngeempembelelo ezinjalo, izicubu zonakaliswa, ukujikeleza kwegazi kuphazamiseka, ukuvuvukala kuqhotyoshelweyo. Ukuba umzimba unobuthakathaka ngesifo sikashukela, izifo zentliziyo, ukutheleleka kulula ukungena kwaye uthathe.

5. Ukulimala kwamatshini.

Ukuba umonakalo we-tissue uvela kwindawo enkulu, ukusuleleka kungakwazi ukujoyina kalula.

I-Gangrene eyomile ayingozi kuba ubomi besigulane, ngokungafani nomlambo. Makhe siqwalasele ngokubanzi.

Iimpawu kunye nophuhliso lwe-gangrene elomileyo

Kwaye ngoku malunga nendlela i-gangrene ephakama ngayo kwaye iphele. Iimpawu ziyakubonwa ngolu hlobo lulandelayo:

• Ukubonakala kwentlungu enzima ezinyaweni, kunye neenzwane ngaphandle kwesizathu.
• Indawo eyonakaliswe yinto epholileyo, kwaye umthunzi we-cyanotic uvela.
• Izitho zomzimba ezibandayo.
• Ngokuqhelekileyo wayevakalelwa.
• Ulusu luxubene kwindawo echaphazelekayo.
• Isayithi le-gangrene lincinci.
• Emva koko umbala uphendukela kumnyama okanye umnyama omnyama.
• Indawo yesigulane ilahlekelwa ngumzwelo.
• Intlungu ihamba.
• Phakathi kwendawo ephilileyo nechaphazelekayo, ukucaciswa okucacileyo kubonakala.
• Izimpawu ezingentla zingasasazeka kwiindawo eziphilileyo.
• Ngokuqhelekileyo, imeko yesigulane iyanelisayo, kuba i-toxins ingangeni kwigazi.

Ngokuhamba kwexesha, indawo echaphazelekayo iyaba, iyakunqumla. Oku kufana nokubuyiswa. Njengoko isalathisi esilulayo sibonakala sikhombisa, ifoto ibonisa ngokucacileyo.

Iimpawu zokukhathazeka zesifo

Kukho imiqondiso ekufuneka ikwaziswe. Ukubonakala kwazo kungabonakalisa okokuqala ukuphuhliswa kwamathambo. Emva koko, i-gangrene eyomileyo ingaqhubeka iminyaka.

• Izitho zengqungquthela, nokuba kushushu.
• Ukukhathala ngokukhawuleza xa uhamba, intlungu emilenzeni.
• Iintlambo zeemida.
• Iimonakalo, ezincinci, aziphilisi unyawo okanye umlenze ixesha elide.
• Indawo ye-Gangrene ilahlekelwa ngumzwelo.
• Ukusuka kumbala obomvu kuya kwi-blue, kwaye uqala ukujika umnyama.
• Kwiindawo ezichaphazelekayo, izilonda ziyavela ezingaphilanga kakuhle.

Ungashiyi le miqondiso ngaphandle kokunakekelwa, ukhethe ukukhawuleza ugqirha.

Iindiza ezinomileyo nezomileyo ziyizimbini ezibini ezineendlela ezilungileyo kakhulu phakathi kwazo, ekubeni okokuqala kungena kweyesibini, kwaye ke iziprofeto eziphathelele isifo ziya kuba nzima. Kwaye xa uphatha uhlobo olumanzi, oogqirha bavame ukufezekisa i-gangrene eyomileyo ukuze ingasongeli ubomi bomguli.

Uxilongwe njani?

Ukuba ufumana izibonakaliso zokuphuhliswa kwengqungquthela, kufuneka uqhagamshelane nodokotela ogqirha. Ungadinga ukubonisana neengcali ezincinci, kuxhomekeke kwindawo ekuchaphazeleka ngayo. Ukuseka yonke imifanekiso, ugqirha unokubuza imibuzo enjalo:

• Ngaba kukho intlungu?
• Indawo eyonakalisiweyo yaphilisa njani?
• Ngaba kukho intlungu okanye ingabe kukho naziphi na iimpawu?
• Liliphi izinga lokushisa okwenyukayo?
• Ziziphi izifo isigulane esinalo? Izifo zentliziyo kunye nemithambo yegazi?
• Ziziphi iimpawu zeswekile? Ngaba ikhona isifo sikashukela?

Ukuba unayo nayiphi na imiqondiso yokuphuhlisa imirhubhe, le mivavanyo ilandelayo iya kwenziwa:

• Ukuhlolwa kwegazi jikelele.
• Hlalutyo lwegazi. Unako ukubonisa imbangela yokuphuhliswa kwamathambo. Ukuba ugqirha unenkxalabo malunga neemeko zakho, kukho ukuphuhliswa kwemimfumba emanzi, ukuhlolwa kwegazi kwenziwa kwesosi ngemizuzu embalwa.
• Igazi lihlolisiswa ngenxa yobuncwane. Kunokwenzeka ukuba kusetyenziswe i-agent causative yentsholongwane ekhulayo.
• Uvavanyo lwe-bacteriological lweemfihlo ezivela kwilonda lwenziwa.
• Imifanekiso yeengqungquthela zezihlunu kwindawo echaphazelekayo.

Unyango lwe-gangrene eyomileyo

Njengoko kuboniswe ngasentla, i-gangrene ithinteka kwiindawo ezikude entliziyweni, ukuxhatshazwa kwegazi lokuphazamiseka kwegazi. Okokuqala, iyilungu, ngoko siza kuqwalasela indlela unyango oluya ngayo xa isigulane sinomphefumlo omile ophelileyo.

Ukuze ukhusele ukuphuhliswa kwesifo, kunye neempawu zokuqala ozifunayo ukuze ubone ugqirha uze uqale unyango. Yintoni na unyango?

1. Kwinqanaba lokuqala kucetyiswa ukuba uzame ukubuyisela ukujikeleza kwegazi ngokuqhelekileyo.
2. Nika i-vitamin eyinkimbinkimbi kunye neziyobisi ezinceda ukuphucula ukujikeleza kwegazi kwiinqanawa ezincinci.
3. Amachiza avuselela umzimba womzimba.
4. I-antibiotics imiselwe, eyokunciphisa inkqubo yokuvuvukala.
5. Ibonisa ukusetyenziswa kwamathambo achaphazela indawo echaphazelekayo.
6. Kunokwenzeka ukuba kuqeshwe i-physiotherapy kunye nokusetyenziswa kwemisebe ye-infrared. Oku kuya kukhawulezisa ukuhlaziywa kwezicubu, ukumisa ukusasazeka kwe-necrosis yeeseli, ukuphucula ukujikeleza kwegazi. Le ndlela yonyango iyaqhubeka iyathandwa.
7. Ukuba unyango lunikeza iziphumo ezilungileyo, ngoko kunokwenzeka ukuba umyalelo wokunyanga usebenze.

Njengomthetho, imeko epheleleyo yesigulane ayinakonakali xa i-gangrene eyomile. Unyango Uza kuqhubeka kude kubekho umgca ocacileyo ohlukileyo olwahlukileyo. Emva koko, ukungenelela kunokwenzeka.

Kukho iindlela ezininzi zokugqirha eziye zabonakalisa ukuphumelela ekulwa nomlwelana owomileyo:

1. Necrotomy. Ngethuba lokusebenza, ugqirha uyasikhupha izicubu ezichaphazelekayo ukwenzela ukuba kuqinisekiswe ukuphuma kwe-fluid ukusuka kwindawo evuliwe.
2. Necrectomy. Kule meko, izicubu zesisu zitshatyalaliswa kwaye zigcinwe ziphilileyo. Ukuphathwa okunjalo kungenziwa ngeendlela ezininzi, oku kuvumela ukuba kugcinwe iqela kunye neethambo.
3. Ukuxhatshazwa kukususwa kwezitho, ukuba zichaphazeleka ngophotho.
4. Ukuxothwa. Ngokuqhelekileyo, le ndlela isetyenziselwa ukuba i-gangrene ithinte iilungu. Ukuze kuthintele ukusasazeka kwenkqubo kwimimandla enempilo, ukuba unyango aluniki umphumo oyifunayo, ugqirha wenza eso sigqibo.

Ukuba akunyanzelwanga i-gangrene eyomileyo, unyango olungenakucinywa lunokwenzeka. Emva kokumisa inkqubo kwinqanaba lokuqala, izifo azivumeli ukuba sihlale kwindawo enkulu. Ukuba isifo sele siphelile, ngoko ukugcina isigxina esithintekayo, njengomthetho, silela.

Kukho umgangatho ophezulu wokuphuhliswa kwamathambo kwizigulane ezigugile. Kule meko, unonyameko olulodwa olufunekayo kunye noviwo olugunyazayo malunga nemilinganiselo yegazi.

Amanyango omthonyama ekwenzeni unyango

Amanyathelo omntu okwenzelwa unyango lwe-gangrene angasetyenziselwa kuphela emva kokubonisana nodokotela. Ukunyanga i-gangrene efanayo, usebenzisa kuphela imithi yendabuko, ngokukodwa kwimeko yamanzi, akunakwenzeka. Oku kuyingozi kwimpilo yakho. Amagqirha aqhelekileyo anikezela iikholeji ezininzi zokunciphisa imeko.

1. Ukuba unomlenze obomileyo wonyawo, ungasebenzisa amahlumela amancinci aneenaliti zokunyanga. Thatha iipunile eziyi-5 zeedalesi eziphahliweyo zepine, uthele amanzi aphelayo kwi-0.5 litre, ubilise imizuzu eyi-10. Emva koko vumela umhluzi ubambe kwi-thermos ngeeyure eziyi-12. Phuza yonke imihla endaweni yeti.
2. I- gangrene eyomile yomlenze ithathwa njengolu hlobo lulandelayo. Amagatsha amanqatha kunye nemilenze yamabilisa ubilise imizuzu emininzi. Emva koko, kunye ne-decoction, susela indawo enezifo, qha galela amasebe kwaye uyilungise nge-bandage. Yiyeke ebusuku. Ngentsasa susa i-bandage kwaye udibanise indawo echaphazelekayo ngobusi.
3. Unokwenza ioli ukuze uphathwe. Oku kuya kufuna: ubusi, i-rosin, isepha yokuhlamba impahla, i-fat fat, i-oyile yemifuno. Zonke izakhi zithathwa ngama-50 grams. I-Fat iyancibilika, nquma isepha, yongeza enye, yifake isitofu uze uyibuyise. Yongeza kwaye wongeze ama-gramu ama-50 e-anyanisi aqhekekileyo, i-garlic, i-aloe. Ukuphulukiswa kwamafutha kulungile. Ngaphambi kokusetyenziswa, ubushushu ekuhlambeleleni kwamanzi.

Iingxaki ezinobomvu obomileyo

Naliphi ugqirha luza kuthi: ukuba akukho naluphi na olufanelekileyo ngexesha lokunyangwa kwesibhedlele, ngokuqinisekileyo kuya kubangela ukuphazamiseka okungenakuphikiswa kwezicubu. Ekubeni izilonda ezinamaqhekeza zinokuthi zenze indawo ezahlukileyo, kuxhomekeke kule nto, iingxaki zingenziwa ngale ndlela:

1. I-Sepsis okanye intsholongwane yegazi. Iyenzeka ngenxa ye-ingress yeemveliso zokutshatyalaliswa kwezicubu kwigazi.
2. Ukuba kukho izibilini zamalungu angaphakathi, ke akude kude neparitonitis.
3. Ngaphantsi kwempembelelo yenkqubo ye-pathological, ukutshatyalaliswa kwemithambo yegazi kuya kwenzeka.
4. Isiphumo se-Lethal.

Ukuthintela iingxaki ezinjalo phambi kweempawu ezisolisayo ezingabonisa ukuba i-gangrene ephuhlisayo, kuyimfuneko ukufumana ingcali yokubonisana. Kuphela ngexesha elifanelekileyo kwaye unyango olufanelekileyo luya kumisa inkqubo kwaye aluyi kubangela iingxaki.

Forecast

Ngenxa yesifo esifana ne-gangrene esomileyo, ukuxilongwa ngokuqhelekileyo kulungile. Ukuba awuyi kuqali isifo kwaye ukhusela inkqubo ukuba imanzi. Ukuxiliswa komzimba akwenzeki, imeko yesiqhelo iyinto eqhelekileyo. Inxalenye efile ingakwazi, ngaphandle kokuhlinzwa, iyakunqunyulwa. Ukuba i-gangrene ifunyenwe kumanyathelo okuqala, kunokwenzeka ukubeka ingqwalasela, ukuyinciphisa, engadingi ukungenelela ngophengululo.

Ukuba sithetha malunga nokubikezela kwe-gangrene esemanzi, ubomi bomntu buxhomekeke ekuphuhlisweni kwayo. Usulelo lusenokusasazeka entliziyweni, ezintso, isibindi, ezinokubangela ukufa kwesigulane. Izitho zangaphakathi ze-Gangre zidinga ukuba zisuswe ngokukhawuleza.

Ukuthintela izifo

Ukuze kulunge ukuhlakulela i-gangrene, kuyimfuneko ukunyanga zonke izifo ezingasusa i-necrosis yezicubu.

• Ukusebenza ngokukhawuleza kwamanxeba ngawo yonke imigaqo.
• Ukuba unotshisa okanye unqabileyo, qiniseka ukuba ubonisa indawo echaphazelekayo kugqirha, uya kubeka unyango olufanelekileyo.
• Kubalulekile ukunyanga izifo ezonakalisa ukujikeleza kwegazi: isifo senhliziyo kunye nemithambo yegazi.
• Ukukhawuleza ukususa izifo ezithathelwanayo.
• Ukulwa nemikhwa emibi.
• I-Diabetics kufuneka ihlolisise rhoqo imida engezantsi, iyeke ukufumanisa izilonda, ukwenzela ukuba unyango lubekwe unyango, kuba ezo zigulane zinomngcipheko omkhulu wokuhlaselwa kwegulane.

Ukuba ulandela ezi zincomo ezilula, ngoko ufumanisa i-gangrene, awukwazi ukukhathazeka. Zibakele wena kunye nabathandekayo bakho.