Nukae nye gangrene? Na míasrɔ̃ nu tso nɔnɔme sia si me afɔku le ŋu pɛpɛpɛ

Èse ame aɖe gblɔ be ‘gangrene’ le ye ŋu kpɔa? Anɔ eme be èse nya sia le abi si xɔ dɔlékuiwo ŋutɔ, alo afɔ alo alɔnu si trɔ zu yibɔ ŋu kpɔ. Esia nye atikewɔwɔ kpata si me afɔku le ŋutɔ si hiã be woawɔ atike nɛ enumake. Kpuie ko la, gangrene nye ne ʋu ƒe sisi yi wò ŋutilã ƒe akpa aɖe tɔ, si wɔnɛ be lãmeka siwo le teƒe ma kuna. Togbɔ be ate ŋu adzɔ le afisiafi hã la, zi geɖe la, edzea egɔme tso asibidɛwo alo afɔbidɛwo dzi. Egbea, míele nu ƒom tso esia ŋu le mɔ bɔbɔe aɖe si gɔme sese le bɔbɔe nu.

Nuka tututue nye gangrene?

Tsɔe be lãmenugbagbevi kple lãmenugbagbevi ɖesiaɖe si le míaƒe ŋutilã me hiã ɔksidzin kple nunyiame hafi ate ŋu anɔ agbe. Ʋu lae tsɔa nu siawo. Nukae dzɔna ne ʋu ƒe sisi yi ŋutilã ƒe akpa aɖe nu tso le susu aɖe ta? Abe ale si ko ati kuna tsi manɔmee ene la, lãkusi si le akpa ma hã dzea kuku gɔme. Emae nye nusi míeyɔna be gangrene .

Nu vevitɔe nye be gangrene nyea lãmenugbagbeviwo ƒe ku ɣesiaɣi. Gake menye dɔlékuiwo gbɔe gangrene katã tsona kokoko o. Ɣeaɖewoɣi la, ʋu ƒe sisi ate ŋu atɔ eye lãkusia ate ŋu aku, dɔlékui aɖeke maxɔe o. Gake ne dɔlékui aɖe va kpe ɖe lãmenugbagbevi kukua ŋu la, nɔnɔmea gagblẽna ɖe edzi. Ne womeda dɔ sia kaba o la, ate ŋu ahe kuxi sesẽwo ŋutɔ vɛ, eye wòaku gɔ̃ hã.

Nukawoe nye gangrene ƒomevi veviwo?

Woate ŋu ama gangrene ɖe ƒomevi vevi geɖe me. Wo dometɔ ɖesiaɖe to vovo vie tso nɔvia gbɔ. Na míalé ŋku ɖe nusiwo wonye ŋu.

Nukawoe nye gangrene ƒe dzesiwo?

Gangrene ƒe dzesiwo ate ŋu ato vovo vie le eƒe ƒomevi nu. Gake dzesi aɖewo li siwo bɔ siwo nàte ŋu akpɔ. Ne esiawo dometɔ aɖe le ŋuwò la, ele be nàyi ɖɔkta gbɔ enumake.

• Ŋutilã ƒe amadede ƒe tɔtrɔ: Ŋutilã si le teƒe si dɔlélea le ate ŋu azu ɣie gbã, emegbe wòazu dzĩ, aŋutiɖiɖi, amadede dzẽ, eye mlɔeba wòazu yibɔ.
• Vevesese sesẽ: Le gɔmedzedzea me la, vevesese si womate ŋu ado dzi atsɔ o ate ŋu anɔ teƒea, eye emegbe seselelãme ate ŋu abu keŋkeŋ ne lãkusia le kukum.
• Ʋuʋudedi kple lãmetutudɔ: Teƒe si dɔlélea le ate ŋu avuvu eye wòazu lãmetutudɔ.
• Ŋutilã si fa miamiamia: Ne wotsɔe sɔ kple teƒe bubu siwo le lãmesẽ me la, gangrene nana wòfa ŋutɔ ne woka asi eŋu.
• Aɖuɖɔtoe si ʋẽna lilili: Le gangrene si xɔ dzo me la, ʋuʋudedi ate ŋu adzɔ eye wòado le ʋuʋudedi si ʋẽna lilili alo tsi si me ʋu le.
• ‘Cherry-Cherry’ gbeɖiɖi: Le gas gangrene me la, ne wozi ŋutigbalẽa dzi la, wosea gbeɖiɖi aɖe abe ɖe ya ƒe kuɖɔwo le gbagbãm le ete ene.
• Dzesi siwo bɔ:Dzesiwo abe dzoxɔxɔ, kuviawɔwɔ, dzi ƒe tsotso kabakaba, gbɔgbɔtsixe ƒe dzidziɖedzi, kple susu ƒe tɔtɔ hã ate ŋu ado mo ɖa, vevietɔ ne dɔlékuia kaka ɖe ŋutilã bliboa me (sepsis).

Nukawoe hea gangrene vɛ kple afɔku siwo le eme?

Nu vevitɔ si gbɔ gangrene tsonae nye ʋu ƒe sisi yi ŋutilã ƒe akpa aɖe ƒe xexe. Nu vevi geɖewo li siwo gbɔ wòtsona kple afɔku siwo gbɔ esia tsona.

Nusiwo hea ʋu ƒe sisi ƒe mɔxenu vɛ:

• Ʋukawo me dɔlélewo: Lãmetsiŋusẽ ƒe gege ɖe ʋukawo me kple wo ɖeɖe (Peripheral Artery Disease) ye nye nu vevitɔ si hea gangrene ƒuƒu vɛ.
• Nuveviwɔame sesẽwo: Ne abi gã aɖe dzɔ, abe ʋufɔku alo mɔ̃wo ƒe gege ene, eye ʋukawo gblẽ.
• Kuxi siwo dona tso amekoko me: Togbɔ be ƒã ŋutɔ hã la, ʋu ƒe sisi ate ŋu atɔtɔ le amekoko aɖewo megbe.
• Dɔlékuiwo: Dɔlékui ƒe dɔléle si womekpɔ o ate ŋu ana lãmekawo navuvu eye ʋu nado.

Ame siwo dzia afɔku si le wo me be woaxɔ gangrene la ɖe edzi:

• Dɔnɔ siwo ŋu Suklidɔ le: Suklidɔ bɔ ɖe míaƒe dukɔa me ŋutɔ. Suklidɔ gblẽa nu le ʋukawo kple lãmekawo ŋu. Esia wɔnɛ be seselelãme si le afɔwo me dzi ɖena kpɔtɔna, abi sue aɖe gɔ̃ hã megadea dzesii o, eye mɔnukpɔkpɔ gã aɖe li be mahaya kaba o eye wòaxɔ dɔlékuiwo eye wòaxɔ gangrene. Ele be amesiwo ŋu suklidɔ le nalé be na woƒe afɔwo ŋutɔ.
• Sigaretnolawo: Sigaretnono gblẽa nu le ʋukawo ŋu eye wònana wotsina.
• Lolo akpa: Lolo akpa nana gangrene ƒe afɔkua dzina ɖe edzi, elabena ate ŋu ahe dɔlélewo abe suklidɔ kple ʋusɔgbɔdɔ ene vɛ.
• Amesiwo ƒe dɔlélenutsiŋutete gbɔdzɔ: Amesiwo ŋu HIV/AIDS le, kansadɔnɔwo, kple amesiwo le atikewo zãm ƒe ŋutete be woawɔ avu kple dɔlékuiwo dzi ɖe kpɔtɔ.
• Raynaud ƒe dɔléle: Nɔnɔme si me ʋu ƒe sisi yi asibidɛwo kple afɔbidɛwo gbɔ nu tsona hena ɣeyiɣi aɖe ne wodo go vuvɔ.

Aleke wokpɔa gangrene le hedaae?

Ne èsusu be gangrene ƒe dzesiwo le ye ŋu la, ele be nàkpɔ ɖɔkta alo ayi kɔdzi ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) kaba.

Ðɔktaa ado wò kpɔ, abia wò atikewɔwɔ ŋutinya, eye wòaɖe gbe be woawɔ dodokpɔ aɖewo ne ehiã.

• Ʋudodokpɔ: Kpɔ dɔlékuiwo kple ʋumenugbagbevi ɣiwo ƒe xexlẽme ɖa.
• Dɔlékuiwo ƒe dekɔnu: De dzesi dɔlékui siwo hea dɔlélea vɛ eye nàŋlɔ dɔlékuiwutike si sɔ wu.
• Nɔnɔmetatawo dodokpɔ: X-ray, CT scan, alo MRI scan ate ŋu adi lãmenugbagbeviwo ƒe gbagbã kple gas.
• Ʋu ƒe sisi dodokpɔ: Dodokpɔ tɔxɛwo be woatsɔ akpɔe ɖa be ʋukawo me xe hã.

Dɔdamɔnu siwo wozãna

Taɖodzinu vevi etɔ̃e le gangrene dada me: lãmenugbagbevi kukuwo ɖeɖeɖa, dɔlékuiwo dzi ɖuɖu, kple ʋu ƒe sisi ake.

1. Dɔlékuiwutikewo: Ne dɔlékui aɖe le ame ŋu la, wodoa dɔlékuiwutike sesẽwo ɖe ʋuka me be woatsɔ axe mɔ ɖe enu.

2. Debridement: Esia nye amekoko. Gangrenous tissue medaa gbe le ame ŋu o. Eyata ele be woawɔ dɔ nɛ be woaɖee ɖa. Ne menye nenema o la, dɔlékuia akaka ɖe lãmeka siwo le lãmesẽ me.

3. Amekoko be ʋu nagbugbɔ azɔ: Woate ŋu awɔ amekoko atsɔ akeke ʋuka si xe la ɖe enu (Angioplasty) alo awɔ mɔ yeye aɖe si dzi woato ato eŋu (Bypass surgery).

4. Hyperbaric Oxygen Therapy (HBOT): Le esia me la, wotsɔa dɔnɔa dea xɔ si me hyperbaric le me eye wonana wògbɔa oxygen dzadzɛ 100%. Esia nana oxygen ƒe agbɔsɔsɔ si le ʋua me dzina ɖe edzi ŋutɔ, si kpena ɖe lãmekaawo ŋu wohayana.

5. Lãɖeɖe: Le nɔnɔme sesẽwo me la, ne dɔdamɔnu bubuwo do kpo nu la, mɔ ɖeka kolia si dzi woato aɖe dɔnɔa ƒe agbee nye be woawɔ dɔ na eƒe abɔ kple afɔ si ŋu dɔlélea le, abe asibidɛ, afɔbidɛ, alo asi ene. Ðɔktawo bua esia be enye mɔnu mamlɛtɔ.

Ɣekaɣie wòle be nàdi atikewɔla kpata?

Gangrene nye atikewɔwɔ kpata. Ne dzesi siwo gbɔna le ŋuwò la, yi kɔdzi ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake.

• Ne wò ŋutigbalẽ zu yibɔ, megate ŋu sea veve o, vuvɔ le wɔwɔm, alo vuvu le wò ŋutilã ƒe teƒe aɖe.
• Ne abi si mehaya o la ƒe ʋeʋẽ lilili alo ʋuʋudedi le dodom.
• Ne asrã le ŋuwò eye vevesese sesẽ kpata.

Ne dzesi siawo le ŋuwò tsɔ kpe ɖe gbɔgbɔ sesẽ, dzi ƒe tsotso kabakaba ŋutɔ, susu ƒe tɔtɔ, kple fifia fafɛ ŋu la, efia be dɔlékuia kaka ɖe ŋutilã bliboa me eye wòle tsitsim va zu nɔnɔme si ate ŋu awu wò afɔku me si woyɔna be septic shock . Eyata ehiã be woawɔ atike nɛ enumake.