Ðe wò ŋutilã ƒe akpa aɖe le yibɔ eye agbe mele eme oa? Ate ŋu anye gangrene!

Ède dzesii kpɔ be wò ŋutilã ƒe akpa aɖewo, vevietɔ wò asibidɛwo kple afɔbidɛwo, tsia dzodzodzoe, woƒe amadede trɔna, eye ɣeaɖewoɣi gɔ̃ hã wozua yibɔa? Alo ɖe nèsena le ɖokuiwò me be abi aɖe le sesẽm ɖe edzi eye wòle ʋeʋẽm? Esiawo menye dzesi nyuiwo o. Woate ŋu anye nɔnɔme aɖe si ate ŋu anye afɔku si woyɔna be gangrene ƒe dzesi . Mègatsi dzi o, míaƒo nu tso esia ŋu tsitotsito eye le mɔ bɔbɔe aɖe ŋutɔ nu egbea.

Nukae nye gangrene? Kpuie ko la,...

Ne míagblɔe bɔbɔe la, gangrene nye ne ʋu si yia míaƒe ŋutilã ƒe akpa aɖe me gblẽ, si wɔnɛ be lãmeka siwo le teƒe ma kuna. Abe ale si ko ati yrɔna ne tsi mele eŋu o ene la, nenema kee ʋu ƒe anyimanɔmanɔ hã sina yia míaƒe ŋutilã ƒe akpa aɖe. Togbɔ be esia ate ŋu adzɔ le ŋutilãa ƒe akpa sia akpa hã la, zi geɖe la, edzea egɔme tso asiwo alo afɔwo gbɔ.

Nu vevitɔ kekeakee nye be gangrene nye atikewɔwɔ kpata . Elabena ne lãmekawo nya dze kuku gɔme ko la, ate ŋu akaka kaba. Ɣeaɖewoɣi la, dɔlékui aɖe hã ate ŋu akpe ɖe eŋu, si ate ŋu ana nɔnɔmea nagasẽ ɖe edzi. Dɔlékui aɖe ɖa alo mele eme o, gangrene ate ŋu ahe kuxi sesẽwo vɛ ne womedae kaba o, eye ɣeaɖewoɣi la, ewua ame gɔ̃ hã. Eyata ele vevie ŋutɔ be nànya esia.

Nukawoe nye gangrene ƒomevi veviwo?

Gangrene ƒomevi vevi geɖewo li. Na míalé ŋku ɖe nusiwo wonye ŋu.

1. Gangrene si ƒu kplakplakpla

Nusi dzɔna le esia mee nye be ʋu si yia teƒe aɖe la nu tsona, eye lãkusi si le teƒe ma la kuna. Gake dɔlékui aɖeke mele esia me o . Nɔnɔme si me kuɖiɖi le koe wònye. Ne èka asi eŋu la, ŋutigbalẽa ƒu, eye mèkpɔa ʋuʋudedi alo ʋuʋudedi aɖeke o. Zi geɖe la, ami si ƒoa ƒu ɖe míaƒe ʋukawo me ta, si wɔnɛ be ʋukawo me xena (ʋukawo me ʋu ƒe sisi) tae gangrene ƒuƒu dzɔna. Amesiwo ŋu suklidɔ le alo amesiwo noa atama la le afɔku gã aɖe me.

2. Gangrene si me tsi le

Le go sia me la, tsɔ kpe ɖe ʋu ƒe sisi ƒe tɔtɔ ŋu la, wotsɔa dɔlékui aɖe hã kpena ɖe eŋu . Esia tae woyɔnɛ be "wet" gangrene. Ʋuʋudedi siwo me ʋuʋudedi yɔ fũ ate ŋu adze le ŋutigbalẽa ŋu, eye abi la ate ŋu aʋẽ lilili. Esia ƒomevi te ŋu kakana kabakaba ŋutɔ ɖe lãkusi bubu siwo le lãmesẽ me. Esia tae afɔku le eme vie ɖo.

3. Gas Gangrene ƒe dɔléle

Esia hã nye nɔnɔme sesẽ aɖe ŋutɔ si dɔlékui ƒe dɔléle aɖe hena vɛ. Dɔlékui sia ƒomevi gblẽa míaƒe lãmeka falɛfalɛwo kple ʋumenugbagbevi dzĩwo dome. Azɔ hã, dɔlékui siawo dzina ɖe edzi kabakaba le lãmekawo me, eye wowɔa aɖinuwo eye woɖea ya ɖe go. Esia tae woyɔnɛ be gas gangrene ɖo. Dɔlékui sia ate ŋu akaka kabakaba ale gbegbe be ate ŋu ade ame ƒe agbe afɔku me le gaƒoƒo ʋɛ aɖewo gɔ̃ hã me.

4. Fournier ƒe Gangrene ƒe dɔléle

Esia nye dɔlékuiwo ƒe dɔléle si mebɔ o gake wòsẽa ŋu ŋutɔ, si gblẽa nu le vidzinuwo ŋu.Esia bɔ ɖe ŋutsuwo me wu nyɔnuwo.

5. Gangrene si le ememe

Esiae nye esime wotso ʋu si yia míaƒe ŋutilã ƒe ŋutinu ememetɔ aɖe me. Le kpɔɖeŋu me, esia ate ŋu adzɔ ɖe ŋutinuwo abe aɖuɖɔtoe, dɔgbo, alo ƒunukpeƒetetedɔ ene dzi. Le kpɔɖeŋu me, ʋumenugbagbeviɣidɔ si nɔa anyi didi ate ŋu ana lãmenugbagbeviwo naku eye wòana ʋumenugbagbeviɣidɔ nadze ame dzi.

Nukawoe nye gangrene ƒe dzesiwo?

Dzesiawo ate ŋu ato vovo vie le gangrene ƒomevi si le ame ŋu nu. Gake dzesi aɖewo li siwo bɔ:

• Ŋutilã ƒe amadede ƒe tɔtrɔ: Ŋutilã si le teƒe si dɔlélea le ate ŋu azu dzĩ, aŋutiɖiɖi, amadede dzẽ, alo yibɔ.
• Tɔtrɔ siwo vaa ŋutigbalẽa ƒe nɔnɔme me: Ŋutilãa ate ŋu azu blukɔ, ate ŋu anɔ te sesĩe, alo ne èka asi eŋu la, fafa. Ɣeaɖewoɣi la, ate ŋu ase veve hã ne woka asi eŋu.
• "Chiri chiri" ƒe gbeɖiɖi ne wozi ŋutigbalẽa dzi: Esia fia be ya le ŋutigbalẽa te (vevietɔ le ya ƒe gangrene me).
• Gbɔgbɔ ƒe tsotso kple dzi ƒe tsotso ƒe dzidziɖedzi.
• Sese le eɖokui me be yemeɖe dzi ɖi kura o, yetsi dzimaɖi.
• Dzesi siwo ɖi dzamezã abe dzoxɔxɔ, fifia, vuvɔ, kple ʋuʋudedi ene.
• Vevesese sesẽ, alo seselelãme ɖesiaɖe si le teƒe ma ƒe bu.
• Ʋu si le dodom alo ʋuʋudedi si le ʋeʋẽm le abi kple ʋuʋudedi me.
• Teƒe si dɔlélea le ƒe vuvu.

Vevietɔ: Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Mègagblẽ ɣeyiɣi o.

Aleke ŋutigbalẽ ƒe amadede trɔna ne gangrene va do?

Zi geɖe la, ŋutigbalẽ ƒe amadede ƒe tɔtrɔ le gangrene me dzɔna le afɔɖeɖe vovovowo me (afɔɖeɖe geɖe):

1. Gbã la, ŋutigbalẽa ate ŋu adze abe ɖe wòle ɣie wu alesi wònɔna ɖaa ene le ʋu ƒe sisi si dzi ɖe kpɔtɔ ta.

2. Le ema megbe la, eƒe amadede trɔna zua dzĩ alo biã .

3. Eyome, ate ŋu atrɔ azu aŋutiɖiɖi alo amadede dzẽ -blɔ hafi atrɔ zu yibɔ.

4. Mlɔeba la, amadedea ate ŋu azu aŋutiɖiɖi, yibɔ si ƒe amadede nye amadede dzẽ, alo yibɔ keŋkeŋ .

Ne wò ŋutigbalẽ do viviti vie la, ate ŋu asesẽ vie be nàkpɔ amadede siawo ƒe tɔtrɔ nyuie. Ke hã, lé ŋku ɖe dzesi bubuwo ŋu. Ne dɔlékui aɖe le ame ŋu la, àte ŋu akpɔ tsi si ʋẽna lilili si le dodom tso abiawo me.

Nukatae gangrene va doa mo ɖa? Nukawoe gbɔ wòtsona?

Susu bɔbɔetɔ kekeakee nye ʋu ƒe sisi yi ŋutilã ƒe akpa aɖe. Míaƒe lãkusiwo hiã oxygen, nunyiame, kple dɔlékuiwutikewo be woakpɔ wo ta tso dɔléle me. Eyata ne lãmekawo mexɔ ʋu o la, wodzea kuku gɔme.

Susu vevi geɖewo li siwo tae ʋu ƒe sisi xea mɔ na:

• Dɔléle siwo do ƒome kple ʋukawo: Le kpɔɖeŋu me, le nɔnɔme aɖe si woyɔna be ``Peripheral Artery Disease`` me la, ʋuka siwo tsɔa ʋu yia afɔwo gbɔ la xena. Esia nye nu vevi aɖe si hea gangrene ƒuƒu vɛ.
• Abi goglowo: Abi goglowo, abe esiwo tso afɔku gã aɖe me ene, ate ŋu agblẽ nu le ʋukawo ŋu eye woatɔ te ʋu ƒe sisi.
• Kuxi siwo dona tso amekoko me (siwo mebɔ o): Ɣeaɖewoɣi la, gangrene hã ate ŋu adze abe kuxi ene le amekoko megbe. Ke hã, esia mebɔ kura o.

Amekawoe le afɔku gã me be woaxɔ gangrene?

Ame aɖewo ate ŋu axɔ gangrene wu ame bubuwo, vevietɔ ne ʋukawo ƒe dɔléle aɖe le ŋuwò.

• Buerger ƒe dɔléle: Le nɔnɔme sia me la, ʋuka siwo le abɔ kple afɔwo me vuvuna, ʋukawo dona, eye ʋu ƒe sisi xea mɔ.
• Suklidɔ: Suklidɔ gblẽa nu le lãmekawo kple ʋukawo ŋu. Azɔ hã, abi siwo le amesiwo ŋu suklidɔ le ŋu xɔa ɣeyiɣi didi hafi wohayana. Anɔ bɔbɔe be abi siwo hayana vivivi la naxɔ dɔlékuiwo. Suklidɔ bɔ ɖe mía dome ŋutɔ le Sri Lanka. Eyata ele be suklidɔlélawo nalé be na woƒe asiwo kple afɔwo ŋutɔ, vevietɔ woƒe afɔwo. Mègaŋe aɖaba ƒu abi sue aɖe gɔ̃ hã dzi o.
• Ʋukawo ƒe Dɔléle: Amiwo ƒoa ƒu ɖe ʋukawo me, si wɔnɛ be ʋu mete ŋu sina nyuie yia teƒewo abe afɔ, afɔ, kple asiwo ene o.
• Popliteal Artery Entrapment Syndrome: Le esia me la, lãmeka aɖe si le kloa ƒe akpa si le kloa ƒe akpa si le kloa megbe la tea ʋuka vevitɔ si le kloa megbe (si nye popliteal artery). Esia xea mɔ na ʋu ƒe sisi yi afɔ ƒe akpa si le anyime, abe le kamedede me ene.
• Raynaud ƒe dɔlélea: Ne vuvɔ le ame ŋu la, ʋuka siwo le asibidɛwo kple afɔbidɛwo me la xaxa, si wɔnɛ be ʋu ƒe sisi nu metsina o.
• Vasculitis: Ʋukawo ƒe dɔdzẽ si xea mɔ na ʋu ƒe sisi.

Tsɔ kpe ɖe eŋu la, afɔku gã aɖe le ŋuwò be nàxɔ gangrene ne nusiwo gbɔna le ŋuwò:

• Nuveviwɔame si wɔ nuku ŋutɔ.
• Dɔlélenutsiŋutete ƒe gbɔdzɔgbɔdzɔ. Le kpɔɖeŋu me, le HIV dɔlékui alo kansa dada ta.
• Ne lãmekawo gblẽ vevie le vuvɔ alo dzobibi vevie ta.

Ne afɔku siawo dometɔ aɖe le ŋuwò la, ele vevie be nàyi ɖɔkta gbɔ edziedzi be woado ye kpɔ ahakplɔe ɖo abe alesi wò ɖɔkta kafui ene. Wò ɖɔkta aɖo aɖaŋu na wò le nusiwo nàte ŋu awɔ le aƒeme be nàtsɔ aɖe gangrene ƒe afɔkua dzi akpɔtɔ ŋu (e.g., beléle na wò afɔwo nyuie kple atikewɔwɔ kaba ɖe abi siwo nèxɔ ta).

Wokpɔe hã be atike aɖewo dzia afɔku si le Fournier ƒe gangrene xɔxɔ me ɖe edzi. Eyata ɖɔkta aɖe ana nànya nu tso esia ŋu hafi adze atike yeye zazã gɔme na wò.

Kuxi kawoe ate ŋu ado tso gangrene me?

Gangrene nye dɔléle sesẽ aɖe ŋutɔ, si ate ŋu ade ame ƒe agbe afɔku me. Ate ŋu ahe nusiwo gbɔna vɛ:

• Ŋutilã ƒe akpa aɖe ƒe bu: Ate ŋu ahiã be woalã akpa aɖe abe asibidɛ, afɔbidɛ, alɔ, alo afɔ ene.
• Sepsis: Esia nye ne dɔlélenutsiŋutete wɔa nu ɖe ​​dɔlékui aɖe si kaka ɖe ŋutilã bliboa me eye wòdea ame ƒe agbe afɔku me la ŋu.
• Lãmenugbagbeviwo ƒe kpododonu.

Ɣeaɖewoɣi la, gangrene ate ŋu awu ame.

Aleke ɖɔktawo wɔna dea dzesi esia?

Ne èsusu be gangrene le ye ŋu la, ele be nàkpɔ ɖɔkta enumake. Ðɔktaa awɔ nu siwo gbɔna:

• Woabia nya tso wò atikewɔwɔ ŋutinya kple atikewɔwɔ ƒe nɔnɔme siwo me nèle fifia ŋu.
• Ebiae be abi aɖe si woxɔ nyitsɔ laa hã.
• Woléa ŋku ɖe ŋutilã ƒe akpa si ŋu wògblẽ nu le la ŋu nyuie.
• Wole dodokpɔ geɖe wɔm be woakpɔ nyatakaka bubuwo.

Dodokpɔ ƒomevi siwo nàte ŋu awɔ:

• Ʋudodokpɔ: Kpɔe ɖa be dɔlékuiwo kple sukli ƒe agbɔsɔsɔ le ʋu me hã.
• Dɔlékuiwo ƒe dekɔnu dodokpɔwo: Wodoa kpɔɖeŋu si woɖe tso abi la me kpɔna be woakpɔ dɔlékui ƒomevi si gbɔ dɔlélea tso.
• Nɔnɔmetatawo dodokpɔ: Dodokpɔwo abe X-ray, CT scan, kple MRI ene ate ŋu aɖee afia be nusiwo gblẽ le lãmeka siwo le ŋutilãa me ŋu eye ya le wo me.
• Ʋu ƒe sisi dodokpɔ: Le kpɔɖeŋu me, dodokpɔ aɖe si woyɔna be Ankle-brachial index ate ŋu adzidze ʋu agbɔsɔsɔme si le sisim ɖe afɔawo ŋu.

Dodokpɔ siawo kpena ɖe ɖɔktaa ŋu wòkpɔnɛ be:

• Nukae nana ʋu ƒe sisi xea mɔ?
• Ðe dɔlékui aɖe li loo alo mexɔe oa?
• Nukae gblẽ le lãmenugbagbeviwo ŋu?
• Nukawoe nye atikewɔmɔnu nyuitɔwo kekeake?

Aleke wowɔa atike na gangrene?

Taɖodzinu vevi etɔ̃e le gangrene dada ŋu: be woatɔ te gangrene la be wòagakaka o, woaɖe lãkusi kukuwo ɖa, eye woana ʋu nazɔ nyuie wu. Ðewohĩ àhiã atikewɔmɔnu siawo dometɔ ɖeka alo esi wu nenema.

• Dɔlékuiwutikewo: Ne dɔlékui aɖe gbɔe gangrene tso la, ahiã be woatsɔ dɔlékuiwutikewo. Wò ɖɔkta aŋlɔ atike si sɔ na wò. Woate ŋu ado esiawo hã to ʋuka me (IV).
• Debridement:Esia nye atikewɔwɔ si ɖea lãkusi kukuwo ɖa. Lãmetsi kuku (`(Gangrenous tissue)`) mehayana o. Eyata eɖeɖe ɖa koe nye tiatia. Esia wɔwɔ kpɔa lãmenugbagbevi siwo le lãmesẽ me si te ɖe eŋu ta eye wòkpena ɖe lãmeka siwo gblẽ (gake meku o) ŋu be woahaya.
• Mɔnu siwo dzi nàto ana ʋu nayi edzi nyuie wu: Wò ɖɔkta ate ŋu awɔ ʋukawo ƒe dɔwɔwɔ (ɣeaɖewoɣi kple ʋuka si me ʋu sina tona) be wòakeke wò ʋukawo ɖe enu. Alo, ate ŋu awɔ dɔ nɛ be wòato mɔ yeye aɖe dzi be ʋu nate ŋu aƒo xlã nusi xe mɔa.
• Hyperbaric Oxygen Therapy (HBOT): Le esia me la, wonana nègbɔa oxygen 100% le xɔ aɖe me le nyaƒoɖeamenu sesẽ me. Esia nana oxygen si yia ŋutilãa ƒe lãkusiwo me dzina ɖe edzi ŋutɔ, si kpena ɖe wo ŋu wodaa gbe. Esia ɖea vi ŋutɔ na gangrene si suklidɔ hena vɛ.
• Lãɖeɖe: Esia nye mɔnu mamlɛtɔ. Woɖea ŋutilã ƒe akpa si ŋu dɔlélea le – abe asibidɛ, afɔ, alo alɔ ene – ɖa. Ne atikewɔwɔ bubuwo mate ŋu axɔ lãmenugbagbevi siwo le lãmesẽ me (alo wò agbe) o ko hafi ɖɔktawo wɔa esia.

Le gangrene dɔdada vɔ megbe la, ahiã be woawɔ dɔ na wò be woatsɔ ado ŋutigbalẽa . Le esia me la, woɖea ŋutigbalẽ tso wò ŋutilã ƒe akpa bubu si le lãmesẽ me eye wozãnɛ tsɔ tsyɔa ŋutigbalẽ si ŋu abi le alo si gblẽ la dzi.

Ɣekaɣie wòle be madi atikewɔlawo ƒe aɖaŋuɖoɖo? Ðe wònye nudzɔdzɔ kpata aɖea?

Ẽ, keŋkeŋ! Ne gangrene ƒe dzesiwo le ŋuwò la, yi kɔdzi ƒe dɔwɔƒe si te ɖe ŋuwò kpata enumake, alo nàƒo ka na 1990. Azɔ hã, ne septic shock ƒe dzesiwo le ŋuwò, si fia be:

• Ʋu ƒe sisi kabakaba, gake wògbɔdzɔ.
• Sese le ɖokuiwò me be yetɔtɔ, abe ɖe wò susu le vɔvɔm ene.
• Taɖuame ƒe seselelãme ne èle tsitrenu.
• Ŋutilãa fa miamiamia, eƒona, eye wòzua ɣie.
• Yagbɔgbɔ sesẽ.
• Aɖuɖɔtoe alo aɖuɖɔtoe.

Ne dzesi siawo tɔgbe li la, ke enye nudzɔdzɔ kpata hã.

Nya kae woate ŋu agblɔ tso ame si ŋu gangrene le ƒe agbenɔƒe ŋu?

Nyabiase sia ŋuɖoɖo sesẽ elabena enɔ te ɖe nu geɖe dzi. Le kpɔɖeŋu me:

• Afikae gangrene la kaka ɖo?
• Aleke gbegbee wowɔ atike na wò kabae?
• Ŋutilã ƒe akpa kawoe wògblẽa nu le?
• Aleke wò lãmesẽ bliboa le?

Ðɔkta si daa dɔ na wò la nya wò nɔnɔmea nyuie wu. Ate ŋu ana nyatakaka siwo de pɛpɛpɛ wu la wò.

Gake nu ɖeka si dzi wòle be míaɖo ŋkui. Ne womewɔ atike na gangrene o la, ate ŋu awu ame kaba. Alesi ku dzɔna kabakabae la toa vovo le gangrene ƒomevi si le ame ŋu nu. Gas gangrene kaka kabakaba ŋutɔ. Lãmetsi kuku ƒe teƒe ate ŋu adzi ɖe edzi sentimeta geɖe le gaƒoƒo ɖeka me. Gas gangrene wua ame ɣesiaɣi ne womewɔ atike nɛ o, eye ate ŋu awu ame ɣeaɖewoɣi ne wowɔ atike nɛ gɔ̃ hã.

Le gangrene ƒomevi ɖesiaɖe gome la, zi alesi nèdi atike kaba la, zi nenemae wò agbetsitsi ƒe mɔnukpɔkpɔ anyo ɖe edzii.

Ðe gangrene xɔa ame mea?

Gangrene ŋutɔ mexɔa ame o. Eyae nye be màxɔ gangrene ne ète ɖe amesi ŋu gangrene le ŋu o.

Gake dɔlékui siwo hea gangrene vɛ ate ŋu akaka ɖe ame bubuwo me ɣeaɖewoɣi. Alesi dɔlékuiawo kpɔa ŋusẽ ɖe amesi ŋu dɔlélea le dzi la nɔ te ɖe nusiwo le abe ne abi le eŋu kple alesi woƒe dɔlélenutsiŋutete sesẽe dzi.

Ne gangrene dɔlékui aɖe le wò alo wò aƒemetɔ aɖe ŋu la, ƒo nu kple ɖɔkta be nànya afɔɖeɖe tɔxɛ siwo wòle be nàwɔ.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Enye nusi sɔ be vɔvɔ̃ naɖo ŋuwò ne èse nya gangrene, eɖanye wò ŋutɔ alo ame aɖe si nèlɔ̃ dzie wòdzɔ o. Gake ɖo ŋku edzi be sidzedze nye ŋusẽ. Srɔ̃ nu geɖe tso nɔnɔme sia kple eƒe atikewɔwɔ ƒe mɔnuwo ŋu alesi nàte ŋui.

Atikewɔwɔ didi kabae nye mɔnukpɔkpɔ nyuitɔ kekeake si ana nàɖe wò agbe alo wò lɔlɔ̃tɔa ƒe agbe.

Esi nèle hayahayam la, wɔ dɔ kple wò ɖɔkta be nàkpɔ nɔnɔme ɖesiaɖe si ate ŋu ahe gangrene la vɛ (e.g., suklidɔ, ʋukawo me kuxiwo) gbɔ. Nusi gbɔ gangrene tsona dada ate ŋu akpe ɖe ame ŋu be kuxi siwo ate ŋu ado mo ɖa le etsɔme dzi akpɔtɔ. Lé be na wò lãmesẽ, eye mègana naneke nato ŋuwò o!

` Gangrene, lãmekawo ƒe ku, ʋu ƒe sisi, dɔlékuiwo, suklidɔ, abi ƒe dɔyɔyɔ, atikewɔwɔ kpata