Koj puas tau hnov ib tug neeg hais tias lawv muaj 'gangrene'? Tej zaum koj twb tau hnov lo lus no hais txog qhov txhab uas tau kis kab mob heev, lossis ib ceg lossis caj npab uas tau hloov dub. Qhov no yog ib qho xwm txheej ceev heev uas yuav tsum tau kho tam sim ntawd. Hais yooj yim, gangrene yog thaum cov ntshav ntws mus rau ib feem ntawm koj lub cev nres, ua rau cov nqaij hauv thaj chaw ntawd tuag. Txawm hais tias nws tuaj yeem tshwm sim txhua qhov chaw, nws feem ntau pib ntawm cov ntiv tes lossis cov ntiv taw. Hnub no, peb yuav tham txog qhov no hauv ib txoj kev yooj yim, yooj yim to taub.
Gangrene yog dab tsi tiag?
Xav txog tias txhua lub cell thiab cov nqaij hauv peb lub cev xav tau oxygen thiab cov as-ham kom muaj sia nyob. Cov no yog nqa los ntawm cov ntshav. Yuav ua li cas yog tias cov ntshav mus rau ib feem ntawm lub cev tsis muaj laj thawj? Ib yam li tsob ntoo tuag yam tsis muaj dej, cov nqaij hauv qhov ntawd kuj pib tuag. Qhov ntawd yog qhov peb hu ua gangrene .
Qhov tseem ceeb yog tias kab mob gangrene yeej ib txwm yog kev tuag ntawm cov nqaij. Txawm li cas los xij, tsis yog txhua yam kab mob gangrene yog los ntawm kev kis kab mob. Qee zaum, cov ntshav tsis tuaj yeem ntws thiab cov nqaij tuaj yeem tuag, yam tsis muaj kev kis kab mob ntawm cov kab mob. Txawm li cas los xij, yog tias kev kis kab mob ntawm cov nqaij tuag koom nrog, qhov xwm txheej yuav hnyav dua. Yog tias tsis kho sai, qhov xwm txheej no tuaj yeem ua rau muaj teeb meem loj heev, txawm tias tuag.
Cov hom kab mob gangrene tseem ceeb yog dab tsi?
Kab mob gangrene muaj ntau hom loj. Txhua hom txawv me ntsis. Cia peb saib seb lawv yog dab tsi.
| Hom kab mob gangrene | Piav qhia yooj yim |
|---|---|
| Gangrene qhuav | Qhov no tsuas yog ib qho teeb meem ntawm cov ntshav txhaws xwb. Tsis muaj kab mob kis. Cov tawv nqaij uas raug mob yuav qhuav, tawv tawv, thiab dub. Tsis pom muaj cov pob khaus uas puv nkaus. Qhov no feem ntau tshwm sim rau cov neeg uas muaj mob xws li ntshav qab zib thiab atherosclerosis, uas tuaj yeem ua rau cov hlab ntsha txhaws vim muaj roj cholesterol ntau. |
| Gangrene ntub dej | Qhov no yog ib qho kab mob loj heev uas tshwm sim thaum cov ntshav tsis ntws. Raws li nws lub npe, daim tawv nqaij yuav o, ua pob, thiab tawm cov kua zoo li kua qaub. Yog vim li ntawd nws thiaj hu ua 'ntub'. Nws muaj ntxhiab tsw phem heev. Hom kab mob no kis tau sai heev rau lwm cov nqaij noj qab haus huv. |
| Gas Gangrene | Qhov no yog ib hom kab mob txaus ntshai heev thiab kis tau sai. Qee hom kab mob uas nkag mus rau hauv lub cev los ntawm cov qhov txhab tob tob tsim cov pa roj hauv cov leeg. Qhov no ua rau cov nqaij puas tsuaj. Yog tias koj nias rau ntawm daim tawv nqaij uas raug mob, koj yuav hnov lub suab 'chiri chiri' zoo li cov pa npuas tawg hauv qab. Qhov no tuaj yeem ua rau tuag taus hauv ob peb teev. |
| Kab mob Fournier Gangrene | Qhov no yog ib qho kab mob me me uas tsis tshua muaj thiab loj heev. Nws tshwm sim rau ntawm qhov chaw mos thiab thaj chaw ib puag ncig. Nws feem ntau tshwm sim rau cov txiv neej. |
| Mob Gangrene Sab Hauv | Qhov no tshwm sim thaum cov ntshav ntws mus rau ib qho khoom hauv lub cev raug txiav tawm. Piv txwv li, qhov mob no tuaj yeem tshwm sim hauv lub zais zis, txoj hnyuv, lossis lub plab hnyuv. |
Cov tsos mob ntawm gangrene yog dab tsi?
Cov tsos mob ntawm tus kab mob gangrene yuav txawv me ntsis nyob ntawm seb hom kab mob twg. Tab sis muaj qee cov cim qhia uas koj pom tau. Yog tias koj muaj ib qho ntawm cov no, koj yuav tsum mus ntsib kws kho mob tam sim ntawd.
- Daim tawv nqaij tsis zoo li qub: Daim tawv nqaij hauv thaj chaw raug mob yuav pib daj ntseg, tom qab ntawd liab, ntshav, ntsuab, thiab thaum kawg dub.
- Mob hnyav heev: Thaum xub thawj, tej zaum yuav muaj mob hnyav heev nyob rau thaj chaw ntawd, thiab tom qab ntawd tej zaum yuav tsis hnov dua thaum cov nqaij tuag.
- Kev o thiab loog: Qhov chaw raug mob yuav hnov tias o thiab loog.
- Tawv nqaij txias: Piv rau lwm qhov chaw noj qab haus huv, gangrene zoo li txias heev rau qhov kov.
- Cov kua qaub tsw phem: Hauv cov kab mob gangrene ntub dej, cov hlwv yuav tsim thiab tawm cov kua qaub tsw phem lossis cov kua ntshav.
- Lub suab 'Cherry-Cherry': Hauv cov roj gangrene, thaum daim tawv nqaij raug nias rau saum toj, lub suab hnov zoo li cov pa npuas tawg hauv qab.
- Cov tsos mob feem ntau:Tej zaum yuav muaj cov tsos mob xws li kub taub hau, qaug zog, lub plawv dhia ceev, ua pa ceev, thiab tsis meej pem hauv siab, tshwj xeeb tshaj yog thaum tus kab mob kis mus thoob plaws lub cev (sepsis).
Qhov tseem ceeb tshaj plaws yog qhov kev hloov xim ntawm daim tawv nqaij. Thaum xub thawj, nws yuav dawb vim yog cov ntshav ntws tsawg dua, tom qab ntawd nws yuav hloov xim liab, maj mam hloov xim av, thiab thaum kawg yuav hloov xim av lossis ntsuab-dub. Tej zaum yuav nyuaj rau ib tus neeg uas muaj daim tawv nqaij tsaus kom paub txog cov kev hloov xim no thaum xub thawj.
Dab tsi yog cov ua rau thiab cov yam ntxwv uas ua rau muaj kab mob gangrene?
Qhov ua rau mob gangrene yog vim cov ntshav tsis ntws mus rau ib feem ntawm lub cev. Muaj ntau yam ua rau mob thiab muaj ntau yam ua rau mob no.
Ua rau muaj kev thaiv cov ntshav ntws:
- Cov kab mob ntawm cov hlab ntsha: Cov roj cholesterol ua rau cov hlab ntsha thiab ua rau lawv nqaim (Peripheral Artery Disease) yog qhov ua rau muaj kab mob gangrene qhuav.
- Kev Raug Mob Hnyav: Yog tias muaj kev raug mob loj tshwm sim, xws li kev sib tsoo tsheb lossis raug ntes hauv tshuab, thiab cov hlab ntsha puas lawm.
- Teeb meem los ntawm kev phais: Txawm hais tias tsis tshua muaj heev los xij, cov ntshav ntws tuaj yeem raug cuam tshuam tom qab qee qhov kev phais.
- Kev kis kab mob: Kev kis kab mob uas tsis tau kho tuaj yeem ua rau cov nqaij o thiab los ntshav.
Cov neeg uas ua rau lawv muaj feem yuav mob gangrene ntau ntxiv:
- Cov Neeg Mob Ntshav Qab Zib: Ntshav qab zib yog ib yam kab mob uas tshwm sim ntau heev hauv peb lub tebchaws. Ntshav qab zib ua rau cov hlab ntsha thiab cov hlab ntsha puas tsuaj. Yog li ntawd, qhov kev xav ntawm ob txhais ceg raug txo qis, txawm tias qhov txhab me me los tsis pom, thiab muaj feem ntau uas nws yuav tsis kho sai thiab yuav kis kab mob thiab ua rau mob gangrene. Cov neeg mob ntshav qab zib yuav tsum saib xyuas lawv ob txhais taw kom zoo.
- Cov Neeg Haus Luam Yeeb: Kev haus luam yeeb ua rau cov hlab ntsha puas tsuaj thiab ua rau lawv nqaim.
- Kev Rog Phem: Kev rog dhau ua rau muaj kev pheej hmoo ntawm kev mob gangrene, vim nws tuaj yeem ua rau muaj cov kab mob xws li ntshav qab zib thiab ntshav siab.
- Cov neeg uas lub cev tiv thaiv kab mob tsis muaj zog: Cov neeg uas muaj HIV/AIDS, cov neeg mob qog noj ntshav, thiab cov neeg uas tab tom kho mob chemotherapy muaj peev xwm txo qis kev tiv thaiv kab mob.
- Raynaud's syndrome: Ib qho mob uas cov ntshav ntws mus rau cov ntiv tes thiab cov ntiv taw tsis ntws ib ntus thaum raug cua txias.
Yuav kuaj mob gangrene li cas thiab kho li cas?
Yog koj xav tias koj muaj cov tsos mob ntawm tus kab mob gangrene, koj yuav tsum mus ntsib kws kho mob lossis mus rau chav kho mob ceev (ETU) ntawm tsev kho mob yam tsis muaj kev ncua.
Tus kws kho mob yuav kuaj koj, nug txog koj keeb kwm kev mob nkeeg, thiab xaj qee qhov kev kuaj yog tias tsim nyog.
- Kev kuaj ntshav: Xyuas seb puas muaj kab mob thiab suav cov qe ntshav dawb.
- Kev kuaj kab mob bacterial: Txheeb xyuas cov kab mob uas ua rau muaj kev kis kab mob thiab sau cov tshuaj tua kab mob uas tsim nyog tshaj plaws.
- Kev kuaj duab: Kev kuaj X-ray, CT scan, lossis MRI scan tuaj yeem nrhiav kev puas tsuaj rau cov nqaij thiab roj.
- Kev kuaj ntshav ntws: Cov kev kuaj tshwj xeeb los xyuas seb puas muaj kev thaiv hauv cov hlab ntsha.
Cov kev kho mob
Muaj peb lub hom phiaj tseem ceeb hauv kev kho mob gangrene: tshem tawm cov nqaij tuag, tswj kev kis kab mob, thiab rov qab kho cov ntshav ntws.
1. Tshuaj tua kab mob: Yog tias muaj kab mob bacterial, cov tshuaj tua kab mob muaj zog yuav muab rau hauv cov hlab ntsha kom tswj tau nws.
2. Kev tshem cov qog: Qhov no yog ib qho kev phais. Cov nqaij gangrenous tsis kho. Yog li ntawd, nws yuav tsum tau phais tshem tawm. Txwv tsis pub, cov kab mob yuav kis mus rau cov nqaij noj qab haus huv.
3. Phais kom rov qab ntshav ntws: Phais tau kom nthuav cov hlab ntsha uas raug txhaws (Angioplasty) lossis tsim ib txoj kev tshiab los hla nws (Phais Bypass).
4. Kev Kho Mob Pa oxygen Hyperbaric (HBOT): Hauv qhov no, tus neeg mob raug muab tso rau hauv chav hyperbaric thiab ua pa 100% oxygen ntshiab. Qhov no ua rau cov pa oxygen hauv cov ntshav ntau ntxiv, pab cov nqaij kho.
5. Kev Txiav Tes: Thaum muaj mob hnyav, thaum lwm yam kev kho mob tsis ua haujlwm, tib txoj kev los cawm tus neeg mob txoj sia yog phais tshem tawm qhov ceg uas raug mob, xws li ntiv tes, ntiv taw, lossis tes. Qhov no suav tias yog qhov kawg los ntawm cov kws kho mob.
Thaum twg koj yuav tsum nrhiav kev kho mob thaum muaj xwm txheej ceev?
Kab mob gangrene yog ib qho xwm txheej ceev. Yog tias koj muaj cov tsos mob hauv qab no, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Yog tias koj daim tawv nqaij dub, tsis hnov tsw zoo, txias, lossis o qee qhov ntawm koj lub cev.
- Yog tias qhov txhab uas tsis kho muaj ntxhiab tsw phem lossis muaj kua qaub tawm.
- Yog koj kub taub hau nrog rau mob hnyav tam sim ntawd.
Yog tias koj muaj cov tsos mob no nrog rau ua pa nyuaj, lub plawv dhia ceev heev, kev xav tsis meej, thiab hws txias, nws txhais tau tias tus kab mob tau kis thoob plaws lub cev thiab tab tom loj hlob mus ua ib qho mob txaus ntshai hu ua septic shock . Yog li ntawd, yuav tsum tau kho tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob gangrene yog kev tuag ntawm cov nqaij vim tsis muaj ntshav ntws mus rau ib feem ntawm lub cev. Qhov no yog ib qho mob txaus ntshai thiab mob ceev heev.
- Cov tsos mob tseem ceeb yog daim tawv nqaij hloov xim (tshwj xeeb yog tsaus zuj zus), mob heev, o, thiab muaj kua paug tsw phem. Yog koj pom cov no, tsis txhob ncua sijhawm.
- Cov neeg uas muaj ntshav qab zib muaj feem yuav mob gangrene ntau dua, yog li nws tseem ceeb heev uas yuav tsum ua raws li koj tus kws kho mob cov lus qhia thiab saib xyuas koj txhais taw tshwj xeeb.
- Lub sijhawm yog qhov tseem ceeb thaum kho cov kab mob gangrene. Kev kho mob sai npaum li cas, qhov tshwm sim zoo dua.
- Yog tias koj muaj kev xav tias muaj kab mob gangrene, tsis txhob xav txog thiab mus ntsib koj tus kws kho mob tam sim ntawd.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus