Puas muaj ib feem ntawm koj lub cev tig dub thiab tsis muaj sia lawm? Tej zaum yuav yog kab mob gangrene!

Koj puas tau pom tias qee qhov ntawm koj lub cev, tshwj xeeb tshaj yog koj cov ntiv tes thiab cov ntiv taw, loog, tsis muaj xim, thiab qee zaum txawm tias dub? Los yog koj puas xav tias qhov txhab hnyav zuj zus thiab pib tsw phem? Cov no tsis yog cov cim zoo. Lawv tuaj yeem yog ib qho cim ntawm tus mob txaus ntshai hu ua gangrene . Tsis txhob txhawj, peb yuav tham txog qhov no kom meej thiab yooj yim heev hnub no.

Kab mob qog nqaij hlav yog dab tsi? Hais yooj yim xwb...

Kab mob gangrene, hais yooj yim xwb, yog thaum cov ntshav uas mus rau ib feem ntawm peb lub cev raug cuam tshuam, ua rau cov nqaij hauv thaj chaw ntawd tuag. Ib yam li tsob ntoo qhuav thaum nws tsis muaj dej, qhov tsis muaj ntshav mus rau ib feem ntawm peb lub cev kuj qhuav thiab. Txawm hais tias qhov no tuaj yeem tshwm sim txhua qhov chaw ntawm lub cev, feem ntau nws pib ntawm tes lossis taw.

Qhov tseem ceeb tshaj plaws yog tias kab mob gangrene yog ib qho xwm txheej ceev hauv kev kho mob . Vim tias thaum cov nqaij pib tuag, nws tuaj yeem kis tau sai. Qee zaum nws kuj tuaj yeem muaj kev kis kab mob, uas tuaj yeem ua rau qhov mob hnyav dua. Txawm tias muaj kev kis kab mob lossis tsis muaj, kab mob gangrene tuaj yeem ua rau muaj teeb meem loj yog tias tsis kho sai, thiab qee zaum txawm tias tuag. Yog li nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no.

Cov hom kab mob gangrene tseem ceeb yog dab tsi?

Muaj ntau hom kab mob gangrene tseem ceeb. Cia peb saib seb lawv yog dab tsi.

1. Kab mob Gangrene qhuav

Qhov tshwm sim hauv qhov no yog tias cov ntshav mus rau ib qho chaw nres, thiab cov ntaub so ntswg hauv thaj chaw ntawd tuag. Txawm li cas los xij, tsis muaj kev kis kab mob hauv qhov no . Nws tsuas yog ib qho mob qhuav xwb. Yog tias koj kov nws, daim tawv nqaij qhuav, thiab koj tsis pom cov pob liab lossis kua paug. Cov kab mob qhuav feem ntau tshwm sim vim muaj cov rog hauv peb cov hlab ntsha, uas ua rau cov hlab ntsha nqaim (atherosclerosis). Cov neeg uas muaj ntshav qab zib lossis haus luam yeeb muaj feem yuav muaj feem ntau dua.

2. Mob qog ntshav ntub dej

Hauv qhov no, nrog rau cov ntshav ntws tsis zoo, kev kis kab mob kuj tseem ntxiv rau . Yog vim li cas nws thiaj hu ua "ntub" gangrene. Cov pob khaus uas puv nrog kua qaub yuav tshwm sim ntawm daim tawv nqaij, thiab qhov txhab yuav muaj ntxhiab tsw phem. Hom no feem ntau kis mus rau lwm cov nqaij noj qab haus huv sai heev. Yog vim li cas nws thiaj txaus ntshai me ntsis.

3. Mob Gangrene

Qhov no kuj yog ib qho mob hnyav heev uas tshwm sim los ntawm kev kis tus kab mob bacterial. Hom kab mob no ua rau peb cov nqaij mos thiab cov qe ntshav puas tsuaj. Tsis tas li ntawd, cov kab mob no loj hlob sai sai hauv cov leeg nqaij, tsim cov tshuaj lom thiab tso cov pa roj. Yog vim li cas nws thiaj hu ua gas gangrene. Cov kab mob no tuaj yeem kis tau sai heev uas nws tuaj yeem ua rau tuag taus txawm tias nyob hauv ob peb teev xwb.

4. Kab mob Fournier Gangrene

Qhov no yog ib qho kab mob tsis tshua muaj tab sis loj heev uas cuam tshuam rau thaj chaw ntawm lub cev.Qhov no feem ntau tshwm sim rau cov txiv neej dua li cov poj niam.

5. Mob Gangrene Sab Hauv

Qhov no yog thaum cov ntshav uas mus rau ib qho ntawm peb lub cev sab hauv raug txiav tawm. Piv txwv li, qhov no tuaj yeem tshwm sim rau cov kabmob xws li lub zais zis, txoj hnyuv, lossis appendix. Piv txwv li, mob cholecystitis ntev tuaj yeem ua rau cov nqaij tuag thiab gangrene.

Cov tsos mob ntawm gangrene yog dab tsi?

Cov tsos mob yuav txawv me ntsis nyob ntawm seb hom kab mob gangrene yog dab tsi. Txawm li cas los xij, muaj qee cov tsos mob uas feem ntau tshwm sim:

• Daim tawv nqaij tsis zoo li qub: Daim tawv nqaij hauv thaj chaw uas raug mob yuav hloov xim liab, ntshav, ntsuab, lossis dub.
• Kev hloov pauv ntawm daim tawv nqaij: Daim tawv nqaij yuav daj ntseg, nruj, lossis txias thaum kov. Qee zaum, nws kuj tseem yuav mob thaum kov.
• Lub suab "chiri chiri" thaum daim tawv nqaij raug nias: Qhov no qhia tau tias muaj cua nyob hauv qab daim tawv nqaij (tshwj xeeb tshaj yog nyob rau hauv huab cua gangrene).
• Ua pa ceev thiab lub plawv dhia ceev.
• Xav tias tsis xis nyob, ntxhov siab heev.
• Cov tsos mob zoo li mob khaub thuas xws li kub taub hau, tawm hws, txias, thiab ntuav.
• Hnov mob heev, lossis poob tag nrho cov kev xav hauv thaj chaw ntawd.
• Los ntshav los yog kua paug tsw phem los ntawm cov qhov txhab thiab cov hlwv.
• Qhov o ntawm thaj chaw cuam tshuam.

Tseem Ceeb: Yog tias koj muaj ib lossis ntau yam ntawm cov tsos mob no, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob tam sim ntawd. Tsis txhob nkim sijhawm.

Thaum muaj kab mob gangrene, xim tawv nqaij hloov li cas?

Cov tawv nqaij tsis zoo li qub hauv gangrene feem ntau tshwm sim ua ntau theem (ob peb theem):

1. Ua ntej, daim tawv nqaij yuav zoo li dawb dua li niaj zaus vim yog cov ntshav ntws tsis txaus.

2. Tom qab ntawd, nws hloov mus ua xim liab los yog xim liab .

3. Tom ntej no, nws yuav tig mus ua xim av lossis xim ntsuab -xim av ua ntej tig mus ua xim dub.

4. Thaum kawg, xim yuav hloov mus ua xim av, xim ntsuab dub, lossis xim dub tag .

Yog tias koj daim tawv nqaij tsaus me ntsis, nws yuav nyuaj me ntsis kom pom cov xim hloov pauv no kom meej meej. Txawm li cas los xij, ceev faj txog lwm cov cim qhia. Yog tias muaj kev kis kab mob, koj yuav pom cov kua qaub tsw phem los ntawm cov qhov txhab.

Vim li cas cov kab mob gangrene thiaj li loj hlob tuaj? Dab tsi yog cov ua rau muaj cov kab mob no?

Qhov laj thawj yooj yim tshaj plaws yog qhov uas cov ntshav tsis ntws mus rau ib feem ntawm lub cev. Peb cov nqaij xav tau oxygen, cov as-ham, thiab cov tshuaj tua kab mob los tiv thaiv lawv ntawm kab mob. Yog li, yog tias cov nqaij tsis tau txais ntshav, lawv pib tuag.

Muaj ntau yam tseem ceeb ua rau cov ntshav ntws tsis zoo:

• Cov kab mob ntsig txog cov hlab ntsha: Piv txwv li, hauv ib qho mob hu ua "Peripheral Artery Disease", cov hlab ntsha uas nqa ntshav mus rau ob txhais ceg raug thaiv. Qhov no yog ib qho ua rau muaj kab mob gangrene qhuav.
• Cov qhov txhab tob: Cov qhov txhab tob, xws li cov los ntawm qhov xwm txheej loj, tuaj yeem ua rau cov hlab ntsha puas tsuaj thiab ua rau cov ntshav ntws tsis tau.
• Teeb meem los ntawm kev phais (tsis tshua muaj): Qee zaum, gangrene kuj tuaj yeem tshwm sim ua teeb meem tom qab phais. Txawm li cas los xij, qhov no tsis tshua muaj.

Leej twg muaj feem yuav mob gangrene ntau dua?

Ib txhia neeg muaj feem yuav mob gangrene ntau dua li lwm tus, tshwj xeeb yog tias koj muaj mob hlab ntsha.

• Kab mob Buerger: Hauv qhov mob no, cov hlab ntsha hauv ceg yuav o, cov ntshav txhaws, thiab cov ntshav ntws raug thaiv.
• Kab Mob Ntshav Qab Zib: Kab mob ntshav qab zib ua rau cov hlab ntsha thiab cov hlab ntsha puas tsuaj. Tsis tas li ntawd, cov qhov txhab ntawm cov neeg uas muaj kab mob ntshav qab zib siv sijhawm ntev dua los kho. Cov qhov txhab uas kho qeeb qeeb yuav kis tau kab mob ntau dua. Kab mob ntshav qab zib yog ib qho uas pom ntau heev ntawm peb hauv Sri Lanka. Yog li, cov neeg uas muaj kab mob ntshav qab zib yuav tsum tau saib xyuas lawv txhais tes thiab taw, tshwj xeeb tshaj yog lawv txhais taw. Tsis txhob tsis quav ntsej txawm tias yog qhov txhab me me xwb los xij.
• Kab Mob Peripheral Artery: Cov rog uas sib sau ua ke hauv cov hlab ntsha, ua rau cov ntshav tsis ntws mus rau thaj chaw zoo li ceg, taw, thiab tes.
• Kab mob Popliteal Artery Entrapment Syndrome: Hauv qhov no, cov hlab ntsha tseem ceeb tom qab lub hauv caug (cov hlab ntsha popliteal) raug nias los ntawm cov leeg nqaij hauv thaj tsam lub hauv caug. Qhov no txwv tsis pub cov ntshav ntws mus rau ceg qis, xws li thaum lub sijhawm ua si.
• Raynaud's syndrome: Thaum raug huab cua txias, cov hlab ntsha hauv cov ntiv tes thiab cov ntiv taw yuav nqaim, ua rau cov ntshav ntws tsis zoo.
• Kab mob vasculitis: Kev o ntawm cov hlab ntsha uas thaiv cov ntshav ntws.

Tsis tas li ntawd xwb, koj muaj feem yuav mob gangrene ntau dua yog tias koj muaj cov hauv qab no:

• Kev raug mob hnyav.
• Lub cev tiv thaiv kab mob tsis muaj zog. Piv txwv li, vim muaj tus kab mob HIV lossis kev kho mob qog noj ntshav.
• Yog tias muaj kev puas tsuaj loj heev rau cov nqaij ntawm lub cev los ntawm kev mob frostbite lossis kev kub hnyiab hnyav.

Yog tias koj muaj ib qho ntawm cov yam no uas ua rau koj muaj feem yuav mob no, nws yog ib qho tseem ceeb uas koj yuav tsum mus ntsib kws kho mob tsis tu ncua kom kuaj xyuas thiab saib xyuas koj tus kheej raws li koj tus kws kho mob tau hais. Koj tus kws kho mob yuav qhia koj txog tej yam uas koj ua tau hauv tsev kom txo tau koj txoj kev pheej hmoo ntawm kev mob qog nqaij hlav (piv txwv li, saib xyuas koj ob txhais taw kom zoo thiab kho koj cov kev raug mob sai sai).

Kuj muaj ib txhia tshuaj uas ua rau muaj feem yuav mob Fournier's gangrene ntau ntxiv. Yog li ntawd, tus kws kho mob yuav qhia koj txog qhov no ua ntej koj pib noj tshuaj tshiab.

Cov teeb meem uas yuav tshwm sim ntawm gangrene yog dab tsi?

Kab mob gangrene yog ib qho mob hnyav heev, ua rau tuag taus. Nws tuaj yeem ua rau cov hauv qab no:

• Poob ib feem ntawm lub cev: Ib feem xws li ntiv tes, ntiv taw, caj npab, lossis ceg yuav tsum tau txiav tawm.
• Sepsis: Qhov no yog thaum lub cev tiv thaiv kab mob teb rau tus kab mob uas tau kis thoob plaws lub cev thiab muaj kev phom sij rau lub neej.
• Kev ua tsis tiav ntawm lub cev.

Qee zaum gangrene tuaj yeem ua rau tuag taus.

Cov kws kho mob paub qhov no li cas?

Yog koj xav tias koj muaj kab mob gangrene, koj yuav tsum mus ntsib kws kho mob tam sim ntawd. Tus kws kho mob yuav ua cov hauv qab no:

• Lawv yuav nug txog koj keeb kwm kev kho mob thiab cov mob tam sim no.
• Nws nug seb puas muaj kev raug mob tsis ntev los no.
• Qhov chaw ntawm lub cev uas raug mob raug kuaj xyuas kom zoo.
• Muaj ntau qhov kev sim ua kom paub ntau ntxiv.

Cov hom kev ntsuam xyuas uas koj muaj:

• Kev kuaj ntshav: Xyuas seb puas muaj kab mob thiab cov ntshav qab zib.
• Kev kuaj kab mob bacterial: Ib qho qauv coj los ntawm qhov txhab raug kuaj xyuas kom paub seb hom kab mob twg ua rau muaj kev kis kab mob.
• Kev kuaj duab: Kev kuaj xws li X-rays, CT scans, thiab MRIs tuaj yeem qhia kev puas tsuaj rau cov nqaij hauv lub cev thiab muaj cua.
• Kev ntsuam xyuas cov ntshav ntws: Piv txwv li, ib qho kev ntsuam xyuas hu ua Ankle-brachial index tuaj yeem ntsuas qhov ntau ntawm cov ntshav ntws mus rau ob txhais ceg.

Cov kev kuaj no pab tus kws kho mob nrhiav tau:

• Dab tsi ua rau cov ntshav ntws raug thaiv?
• Puas muaj kev kis kab mob los tsis muaj?
• Muaj kev puas tsuaj rau cov nqaij ntau npaum li cas lawm?
• Cov kev kho mob zoo tshaj plaws yog dab tsi?

Yuav kho tus mob gangrene li cas?

Kev kho mob gangrene muaj peb lub hom phiaj tseem ceeb: tiv thaiv gangrene kom tsis txhob kis mus rau lwm qhov, tshem tawm cov nqaij tuag, thiab txhim kho cov ntshav ntws. Tej zaum koj yuav xav tau ib lossis ntau yam kev kho mob no.

• Tshuaj tua kab mob: Yog tias kab mob gangrene yog los ntawm kev kis kab mob bacterial, yuav tsum tau siv tshuaj tua kab mob. Koj tus kws kho mob yuav sau ntawv kom koj noj tshuaj raws li koj xav tau. Cov tshuaj no kuj tseem yuav muab tau los ntawm cov hlab ntsha hauv lub cev (IV).
• Kev tshem tawm cov av:Qhov no yog ib txoj kev kho mob uas tshem tawm cov nqaij tuag. Cov nqaij tuag (`(Gangrenous tissue)`) tsis kho. Yog li ntawd, kev tshem tawm nws yog tib txoj kev xaiv. Ua qhov no tiv thaiv cov nqaij noj qab nyob ze thiab pab cov nqaij puas tsuaj (tab sis tsis tuag) kom kho tau.
• Cov hau kev los txhim kho cov ntshav ntws: Koj tus kws kho mob yuav ua angioplasty (qee zaum nrog stent) los nthuav koj cov hlab ntsha. Los yog, nws yuav ua phais bypass los tsim txoj hauv kev tshiab rau cov ntshav ntws ncig qhov txhaws.
• Kev Kho Mob Pa oxygen Hyperbaric (HBOT): Hauv qhov no, koj yuav tsum ua pa oxygen 100% hauv ib lub chamber uas muaj kev siab siab. Qhov no ua rau cov nqaij ntawm lub cev muaj oxygen ntau ntxiv, pab kom lawv kho tau zoo. Qhov no pab tau tshwj xeeb rau cov kab mob gangrene uas tshwm sim los ntawm tus kab mob ntshav qab zib.
• Kev txiav ceg: Qhov no yog qhov kawg. Qhov chaw uas raug mob ntawm lub cev - xws li ntiv tes, ceg, lossis caj npab - raug tshem tawm. Cov kws kho mob tsuas yog ua qhov no yog tias lwm yam kev kho mob tsis tuaj yeem cawm cov nqaij noj qab haus huv (lossis koj lub neej).

Tom qab kev kho mob gangrene, tej zaum koj yuav tsum tau phais tawv nqaij . Hauv qhov no, tawv nqaij raug coj los ntawm lwm qhov chaw noj qab haus huv ntawm koj lub cev thiab siv los npog cov tawv nqaij uas raug mob lossis puas tsuaj.

Thaum twg kuv yuav tsum nrhiav kev pab kho mob? Puas yog xwm txheej ceev?

Yog, yeej muaj tseeb tiag! Yog tias koj muaj cov tsos mob ntawm gangrene, mus rau chav kho mob ceev hauv tsev kho mob ze tshaj plaws tam sim ntawd, lossis hu rau 1990. Tsis tas li ntawd, yog tias koj muaj cov tsos mob ntawm septic shock, uas txhais tau tias:

• Lub plawv dhia ceev tab sis tsis muaj zog.
• Xav tias tsis meej pem, zoo li koj txoj kev nco qab ploj mus.
• Hnov kiv taub hau thaum sawv ntsug.
• Daim tawv nqaij yuav txias, ntub dej, thiab dawb.
• Ua pa nyuaj.
• Ntuav los yog raws plab.

Yog tias muaj cov tsos mob zoo li no, nws kuj yog qhov xwm txheej ceev.

Yuav hais li cas txog lub neej ntawm ib tug neeg uas muaj kab mob gangrene?

Lo lus nug no nyuaj teb vim nws nyob ntawm ntau yam. Piv txwv li:

• Kab mob gangrene kis mus deb npaum li cas lawm?
• Koj tau txais kev kho mob sai npaum li cas?
• Cov feem twg ntawm lub cev raug cuam tshuam?
• Koj txoj kev noj qab haus huv tag nrho zoo li cas?

Tus kws kho mob uas kho koj paub koj tus mob zoo tshaj plaws. Nws tuaj yeem muab cov ntaub ntawv tseeb tshaj plaws rau koj.

Tiam sis muaj ib qho uas yuav tsum nco ntsoov. Yog tias tsis kho, kab mob gangrene tuaj yeem ua rau tuag taus sai sai. Kev tuag sai npaum li cas nyob ntawm hom kab mob gangrene. Kab mob gangrene kis tau sai heev. Thaj chaw ntawm cov ntaub so ntswg tuag tuaj yeem nce ntxiv ob peb nti ib teev. Kab mob gangrene ib txwm ua rau tuag taus yog tias tsis kho, thiab qee zaum tuaj yeem ua rau tuag taus txawm tias tau kho mob los xij.

Rau txhua hom kab mob gangrene, qhov koj nrhiav kev kho mob sai npaum li cas, qhov zoo dua koj txoj kev ciaj sia.

Puas yog gangrene kis tau?

Kab mob gangrene nws tus kheej tsis sib kis tau. Yog li ntawd, koj yuav tsis raug kab mob gangrene los ntawm kev nyob ze ib tus neeg uas muaj kab mob gangrene.

Txawm li cas los xij, cov kab mob uas ua rau mob gangrene qee zaum tuaj yeem kis mus rau lwm tus. Txoj kev uas cov kab mob cuam tshuam rau tus neeg raug mob nyob ntawm cov yam xws li seb lawv puas muaj qhov txhab thiab lawv lub cev tiv thaiv kab mob muaj zog npaum li cas.

Yog koj lossis ib tug neeg hauv koj tsev neeg muaj tus kab mob gangrene, nrog kws kho mob tham kom paub seb koj yuav tsum ceev faj li cas.

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Nws yog ib qho ib txwm muaj uas koj yuav ntshai thaum koj hnov ​​lo lus gangrene, txawm tias nws tau tshwm sim rau koj lossis ib tus neeg koj hlub. Tab sis nco ntsoov, kev paub yog lub hwj chim. Kawm ntau li ntau tau txog tus mob no thiab nws cov kev xaiv kho mob.

Nrhiav kev kho mob sai sai yog lub sijhawm zoo tshaj plaws los cawm koj txoj sia lossis lub neej ntawm koj tus neeg hlub.

Thaum koj tab tom rov zoo, nrog koj tus kws kho mob tham txog tej yam mob uas ua rau mob gangrene (piv txwv li, ntshav qab zib, teeb meem hlab ntsha). Kev kho qhov ua rau mob gangrene tuaj yeem pab txo qhov kev pheej hmoo ntawm cov teeb meem yav tom ntej. Saib xyuas koj txoj kev noj qab haus huv, thiab tsis txhob plam ib yam dab tsi!

` Gangrene, cov nqaij tuag, kev ncig ntshav, kev kis kab mob, ntshav qab zib, kev kho qhov txhab, kev kho mob thaum muaj xwm txheej ceev