Miin ‘gangrene’ an nei tih i hre ngai em? He thumal hi hliam natna nasa tak, emaw, ke emaw, kut emaw dum hring tawh nen inzawm hian i hre tawh ngei ang. Hei hi medical emergency hlauhawm tak a ni a, enkawl vat a ngai a ni. A awlsam zawngin, gangrene tih hi i taksa peng pakhata thisen kal a tawp a, chu hmuna tissue awm chu a thih phah a ni. Khawi hmunah pawh thleng thei mahse, a tam zawk chu kut zungtang emaw ke ruh emaw atanga tan a ni. Vawiin hian he thu hi awlsam tak, hriatthiam awlsam takin kan sawi dawn a ni.
Gangrene hi eng nge ni tak tak?
Kan taksaa cell leh tissue tin hian dam khawchhuah nan oxygen leh nutrients an mamawh tih han ngaihtuah teh. Heng thilte hi thisenin a phur a ni. Eng emaw chhan vanga taksa peng pakhata thisen supply a tawp chuan eng nge thleng ang? Thingkung tui tel lova a thih ang bawkin chu lai hmuna tissue pawh chu a thi tan ta a ni. Chu chu gangrene kan tih chu a ni .
A pawimawh ber chu gangrene hi tissue thihna a ni fo thin. Mahse, gangrene zawng zawng hi hri kai avanga lo awm vek a ni hauh lo. A châng chuan thisen supply a reh thei a, tissue chu a thi thei a, bacteria infection engmah a awm lo. Mahse, bacteria infection pakhatin tissue thi chu a zawm chuan thil awmdan chu a chhe zual sauh sauh a ni. Enkawl vat loh chuan he natna hian harsatna nasa tak a thlen thei a, thihna thlengin a thlen thei a ni.
Gangrene chi hrang hrangte chu engte nge ni?
Gangrene hi chi hrang hrangah then theih a ni. An vai hian a dang nen chuan an danglam deuh hlek a ni. Eng nge an nih i han thlir teh ang.
| Gangrene chi hrang hrang | Hrilhfiahna awlsam tak |
|---|---|
| Gangrene natna hrik (dry Gangrene) a ni | Hei hi thisen zam (blood clots) chungchang mai a ni. Bacteria infection a awm lo. Vun natna chu a vawt a, a hring a, a dum bawk. Pus-filled blisters hmuh tur a awm lo. Hei hi zunthlum leh atherosclerosis ang chi natna nei te zingah a tam zawk a, cholesterol sang vangin thisen kalna kawng a tikhawlo thei a ni. |
| Gangrene hnim hring a ni | Hei hi bacteria infection na tak a ni a, thisen kal a reh chuan a lo awm thin. A hming ang bawkin vun chu a hring a, a hring chhuak a, zun ang maia tui a chhuak bawk. Chuvang chuan 'wet' an ti a ni. A rimchhia hle mai. Hetiang natna hi tissue hrisel dang ah pawh a darh chak hle. |
| Gas Gangrene a ni | Hei hi a hlauhawm em em a, a darh chak hle bawk. Bacteria chi thenkhat, hliam thuk tak atanga taksa chhunga lut te hian taksa ruh chhungah gas an siam chhuak thin. Hei hian tissue a tichhia a ni. A natna vun i press chuan a hnuaiah boruak bubble puak ang maiin ‘chiri chiri’ thawm i hre ang. Hei hian darkar tlemte chhungin nunna a tichhe thei a ni. |
| Fournier-a Gangrene a ni | Hei hi bacteria infection a awm lo hle a, na tak a ni. Mipat hmeichhiatna leh a chhehvelah a awm thin. Mipaah a tam zawk. |
| Internal Gangrene natna (Internal Gangrene) a ni | Hei hi taksa chhunga taksa peng pakhata thisen kal chu tihtawp a nih chuan a thleng thin. Entirnan, he natna hi gallbladder, intestines emaw appendix emaw-ah a awm thei. |
Gangrene natna lan chhuah dan chu engte nge ni?
Gangrene natna lan chhuah dan hi a chi hrang hrang a zirin a danglam deuh thei. Mahse, chhinchhiahna tlanglawn thenkhat i hmuh theih a awm. Chung zinga pakhat tal i neih chuan Doctor i pan nghal tur a ni.
- Vun rawng danglam: A natna hmuna vun chu a rawn sen hmasa thei a, a hnuah a sen, a sen, a sen, a tawpah chuan a dum thei bawk.
- Natna nasa tak: A tirah chuan chu hmunah chuan tuar theih loh khawpa natna a awm thei a, chutah chuan tissue a thih chuan hriatna a bo vek thei bawk.
- Swelling and numbness: A natna hmun chu a hring leh a rilru a na thei.
- Vun lum: Hriselna hmun dang nena khaikhin chuan gangrenous area hi khawih chuan a vawt hle.
- Foul-smelling pus: Wet gangrene-ah chuan blisters a lo awm thei a, foul-smelling pus emaw thisen chhuak tui emaw a chhuak thei bawk.
- ‘Cherry-Cherry’ thawm: Gas gangrene-ah chuan vun chunglam an hmet chuan a hnuai lam boruak bubble puak ang maiin thawm a ri a.
- A lan chhuah dan tlangpui:Khawsik, chau lutuk, thinlung thawk chak, thawk chakna sang, leh rilru lam buaina te pawh a awm thei a, a bik takin taksa pumpuiah natna a darh (sepsis) hian a awm thei bawk.
A pawimawh ber chu vun rawng inthlak danglam hi a ni. A tirah chuan thisen kal tlem avangin a sen a, a sen a, zawi zawiin a sen a, a tawpah chuan purple emaw green-black emaw a lo ni ta a ni. Vun dum nei tan chuan a tir lamah chuan heng rawng inthlak danglamna hi hriat a harsa mai thei.
Gangrene vei chhan leh hlauhawmna te chu engte nge ni?
Gangrene thlentu ber chu taksa peng pakhata thisen kal dan a block vang a ni. Hei hi a chhan lian tak tak leh risk factor engemaw zat a awm a.
Thisen kal dan tikhawtlai chhan: 1.1.
- Thisen kalna natna: Thisen kalna kawnga cholesterol awm leh a zim (Peripheral Artery Disease) hi dry gangrene thlentu ber a ni.
- Hliam na tak: Hliam lian tak a awm a, chu chu car accident emaw machinery-a man emaw, thisen kalna kawng a chhiat chuan.
- Surgery avanga harsatna awm thei: A tlem hle nachungin, surgery thenkhat hnuah thisen kal dan a tibuai thei a ni.
- Infection: Bacteria infection enkawl loh chuan tissue a ti na thei a, thisen a chhuak thei bawk.
Gangrene vei theihna tipungtute:
- Zunthlum vei: Zunthlum hi kan ramah a hluar hle. Zunthlum hian thisen kalna kawng leh nerve a tichhe thin. Chuvang chuan kea sensation a tlahniam a, hliam te tak te pawh hriat lohvin a awm a, a dam thuai loh bakah a kai a, gangrene a vei theihna chance a sang hle. Zunthlum vei te hian an ke an enkawl tha hle tur a ni.
- Meizial zutute: Meizial zuk hian thisen kalna kawng a tichhe a, a tizau bawk.
- Thau lutuk: Thau lutuk hian gangrene vei theihna a tipung a, chu chuan zunthlum leh thisen sang ang chi natna a thlen thei a ni.
- Immune system chak lote: HIV/AIDS vei te , cancer vei te, leh chemotherapy la mek te hian hri kai do theihna an tlahniam a.
- Raynaud’s syndrome: Khawsik a nih chuan kut zungtang leh ke ruh thlenga thisen kal chu hun engemaw chen a tawp mai thin.
Engtin nge gangrene hi hmuhchhuah leh enkawl a nih?
Gangrene natna lanchhuahna i neih nia i hriat chuan doctor pan emaw, damdawi in Emergency Department (ETU)-ah pawh tihkhawtlai lohvin i kal tur a ni.
Doctor chuan a enfiah ang che, i medical history a zawt ang che, a tul chuan test thenkhat a order ang.
- Thisen test: Infection leh white blood cell count te enfiah thin ang che.
- Bacterial culture: Infection thlentu bacteria te hriatchhuah a, antibiotic dik ber pek tur.
- Imaging test: X-ray, CT scan emaw MRI scan emaw hmangin tissue chhiatna leh gas te chu a zawng thei a ni.
- Thisen kal dan enfiah: Thisen kalna kawng a block leh awm loh enfiahna atana special test neih thin.
Enkawl dan tur
Gangrene enkawlna kawngah hian thil tum lian pathum a awm a, chungte chu: tissue thi paih chhuah te, natna hrik control te, leh thisen kal dan tur siam that te hi a ni.
1. Antibiotics: Bacteria infection a awm chuan a control nan antibiotics chak tak chu thisenah pek thin a ni.
2. Debridement: Hei hi surgery tih a ni. Gangrenous tissue hi a dam lo. Chuvangin surgery hmanga lakchhuah a ngai a ni. Chutiang a nih loh chuan infection chu tissue hrisel takah a darh ang.
3. Thisen kal lehna tur surgery: Thisen kalna kawng khar zau zawk (Angioplasty) emaw, bypass theihna tur kawng thar siam nan emaw surgery tih theih a ni (Bypass surgery).
4. Hyperbaric Oxygen Therapy (HBOT): Hemiah hian damlo chu hyperbaric chamber-ah dahin oxygen thianghlim 100% thawk turin an siam a. Hei hian thisena oxygen level nasa takin a tisang a, tissue te chu a tidam thei a ni.
5. Amputation: Natna khirh takah chuan enkawlna dang a hlawhchham chuan damlo nunna chhanhimna awmchhun chu a ke ruh, kut zungtang, ke ruh emaw, kut zungpui emaw, kut zungtang emaw, kut zungtang emaw, surgery hmanga lakchhuah hi a ni. Hei hi doctor-te chuan a hnuhnung ber atan an ngai a ni.
Engtikah nge emergency medical attention i zawn ang?
Gangrene hi damdawi lam emergency a ni. A hnuaia symptoms te hi i neih chuan damdawi in pakhat Emergency Department (ETU) ah kal nghal tur a ni.
- I vun a dum a, hriatna a hloh a, a lum emaw, i taksa hmun dangah a hring emaw a nih chuan.
- Hliam dam lo a rimchhia emaw, a chhuak emaw a nih chuan.
- Khawsik natna nasa tak nei nghal i neih chuan.
Heng symptoms te hi thawk harsatna, thinlung na tak tak, rilru buai, leh thawk hahna te nen i neih chuan, chu natna chu taksa pum puiah a darh a, nunna atana hlauhawm takah septic shock an tihah a lo thang chho mek tihna a ni. Chuvangin enkawl vat a ngai a ni.
Take-Home Thuchah a ni
- Gangrene hi taksa peng pakhata thisen kal loh vanga tissue thihna a ni. Hei hi damdawi lam dinhmun hlauhawm tak leh hmanhmawhthlak tak a ni.
- A lan chhuah dan ber chu vun rawng danglam (a bik takin a dum), natna nasa tak, vun hring, leh vun rimchhia te hi a ni. Hengte hi i hriat chian chuan tihkhawtlai suh.
- Zunthlum vei te hi gangrene vei an hlauhawm zawk a, chuvangin doctor thupek zawm a, i ke a bik taka enkawl a pawimawh.
- Gangrene enkawlnaah hian hun hi a pawimawh ber a ni. Enkawlna tan hma chuan a rah a tha zawk.
- Gangrene chungchanga rinhlelhna i neih chuan speculate suh la, doctor pan nghal rawh.











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