I taksa peng pakhat chu a dum a, nunna nei lovin a lo chang em? Gangrene a ni thei!

I taksa peng hrang hrang, a bîk takin i kut zungtang leh ke ruhte chu a hrual a, a rawng a danglam a, a châng chuan a dum hial tih i hmu ngai em? A nih loh leh hliam a na zual a, a rimchhia tan ta niin i hria em? Hengte hi chhinchhiahna tha tak a ni lo. Anni hi gangrene tih hming pu dinhmun hlauhawm tak chhinchhiahna an ni thei . Ngaihtuah buai suh, vawiin hian he thu hi chipchiar tak leh awlsam takin kan sawi dawn a ni.

Gangrene tih hi eng nge ni? A awlsam zawngin...

Gangrene tih hi a awlsam zawngin kan taksa peng pakhata thisen kalna a tihbuai a, chu lai hmuna tissue te chu a thih phah a ni. Thing chu tui tlakchham a nih chuan a vuai ang bawkin, thisen tlakchhamna pawh kan taksa peng pakhatah a luang lut ve bawk. Hei hi taksa khawi hmunah pawh a thleng thei a, mahse a tam zawk chu kut emaw ke emaw atanga tan a ni.

A pawimawh ber chu gangrene hi medical emergency a ni . A chhan chu tissue a thih tan chuan a darh chak thei a ni. A châng chuan natna hrik a zui thei bawk a, chu chuan natna chu a ti na zual thei a ni. Infection awm emaw awm lo emaw, gangrene hi enkawl vat loh chuan harsatna lian tak a thlen thei a, a chang chuan thihna pawh a thlen thei bawk. Chuvangin hei hi hriat chian a pawimawh hle.

Gangrene chi hrang hrangte chu engte nge ni?

Gangrene hi chi hrang hrang a awm a. Eng nge an nih i han thlir teh ang.

1. Gangrene vawt (dry Gangrene) a awm thin

Heta thil thleng chu hmun khata thisen kalna chu a tawp a, chu hmuna tissue chu a thi ta a ni. Mahse, he thilah hian hri kai a awm lo . Dry condition mai a ni. I khawih chuan vun a vawt a, blister leh pus i hmu lo. Dry gangrene hi kan thisen kalna kawnga thau a punkhawm vang a ni fo thin a, chu chuan thisen kalna kawng a ti tawi (atherosclerosis) a thlen thin. Zunthlum vei emaw, meizial zu emaw te hi an hlauhawmna a sang zawk.

2. Gangrene hnim hring

Chutiang a nih chuan thisen kal dan tihbuai rual hian bacteria infection pawh a tel ve bawk . Chuvang chuan "wet" gangrene an ti a ni. Pus-filled blisters vunah a lo lang thei a, hliam chu rimchhia a nei thei bawk. Hetiang chi hi tissue hrisel dang ah pawh a darh chak hle thin. Chuvang chuan a hlauhawm deuh a ni.

3. Gas Gangrene a awm thin

Hei hi bacteria infection avanga natna khirh tak a ni bawk. Hetiang bacteria hian kan soft tissue leh thisen cell te a tichhia a. Tin, heng bacteria te hi taksa peng chhungah an pung chak hle a, toxin an siam a, gas an tichhuak bawk. Chuvang chuan gas gangrene an ti a ni. He natna hi a darh chak em em a, darkar tlemte chhung pawhin nunna atana hlauhawm tak a ni thei.

4. Fournier-a Gangrene natna a ni

Hei hi bacteria infection awm lo mahse na tak a ni a , genital area a nghawng a ni.Hei hi hmeichhia aiin mipaah ​​a tam zawk.

5. Chhungril lama Gangrene

Hei hi kan taksa chhunga taksa peng pakhata thisen kalna a tihtawp lai a ni. Entirnan, hei hi gallbladder, intestines, appendix ang chi organ-ah te a thleng thei a ni. Entirnan, chronic cholecystitis hian tissue thihna leh gangrene a thlen thei.

Gangrene natna lan chhuah dan chu engte nge ni?

Gangrene chi hrang hrang a zirin symptoms hi a inang lo deuh thei. Mahse, a lan chhuah dan tlangpui thenkhat chu:

• Vun rawng danglam: A natna hmuna vun chu a sen, a sen, a sen, a dum emaw a ni thei.
• Vun rawng inthlak danglamna: Vun chu a hring thei a, a tight thei a, a khawih chuan a vawt thei bawk. A châng chuan, khawih pawhin a hrehawm thei bawk.
• Vun press a nih chuan "chiri chiri" ri: Hei hian vun hnuaiah boruak a awm tih a tilang a (a bik takin air gangrene-ah).
• Thâwk chak leh heart rate a tisang.
• Hahdam lo tak, lungkhamna neia inhria.
• Flu ang chi natna chi hrang hrang, khawsik, thawk hah, khawsik, leh luak chhuak te.
• Natna nasa tak nei, emaw, chu lai hmuna hriatna zawng zawng hloh emaw.
• Hliam leh hliam atanga thisen chhuak emaw, rimchhia emaw.
• A natna hmuna a hring (swelling) a awm.

Pawimawh: Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor thurawn la nghal a pawimawh. Hun khawhral suh.

Gangrene a lo awm hian engtin nge vun rawng a inthlak?

Gangrene natnaah hian vun rawng danglam hi a tlangpuiin stage hrang hrang (stage engemaw zat)-ah a thleng thin:

1. Pakhatnaah chuan thisen kal tlem avangin vun chu a tlangpui aia sen deuhin a lang thei.

2. Chumi hnuah chuan a rawng chu a sen emaw, a sen emaw a ni .

3. A dawtah chuan purple emaw greenish-black emaw a nih hmain brown a ni thei.

4. A tâwpah chuan, a rawng chu purple, greenish black, emaw completely black emaw a lo ni thei .

I vun a dum deuh a nih chuan heng rawng inthlak danglamna te hi chiang taka hmuh a harsa deuh mai thei. Mahse, chhinchhiahna dang a awm leh awm loh en reng ang che. Infection a awm chuan hliam atanga tui rimchhia lo chhuak i hmu thei.

Engvangin nge gangrene hi a lo awm? A chhante chu engte nge ni?

A chhan awlsam ber chu taksa peng pakhata thisen kalna hloh vang a ni. Kan tissue te hian natna laka inven nan oxygen, nutrient leh antibody te an mamawh a. Chuvangin, tissue te hian thisen an dawng lo a nih chuan an thi tan thin.

Thisen kal dan khap chhan lian tak tak engemaw zat a awm a:

• Thisen kalna kawng nena inzawm natna: Entirnan, ``Peripheral Artery Disease`` an tih dinhmunah chuan ke thlenga thisen phurtu thisen kalna kawngte chu a inkharkhip thin. Hei hi dry gangrene thlentu lian tak a ni.
• Hliam thuk: Hliam thuk, accident lian tak atanga lo chhuak ang chi hian thisen kalna kawng a tichhe thei a, thisen kal pawh a titawp thei bawk.
• Surgery avanga harsatna (rare): A chang chuan gangrene hi operation hnua complication angin a lo awm thei bawk. Mahse, hei hi a tlem hle.

Tute nge gangrene vei theihna sang zawk?

Mi thenkhat chu midang aiin gangrene vei an hlauhawm zawk a, a bik takin thisen kalna kawng natna i neih chuan.

• Buerger natna: Hetiang dinhmunah hian ke ruh chhunga thisen kalna kawngte chu a lo hring a, thisen zam a lo awm a, thisen kal chu a tikhawlo a ni.
• Diabetes: Zunthlum hian nerve leh thisen kalna kawng a tichhe thin. Tin, zunthlum vei te hliam hi a dam rei zawk bawk. Hliam dam zawi zawiin a kai tam zawk. Sri Lanka ramah hian zunthlum hi kan zingah a hluar hle. Chuvangin, zunthlum vei te hian an kut leh ke, a bik takin an ke an enkawl tha hle a ngai a ni. Hliam te tak te pawh ngaihthah suh.
• Peripheral Artery Disease: Arteries chhungah thau a awm khawm a, chu chuan ke, ke leh kut ang chi hmunah thisen a kal tha thei lo.
• Popliteal Artery Entrapment Syndrome: Hetah hian khup hnung lama thisen kalna bulpui (popliteal artery) chu khup area-a muscle pakhatin a compress a. Hei hian ke hnuai lam, exercise lai ang chiah hian thisen kal a tikhawtlai a ni.
• Raynaud’s syndrome: Khaw lum laia kan awm chuan kut zungtang leh ke ruh chhunga thisen kalna kawngte chu a inzawm khawm a, thisen kal dan a tikhawtlai a ni.
• Vasculitis: Thisen kalna kawng a ti na a, thisen kal dan a tikhawlo.

Tin, a hnuaia mite hi i neih chuan gangrene vei theihna i nei sang zawk bawk:

• Hliam na tak a ni.
• Immune system a chak lo. Entirnan, HIV hrik kai vang emaw, cancer enkawl vang emaw.
• Frostbite emaw kang nasa tak avanga tissue chhiatna nasa tak a awm chuan.

Heng risk factors zinga pakhat tal i neih chuan doctor-in a rawt angin doctor pan fo a, checkup leh follow-up neih a pawimawh. I doctor chuan gangrene vei theihna tihziaawmna tura in lama i tih theih tur (e.g., i ke enkawl that leh hliam enkawlna rang taka lak) te a hrilh ang che.

Damdawi thenkhat chuan Fournier’s gangrene vei theihna a tipung tih hmuhchhuah a ni bawk. Chuvangin damdawi thar ei tan hmain doctor chuan he thil hi a hriattir ang che.

Gangrene natna avanga harsatna awm thei te chu engte nge ni?

Gangrene hi natna khirh tak, nunna atana hlauhawm tak a ni. A hnuaia mite hi a thlen thei a ni:

• Taksa peng hloh: Kut zungtang, ke ruh, kut leh ke ang chi peng chu tan a ngai mai thei.
• Sepsis: Hei hi taksaa natna hrik darh tawh, nunna atana hlauhawm tak chu immune system-in a chhanletna a ni.
• Organ a chhiat avangin.

A chang chuan gangrene hian thihna a thlen thei bawk.

Doctor-te hian engtin nge hei hi an hriat?

Gangrene i vei nia i inhriat chuan Doctor pan vat tur a ni. Doctor chuan a hnuaia mite hi a ti ang:

• I medical history leh tuna i medical condition te an zawt ang.
• Tun hnaia hliam an awm em tih a zawt a.
• Taksa a nghawng chu uluk taka enfiah a ni.
• Thu chiang zawk hriat tumin test eng emaw zat neih mek a ni.

Test i neih theih chi hrang hrangte:

• Thisen test: Infection leh thisen sugar level enfiah thin.
• Bacterial culture test: Hliam atanga sample lak chu eng bacteria chi nge natna thlentu tih hriat nan an test thin.
• Imaging test: X-ray, CT scan, leh MRI ang chi test te hian taksa chhunga tissue te a chhiat bakah boruak a awm tih a hriat theih.
• Thisen kal dan tehna: Entirnan, Ankle-brachial index an tih hian kea thisen kal zat a teh thei a.

Heng test te hian doctor chu a hriat theih nan a pui thin:

• Eng thilin nge thisen kal dan a tikhawlo?
• Infection a awm em?
• Tissue chhiatna engzat nge a awm tawh?
• Enkawlna tha ber berte chu engte nge ni?

Gangrene hi engtin nge enkawl a nih?

Gangrene enkawlna hian thil tum lian pathum a nei a, chungte chu: gangrene darh zel tur tihtawp te, tissue thi te paih chhuah te, leh thisen kal dan tihchangtlun te hi a ni. Heng enkawlna zinga pakhat emaw, a aia tam emaw i mamawh mai thei.

• Antibiotics: Gangrene hi bacteria infection avanga lo awm a nih chuan antibiotics a ngai dawn a ni. I doctor chuan a dose dik tak a pe ang che. Chungte chu thisen kal tlanga pek theih a ni bawk (IV).
• Debridement tih hi: 1.1.Hei hi medical procedure a ni a, tissue thi te chu a paih chhuak thin. Tissue thi (`(Gangrenous tissue)`) hi a dam lo. Chuvangin, paih chhuah mai chu duhthlan tur awmchhun a ni. Chutianga tih chuan a bula tissue hrisel tak chu a humhim a, tissue chhia (mahse thi lo) chu a dam theih nan a pui bawk.
• Thisen kal dan tha zawk siam dan: I doctor chuan i thisen kalna kawng (arteries) tihzauh nan angioplasty (a chang chuan stent hmangin) a ti thei ang. A nih loh leh, a blockage vel a thisen kal theihna tur kawng thar siam turin bypass surgery a ti thei bawk.
• Hyperbaric Oxygen Therapy (HBOT): Hetah hian chamber pakhatah pressure sang tak hnuaiah oxygen 100% thawk turin siam i ni. Hei hian taksa peng hrang hrangte oxygen supply nasa takin a tipung a, an dam theih nan a pui a ni. Hei hi zunthlum vanga gangrene awm tan a tangkai hle.
• Amputation: Hei hi a tawp ber a ni. Taksa peng – kut zungtang, ke, kut ang chi – a nghawng chu lakchhuah a ni. Doctor-te chuan enkawlna dangin tissue hrisel (or i nunna) a chhanhim theih loh chuan chauh an ti thin.

Gangrene enkawl hnuah skin graft surgery i neih a ngai mai thei . Hetah hian vun hi i taksa hmun hrisel dang atanga lak chhuah a ni a, vun hliam emaw, chhia emaw khuh nan hman a ni.

Engtikah nge damdawi lam thurawn ka lak ang? Emergency a ni em?

Ni e, a dik tak zet! Gangrene symptoms i neih chuan hospital emergency department hnai ber pan nghal la, a nih loh leh 1990 ah call rawh.Tin , septic shock symptoms i neih chuan, chu chu:

• Pulse chak tak, mahse chak lo tak.
• Buaina neia inhria, i hriatna chu a bo vek ang maiin.
• Ding lai pawhin luak chhuak tih hriat.
• Vun chu a vawt a, a clammy a, a hring bawk.
• Thâwk harsa.
• Luak chhuak emaw, luak chhuak emaw.

Hetiang symptoms a awm chuan emergency a ni bawk.

Gangrene vei dam chhung hi eng nge sawi theih ang?

Hei hi thil tam takah a innghat avangin chhan harsa tak a ni. Entir nan:

• Eng chen nge gangrene hi a darh tawh?
• Engtiang chiahin nge enkawlna i dawn?
• Taksa peng engte nge a nghawng?
• I hriselna pum pui chu engtin nge a awm?

I dinhmun enkawltu doctor hian a hre ber a ni. Thu dik ber a pe thei che a ni.

Mahse thil pakhat hriat reng tur. Enkawl loh chuan gangrene hi rang takin a thihpui thei a ni. Thihna a thlen rang dan hi gangrene chi hrang hrang a zirin a inang lo. Gas gangrene hi a darh chak hle. Tissue thi area hi darkar khatah inches engemaw zatin a pung thei a ni. Gas gangrene hi enkawl loh chuan a thihpui fo a, a chang chuan enkawl pawhin a thihpui thei bawk.

Gangrene chi hrang hrang tan chuan enkawlna i zawn hma chuan i dam theihna chance a sang zawk.

Gangrene hi a kai thei em?

Gangrene ngei pawh hi kai theih a ni lo. Chu chu gangrene vei bula awm atanga gangrene i nei dawn lo tihna a ni.

Mahse, gangrene thlentu bacteria hi a chang chuan midangah a darh thei a ni. Bacteria hian a kaihhnawih mi a nghawng dan hi hliam an neih leh neih loh leh an taksa hriselna a chak dan te a innghat a ni.

Nangmah emaw, i chhungkuaa mi tu emaw hian gangrene natna i vei a nih chuan, eng fimkhurna bik nge i tih tur tih hriat tumin doctor nen inbia ang che.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Gangrene tih thumal i hriat hian hlauhna i neih hi thil pangngai tak a ni a, nangmah emaw, i hmangaih tu emaw chunga thleng pawh nise. Mahse, hriatna hi thiltihtheihna a ni tih hre reng ang che. He natna leh a enkawl dan tur hi i theih ang angin zir rawh.

Damdawi zawn vat hi i nunna emaw, i hmangaih nunna emaw chhanchhuahna hun tha ber a ni.

I dam chhoh lai hian i doctor nen thawk ho la, gangrene thlentu (e.g., zunthlum, thisen kalna lama harsatna) awm thei tur (underlying conditions) eng pawh enkawl rawh. Gangrene awm chhan bulpui enkawlna hian nakin lawka harsatna awm thei tur a tihziaawm thei a ni. I hriselna enkawl la, thil pakhat mah tlai suh!

` Gangrene, tissue thihna, thisen kal dan, hri kai, zunthlum, hliam dam, emergency treatment