Kua kite koe i ētahi wāhanga o tō tinana, inā koa ō maihao me ō matimati, ka ngoikore, ka memeha haere te tae, ā, i ētahi wā ka mangu? Kei te ahua kino haere rānei tō patunga, ā, kua tīmata te haunga kino? Ehara ēnei i te tohu pai. He tohu pea ēnei mō tētahi mate kino pea e kiia nei ko te gangrene . Kaua e manukanuka, ka kōrerohia tēnei e tātou i tēnei rā me te taipitopito, me te ngāwari noa iho.

He aha te gangrene? He māmā noa iho...

Ko te gangrene, i roto i ngā kupu māmā noa iho, ko te wā e pakaru ai te rere o te toto ki tētahi wāhanga o te tinana, ka mate ai ngā kiko o taua wāhi. Pērā i te maroke o te rākau ina kore he wai, ka memeha hoki te korenga o te rere o te toto ki tētahi wāhanga o te tinana. Ahakoa ka pā tēnei ki ngā wāhi katoa o te tinana, ko te nuinga o te wā ka tīmata i ngā ringaringa, i ngā waewae rānei.

Ko te mea nui ko te gangrene he āhuatanga ohorere hauora . Nā te mea ina tīmata te mate o te kiko, ka tere te horapa. I ētahi wā ka haere tahi mai me te mate, ka nui ake te kino o te mate. Ahakoa he mate, he kore rānei, ka taea e te gangrene te arahi ki ngā raruraru nui mena kāore e rongoatia wawe, ā, i ētahi wā ka mate. Nō reira he mea tino nui kia mōhio ki tēnei.

He aha ngā momo matua o te gangrene?

He maha ngā momo matua o te gangrene. Me titiro tātou ki ērā momo.

1. Te mate pūkahukahu maroke

Ko te mea ka tupu i tēnei, ka mutu te rere o te toto ki tētahi wāhi, ā, ka mate te kiko o taua wāhi. Heoi, kāore he mate i tēnei . He āhua maroke noa iho. Ki te pā atu koe, ka maroke te kiri, ā, kāore koe e kite i tētahi pupuhi, i tētahi pūkahukahu rānei. He maha ngā wā ka puta te gangrene maroke nā te kohikohinga ngako i roto i ō tātou oko toto, ka whaiti ai ngā uaua toto (atherosclerosis). He nui ake te mōrearea o te hunga mate huka, o te hunga kaipaipa rānei.

2. Te Gangrene Makuku

I tēnei āhuatanga, i te taha o te whakararuraru i te rere o te toto, ka tāpirihia hoki he mate kitakita . Koia i huaina ai ko te gangrene "māku". Tērā pea ka puta he pupuhi kapi i te kiri, ā, tera pea he haunga kino te patunga. Ka tere te horapa o tēnei momo ki ētahi atu kiko hauora. Koia i ahua morearea ai.

3. Te mate pūkahukahu hau

He mate tino kino hoki tēnei e puta mai ana i te mate huakita. Ka whakangaromia e tēnei momo huakita ō tātou kiko ngohengohe me ngā pūtau toto. Waihoki, ka tere te whakanuia e ēnei huakita i roto i te kiko uaua, ka whakaputa paitini, ka tukuna te hau. Koia i huaina ai ko te gangrene hau. Ka tere te horapa o tēnei mate, ā, ka mate pea i roto i ētahi haora.

4. Te Gangrene a Fournier

He mate huakita onge engari he tino kino tēnei e pā ana ki te wāhi ira tangata.He nui ake te kitea o tēnei i roto i ngā tāne i ngā wāhine.

5. Te Gangrene ā-roto

Koinei te wā e motuhia ai te rere o te toto ki tētahi okana o roto o te tinana. Hei tauira, ka pā tēnei ki ngā okana pērā i te pūkahukahu, te whekau, te apeni rānei. Hei tauira, ka mate pea ngā kiko me te gangrene i te mate cholecystitis mau tonu.

He aha ngā tohu o te gangrene?

Tērā pea ka rerekē ngā tohu i runga i te momo gangrene. Heoi anō, kei reira ētahi tohu noa:

• Te rerekētanga o te kiri: Ka huri pea te kiri i te wāhi e pāngia ana ki te whero, te papura, te kakariki, te mangu rānei.
• Ngā panonitanga o te kakano o te kiri: Ka mā te kiri, ka piri, ka mātao rānei ina pā atu. I ētahi wā, ka mamae pea ina pā atu.
• He tangi "chiri chiri" ina pēhia te kiri: He tohu tēnei kei raro i te kiri te hau (ina koa i roto i te hau kua pakaru).
• Te pikinga ake o te tere o te manawa me te tere o te ngakau.
• Te tino āwangawanga, te manukanuka.
• Ngā tohu rewharewha pērā i te kirika, te werawera, te makariri, me te ruaki.
• Te mamae nui, te ngaro rānei o ngā kare ā-roto i taua wāhi.
• He pūhā toto, he haunga kino rānei mai i ngā patunga me ngā pupuhi.
• Te pupuhi o te wāhi e pāngia ana.

He mea nui: Ki te pā mai tētahi, ētahi rānei o ēnei tohu, me rapu tohutohu hauora tonu koe. Kaua e moumou taima.

Me pēhea te huri o te tae kiri ina puta te gangrene?

Ko te rerekētanga o te kiri i roto i te gangrene ka puta i ngā wāhanga (he maha ngā wāhanga):

1. Tuatahi, tera pea ka ahua mā ake te kiri i te āhua noa nā te iti o te rere o te toto.

2. Ā muri iho, ka whero, ka whero rānei te tae .

3. Muri iho, ka huri pea ki te papura, ki te parauri kakariki rānei i mua i te hurihanga ki te mangu.

4. Ā tōna wā, ka huri pea te tae hei papura, hei mangu kakariki, hei mangu katoa rānei .

Mena he pango ake tō kiri, tera pea he uaua ake te kite mārama i ēnei panoni tae. Heoi, kia tūpato ki ētahi atu tohu. Mena he mate, tera pea ka kite koe i te rerenga haunga kino e puta mai ana i ngā patunga.

He aha te take e puta ai te gangrene? He aha ngā take?

Ko te take māmā rawa ko te ngaronga o te rere o te toto ki tētahi wāhanga o te tinana. Me whai hāora, matūkai, me ngā paturopi ā tātou kiko hei tiaki i a rātou mai i te mate. Nō reira, ki te kore e whiwhi toto ngā kiko, ka tīmata rātou ki te mate.

He maha ngā take matua e aukati ai te rere o te toto:

• Ngā mate e pā ana ki ngā uaua toto: Hei tauira, i roto i te āhuatanga e kiia nei ko te "Mate o te Arteri Peripheral", ka aukatia ngā uaua e kawe ana i te toto ki ngā waewae. He tino take tēnei o te gangrene maroke.
• Ngā patunga hōhonu: Ka taea e ngā patunga hōhonu, pērā i ngā patunga i puta mai i tētahi aituā nui, te kino i ngā oko toto me te aukati i te rere o te toto.
• Ngā raruraru mai i te pokanga (onge): I ētahi wā, ka puta te gangrene hei raruraru i muri i te pokanga. Heoi, he tino onge tēnei.

Ko wai kei te mōrearea nui ake ki te whakawhanake i te gangrene?

He nui ake te mōrearea o ētahi tāngata ki te pāngia e te gangrene i ētahi atu, inā koa mēnā he mate uaua toto tōu.

• Te mate a Buerger: I tēnei āhua, ka pupuhi ngā uaua toto i roto i ngā peka, ka puta he toto totoka, ā, ka āraia te rere o te toto.
• Mate huka: Ka kino te mate huka i ngā io me ngā oko toto. Waihoki, ka roa ake te ora o ngā patunga o te hunga mate huka. Ko ngā patunga e puhoi ana te ora ka nui ake te tūponotanga ka pangia. He tino noa te mate huka i roto i a tātou i Sri Lanka. Nō reira, me tino tiaki te hunga mate huka i ō rātou ringa me ō rātou waewae, inā koa ō rātou waewae. Kaua e warewarehia ahakoa he patunga iti.
• Mate o te uaua taha: Ka pupū ake ngā putunga ngako i roto i ngā uaua, ā, ka kore e rere tika te toto ki ngā wāhi pēnei i ngā waewae, ngā kapu waewae, me ngā ringa.
• Te Mate Putunga o te Arorangi Popliteal: I roto i tēnei, ka pēhia te uaua toto matua i muri i te turi (te arārangi toto popliteal) e te uaua i te rohe o te turi. Ka aukati tēnei i te rere o te toto ki te waewae o raro, pērā i te wā e whakakorikori ana.
• Te mate a Raynaud: Ina pāngia e te makariri, ka whakawhāitihia ngā oko toto i roto i ngā maihao me ngā matimati, ka aukati i te rere o te toto.
• Vasculitis: Te mumura o ngā oko toto e aukati ana i te rere o te toto.

Hei tāpiri, he nui ake tō tūponotanga ki te pāngia e te gangrene mēnā kei a koe ēnei e whai ake nei:

• He whara kino.
• Te ngoikore o te pūnaha ārai mate. Hei tauira, nā te mate HIV, nā te rongoā mate pukupuku rānei.
• Mena he nui te kino o ngā kiko i te hukapapa, i ngā wera nui rānei.

Mena kei a koe tētahi o ēnei āhuatanga mōrearea, he mea nui kia toro atu koe ki te tākuta i ia wā, i ia wā, mō ngā tirotiro me ngā tirotiro whai muri i ngā wā e ai ki tā tō tākuta i tūtohu ai. Ma tō tākuta koe e tohutohu ki ngā mea ka taea e koe te mahi i te kāinga hei whakaiti i tō mōrearea ki te gangrene (hei tauira, te tiaki pai i ō waewae me te whiwhi maimoatanga tere mō ngā whara).

Kua kitea hoki ētahi rongoā ka whakapiki ake i te mōrearea o te mate pukupuku o Fournier. Nō reira, ka whakamōhio atu te tākuta ki a koe mō tēnei i mua i te tīmatanga o te rongoā hou.

He aha ngā raruraru ka puta mai i te gangrene?

He tino kino te mate pāwera, he mate morearea hoki. Ka taea e ia te whakaputa i ēnei e whai ake nei:

• Te ngaromanga o tētahi wāhanga o te tinana: Me tapahi pea tētahi wāhanga pēnei i te maihao, te māikuku, te ringa, te waewae rānei.
• Sepsis: Koinei te wā e urupare ai te pūnaha ārai mate ki tētahi mate kua horapa puta noa i te tinana, ā, he mate morearea hoki.
• Te ngoikore o te okana.

I ētahi wā ka mate te tangata i te gangrene.

Me pēhea te mōhio o ngā tākuta ki tēnei?

Ki te whakaaro koe he gangrene tōu, me toro atu koe ki te tākuta tonu. Mā te tākuta ēnei mahi e whai ake nei:

• Ka pātai atu rātou mō tō hītori hauora me ō āhuatanga hauora o nāianei.
• Ka pātai ia mēnā he whara hou tāu.
• Ka āta tirohia te wāhanga o te tinana e pāngia ana.
• He maha ngā whakamātautau e whakahaerehia ana hei rapu atu i ētahi atu kōrero.

Ngā momo whakamātautau ka taea e koe:

• Ngā whakamātautau toto: Tirohia mēnā he mate pāwera me ngā taumata huka toto.
• Ngā whakamātautau ahurea huakita: Ka whakamatautauria he tauira mai i te patunga hei whakatau i te momo huakita e pangia ana te mate.
• Ngā whakamātautau whakaahua: Ka taea e ngā whakamātautau pēnei i ngā hihi-X, ngā karapa CT, me ngā MRI te whakaatu i te kino o ngā kiko i roto i te tinana me te aroaro o te hau.
• Ngā whakamātautau rere toto: Hei tauira, ka taea e te whakamātautau e kiia nei ko te Ankle-brachial index te ine i te nui o te toto e rere ana ki ngā waewae.

Mā ēnei whakamātautau ka āwhina te tākuta ki te kimi:

• He aha te take e aukati ai te rere o te toto?
• He mate pāwera kei reira, kāore rānei?
• E hia te nui o te kino o te kiko kua pā?
• He aha ngā kōwhiringa maimoatanga pai rawa atu?

Me pēhea te rongoā i te gangrene?

E toru ngā whāinga matua o te maimoatanga o te gangrene: te aukati i te horapa o te gangrene, te tango i ngā kiko mate, me te whakapai ake i te rere o te toto. Tērā pea ka hiahiatia tētahi, neke atu rānei o ēnei maimoatanga.

• Paturopi: Mena he mate huakita te take o te gangrene, me whakamahi paturopi. Mā tō tākuta e tohu te horopeta tika māu. Ka taea hoki te hoatu mā te uaua (IV).
• Te whakakorenga:He tikanga hauora tēnei e tango ana i te kiko mate. Kāore te kiko mate (`(Tiro gangrenous)`) e ora. Nō reira, ko te tango anake te huarahi. Mā te mahi i tēnei ka tiakina te kiko hauora e tata ana, ā, ka āwhina i te kiko kua pakaru (engari ehara i te mea mate) kia ora.
• Ngā tikanga hei whakapai ake i te rere o te toto: Ka mahi pea tō tākuta i te angioplasty (i ētahi wā me te stent) hei whakawhanui i ō uaua. Mēnā rānei, ka mahi pea ia i te pokanga bypass hei waihanga i tētahi ara hou mō te rere o te toto huri noa i te mea kua āraia.
• Te Whakaora Hāora Hyperbaric (HBOT): I roto i tēnei, ka whakapūha koe i te 100% hāora i roto i tētahi rūma i raro i te pēhanga teitei. Ka nui ake te hāora e tukuna ana ki ngā kiko o te tinana, ā, ka āwhina i a rātou ki te whakaora. He tino whai hua tēnei mō te gangrene i puta mai i te mate huka.
• Te tapahi: Koinei te huarahi whakamutunga. Ka tangohia te wāhanga tinana e pāngia ana – pērā i te maihao, te waewae, te ringa rānei. Ka mahia tēnei e ngā tākuta mēnā kāore e taea e ētahi atu maimoatanga te whakaora i te kiko hauora (i tō oranga rānei).

I muri i te maimoatanga o te gangrene, me mahi pea he pokanga whakapiri kiri . I roto i tēnei mahi, ka tangohia te kiri mai i tētahi atu wāhi hauora o tō tinana ka whakamahia hei hipoki i te kiri kua whara, kua pakaru rānei.

Āhea ahau me rapu tohutohu hauora? He āhuatanga ohorere tēnei?

Āe, tino tika! Mena kei a koe ngā tohu o te gangrene, haere tonu ki te tari ohorere o te hōhipera tata, waea atu rānei ki te 1990. Waihoki, ki te mea kei a koe ngā tohu o te septic shock, ko te tikanga:

• He tere te pā o te manawa, engari he ngoikore.
• Kei te pōhēhē koe, me te mea kei te memeha haere tō hinengaro.
• Te pōuriuri i te tū.
• Ka mātao te kiri, ka kirikiri, ka kōmā.
• Te uaua ki te manawa.
• Te ruaki, te korere rānei.

Mena ka puta mai ēnei tohu, he āhuatanga ohorere anō hoki tēnā.

He aha te mea ka taea te kī mō te roanga o te oranga o te tangata e pāngia ana e te gangrene?

He pātai uaua tēnei ki te whakautu nā te mea he maha ngā āhuatanga e pā ana ki tēnei pātai. Hei tauira:

• Kia pēhea te horapa o te gangrene?
• Kia pēhea te tere o te whiwhinga o te maimoatanga?
• Ko ēhea ngā wāhanga o te tinana e pāngia ana?
• Kei te pēhea tō hauora whānui?

Ko te tākuta e rongoā ana i a koe te mea e mōhio ana ki tō āhua. Ka taea e ia te hoatu ki a koe ngā mōhiohio tino tika.

Engari kotahi te mea hei maumahara. Ki te kore e rongoatia, ka tere te mate o te gangrene. Ka rerekē te tere o te mate i runga i te momo gangrene. Ka tere te horapa o te gangrene hau. Ka taea e te horapa o te kiko mate te piki ake mā te maha inihi ia hāora. Ka mate tonu te gangrene hau ki te kore e rongoatia, ā, i ētahi wā ka mate ahakoa kua rongoatia.

Mō ngā momo gangrene katoa, ko te wawe o tō rapu maimoatanga, ko te nui ake o tō tupono ki te ora.

He mate hopuhopu te gangrene?

Ehara te mate pāwera i te mea hopuhopu. Arā, e kore koe e pāngia e te mate pāwera i te noho tata ki tētahi tangata kua pāngia e te mate pāwera.

Heoi, ka horapa pea ngā huakita e mate ai te gangrene ki ētahi atu. Ko te pānga o te huakita ki te tangata e pāngia ana, ka whakawhirinaki ki ngā āhuatanga pēnei i te mea he patunga ō rātou, me te kaha o te pūnaha ārai mate.

Mena kei a koe, kei tētahi rānei o tō whare he mate pukupuku, kōrero ki te tākuta kia kitea ai he aha ngā mahi whakatūpato motuhake me mahi e koe.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He mea noa te mataku ina rongo koe i te kupu gangrene, ahakoa kua pā ki a koe, ki tētahi rānei e arohaina ana e koe. Engari kia maumahara, he mana te mātauranga. Akohia ngā mea katoa e taea ana e koe mō tēnei mate me ōna kōwhiringa maimoatanga.

Ko te rapu wawe i te maimoatanga te huarahi pai rawa atu hei whakaora i tōu ora, i te ora rānei o tō whanaunga.

I a koe e ora ana, mahi tahi me tō tākuta ki te whakahaere i ngā āhuatanga matua i puta ai te gangrene (hei tauira, te mate huka, ngā raruraru o ngā oko toto). Mā te rongoā i te pūtake o te gangrene ka āwhina i te whakaiti i te mōrearea o ngā raruraru ā muri ake nei. Tiakina tō hauora, kaua hoki e mahue tetahi mea!

` Te mate o te kiko, te rere o te toto, te mate pāwera, te mate huka, te whakaora patunga, te maimoatanga ohorere