Kodi mapazi anu nthawi zonse amakhala onyowa komanso ozizira kwambiri? Tiyeni tikambirane za 'Trench Foot'!

Kodi mudamvapo za chinthu chotchedwa 'Trench Foot'? Dzinali likhoza kukhala latsopano kwa inu. Koma ndi vuto lomwe lingakhudze mapazi athu ndipo limafuna chisamaliro. Ndikofunikira kwambiri kudziwa izi ngati mapazi anu akumana ndi chinyezi ndi kuzizira kwa nthawi yayitali. Tiyeni tiwone tanthauzo la 'Trench Foot', chifukwa chake zimachitika, komanso momwe mungapewere.

Kodi Trench Foot ndi chiyani? Mwachidule...

Mwachidule, 'Trench Foot' ndi vuto lomwe limachitika pamene mapazi anu agwidwa m'masokisi kapena nsapato zonyowa kwa nthawi yayitali, ngakhale masiku angapo, ndipo akukumana ndi chimfine. Anthu ena amatchanso 'Immersion Foot Syndrome'. Tangoganizani, ngati nthawi zonse timakhala pamalo onyowa, ozizira, komanso mwina odetsedwa, khungu ndi minofu ya mapazi athu imayamba kuwonongeka.

Uwu ndi mtundu wa kuvulala kozizira kosazizira . Izi zikutanthauza kuti kutentha sikuyenera kukhala kotsika ngati kuzizira kuti kuchititse vutoli, koma kumatha kuchitika kutentha kopitirira pang'ono kuzizira. Matenda ena ndi monga `(Chilblains)` (omwe amawoneka ngati matuza), `(Frostnip)` (kuzizira kwa khungu), ndi `(Raynaud's phenomenon)` (vuto lomwe mitsempha yamagazi imapindika ndipo zala zimasanduka zotuwa). Ngati khungu ndi minofu zisweka chifukwa cha 'trench foot', pali chiopsezo chachikulu cha matenda . Izi zitha kukhala zopweteka kwambiri, koma nkhani yabwino ndi yakuti zitha kuchiritsidwa ndikupewedwa .

N’chifukwa chiyani izi zinkatchedwa ‘Trench Foot’?

Dzina lakuti 'trench foot' limachokera ku nkhani yakale pang'ono. Matendawa adafotokozedwa koyamba mu 1812 ndi dokotala wa opaleshoni wa asilikali aku France yemwe ankachiritsa asilikali a gulu lankhondo la Napoleon. Koma adatchuka padziko lonse lapansi panthawi ya Nkhondo Yoyamba Yapadziko Lonse. Panthawiyo, asilikali amayenera kukhala m'ngalande zodzaza ndi madzi, zamatope kwa masiku ambiri, nthawi zina milungu ingapo. Kuzizira, chinyezi, ndi dothi zinapangitsa kuti asilikali ambiri adwale matendawa. Pakati pa 1914 ndi 1915 yokha, asilikali aku Britain oposa 20,000 adachiritsidwa matenda a 'trench foot'. Mwamwayi, pali njira zabwino zopewera ndikuchiza matendawa masiku ano. Komabe, vutoli limachitikabe nthawi zina .

Ndani amene ali ndi mwayi waukulu wokhala ndi 'trench foot'?

Matenda otchedwa 'trench foot' amapezeka kwambiri kwa anthu omwe ali m'gulu lankhondo, panthawi ya maphunziro awo ndi ntchito zawo zankhondo. Komabe, amathanso kukhudza anthu amitundu ina. Mwachitsanzo:

• Kwa anthu osowa pokhala: Nthawi zambiri amafunika kuvala masokosi ndi nsapato zomwezo. Amakumana ndi chinyezi ndi kuzizira kwa nthawi yayitali chifukwa alibe malo abwino okhala.
• Kwa iwo amene amapita ku makonsati a nyimbo: Izi n'zothekanso kwa iwo amene amapita ku makonsati akuluakulu a nyimbo omwe amachitikira panja kwa masiku ambiri ndipo amakhala pamalo ozizira, onyowa, komanso mwina auve.
• Anthu omwe amagwira ntchito m'madzi: Asodzi, ogwira ntchito padoko, kapena ena omwe amakhala nthawi yayitali m'madzi chifukwa cha ntchito zawo amathanso kukhala ndi 'trench foot'. Ngakhale m'dziko lathu, iwo omwe amagwira ntchito m'minda nthawi yamvula, kapena omwe amakhala nthawi yayitali m'madzi nthawi ya kusefukira kwa madzi, ayeneranso kusamala ndi izi, makamaka ngati chilengedwe chili chozizira.
• Kwa iwo omwe amachita zinthu zakunja: Anthu omwe ali ndi zosangalatsa monga kukwera mapiri ndi kuyenda m'nkhalango akhoza kukhala pachiwopsezo cha vutoli ngati sasintha masokosi ndi nsapato zawo zonyowa nthawi yake. Ndi bwino kukumbukira izi mukamachita zinthu zotere m'madera amapiri a Sri Lanka (monga Nuwara Eliya, Haputale) komanso ngati chilengedwe chili chozizira komanso chonyowa.

Kodi zizindikiro za 'trench foot' ndi ziti?

Pamene trench foot ikukulirakulira, momwe imaonekera komanso momwe imamvekera imasintha.

Poyamba, mungamve mapazi anu atachita dzanzi, akunjenjemera, kapena atachita dzanzi kwathunthu . Anthu ena angamve ngati chinachake chikukankhidwira m'mapazi awo, kapena mapazi awo angamve ngati akulemera kwambiri, ngati mtengo. Izi zingakulepheretseni kuyenda. Poyamba, mapazi anu angakhale ofiira kwambiri . Koma pakapita nthawi, pamene mitsempha yamagazi ikuchepa, mapazi anu adzakhala otumbululuka, otuwa, komanso oyera .

Mukangotuluka mu chimfine, khungu la mapazi anu lidzayamba kusintha mtundu kachiwiri. Ngati muli ndi khungu loyera, mapazi anu akhoza kukhala abuluu kapena ofiirira chifukwa cha kuchepa kwa magazi . Ngati muli ndi khungu lakuda, kusintha kwa mtundu kumeneku sikungawonekere kwambiri. Khungu likhozanso kuzizira komanso kukhala ndi mawanga m'malo ena . Kuphatikiza apo, pakhoza kutupa . Nthawi zina, mapazi anu angawonjezere kukula kwake kawiri!

Pamene mapazi anu akutenthedwanso, akhoza kukhala ofiira kwambiri . Mungamve ululu waukulu kapena zinthu zachilendo magazi akabwerera kumapazi anu. Mungayambenso kukhala ndi matuza, zilonda, kapena zilonda zotseguka kumapazi anu. Izi zingakupangitseni kukhala pachiwopsezo chachikulu cha matenda a bowa ndi mabakiteriya. Khungu lanu likhoza kukhala lovuta kwambiri kusintha kwa kutentha kapena kungokhudza kamodzi kokha.

Kodi n’chiyani chimayambitsa strench foot?

Trench foot imakula mapazi anu akamakumana ndi nyengo yozizira komanso yonyowa kwa nthawi yayitali. Kumbukirani, kutentha sikuyenera kukhala kozizira kwambiri. Trench foot imatha kukula ngakhale kutentha kotsika ngati madigiri 16 Celsius (madigiri 60 Fahrenheit) .

Kutentha kozizira ndi chinyezi zikaphatikizana, mitsempha yaing'ono yamagazi (ma capillaries) m'mapazi anu imayamba kufooka . Izi zitha kuwononga minofu yozungulira. Kuphatikiza apo, kuyenda kwa magazi pang'ono kungakhudze kayendedwe ka magazi ndi ntchito ya mitsempha yanu.

Kukhala ndi mapazi otuluka thukuta kwambiri (Hyperhidrosis) kungakhalenso chifukwa cha 'mapazi oyenda m'mitsinje'.

Kodi nthawi zambiri zimatenga nthawi yayitali bwanji kuti trench foot ikule?

Nthawi zambiri, kuzizira komanso chinyezi kumafuna tsiku limodzi kapena atatu. Komabe, nthawi zina vutoli limatha kuchitika mkati mwa maola 10 mpaka 14 okha . Choncho ndikofunikira kukhala maso.

Kodi dokotala amazindikira bwanji izi ngati 'mzere wothira'?

Dokotala wanu adzachita kafukufuku wa thupi kuti adziwe ngati pali trench phazi. Adzafufuza mapazi anu ndikufunsani za zizindikiro zanu. Adzafunsanso za malo omwe mwakhala mukukumana nawo posachedwapa. Ngati mwakhala mukuzizira komanso chinyezi kwa maola angapo, dokotala wanu angaganize kuti muli ndi trench phazi.

Dokotala wanu adzafuna kuonetsetsa kuti zizindikiro zanu sizikuyambitsidwa ndi matenda kapena vuto lina, monga frostbite. Akhoza kulamula kuti muyesedwe kuchuluka kwa maselo oyera m'magazi kapena ESR (Erythrocyte Sedimentation Rate) . Mayeso a ESR amafufuza kutupa m'thupi lanu. Mungapemphedwenso kuti muyesedwe ndi X-ray kapena fupa ngati akukayikira kuti muli ndi matenda a mafupa (osteomyelitis).

Kodi pali mankhwala a 'trench foot'? Kodi angachiritsidwe?

Inde, ndithudi! Trench foot imatha kuchiritsidwa kwathunthu ngati itapezeka msanga . Chithandizo cha trench foot chimaphatikizapo:

• Kutenthetsa mapazi pang'onopang'ono: Ngati muwatenthetsa mofulumira kwambiri, angayambitse kupweteka kwambiri ndi kutupa. Chifukwa chake, muyenera kuwatenthetsa pang'onopang'ono.
• Kusunga mapazi anu oyera, ouma, komanso ofunda: Dokotala wanu adzakulangizani kuti muyeretse mapazi anu ndikuwasunga ouma komanso ofunda.
• Kupumula ndi kusunga mapazi anu m'mwamba kuposa mtima wanu: Izi zimathandiza kupewa zilonda zatsopano ndi matuza kuti zisapangike.
• Mankhwala Opha Majeremusi: Dokotala angapereke mankhwala opha majeremusi kuti apewe matenda.
• Jakisoni wowonjezera wa tetanus: Imeneyi iperekedwanso ngati pakufunika kutero.
• Mankhwala ochepetsa ululu: Mutha kumwa mankhwala ochepetsa ululu monga ``NSAIDs`` (mankhwala oletsa kutupa omwe si a steroidal) kapena ``Acetaminophen`` (paracetamol). Komabe, nthawi zina dokotala angakulembereninso mankhwala otchedwa ``Amitriptyline```.

Kodi ndimadzisamalira bwanji nditalandira chithandizo?

Mukalandira chithandizo cha trench foot, pali zinthu zingapo zomwe muyenera kuchita kuti mapazi anu apitirize kuchira. Izi ndi izi:

• Valani masokosi oyera komanso ouma tsiku lililonse.
• Musamavale masokosi mukagona. Mwanjira imeneyi mutha kusunga mapazi anu ouma.
• Yang'anani mapazi anu tsiku lililonse.Yang'anirani zizindikiro za kuipiraipira kwa zizindikiro kapena zizindikiro zilizonse za matenda.
• Pewani kusuta fodya komanso kugwiritsa ntchito zinthu zina zomwe zili ndi nikotini. Nikotini ingathandize kuchepetsa kuyenda kwa magazi m'mapazi anu.
• Idyani zakudya zokhala ndi mapuloteni ambiri. Izi zithandiza kuti munthu achire.

Kodi mungapewe bwanji kukula kwa 'trench foot'?

Trench foot kwenikweni ndi vuto lomwe lingapeweke . Malangizo otsatirawa angakuthandizeni kupewa vutoli:

• Sinthani masokosi ndi nsapato/maboti onyowa mwachangu momwe mungathere.
• Umitsani mapazi anu powaika pa mpweya. Onetsetsani kuti mapazi anu akuuma nthawi zonse.
• Sungani mapazi anu okwezeka ngati n'kotheka.
• Sinthani zovala zanu kukhala masokosi atsopano kamodzi patsiku.
• Valani nsapato kapena nsapato zomwe zikukwanirani bwino komanso sizikuthina kwambiri.

Kumbukirani, mawu akuti "kupewa kuli bwino kuposa kuchiza" amagwiranso ntchito pa 'mzere wothira' uwu.

Kodi chimachitika ndi chiyani ngati mutayamba kudwala 'trench foot'? Kodi ndi chinthu choopa?

Kale, matenda a trench phazi anali matenda oopsa omwe amatha kupha munthu. Komabe, masiku ano, ngati atapezeka ndi kuchiritsidwa msanga, matenda ambiri a trench phazi amatha kuchiritsidwa kwathunthu . Mutha kuyembekezera kuchira kwathunthu ku vutoli. Komabe, pakhoza kukhala ululu kwa kanthawi pamene kumva bwino kwa phazi kumabwezeretsedwa.

Kodi 'trench foot' ingayambitse mavuto oopsa?

Inde, ngati sanalandire chithandizo, mavuto aakulu angachitike. Matenda monga `(Cellulitis)` (matenda a bakiteriya pakhungu) kapena `(Gangrene)` (kufa kwa minofu) angachitike. Pa milandu yoopsa, kudula gawo la mwendo kungakhale kofunikira kuti vuto la `(Gangrene)` lisafalikire. Mavuto ena ndi monga `(Sepsis)` (poyizoni wa magazi) komanso imfa.

'Trench foot' ndi matenda opweteka omwe adadziwika chifukwa cha maenje omwe asilikali adakumana nawo pa Nkhondo Yoyamba Yapadziko Lonse. Asilikali ambiri adataya miyendo yawo ndipo ena adamwalira chifukwa cha matendawa. Koma masiku ano, tikudziwa zambiri za momwe tingapewere komanso kuchiza matendawa.

Pomaliza, kumbukirani izi !

Chithandizo chabwino kwambiri cha trench foot ndi kupewa . Ngati mukudziwa kuti mudzakhala pamalo ozizira komanso onyowa kwa nthawi yayitali, samalani . Nthawi zonse nyamulani masokosi owonjezera, ndipo onetsetsani kuti nsapato zanu zikukwanirani bwino. Ndi zinthu zosavuta ngati izi, simudzadandaula za trench foot. Samalirani mapazi anu, ndipo asungeni athanzi!

` mzere wa phazi, matenda a mapazi onyowa, mapazi ozizira, kupweteka kwa mapazi, dzanzi la mapazi, chisamaliro cha mapazi, mapazi, chimfine, chinyezi