Ngaba wakha weva umntu esithi 'unesilonda'? Mhlawumbi ukhe weva eli gama lithetha ngesilonda esosulelekileyo kakhulu, okanye umlenze okanye ingalo etshintshe yaba mnyama. Le yingxamiseko yezonyango eyingozi kakhulu efuna unyango olukhawulezileyo. Ngamafutshane, isilonda sibangelwa kuxa ukuhamba kwegazi kwindawo ethile yomzimba wakho kuyeka, okubangela ukuba izicwili ezikuloo ndawo zife. Nangona inokwenzeka naphi na, idla ngokuqala kwiminwe okanye ezinzwaneni. Namhlanje, siza kuthetha ngale nto ngendlela elula neqondakala lula.
Yintoni kanye kanye i-gangrene?
Khawucinge nje ukuba yonke iseli kunye nezicubu zomzimba wethu zifuna ioksijini kunye nezondlo ukuze ziphile. Ezi zinto zithwalwa ligazi. Kwenzeka ntoni ukuba ukunikezelwa kwegazi kwinxalenye yomzimba kuyeka ngesizathu esithile? Njengokuba umthi ufa ngaphandle kwamanzi, nezicwili ezikuloo nxalenye nazo ziqala ukufa. Yiloo nto siyibiza ngokuba yi-gangrene .
Into ebalulekileyo kukuba i-gangrene isoloko ithetha ukufa kwezicubu. Nangona kunjalo, ayizizo zonke i-gangrene ezibangelwa lusulelo. Ngamanye amaxesha, ukuhanjiswa kwegazi kunokuyeka kwaye izicwili zinokufa, ngaphandle kosulelo lwebhaktiriya. Nangona kunjalo, ukuba usulelo lwebhaktiriya ludibana nezicwili ezifileyo, imeko iba mandundu nangakumbi. Ukuba ayinyangwa ngokukhawuleza, le meko inokubangela iingxaki ezinkulu, kwanokufa.
Ziziphi iintlobo eziphambili ze-gangrene?
I-gangrene inokwahlulwa ibe ziintlobo ezininzi eziphambili. Ngayinye yazo yahlukile kancinci kwenye. Makhe sijonge ukuba ziyintoni na.
| Uhlobo lwe-gangrene | Ingcaciso elula |
|---|---|
| I-Gangrene eyomileyo | Oku kubangelwa nje kukuqhekeka kwegazi. Akukho ntsholongwane ifumanekayo. Ulusu oluchaphazelekileyo luba lomile, lube namaxolo, lube mnyama. Akukho maqhuqhuva azaliswe bubovu abonwayo. Oku kuxhaphake kakhulu kubantu abaneengxaki ezifana nesifo seswekile kunye ne-atherosclerosis, ezinokukhokelela ekuvalekeni kwemithambo yegazi ngenxa ye-cholesterol ephezulu. |
| I-Wet Gangrene | Olu luhlobo losulelo olubi kakhulu olubangelwa yintsholongwane oluvela xa ukuhamba kwegazi kuyeka. Njengoko igama lalo lisitsho, ulusu luyadumba, lube namadyungudyungu, luze lukhuphe ulwelo olufana nobovu. Yiyo loo nto lubizwa ngokuba 'lumanzi'. Lunevumba elibi kakhulu. Olu hlobo losulelo lusasazeka ngokukhawuleza kwezinye izicwili eziphilileyo. |
| Irhashalala yegesi | Olu luhlobo oluyingozi kakhulu nolusasazeka ngokukhawuleza. Ezinye iintlobo zeebhaktheriya ezingena emzimbeni ngamanxeba anzulu zivelisa igesi ngaphakathi kwezihlunu. Oku kutshabalalisa izicubu. Ukuba ucinezela ulusu oluchaphazelekayo, uya kuva isandi esithi 'chiri chiri' ngokungathi kuqhuma amaqamza omoya ngaphantsi. Oku kunokuba yingozi ebomini kwiiyure ezimbalwa. |
| Isifo se-Fournier's Gangrene | Olu luhlobo lwentsholongwane olungaqhelekanga kakhulu nolunzima. Luvela kwizitho zangasese nakwiindawo ezingqongileyo. Luxhaphake kakhulu kumadoda. |
| I-Gangrene yangaphakathi | Oku kwenzeka xa ukuhamba kwegazi ukuya kwisitho esingaphakathi emzimbeni kunqanyulwa. Umzekelo, le meko inokwenzeka kwinyongo, emathunjini, okanye kwi-appendix. |
Zithini iimpawu ze-gangrene?
Iimpawu zesifo esirhabaxa zinokwahluka kancinci ngokuxhomekeke kuhlobo lwaso. Kodwa kukho iimpawu eziqhelekileyo onokuzibona. Ukuba unayo nayiphi na kwezi, kufuneka ubone ugqirha ngokukhawuleza.
- Ukutshintsha kombala wolusu: Ulusu kwindawo echaphazelekayo lunokuqala lube mhlophe, emva koko lube bomvu, lube mfusa, lube luhlaza, kwaye ekugqibeleni lube mnyama.
- Intlungu ebuhlungu: Ekuqaleni, kunokubakho intlungu enganyamezelekiyo kuloo ndawo, emva koko kunokubakho ukuphelelwa ngokupheleleyo kwemvakalelo njengoko izicubu zisifa.
- Ukudumba kunye nokungaziva mnandi: Indawo echaphazelekayo isenokuvakala ngathi idumbile kwaye ayiziva mnandi.
- Ulusu olubandayo: Xa luthelekiswa nezinye iindawo eziphilileyo, indawo enesilonda esibuhlungu ivakala ibanda kakhulu xa uyichukumisa.
- Ubovu obunuka kakubi: Kwi-gangrene emanzi, amadyungudyungu anokwenzakala aze akhuphe ubovu obunuka kakubi okanye ulwelo olunegazi.
- Isandi 'seCherry-Cherry': Kwi-gas gangrene, xa ulusu lucinezelwe phezulu, kuvakala isandi ngokungathi kuqhuma amaqamza omoya ngaphantsi.
- Iimpawu eziqhelekileyo:Iimpawu ezinje ngomkhuhlane, ukudinwa, ukubetha kwentliziyo ngokukhawuleza, isantya sokuphefumla esinyukayo, kunye nokudideka kwengqondo nazo zinokubakho, ingakumbi xa usulelo lusasazeka emzimbeni wonke (i-sepsis).
Eyona nto ibalulekileyo kukutshintsha kombala wolusu. Ekuqaleni, luba mthubi ngenxa yokuncipha kokuhamba kwegazi, emva koko luba bomvu, kancinci kancinci lube mdaka, ekugqibeleni lube mfusa okanye lube luhlaza-mnyama. Kunokuba nzima kumntu onolusu olumnyama ukuqaphela olu tshintsho lombala ekuqaleni.
Ziziphi izizathu kunye nezinto ezibangela umhlaza webele?
Eyona nto ibangela ukubola kukuvaleka kwegazi emzimbeni. Kukho izizathu ezininzi eziphambili kunye nezinto ezibangela umngcipheko ezibangela oku.
Izizathu zokuvaleka kokuhamba kwegazi:
- Izifo zemithambo yegazi: I-cholesterol ehlala kwimithambo yegazi ize inciphe (i-Peripheral Artery Disease) yeyona nto ibangela i-dry gangrene.
- Ukulimala okukhulu: Ukuba kwenzeke ingozi enkulu, njengengozi yemoto okanye ukubanjwa ngoomatshini, kwaye imithambo yegazi yonakele.
- Iingxaki ezivela kutyando: Nangona zinqabile kakhulu, ukuhamba kwegazi kunokuphazamiseka emva kotyando oluthile.
- Izifo: Usulelo lwebhaktheriya olunganyangwanga lunokubangela ukudumba kwezicubu kunye nokopha.
Abantu abonyusa umngcipheko wabo wokuba ne-gangrene:
- Izigulana ezineSifo seswekile: Isifo seswekile sixhaphake kakhulu kwilizwe lethu. Isifo seswekile siyawonakalisa imithambo yegazi kunye nemithambo-luvo. Ngenxa yoko, imvakalelo emilenzeni iyancitshiswa, kwanesilonda esincinci asibonakali, kwaye kukho ithuba elikhulu lokuba singapholi ngokukhawuleza kwaye siya kosulelwa kwaye sibe ne-gangrene. Abantu abanesifo seswekile kufuneka bazinyamekele kakuhle iinyawo zabo.
- Abantu Abatshayayo: Ukutshaya konakalisa imithambo yegazi kwaye kubangela ukuba inciphe.
- Ukutyeba kakhulu: Ukutyeba kakhulu kwandisa umngcipheko we-gangrene, njengoko kunokukhokelela kwizifo ezifana nesifo seswekile kunye noxinzelelo lwegazi oluphezulu.
- Abantu abaneenkqubo zomzimba ezibuthathaka: Abantu abane-HIV/AIDS, abaguli abanomhlaza, kunye nabo bafumana unyango lwe-chemotherapy banamandla aphantsi okulwa nosulelo.
- Isifo sikaRaynaud: Imeko apho igazi lihamba liye kwiminwe nakwiinzwane liyeka okwethutyana xa livezwa ngumkhuhlane.
Ifunyanwa njani kwaye inyangwa njani i-gangrene?
Ukuba ucinga ukuba uneempawu zesifo sokubola kwesilonda, kufuneka ubone ugqirha okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngokukhawuleza.
Ugqirha uza kukuxilonga, akubuze ngembali yakho yezonyango, aze akuyalele ukuba kufuneka kwenziwe uvavanyo oluthile.
- Uvavanyo lwegazi: Jonga ukuba kukho usulelo na kunye nenani leeseli ezimhlophe zegazi.
- Ukukhula kweebhaktheriya: Chonga iibhaktheriya ezibangela usulelo kwaye unike i-antibiotic efanelekileyo.
- Uvavanyo lwemifanekiso: I-X-ray, i-CT scan, okanye i-MRI scan inokujonga umonakalo wezicubu kunye negesi.
- Uvavanyo lokuhamba kwegazi: Uvavanyo olukhethekileyo lokujonga ukuvaleka kwemithambo yegazi.
Iindlela zonyango
Kukho iinjongo ezintathu eziphambili zokunyanga i-gangrene: ukususa izicwili ezifileyo, ukulawula usulelo, kunye nokubuyisela ukuhamba kwegazi.
1. Ii-antibiotics: Ukuba kukho usulelo lwebhaktiriya, ii-antibiotics ezinamandla zinikwa ngemithambo ukuze zilawuleke.
2. Ukususwa kwesikhumba: Le yindlela yotyando. Izicubu ezibolileyo aziphili. Ngoko ke, kufuneka zisuswe ngotyando. Kungenjalo, usulelo luya kusasazeka luye kwizicubu eziphilileyo.
3. Utyando lokubuyisela ukuhamba kwegazi: Utyando lunokwenziwa ukuze kwandiswe umthambo wegazi ovalekileyo (i-Angioplasty) okanye kwenziwe indlela entsha yokuwudlula (utyando lwe-Bypass).
4. Unyango lwe-Hyperbaric Oxygen (HBOT): Kule meko, isigulana sifakwa kwigumbi eline-hyperbaric kwaye senziwe ukuba siphefumle i-oxygen ecocekileyo eyi-100%. Oku kwandisa kakhulu inqanaba le-oxygen egazini, kunceda izicubu ziphilise.
5. Ukunqunyulwa kwelungu: Kwiimeko ezinzima, xa ezinye iindlela zonyango zingaphumeleli, indlela ekuphela kwayo yokusindisa ubomi besigulana kukususa ilungu elichaphazelekileyo ngotyando, njengomnwe, uzwane, okanye isandla. Oku kuthathwa njengenyathelo lokugqibela ngoogqirha.
Ufanele ufune nini unyango olungxamisekileyo?
I-Gangrene yimeko engxamisekileyo yezonyango. Ukuba unezi mpawu zilandelayo, yiya kwiSebe leeNgxamiseko lesibhedlele (ETU) ngokukhawuleza.
- Ukuba ulusu lwakho lujike lwaba mnyama, alunamvakalelo, lubanda, okanye ludumbile ndaweni ithile emzimbeni wakho.
- Ukuba inxeba elingapholiyo linevumba elibi okanye likhupha ubovu.
- Ukuba unomkhuhlane onentlungu eqatha ngequbuliso.
Ukuba unezi mpawu kunye nobunzima bokuphefumla, ukubetha kwentliziyo okukhawulezayo, ukudideka kwengqondo, kunye nokubila okubandayo, oko kuthetha ukuba usulelo lusasazeke emzimbeni wonke kwaye luyakhula lube yimeko esongela ubomi ebizwa ngokuba yi-septic shock . Ke ngoko, kufuneka unyango olukhawulezileyo.
Umyalezo Wokuya Ekhaya
- I-gangrene kukufa kwezicubu ngenxa yokunqongophala kwegazi eliya kwinxalenye yomzimba. Le yimeko yezonyango eyingozi kakhulu nengxamisekileyo.
- Iimpawu eziphambili kukutshintsha kombala wolusu (ingakumbi ukuba mnyama), iintlungu eziqatha, ukudumba, kunye nobomvu obunuka kakubi. Ukuba uzibona ezi zinto, musa ukulibazisa.
- Abantu abanesifo seswekile basengozini enkulu yokuba ne-gangrene, ngoko ke kubalulekile ukulandela imiyalelo kagqirha wakho kwaye unyamekele iinyawo zakho ngokukodwa.
- Ixesha libaluleke kakhulu xa kunyangwa isilonda esibhidlayo. Okukhona unyango luqala ngokukhawuleza, kokukhona iziphumo zingcono.
- Ukuba unesikrokro malunga nokubola kwesilonda, musa ukuqikelela kwaye ubone ugqirha wakho ngoko nangoko.
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