Ingaba inxalenye yomzimba wakho itshintsha ibe mnyama kwaye ingabi nabomi? Isenokuba yi-rondage!

Ngaba wakha waphawula ukuba iindawo zomzimba wakho, ingakumbi iminwe neenzwane zakho, ziyaphelelwa ngamandla, zitshintshe umbala, kwaye ngamanye amaxesha zide zibe mnyama? Okanye ngaba uziva ngathi inxeba liya lisiba mandundu kwaye liqala ukunuka kakubi? Ezi azizo iimpawu ezilungileyo. Zinokuba luphawu lwemeko enokuba yingozi ebizwa ngokuba yi-gangrene . Ungakhathazeki, siza kuthetha ngale nto ngokweenkcukacha nangendlela elula namhlanje.

Yintoni isilonda esibhidlayo? Ngamafutshane...

I-gangrene, ngamafutshane, kuxa ukuhanjiswa kwegazi kwinxalenye yomzimba wethu kuphazamiseka, nto leyo ebangela ukuba izicubu ezikuloo ndawo zife. Njengokuba umthi ubuna xa ungenamanzi, kukwanjalo nokunqongophala kwegazi kwinxalenye yomzimba wethu. Nangona oku kunokwenzeka naphi na emzimbeni, kudla ngokuqala ezandleni okanye ezinyaweni.

Eyona nto ibalulekileyo kukuba i-gangrene yingxaki yezonyango . Kuba xa izicwili ziqala ukufa, zinokusasazeka ngokukhawuleza. Ngamanye amaxesha zinokuhamba nosulelo, nto leyo enokwenza imeko ibe mandundu nangakumbi. Nokuba kukho usulelo okanye akunjalo, i-gangrene inokukhokelela kwiingxaki ezinkulu ukuba ayinyangwa ngokukhawuleza, kwaye ngamanye amaxesha nokufa. Ngoko ke kubaluleke kakhulu ukuqaphela oku.

Ziziphi iintlobo eziphambili ze-gangrene?

Kukho iintlobo ezininzi eziphambili ze-gangrene. Makhe sijonge ukuba ziyintoni na.

1. I-Dry Gangrene

Okwenzekayo koku kukuba ukuhanjiswa kwegazi kwindawo ethile kuyayeka, kwaye izicwili ezikuloo ndawo ziyafa. Nangona kunjalo, akukho ntsholongwane kule nto . Yimeko nje yokomisa. Ukuba uyichukumisa, ulusu lomile, kwaye awuboni maqhuqhuva okanye ubomvu. I-gangrene eyomileyo idla ngokuvela ngenxa yokuqokelelana kwamafutha kwimithambo yethu yegazi, nto leyo ebangela ukucutheka kwemithambo yegazi (atherosclerosis). Abantu abanesifo seswekile okanye abatshayayo basengozini enkulu.

2. I-Wet Gangrene

Kwimeko enjalo, kunye nokuphazamiseka kokuhamba kwegazi, kongezwa nosulelo lwebhaktheriya . Yiyo loo nto ibizwa ngokuba yi-"wet" gangrene. Amaqhuqhuva azaliswe bububovu anokuvela eluswini, kwaye inxeba linokuba nevumba elibi. Olu hlobo ludla ngokusasazeka ngokukhawuleza kwezinye izicwili eziphilileyo. Yiyo loo nto luyingozi kancinci.

3. Irhashalala yegesi

Le yimeko ebuhlungu kakhulu ebangelwa lusulelo lwebhaktiriya. Olu hlobo lwebhaktiriya lutshabalalisa izicubu zethu ezithambileyo kunye neeseli zegazi. Kwakhona, ezi bhaktiriya ziphindaphindeka ngokukhawuleza ngaphakathi kwizicubu zemisipha, zivelisa ubuthi kwaye zikhuphe igesi. Yiyo loo nto ibizwa ngokuba yi-gas gangrene. Olu sulelo lunokusasazeka ngokukhawuleza kangangokuba lunokuba yingozi ebomini nakwiiyure ezimbalwa.

4. Isifo se-Fournier's Gangrene

Olu lusulelo olungaqhelekanga kodwa olunzima kakhulu oluchaphazela indawo yesini.Oku kuqheleke kakhulu kumadoda kunabafazi.

5. I-Gangrene yangaphakathi

Kulapho ukunikezelwa kwegazi kwisitho sangaphakathi emzimbeni wethu kunqanyulwa khona. Umzekelo, oku kunokwenzeka kwizitho ezifana nenyongo, amathumbu, okanye i-appendix. Umzekelo, i-cholecystitis engapheliyo inokubangela ukufa kwezicubu kunye nokubola kwesikhumba.

Zithini iimpawu ze-gangrene?

Iimpawu zingahluka kancinci ngokuxhomekeke kuhlobo lwesifo esibangela ukubola. Nangona kunjalo, kukho iimpawu eziqhelekileyo:

• Ukutshintsha kombala wolusu: Ulusu olukwindawo echaphazelekayo lunokuba bomvu, mfusa, luhlaza, okanye lube mnyama.
• Utshintsho kwindlela olumile ngayo ulusu: Ulusu lunokuba mhlophe, luqine, okanye lubanda xa luchukunyiswa. Ngamanye amaxesha, lunokuba buhlungu xa luchukunyiswa.
• Isandi esithi "chiri chiri" xa ulusu lucinezelwe: Oku kubonisa ukuba kukho umoya phantsi kolusu (ingakumbi xa kukho i-gangrene emoyeni).
• Ukwanda kwesantya sokuphefumla kunye nesantya sentliziyo.
• Ndiziva ndingaphumli, ndixhalabile.
• Iimpawu ezifana nomkhuhlane ezifana nomkhuhlane, ukubila, ukubanda, kunye nokuhlanza.
• Ukuziva iintlungu eziqatha, okanye ukulahlekelwa yiyo yonke imvakalelo kuloo ndawo.
• Ukopha okanye ubomvu obunuka kakubi obuvela kumanxeba kunye namadyungudyungu.
• Ukudumba kwendawo echaphazelekayo.

Kubalulekile: Ukuba unenye okanye ngaphezulu kwezi mpawu, kubalulekile ukufuna ingcebiso kagqirha ngoko nangoko. Musa ukuchitha ixesha.

Umbala wolusu utshintsha njani xa kuvela isilonda esibhidlayo?

Ukutshintsha kombala wolusu kwi-gangrene kudla ngokuvela ngamanqanaba (amanqanaba aliqela):

1. Okokuqala, ulusu lunokubonakala lumhlophe kunesiqhelo ngenxa yokuncipha kokuhamba kwegazi.

2. Emva koko, iba bomvu okanye ibe bomvu ngombala .

3. Okulandelayo, inokuba mfusa okanye ibe luhlaza -mdaka ngaphambi kokuba ibe mnyama.

4. Ekugqibeleni, umbala unokuba mfusa, ube luhlaza okwesibhakabhaka, okanye ube mnyama ngokupheleleyo .

Ukuba ulusu lwakho lumnyama kancinci, kunokuba nzima ukubona olu tshintsho lombala ngokucacileyo. Nangona kunjalo, hlala ujonge ezinye iimpawu. Ukuba kukho usulelo, unokubona ulwelo olunuka kakubi oluphuma emanxebeni.

Kutheni kuvela isilonda esibhidlayo? Zithini izizathu?

Eyona nto ilula kukulahlekelwa kukuhamba kwegazi kwinxalenye yomzimba. Izicubu zethu zifuna ioksijini, izondlo, kunye nee-antibodies ukuze zikhuseleke kwizifo. Ngoko ke, ukuba izicubu azifumani igazi, ziqala ukufa.

Kukho izizathu ezininzi eziphambili zokuba ukuhamba kwegazi kuthintelwe:

• Izifo ezinxulumene nemithambo yegazi: Umzekelo, kwimeko ebizwa ngokuba yi-"Peripheral Artery Disease"`, imithambo ethwala igazi emilenzeni iyavaleka. Le yeyona nto ibangela ukuba igazi libole.
• Amanxeba anzulu: Amanxeba anzulu, afana nalawo enzeke kwingozi enkulu, angonakalisa imithambo yegazi aze amise ukuhamba kwegazi.
• Iingxaki ezibangelwa kutyando (ezingaqhelekanga): Ngamanye amaxesha, ukubola kwesikhumba kunokukhula njengengxaki emva kotyando. Nangona kunjalo, oku kunqabile kakhulu.

Ngubani osengozini enkulu yokufumana i-gangrene?

Abanye abantu basengozini enkulu yokuba ne-gangrene kunabanye, ingakumbi ukuba unesifo semithambo yegazi.

• Isifo sikaBuerger: Kule meko, imithambo yegazi emilenzeni iyadumba, igazi liyaqhekeka, kwaye ukuhamba kwegazi kuyavaleka.
• Isifo seswekile: Isifo seswekile sonakalisa imithambo-luvo kunye nemithambo yegazi. Kwakhona, amanxeba kubantu abanesifo seswekile athatha ixesha elide ukuphola. Amanxeba aphola kancinci anokuba sengozini yokosuleleka. Isifo seswekile sixhaphake kakhulu phakathi kwethu eSri Lanka. Ngoko ke, abantu abanesifo seswekile kufuneka banyamekele izandla neenyawo zabo, ingakumbi iinyawo zabo. Musa ukungasinanzi nesilonda esincinci.
• Isifo seMitha yoMthambo: Amafutha aqokelelwa ngaphakathi kwimithambo yegazi, nto leyo ethintela igazi ukuba lingahambi kakuhle kwiindawo ezifana nemilenze, iinyawo, nezandla.
• Isifo Sokugoba Kwemithambo Ye-Popliteal: Kule meko, umthambo wegazi oyintloko ongasemva kwedolo (umthambo we-popliteal) ucinezelwa sisihlunu esikwindawo yedolo. Oku kuthintela ukuhamba kwegazi ukuya emlenzeni ongezantsi, njengaxa kusenziwa umthambo.
• Isifo sikaRaynaud: Xa sibekwe kwindawo ebandayo, imithambo yegazi kwiminwe nakwiinzwane iyancipha, nto leyo ethintela ukuhamba kwegazi.
• I-Vasculitis: Ukudumba kwemithambo yegazi okuthintela ukuhamba kwegazi.

Ukongeza, usengozini enkulu yokuba ne-gangrene ukuba unale ngxaki ilandelayo:

• Ukwenzakala okubuhlungu.
• Ubuthathaka benkqubo yomzimba yokuzikhusela. Umzekelo, ngenxa yosulelo lwe-HIV okanye unyango lomhlaza.
• Ukuba kukho umonakalo omkhulu kwizicubu ngenxa yeqhwa okanye ukutsha okukhulu.

Ukuba unayo nayiphi na kwezi zinto zinobungozi, kubalulekile ukubona ugqirha rhoqo ukuze ahlolwe aze alandelelwe njengoko kucetyisiwe ngugqirha wakho. Ugqirha wakho uza kukucebisa ngezinto onokuzenza ekhaya ukuze unciphise umngcipheko wakho wokuba ne-gangrene (umz., ukunyamekela iinyawo zakho kakuhle kunye nokufumana unyango olukhawulezileyo lokwenzakala).

Kufunyenwe ukuba amanye amayeza andisa umngcipheko we-Fournier's gangrene. Ngoko ke, ugqirha uza kukwazisa ngale nto ngaphambi kokuba akuqalise amayeza amatsha.

Ziziphi iingxaki ezinokubakho ze-gangrene?

I-Gangrene yimeko embi kakhulu, esongela ubomi. Ingabangela oku kulandelayo:

• Ukulahlekelwa lilungu lomzimba: Ilungu elifana nomnwe, uzwane, ingalo, okanye umlenze kusenokufuneka linqunyulwe.
• I-Sepsis: Kulapho inkqubo yomzimba yokuzikhusela isabela khona kwisifo esisasazeke emzimbeni wonke kwaye sibeka ubomi esichengeni.
• Ukungasebenzi kakuhle kwamalungu omzimba.

Ngamanye amaxesha i-gangrene inokubulala.

Oogqirha bayibona njani le nto?

Ukuba ucinga ukuba une-gangrene, kufuneka ubone ugqirha ngoko nangoko. Ugqirha uza kwenza oku kulandelayo:

• Baza kukubuza ngembali yakho yezonyango kunye neemeko zakho zonyango zangoku.
• Ubuza ukuba kukho na ukwenzakala kutshanje.
• Inxalenye yomzimba echaphazelekileyo ijongwa ngononophelo.
• Kuqhutywa iimvavanyo ezininzi ukuze kufunyanwe ulwazi oluthe kratya.

Iintlobo zovavanyo onokuba nazo:

• Uvavanyo lwegazi: Jonga ukuba kukho usulelo na kunye namanqanaba eswekile egazini.
• Uvavanyo lokukhula kweentsholongwane: Isampulu ethathwe enxebeni iyavavanywa ukuze kuchongwe ukuba loluphi uhlobo lwentsholongwane ebangela usulelo.
• Uvavanyo lokufota: Uvavanyo olufana ne-X-ray, i-CT scans, kunye ne-MRIs lunokubonisa umonakalo kwizicwili zomzimba kunye nokuba khona komoya.
• Uvavanyo lokuhamba kwegazi: Umzekelo, uvavanyo olubizwa ngokuba yi-Ankle-brachial index lunokulinganisa ubungakanani begazi elihamba liye emilenzeni.

Olu vavanyo lunceda ugqirha afumanise oku:

• Yintoni ebangela ukuba ukuhamba kwegazi kuthintelwe?
• Ingaba kukho usulelo okanye akunjalo?
• Ingakanani ingozi yezicubu eyenzekileyo?
• Ziziphi iindlela zonyango ezilungileyo?

Inyangwa njani i-gangrene?

Unyango lwe-gangrene luneenjongo ezintathu eziphambili: ukuthintela ukusasazeka kwe-gangrene, ukususa izicwili ezifileyo, kunye nokuphucula ukuhamba kwegazi. Ungadinga olunye okanye ngaphezulu kwezi ndlela zonyango.

• Ii-antibiotics: Ukuba i-gangrene ibangelwa lusulelo lwebhaktiriya, kuya kufuneka ii-antibiotics. Ugqirha wakho uya kukunika idosi efanelekileyo. Ezi zinokunikwa ngemithambo yegazi (IV).
• Ukususwa kwento:Le yindlela yezonyango esusa izicwili ezifileyo. Izicwili ezifileyo (`(izicwili ezirhabaxa)`) aziphili. Ke ngoko, ukuzisusa yeyona ndlela iphela. Ukwenza oku kukhusela izicwili eziphilileyo ezikufutshane kwaye kunceda izicwili ezonakeleyo (kodwa ezingafanga) ukuba ziphilise.
• Iindlela zokuphucula ukuhamba kwegazi: Ugqirha wakho unokwenza i-angioplasty (ngamanye amaxesha ene-stent) ukuze andise imithambo yakho yegazi. Okanye, angenza utyando lwe-bypass ukudala indlela entsha yokuba igazi lihambe lijikeleze ukuvaleka kwegazi.
• Unyango lwe-Hyperbaric Oxygen (HBOT): Kule nto, wenziwa ukuba uphefumle i-100% yeoksijini kwigumbi eliphantsi koxinzelelo oluphezulu. Oku kwandisa kakhulu ukunikezelwa kweoksijini kwizicubu zomzimba, kuzinceda ziphilise. Oku kuluncedo ngakumbi kwi-gangrene ebangelwa sisifo seswekile.
• Ukususwa kwesilonda: Eli linyathelo lokugqibela. Inxalenye yomzimba echaphazelekayo - njengomnwe, umlenze, okanye ingalo - iyasuswa. Oogqirha benza oku kuphela xa ezinye iindlela zonyango zingenakusindisa izicwili ezisempilweni (okanye ubomi bakho).

Emva konyango lwe-gangrene, kunokufuneka wenze utyando lokufakelwa ulusu . Kule meko, ulusu luthathwa kwenye indawo ephilileyo yomzimba wakho kwaye lusetyenziselwa ukugubungela ulusu olunamabala okanye olonakeleyo.

Ndifanele ndifune iingcebiso zonyango nini? Ingaba yingxamiseko?

Ewe, ngokuqinisekileyo! Ukuba uneempawu zesifo sokubola, yiya kwicandelo lezonyango ezingxamisekileyo esibhedlele esikufutshane ngoko nangoko, okanye utsalele umnxeba ku-1990. Kwakhona, ukuba uneempawu zesifo sokudumba kwemithambo yegazi, oko kuthetha ukuba:

• Ukubetha kwentliziyo okukhawulezayo, kodwa okubuthathaka.
• Uziva udidekile, ngokungathi ingqondo yakho iyaphela.
• Ukuziva unesizungu xa umi.
• Ulusu luyabanda, lube mdaka, lube mthubi.
• Ubunzima bokuphefumla.
• Ukuhlanza okanye urhudo.

Ukuba kukho iimpawu ezinje, kukwakho nengxamiseko.

Kunokuthiwani ngobomi bomntu onesilonda esibhidlayo?

Lo ngumbuzo onzima ukuwuphendula kuba uxhomekeke kwizinto ezininzi. Umzekelo:

• Isasazeke kangakanani le ntsholongwane yokubola?
• Ufumene unyango ngokukhawuleza kangakanani?
• Zeziphi iindawo zomzimba ezichaphazelekileyo?
• Injani impilo yakho iyonke?

Ugqirha okunyangayo uyayazi kakuhle imeko yakho. Nguye onokukunika ulwazi oluchanekileyo.

Kodwa into enye ekufuneka uyikhumbule. Ukuba ayinyangwa, i-gangrene inokubulala ngokukhawuleza. Indlela ukufa okukhawulezayo ngayo iyahluka ngokuxhomekeke kuhlobo lwe-gangrene. I-gas gangrene isasazeka ngokukhawuleza. Ummandla wezicubu ezifileyo unokwanda ngee-intshi ezininzi ngeyure. I-gas gangrene isoloko ibulala ukuba ayinyangwa, kwaye ngamanye amaxesha inokubulala nokuba sele inyangiwe.

Kuyo nayiphi na uhlobo lwe-gangrene, okukhona ufuna unyango ngokukhawuleza, kokukhona amathuba akho okusinda aphezulu.

Ngaba i-gangrene iyasulela?

I-gangrene ngokwayo ayisuleli. Oko kukuthi, awuyi kufumana i-gangrene ngokuba kufutshane nomntu one-gangrene.

Nangona kunjalo, iintsholongwane ezibangela ukubola kwesikhumba ngamanye amaxesha zinokusasazeka ziye kwabanye. Indlela ezichaphazela ngayo iintsholongwane umntu ochaphazelekileyo ixhomekeke kwizinto ezifana nokuba unamanxeba na kunye nokuba amajoni omzimba akhe aqinile kangakanani.

Ukuba wena okanye umntu ohlala endlwini yakho une-gangrene infection, thetha nogqirha ukuze ufumane amanyathelo akhethekileyo okhuseleko ekufuneka uwathathe.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kuqhelekile ukuziva usoyika xa usiva igama elithi gangrene, nokuba lenzekile kuwe okanye kumntu omthandayo. Kodwa khumbula, ulwazi lungamandla. Funda kangangoko unako ngale meko kunye neendlela zonyango lwayo.

Ukufuna unyango ngokukhawuleza yeyona ndlela ilungileyo yokusindisa ubomi bakho okanye bomntu omthandayo.

Ngelixa usaphila, sebenzisana nogqirha wakho ukulawula naziphi na iimeko ezinokubangela ukubola (umz. isifo seswekile, iingxaki zemithambo yegazi). Ukunyanga unobangela wokubola kunokunceda ukunciphisa umngcipheko weengxaki zexesha elizayo. Nyamekela impilo yakho, kwaye ungaphoswa nanye into!

I- gangrene, ukufa kwezicubu, ukujikeleza kwegazi, usulelo, isifo seswekile, ukuphiliswa kwamanxeba, unyango olungxamisekileyo