Wake wezwa umuntu ethi 'unesilonda esibhibhayo'? Cishe uke wezwa leli gama lihlobene nesilonda esitheleleke kakhulu, noma umlenze noma ingalo ephenduke yaba mnyama. Lesi yisimo esiphuthumayo sezokwelapha esiyingozi kakhulu esidinga ukwelashwa okusheshayo. Kalula nje, isilonda siwukugeleza kwegazi engxenyeni yomzimba wakho kuyeka, okubangela ukuba izicubu ezikuleyo ndawo zife. Nakuba kungenzeka noma kuphi, kuvame ukuqala eminweni noma ezinzwaneni. Namuhla, sizokhuluma ngalokhu ngendlela elula neqondakala kalula.
Kuyini ngempela ukubola kwesilonda?
Cabanga nje ukuthi yonke iseli kanye nezicubu emzimbeni wethu zidinga umoya-mpilo kanye nezakhamzimba ukuze ziphile. Lezi zinto zithwalwa yigazi. Kwenzekani uma ukuphakelwa kwegazi engxenyeni yomzimba kuyeka ngesizathu esithile? Njengoba nje isihlahla sifa ngaphandle kwamanzi, izicubu kuleyo ngxenye nazo ziqala ukufa. Yilokho esikubiza ngokuthi i-gangrene .
Into ebalulekile ukuthi i-gangrene ihlala iwukufa kwezicubu. Kodwa-ke, akuzona zonke i-gangrene ezibangelwa ukutheleleka. Ngezinye izikhathi, ukugeleza kwegazi kungayeka futhi izicubu zingafa, ngaphandle kokutheleleka ngamagciwane. Kodwa-ke, uma ukutheleleka ngamagciwane kuhlangana nezicubu ezifile, isimo siba sibi nakakhulu. Uma singelashwa ngokushesha, lesi simo singadala izinkinga ezinkulu kakhulu, ngisho nokufa.
Yiziphi izinhlobo eziyinhloko ze-gangrene?
I-Gangrene ingahlukaniswa ngezinhlobo eziningana eziyinhloko. Ngayinye yazo ihlukile kancane kwenye. Ake sibheke ukuthi iyini.
| Uhlobo lwe-gangrene | Incazelo elula |
|---|---|
| I-Gangrene Eyomile | Lokhu kumane nje kuyindaba yamahlule egazi. Akukho ukutheleleka ngamagciwane. Isikhumba esithintekile siba some, sibe namaxolo, futhi sibe mnyama. Azikho izimbotshana ezigcwele ubomvu ezibonakala. Lokhu kuvame kakhulu kubantu abanezimo ezifana nesifo sikashukela kanye ne-atherosclerosis, okungaholela ekuvalekeni kwemithambo yegazi ngenxa ye-cholesterol ephezulu. |
| I-Wet Gangrene | Lokhu ukutheleleka okukhulu kwamagciwane okwenzeka lapho ukugeleza kwegazi kuyeka. Njengoba igama laso lisho, isikhumba siyavuvukala, siqhume amabhamuza, bese sikhipha uketshezi olufana nobomvu. Yingakho lubizwa ngokuthi 'lumanzi'. Lunephunga elibi kakhulu. Lolu hlobo lokutheleleka lusakazeka ngokushesha kakhulu kwezinye izicubu ezinempilo. |
| I-Gas Gangrene | Lolu uhlobo oluyingozi kakhulu futhi olusakazeka ngokushesha. Ezinye izinhlobo zamagciwane angena emzimbeni ngamanxeba ajulile akhiqiza igesi ngaphakathi kwemisipha. Lokhu kubhubhisa izicubu. Uma ucindezela esikhumbeni esithintekile, uzozwa umsindo othi 'chiri chiri' sengathi kuqhuma amabhamuza omoya ngaphansi. Lokhu kungaba yingozi empilweni zingakapheli amahora ambalwa. |
| I-Gangrene kaFournier | Lokhu kuyisifo esingavamile kakhulu futhi esibi kakhulu esibangelwa amagciwane. Sivela ezithweni zangasese nasezindaweni ezizungezile. Sivame kakhulu kwabesilisa. |
| I-Gangrene Yangaphakathi | Lokhu kwenzeka lapho ukugeleza kwegazi kuya esithweni esingaphakathi komzimba kunqamuka. Isibonelo, lesi simo singase senzeke enyongweni, emathunjini, noma ku-appendix. |
Ziyini izimpawu ze-gangrene?
Izimpawu ze-gangrene zingahluka kancane kuye ngohlobo. Kodwa kunezimpawu ezivamile ongazibona. Uma unanoma iyiphi yalezi, kufanele ubonane nodokotela ngokushesha.
- Ukushintsha kombala wesikhumba: Isikhumba endaweni ethintekile singase siqale sibe bomvu, sibe nsomi, sibe luhlaza okotshani, bese kuthi ekugcineni sibe mnyama.
- Ubuhlungu obukhulu: Ekuqaleni, kungase kube nobuhlungu obungabekezeleleki endaweni, bese kuba nokulahlekelwa ngokuphelele kwemizwa njengoba izicubu zifa.
- Ukuvuvukala kanye nokungazweli: Indawo ethintekile ingase izwakale ivuvukile futhi ingazweli.
- Isikhumba esibandayo: Uma siqhathaniswa nezinye izindawo ezinempilo, i-gangrene izwakala ibanda kakhulu uma uyithinta.
- Ubomvu obunuka kabi: Uma kugabha okumanzi, amabhamuza angakheka futhi akhiphe ubomvu obunuka kabi noma uketshezi olunegazi.
- Umsindo 'weCherry-Cherry': Uma isikhumba siqhekeka yigesi, lapho isikhumba sicindezelwa phezulu, kuzwakala umsindo sengathi kuqhuma amabhamuza omoya ngaphansi.
- Izimpawu ezivamile:Izimpawu ezifana nomkhuhlane, ukucobeka, ukushaya kwenhliziyo okusheshayo, izinga lokuphefumula elikhuphukile, kanye nokudideka kwengqondo nakho kungase kwenzeke, ikakhulukazi lapho ukutheleleka kusakazeka emzimbeni wonke (i-sepsis).
Into ebaluleke kakhulu ukushintsha kombala wesikhumba. Ekuqaleni, kuba mhlophe ngenxa yokuncipha kokugeleza kwegazi, bese kuba bomvu, kancane kancane kube nsundu, bese ekugcineni kuba nsomi noma kube luhlaza okwesibhakabhaka kube mnyama. Kungaba nzima ngomuntu onesikhumba esimnyama ukubona lezi zinguquko zombala ekuqaleni.
Yiziphi izimbangela kanye nezici eziyingozi ze-gangrene?
Imbangela eyinhloko yesifo esibhibhayo ukuvaleka kwegazi engxenyeni ethile yomzimba. Kunezimbangela eziningana eziyinhloko kanye nezici eziyingozi ezibangela lokhu.
Izimbangela zokuvinjelwa kokugeleza kwegazi:
- Izifo zemithambo yegazi: Ukufakwa kwe-cholesterol emithanjeni yegazi bese kuyinciphisa (i-Peripheral Artery Disease) kuyimbangela eyinhloko ye-dry gangrene.
- Ukulimala okukhulu: Uma kwenzeka ukulimala okukhulu, njengengozi yemoto noma ukubanjwa emishinini, futhi imithambo yegazi yonakele.
- Izinkinga ezivela ekuhlinzweni: Nakuba zingavamile kakhulu, ukugeleza kwegazi kungaphazamiseka ngemva kokuhlinzwa okuthile.
- Ukutheleleka: Ukutheleleka ngamagciwane okungalashwanga kungabangela ukuvuvukala kwezicubu nokopha.
Abantu abandisa ingozi yabo yokuthola i-gangrene:
- Iziguli Ezinesifo Sikashukela: Isifo sikashukela sivame kakhulu ezweni lethu. Isifo sikashukela silimaza imithambo yegazi kanye nemizwa. Ngenxa yalokho, umuzwa emilenzeni uyancipha, ngisho nesilonda esincane asibonakali, futhi kunethuba elikhulu lokuthi ngeke siphole ngokushesha futhi sizotheleleka futhi sibe ne-gangrene. Abantu abanesifo sikashukela kufanele banakekele izinyawo zabo kahle.
- Ababhemayo: Ukubhema konakalisa imithambo yegazi futhi kubangele ukuthi inciphe.
- Ukukhuluphala ngokweqile: Ukukhuluphala ngokweqile kwandisa ingozi yokubhajwa yisifo sofuba, njengoba kungaholela ezifweni ezifana nesifo sikashukela kanye nomfutho wegazi ophakeme.
- Abantu abanezivikeli mzimba ezibuthakathaka: Abantu abane-HIV/AIDS, iziguli ezinomdlavuza, kanye nalabo abenza i-chemotherapy banekhono eliphansi lokulwa nezifo.
- I-Raynaud's syndrome: Isimo lapho igazi ligeleza khona liye eminweni nasezinzwaneni liyeka okwesikhashana uma livezwa emakhazeni.
I-gangrene itholakala futhi yelashwa kanjani?
Uma ucabanga ukuthi unezimpawu zesifo esibhibhayo, kufanele ubonane nodokotela noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
Udokotela uzokuxilonga, akubuze ngomlando wakho wezokwelapha, bese e-oda ukuhlolwa okuthile uma kudingeka.
- Ukuhlolwa kwegazi: Hlola ukutheleleka kanye nenani lamaseli amhlophe egazi.
- Ukukhuliswa kwamagciwane: Thola amagciwane abangela ukutheleleka bese unikeza i-antibiotic efanele kakhulu.
- Ukuhlolwa kwezithombe: I-X-ray, i-CT scan, noma i-MRI scan ingabheka umonakalo wezicubu kanye negesi.
- Ukuhlolwa kokugeleza kwegazi: Ukuhlolwa okukhethekile ukuhlola ukuvaleka kwemithambo yegazi.
Izindlela zokwelapha
Kunezinhloso ezintathu eziyinhloko ekwelapheni i-gangrene: ukususa izicubu ezifile, ukulawula ukutheleleka, nokubuyisela ukugeleza kwegazi.
1. Ama-antibiotic: Uma kukhona ukutheleleka ngamagciwane, ama-antibiotic anamandla anikezwa ngemithambo yegazi ukuze akulawule.
2. Ukususwa kwezicubu: Lena inqubo yokuhlinzwa. Izicubu ezibolile azipholi. Ngakho-ke, kumele zisuswe ngokuhlinzwa. Ngaphandle kwalokho, ukutheleleka kuzosakazekela ezicutshini ezinempilo.
3. Ukuhlinzwa ukuze kubuyiselwe ukugeleza kwegazi: Ukuhlinzwa kungenziwa ukuze kwandiswe umthambo wegazi ovalekile (i-Angioplasty) noma kudalwe indlela entsha yokuwudlula (ukuhlinzwa kokudlula).
4. Ukwelashwa Nge-Hyperbaric Oxygen (HBOT): Kulokhu, isiguli sifakwa ekamelweni le-hyperbaric futhi senziwe siphefumule umoya-mpilo omsulwa ongu-100%. Lokhu kwandisa kakhulu izinga lomoya-mpilo egazini, kusiza izicubu ukuba zelapheke.
5. Ukunqunywa kwezicubu: Ezimweni ezimbi kakhulu, lapho ezinye izindlela zokwelapha zingaphumeleli, okuwukuphela kwendlela yokusindisa impilo yesiguli ukususa ngokuhlinzwa isitho esithintekile, njengomunwe, uzwane, noma isandla. Lokhu kubhekwa njengendlela yokugcina odokotela abangayithatha.
Kufanele ufune nini usizo lwezokwelapha oluphuthumayo?
I-Gangrene iyisimo esiphuthumayo sezokwelapha. Uma unezimpawu ezilandelayo, hamba uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
- Uma isikhumba sakho sesiphenduke saba mnyama, silahlekelwe umuzwa, sibanda, noma sivuvukele endaweni ethile emzimbeni wakho.
- Uma inxeba elingapholi linephunga elibi noma likhipha ubomvu.
- Uma unomkhuhlane ohambisana nobuhlungu obukhulu obungazelelwe.
Uma unalezi zimpawu kanye nobunzima bokuphefumula, ukushaya kwenhliziyo okusheshayo, ukudideka kwengqondo, kanye nokujuluka okubandayo, kusho ukuthi ukutheleleka sekusakazeke emzimbeni wonke futhi kusaba yisimo esisongela ukuphila esibizwa ngokuthi i-septic shock . Ngakho-ke, kudingeka ukwelashwa ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-Gangrene ukufa kwezicubu ngenxa yokulahlekelwa ukugeleza kwegazi engxenyeni ethile yomzimba. Lesi yisimo sezokwelapha esiyingozi kakhulu nesiphuthumayo.
- Izimpawu eziyinhloko ukushintsha kombala wesikhumba (ikakhulukazi ukuba mnyama), ubuhlungu obukhulu, ukuvuvukala, kanye nobomvu obunuka kabi. Uma uzibona lezi zinto, ungalibali.
- Abantu abanesifo sikashukela basengozini enkulu yokuthola i-gangrene, ngakho-ke kubalulekile ukulandela imiyalelo kadokotela wakho futhi unakekele izinyawo zakho ngokukhethekile.
- Isikhathi sibaluleke kakhulu lapho welapha i-gangrene. Uma ukwelashwa kuqala ngokushesha, imiphumela iba ngcono.
- Uma usola ukuthi kukhona isilonda esibhibhayo, ungaqageli futhi ubone udokotela wakho ngokushesha.
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