Ingabe ingxenye yomzimba wakho iphenduka ibe mnyama futhi ingaphili? Kungaba yi-gangrene!

Wake waphawula ukuthi izingxenye zomzimba wakho, ikakhulukazi iminwe nezinzwane zakho, ziyaba ndikindiki, zishintshe umbala, futhi ngezinye izikhathi zibe mnyama? Noma uzizwa sengathi inxeba liya liba libi futhi liqala ukunuka kabi? Lezi akuzona izimpawu ezinhle. Zingaba uphawu lwesimo esingaba yingozi esibizwa ngokuthi i-gangrene . Ungakhathazeki, sizoxoxa ngalokhu ngokuningiliziwe nangendlela elula kakhulu namuhla.

Kuyini ukubola kwesilonda? Kalula nje...

I-gangrene, ngamafuphi, yilapho ukunikezwa kwegazi engxenyeni ethile yomzimba wethu kuphazamiseka, okubangela ukuba izicubu ezikuleyo ndawo zife. Njengoba nje umuthi ubuna lapho uncishwa amanzi, kanjalo nokuntuleka kwegazi eliya engxenyeni ethile yomzimba wethu kwenzeka. Nakuba lokhu kungenzeka noma kuphi emzimbeni, kuvame ukuqala ezandleni noma ezinyaweni.

Into ebaluleke kakhulu ukuthi i-gangrene iyisimo esiphuthumayo sezokwelapha . Ngoba uma izicubu seziqala ukufa, zingasakazeka ngokushesha. Ngezinye izikhathi zingahambisana nokutheleleka, okungenza isimo sibe sibi nakakhulu. Kungakhathaliseki ukuthi kukhona ukutheleleka noma cha, i-gangrene ingaholela ezinkingeni ezinkulu uma ingelashwa ngokushesha, futhi ngezinye izikhathi ngisho nokufa. Ngakho-ke kubaluleke kakhulu ukuqaphela lokhu.

Yiziphi izinhlobo eziyinhloko ze-gangrene?

Kunezinhlobo eziningana eziyinhloko ze-gangrene. Ake sibheke ukuthi ziyini.

1. I-Gangrene Eyomile

Okwenzekayo kulokhu ukuthi ukuphakelwa kwegazi endaweni ethile kuyama, futhi izicubu kuleyo ndawo ziyafa. Kodwa-ke, akukho ukutheleleka kulokhu . Kumane nje kuyisimo sokoma. Uma usithinta, isikhumba somile, futhi awuboni amabhamuza noma ubomvu. I-gangrene eyomile ivame ukwenzeka ngenxa yokuqongelela kwamafutha emithanjeni yethu yegazi, okubangela ukuncipha kwemithambo yegazi (i-atherosclerosis). Abantu abanesifo sikashukela noma ababhemayo basengozini enkulu.

2. I-Wet Gangrene

Kulesi simo, kanye nokuphazamiseka kokugeleza kwegazi, kufakwa nokutheleleka ngamagciwane . Yingakho kubizwa ngokuthi i-gangrene "emanzi". Ama-blister agcwele ubomvu angavela esikhumbeni, futhi inxeba lingase libe nephunga elibi. Lolu hlobo luvame ukusabalala ngokushesha kwezinye izicubu ezinempilo. Yingakho luyingozi kancane.

3. I-Gas Gangrene

Lesi futhi yisimo esibi kakhulu esibangelwa ukutheleleka ngamagciwane. Lolu hlobo lwamagciwane lubhubhisa izicubu zethu ezithambile namaseli egazi. Futhi, la magciwane anda ngokushesha ngaphakathi kwezicubu zemisipha, akhiqize ubuthi futhi akhiphe igesi. Yingakho ibizwa ngokuthi i-gas gangrene. Lokhu kutheleleka kungasakazeka ngokushesha kangangokuthi kungaba yingozi empilweni ngisho naphakathi kwamahora ambalwa.

4. I-Fournier's Gangrene

Lokhu kuyisifo esingavamile kodwa esibi kakhulu esithinta indawo yokuzala.Lokhu kuvame kakhulu kwabesilisa kunabesifazane.

5. I-Gangrene Yangaphakathi

Lokhu kwenzeka lapho ukunikezwa kwegazi esithweni sangaphakathi emzimbeni wethu kunqanyulwa. Isibonelo, lokhu kungenzeka ezithweni ezifana nenyongo, amathumbu, noma i-appendix. Isibonelo, i-cholecystitis engapheli ingabangela ukufa kwezicubu kanye nokubola kwesikhumba.

Ziyini izimpawu ze-gangrene?

Izimpawu zingase zihluke kancane kuye ngohlobo lwe-gangrene. Kodwa-ke, kunezimpawu ezithile ezivamile:

• Ukushintsha kombala wesikhumba: Isikhumba endaweni ethintekile singaba bomvu, nsomi, luhlaza okotshani, noma sibe mnyama.
• Izinguquko ekubunjweni kwesikhumba: Isikhumba singase sibe mhlophe, sizizwe siqinile, noma sizizwe sibanda uma usithinta. Ngezinye izikhathi, kungase kube buhlungu futhi uma usithinta.
• Umsindo othi "chiri chiri" uma isikhumba sicindezelwa: Lokhu kubonisa ukuthi kukhona umoya ngaphansi kwesikhumba (ikakhulukazi uma kukhona i-gangrene emoyeni).
• Ukwanda kwesilinganiso sokuphefumula kanye nesilinganiso senhliziyo.
• Ukuzizwa ungahlaliseki kakhulu, ukhathazekile.
• Izimpawu ezifana nomkhuhlane njengomkhuhlane, ukujuluka, ukubanda kanye nokuhlanza.
• Ukuzwa ubuhlungu obukhulu, noma ukulahlekelwa yiwo wonke umuzwa kuleyo ndawo.
• Ubomvu obuphuma enxebeni noma emathunjini.
• Ukuvuvukala kwendawo ethintekile.

Okubalulekile: Uma unesinye noma ngaphezulu salezi zimpawu, kubalulekile ukufuna iseluleko sezokwelapha ngokushesha. Ungachithi isikhathi.

Umbala wesikhumba ushintsha kanjani lapho kuvela i-gangrene?

Ukushintsha kombala wesikhumba ku-gangrene kuvame ukwenzeka ngezigaba (izigaba eziningana):

1. Okokuqala, isikhumba singase sibonakale simhlophe kunokujwayelekile ngenxa yokuncipha kokugeleza kwegazi.

2. Ngemva kwalokho, iba bomvu noma ibe bomvu ngombala .

3. Okulandelayo, kungaba nsomi noma kube luhlaza okotshani ngaphambi kokuba kube mnyama.

4. Ekugcineni, umbala ungase ube nsomi, ube mnyama oluhlaza okotshani, noma ube mnyama ngokuphelele .

Uma isikhumba sakho simnyama kancane, kungaba nzima ukubona lezi zinguquko zombala ngokucacile. Kodwa-ke, qaphela ezinye izimpawu. Uma kukhona ukutheleleka, ungase ubone uketshezi olunuka kabi oluvela emanxebeni.

Kungani kuvela isilonda esibhibhayo? Ziyini izimbangela?

Isizathu esilula kakhulu ukulahleka kokugeleza kwegazi engxenyeni ethile yomzimba. Izicubu zethu zidinga umoya-mpilo, izakhamzimba, kanye nama-antibodies ukuze zivikele ezifweni. Ngakho-ke, uma izicubu zingatholi igazi, ziqala ukufa.

Kunezizathu eziningana eziyinhloko zokuthi kungani ukugeleza kwegazi kuvinjiwe:

• Izifo ezihlobene nemithambo yegazi: Isibonelo, esimweni esibizwa ngokuthi "i-Peripheral Artery Disease"`, imithambo ethwala igazi emilenzeni iyavaleka. Lokhu kuyimbangela enkulu ye-rown gangrene.
• Amanxeba ajulile: Amanxeba ajulile, njengalawo avela engozini enkulu, angalimaza imithambo yegazi futhi amise ukugeleza kwegazi.
• Izinkinga ezibangelwa ukuhlinzwa (ezingavamile): Ngezinye izikhathi, i-gangrene ingavela futhi njengenkinga ngemva kokuhlinzwa. Kodwa-ke, lokhu akuvamile kakhulu.

Ubani osengozini enkulu yokuthola i-gangrene?

Abanye abantu basengozini enkulu yokuthola i-gangrene kunabanye, ikakhulukazi uma unesifo semithambo yegazi.

• Isifo sikaBuerger: Kulesi simo, imithambo yegazi ezithweni iyavuvukala, kwakheke amahlule egazi, bese ukugeleza kwegazi kuvimbeke.
• Isifo Sikashukela: Isifo sikashukela silimaza imizwa nemithambo yegazi. Futhi, amanxeba kubantu abanesifo sikashukela athatha isikhathi eside ukuphola. Amanxeba aphola kancane avame kakhulu ukutheleleka. Isifo sikashukela sivame kakhulu kithi eSri Lanka. Ngakho-ke, abantu abanesifo sikashukela kudingeka banakekele kakhulu izandla nezinyawo zabo, ikakhulukazi izinyawo zabo. Ungawunaki ngisho nesilonda esincane.
• Isifo Semithambo Engasogwini: Amafutha anqwabelana ngaphakathi kwemithambo yegazi, okuvimbela igazi ukuthi ligeleze kahle liye ezindaweni ezifana nemilenze, izinyawo, nezandla.
• I-Popliteal Artery Entrapment Syndrome: Kulokhu, umthambo wegazi oyinhloko ngemuva kwedolo (umthambo we-popliteal) ucindezelwa umsipha endaweni yedolo. Lokhu kuvimbela ukugeleza kwegazi emlenzeni ongezansi, njengasesikhathini sokuzivocavoca.
• I-Raynaud's syndrome: Uma ibhekene nesimo sezulu esibandayo, imithambo yegazi eminweni nasezinzwaneni iyancipha, ivimbele ukuhamba kwegazi.
• I-Vasculitis: Ukuvuvukala kwemithambo yegazi okuvimbela ukugeleza kwegazi.

Ngaphezu kwalokho, usengozini enkulu yokuba ne-gangrene uma unalezi zimpawu ezilandelayo:

• Ukulimala okubuhlungu.
• Isimiso somzimba sokuzivikela esibuthakathaka. Isibonelo, ngenxa yokutheleleka nge-HIV noma ukwelashwa ngomdlavuza.
• Uma kukhona umonakalo omkhulu wezicubu ngenxa yeqhwa noma ukusha okukhulu.

Uma unezinye zalezi zici eziyingozi, kubalulekile ukubona udokotela njalo ukuze ayohlolwa futhi alandelelwe njengoba kunconywe udokotela wakho. Udokotela wakho uzokweluleka ngezinto ongazenza ekhaya ukuze unciphise ingozi yakho yokuba ne-gangrene (isib. ukunakekela izinyawo zakho kahle nokuthola ukwelashwa okusheshayo kokulimala).

Kutholakale ukuthi eminye imithi yandisa ingozi ye-Fournier's gangrene. Ngakho-ke, udokotela uzokwazisa ngalokhu ngaphambi kokukuqala umuthi omusha.

Yiziphi izinkinga ezingaba khona ze-gangrene?

I-Gangrene yisimo esibi kakhulu, esisongela impilo. Singabangela okulandelayo:

• Ukulahlekelwa yisitho somzimba: Ingxenye efana nomunwe, uzwane, ingalo, noma umlenze kungadingeka inqunywe.
• I-Sepsis: Lokhu kwenzeka lapho amasosha omzimba esabela ekuthelelekeni okusakazeke kuwo wonke umzimba futhi okusongela ukuphila.
• Ukwehluleka kwezitho zomzimba.

Ngezinye izikhathi i-gangrene ingaba yingozi.

Odokotela bakubona kanjani lokhu?

Uma ucabanga ukuthi une-gangrene, kufanele ubonane nodokotela ngokushesha. Udokotela uzokwenza okulandelayo:

• Bazokubuza ngomlando wakho wezokwelapha kanye nezimo zakho zezokwelapha zamanje.
• Ubuza ukuthi kukhona yini ukulimala kwamuva nje.
• Ingxenye yomzimba ethintekile ihlolwa ngokucophelela.
• Kuqhutshwa izivivinyo eziningana ukuze kutholakale ulwazi olwengeziwe.

Izinhlobo zokuhlolwa ongase ube nazo:

• Ukuhlolwa kwegazi: Hlola ukutheleleka kanye namazinga kashukela egazini.
• Ukuhlolwa kokukhuliswa kwamagciwane: Isampula ethathwe esilondeni iyahlolwa ukuze kutholakale ukuthi hlobo luni lwamagciwane olubangela ukutheleleka.
• Ukuhlolwa kwezithombe: Ukuhlolwa okufana ne-X-ray, i-CT scan, kanye ne-MRI kungabonisa umonakalo ezicutshini zomzimba kanye nokuba khona komoya.
• Ukuhlolwa kokugeleza kwegazi: Isibonelo, ukuhlolwa okubizwa ngokuthi i-Ankle-brachial index kungalinganisa inani legazi eligeleza emilenzeni.

Lezi zivivinyo zisiza udokotela ukuthola ukuthi:

• Yini ebangela ukuthi ukugeleza kwegazi kuvinjwe?
• Ingabe kukhona ukutheleleka noma cha?
• Kungakanani umonakalo owenziwe yizicubu?
• Yiziphi izindlela zokwelapha ezingcono kakhulu?

Iphathwa kanjani i-gangrene?

Ukwelashwa kwe-gangrene kunemigomo emithathu eyinhloko: ukuvimba i-gangrene ukuthi ingasabalali, ukususa izicubu ezifile, kanye nokuthuthukisa ukugeleza kwegazi. Ungadinga eyodwa noma ngaphezulu yalezi zindlela zokwelapha.

• Ama-antibiotic: Uma i-gangrene ibangelwa ukutheleleka ngamagciwane, kuzodingeka ama-antibiotic. Udokotela wakho uzokunikeza umthamo ofanele. Lawa anganikezwa ngemithambo yegazi (IV).
• Ukususwa kwesakhiwo:Lena inqubo yezokwelapha esusa izicubu ezifile. Izicubu ezifile (`(izicubu ezihlaselayo)`) azipholi. Ngakho-ke, ukuzisusa yiyona ndlela kuphela. Ukwenza lokhu kuvikela izicubu ezinempilo eziseduze futhi kusiza izicubu ezonakele (kodwa ezingafile) ukuba zelapheke.
• Izindlela zokuthuthukisa ukugeleza kwegazi: Udokotela wakho angenza i-angioplasty (ngezinye izikhathi ene-stent) ukuze andise imithambo yakho. Noma, angenza ukuhlinzwa kwe-bypass ukudala indlela entsha yokugeleza kwegazi eduze kokuvaleka.
• Ukwelashwa Nge-Hyperbaric Oxygen (HBOT): Kulokhu, wenziwa ukuthi uphefumule umoya-mpilo ongu-100% ekamelweni elinomfutho ophezulu. Lokhu kwandisa kakhulu ukutholakala komoya-mpilo ezicutshini zomzimba, kuzisize zelapheke. Lokhu kuwusizo kakhulu ekulimaleni okubangelwa yisifo sikashukela.
• Ukunqunywa kwezicubu: Lena yindlela yokugcina yokwenza lokhu. Ingxenye yomzimba ethintekile - njengomunwe, umlenze, noma ingalo - iyasuswa. Odokotela benza lokhu kuphela uma ezinye izindlela zokwelapha zingakwazi ukusindisa izicubu ezinempilo (noma impilo yakho).

Ngemva kokwelashwa nge-gangrene, kungadingeka ukuthi uhlinzwe nge-graft yesikhumba . Kulokhu, isikhumba sithathwa kwenye indawo enempilo yomzimba wakho bese sisetshenziselwa ukumboza isikhumba esinamabala noma esonakele.

Kufanele ngifune nini iseluleko sezokwelapha? Ingabe kuyisimo esiphuthumayo?

Yebo, impela! Uma unezimpawu ze-gangrene, iya esibhedlela esiseduze ngokushesha, noma ushayele ucingo ku-1990. Futhi, uma unezimpawu ze-septic shock, okusho ukuthi:

• Ukushaya kwenhliziyo okusheshayo, kodwa okubuthakathaka.
• Ukuzizwa udidekile, njengokungathi ingqondo yakho iyaphela.
• Ukuzizwa unesizungu lapho umi.
• Isikhumba siyabanda, sibe manzi, futhi sibe mhlophe.
• Ubunzima bokuphefumula.
• Ukuhlanza noma uhudo.

Uma kunezimpawu ezinjengalezi, nakho kuyisimo esiphuthumayo.

Yini engase ishiwo ngokuphila komuntu onesilonda esibhibhayo?

Lo mbuzo kunzima ukuwuphendula ngoba uncike ezintweni eziningi. Isibonelo:

• I-gangrene isakazeke kangakanani?
• Uthole ukwelashwa ngokushesha kangakanani?
• Yiziphi izingxenye zomzimba ezithintekayo?
• Injani impilo yakho iyonke?

Udokotela okwelaphayo uyazi kangcono isimo sakho. Angakunikeza ulwazi olunembile kakhulu.

Kodwa into eyodwa okufanele uyikhumbule. Uma ingelashwa, i-gangrene ingabulala ngokushesha. Ukuthi ukufa kwenzeka ngokushesha kangakanani kuyahlukahluka kuye ngohlobo lwe-gangrene. I-gas gangrene isakazeka ngokushesha kakhulu. Indawo yezicubu ezifile inganda ngamasentimitha ambalwa ngehora. I-gangrene yegesi ihlala ibulala uma ingelashwa, futhi ngezinye izikhathi ingaba yingozi ngisho nangokwelashwa.

Kunoma yiluphi uhlobo lwe-gangrene, uma ushesha ukufuna ukwelashwa, amathuba akho okusinda ayanda.

Ingabe i-gangrene iyathelelana?

I-gangrene ngokwayo ayithelelani. Okusho ukuthi, ngeke uthole i-gangrene ngokuba seduze nomuntu onesilonda.

Kodwa-ke, amagciwane abangela ukubola kwesikhumba ngezinye izikhathi angasakazekela kwabanye. Indlela amagciwane athinta ngayo umuntu ovezwe yilesi sifo incike ezintweni ezinjengokuthi unawo yini amanxeba nokuthi amasosha omzimba aqinile kangakanani.

Uma wena noma othile emndenini wakho enesifo somdlavuza, khuluma nodokotela ukuze uthole ukuthi yiziphi izinyathelo zokuphepha ezikhethekile okudingeka uzithathe.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kuvamile ukuzizwa wesaba uma uzwa igama elithi i-gangrene, kungakhathaliseki ukuthi kwenzeke kuwe noma kothile omthandayo. Kodwa khumbula, ulwazi lungamandla. Funda okuningi ngangokunokwenzeka ngalesi simo kanye nezinketho zaso zokwelapha.

Ukufuna ukwelashwa ngokushesha kuyithuba elihle kakhulu lokusindisa impilo yakho noma yothandekayo wakho.

Ngesikhathi usalulama, sebenzisana nodokotela wakho ukuze uphathe noma yiziphi izimo ezingase zibangele ukubola kwesisu (isib. isifo sikashukela, izinkinga zemithambo yegazi). Ukwelapha imbangela eyisisekelo yokubola kwesisu kungasiza ekunciphiseni ingozi yezinkinga zesikhathi esizayo. Nakekela impilo yakho, futhi ungaphuthelwa yilutho!

I- Gangrene, ukufa kwezicubu, ukujikeleza kwegazi, ukutheleleka, isifo sikashukela, ukuphulukiswa kwamanxeba, ukunakekelwa okuphuthumayo