I-Gangrene

I-Gangrene ukufa kwezicubu engxenyeni ethile yomzimba.

I-gangrene yenzeka lapho ingxenye yomzimba ilahlekelwa ukunikezwa kwegazi. Lokhu kungenzeka ngenxa yokulimala, ukutheleleka, noma ezinye izimbangela. Unobungozi obukhulu bokulimala uma une:

• Ukulimala kanzima
• Isifo semithambo yegazi (njenge-arteriosclerosis, esibizwa nangokuthi ukuqina kwemithambo, ezingalweni noma emilenzeni)
• Isifo sikashukela
• Amasosha omzimba acindezelwe (ngokwesibonelo, avela kwi-HIV / AIDS noma ngamakhemikhali)
• Ukuhlinzwa

Izimpawu zixhomeke endaweni nasembangela wesilonda. Uma isikhumba sithintekile, noma ukulimala kuseduze kwesikhumba, izimpawu zingafaka:

• Ukuguqulwa kombala (okuluhlaza okwesibhakabhaka noma okumnyama uma isikhumba sithintekile; okubomvu noma ithusi uma indawo ethintekile ingaphansi kwesikhumba)
• Ukukhishwa okunuka kabi
• Ukulahlekelwa umuzwa endaweni (okungenzeka ngemuva kobuhlungu obukhulu endaweni)

Uma indawo ethintekile ingaphakathi komzimba (njengokulimala kwe-gallbladder noma i-gas gangrene), izimpawu zingafaka:

• Ukudideka
• Imfiva
• Igesi ezicutshini ngaphansi kwesikhumba
• Ukuzizwa okuvamile
• Umfutho wegazi ophansi
• Ubuhlungu obuqhubekayo noma obukhulu

Umhlinzeki wezokunakekelwa kwempilo angaxilonga ukulimala kokuhlolwa komzimba. Ngaphezu kwalokho, izivivinyo nezinqubo ezilandelayo zingasetshenziselwa ukuxilonga izilonda ezibolile:

• I-Arteriogram (i-x-ray ekhethekile ukubona noma yikuphi ukuvimba emithanjeni yegazi) ukusiza ukuhlela ukwelashwa kwezifo zomthambo wegazi
• Ukuhlolwa kwegazi (ukubalwa kwamaseli amhlophe egazi [WBC] kungaba phezulu)
• I-CT scan ukuhlola izitho zangaphakathi
• Isiko lezicubu noma uketshezi oluvela emanxebeni ukukhomba ukutheleleka kwamagciwane
• Ukuhlola izicubu ngaphansi kwesibonakhulu ukubheka ukufa kweseli
• Ama-X-ray

I-Gangrene idinga ukuhlolwa okuphuthumayo nokwelashwa. Ngokuvamile, izicubu ezifile kufanele zisuswe ukuvumela ukwelashwa kwezicubu eziphilayo ezizungezile nokuvikela ukutheleleka okuqhubekayo. Ngokuya ngendawo enesilonda esibucayi, isimo somuntu jikelele, kanye nembangela yesibazi, ukwelashwa kungafaka:

• Ukunquma isitho somzimba esinesibazi
• Umsebenzi ophuthumayo wokuthola nokususa izicubu ezifile
• Umsebenzi wokuthuthukisa ukuhanjiswa kwegazi endaweni
• Imithi elwa namagciwane
• Imisebenzi ephindaphindiwe ukususa izicubu ezifile (ukukhishwa)
• Ukwelashwa egumbini labagula kakhulu (kubantu abagula kakhulu)
• Ukwelashwa kwehyperbaric oksijini ukuthuthukisa inani leoksijini egazini

Yini ongayilindela kuya ngokuthi isibazi sikuphi emzimbeni, ukuthi sikhona kangakanani isibazi, kanye nesimo somuntu jikelele. Uma ukwelashwa kubambezeleka, ukuvuvukala kubanzi, noma umuntu unezinye izinkinga ezinkulu zezokwelapha, lowo muntu angafa.

Izinkinga zixhomeke ekutheni isidumbu sikhona kuphi emzimbeni, singakanani isibazi esibolile, imbangela yokulimala, nesimo somuntu jikelele. Izinkinga zingafaka:

• Ukukhubazeka ekunqunyweni noma ekususweni kwezicubu ezifile
• Ukuphulukiswa kwesilonda isikhathi eside noma isidingo sokuhlinzwa kabusha, njengokuxhunyelelwa kwesikhumba

Shayela umhlinzeki wakho ngokushesha uma:

• Isilonda asipholi noma kunezilonda ezivamile endaweni
• Indawo yesikhumba sakho iphenduka iluhlaza okwesibhakabhaka noma ibe mnyama
• Kukhona ukukhipha okunuka kabi kunoma yisiphi isilonda emzimbeni wakho
• Unezinhlungu eziphikelelayo, ezingachazeki endaweni
• Unomkhuhlane ophikelelayo, ongachazeki

I-gangrene ingavinjelwa uma yelashwa ngaphambi kokuba umonakalo wezicubu ungalungiseki. Amanxeba kufanele alashwe kahle futhi abhekwe ngokucophelela izimpawu zokutheleleka (njengokusabalalisa ububomvu, ukuvuvukala, noma ukudonsa amanzi) noma ukwehluleka ukuphola.

Abantu abanesifo sikashukela noma isifo semithambo yegazi kufanele bahlole njalo izinyawo zabo ukuthola noma yiziphi izimpawu zokulimala, ukutheleleka, noma ukuguquka kombala wesikhumba futhi bafune ukunakekelwa lapho kudingeka.

• I-Gangrene

UBrownlee M, Aiello LP, uSun JK, et al. Izinkinga zesifo sikashukela. Ku: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2020: isahluko 37.

Bury J. Izimpendulo zokulimala kwamaselula. Ku: Cross SS, ed. I-Underwood's Pathology: Indlela Yomtholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2019: isahluko 5.

Scully R, Shah SK. Isigaxa sonyawo. Ku: UCameron AM, uCameron JL, ama-eds. Ukwelashwa Kwamanje. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2020: 1047-1054.