Kuyini ukubola, izimpawu, izimbangela nokuthi kufanele welashwe kanjani

-Delile

• Izimpawu eziyinhloko
• Yelashwa kanjani
• 1. Ukuhlinzwa kwe-Debridement
• 2. Ukunqunywa
• 3. Imithi elwa namagciwane
• 4. I-Bypass noma i-angioplasty
• Izimbangela ezingaba khona

I-gangrene yisifo esibi esivela lapho indawo ethile yomzimba ingatholi inani elidingekayo legazi noma ihlushwa isifo esibi, esingadala ukufa kwezicubu futhi sidale izimpawu ezifana nobuhlungu esifundeni esithintekile, ukuvuvukala nokuguquka kwesikhumba umbala., isibonelo.

Izifunda zomzimba ezithinteka kakhulu yiminwe, izinyawo, izingalo, imilenze nezandla.

Ngokuya ngobukhulu, indawo noma izimbangela, ukuvuvukala komzimba kungahlukaniswa ngezinhlobo eziningana:

• Ukulimala kwegesi: kwenzeka ezingxenyeni ezijule kakhulu zemisipha ngenxa yokutheleleka ngamagciwane akhiqiza igesi. Lolu hlobo luvame kakhulu ngemuva kokungenwa yizilonda noma ukuhlinzwa;
• Isilonda esibolayo esomile: kukhula lapho isifunda somzimba singatholi inani elidingekayo legazi futhi sigcine sife ngenxa yokushoda komoya-mpilo, okuvame kakhulu kubantu abanesifo sikashukela kanye ne-atherosclerosis;
• Ukubola okumanzi: kuyenzeka lapho ingxenye ethile yomzimba iba nokutheleleka okungathi sína okudala ukushona kwezicubu, njengasesimweni sokusha, ukulimala ngenxa yamakhaza amakhulu, okumele alashwe ngokushesha, ngoba afaka impilo yomuntu engozini;
• Isilonda sikaFournier: kuvela ngenxa yokutheleleka esifundeni sangasese, kuvame kakhulu emadodeni. Funda kabanzi ngalesi sifo.

Ngokuya ngesizathu sayo kanye nesimo sokuvela kwayo, isilonda esibolile singalapheka futhi, imvamisa, ukwelashwa kudinga ukwenziwa ngenkathi usesibhedlela.

Izimpawu eziyinhloko

Izimpawu ezivamile zokulimala zihlanganisa:

• Shintsha umbala wesikhumba esifundeni, uqale ube bomvu bese wenza mnyama;
• Ukuvuvukala kwesikhumba nokunciphisa ukuzwela;
• Amanxeba noma amabhamuza akhipha uketshezi olunephunga elibi;
• Imfiva;
• Isikhumba esibandayo esifundeni esithintekile;
• Isikhumba esingenza imisindo, njengokuqhekeka, ekuthinteni;
• Kungaba nobuhlungu kwezinye izimo.

Njengoba isilonda esibolayo yisifo esiya ngokuya siba sibi ngokuhamba kwesikhathi, lapho nje kutholakala ushintsho esikhunjeni, kubaluleke kakhulu ukuxhumana nodokotela wesikhumba noma udokotela ojwayelekile ukuthola inkinga nokuqala ukwelashwa okufanele, ngoba ukuxilongwa kusenesikhathi kusiza ukwelashwa.

Yelashwa kanjani

Ukwelashwa kwesilonda esibhibhayo kuyehluka kuye ngembangela ebangela ukufa kwezicubu, noma kunjalo, imvamisa kubandakanya ukufaka izicubu esezivele zithintekile nokulungisa imbangela, okuvumela umzimba ukuthi uphole.

Ngakho-ke, izindlela ezahlukahlukene zokwelashwa zingasetshenziswa, ezibandakanya:

1. Ukuhlinzwa kwe-Debridement

Ukuhlinzwa kwe-Debridement kwenziwa cishe kuzo zonke izimo ukuze kususwe izicubu esezifile futhi ezivimbela ukwelashwa nokwenza lula ukukhula kwama-bacterium, okuvimbela ukutheleleka ukuthi kusabalale nokuthi izicubu ezithintekile zelapheke. Ngakho-ke, ngokuya ngenani lezicubu ezizosuswa, kungadingeka kuphela ukuhlinzwa okuncane nge-anesthesia yendawo, ehhovisi likadokotela wesikhumba, noma ukuhlinzwa okukhulu nge-anesthesia ejwayelekile, esibhedlela.

Enye indlela, esetshenziswa ikakhulukazi ezimweni ezinesilinganiso esincane sezicubu ezifile, ukusetshenziswa kwezibungu ukususa izicubu ezithintekile. Ngokuvamile, le ndlela iba nemiphumela engcono ekulawuleni okususiwe, ngoba izibungu zidla kuphela izicubu ezifile, zishiya zinempilo.

2. Ukunqunywa

Ezimweni ezibucayi kakhulu, lapho umqubuko usuvele usabalele kulo lonke isitho futhi sekuvele kunezicubu ezincane ezinempilo zokonga, udokotela angaluleka ukwelulwa, lapho ingalo noma umlenze wonke othintekayo ususwa ngokuhlinzwa ukuze uvikele umkhuhlane. lomzimba.

Kulezi zimo, kufakwa namalungu okufakelwa angenziwa esikhundleni sezitho zomzimba ezithintekile, okusiza ekugcineni izinga lomuntu lokuphila.

3. Imithi elwa namagciwane

Ama-antibiotic asetshenziswa noma nini lapho ukuvuvukala kubangelwa ukutheleleka futhi kusiza ukuqeda amabhaktheriya asele ngemuva kokuhlinzwa ukususa izicubu ezifile, isibonelo. Njengoba kusebenza kahle ukuphatha le mithi ngomthambo, ukwelashwa kuvame ukwenziwa ngenkathi usesibhedlela futhi kwaqala ngaphambi noma ngemuva nje kokuhlinzwa.

4. I-Bypass noma i-angioplasty

I-Bypass ne-angioplasty yizindlela ezimbili zokuhlinza ezijwayele ukusetshenziswa lapho ukulimala kubangelwa inkinga eyenza kube nzima ukuthi igazi lidlulele esifundeni esithile.

Izimbangela ezingaba khona

I-Gangrene ivela lapho izicubu zingayitholi i-oxygen edingekayo ukuze iphile futhi, ngakho-ke, izimbangela ezinkulu zifaka izifo kanye nezinkinga zokujikeleza kwegazi njenge:

• Isifo sikashukela esingalawulwa;
• Ukusha okukhulu;
• Ukuhlala isikhathi eside emakhazeni amakhulu;
• Isifo sikaRaynaud;
• Imivimbo enamandla;
• Ukuhlinzwa;
• Amasosha omzimba abuthakathaka;
• Ukutheleleka kwamanxeba esikhunjeni.

Ngaphezu kwalokho, abantu ababhemayo, abakhuluphele ngokweqile, abaphuza utshwala ngokweqile noma abanamasosha omzimba abuthakathaka nabo basengozini enkulu yokuhlaselwa yisilonda esibolile.

Kubalulekile ukulandela imiyalo kadokotela yokunakekelwa kwendawo ebolile, ngoba uma kungenjalo, kungahle kube nezinkinga, njengokuhanjiswa kwe-intravascular coagulation noma ukunqunywa kwesitho esithintekile.