Chikwata

Gangrene kufa kwetishu muchikamu chemuviri.

Gangrene inoitika kana chikamu chemuviri chikarasikirwa neropa. Izvi zvinogona kuitika kubva mukukuvara, chirwere, kana zvimwe zvikonzero. Iwe une njodzi yakakwira yechironda kana iwe uine:

• Kukuvara kwakakomba
• Ropa remidzi chirwere (senge arteriosclerosis, inonziwo kuomarara kwetsinga, mumaoko ako kana makumbo)
• Chirwere cheshuga
• Akadzvinyirirwa immune system (semuenzaniso, kubva kuHIV / AIDS kana chemotherapy)
• Kuvhiya

Zviratidzo zvinoenderana nenzvimbo uye chinokonzeresa. Kana ganda riripo, kana gomarara riri padyo neganda, zviratidzo zvinogona kusanganisira:

• Kubvisa (bhuruu kana dema kana ganda rakakanganiswa; tsvuku kana bronze kana nzvimbo yakakanganiswa iri pasi peganda)
• Kusviba kunonhuwirira
• Kurasikirwa kwekunzwa munzvimbo (izvo zvinogona kuitika mushure mekurwadziwa kwakanyanya munzvimbo)

Kana iyo nzvimbo yakakanganiswa iri mukati memuviri (senge ronda renduru kana gasi rinokuvadza), zviratidzo zvinogona kusanganisira:

• Kuvhiringidzika
• Kupindwa nechando
• Gasi mumatukisi ari pasi peganda
• Kazhinji kurwara kunzwa
• Kuderera kweropa
• Kuramba kana kurwadziwa kwakanyanya

Anopa hutano anogona kuona kuti ane gonda rinobva pakuongorora kwemuviri. Uye zvakare, bvunzo dzinotevera uye maitiro anogona kushandiswa kuongorora maronda.

• Arteriogram (yakakosha x-ray kuti uone chero mabhureki mumidziyo yeropa) kubatsira kuronga kurapwa kweropa remidzi chirwere
• Kuongororwa kweropa (chena ropa masero esero [WBC] kuverenga kunogona kuve kwakakwirira)
• CT scan kuongorora nhengo dzemukati
• Tsika yetishu kana fluid kubva pamaronda kuti aone hutachiona hutachiona
• Kuongorora zvinyama pasi pe microscope kutsvaga sero kufa
• X-ray

Gangrene inoda kuongororwa nekukurumidza uye kurapwa. Kazhinji, zvinyama zvakafa zvinofanirwa kubviswa kuti zvibvumire kupora kwezvipenyu zvakakomberedza uye kudzivirira zvimwe hutachiona. Zvichienderana nenzvimbo ine maronda, mamiriro emunhu wacho, uye chinokonzera gonda, kurapwa kunogona kusanganisira:

• Kugura nhengo yemuviri ine ronda
• Kuvhiya kwekukurumidzira kutsvaga uye kubvisa nyama dzakafa
• Kuvhiya kwekuvandudza kuwedzerwa kweropa kunharaunda
• Mishonga inorwisa mabhakitiriya
• Kudzokorora mashandiro kubvisa nyama dzakafa (kubviswa)
• Kurapa mukamuri yekurapa (kune vanhu vanorwara zvakanyanya)
• Hyperbaric oxygen Therapy yekuvandudza huwandu hweoksijeni muropa

Zvaunotarisira zvinoenderana nekuti gomarara iri mumuviri, ronda rakawanda sei, nehutano hwomunhu hwese. Kana kurapwa kukanonoka, ronda racho rakakura, kana munhu wacho aine mamwe matambudziko akakosha ekurapa, munhu anogona kufa.

Matambudziko anoenderana nekuti chironda chiripapi mumuviri, chironda chakawanda zvakadii, chinokonzera gonda, nehutano hwemunhu. Zvinetso zvinogona kusanganisira:

• Kuremara kubva pakudimburwa kana kubviswa kwetishu dzakafa
• Kurapa kwenguva refu kwemaronda kana kudiwa kwekuvhiyiwa kwekuvakazve, sekubatanidzwa kweganda

Fonera mupiki wako ipapo kana:

• Ronda haripore kana kuti pane maronda anowanzoitika munzvimbo
• Nzvimbo yeganda rako inoshanduka kuita yebhuruu kana nhema
• Iko kune kunhuwa-kunhuwa kubva pane chero ronda pamuviri wako
• Iwe une kurwadziwa kusingaperi, kusinganzwisisike mune imwe nzvimbo
• Iwe une kuenderera, kusatsanangurwa fivha

Gangrene inogona kudzivirirwa kana ikarapwa zvisati zvakuvara zvinyama zvisingadzoreke. Maronda anofanirwa kurapwa zvakanaka uye akatariswa zvakaringana zviratidzo zvehutachiona (sekuparadzira kutsvuka, kuzvimba, kana kubuda) kana kutadza kupora.

Vanhu vane chirwere cheshuga kana chirwere chemutsipa weropa vanofanira kugara vachiongorora tsoka dzavo kuti vaone kana paine zviratidzo zvekukuvara, hutachiona, kana shanduko paganda reganda uye vanotsvaga kutarisirwa pazvinenge zvichidiwa

• Chikwata

Brownlee M, Aiello LP, Sun JK, et al. Matambudziko eshuga mellitus. Mune: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Chinyorwa cheEndocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: chits. 37.

Kuviga J. Mhinduro kune kukuvara kwemaseru. Mu: Muchinjikwa SS, ed. Underwood's Pathology: Inzira yeKliniki. 7th ed. Philadelphia, PA: Elsevier; 2019: chits.

Scully R, Shah SK. Gangrene yetsoka. Mune: Cameron AM, Cameron JL, eds. Parizvino Kuvhiya Therapy. 13 ed. Philadelphia, PA: Elsevier; 2020: 1047-1054.