Uqhekeko

I-Gangrene kukufa kwethishu kwinxalenye yomzimba.

I-Gangrene yenzeka xa ilungu lomzimba liphulukana negazi lalo. Oku kunokwenzeka ngenxa yokulimala, usulelo, okanye ezinye izizathu. Unomngcipheko ophezulu wokubola xa unayo:

• Ukulimala kakhulu
• Isifo semithambo yegazi (njenge-arteriosclerosis, ekwabizwa ngokuba lukhuni kwemithambo, ezingalweni okanye emilenzeni)
• Seswekile
• Ukuxhatshazwa komzimba (umzekelo, kwi-HIV / AIDS okanye kwi-chemotherapy)
• Ugqirha

Iimpawu zixhomekeke kwindawo kunye nonobangela wesifo esibuhlungu. Ukuba ulusu luyabandakanyeka, okanye isikhumba sisondele esikhumbeni, iimpawu zinokubandakanya:

• Ukuchithwa kombala (okwesibhakabhaka okanye omnyama ukuba ulusu luchaphazelekayo; obomvu okanye ubhedu ukuba indawo echaphazelekayo iphantsi kwesikhumba)
• Ukukhutshwa okunuka kakubi
• Ukuphulukana nemvakalelo kwindawo (enokuthi yenzeke emva kwentlungu ebuhlungu kuloo ndawo)

Ukuba indawo echaphazelekayo ingaphakathi komzimba (njenge-gangrene ye-gallbladder okanye i-gas gangrene), iimpawu zingabandakanya:

• Ukudideka
• Ifiva
• Irhasi kwizicwili ezingaphantsi kolusu
• Imvakalelo yokugula ngokubanzi
• Uxinzelelo lwegazi oluphantsi
• Iintlungu ezingapheliyo okanye ezibuhlungu

Umboneleli wezempilo unokuchonga ukubola kwesilonda kuvavanyo lomzimba. Ukongeza, olu vavanyo lulandelayo kunye neenkqubo zinokusetyenziselwa ukufumanisa isifo sokuqhinwa:

• I-Arteriogram (i-x-ray ekhethekileyo ukubona naziphi na izithintelo kwimithambo yegazi) ukunceda ukucwangcisa unyango lwezifo zemithambo yegazi
• Uvavanyo lwegazi (ukubala kweeseli ezimhlophe zegazi [WBC] kunokuba phezulu)
• Ukuvavanywa kwe-CT ukuvavanya amalungu angaphakathi
• Inkcubeko yethishu okanye ulwelo olusuka emanxebeni ukuchonga intsholongwane
• Ukuvavanya izicwili phantsi kwemicroscope ukujonga ukufa kweseli
• X-reyi

I-Gangrene ifuna uvavanyo kunye nonyango olungxamisekileyo. Ngokubanzi, izicwili ezifileyo kufuneka zisuswe ukuvumela ukuphilisa izicwili ezijikelezileyo kunye nokuthintela ukosuleleka ngakumbi. Kuxhomekeke kwindawo enesifo esonakeleyo, imeko yomntu iyonke, kunye nonobangela wesilonda, unyango lunokubandakanya:

• Kukususa ilungu lomzimba elonakeleyo
• Umsebenzi ongxamisekileyo wokufumana nokususa izicwili ezifileyo
• Utyando lokuphucula ukuhanjiswa kwegazi kuloo ndawo
• Amayeza okubulala iintsholongwane
• Umsebenzi ophindaphindiweyo wokususa izicwili ezifileyo (ukususwa)
• Unyango kwigumbi labagula kakhulu (kubantu abagula kakhulu)
• Unyango lweoksijini lwehyperbaric ukuphucula isixa seoksijini egazini

Yintoni onokuyilindela ixhomekeke ekubeni siphi na isilonda esisemzimbeni, nokuba sibuhlungu kangakanani, kunye nemeko yomntu iyonke. Ukuba unyango lulibazisekile, i-gangrene ibanzi, okanye umntu unezinye iingxaki zonyango ezibalulekileyo, umntu angafa.

Iingxaki zixhomekeke ekubeni kuphi apha emzimbeni, kukukrala okukhoyo, kungakanani ukubola, unobangela wesilonda, kunye nemeko yomntu iyonke. Iingxaki zinokubandakanya:

• Ukukhubazeka kunqunyulwa okanye ukususwa kwezicubu ezifileyo
• Ukuphiliswa kwesilonda ixesha elide okanye isidingo sokwakhiwa kotyando, njengokudibanisa ulusu

Fowunela umboneleli wakho ngoko nangoko ukuba:

• Inxeba alipholi okanye kukho izilonda rhoqo kwindawo leyo
• Indawo yesikhumba sakho ijike ibe luhlaza okwesibhakabhaka okanye mnyama
• Kukho ukuphuma okunuka kakubi kulo naliphi na inxeba emzimbeni wakho
• Unentlungu eqhubekayo, engachazwanga kwindawo
• Unomkhuhlane oqhubekayo, ongachazwanga

I-Gangrene inokuthintelwa ukuba inyangwa ngaphambi kokuba umonakalo wethishu ungenakulungiswa. Amanxeba kufuneka aphathwe ngokufanelekileyo kwaye ajongwe ngononophelo kwiimpawu zosulelo (njengokuhambisa ububomvu, ukudumba, okanye ukuhambisa amanzi) okanye ukusilela ukuphilisa.

Abantu abanesifo seswekile okanye isifo semithambo yegazi kufuneka bahlole iinyawo zabo rhoqo ukuba akukho miqondiso yokulimala, usulelo, okanye utshintsho kumbala wolusu kwaye bafune ukhathalelo njengoko kufuneka.

• Uqhekeko

UBrownlee M, uAiello LP, uSun JK, et al. Iingxaki zesifo seswekile. Ku: UMelmed S, uAuchus RJ, uGoldfine AB, uKoenig RJ, uRosen CJ, ii-eds. Incwadi ebhaliweyo kaWilliam ye-Endocrinology. Umhla we-14. IPhiladelphia, PA: Elsevier; 2020: isahluko 37.

Bury J. Iimpendulo kumonzakalo weselula. Ku: Umnqamlezo we-SS, ed. Underwood's Pathology: Indlela yonyango. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 5.

Scully R, Shah SK. Ukudakumba konyawo. Ku: ICameron AM, uCameron JL, ii-eds. Unyango lwangoku lonyango. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2020: 1047-1054.