Yintoni ukubola, iimpawu, oonobangela kunye nendlela yokunyanga

Umxholo

• Iimpawu eziphambili
• Unyango lwenziwa njani
• 1. Utyando lokuthotywa isidima
• 2. Ukunqunyulwa
• 3. Amayeza okubulala iintsholongwane
• 4. I-Bypass okanye i-angioplasty
• Izizathu ezinokubangela

I-Gangrene sisifo esibuhlungu esivela xa indawo ethile yomzimba ingafumani mali iyimfuneko yegazi okanye inesifo esosulelayo, esinokubangela ukusweleka kwezicubu kwaye zibangele iimpawu ezinjengentlungu kummandla ochaphazelekayo, ukudumba kunye notshintsho kulusu umbala., umzekelo.

Imimandla yomzimba echaphazeleka kakhulu yiminwe, iinyawo, iingalo, imilenze nezandla.

Kuxhomekeka kubukhali, indawo okanye unobangela, isifo somhlaza sinokuhlukaniswa ngeendlela ezininzi:

• Irhasi ebilayo: kwenzeka kweyona miqolo inzulu yemisipha ngenxa yosulelo olwenziwa yintsholongwane evelisa igesi. Olu hlobo luxhaphake kakhulu emva kokosulelwa ngenxeba okanye kotyando;
• Isilonda esomileyo: Ikhula xa ummandla womzimba ungafumani mali ifanelekileyo kwaye uphele usweleka ngenxa yokunqongophala kweoksijini, exhaphake kubantu abanesifo seswekile kunye ne-atherosclerosis;
• Amanxeba emanzi: kuyenzeka xa ilungu lomzimba lithwaxwa sisifo esibuhlungu esibangela ukusweleka kwezihlunu, njengakwimeko yokutsha, ukwenzakala ngenxa yengqele eqatha, ekufuneka inyangwe kwangoko, kuba ibeka ubomi bomntu engozini;
• Isifo esibuhlungu sikaFinenier: ivela ngenxa yokosuleleka kummandla wesini, ukuhlala rhoqo kumadoda. Funda ngakumbi ngesi sifo.

Kuxhomekeke kwisizathu sayo kunye nakwimeko yendaleko, i-gangrene iyanyangeka kwaye, rhoqo, unyango kufuneka lwenziwe ngelixa usesibhedlele.

Iimpawu eziphambili

Iimpawu eziqhelekileyo zokubola zibandakanya:

• Guqula umbala wolusu kule ngingqi, uqale ujike ube bomvu emva koko ube mnyama;
• Ukudumba kolusu kunye nokunciphisa ubuntununtunu;
• Amanxeba okanye amadyungudyungu akhupha ulwelo olunuka kakubi;
• Ifiva;
• Ulusu olubandayo kummandla ochaphazelekayo;
• Ulusu olunokwenza ingxolo, njengokuqhekeka, ngaphandle kwebala;
• Kunokubakho iintlungu kwezinye iimeko.

Kuba isilonda esibukhali sisifo esiya sisiba mandundu ngokuhamba kwexesha, kwakamsinya nje ukuba kubonwe ulusu, kubaluleke kakhulu ukuba uqhagamshelane nodokotela wesikhumba okanye ugqirha jikelele ukuze achonge ingxaki kwaye aqalise unyango olufanelekileyo, kuba ukuxilongwa kwangoko kunceda ukuphilisa.

Unyango lwenziwa njani

Unyango lwesilonda esibuhlungu luyahluka ngokwonobangela wokubulawa kwezihlunu, nangona kunjalo, ihlala ibandakanya ukususa izicwili esele zichaphazele kunye nokulungisa unobangela, ukuvumela umzimba ukuba uphile.

Ke, iindlela ezahlukeneyo zonyango zingasetyenziswa, ezibandakanya:

1. Utyando lokuthotywa isidima

Utyando lwe-Debridement lwenziwa phantse kuwo onke amatyala ukususa izicwili esele zifile kwaye ezithintela ukuphilisa kunye nokuququzelela ukukhula kweebhaktiriya, kuthintela usulelo ekusasazeni nakwizicubu ezichaphazelekayo ukuba ziphilise. Ke, kuxhomekeke kubungakanani bethishu ekufuneka isuswe, kunokuba yimfuneko ukwenza utyando oluncinci nge-anesthesia yendawo, kwiofisi yesikhumba, okanye utyando olukhulu nge-anesthesia ngokubanzi, esibhedlele.

Enye inketho, esetyenziswa ngakumbi kwiimeko ezinobungakanani obuncinci bezicubu ezifileyo, kukusetyenziswa kwemibungu ukususa izicwili ezichaphazelekayo. Ngokubanzi, obu buchule buneziphumo ezingcono kulawulo lwento esusiweyo, kuba imibungu itya kuphela inyama efileyo, iyishiya isempilweni.

2. Ukunqunyulwa

Kwiimeko ezinzima kakhulu, apho ukubola sele kunwenwele kwilungu lomzimba kwaye sele kukho izicwili ezincinci ezinempilo zokonga, ugqirha unokucebisa ngokunqunyulwa, apho ingalo okanye umlenze ochaphazelekayo ususwe ngotyando ukunqanda ukubola. yomzimba.

Kwezi meko, kufakwa amalungu angengowamvelo endaweni yamalungu achaphazelekayo, ukunceda ukugcina obunye ubomi bomntu.

3. Amayeza okubulala iintsholongwane

Amayeza okubulala iintsholongwane asetyenziswa nanini na ukubola kubangelwa lusulelo kwaye kunceda ekupheliseni iintsholongwane ezisele emva kotyando ukususa izicwili ezifileyo, umzekelo. Kuba kusebenza ngakumbi ukuhambisa la mayeza ngomthambo, unyango luhlala lwenziwa ngelixa usesibhedlele kwaye luqale ngaphambi okanye kwakamsinya emva kotyando.

4. I-Bypass okanye i-angioplasty

I-Bypass kunye ne-angioplasty ziindlela ezimbini zotyando eziqhelekileyo ezisetyenziswa xa isilonda sibangelwa yingxaki eyenza ukuba kube nzima ukuba igazi lidlulele kwingingqi ethile.

Izizathu ezinokubangela

Ukuqunjelwa kuvela xa izicwili zingayifumani ioksijini efunekayo ukuze iphile kwaye, ke, oyena nobangela uphambili kubandakanya usulelo kunye neengxaki zokuhamba kwegazi ezinje:

• Isifo seswekile esingalawulwayo;
• Ukutsha kakhulu;
• Ukuhlala ixesha elide kubanda kakhulu;
• Isifo sikaRaynaud;
• Imivimbo eyomeleleyo;
• Uqhaqho;
• Amajoni omzimba buthathaka;
• Usulelo lwezilonda elukhumbeni.

Ukongeza, abantu abatshayayo, abatyebe ngokugqithisileyo, abasela utywala ngokugqithisileyo okanye amajoni omzimba abuthathaka nabo basemngciphekweni omkhulu wokuhlaselwa sisilonda esibuhlungu.

Kubalulekile ukulandela imiyalelo kagqirha malunga nokukhathalela indawo enesilonda, kuba kungenjalo, zinokubakho iingxaki, ezinje ngokusasazeka kwe-intravascular coagulation okanye ukusika kwelungu elichaphazelekayo.