Gangrene shine mutuwar cikin gida (necrosis) na kyallen takarda a cikin rayayyun kwayoyin halitta. Yana da haɗari saboda yana cutar da jini tare da gubobi na cadveric kuma yana haifar da ci gaba ga rikice-rikice masu rauni daga gabobin mahimmanci: kodan, huhu, hanta da zuciya. Gangrene a cikin masu ciwon sukari galibi yakan faru idan cutar ciwon sukari ta haɓaka, kuma mara lafiya ba shi da kulawa sosai game da magani.
Putanƙarar Hankali Saƙo
Gangrene a cikin ciwon sukari galibi yakan shafi yatsun ƙafa ko ƙafafun gaba ɗaya. Ita ce mafi tsananin nau'in cutar cututtukan ƙafafun mahaifa. Zai iya haɓaka saboda ɗayan dalilai 2:
- Isar da jini zuwa kyallen kafafu yana da rauni sosai, saboda matsanancin jini kusan an rufe su gaba ɗaya saboda cututtukan atherosclerosis. Wannan ana kiransa ischemic gangrene.
- Cutar cutar sankara ta haifar da rauni a ƙafa ko ƙananan kafa wanda bai warke ba na dogon lokaci. Gangrene yana faruwa idan kwayoyin cutar anaerobic sun fara yawaita a cikin waɗannan raunuka. Wannan ana kiranta da cutar tarin fitsari.
Abinda ke haifar da matsalolin ƙafa a cikin ciwon sukari
Nau'in 1 da nau'in ciwon sukari na 2 babbar barazana ce ga ƙafafun mai haƙuri. Masu ciwon sukari sau da yawa suna da raunuka da raunuka a ƙafafunsu waɗanda ba su yin magani na dogon lokaci, fester kuma suna iya haifar da yanke ko mutuwa daga gangrene. Wannan matsalar tana fuskantar kashi 12-16% na masu fama da cutar sankara, waɗannan miliyoyin mutane ne a duniya. Don dalilan da ke da alaƙar cutar sankara, an rage ƙananan ƙwayar ƙasa fiye da sauran dalilai, gami da haɗarin mota da babur.
Koyaya, cututtukan ƙafafu, waɗanda a cikin ciwon sukari suka haɓaka zuwa raunuka, ba a faruwa kwatsam. Sun bayyana a wuraren da fata na ƙafafu suka lalace. Idan kun bi ka'idodin kulawa da ƙafa a cikin ciwon sukari, zaku iya rage haɗarin kuma ku sami damar motsawa "da kanku."
Idan mai haƙuri da cutar sankara ya kamu da “ƙwarewar” cutar fiye da shekaru 5 kuma duk wannan lokacin yana da cutar hawan jini, wataƙila ya riga ya wuce ko kuma ya daina jinsa a ƙafafunsa. Kafafun kafa sun daina jin zafi, matsi, da yawan zafin jiki. Wannan saboda daɗaɗɗar haɓakar sukari da ke cikin jini sannan ya kashe jijiyoyi waɗanda ke sarrafa jijiyoyin ƙafa. Jijiyoyin da ke da alhakin sakin gumi a jikin fatar ƙafafun su ma sun mutu. Bayan wannan, fatar ta daina yin gumi, ta bushe kuma sau da yawa tana fasa. Fata mai bushe yana haɗarin lalacewa kuma yana warkarwa fiye da lokacin da ake shafa shi a kullun. Fasa a cikin fata ya zama mafaka ga ƙwayoyin cuta masu haɗari.
Me yasa raunin ƙafa a cikin marasa lafiya da ciwon sukari ya warke sosai? Domin dagagge sukari jini ya rushe jini jini a cikin manya da kananan jirage wadanda suke ciyar da kyallen kafafu. Don warkar da rauni, kuna iya buƙatar hawan jini mai ƙarfi wanda yake sau 15 daidai da al'ada. Idan jiki ba zai iya samar da kwararar jini na yau da kullun zuwa wurin lalacewa ba, to ba ya warkarwa, amma akasin haka kawai yana ƙara yin muni. Gangrene na iya haɓaka, kuma kamuwa da cuta zai bazu ko'ina cikin kafa. Haɓaka da yawa, kamuwa da cuta da ke haifar da ƙwayar cuta a cikin ciwon sukari ba a bi da su tare da ƙwayoyin rigakafi saboda ƙwayoyin cuta sun inganta juriya a kansu.
Dry Gangrene don Ciwon sukari
Tare da ciwon sukari, gangrene na iya zama bushe ko rigar. Dry gangrene yakan faru ne yayin da ikon jigilar jini na ƙananan ƙarshen ya ragu a hankali a cikin shekaru da yawa. Don haka, jiki yana da lokaci don daidaitawa, don ƙirƙirar hanyoyin kariya. Dry gangrene a cikin ciwon sukari yawanci yana shafar yatsun. Tisisoshi wadanda a hankali zasu mutu basa kamuwa.
Tare da bushere, za a iya fara jin zafi mai zafi, amma daga baya yatsun da abin ya shafa sun rasa hankalinsu. Sun fara samun bayyanar da mummunar bayyanar, ta fuskar bambanci sosai da kyallen takarda masu lafiya. Warin ba ya nan. Tunda shigar da gubobi a cikin jini ba shi da mahimmanci, yanayin yanayin mai haƙuri ba ya canzawa.
Dry gangrene a cikin ciwon sukari baya barazanar rayuwa. Ana yin yankan yanki ne saboda dalilai na kwaskwarima da kuma prophylaxis don hana kamuwa da cuta kuma don kada kungiyar ta sanya rigar.
Wet gangrene
Rigar gangrene tana da alamomin gaba. Idan ƙwayoyin cuta na anaerobic microbes sun kamu da rauni tare da ciwon sukari na ƙafa, to sai su ninka cikin sauri da sauri. Tissues yana ƙaruwa da ƙarfi, sun bayyana wani takaddara mai launin shuɗi ko launin kore. Liman rurugu na nakasar ya kama ya zama nau'i na lalata jijiyoyinsa, kuma aiwatarwa nan da nan ya shimfiɗa sama da mafi girma tare da kafa.
Tunda sararin samaniya karkashin fata yana cike da sinadarin hydrogen sulfide, ana jin takamaiman sauti da ake kira crepitation lokacin matsi. Wani wari mara dadi wanda yake fitowa daga yankin da gangrene ya shafa. Halin mai haƙuri yana da rauni saboda maye. Tare da rigar gangrene, kawai yankewa na gaggawa zai iya ceton ran mai haƙuri idan ba a rasa lokaci ba.
Yin rigakafi da magani daga cutar sankarar fata
Da farko dai, kuna buƙatar yin nazari kuma ku bi ka'idodi don kulawa da ƙafa ga masu ciwon sukari. Dole ne a kiyaye ƙafafun kafa a hankali don rage haɗarin lalacewa. Sanya takalman orthopedic an bada shawarar sosai. Da kansa mai ciwon sukari ko wani daga dangin ya kamata ya bincika ƙafa a kowane maraice don gano kowane canje-canje. Dole ne a binciki soles tare da madubi.
Idan sabon abrasions, blister, abscesses, ulcers, da sauransu sun bayyana akan kafa, shawarci likita nan da nan. Kada ku bari kowa (ko da likita) ya yanke corns. Wannan shine babban dalilin samuwar ulcers, wanda ke haifar da barandar da kuma yanke ƙafa. Yi nazarin duk takalmin da mai ciwon sukari ya sa don gano damuwa da ke haifar da corns.
Idan ciwon sukari ya bushe bushewa, to magani shine a yi aikin tiyata. Irin wannan aikin, in har yayi nasara, zai iya dawo da ikon jijiyoyin jini wadanda ke ciyar da ƙafafun da abin ya shafa. Yawancin lokaci wannan yana ba marasa lafiya damar guje wa yanki ko kuma kula da ikon yin tafiya "da kansu."
Tare da rigar ƙwayar cuta ta ƙwayar cuta, babu wani magani har yanzu, ban da yanke hanzarin gaggawa. Haka kuma, an fi shi girma sosai fiye da wurin da lalataccen tsari ya lalace. Ka tuna cewa a cikin irin wannan yanayin, ƙin yankewa shine yanke hukuncin kisa, kodayaushe mai sauri, amma mai raɗaɗi.
Don haka, mun koyi menene busasshe da rigar bushewa don ciwon sukari. Idan kayi hankali da lura da cutar ciwon sikari, to tabbas zaku iya guje ma wannan mummunan rikicewar. Bi wani nau'in shirin ciwon sukari na 2 ko nau'in 1 na ciwon sukari.
Karanta abubuwa kuma:
- Cutar ciwon sukari da jiyyarta don hana yanki;
- Jin ciwo a cikin ciwon sukari - abin da za a yi;
- Yadda za a rage sukarin jini zuwa al'ada ita ce hanya mafi kyau.
