Idan phlegmon yana tasowa a cikin ciwon sukari na mellitus, wannan yana rikita batun sosai, yana kara yanayin yanayin haƙuri. Irin wannan rauni yakan haifar da ci gaba ta hanyar 'gangrene', wanda a cikin hakan ne kawai aka nuna ragowar daga cikin yatsun kafa mai rauni.
Phlegmon wani tsari ne mai kumburi wanda yake shafar kitse. Yawancin lokaci, irin wannan rauni na ƙananan ƙarshen yana da yawa, da bambanci ga ƙurji (mafi yawan nau'in rauni na purulent), phlegmon yana da alaƙa ga yaduwar aiki, ba shi da iyaka.
Cutar kumburin ciki, idan ta yi gaba da tushen ciwon sukari, ya zama sakamakon wani tsarin abin da ke tattare da shi, yana rufe tsarin jijiyoyi da jijiyoyin jiki.
Musamman mawuyacin jiyya shine cewa phlegmon tsari ne na dabi'a, baza'a iya tsaida shi ba tare da maido da samarda jini da abinda ke cikin jiki ba. A saboda wannan dalili, tilas ne magani ya zama cikakke.
Sanadin kafalegon ƙafa
Babban dalilin cutar a cikin masu ciwon sukari shine raguwa a cikin sarrafa sukari na jini. Tare da hyperglycemia, kusan dukkanin kyallen jiki suna wahala, da ƙananan tasoshin jini da ƙarshen jijiya na ƙarshen ƙarshen a farkon. Sabili da haka, mai haƙuri ya rasa hankali a cikin kafafu, zai iya sa takalmin da ba girmansa ba kuma a lokaci guda baya jin wani rashin jin daɗi.
Bugu da ƙari, phlegmon yana da alaƙa da irin wannan abin mamaki kamar su arteries. A cikin yanayin cuta, lalacewar arterioles yana faruwa, akwai asarar haɗin:
- sadarwa;
- na biyu
Wadannan cututtukan raunuka galibi sune farawar rashin jijiyoyin bugun zuciya, yana shafar yanayin ragowar kasusuwa.
Tare da phlegmon na ƙafa, idan ya haɓaka da asalin ciwon sukari mellitus, abinci mai kyallen takarda tare da abubuwa masu amfani da iskar oxygen shine farkon, sannan kuma an lura da ischemia da mutuwa. Haka kuma, tsananin karfin kashewar nama na iya zama dayawa, yana faruwa wanda ya faru ga gangamin babban yanki na nama ko yatsu dayawa lokaci daya.
Bugu da kari, hargitsi na rayuwa ya zama abu mai haifar da damuwa ga atherosclerosis na manyan jijiya, tun da yiwuwar samuwar plaques a kan magudanar jini wanda zai iya toshe hanyoyin hawan jini. Tare da wannan haɓakar cutar, tsarin necrotic ya haɗa da:
- sararin wurare na nama;
- gaba daya kafafun gaba daya.
Ya kamata a fahimta cewa phlegmon cuta ce mai ƙonewa ta cututtukan etiology. Yana haɓaka sakamakon lalacewar ƙwayar nama, wacce take kyakkyawar muhalli ga ƙwayoyin cuta da yawa.
Tunda phlegmon ya bayyana daidai tare da raunin necrotic na kafafu wanda ke hade da isasshen zagayawa cikin jini, lalacewar nama ba zai iya zama ta farko ba. Kusan koyaushe, don ceton rayuwar mutum, ya zama dole don cire ƙwayar da ta lalace, wani lokacin kuma gaba ɗaya reshe. Ta wannan hanyar ne kawai za mu dakatar da ci gaba da yaduwar cututtukan cututtukan cututtukan mahaifa.
Phlegmon ba cuta ce mai yaduwa ba, tunda ƙwayoyin cuta suna kasancewa ne na musamman a cikin yadudduka masu zurfi, wannan cutar ta bambanta da impetigo, wanda a cikin farfajiyar pathogenic flora ke saman farfajiya.
Bayyanar cututtuka na matakai daban-daban
Phlegmon na ƙafa tare da ciwon sukari yana haɓaka mafi yawan lokuta a cikin matan da suka girmi 30 shekaru, tsawon lokacin cutar aƙalla ya kasance shekaru 6. Ana iya zargin cutar ta hanyar alamu daban-daban, da farko, masu ciwon sukari suna lura da karuwa da yawaitar cutar rashin abinci da kuma kariya ta cikin gida.
Idan farkon alamun cutar ta fara, ana buƙatar ɗaukar matakan da sauri don nufin kawar da cututtukan ƙwayar ƙafafun ƙafa, inganta yanayin kyallen takarda mai taushi.
Yayin da cutar ke ci gaba, tare da bayyanar cututtuka na ciwon sukari mellitus, ana ganin alamun: jin zafi a cikin gidajen yatsun, nakasa, sanyaya ƙafa, hyperemia, kumburi kyallen, pallor na fata, saurin keratinization. A matakai na cutar daga baya, wani yanki na nasara mai zurfi ya bayyana, an kwashe abubuwan da ke kunshe a ciki. A kan ƙafafun wasu sassa na ƙafa, ana jin zafi mai zafi.
Yana da mahimmanci a lura cewa a cikin mafi yawan lokuta, cutar tana haɓaka da sauri, ban da alamun gaba ɗaya, wasu masu ciwon sukari sun lura da alamun maye na jiki. Magunguna suna faruwa ne sakamakon lalacewar kyallen ƙafafun kafa ta ƙwayoyin cuta ta pathogenic.
Sauran bayyananniyar shaidar phlegmon sune:
- saurin hauhawar zafin jiki zuwa digiri 40 da sama;
- rauni a cikin jiki;
- ciwon kai
- yawan tashin zuciya;
- jin sanyi;
- samarin
A cikin wasu halaye, marasa lafiya suna lura da karuwa a cikin yankin lymph nodes, bugun zuciya.
Lokacin da tsarin cututtukan cututtukan fata ya kasance ya rufe ta da facin fata, kumburi mai kumburi ya gudana cikin zurfin kyallen takarda, ma'amala a sama da wannan wuri na iya samun sahun halayen.
Idan babu matakan da aka dauka, cutar ta kama da sauran sabbin wuraren nama, suna haifar da maye sosai, saurin lalacewa cikin walwala.
Iri daban-daban na ƙafafun ƙafa
Phlegmon na iya zama da nau'ikan daban-daban, bayanan sirrin na gefen baya, subcutaneous, medial da lateral.
Phlegmon na baya yana haɓaka sakamakon shigar azzakari cikin farji daga ƙwayoyin cuta. Wannan na iya faruwa ta hanyar tsokoki, rauni na fata. A wannan yanayin, phlegmon na iya haifar da jan launi, fatar ta sami haske mara amfani da rashin halitta. Kafa ya fara ƙaruwa da yawa, yana kumburi sosai. Idan ba'a dauki matakan ba, tsarin purulent ya wuce zuwa kyallen takarda masu kyau na kafa.
Tare da subcutaneous phlegmon, yanki mai girma na fata sun lalace, sun sake yin garaguwa, zazzagewa, da kuma ƙara yawan ciwo. A lokuta masu tsauri:
- budewa maras wata-wata rami da aka ambata;
- kamuwa da cuta a cikin ƙoshin lafiya yana da wuya.
Hanya mafi haɗari na ilimin cututtukan cuta shine medial, yana da wuya a bincikar shi ta hanyar da ta dace. Ba tare da magani ba, kumburi mai yaduwa yana yaduwa zuwa shafukan lafiya na nama. Wannan nau'in za'a iya bambanta shi ta hanyar halayyar hauka a ƙafa; a wannan yanayin, ana faɗo su. Magana game da tsananin zafin, muna magana ne game da yaduwar cutar zuwa yadudduka masu zurfi.
Wani nau'in gefen kuma yana da wahalar ganewa, musamman ma a farkon matakan ci gaba. Pathology da sauri yana rinjayar ƙoshin lafiya. Bayyanar cututtuka tare da nau'ikan gefen baya shine ƙima, kumburi, redness da kumburi ba su da mahimmanci. Iyakar abin da zai iya nuna cutar ita ce taushi, damuwa da ƙarfi, tafiya.
Raunin ciwo ba shi da mahimmanci, tun da an rufe ƙananan ƙafafun da keɓaɓɓen fata, akwai karancin jijiyoyi a wannan sashin jiki.
Hanyoyin da za a bi da phlegmon a cikin ciwon sukari
An ba da magani na phlegmon don rikitarwa, musamman dacewa don cututtukan ciwon sukari na farkon da na biyu.
Da farko, ana yin maganin ƙwayar cuta mai mahimmanci daga kumburi ta hanyar tiyata, sannan an magance yankin da abin ya shafa tare da magungunan maganin cututtukan fata na musamman.
Bugu da ƙari, ana ɗaukar matakai don inganta samar da jini zuwa kyallen ƙafafun da ke cikin rauni, wanda idan likitan ya ba da shawarar yana nufin:
- maganin rigakafi;
- angioprotectors;
- magunguna don inganta rheological Properties na jini.
Hakanan an nuna shi don amfani da magunguna don daidaita yanayin ƙwayar lipid, rage permeability na jijiyoyin jiki, samar da cholesterol, kawar da bayyanar cututtuka, gami da zazzabi mai zafi, maye.
Kusan dukkanin magunguna ana sarrafa su ta hanyar ciki, wannan yana ba ku damar ƙara saurin tasirin tasirinsu ga tasoshin.
Dole ne a gudanar da aikin tiyata a hankali, tunda a wannan yanayin kowane rauni na iya haifar da haɓaka cutar. Idan jiyya tare da magunguna masu laushi ba su kawo kyakkyawan sakamako ba, likita na iya yanke shawarar yanke ƙafa:
- subtotal;
- m.
Yana faruwa don rage yiwuwar mutuwar haƙuri, ana yin yankan ƙafa a matakin ƙafa.
Wajibi ne a nemi taimakon likita da wuri-wuri, tunda ana aiwatar da yanki a cikin sababbin matakai na cutar, lokacin da kumburi ya mamaye tsokoki masu zurfi, to akwai hadarin sepsis. Tare da isasshen jiyya na farko tare da phlegmon, zaka iya ajiye ƙafafun da ya shafa, amma mara lafiya zai ci takalmin orthopedic na musamman a duk rayuwarsa. Takalmun da suka dace suna taimaka rage nauyin a kan haɗin gwiwa, ƙone kashi. Takalma na audhopedic za su rage fargaba zuwa farkon chafing, wanda zai iya haɓaka cikin tsari mai kumburi, wanda ya zama sanadin sake kamuwa da cuta.
Matsaloli da ka iya faruwa, taimakon farko
Tashin hankali tare da phlegmon yana haɓaka ne kawai idan babu magani don ciwon sukari, lokacin da mai ciwon sukari kawai ba ya neman taimakon likitoci. Koyaya, yana yiwuwa cewa likita na dogon lokaci ba zai iya yin cikakkiyar ganewar asali ba, cutar ta ci gaba da ci gaba. Mafi haɗarin rikitarwa na phlegmon shine guba jini.
Idan an gano alamun farko, ana buƙatar barin magani na kai, amfani da wasu hanyoyin magani. Wannan hanyar tana kara dagula matsalar, yana kawo mutuwa. Bayan gwaji, likita zai tura mara lafiya zuwa asibiti na tiyata.
Lokacin da rauni, lalacewa ta hanyar microorganisms suka shiga cikin kyallen, dole ne a rufe ta da bandeji. Idan akwai rauni mai yaduwa, ana sanya kayan miya da danshi:
- maganin hauhawar jini;
- maganin maganin kashe kwayoyin cuta.
Kuma sai kawai mai ciwon sukari yana asibiti.
Matakan hanyoyin kariya
Yin hana ci gaban kafafun kafafu sun fi sauki da sauki fiye da aiwatar da magani mai tsada. Matakan rigakafin suna da sauki, suna gangara zuwa ziyartar likita idan akwai shakku na matsaloli tare da fata tare da ciwon sukari.
Wata shawarar kuma ita ce canza takalmi yayin da ba su jin daɗi yayin tafiya. Dole ne a sayi sabon sabo, mai inganci tare da kayan ciki mai taushi, yakamata a yi takalma mai ƙwararraki don masu ciwon sukari don yin oda, la'akari da alamun ƙashin ƙafafun ƙafa.
Dole ne mu manta game da karɓar rigakafi, yana da amfani don cinye wadataccen kayan lambu da 'ya'yan itatuwa, sau da yawa tafiya cikin sabo, da sannu-sannu fushi. Rage rigakafin iya amfani da izini na magungunan kashe ƙwayoyin cuta ba tare da izini ba. A sakamakon haka, zai zama da matukar wahala a shawo kan phlegmon, maganin rigakafi zai zama ba shi da tasiri, ilimin likita na iya ci gaba da ci gaba saboda ci gaban juriya.
Ba aikin da aka yi na ƙarshe da aka ba da tsabtace daga cikin ƙananan ƙarshen, dole ne a kiyaye ƙafafu dumi, kada ya zama mai sanyi. Wannan zai rage yiwuwar lalacewawar fungal, shigarwar microflora na pathogenic zuwa cikin nama ta hanyar fasa da abrasions. Idan irin wannan lalacewar ta bayyana, wani lokacin don hana matsalolin lafiya yana isa sosai don bi da raunin tare da maganin ƙwayar cuta ko ƙwayar giya.
Kamar kowane cuta, phlegmon yana buƙatar kulawa da hankali ga kanka, lafiyarka, isasshen magani da dacewa. In ba haka ba, purulent kumburi tsari zai ci gaba, a kowace rana rage damar da zai ceci ya shafa reshe da rayuwa.
An bayyana rikice-rikice na ciwon sukari a cikin bidiyo a wannan labarin.
