Wannan ya zama dalilin da yasa likitocin suka dauki matakan tsattsauran ra'ayi don kula da irin wannan marassa lafiya, wanda ke taimaka wajan inganta rayuwar su da kuma fitar da sakamako mai saurin mutuwa.
Ofaya daga cikin manyan rikice-rikice na ciwon sukari shine zama mai fama da ciwon sukari mai ƙwayar cuta tare da ciwon sukari. Wani yanayi mai kama da haka, gangrene a cikin ciwon sukari mellitus, yana tasowa a cikin yanayin inda jikin mara lafiya yake fara matakai da yawa marasa kyau. Wadannan sun hada da:
- rauni na kasusuwa da gidajen abinci;
- bayyanar raunuka a kafafu;
- Matsalar wurare dabam dabam da suka samo asali sakamakon atherosclerosis.
Idan mai ciwon sukari bai dauki matakan da suka dace ba wadanda suka shafi inganci da cikakkiyar magani, to a cikin irin waɗannan yanayi ne ake samun bunƙasa ta ƙananan ƙarshen.
Gangrene na ƙananan ƙarshen
Cutar cutar sankarar-mahaifa - wannan kalmar yakamata a fahimta game da mutuwar kasusuwa na gida a cikin jikin mutum, wanda ke haifar da gaskiyar cewa kyallen takarda mai rai da jini suna kamuwa da abubuwan cadaveric da abubuwa masu guba. Sakamakon wannan, mummunan lalacewar gabobin mahimmanci yana farawa: huhu, hanta da kodan. Idan ba ku magance magani ba, to, mummunan sakamako a cikin irin waɗannan halayen ba makawa ne kawai.
Rashin neman taimakon likita mai inganci, rashin isasshen magani da kuma rayuwar da ba ta dace ba na masu ciwon sukari na iya haifar da wata hanya mai ma'amala don kawar da cutar, masu cutar da cutar siga ta cutar siga - yankan wani yanki.
Yayin da ake fama da cutar sankara, ƙwayoyin cuta daga ƙananan ƙarshen sun taso. Wannan na iya zama matsayin lalacewa ta daban - daga wannan matakin na yatsa, daukacin yatsa, da kafa, da kuma yanke kafa na zuwa sama da matakin gwiwa. Zaɓin na ƙarshen shine dole ne a yi amfani dashi kawai a cikin mafi tsauraran matakan ci gaba na 'yan ta'adda.
Babban dalilan ci gaban gangrene
Abubuwan da ke haifar da ci gaban rikice-rikice na ciwon sukari mellitus a cikin nau'i na ƙuguwar kasusuwa sun haɗa da:
- ischemic gangrene yana faruwa ne akan asalin atherosclerosis, wanda ke rufe hanyoyin jini kuma yana lalata jini na halitta. Sakamakon wannan tsari shine karancin jini da iskar oxygen, sannan mutuwar wadannan kwayoyin da abin ya shafa ya fara;
- Cutar mai ciwon sukari yana bayyana ta hanyar raunuka a kafa ko ƙananan kafa. Basu dade da warkewa ba, suna kamuwa da cuta kuma hakan ya fara farawa na kamuwa da cuta;
- polyneuropathy yana faruwa saboda mummunan aiki a cikin metabolism na sukari wanda ke faruwa ga kowane sel na tsarin juyayi. Yayin wannan tsari, ana amfani da microvessels, kuma sel suna tsufa da sauri;
- ƙananan tasoshin sha wahala, da kuma ganuwar ganuwar kekunan an rage sosai;
- manyan tasoshin suna lalacewa saboda atherosclerosis, wanda ke haifar da thrombosis;
- take hakkin tsarin halittar kashi kashi da kuma ci gaban osteoporosis, ƙurji, aseptic necrosis da fistula;
- Abubuwan kariya na rigakafi suna raguwa, sun cika kiba.
Mafi sau da yawa, ba dalili guda ɗaya da ke haifar da bayyanar baƙar fata ba, amma duka jerin su, inda ɗayan ke iya inganta bayyanar ɗayan.
Duk wani nau'in ciwon sukari na iya zama barazanar haɓaka rikice-rikice na ƙafa. A cikin marasa lafiya da ciwon sukari, raunuka da ulcers na iya faruwa akan ƙananan ƙarshen. A matsayinka na doka, saboda ƙarancin ƙarancin ciwo, mutum ba zai ji irin wannan raunukan ƙafafunsa ba. Yana da matukar muhimmanci a san yadda ƙafafun ciwon sukari suke kama da matakin farko don kada a haifar da matsala.
Yaya za a gano farkon ɓarna?
Zai yi wuya a tsayar da wasu alamun farko na lalacewar rayayyiyar rayayyun kafafu, da kamuwa da cutarsu da abubuwan cadaveric, saboda kusan ba su nan saboda raunin ji. Koyaya, akwai wasu kiraye masu damuwa da ya kamata ka kula dasu sosai, saboda zaka iya sanin haɗarin kamuwa da cutar.
Babban alamun farko na haɓakar cutar mahaifa sun haɗa da:
- kuma jin wani lokacin wahala da gajiya na kafafu, tingling, jin sanyi da kunbuwa suma suna iya yiwuwa;
- nakasar kafa da zafin jijiyoyin jiki;
- akwai canji a cikin launi na fata na ƙafa, zazzabi. Ana iya bayyanar da wannan ta hanyar jan, pallor, da cyanosis na ƙafa. Zai zama koyaushe yana yin sanyi, wani lokacin harda kumburi, kumburi ko kuma jan hankali.
Daga baya alamun cututtukan ƙwayar cuta a cikin ciwon sukari:
- a cikin sassan da abin ya shafa na kafafu akwai ciwo na ciwo wanda ba za a iya tsayawa ba;
- fatar matsalolin wuraren sun zama baƙi ko baƙi.
- a cikin illolin necrosis babu wadatar jini;
- kamuwa da cuta ya shiga cikin tsari, musamman tare da rigar gangrene;
- akwai tashin zuciya, jin sanyi, zazzabi jiki mai yawa kuma akwai yawan fitar amai.
Don fayyace ganewar, likitoci za su buƙaci jarrabawar waje na mai haƙuri, ƙwaƙwalwar ƙwaƙwalwa, gwajin ƙwayar cuta, bincike na urea, creatine, glycemia, duban dan tayi bincike game da yanayin jini, kazalika da raayoyin.
Hanyoyin jiyya
Za'a iya magance cutar da cutar koda ta hanji ta hanyoyi biyu. Muna magana ne game da ra'ayin mazan jiya da tiyata, duk da haka, hanya ce ta ƙarshe - mafi inganci.
Don ra'ayin mazan jiya na gangrene a cikin ciwon sukari mellitus, ya zama dole a yi cikakken bincike kuma a sami sakamako kamar haka:
- diyya na cutar kansa;
- rage yaduwar kamuwa da cuta da maye ta hanyar amfani da kwayoyin cuta;
- raguwa a matakin nauyin a kan kafafu, kuma musamman a yankin da abin ya shafa;
- tare da taimakon bitamin da ma'adanai, ya zama dole don cimma nasarar ƙaruwa da kuma kariya ta jiki.
Idan wannan rigar cutar daji ce ta cutar kansa, to, hanyar tiyata lallai tilas ne don ware mutuwar mai haƙuri. Yayin aikin tiyata, likitan tiyata zai cire nama da abin ya shafa, kuma yana tsaftace kewayen.
Idan yatsa kawai ya shafa, za'a iya cire ƙafar don hana rikicewa. Tare da gangrene a ƙafa, dole ne kuyi magana game da cire ƙafar zuwa matakin gwiwa. Hakanan ana iya buƙatar ɗayan wannan matakin a wasu lokuta a cikin binciken cututtukan ciwon sukari na ƙananan ƙarshen, magani a wannan yanayin kuma na iya zama mai tsattsauran ra'ayi.
Tare tare da aikin, ayyuka masu zuwa suna yiwuwa:
- yin amfani da magungunan rigakafi iri-iri;
- gudanar da aikin kwantar da hankali a jiki don rage girman yawan maye;
- zub da jini.
Baya ga cirewar sel wadanda suka mutu, ana kuma yin magani na lokaci daya. Ana iya bayyana shi ta hanyar kawar da ƙwanƙwasa jini daga tasoshin jini ko jijiyoyin jini waɗanda suka tashi sakamakon cutar sankara. Zuwa yau, akwai ingantacciyar hanya don warware wannan batun. Magunguna suna tsabtace ƙwaƙwalwa ta amfani da wani bincike na musamman da aka saka a cikin su. Wannan hanyar tana kawar da yanke akan fata da jijiyoyin jini, wanda yake da mahimmanci ga masu ciwon sukari.
Za'a iya yin rufewar microsurgical, wanda ke taimakawa adana ƙafar idan har ya faru da ƙwayar yatsa. Bugu da kari, an yi das hi, wanda yake da fa'idar amfani a yayin aikin tiyata kuma, a wasu halaye, yana taimakawa kawar da yankewa. Idan an yi maganin ischemia, to wannan zai taimaka wajen rage jin zafi yayin rigar daji.
