Gangrene na ƙananan ƙarshen ƙarshen a cikin ciwon sukari: alamu, yadda za a bi

Lalacewar kyallen takarda mai rai da tsarin a cikin ƙananan ƙarshen sau da yawa yana haifar da irin wannan cuta ta rashin hankali kamar ciwon sukari. Sakamakon lalacewar wurare dabam dabam na jini, abubuwa na cadaveric sun shiga cikin jini, suna kara dagula tsarin necrotic. Yawancin lokaci yana haɓaka cikin raɗaɗi mai zurfi, yana rinjayar tsarin ciki da gabobin. Me yasa 'yan ta'adda ke farawa, menene alamun cutar, kuma ta yaya za a iya magance rikice-rikice?

Dalilin da ya sa cutar sankara ke haifar da cutar mahaifa

Tsarin lalacewa a cikin taushi da kasusuwa na kasusuwa a cikin ciwon sukari yana farawa da samuwar ƙafar mai ciwon sukari. Wannan ciwo ana ɗaukarsa hadaddun canje-canje na jiki da aiki wanda ya haifar da haɓaka abubuwan abubuwa na glycosylating abubuwa a cikin jini na jini. Babban dalilin cutar shine keta haqqin mallaka. Jini a cikin masu ciwon sukari ya zama ya zama mai kauri da yawa, wanda ke cutar da jijiyoyin jini gaba ɗaya.

A hankali, tasoshin wanda aka yi wa rauni sun gaji, sun kasa samun tsayayyen yanayi kuma ba za su sake bayar da ƙwayoyin oxygen ba. Da farko, alamun canje-canje na cututtukan cuta sun bayyana a cikin ƙananan ƙananan capillaries, to, manyan tasoshin ruwa, gidajen abinci, da ƙashin kasusuwa suna rinjayar. Gashin jiki da lalacewa suna fitowa a kafafu a kasa da gwiwa. Idan ba a yin komai a cikin wannan lokacin, gangrene zai haɓaka.

Ciwon sukari da hauhawar jini zai zama abin da ya wuce

• Normalization na sukari -95%
• Cirewa kan jijiyoyin mara wuya - 70%
• Cire zuciyar mai karfin zuciya -90%
• Rabu da cutar hawan jini - 92%
• Increasearuwar kuzarin rana, inganta bacci da dare -97%

Rashin ingantaccen magani yana cike da mutuwa, yayin da samun dama a kan lokaci na taimakon likita zai iya ceton wasu matakan matattu. Idan shari'ar ta tsananta, hanya guda kawai ta taimaka ita ce yanke da kafar da abin ya shafa. Ana daukar magani a matsayin nasara yayin da za'a iya dakatar da gangrene ta hanyar cire ɗaya daga cikin yatsan matsalar. Sau da yawa, likitoci dole su fitar da duk ƙafafun da abin ya shafa.

Babban abubuwanda ke haifar da cutar sankarau da ke haifar da cutar mahaifa sun hada da:

• clogging na jini saboda ayyukan atherosclerotic da kuma thrombosis;
• mara kyau warkar da kyallen takarda na fata a cikin masu ciwon sukari, lokacin da ko da ƙananan raunuka suka kamu da cutar, sun yi haske da barazanar ƙwayar cuta;
• polyneuropathy yana tasowa daga gurguntar glucose mai narkewa. An gano ilimin halittar jini ta hanyar asarar iyawar ƙwayoyin jijiya don watsa abubuwan sha'awa, saboda abin da sel ke mutuwa da wuri;
• osteoporosis da osteonecrosis;
• kiba, wanda yawanci ke samu a cikin masu ciwon suga;
• saka takalma ba a girma;
• jarabar giya da sigari;
• sinadaran guba.

Sau da yawa, gangrene na kafa yana tasowa lokacin da abubuwan da suka haifar da tsoratarwa suka zo daidai. A cewar kididdigar, cutar sankara na haifar da kashi tamanin cikin dari na mutuwar marasa lafiya.

Dry da rigar gangrene

A cikin hanyar hanya na gangrene a cikin masu ciwon sukari, yana faruwa:

1. Dry. Tare da irin wannan ciwo, lalatawar jijiyoyin bugun jini na faruwa a hankali, tsawon shekaru. A wannan lokacin, jikin wanda aka azabtar ya saba da canje-canje na cututtukan cuta, kuma yana haɓaka nau'in kariya. An yatsu sun fi shafa a wannan yanayin, kuma kyallen takarda da tsarin ba su kamu ba. Don haka, ba a bayyanar da alamun maye ba, kuma an rage girman haɗarin rayuwar mai cutar siga. Ana fitar da gubobi cikin jini a cikin adadi kaɗan kuma suna da lokacin da za a fitar da ƙwayar ƙwayar cuta.
2. Wet gangrene mafi muni, tunda raunuka suna kamuwa da ƙwayoyin cuta na pathogenic waɗanda ke ƙaruwa da sauri, wanda ke ƙara ƙaruwa da lalacewa. A waje, gangrene rigar masu ciwon sukari suna kama da yanki na jiki mai launin fata mai launin fata. Thearfin ƙarfin cutar, mafi girman fassarar cutar ta rauni: ban da yatsa, duka ƙafafun, yan maruƙa, kuma wani lokacin hannayen suna da hannu cikin aiwatar da ƙwayar jijiyoyin ƙwayoyin cuta (lokacin da aka fara nuna ƙwayoyin cutar a cikin gabobin babba).

Ta yaya 'yan ta'adda za su fara

Wani rikitarwa mai kama da wannan yana barazanar marasa lafiya da nau'in 1 da nau'in ciwon sukari na 2. Sau da yawa, irin waɗannan marasa lafiya suna da ƙarancin rage zafin jin zafi, don haka raunuka, fasa, raunuka akan jiki ba su kula. A wannan lokacin, kwayoyin cuta da cututtukan fungal na rayayye suna haifuwa, suna rufe babban yanki mai girma na tsarin rayuwa.

Ana bayyana asarar hankali ta hanyar karuwar yawan abubuwan kwantar da hankali a cikin jini. Ingsarshen jijiya yana ƙare a hankali, kuma raɗaɗin raɗaɗi ba zai sake yada shi ba zuwa babban sashin ƙwayar jijiya. Kwayoyin jijiya wadanda ke da alhakin yin gumi suma suna mutuwa, wanda ke haifar da zubar da fata fiye da kima da kuma haifar da zurfin fashewar warkarwa.

Nazarin Gwanaye

Arkady Alexandrovich

Endocrinologist tare da gwaninta

Tambaye gwani a tambaya

Masana sun yi imanin cewa yin amfani da maganin rigakafi yana da tasiri ne kawai a matakin farko na cutar. A nan gaba, ƙwayoyin cuta suna daidaita da sauri zuwa ga abubuwan da ke aiki na kwayoyi kuma kada ku mutu, amma, akasin haka, ninka har da sauri.

Gangansandan da ke cikin rushewar yakan cika ƙananan ƙananan yankuna kuma ba kasafai ake gani akan hannaye da jiki ba. Mafi haɗarin hanya na cutar ana ɗauka su zama cikakkiyar ƙungiya ne, lokacin da jijiyoyin ƙwayoyin cuta na jijiyoyin jini. Amma ana gano irin wannan ilimin a cikin adadi kaɗan na marasa lafiya. Yawancin lokaci, yana ɗaukar lokaci mai yawa don ƙirƙirar tsarin necrotic.

Babban alamun ƙungiyar ta ɓarna shine:

• jan launi, duhu, fadada fata a yankin da abin ya shafa;
• numbase, tingling, kumburi a cikin ƙananan ƙarshen;
• gajiya mara hankali a kafafu yayin motsi;
• jin zafi a kafafu - game da zafin ƙafa a cikin masu ciwon sukari;
• lalata ƙusa, canji a siffarta da launi, wanda ke nuna kamuwa da cuta ta fungal;
• bayyanar mycosis akai-akai a yankin da abin ya shafa.

A yayin aiwatar da mahimmancin mutuwar rayayyun kyallen takarda masu rai, mai haƙuri yana jin zafin da ba za a iya tsayar da shi ba tare da magungunan jinya. A yankin da abin ya shafa, zagayawa gaba daya jini ya tsaya. Idan mai cutar ya kamu da cutar ƙwayar cuta ta burushi, to kusan yana tare da zubar da jini. Tissue necrosis daga baya yayi mummunan tasiri a jiki baki daya kuma ana saninsa da zazzabi, sanyi, amai, amai, amai, da sauransu.

Inganci jiyya

Don fayyace ganewar ƙwayar cuta ta ƙwayar cuta ta ƙafa, likitan bayan yayi nazarin yankin da ya shafa yana jagorantar mai haƙuri zuwa gwajin jini, x-ray, dopplerography of the jiragen. Lokacin da duk sakamakon binciken suka shirya, ana wajabta magani mai kyau. Yin gwagwarmayar da tsarin gangrenous a cikin ciwon sukari hanya ce ta ra'ayin mazan jiya da tsattsauran ra'ayi. Raunin ra'ayin mazan jiya, wanda ake amfani dashi lokacin da 'yan ɓarke ​​na ƙananan ƙarshen ke kan matakin farko, ya dogara da:

• rage yawan glucose;
• iyakance ayyukan jiki a kan wata gabar mara lafiya;
• hana kamuwa da cututtukan sababbin shafuka tare da maganin rigakafi da magungunan anti-inflammatory;
• kawar da bayyanar cututtuka masu raɗaɗi;
• theara yawan rigakafin wanda aka azabtar tare da taimakon bitamin.

Wanda aka azabtar yana ƙoƙarin yin ƙarin ruwa a cikin jiki don guje wa maye. Hakanan an umurce shi da hutawa na gado don kar ya ɗora nauyin reshen da ya lalace. Amma ɓarna a cikin marasa lafiya da ke fama da ciwon sukari ba koyaushe ba ne ke ba da waɗannan hanyoyin maganin. Misali, tare da rigar gangrene, maganin tawaya shine yawanci hanyace ta hana mutuwa.

Ana iya yin tiyata ta hanyoyi da yawa:

• microsurgical;
• steting;
• karafarini.

Ana yin microsurgery tare da kayan kida na musamman, wanda, ya shiga cikin jirgin ruwan da ba shi da lafiya, ya ɗan fadada shi kaɗan. Tare da angioplasty, ana sanya capsule cike da ruwa a cikin jirgin ruwa na matsalar. Ganuwar jijiyoyin jiki na fadadawa a karkashin matsin lamba wanda ke inganta zaga jini.

Godiya ga tsayawa, gungun ƙananan ƙananan ƙarshen ba ya ƙare da yankewa. Wannan hanyar tana daidaita wurare dabam dabam na jini. Samun dama ga likitoci yana ƙara haɓaka damar samun nasarar sakamako na magani.

A cikin mawuyacin hali, lokacin da waɗannan hanyoyin ba sa aiki, sai su yi kama da yankan. Yayin aikin, an bar keɓaɓɓiyar naman da ke ɗauke da ƙwayoyin kuliyoyin kuma ana tsabtace wuraren da ke kusa da wurin da cutar ta kasance. Mai haƙuri yana kwance ta hanyar zubarda jini da zubar jini.

Yin rigakafin

Kula da gangrene yafi wahala fiye da gargadi. Don hana yanayin cututtukan cututtukan cututtukan mellitus, marasa lafiya suna buƙatar bin matakan sauki amma ingantattun matakan kariya:

• bincika kullun;
• kar a manta game da tsabta: kar a sanya safa mai datti ko rigar, wanke ƙafafunku da sabulu, bushe su sosai - kula da fata ga masu ciwon suga;
• bi da kan raunin lokaci da fasa;
• sa safa da takalma waɗanda aka yi da ƙwararru masu inganci, masu numfashi, kayan halitta - safa don masu ciwon sukari;
• lokaci-lokaci ƙwanƙwasa ƙafafun tare da wakilai na antifungal na musamman, shafa su da man kayan lambu ko kirim na yara - ƙamshin ƙafafun ga masu ciwon sukari;
• cire corns cikin lokaci;
• yi wasan motsa jiki na yau da kullun don ƙafafu;
• sarrafa abun ciki na jini.

Tashin hankali da sakamako

Marasa lafiya galibi suna sha'awar yadda yawancin waɗanda abin ya shafa ke rayuwa bayan yin irin wannan binciken na ɓacin rai. Idan ka nemi taimakon likita a kan kari kuma ka gudanar da isasshen magani, to likitoci suna ba da isasshen hangen nesa. Ya kamata a ɗauka a hankali cewa shan magani a cikin wannan yanayin ba a yarda da shi ba.

Burrene masu ciwon sukari yana da haɗari saboda sakamako. Abubuwan da suka mutu suna da ikon cutar da jini da abubuwa masu guba. Idan maye daga cikin jiki ya faru, to kuwa mummunan sakamako mai yiwuwa ne.