GANGRENE A CIKIN CIWON SUKARI: MAGANI, ALAMUN CUTAR GANGRENE

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Cutar sankara (mellitus) cuta ce da ke ɗauke da ƙwayoyin jikin mutum sakamakon ƙarancin insulin (hormone na ciki). Cutar tana da muni don rikicewarta na farko da na ƙarshe. Gangrene a cikin ciwon sukari shine ɗayan irin waɗannan yanayi, wanda ke nufin necrosis na sel da kyallen takarda a cikin rayayyun kwayoyin halitta.

Gangrene yana da haɗari saboda wuraren da suka mutu suna asirce da gubobi waɗanda suke shiga cikin jini kuma ana ɗaukar su cikin jiki, suna guba shi. Wannan yana haifar da rikice-rikice daga kodan, hanta, zuciya da sauran gabobin mahimmanci.

Gangrene a cikin ciwon sukari da farko yana shafar yatsun kafa ko kuma duka ƙafafun ƙafa. Ana ɗaukar rikicewa shine mafi girman yanayin yanayin da aka sani ga marasa lafiya - ƙafar mai ciwon sukari.

Me yasa matsalolin kafa?

"Cutar mai daɗi" na kowane nau'in an dauki barazanar ƙananan ƙasan mai haƙuri. A kan asalin tsawan hyperglycemia, lalacewar jijiyoyin jiki na faruwa. Theanƙantar da yanayin yanayin shine cewa ƙirar ciki na cikin jijiya mai ƙoshin lafiya mutum dole ne ya samar da wasu abubuwa na musamman waɗanda ke ba jirgin damar faɗaɗa. A cikin masu fama da cutar sankara, wannan sinadaran yana hade ne da kanana. Mearfin bangon jijiyoyin jiki yana ƙaruwa, kuma adadin monosaccharides mai yawa yana shiga cikin endothelium.

Glucose yana tsokane hadaddiyar glycosaminoglycans, lipids da sunadarai. A sakamakon haka, lumen arteries, ya ba da matsala ga yadda ake jijiyar jini. A cikin manyan tasoshin ruwa, ana ajiye lipids sosai a jikin bango na ciki, suna jujjuyawa cikin filayen atherosclerotic, wanda shima yaci karo da kwararar jini.

Tissues sun daina karɓar adadin jini da ake buƙata, oxygen, sauran abubuwan gina jiki kuma suka fara mutuwa. Sakamakon shine yankuna masu narkewar jini.

Abubuwan da suka danganci su

Gangrene yakan faru ne da tushen wadannan dalilai masu tayar da hankali:

jinkirin sakewa daga sel da kyallen takarda, wanda yake shi ne kwatankwacin marasa lafiya da masu ciwon sukari;
polyneuropathy - lalacewar sel da jijiyoyin jiki da ke faruwa a kan asali na cuta na rayuwa;
ilimin halittar mutum kan aiwatar da samuwar kashi;
jihar immunodeficiency;
kiba
mummunan halaye (shan giya, shan sigari);
ba daidai ba takalma.

Takalma na kusa ko kuma ba daidai ba na ɗaya daga cikin abubuwan da ke haifar da haɓakar gangrene da ciwon sukari

Mahimmanci! A mafi yawan halayen, ana taka rawar ne bawai wani takamaiman dalilai ba, amma ta hadadden hadaddun su.

Iri na masu ciwon sukari Gangrene

Dangane da asalin, ana bambanta nau'ikan ƙaiƙayin ƙwayoyin cuta:

Nau'in Neuropathic - yana haɓaka gaba da tushen aikin ci gaban jijiyoyin jijiyoyin jiki.
Nau'in Angiopathic - yana bayyana sakamakon lalata jijiyoyin jiki da damuwa.
Nau'in Osteopathic - abubuwa masu kasusuwa da tsarin tsarin musculoskeletal.
Nau'in haɗakarwa - ya haɗu da nau'ikan nau'in gangrene a lokaci guda.

Hanya da yanayin bayyanuwar asibiti sun bambanta tsakanin bushe da rigar nau'in ƙarancin nama.

Ganyen bushewa na faruwa lokacin da jijiyoyin jiki ke raguwa a hankali. Tsarin yana gudana tsawon shekaru 3-7. A wannan lokacin, mai ciwon sukari yana kulawa don daidaitawa da yanayinsa. Cin nasara yana farawa da yatsun kafa kuma yawanci ba shi da alamun tsarin cutar.

Rigar gangrene yana haɗuwa tare da haɗewar kamuwa da cuta, kuma adadin ƙwayoyin cuta yana faruwa a cikin sauri. Pathology yana da m, haɓaka cikin sauri. Jikin mai haƙuri yana shan wahala daga bayyanannu bayyanannen maye.

Hoto na asibiti

Alamar gangrene a cikin ciwon sukari mellitus gaba daya ya dogara ne akan hanya, yanayi da nau'in tsari. A matsayinka na mai mulki, marassa lafiya da ke dauke da cutar sankara sun rage tabin hankali da kuma jin zafi sakamakon lalacewar jijiyoyin. Abubuwan da ke haifar da raunin rauni, fasa, corns, scratches galibi ba'a kula da su ba. Wannan ba shi da matsala har sai shigar azzakari cikin farji, ƙwayoyin cuta da sauran ƙananan ƙwayoyin cuta ta hanyar karye amincin fata.

Raunin huhu - “ƙofar shiga” domin kamuwa da cutar tarin fitsari

Halin farko na cutar yana nuna canji da launin fata. Zasu iya zama ja, paleto ko purplish-cyanotic. Duk nau'ikan ji na jiyya (zazzabi, zafi, amai, rawar jiki) ana keta su sosai. Jin zafi, jijiyoyin jiki, nauyi yana bayyana a yatsun kafa da kafafu.

Zuwa taɓawa, gabobin sun yi sanyi. Kumburi, bushewar fata, asarar gashi yana faruwa. A tsawon lokaci, ƙafar ta lalace, tsokoki, jijiyoyin jiki da tsarin ƙashi suna cikin aikin. Ilsusa ta zama abu mai ƙarfi, rushewa, tsarin su da canza launi. Cutar naman gwari koda yaushe tana tasowa.

Dry gangrene

A bango daga tushen alamun farko, bayyananniyar iyakance yanki ya bayyana. Ya zama duhu launin ruwan kasa ko baƙi, yana raguwa cikin ƙarfi, kamar "bushewa."

Wannan nau'in cutar ba mai sa rai ga rayuwa da lafiyar mai haƙuri ba, tun da “yankin da ke da cutar” ba ya lalata, kuma ana samar da gubobi a hankali kuma kaɗan. Yanayin rayuwar mutum a zahiri ba ya canzawa, babu alamun maye.

Wet gangrene

Tana da haske mai kyau da haɓaka mai sauri. Siffofin sune kamar haka:

Yankin da abin ya shafa yana ƙaruwa da girma saboda mahimman hauka;
fatar ta zama kamar ta kumbura, tana samun launin shuɗi;
takamaiman warin ƙwayar ciki ya bayyana (sakamakon lalacewar nama);
samuwar kumfa tare da abubuwanda ke ciki;
Rashin bayyananniyar iyaka tsakanin kyallen lafiya da masu “rashin lafiya”;
bayyanar cututtuka na maye (zazzabi, jin sanyi, ciwon kai, tsananin farin ciki, rauni);
saukar da karfin jini, tachycardia.

Babban bayyanannin rigar gangrene

Mahimmanci! Rigar gangrene na buƙatar kulawa da likita a kan kari, in ba haka ba ne cutar necrosis ta bazu zuwa ƙungiyar lafiya mai maƙwabta kuma tana ci gaba da guba ta jiki tare da lalata kayan lalata.

Binciko

An tattauna abubuwan fasalin matakan bincike a cikin tebur.

Taken Nazari	Dalilin	Fasalin samfurin kayan duniya
Cikakken ƙidaya jini	Asali ne tushen kamuwa da cutar kowace cuta. Eterayyade kasancewar leukocytosis, karuwa a cikin ESR	Ka'idojin aiki don ɗaukar jini daga yatsa. Idan ya cancanta, amsar a shirye take cikin minti 10
Kwayar halittar jini	Yanke ƙididdigar alamomin na glucose, cholesterol	Ana ɗaukar abu a kan komai a ciki. Ana buƙatar jinin jinƙai
Jini domin kamuwa da cuta	Yana ba da damar ƙayyade kasancewar haihuwa a cikin jinin pathogen na kamuwa da cuta tare da rigar gangrene	Ana ɗora digo na jini mai ɗigon jini a kan matsakaici mai gina jiki. Haɓaka al'adun ƙwaƙwalwar ƙwayar cuta yana nuna kasancewar sepsis
Komawa shuka abinda ke ciki daga rauni	Yana ba ku damar tantance wakili na kamuwa da cuta tare da ƙwayar ƙwayar cuta tare da kimanta ƙwarewar ƙwayar rigakafi	Ana ɗaukar smear daga rauni kuma an shuka shi akan kafofin watsa labarai na al'adu.
X-ray na yankin da abin ya shafa	Kimanta yanayin kasusuwa na ciki da ginin tsoka	Hotunan X-ray a cikin tsinkaye da yawa
Angiography na yankin da abun ya shafa	Yana ba da damar fayyace kasancewar kunkuntar, yanayinta, yanayin taskokin jiragen ruwa, don tantance yuwuwar sake dawowar jini	Matsakaicin matsakaici an allura cikin ciki kuma ana ɗaukar jerin abubuwan harbi ta amfani da injin X-ray.
Dopplerography	Kwararrun ne ke tantance saurin tafiyar jini da yanayin tasoshin da kansu	Ana amfani da raƙuman ruwa na Ultrasonic

Siffofin jiyya

Ya danganta da matakin raunuka da nau'in ƙwayar cuta ta cuta, likita zai iya ba da maganin ƙwayar cuta. Kulawa da cutar mahaukaci a cikin ciwon sukari an yi shi ne da farko don dawo da cututtukan nama da kuma sake dawowa da isasshen jini.

Raunin ra'ayin mazan jiya ya ƙunshi waɗannan lambobi:

Me yasa kafafu ke ciwo da ciwon sukari?

kawar da abubuwanda suka haifar da ci gaba da cutar ta 'gangrene (ƙoshin ƙusa, lalacewar inzali ga amincin fata);
idan ya cancanta, ana wajabta magungunan kashe ƙwayoyin cuta (bisa ga sakamakon ƙwayoyin cuta);
gyaran insulin farjin ko amfani da hypoglycemic jami'ai;
jiko farjin don kawar da alamun maye;
lura da yankin da aka shafa tare da maganin antiseptics;
decongestants;
daidaituwar abinci, kin yarda da munanan halaye;
maganin rigakafi don sauqaqa jin zafi;
immunostimulants da bitamin don tallafawa garkuwar jiki.

Hanyoyin tiyata

Idan ba za a iya magance cutar ta hanyar 'yan mazan jiya ba, ana amfani da magani na tiyata. Akwai wa annan hanyoyi don maido da kwararar jini:

cirewar jinin haila;
shunting, ba da damar yin "hanyar damuwa" don gudanawar jini;
shigarwa na stent - na'ura ta musamman wacce ke hana maimaita ƙuntatawar ƙwayar ƙwayar jijiya;
yanki - cire yankin da abin ya shafa a saman iyakar lafiya da "mara lafiya".

Zabi Gashi - Angiosurgeon Prerogative

Mahimmanci! Yankan shine kawai zaɓi na tiyata don rigar gangrene. Lokacin bushewa, ana amfani da wannan hanyar idan akwai rashin nasara na ilimin ra'ayin mazan jiya.

Hanyoyi na gari

Irin wannan magani ya zama ruwan dare gama gari saboda wayewar kai game da yanayin rashin lafiyar su. Hanyar warkewa tare da magunguna na jama'a ya ƙunshi yin amfani da maganin shafawa iri iri, wanda aka shirya a gida.

Yawan cin abinci 1

Shredded comfrey Tushen gauraye da Acacia da chestnut furanni (5: 1: 1). 2ara 2 tbsp. vodka kuma saka a cikin wani wurin dumi. Dama a cikin naman alade na ciki sau 2 kasa da adadin comfrey. Sanya a cikin tanda zuwa simmer na tsawon awanni 3, ba ƙyale taro ya tafasa. Ana shafa maganin shafawa a yankin da abin ya shafa, a saman shine bandeji ko ganyen kabeji.