Ciwon sukari mellitus yana haifar da rikicewa a cikin aiki na dukkan gabobin da tsarin. Musayar cutar na tsawon lokaci yana haifar da ci gaba da rikice-rikice masu barazanar rayuwa.
Yanke yatsun kafa, kuma a wasu halaye duka gabansu, ana daukarsu ɗayansu.
Ana yin irin wannan aikin na tiyata ne a cikin mawuyacin yanayi kawai, lokacin da sauran matakan warkewa da suke akwai ba su da tasiri. Tabbas, za a iya kawar da yanki idan duk shawarwarin likita da bin glycemic control ana bi.
Sanadin yankan kafa a cikin cutar sankara
Cutar glycemia mai ƙarfi tana da mummunan tasiri game da yanayin tsarin juyayi da jijiyoyin jini, yana lalata su akan lokaci. Sakamakon irin wannan yaduwar cuta iri-iri ne na rashin jin daɗi da cutarwa masu illa.
Mutumin da yake da ciwon sukari yana da warkarwa mai rauni mara kyau, wanda zai iya haifar da cutar ta fata. A wannan halin, hanji na gabar jiki sun mutu sannu a hankali, kuma za'a fara aiwatar da tsarin purulent.
A yayin da hanyoyin da ake da ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwayar cuta ba su da tasiri, an yanke sassan sassan gabobin. Irin wannan aikin na tiyata ya sa ya yiwu a guji rikitarwa da yawa, gami da maye, guban jini da haɓaka yankin da abun ya shafa.
Babban dalilan da yasa aka yanke hannu a cikin ciwon sukari:
- fitowar ƙusa;
- m matakai a cikin na jijiyoyin bugun gini;
- fasa a saman fata;
- kowane rauni saboda abin da ke faruwa na purulent tsari;
- kasa fida;
- kirkirar osteomyelitis akan asalin lalacewar kashi;
- kamuwa da cuta cikin farji.
Dalilan da aka lissafa a sama ba koyaushe suna haifar da irin wannan matakin m kamar yankewa ba. Ciwon sukari a matsayin cuta ba shine babban dalilin cirewar reshe ba.
Suna zuwa aikin tiyata saboda rikice-rikicen da suka tashi tare da lalata shi. A cikin lokuta yayin da cutar ta ci gaba a cikin tsari mai sauƙi, ana aiwatar da magani na yau da kullun a kan kari, asarar kafa na iya kiyayewa.
Nau'in aiki
Kashewa zai baka damar:
- don hana maye gurbin wuraren lafiya ko kyallen takarda ko gabobi sakamakon tasirin kwayar cutar microflora na pathogenic daga tayar da hankali na rauni;
- kula da iyakar abin da zai yiwu a cikin ma'aunin musculoskeletal don yin ƙarin ayyukan sujada.
Extananan ƙananan rukunoni ana datse su saboda:
- suna cikin motsi akai-akai, suna buƙatar cikakken jini;
- ba duka ana ba su da isasshen kulawa ba;
- su hanzarta fitar da bangon jijiyoyin jini a kan cutar sankarau.
Iri yankan yanki:
- Gaggawa. Ana yin wannan aikin idan ya zama dole don kawar da kamuwa da cuta cikin hanzari, lokacin da haɗarin mutuwa ke ƙaruwa. Ba zai yiwu a tantance ainihin cutar ta cutar ba, don haka ana yin yankan yankan sama da wani abu da ke bayyane na cutar. Ana yin aikin a matakai da yawa. Da farko, an cire reshen da abin ya shafa sama da iyakokin inda take, sannan sai aka samar da kututture don a sami ƙarin kariyar cikin.
- Farko. An yi hakan ne idan ba za a iya dawo da zagayarwar jini a yankin da abin ya shafa ba ta amfani da hanyoyin motsa jiki da hanyoyin Conservative.
- Secondary. Irin wannan yankewar ya faru ne bayan wani yunƙurin da bai yi nasara ba don sake ci gaba da gudanawar jini cikin ƙafar. Ana yin aikin ne a matakin ƙarancin matsayi, yana shafar wuraren yan ƙananan ƙafa, phalanx na yatsun da ƙafa.
A yayin aiwatar da yankan, an cire duk ko wani ɓangaren reshen:
- Yatsun kafa. An yi aikin ne saboda necrosis, wanda aka haɓaka a wannan ɓangaren reshen saboda ƙosassar wurare dabam dabam na jini ko kuma samuwar juzu'i. Ana yin yankan yanki ne kawai idan an sake dawo da kwararar jini na ƙasan cikin ƙafa. Yayin aikin tiyata, an yanke yatsun mamaci.
- Tsaya. Binciken wannan yanki na kafa ya ƙunshi tsawon murmurewa. Tare da sakamako mai nasara na tiyata, aikin tallafawa reshen ya ragu. Bayan yankewa, an ba da shawarar a sanya takamaiman takalmin don hana samuwar arthrosis.
- Drumstick. An yi amfani da magudi yayin aikin Pirogov. Ya dogara ne da cire ƙananan ƙafa, biyo baya tare da kiyaye aikin ƙafa. Ana amfani da wannan hanyar cirewa tare da siffofin ci gaba na ƙafafun ƙafa. Yin aikin tiyata mai nasara yana ba ku damar motsawa tare da yardar kaina tare da yin amfani da ƙwanƙwasawa kuma ba tare da sanda mai tallafawa riga bayan wasu watanni ba.
- Kakakin. Ana amfani da irin wannan yanke lokacin da ba zai yiwu a cire ƙafa ɗaya ba.
Bidiyo game da abin da kuke buƙatar kula da shi yayin yankewa:
Gyaran jiki da najasa
Duk wani aikin tiyata yana buƙatar ƙarin matakan murmurewa. Yankan reshen reshe a cikin rikitarwa mai rikitarwa ana daukar shi aukuwa ne akai-akai. Ana cire ƙafafu, kuma a wasu yanayi duka biyun, yana ba ku damar adana rayuwar mutum, amma yana haifar da buƙatar koyan wanzuwar ba tare da ƙafa ba.
Lokaci na farfadowa yana da nufin kawar da tsarin kumburi, hana faruwar cutar, har ila yau ya haɗa da kula da raunuka da jijiyoyin jiki na yau da kullun. Bugu da kari, an wajabta mai haƙuri da yawa hanyoyin motsa jiki da wasu motsa jiki waɗanda suke wani ɓangare na motsa jiki na warkewa.
Gyaran jiki na buƙatar mai haƙuri:
- bi abinci;
- yi tausa, hannu, don hana atrophy na tsoka;
- kwanta a ciki na tsawon makonni 2 da 3;
- a matsanancin matsayi, ajiye kafafun da aka ji rauni a wani dandamali wanda aka tashe don hana kumburi;
- a hankali kula da raunuka don guje wa kamuwa da cuta da haɓakar kumburi.
Matsaloli da ka iya faruwa bayan yanka:
- sake kamuwa da cuta, gami da sinadarai da yawa;
- necrosis nama, wanda ya zama ruwan dare a cikin marasa lafiya da ke dauke da cutar siga;
- yanayin preinfarction;
- ba daidai ba ko rashin isasshen amfani da maganin antiseptics da antibacterial kwayoyi;
- karancin jini a cikin kwakwalwa;
- thromboembolism;
- ciwon huhu da ya faru a cikin kwanaki 3 daga ranar tiyata;
- hematoma subcutaneous, wanda aka kafa a tushen asalin dakatar da zub da jini;
- cututtukan narkewar abinci;
- zafi na fatalwa.
Abubuwan da ke haifar da ciwo na fatalwa daga gefen etiological ba a yi nazari da aminci ba, don haka babu ingantattun hanyoyin warkewa don kawar da su.
Wannan rikicewar ana halin shi ne abin da ya faru na rashin jin daɗin halin da ake ciki a cikin wani yanki mai tsagewa (tsawan gwiwa, jin zafi a ƙafa, itching a fannin diddige). Wannan yanayin yana cutar da lokacin farfadowa sosai. An cire shi tare da taimakon magunguna, ilimin motsa jiki, dabarun tunani, cututtukan cututtukan mahaifa.
Bidiyon Ciwon kai da Ciwan kai:
An taka muhimmiyar rawa ta hanyar shirya ɗabi'a na mai haƙuri don rayuwa tare da aikin sihiri. Yawancin marasa lafiya suna cikin baƙin ciki, sunyi la'akari da kashe kansa saboda damuwa mai ƙarfi saboda lahani na jiki. Don cimma kwanciyar hankali, mai haƙuri, a matsayin mai mulkin, yana taimaka wa dangi da kuma mai da hankali ga maƙasudin.
Idan lokaci na farfadowa ya sauƙaƙe, kuma babu wasu rikice-rikice, ci gaba zuwa prosthetics. Da farko, an ba wa mai haƙuri horo na ƙwanƙwasa. Lokacin cire cire gaba ɗaya, mutum dole ya koya yin tafiya sake.
Da zaran an fara horarwa, mafi kyawun tsokoki zai kasance. Ana yin wankan aiki na dindindin ga kowane mutum gwargwadon sigogi na mutum. Cire lahani akan aikin da aka gama yana cirewa.
Wannan aikin ana yinsa a ƙarshen satin na biyu - farkon mako na uku daga lokacin tiyata. Sake kunnawa ana aiwatar da su ne bayan an gama samfurin da ake ciki. Idan mai haƙuri ya datse yatsunsa, to ba a buƙatar sahun ƙaiƙayi ba.
Matakan prosthetics:
- Zaɓin ƙira.
- Shan matakan daga kututture.
- Masana'antu.
- Babban taron maimaitawa.
- Kammala samfurin bisa ga burin mai haƙuri.
- Ueaddamarwa da aikin karuwa.
- Horarwa mai aiki.
Nasarar lokacin farfadowa ya dogara da ingancin ƙwarin gwiwa, girmanta, hanyar sarrafawa, ƙirar tsari, da kuma tsarin motsa jiki. Halin mai haƙuri kuma yana rinjayar ƙimar dawowa al'ada.
Rayuwa bayan da hasashen
Sau da yawa ana yin yankan hannu a cikin ciwon suga. Godiya ga wannan hanya, an ajiye mai haƙuri. Yarda da wasu shawarwari na likitancin da aka yi la’akari da su na zama dole ga masu ciwon sukari na bayar da damar da za a iya guje wa sake komawa kan cutar, kazalika da ci gaba da cutar siga.
Sakamakon cututtukan da ke haifar da cutar yana haifar da yankewa wani yanki mai mahimmanci na reshe, wanda ke haifar da mutuwa a cikin 50% na lokuta a cikin shekara. Marasa lafiya waɗanda suka sami damar tsayawa a ƙafafunsu bayan irin wannan tiyata na rage haɗarin mutuwa da kusan sau 3.
Yankan nasara ya bawa mutane da yawa damar samun kwanciyar hankali na zamantakewa, da cikakken murmurewa daga ayyukansu na baya ko fara neman kansu a cikin sabbin hanyoyi. Zabi na aikin prosthesis daidai yana bawa mai haƙuri damar jagorantar rayuwa iri ɗaya kamar ta da. Ga mutane da yawa, yankan reshe ya zama juzu'i a cikin tunani, saboda haka yana karfafa ka da yin wasanni ko tafiya da karfi.
Mutanen da ya zama dole su yanke hannu suna karbar tallafin kudi daga jihar, zasu iya dogaro da aikin nakasassu, da kuma biyan fa'idodi masu kyau.
