Gangrene (necrosis) na kafafu a cikin ciwon sukari - alamu da magani

Cutar sankarar mahaifa cuta ce da ke fitowa daga jijiyoyin jikin da ke haɓakawa saboda hawan jini mai haɓaka. Mafi sau da yawa, ana shafar ƙananan ƙafa, wannan yana faruwa ne saboda rarrabewar kewaya jini. Da wuce lokaci, suna duhu saboda tara ƙarfe da baƙin ƙarfe. Ana ajiye wadannan abubuwan ne daga jini sakamakon cunkoso. Necrosis na kafafu yana faruwa saboda dakatar da isar da oxygen zuwa ga capillaries. A cikin masu ciwon sukari tare da ƙwarewar fiye da shekaru 20, haɗarin haɓakar wannan cuta ya karu zuwa 80%.

Babban abin da ke haifar da ƙwayar cutar ƙananan ƙwayar cuta a cikin ciwon sukari yana da alaƙa da bayyanar cututtukan trophic. Daga cikinsu akwai:

Gangrene mummunan rauni ne na ƙananan ƙarshen yana haɗuwa da mutuwar kyallen takarda. Yana haifar da mummunan ciwo, saboda wanda mutum ya rasa damar da zai jagoranci rayuwa mai cike da tsari. A yau, masana sun bambanta nau'ikan gangrene biyu: bushe da rigar.

Dry gangrene

Dry gangrene wani rauni ne na fata, sanadin wanda hakan cin zarafi ne cikin yaduwar jini. Yawanci, ana gano wannan nau'in cutar a cikin marasa lafiya da ke fama da ciwon sukari tare da bushewa ko rashin ruwa a jiki. Cutar ta tsiwirwirin cikin sannu a hankali, ta hanyar bushewa daga kyallen takarda. A tsawon lokaci, fatar kan kafafu ta fara laushi da ƙarfi, ta sami launin ruwan kasa ko launin baƙi. Mutum ba zai iya yin rayuwa na yau da kullun ba, yana zama nakasasshe. 'Dry gangrene za a iya gane ta:

• Mai tsananin rauni a cikin ƙananan ƙarshen,
• Rage hankali ko rashi
• Cold fata na kafafu,
• Abubuwan da ake samu na kullum na numbness
• Rashin isasshen rashi a cikin kafafu, ko saboda rashi,
• Numbness na kafafu
• Pallor na fata.

Wet gangrene

Rigar gangrene za'a iya gane shi ta kusan alamomin guda ɗaya kamar bushere. Mafi sau da yawa, ana gano irin wannan cutar a cikin waɗanda ke fama da ciwon sukari waɗanda ke da kiba. Yawanci, irin waɗannan marasa lafiya suna da haɗari ga edema na yau da kullun da rikicewar ƙananan ƙarshen. Raunin kanta mai laushi ne, ba shi da lokacin bushewa. Irin wannan murfin yana da matuƙar saurin kamuwa da cututtukan ƙwayoyin cuta da ƙwayoyin cuta, kuma yana iya haifar da mummunan maye. Wet gangrene zai fi zama m. Wannan alamun za a iya sanin wannan sabon abu:

• Mai tsananin zafi a cikin ƙananan gabar,
• Kullum a gabatar da ripple,
• Increaseara yawan zafin jiki,
• Kamshin na rot daga ƙananan ƙarshensa,
• Samuwar jan abubuwa da yawa akan fatar,
• Hanyar yanzu a cikin kafafu,
• Binciken ƙananan ƙarshen, suna samun shuɗi mai launin shuɗi ko shunayya,
• Bayyanar jijiyoyin jini a cikin kafafu.

Hanyoyin jiyya

Yin jiyya na ƙwayar cuta tare da ciwon sukari na buƙatar haɗaɗɗiyar hanya. Yana da mahimmanci a bi duk umarnin likitan halartar, tunda yin watsi da shawarwarin na iya haifar da ci gaba da rikitarwa.

• Angioplasty da stenting sune hanyoyin da ke taimakawa kayar da wani nau'in cutar amai da gudawa. Tare da taimakonsu, yana yiwuwa a bar reshe. Babban mahimmancin hanyoyin shine kama da tasoshin da suka lalace, wanda ke maido da zagayawa cikin jini. Ana aiwatar da abubuwan cikin gaggawa a asibiti, ba tare da maganin sukuni ba - ta hanyar karamin fyaɗe, likita yana ɗaukar duk hanyoyin da suka dace tare da kayan aiki na musamman. Yayin aiwatar da aikin, mutum a hakika baya rasa jini.
• Zazzabin jijiyoyin jijiyoyin jiki shine tsinkaye wanda zai iya daidaita yanayin jini a cikin ƙananan ƙarshen, kazalika da rage ischemia. Wannan hanyar tana da matukar tsattsauran ra'ayi, ana aiwatar da shi a karkashin maganin sa barci na gaba daya. Babban mahimmancin shiga shine maye gurbin tasoshin da abin ya shafa tare da masu jagoranci na musamman waɗanda ke aiwatar da aikin jijiya.
• Gwaran fata fata hanya ce wacce likita ke kulawa da wuraren fata da abin ya shafa da kuma wadanda suka mutu. Maimakon faci da abin ya shafa, za a iya tono tsoffin ƙwayar cuta. Hakanan likitocin na iya watsa tsoka daga wasu sassan jikin.

Madadin magani

Wasu masana sun lura cewa yin azumin warkewa zai taimaka wajen dakatar da ci gaban cutar sankarar mahaifa. Wannan hanya ce ta zazzagewa da likita ya kamata ya kula dashi koyaushe. Zai fi kyau a yi wannan a asibiti na musamman. A farkon matakan gangrenous, yunwar na iya dakatar da ayyukan gaba daya. Hakanan, nauyin yau da kullun akan kafafu zai taimaka wajen kafa wurare dabam dabam na jini.

Yin rigakafin

Ciwon sukari mellitus babbar cuta ce ta endocrine wacce ke haifar da cututtuka da yawa. Tashin sukari na jini ya cutar da lafiyar jikin jijiyoyin jini, wanda hakan na iya haifar da lalacewar nama. A cikin batun rashin kulawa na tsawan lokaci, ciwon sukari yana haifar da rikice-rikice masu rikitarwa waɗanda galibi ke shafar ƙananan ƙarshen.

Don rage haɗarin kamuwa da irin waɗannan cututtukan, wajibi ne don bin matakan rigakafin waɗannan masu zuwa:

• Guji daga dukkan munanan dabi'un da suka shafi cutar rarrabuwar jini: shan sigari, shan giya,
• Ka dawo da nauyin jikin ka, wanda yake kara karfin jini,
• Zabi takalmanku a hankali: dole su kasance masu inganci da kwanciyar hankali,
• Kalli abincinka, bai kamata a sami glucose a ciki ba,
• Koyaushe sanya safa - dole ne a sanya su da masana'anta na halitta,
• Sanya takalmin takalmin da yawa - iri ɗaya za'a iya sawa fiye da kwana 2,
• Bincika ƙananan ƙafafunku kowace rana
• Idan wani rauni ya bayyana a saman ƙananan lamurorin nan take, kula da su nan da nan,
• Karku sa safa mai nauyi, domin suna iya lalata fata,
• Lokacin da corns ko corns suka bayyana, kunsa kafa tare da bandeji - taimakon band zai iya lalata saman fata na fata,
• Dakatar da shan ruwa mai zafi wanda ke hawan jini,
• Da dare, yi shafa mai na zahiri a fata wanda ke taimakawa arfafawa da dawo da epidermis.

Yin aiwatar da matakan kariya na sauki zai taimake ka ka hana ko dakatar da ci gaba da ɓarkewar ƙananan ƙarshen. Idan kun lura da alamun farko a cikin kanku, nemi likita.

Mene ne gangrene

Ciwon sukari mellitus cuta ce mai rikitarwa da ke tattare da glucose jini. Dalilin shine rashin kwayayen haɓaka insulin ko haƙuri da shi. Ba tare da insulin ba, glucose baya shiga cikin sel, yana tarawa cikin jini kuma yana haifar da hyperglycemia (matakan glucose mai girma).

Tsawo, rashin tsayayyen cuta yana haifar da babbar illa ga jiki, sannu-sannu yana lalata tasoshin jini, ƙarshen jijiya. Cutar sankarau mai saurin kamuwa da cutar sankarau.

Gangrene tsari ne wanda ke haifar da bayyanar cututtukan fata (necrosis) na kasusuwa. Kwayoyin sun fara mutuwa saboda rauni, rashin abinci mai gina jiki, kamuwa da cuta.

Akwai dalilai da yawa da ke haifar da wannan hanyar:

• tashin hankali,
• cututtuka
• na jiki, illolin kemikal.

Gangrene na ƙananan ƙarshen cututtukan cututtukan ƙwayar cuta shine sananniyar hanyar sanadiyyar ragewar rayuwa, asarar ƙarfin aiki, da tawaya.

Harin ƙwayar cutar ta kamari a cikin masu cutar sankara idan aka kwatanta da mutane masu lafiya suna ƙaruwa: a cikin maza sau 50, cikin mata ta hanyar sau 70.

Rarrabawa

Gangrene a cikin ciwon sukari baya faruwa azaman cuta mai zaman kanta. Ya danganta ne da ci gaban ilimin cuta saboda cutar sankara.

An bambanta nau'ikan cututtukan cututtuka:

Innovation a cikin ciwon sukari - kawai sha kowace rana.

• Ischemic - take hakkin mallaka na jini a cikin tasoshin saboda kunkuntar, samuwar ƙwayoyin jini. Bayyanar cututtuka: fatar jiki tana da sanyi, tazararraki tare da wurare na hyperpigmentation, zafi lokacin tafiya, rashin yawan bugun jini a cikin jijiya tare da ƙwarewar kiyayewa.
• Neuropathic - raguwa cikin ji na ƙwarai saboda lalata ƙwayoyin zaruruwa na ƙarshen jijiya. Bayyanar cututtuka: fatar jiki tana da zafi, tare da duhu duhu, jin zafi da daddare, rage jin hankali tare da kiyayewar bugun jini a kan jijiyoyin jikin,
• Cakuda (neuro-ischemic) - wadataccen jini da ƙarancin ji na jiki.

Ta yanayin yanayin kwararar, ana rarrabe nau'ikan 2 na gangrene.

• Dry gangrene a cikin ciwon sukari. Yana faruwa a cikin bushewa, marassa lafiya a sakamakon isasshen yaduwar jini. An kwatanta shi da ci gaba a hankali. Tissues fara bushewa, zama wrinkled, m. A hankali, yankin da ya lalace ya zama launin ruwan kasa ko baƙi tare da launin shuɗi. Yana da halayyar cewa bushewar ƙonewar ƙwayar cuta baya wuce yankin da abin ya shafa. Kwayoyin cuta ta Pathogenic kusan basu bunkasa cikin bushewar kasusuwa, saboda haka babu maye cikin jiki. Koyaya, idan akwai kamuwa da cuta, akwai yuwuwar canzawa zuwa nau'in rigar.
• Rigar gangrene don ciwon sukari. Babban dalilin shine samarda zubar jini zuwa gauraye a sakamakon cutar sankara a jiki. Tissues sun mutu da sauri, tsarin kamuwa da cuta ya motsa zuwa wuraren da ke kusa. Gashinan da abin ya shafa ya zama launin ruwan hular shudi-inuwa, lokacin da ka matsa fatar, ana jin sautin mai amo, kamshin jujjuyawar ya bayyana. Halin mai haƙuri yana gab da kasancewa mai mahimmanci saboda maye. Idan ba tare da kulawa da lafiya ba, akwai barazanar toshewa da mutuwa.

Ba za ku iya magance maganin cutar da kanku ba, an ba da shawarar ku nemi likita kai tsaye.

Sanadin faruwa

Hypoglycemia yana cutar ba kawai jijiyoyin jini da jijiyoyi ba. Yana keta metabolism a cikin jiki, yana raunana tsarin rigakafi, yana sa marassa lafiya su kamu da kamuwa da cuta. Babban sukari yana haifar da yanayi mai dacewa don haɓakar ƙwayoyin cuta. Tare da cututtukan jijiyoyin jiki, ƙarancin rauni, keta fata tare da kamuwa da cuta yana haifar da raunuka marasa warkarwa mai tsawo.

A cikin mutum mai lafiya, kowane rauni yakan sa kansa yaji zafi. A cikin masu ciwon sukari, saboda ragewar hankali, wannan ba koyaushe bane yake faruwa kuma ƙananan raunuka na fata suna kamuwa. Cutar sankarar mahaifa cuta ce gama gari da ke haifar da ulcers da gangrene.

Cutar ciwon sukari wani tsari ne wanda ke faruwa a cikin jijiyoyi, tsokoki, kasusuwa da kuma haɗin gwiwa na ƙafa. Ya bayyana a kan tushen tsawan hyperglycemia. Canje-canje a cikin kasusuwa da guringuntsi suna haifar da gaskiyar cewa nauyin lokacin da aka rarraba tafiya ba tare da bambanci ba, ana samun karuwar matsin lamba akan shafukan yanar gizo. A fata coarsens a kansu, corns bayyana, a karkashin abin da fasa da ulcers samu.

Hadari ne da cewa tsofaffi, marasa lafiya masu kiba ba za su iya bincika ƙafar ƙafa a kan kawunansu ba. Wannan yana haifar da haɗarin kamuwa da cuta daga raunuka.

Hadarin da ke tattare da cutar sankarar bargo a cikin cututtukan mahaifa na karuwa a gaban irin wadannan dalilai:

• tsawanta hyperglycemia,
• atherosclerosis
• Tarihin ciwon koda,
• na jijiyoyin bugun jini,
• shan taba da barasa
• rashin tsabta mara kyau da rashin isassun kulawar ƙafa.

Hanyoyin cututtukan cututtukan kumburi suna tasowa a cikin 30-40% na masu ciwon sukari a duk rayuwa. A lokaci guda, 20-25% suna kwance a asibiti sakamakon rikice-rikice na ciwon sukari.

Ta yaya jijiyoyin kafafu zasu fara?

Matakin farko na gangrene a cikin ciwon sukari yana da wuya a tantance. Babban dalilin wannan cutar haɗari shine cutawar jijiyoyin jiki.

Muna ba da ragi ga masu karanta shafinmu!

Bayyanar cututtuka dake nuna bayyanuwar rikice-rikice:

• Lamari. Akwai buƙatar hutawa kullun yayin tafiya.
• Daskarewa kafafu ko da rani.
• Numbness, asarar abin mamaki.
• Cikakke, bluish tint, musamman a kan yatsunsu.
• Tingling a cikin ƙafa, yatsunsu.

Sau da yawa marasa lafiya suna zuwa likita, suna da alamun bayyanar cutar ƙarancin ƙarancin ƙarshen ciwon sukari:

• zazzabi
• zafin ciwo mai raɗaɗi
• tashin zuciya, rashin ƙarfi saboda maye,
• raunuka masu yawa.

Sole na ƙafa, yatsunsu - wuraren da yafi yiwuwa su sha wahala daga cututtukan cututtukan da ke fama da cutar siga.

Rage wurare dabam dabam na jini, raguwar ji na ƙwarai yana haifar da gaskiyar cewa ƙananan raunuka suna kamuwa da cuta kuma suna girma cikin rauni.

Binciko

Gangrene na ƙananan ƙarshen, mai rikitarwa ta hanyar ciwon sukari, yana da wuyar magani. Tare da shekaru, haɗarin samun wannan rikicewa yana ƙaruwa, ya dogara da tsawon lokaci da tsananin ciwon sukari.

Binciko yana da mahimmanci don gano farkon hanyoyin tafiyar matakai. Don wannan, ya zama dole a gudanar da gwaje-gwaje na yau da kullun ta ƙwararren likitanci, likitan fata, likitan dabbobi, da kuma likitan jijiyoyin bugun gini.

Hakanan wajibi ne don yin karatu da yawa:

• gwaje-gwaje na jini da fitsari don glucose,
• duban dan tayi dopplerography of the jini (Doppler duban dan tayi) - ƙudurin cin zarafi a cikin hanyoyin jini,
• angiography - gano yanayin kunkuntar da toshe hanyoyin jijiyoyin jini,
• X-ray na ƙafa, gano canje-canje na cututtukan ƙafa a ƙafa,
• densitometry, bayyanar cututtuka na osteoporosis,
• angiography, yana tantance yanayin hanyoyin jini da yanayin kwararar jini.

Mutanen da ke da ciwon sukari ya kamata su gudanar da gwajin gani na ƙafafunsu don ƙananan raunin da ya faru. Yana da mahimmanci a gare su su san menene ɓarna na ƙarshen ƙarshen kuma alamomin ta.

Gangrene na ƙarshen ƙarshen, mai rikitarwa ta hanyar ciwon sukari mellitus, yana da wuyar magani. Rashin narkewar ƙwayar cuta, rigakafi mai rauni, cututtukan haɗin gwiwa suna hana farfadowa da sauri.

Cikakken magani yana nufin kawar da manyan abubuwan da ke haifar da cutar:

• raguwa cikin glucose na jini,
• ragi daga cikin kumburi saboda maganin rigakafi da lura da raunuka,
• kau da maye,
• kawar da abubuwanda suka bayar da gudummawa ga necrosis - cirewar kwayar cutar kansa, yin aikin tiyata,
• rage nauyin ƙafa.

Tare da bushe gangrene, yanayin yanayin mai haƙuri yana da daidaituwa, ba tare da barazanar mutuwa ba. Saboda haka, ana jinkirtar da aikin har sai an bayyana iyakance tsakanin nama da ya mutu.

Tare da hanzarta yaduwar ƙwayar cuta, likitoci sun fara fitar da kyallen kyallen masu lalacewa, tare da ƙarin magani. A cikin mawuyacin lokuta mawuyacin - don yanke hannu wani reshe.

Dangane da ƙididdiga, an yanke ƙasan ƙafa, mafi girma da yiwuwar mutuwa cikin fewan shekaru.

Ciwon sukari yana tare da matsaloli masu yawa. A tsawon lokaci, cututtukan cututtukan zuciya da jijiyoyin jini, kodan sun bayyana, metabolism yana da rauni, rigakafi yana raguwa. Wannan yana rikitawa da jinkirta tsarin kulawa da dawo da marasa lafiya, idan aka kwatanta da mutane ba tare da ciwon sukari ba.

A kusan dukkanin masu ciwon sukari, bayan shekaru 10 zuwa 15 daga farkon cutar, alamun cututtukan jijiyoyin jiki suna bayyana. Lokaci na lokaci da tiyata na lokaci-lokaci suna taimakawa sosai don kawar da wannan sakamakon da kuma hana haɗarin ƙananan ƙarshen cutar ciwon sukari.

Alamu da alamomin gangrene a cikin cutar sankara

Yana da mahimmanci a tuna cewa busasshen busherene na iya kamuwa, wanda zai iya haifar da haɓaka gangrene.

Bayyanar cututtuka na rigar gangrene:

• kumburi da yankin da abin ya shafa,
• jan launi na fata, wanda zai canza launin zuwa launin ruwan kasa ko baki,
• rauni, raunuka ko blister daga abin da mugunya ke ɓoye,
• ƙanshi mara warin asirin,
• zazzabi da rashin ƙarfi gaba ɗaya,
• tare da gasrene, ana lura da asarar fata daga yankin da abun ya shafa. Lokacin da ka danna kan fata, ana jin kararrawa ko fashewa,
• tare da gangrene na ciki, ana lura da ciwo mai zafi a jiki.

Ko da ɗayan alamun da ke sama na iya zama alama ta fara cuta, sabili da haka, idan sun faru, ya kamata ku nemi shawarar likita nan da nan.

Bayyanar cututtuka na mamacin girgizar jiki:

• karancin jini
• zuciya palpitations,
• zazzabi
• rikice,
• karancin numfashi
• tsananin farin ciki.

Yana da mahimmanci cewa alamun mamacin bayyanar cututtukan ƙwaƙwalwar ƙwayar cuta an san duk dangin mai haƙuri tare da ciwon sukari da kuma waɗanda mutanen da suke kusanci da shi, alal misali, a wurin aiki. A wannan yanayin, zasu sami lokacin da zasuyi aiki cikin lokaci, suna haifar da kulawa ta gaggawa, tunda mai haƙuri da kansa yana iya kasancewa cikin yanayin rashin taimako.