Gangrene na ƙananan ƙarshen ƙarshen cutar mellitus: hoto na farkon matakin

Gangrene a cikin ciwon sukari tsari ne wanda ake kira necrosis na kyallen gida a cikin jikin mutum, sakamakon wanda ake lura da kamuwa da cuta da kyallen takarda mai gudana. Abubuwa na Cadaveric kuma suna shiga cikin jini, wanda ke haifar da mummunar yanayin - an bayyana rauni mai ƙarfi na gabobin ciki na masu ciwon sukari - hanta, zuciya, huhu.

Kira na makoma ga likita, rashin isasshen magani, salon rayuwa mara kyau, da kuma watsi da matsalar suna haifar da sakamako ɗaya kawai - wannan hanya ce mai tsattsauran magani wanda ya ƙunshi yanke ƙiyayya.

Gabanin tushen ciwon sukari, ƙananan ƙananan ƙananan galibi sukan sha wahala. Mai ciwon sukari na iya haɓaka gangrene na ƙafa, halli ɗaya, yana iya shafar kowane yatsunsu, idan ba'a bar shi ba, kuma ya fi tsayi, mafi muni. Idan ba ku nemi likita a lokaci ba, masu ciwon sukari za su ci gaba sosai, wanda zai haifar da yanke kafa na gwiwa.

Wajibi ne a yi la’akari da abubuwan da ke haifar da irin wannan ilimin, don gano alamun ƙwayar cuta ta kamuwa da cutar sankara. Bugu da kari, kuna buƙatar gano ko yana yiwuwa a hana aiwatar da tsarin, da kuma yadda za'a magance cutar ta ɓarke ba tare da yankewa ba?

Me yasa ta'addanci ke faruwa?

Sanin menene ɗan ta'adda, kana buƙatar gano dalilin da zai iya faruwa. Ci gaban gangrene a cikin ciwon sukari na iya kasancewa bisa dalilai iri-iri. Koyaya, a cikin mafi yawan yanayi, gangrene yana haɓaka sakamakon sabubba da yawa lokaci guda.

Tsarin ischemic na gangrene shine sakamakon canje-canje na atherosclerotic a cikin jiki, wanda sakamakon abin da ke toshe hanyoyin jini, wanda ke haifar da hawan jini. Sakamakon haka, ƙwayar ba ta samun isasshen jini da oxygen, mutuwa tana faruwa.

Footafarin mai ciwon sukari yana da alaƙa da haɓakar raunuka a ƙafafu ko ƙafa, kuma idan ba su warkar da dogon lokaci ba, ƙari ga kamuwa da cuta ya shiga, ana bayyanar da bayyanar ƙwayar cuta ta kamuwa da cuta.

Akwai wasu dalilai da ke haifar da cutar mahaukaci a cikin masu ciwon sukari:

Sakamakon ƙwayar glucose mai narkewa a cikin jiki shine polyneuropathy, wanda ke haɓaka cikin sel na tsakiya na juyayi. A kan wannan yanayin, ana lalata tasoshin jijiyoyin ƙwayoyin jikin jijiya, kuma ana tsufa tsufa daga sel.
Tare da cin zarafin ƙananan tasoshin jirgin ruwa da raguwa a cikin rufin ganuwar illaryan marala, gangrene yana farawa a cikin ciwon sukari na mellitus.
A ketare manyan tasoshin ruwa, a kan tushen canje-canje na atherosclerotic, ƙwanƙwasa jini yana gudana a cikin jikin mutum - wannan kuma shine babban abin haifar da ƙwayar cuta.
Tissue necrosis wani sakamako ne na dalilai da yawa kamar takalma mara laushi, kiba, gagarumar rauni ga tsarin garkuwar jiki.

Cutar sankarau, ba tare da la'akari da nau'in ta ba, babbar barazana ce ga masu ciwon sukari don samun rikitarwa da yawa. Kuma gangrene don ciwon sukari (hoto), ɗayansu.

Masu ciwon sukari na iya haɓakar kuturta a ƙafafunsu, kuma tare da ƙarancin ji, saboda ƙoshin zafin ya ragu, mai haƙuri ba ya jin wani canje-canje a jikinsa.

Gangrene na ƙananan ƙarshen tare da ciwon sukari ba ya haɓaka a farkon matakin cutar ba.

Zai iya bayyana ne kawai a cikin waɗancan maganganun idan an gano cutar, aƙalla shekaru 5 da suka gabata.

Alamu da alamomin gangrene

Babban matakan glucose a cikin jini a hankali yana lalata jikin mutum, sakamakon abin da jijiyarsa ke ƙarewa, waɗanda ke da alhakin watsawa “jin zafi”, mutu, sarrafa raunin ƙananan ƙarshen.

Tare da wannan, waɗannan jijiya suna ƙare da alhakin sakin gumi a kan fata na ƙafafu suna mutuwa, wanda ke haifar da bushewar fata, fasa sukan bayyana. Kuma tunda komai na halitta ne, ƙarin kamuwa da cuta yana haɗuwa da rauni mara warkarwa da buɗewa, wanda kawai ya kara tsananta yanayin.

Abin takaici, idan mutum ya yi latti na gangrene, tasirin magunguna a wannan yanayin an rage shi zuwa sifili. Kwayoyin rigakafi ba su taimaka, saboda kawai ba za su iya jimre wa aikin ba, ƙwayoyin cuta suna haɓaka juriya a kansu. Kuma a wannan yanayin, don kauce wa yanke hannu, kawai ba ya aiki.

Alamar farko a nau'ikan alamu tana nuna cewa tsari na ci gaba a jikin mutum kusan ba ya nan, saboda kafafu basu da irin kwarewar daya. Koyaya, alamun farko na abubuwanda zasu kamata su haifar da masu ciwon sukari zasu iya gano su:

Rashin gajiya na ƙarshen ƙananan ƙarshen yayin motsawa, ƙaramin rauni a ƙafa, rigakafin kafafu don taɓawa.
Canza kafa, zafi a kafafu.
Canza launi na ƙananan ƙarshen, ko ƙafa, yatsunsu. Fata yana da sanyi da ja, ana iya cewa kusa da shuɗi.

Idan ka kula da irin wadannan hanyoyin a cikin lokaci, kuma ka fara maganin cututtukan kafafu, to, tsinkayen yana da matukar kyau. Babban abu shine bin duk shawarwarin likita, don jagorantar ingantaccen salon rayuwa (abinci mai gina jiki yana taka muhimmiyar rawa).

A cikin yankin da abin ya shafa akwai ciwo na dindindin, magani na jin zafi baya rage yanayin mai haƙuri.
Yankunan da aka shafa sun zama baƙi ko baƙi, yana nuna cewa necrosis nama ya fara.
Babu zagayawa cikin jini a yankin da abin ya shafa.
Akwai rikitarwa: kamuwa da cuta. Gaskiya ne game da maganganun ƙwayar ƙwayar cuta.
Yawan talakawa ana fitowa daga rauni, an gano maye cikin jiki.

Abin takaici, yana da matukar wahala a dakatar da tsarin da ya fara, amma yana yiwuwa idan mai haƙuri ya nemi likita a kan lokaci kuma ba wani magani a gida ba.

Likita mai halarta, ba tare da gajiyawa ba, yana gudanar da gwajin hangen nesa na reshe, yana ba da shawarar yin nazarin kwayoyin cuta, gwaje-gwaje na sukari, jini da bincike-bincike na mahaifa, da kuma nazarin duban dan tayi game da zagayarwar jini a cikin jiki.

Iri rikitarwa

A cikin ciwon sukari mellitus, nau'ikan gangrene iri biyu suna tasowa: bushere da bushe (rigar) gangrene.

Dry gangrene na tasowa a cikin wadancan halayen lokacin da aka rage karfin hawan jini. Irin wannan tsari na iya wuce shekaru 2-3. A wannan lokacin, mutum na iya rayuwa cikin natsuwa ba tare da jin canji a jikin sa ba, kuma jiki, bi da bi, ya dace da irin wannan ilimin, ya samar da ayyukan kariya.

A cikin mafi yawan yanayi, busasshen ciyawa ya bayyana a yatsun, hanyoyin cutar ba su shiga.

Wannan nau'in gangrene an san shi da alamu masu zuwa: ciwo mai zafi a cikin kafafu, wanda yayi ƙasa da lokaci. Yayin bincike na waje, yankin da abin ya shafa yana da bambance-bambance na tabbas daga yankuna masu lafiya, babu kamshi. Raunin ba zai shafi yanayin lafiyar gaba ɗaya ba.

A matsayinka na mai mulkin, babu wani hatsari tare da wannan nau'in gangrene, kuma za'a iya yanke ƙafa ta hanyar alamun kwaskwarima. Ko kuma a cikin yanayin akwai haɗarin 100% na shiga cikin rigar nau'i na gangrene.

Wet gangrene yana halin waɗannan masu biyowa:

Idan mai haƙuri yana da ƙafar mai ciwon sukari, to, ƙarin ƙwayoyin ƙwayoyin cuta al'amari ne na lokaci, sun fara ninkawa da sauri, sakamakon abin da yankin ya shafa ya karu.
Za a iya bayyanar ƙafar cikin bayyanar ta hanyar kalmar "cadaveric", cutar tana ci gaba cikin hanzari, an shafa ƙwayar lafiya.
Ana jin warin mara dadi daga yankin da cutar ta kamu, raunin koyaushe yana da rigar, kuma ba zai bushe ba.
Guba yana faruwa, kamar yadda abubuwa da yawa na cadaveric suka shiga cikin jini.

Tare da gangrene rigar, yankin subcutaneous yayin kamuwa da kyallen takarda yana cike da hydrogen sulfide, don haka lokacin da ka danna rauni, zaka iya jin wani sautin.

Yana da kyau a sani cewa ba za a iya kulawa da irin wannan nau'in gangrene ba, kusan ba zai yiwu a ceci ƙafar ba, kuma hanya mafi kyau ta wannan yanayin ita ce yanke hannun.

Yaya za a bi da gungun mata?

Ana iya aiwatar da jiyya ta cutar sankarar fata tare da masu ciwon suga ta hanyoyi guda biyu - wannan shine tsoma bakin tiyata da kuma maganin mazan jiya. Koyaya, mafi kyawun magani zai zama tiyata.

Ta hanyar kulawa da ra'ayin mazan jiya, likita yayi ƙoƙari don samun diyya ga cutar, rage kaya a kafafu (musamman yankin da abin ya shafa), yi amfani da maganin rigakafi don rage yaduwar cututtukan cututtukan, da rage guba na haƙuri.

A yayin kulawa da ra'ayin mazan jiya, ana bada shawarar bitamin ga masu ciwon sukari da hadaddun abubuwan ma'adinai, wanda ke karfafa tsarin garkuwar jikin dan adam da kara ayyukan shamaki na halitta.

Hanyar tiyata ita ce babban magani don rigar daji, kuma zaɓi ne kawai wanda zai taimaka don guje wa mutuwa. Tare da kerar matattarar matattara, ana aiwatar da wadannan ayyuka:

Magungunan ƙwayar cutar ƙwayar cuta ta hanyar ƙwayoyin cuta mai yawan ƙwayar cuta.
Symptomatic far da ke rage yawan maye.
Zubar da jini.

Yawancin marasa lafiya suna da sha'awar yadda suke rayuwa da irin wannan ciwon? 'Dry gangrene baya tasiri tsawon rayuwar mutum, kuma a mafi yawan lokuta yakan haifar da mutuwar marasa lafiya.

Koyaya, mai haƙuri na iya mutuwa daga cututtukan da suka haifar da wannan yanayin. Misali, a cikin tsofaffi, haɓakar gangrene shine sakamakon atherosclerosis, wanda zai haifar da mutuwa.

Amma game da nau'in cutar rigar, ba tare da isasshen magani ba, rayuwar mutum ba zai wuce kwanaki uku ba, kuma kowane sa'a yana kirgawa. Yana da kyau a lura cewa ba zai yiwu a warkar da cutar a gida ba, babu maganin shafawa na gangrene da zai iya magance ta, haka nan kuma tausawa cutar sankara.

Matakan hanawa

Jin zafi a cikin kafafu tare da ciwon sukari shine wahalar har abada na marasa lafiya, musamman ga mutanen da ke da ainihin nau'ikan cututtukan cututtukan cuta 2. Don kiyaye lafiyar mutum, don hana haɓakar rikice-rikice, ya zama dole nan da nan bayan gano cutar, don fara rigakafin.

Wajibi ne a bar kyawawan halaye, wanda zai iya haifar da rikicewar cikakkiyar zagayawa cikin jiki, wanda ke kara saurin haɓaka canje-canje atherosclerotic da ƙafar ciwon sukari. Duk wannan tare da sarkar na iya zama sakamakon ta'adanci.

Lokacin da aka samo kira a ƙafa, ba za'a iya amfani da kayan filastik, wannan shine, kayan kwalliya. Lokacin cire alewar mai laushi, akwai yuwuwar cire babba na fata, wanda zai haifar da rauni wanda zai iya kamuwa da cuta.

Takalma ba su da ƙananan mahimmanci. Takalma ko takalmin da ba su dace ba na iya haifar da ci gaban gangrene a kafafu. Wajibi ne a sa takalma mai laushi kawai, bai kamata ya latsa kuma rub, murkushe, da sauransu ba.

A lokacin rani, kuna buƙatar zama mai mallakar nau'ikan takalmi, kuma kuna buƙatar sa shi bi da bi, sannan ku tsabtace shi ba tare da gazawa ba. Kowace rana kuna buƙatar bincika ƙafafunku don lalacewa da raunuka, ana ba da kulawa ta musamman ga yanki mai rikitarwa.

Yin rigakafin ya ƙunshi wurare da yawa, kuma kawai tsananin kulawa zai ba ka damar adana lafiyarka da hana haɓaka ƙafar masu ciwon sukari. Gudanar da sukari na jini, kulawa da ƙarancin ƙafa, da kuma ingantacciyar rayuwa zai rage haɗarin rikicewa. Bidiyo a cikin wannan labarin yana ba da wata hanya don bi da cutar ta ɓarna.

Siffofin Cutar Cutar Malaria

Akwai hanyoyi guda 3 na cututtukan ƙafafun ciwon sukari:

Nau'in Neuropathic. Lalacewar jijiya ta rinjayi. Sakamakon haka, ji na jiki ya ragu, fatar jiki ta bushe, tsokoki na atrophy. Kafar ta lalace cikin sauri, rauni na trophic ya bayyana, kuma saboda rage zafin jiyewar mara lafiya ba ya lura da wannan.
Nau'i na Ischemic. Rushewar jijiyoyin jiki ya mamaye. Jin zafi a cikin ƙwayoyin maraƙin ya bayyana lokacin tafiya. Fata na ƙafafu ya zama fari, sanyi, gashi ya fita. Wataƙila ci gaban gangrene.
Cakuda hade.

Dry gangrene

Tare da lalacewar sannu a hankali sanadiyyar zubar jini, kyallen ƙafafun ya mutu, rasa danshi, bushe fita, alagammana. Jini daga cikin jiragen ruwa ya shiga yadudduka da ke kewaye, an lalata shi zuwa ƙarfe, yana haifar da launi mai duhu na wuraren da suka mutu. A iyakar tare da kyallen takarda masu lafiya, kumburi ya bayyana. Dry gangrene yana farawa tare da ciwo mai zafi a ƙasa tare da toshewar jijiya. Yatsar ta zama mara nauyi, sanyi, a nan gaba - cyanotic, sannan yayi baƙi ko ya zama mai launin shuɗi. Idan ba a ba da aikin likita ba, tsarin zai bazu zuwa matakin isasshen kwararar jini. Wani lokacin yankan kantsewa na iya faruwa a iyakar tare da ƙoshin lafiya - ƙin kyallen takarda da lalace. Ganyen bushewa ya zama ruwan dare a cikin mutane.

Wet gangrene

Yana faruwa tare da mummunar ƙetarewar zubar jini, mafi yawan lokuta a kan asali na edema, lymphostasis, a cikin mutane masu kiba.

Wet gangrene

An kwatanta shi ta hanyar kamuwa da cuta, yana haifar da mummunan maye ga jiki.

Yana farawa da fidda fata. To, jan tabo da kumfa sun bayyana a kai, cike da abubuwan da ke ciki. Legafar tana juyawa da sauri, da sauri, sannan ya rasa hankalin sa. Cutar ta shiga, tsari na lalacewar ya fara. Wannan yana tare da maye gawar jiki: zafin jiki jikinsa yana tashi sosai, jin sanyi, sanyayawar jiki, zufa, shaƙatar shaɗa, sharar iska. Halin yana haifar da barazana ga rayuwar mai haƙuri.

Jiyya na gangrene na ƙananan ƙarshen tare da ciwon sukari

Tare da ɓarkewar ɓarkewar ƙananan ƙarshen, maganin da kawai zai iya ceton rai shine yanki na yanki da abin ya shafa. Tare da rigar gangrene, an yi yankan hanzari cikin hanzari, tunda kamuwa da cuta na iya haifar da sepsis da mutuwar mai haƙuri.

Tare da bushe gangrene, ana yin shirye-shirye na gaba don inganta hawan jini sama da matakin cutar, daidaita matakan sukari na jini, ayyukan gabobin jiki, yakar kamuwa da cuta, da isasshen ciwo mai raɗaɗi ga mara haƙuri.

Volumeaukar yanki yankan dogaro da nau'in ƙungiyar 'gangrene' da yanayin tasoshin da kyallen kewayenta. Sau da yawa yankan yatsunsu, daya ko dayawa, ba sau da yawa - ƙafafu, da wuya sosai - “babba” yankan kashi a matakin cinya ko ƙananan kafa.

Don hana gangrene, da kuma sake dawowarsa, ayyukan sake fasalin da ba a sake gina su ba a kan tasoshin da ke dawo da kwararar jini a cikin sassan lalacewar ababen hawa kuma suna da matukar muhimmanci. Ana yin sujadar arterial, tiyata ta hanyar wucewa, angioplasty, stenting.

A kowane hali ya kamata ku yi ƙoƙarin bi da ƙwayar cuta ta ƙafa tare da ciwon sukari tare da magungunan jama'a, kuna fatan yin ba tare da yankewa ba, damfara, shafa man shafawa, dumama, da sauransu. Wannan barazanar rayuwa ce, zaku iya rasa lokaci, tsari na cuta zai ci gaba kuma ya kai ga ƙarin aiki.

Tsinkaya don gangrene na ƙananan ƙarshen

Tsinkaya na gangrene na ƙananan ƙarshen ƙananan marasa lafiya a cikin marasa lafiya da ciwon sukari ya dogara da nau'in gangrene, tsawon lokacin cutar, shekarun mai haƙuri, yanayin wasu gabobin da tsarin jikin mutum, da kuma biyan bashin metabolism.

Tare da bushe gangrene, hangen nesa na rayuwa ya fi dacewa da magani na kan lokaci.

Tare da rigar gangrene, da prognosis ne dubious, mafi muni a cikin tsofaffi marasa lafiya da ciwon sukari mellitus, procrastination a neman likita. Tsinkayawar rukunin rigar ba tare da magani ba shi da kyau, mara lafiya ya mutu daga alamun bayyanar ƙoshin mai guba.

Yin rigakafin Gangrene

Yin rigakafin gangrene a cikin ciwon sukari mellitus ya ƙunshi ƙayyadaddun alamu na metabolism metabolism, cholesterol, daidaita yanayin karfin jini, kawar da halaye mara kyau, kulawa na yau da kullun, kulawa da lokaci na farkon bayyanar cututtukan ƙafafun ciwon sukari, saukar da ƙafa idan ya cancanta.

Kula da metabolism na yau da kullun shine ainihin tushen rigakafin duk rikitarwa na ciwon sukari.

Wajibi ne a lura da matakin glucose a cikin jini a gida kullun tare da glucometer. Sau biyu a shekara, kuma idan ya cancanta a mafi yawan lokuta, duba matakin maganin haemoglobin, wanda ke nuna rama ga masu ciwon suga. Kar a manta da abincin yau da kullun da magunguna masu rage sukari ko allurar insulin.

Sau da yawa a cikin marasa lafiya da ciwon sukari, metabolism na lipid kuma yana fama da rauni, cholesterol, gabobinsa da triglycerides suna haɓaka. Normalization daga cikin wadannan Manuniya rage gudu da atherosclerosis da kuma inganta yanayin bango na jijiyoyin bugun gini.

Mummunan halaye na haɓaka ciwon sukari. Hypodynamia yana ba da gudummawa ga haɓakar kiba, karuwar glucose jini, ƙwayar tsoka. Yayin shan taba, vasospasm yana faruwa, wanda ya kara inganta gazawar jini a cikin kyallen da abun ya shafa. Almubazzaranci da giya suna haifar da matsanancin yanayi, yana cutar da cutar koda da hanta.

Kulawa ta yau da kullun da motsa jiki sune abin da kowane mai ciwon sukari yakamata ya yi a kai a kai.

Nasihun Kula da Kafa

Duba ƙafafunku akai-akai. A cikin taron corns, calluses, fashe, rauni, canje-canje a cikin yanayin kusoshi (duhu, ingrowth, fungal kamuwa da cuta), tabbatar da tuntuɓi likita.
Wanke ƙafafunku kullun da ruwa mai ɗumi da sabulu, kuna iya yin wanka, amma a kowane yanayi kada ku fitar da ƙafafu. A hankali shafa cons da coarsened yankunan da pumice dutse. Bayan an wanke, sanya danshi mai laushi zuwa ƙafa, guje wa wuraren da yatso.
Yi hankali da datsa ƙusoshinka, kula kada ka cutar da yatsanka mai yatsa.
Karku yanke cons da corns tare da razors, almakashi, kar a shafa filayen masara.
Saka takalmi mai santsi tare da yatsan yatsa. Takalma sukamata su dace da girman, ba tare da abun sakawa ba. Idan kun haɗu da matsaloli tare da zaɓi na takalma saboda lalacewar yatsunsu, tuntuɓi likitan kwantar da hankali tare da buƙatar zaɓar takalman orthopedic na musamman.
Yi motsa jiki don ƙafafu. Zasu karfafa tsokoki da haɓaka wurare dabam dabam na jini a cikin wuraren da abin ya shafa.

Ationaddamar da lokaci na jiyya don cututtukan cututtukan ƙwayar cuta da cututtukan ƙwaƙwalwa na angongathy na iya rage yiwuwar haɓaka gangrene. Suna amfani da shirye-shiryen acid na thioctic acid, bitamin B, shirye-shiryen jijiyoyin bugun gini, maganin antioxidants, kwayoyi waɗanda ke rage cholesterol jini da bakin jini.

Bayyanar cutar gangrene a cikin ciwon sukari a farkon matakin

Ganin ƙayyadaddun ci gaban wannan cutar, ba koyaushe ba zai yiwu a tsayar da farkon matakin lalacewar ƙwayar jijiyoyin jiki a cikin ƙananan ƙarshen. A lokaci guda, gaskiyar cewa kowane haƙuri yana haɓaka wannan cuta daban-daban kuma babban tasiri shine matakin sukari a cikin jinin masu ciwon sukari da kansa ke taka rawa sosai. Higherayan mafi girman taro na glucose, da sauri ci gaba da cutar. Wadannan alamomin masu zuwa ana alakanta su da alamun farko na cutar tarin fuka.

Kumburi da kafafu

A mafi yawan halayen, necrosis fara da kafa ɗaya kawai. Da wuya a cutar, cutar ta shafi duka ƙafafu ɗaya lokaci guda. Saboda haka, yana da matukar muhimmanci a kula da irin waɗannan bayyanar kamar zafin jijiya da nauyi a cikin ɓangaren kafa ɗaya. Haɓakar abin da ke tattare da jijiyoyin jiki na haɓaka lokacin da mai haƙuri ke zaune na dogon lokaci, kuma jini yana tsaye a cikin ƙananan ƙarshen.

Tingling

A wurin ci gaba na gaba na gangrene, hankalin mutum ya ɓace. Yayinda yake taɓa ƙafa, mutum yana jin sanyi ko ƙanƙani, yana tuna allura da allura mai kaifi lokaci guda. Wannan yana nuna cewa yanayin cutar sanadiyyar mutuwa ya riga ya fara kuma ƙoshin jijiyoyi sun shiga ciki, rashin kyakkyawan yanayin wanda shine alama kai tsaye na kasancewar cutar.

Muscle fiber pain

Yayin motsi da ƙuƙwalwar ƙwayar tsoka, mai haƙuri tare da ciwon sukari yana jin ciwo mai raɗaɗi a ƙafa, wanda ke ƙaruwa daidai da adadin motsi da aka yi. An bayyana wata alama mai kama da wannan saboda gaskiyar cewa cibiyar kumburi farawa ta fara zama a cikin kyallen kafa na kafa, wanda a nan gaba zai canza zuwa cikin sukari na gangrene.

Canjin launin fata

Kafin cutar sikari ta bayyana cike da fata, da fari fatar ta canza inuwarta kamar yadda ta zama jikin mara kamar mara kyau. A karkashin farfajiya na ciki na epithelium, jan da cyanotic capillaries, wanda aka bambanta ta da bayyanannun alamun lalacewa da kuma yanayin halayyar jijiyoyin bugun gini, na lokaci-lokaci yakan iya haskakawa ta. Binciken gani da bugun kafa yana ba da ra'ayi cewa jini ba ya kwarara zuwa wannan bangare na kafa kuma wannan ya faru ne sakamakon yanayin rashin gamsuwa na gashin gwiwar.

Yankewan Zazzabi

Yanayin ƙafafun da ba shi da lafiya ya bambanta da sauran kafa ta gaban ƙananan zazzabi. Idan kun ji ƙafar da abin ya shafa, zaku lura cewa fuskar ta tana da duman sanyi. Wannan alamar tana nuna cewa jini a cikin tantanin wannan ɓangaren reshen ba ya shigar da ƙimar da ake buƙata kuma ƙwayoyin sel da keɓaɓɓe suna da ƙasa a cikin abubuwan gina jiki.

Idan yanayin bai canza ba, to, za su fara mutuwa a adadi mai yawa kuma tsari na necrosis ya haɓaka.

Mataki na karshe da alamomin cutar sankara ta fata mai cutar ciwon sukari shine sakewar fata mai launin fata tare da farawar canje-canjen da ba za'a iya canzawa ba a cikin tsarin kyallen kyallen takarda. Signsarin alamun cutar ta haɓaka, waɗanda tuni suna cikin matakan cutar na baya kuma basu da alaƙa da alamomin ta na farko. Waɗannan sun haɗa da ƙaruwa a zafin jikin mai haƙuri, jin sanyi, zazzabi, rashin ci, ciwon kai, tashin zuciya, da kuma fitar da amai na ciki.

Fushin kafa ya zama cikakke kuma a cikin 'yan kwanaki canje-canje zuwa launin farin gashi. Wannan bangare na hannu an daina ba shi jini kuma tsoka yana tartsatsi. A kan asalin mutuncin fata mai rauni, kamuwa da cuta ta shiga cikin jiki, wanda kawai ke inganta alamun cutar. Daga kafa, farji da anemia sun fara fitowa waje. Mutumin da ke fama da ciwon sukari yana fuskantar azaba mai zafi sosai kuma yana buƙatar magungunan jinya na yau da kullun.

Vascular atherosclerosis

Smallestananan ƙananan garkuwan jini suna da bakin ciki kuma mai rauni. Duk wani tasiri akan tsarin su yana haifar da lalacewa da yawa da rashawa. Ana haifar da cutar sankararwar mahaifa ta dalilin cewa lu'ulu'u na yawan sukari a cikin jini ya toshe jijiyoyin jijiyoyin jiki da kuma tsoma baki cikin jini na al'ada. Wannan shine ɗayan abubuwan da suka fi haifar da cututtukan ƙwayar cuta a cikin kafafu tare da ciwon sukari.

Kafar ciwon sukari

Wannan shi ne abin da ake kira gangrene rigar, lokacin da gurɓataccen ruwa mai ruwa ya faru a cikin diddige, wanda yawancin marasa lafiya ke rikicewa da shafa fatar fatar. Sai kawai idan ta fashe shine ya zama bayyananne cewa a zahiri wannan rauni ne na hannu wanda ya danganta da keta hurumin jini. Kwayar cuta ta kwayar cuta ta shiga cikin rauni mai tsawo kuma ba ta warkar da cuta da cuta ta ɓarke, wanda a zahiri ba shine babba ba, amma cuta ce ke tafe.

Rashin daidaituwa

Lationetare aikin tsarin metabolic na ƙwayar glucose ta sel waɗanda ke cikin ƙarshen jijiya wanda ke da alhakin jijiyar ƙananan ƙarshen. A gaban wannan ilimin, neurons suna mutuwa sau da yawa cikin sauri, tsufa da kuma mutuwar jijiyoyi ya faru, kuma cututtukan mahaifa a kafa suna keɓewa daidai a wuraren da suke wucewa. Wannan sanadin cutar na faruwa sau da yawa fiye da sauran dalilai, amma har yanzu yana faruwa a cikin aikin likita.

Rage tsarin na rigakafi na gida

Kwayoyin na rigakafi suna daga cikin na farko da suka fara martaba matakan glucose mai yawa a cikin jini. A cikin marasa lafiya da ciwon sukari mellitus, saboda yawan sukari mai yawa, tsarin rigakafi ya zama mai rauni kuma baya cika aikin kariya da aka sanya shi. A wannan tushen, ko da ƙananan lalacewar yatsa, diddige ko wani ɓangaren ƙafa yana zama ƙofar buɗewa ga kowane nau'in pathogen. Idan Staphylococcus aureus ko cututtukan streptococcal sun shiga cikin irin wannan rauni, to, yiwuwar haɓaka gangrene yana da girma sosai.

A cikin masu ciwon sukari, jinin ya yi kauri sosai fiye da mutanen da basa fama da wannan cuta. Wannan saboda lu'ulu'u ne mai sukari suna sa ruwa ya zama ruwan jiki. Zai zama da wahala ga zuciya harba jini ta tasoshin jini tare da kunkuntar bango kuma daga ƙarshe ƙaramin thrombi ya fara da farko, sannan kuma sun zama ƙara girma da ƙima. Kasancewar jini a wata jijiya hanya ce ta kai tsaye ga karancin jini zuwa wasu sassan kafafun dake kwance a kasa daga cikin jini da kuma tsammanin cutar zazzabin cizon sauro.

Matsayin aikin jiki na mai haƙuri shima babban mahimmanci ne. An tabbatar da shi a kimiyance cewa a cikin masu ciwon sukari wadanda ke motsawa a duk tsawon rana, suna yin ayyukan farko, suna ɗora jikinsu tare da motsa jiki na yau da kullun, alamun ƙwaƙƙwaran ƙwaƙwalwar ƙwayar ƙafa na ƙafafu sau 3 ƙasa da na al'ada fiye da marasa lafiya waɗanda suka fi son yanayin taushi da taƙama.

Matakan gangrene a cikin ciwon sukari mellitus da hangen nesa

An raba wannan cuta zuwa matakai da yawa, kowane ɗayan an rarrabe shi ta hanyar hoton asibiti na hanya da alamomin halayyar. Ana bambance matakai masu zuwa na cututtukan ciwon sukari na ƙananan ƙarshen.

A mafi yawan halayen, mara lafiya ba ya jin alamun pathological cewa ya ci gaba da wannan cuta. Akwai ƙananan canje-canje kaɗan a cikin launi na fata (ya zama kyan gani), ƙafar tana da ƙananan zazzabi, ƙaramin rauni a cikin yankin da ƙafafun ya shafa zai yiwu.

Kumburi

A wannan matakin, ana nuna alamun farko na mutuwar lalacewar ƙwayoyin epithelial da kyallen takarda mai laushi. Focusarfin mai kumburi ba ya da yawa sosai kuma an fi mai da hankali ne a cikin ƙwayoyin tsoka ba tare da isa zuwa sama ba, amma fata a kan kafa ya riga ya zama ja da zafi. A wannan matakin, cutar har yanzu tana cikin nasara ba tare da yankewa ba kuma baya buƙatar dogon magani.

Bayyanannin Gangrenous

Matsayi na babban yanayin ci gaban cutar, lokacin da aka fara aiwatar da rushewar sel a cikin kafa kuma farkon ulcers akan fatar. Raunin na iya zama ɗaya ko aka nuna shi a cikin nau'ikan neoplasms da yawa. Wannan matakin cutar an riga an dauki shi a matsayin mai ciwon sukari da ke barazanar rayuwa da begen adana ƙafa, amma tare da ingantacciyar hanyar da aka bi da shi, har yanzu yana yiwuwa a ceci ƙafar.

Mataki na ƙarshe na ci gaba na gangrene ya haifar da rikitarwa na ciwon sukari. Cikakken epithelium a kafafu ya yi fari, kuma kyallen da ke ƙarƙashinta ta daina karɓar abin bayar da jini. Kafa a zahirin ma'anar kalmar ya fara jujjuyawa, kuma exudate ya fito daga fatar, yana sane da wadataccen launin rawaya mai ƙanshi da wari mara dadi. A kan wannan yanayin, kamuwa da kwayan cuta daga mahallin shiga yanayin rauni kuma kawai yana inganta alamun cutar. Wannan lokaci na cutar yana buƙatar likita mai halartar ya dauki matakan tsinkaye na jiyya, wanda a mafi yawan lokuta shine yanki na ƙashin ƙafa. A lokuta da dama ne kawai za'a iya kiyaye reshe.

Kowane ɗayan matakan da aka lissafa yana buƙatar keɓaɓɓiyar dabarar magani, tunda jikin mai haƙuri har yanzu yana jure cutar kuma, tare da duk ƙoƙarin da zai yiwu, yayi ƙoƙarin samar da sel da keɓaɓɓun jini da tasoshin jini tare da duk abubuwan da ake buƙata na gina jiki.

Ana lura da mafi kyawun ƙarfin aiki don murmurewa a cikin masu ciwon sukari waɗanda ke karɓar magani tare da matakai na 1 da na 2 na ci gaban gangrene. Hasashen yana da kyau, lalle ne, zai fi kyau, amma idan aka fara jiyya a kan lokaci. A matakai na 3 da na 4 na cutar, yana da matukar wahala a maido da aikin reshin. Zai fi wuya a hana haɗarin sake dawowa da ɓarke a cikin wannan yanki na kafa, lokacin da zubar jini ga tasoshin sun riga sun damu. Anan zaka iya karanta game da alamun cutar gasrene.

Binciko

Tsarin lokaci mai dacewa na hanyoyin bincike da cikakken nazarin jikin yana taka muhimmiyar rawa a cikin samar da ƙarin hanyar tiyata a kan hanyar zuwa cikakkiyar dawowar aiki na ƙashin ciwon gwiwa. Saboda wannan, an wajabta haƙuri don ƙaddamar da nau'ikan gwaje-gwaje:

jini daga jijiya don bincike na kwayoyin halitta don canji a cikin kayan aikin ingancinsa, wanda yake yana yiwuwa sosai ga asalin wani yanayin kumburi mai zafi wanda ke faruwa a cikin kafa,
jini daga yatsa don tantancewa da ci gaba da kiyaye matakan sukari na jini (musamman mahimmanci a cikin waɗannan maganganun na asibiti inda mai haƙuri ya kasa yin amfani da dogon lokaci don rage yawan glucose a cikin jiki tare da magani),
shafa daga farfajiya na rauni, idan gangrene ya riga ya kai matakin lokacin da cutar ulcers ta hau kan fata ko cutar sikari wacce ta haɓaka (zaɓi kayan ƙirar halitta a kan gurɓataccen auduga mai ƙura ta zama dole don likitoci suna da damar a cikin dakin gwaje-gwaje don kafa ƙwayar ƙwayar cuta wanda ke tsotse kumburi mai kumburi a cikin tsokoki na ƙananan reshe),
bada fitsari yana baka damar sanin yanayin kodan mara lafiya, kamar yadda suma suke fama da matsanancin matakan sukari, kuma kashinsu ya lalace yayin aiwatar da tsaftar jini mai cike da lu'ulu'un kirji.

Waɗannan sune gwaje-gwaje na asali waɗanda ke da alaƙa don wucewa ga mai haƙuri da ciwon sukari mellitus, a cikin abin da ake buƙatar abubuwan da ake buƙata don ƙirƙirar bushere ko kuma tare da alamun rigar.

Idan lalacewar fata mai mahimmanci ne kuma likitan da ke halarta na da tuhuma cewa cutar ta riga ta sami nasarar zuwa ƙashin ƙashi, to, za a kuma tsara majinar ta hanyar raa-ray. Wannan hanyar ganewar asali zata ba ku damar gano idan ƙashin ƙafar ƙafa ya shiga cikin kumburi.

Jiyya na gangrene na ƙananan ƙarshen tare da ciwon sukari

Hanyoyin zamani na lura da ciwon sukari na dogon lokaci sun ci gaba kuma sun dogara da sakamakon binciken kimiyya da binciken da aka yi kwanan nan a fagen magance bayyanuwar cututtukan cututtukan sukari. Wannan nau'in magani an rarrabu cikin yanayin ra'ayin mazan jiya, idan ana amfani da magani na musamman da magunguna ba tare da tsoma bakin tiyata da tiyata ba. Hanyoyin da aka yi amfani da su kwanan nan sun haɗa da lalata yankin rauni na kasusuwa da kyallen da ke cikin rauni, ko kuma yanke ƙafa na kafa.

Gabaɗaya, likitocin likita suna amfani da waɗannan hanyoyin don kawar da marasa lafiya na alamun masu cutar ciwon sukari:

intramuscular da ciki na gudanarwa na manyan-bakan antibacterial kwayoyi don haka cewa pathogenic microflora da ke cikin ulcer ba ta ƙara yawan jama'a kuma ba ta ƙara ɗaukar hoto na babban asibiti na cutar ba (an zaɓi nau'in maganin rigakafi daban-daban a cikin kowane yanayi),
Zubar da jini (ana samun sakamako yayin da 'yan ta'adda suka kai ga mataki na 4 da adadin kuzarin da gubobi ke lalata jikin mutum, da kuma barazanar zubar da jini, ana samun su a cikin jinin mai haƙuri),
Jigilar ciki ta ciki tare da gabatarwar kwayoyi wadanda ke ba da hanzarin tsabtace ruwa na jijiyoyin jini da jini daga abubuwan guba sakamakon lalacewar naman babban reshe,
yin amfani da bitamin da kuma hadaddun ma'adinai waɗanda ke motsa ƙarin aiki mai aiki na sel na rigakafi, wanda yake da matukar muhimmanci a gaban wani nau'i mai ƙarfi na tsarin kumburi a cikin kyallen kafa na kafa,
gudanarwa karkashin kasa da kuma daidaita alluran insulin don rage matakin glucose a cikin jinin mai haƙuri (wannan shine babban aiki kuma babban al'amari ne, don haka a nan gaba lu'ulu'u ne lu'ulu'u zai rufe hanyoyin jini kuma, yana haifar da mummunar cutar asibiti),
aikace-aikace na maganin hana kumburi da maganin cututtukan maganin cututtukan fata, wanda ke samar da karin hanzarin warkar da rauni da kuma farfadowa da kyallen takarda da suka lalace,
gudanarwa na cikin jijiyoyin bugun fitsari, wanda yawancinsu magungunan masu narkewa ne (kawai magunguna na wannan rukuni suna da ikon dakatar da ciwo na wani dan kankanin lokaci tare da rage wahalar mai haƙuri da ciwon sukari mellitus tare da alamun cutar cututtukan mahaukatan ƙafa),
Raunin budewar purulent na purulent, wani sashi na sassanyar mutu mai taushi wanda ya samo asali mai launin fata ko baƙar fata kuma ba shi da ƙoshin jini.

Ta hanyar neman taimakon likita cikin hanzari, likitocin sun sami nasarar tabbatar da kiyaye reshe kawai saboda gaskiyar cewa a cikin dakin aiki mai aikin tiyata, yin amfani da kayan aikin likita, yana tsayar da samuwar rauni daga microflora na pathogenic kuma yana barin waɗancan kyallen da ke nuna alamun rayuwa. Hanya mafi munin magani shine yanke wani bangare na kasa, wanda ba za'a iya ajiye shi ba saboda dalilan dalilai da aka kafa yayin matakan bincike. Akwai wasu hanyoyin na daban na maganin cutar ta 'gangrene', amma ba mu bada shawara cewa ku nemi magani ga kanku tare da irin wannan cutar.

Tashin hankali da sakamako

Cutar sankarau cuta ce mai ƙanƙantar da cuta da ke haifar da farawa mai ƙarancin sakamako. Game da wani tsari na warkewa wanda bai dace ba, ko kuma sakamakon latti neman taimakon likita, mara lafiyar mai ciwon sukari na iya haɓaka da rikitarwa masu zuwa:

rauni mai rauni a cikin kyallen na guntun gwiwar da ta shafa, wanda aka tursasa shi cikin bayyanarsa, ya fara mutuwar sel daga yatsa kuma a hankali ya ci gaba,
yankan karamin bangare na kafa ko kwata uku na kafa (duk ya dogara da yadda cutar ke yaduwa cikin hanzarin yatsun kafa da kuma irin matakin sukari da ke cikin jini)
farkon zubar da jini tare da ɗimbin yawa na ƙwayoyin cuta, wanda a cikin dan kankanen lokaci ya ƙaru ya ƙaru da yawa a cikin ƙafafun rauni kuma, tare da rafin jini, ya yaɗu cikin jikin mutum, ya shawo kan shinge na rigakafi da lalata ƙwayoyin jini,
girgiza kai, wanda a cikin 95% na lokuta ƙare da haƙuri shigar da rashin lafiya tare da ƙarin m sakamakon,
haɓakar rashin ƙarfi na rigakafi a kan asalin gaskiyar cewa jiki ba ya sake samar da aikinta na kariya a ƙarƙashin rinjayar m kumburi ƙwayar cuta a cikin kyallen kafa na kafa, asali asali ne da tsokanar ƙungiyar masu ciwon sukari.

Babban mummunan sakamakon duk rikice-rikicen da ke sama, ba shakka, asarar wani ɓangare na reshen hannu da kuma farawa na nakasassu. Mutuwa kuma ba shine mafi kyawun sakamako ba, amma mace-mace ba ya ɗaukar wahala a ɓangaren mai haƙuri da kuma karɓuwa ga sabon salon rayuwa tare da iyakancewar motsi.