Gangrene yog mob hnyav, yog li nrhiav kev kho mob kom kho nws yog qhov tseem ceeb heev. Ntev koj nrhiav kev kho mob gangrene ntev dua, tsawg dua qhov koj yuav ua kom rov zoo. Cov kws kho mob feem ntau kho tus mob gangrene los ntawm kev tshem cov ntaub so ntswg tuag nws ua rau, sau tshuaj tua kab mob, thiab siv lwm yam kev kho mob xws li kev kho pa thiab kab laum. Kawm paub yuav kho tus mob gangrene li cas koj thiaj paub tias koj yuav ntsib dab tsi thaum tab tom kho tus mob no.
Kauj ruam
Txoj Kev 1 ntawm 2: Nrhiav Kev Pab Kho Mob
Kauj Ruam 1. Nrhiav kev kho mob yog tias koj muaj kab mob gangrene qhuav
Gangrene tuaj yeem tshwm sim los ntawm teeb meem lossis hloov pauv ntawm daim tawv nqaij, lossis qee zaum los ntawm ischemia (txhaws cov hlab ntsha hauv ko taw thiab ib txhais taw) hauv qhov nqua. Txhua hom gangrene yuav tsum tau kho los ntawm kws kho mob. Yog tias koj xav tias koj muaj mob gangrene qhuav, txawm tias nws mob me me, koj yuav tsum hu rau koj tus kws kho mob kom sai li sai tau. Cov tsos mob ntawm gangrene qhuav muaj xws li:
- Qhuav, ntsws thiab tawv nqaij yooj yim
- Cov tawv nqaij xiav lossis dub
- Mob khaub thuas thiab loog
- Mob (qee zaum, tab sis tsis tas li)
Kauj Ruam 2. Mus ntsib chav saib xyuas xwm txheej kub ntxhov yog tias koj muaj dej ntub
Txawm hais tias txhua yam ntawm gangrene xav tau kev kho mob tam sim ntawd, ntub gangrene muaj qhov pheej hmoo kis mob ntau dua. Tus kab mob no yuav nyuaj heev kom kov yeej thaum nws nkag mus rau hauv cov hlab ntshav. Kev raug mob kuj tseem tuaj yeem ua rau mob gangrene ntub, yog li koj yuav tsum tau nrhiav kev kho mob tam sim yog tias koj tau ntsib qhov no. Nrhiav kev kho mob yog tias koj ntsib ib qho ntawm cov tsos mob hauv qab no ntawm ntub gangrene:
- Ua rau o thiab mob hauv thaj chaw muaj kab mob
- Cov tawv nqaij xim uas hloov ntawm liab mus rau xim av ces mus rau dub
- Blisters lossis qhib qhov txhab nrog qhov tsw tsw ntxhiab (pus)
- Ua npaws
- Feem ntau tsis xis nyob
- Crackling suab thaum qhov kis tau raug nias
Kauj Ruam 3. Saib xyuas cov tsos mob hnyav
Yog tias koj ntseeg tias koj muaj gangrene, muaj ntau cov tsos mob uas qhia tias gangrene tau kis tus kab mob hauv cov ntshav thiab yuav tsum nrhiav kev kho mob tam sim. Yog tias koj pom ib qho ntawm cov tsos mob hauv qab no, hu rau 118 tam sim lossis mus rau chav kho mob xwm txheej ze tshaj.
- Ntshav siab
- Lub plawv dhia ceev
- Ua pa nyuaj lossis ua tsis taus pa
- Hloov pauv kub hauv lub cev
- Mob lub cev
- Pob khaus
- Kev tsis meej pem thiab/lossis lub teeb taub hau
- Mob khaub thuas, ntub thiab daj ntseg
Txoj Kev 2 ntawm 2: Xav Txog Kev Kho Mob
Kauj Ruam 1. Siv tshuaj tua kab mob thiab lwm yam tshuaj raws li qhia
Koj tus kws kho mob yuav muab tshuaj tua kab mob hauv koj lub cev lossis qhia kom koj noj tshuaj tua kab mob ua ib feem ntawm koj txoj kev kho mob. Koj kuj tseem tuaj yeem muab tshuaj los tswj cov ntshav qab zib, uas cuam tshuam zoo rau kev rov zoo thiab tiv thaiv kev kis kab mob. Ua raws tus kws kho mob cov lus qhia hauv kev siv tshuaj tua kab mob thiab lwm yam tshuaj tau sau tseg los kho tus mob gangrene.
- Yog tias koj muaj kev phiv los sis xav tias koj tsis tas yuav noj cov tshuaj no ntxiv, nrog koj tus kws kho mob tham ua ntej tso tseg.
- Tsis txhob tsum noj tshuaj tua kab mob kom txog thaum tag nrho cov tshuaj tau ua tiav. Los yog, tshuaj tua kab mob yuav tsis muaj txiaj ntsig thiab kev kis mob ntxiv yuav nyuaj rau kho tom qab hauv lub neej.
Kauj Ruam 2. Tshaj tawm cov dej tsis zoo thiab lub qhov txhab dej
Qhov mob uas tsis muaj zog, cov ntaub so ntswg tsis huv, lossis cov ntaub so ntswg yuav tsum tau ua kom debridement ua ntej. Dej xav tau los ntxuav lub qhov txhab los ntawm cov kab mob thiab cov ntaub so ntswg xoob.
- Hauv kev phais mob debridement, riam phais thiab txiab tau siv los tshem tawm cov nqaij tsis muaj zog thiab ua rau cov khib nyiab tawg.
- Enzymatic debridement tau ua tiav siv ntau yam enzymes rau qhov chaw raug mob.
Kauj Ruam 3. Tau txais kev kho oxygen
Qee zaum, kev kho oxygen yuav siv los txhawb kev rov ua haujlwm ntawm cov nqaij puas. Hauv txoj kev kho no, koj yuav raug muab tso rau hauv chav tshwj xeeb uas muaj cov pa oxygen. Cov pa oxygen sab hauv tsev uas siab dua li cov xwm txheej ib txwm xav kom nrawm dua thiab ua kom muaj txiaj ntsig zoo ntawm koj li kev rov zoo.
- Kev kho pa tuaj yeem pab kho qhov txhab thiab txo cov nqaij mos uas yuav tsum tau txiav tawm.
- Kev kho pa kuj tseem paub tias muaj txiaj ntsig zoo rau kev kho mob txhab phais mob los ntawm cov kab mob Clostridium hom uas ua rau muaj roj av gangrene lossis hom gangrene uas ua rau hauv lub cev.
Kauj Ruam 4. Xav txog lwm yam kev kho mob
Kev kho tshuaj lom neeg xws li kho kab mob maggot tau siv los kho mob txhab, mob txhab ntshav, mob ntshav qab zib, thiab lwm yam mob ntev thiab mob hnyav. Recombinant tib neeg txoj kev loj hlob tam sim no tab tom raug tshuaj xyuas raws li qhov muaj peev xwm xaiv tau hauv kev kho qhov txhab. Cov xwm txheej no suav nrog qhov tau txais txiaj ntsig kev loj hlob, kev loj hlob ntawm fibroblast, thiab granulocyte-macrophage colony stimulating factor. Koj tus kws kho mob yuav hais qhia tias koj sim ib qho ntawm cov kev kho mob no kom kho sai.
Sim txiav txim siab txog kev kho maggot. Kab laug sab uas tsis muaj menyuam loj hlob hauv chav kuaj feem ntau siv los kho tus mob gangrene. Maggots tsuas yog noj cov nqaij mos tuag thiaj li tuaj yeem pub rau cov nqaij muaj kab mob thiab noj nws. Cov txheej txheem no tseem yuav txhawb lub cev kom rov zoo thiab tiv thaiv kev kis mob
Kauj Ruam 5. Tham txog kev txiav tawm nrog koj tus kws kho mob
Kev phais kuj tseem xav tau kom tshem cov ntaub so ntswg puas los ntawm lub cev. Yog tias tsis tshem tawm, gangrene yuav kis tau thiab ua rau muaj mob hnyav ntxiv rau lub cev thiab txawm tias tuag. Yog li, tus kws kho mob yuav tsum tau tshem tus ntiv tes, tus ntiv tes xoo, ib leeg, lossis tag nrho cov tes los kho tus mob gangrene.
Nco ntsoov tias txawm hais tias txoj haujlwm no ua tiav kev qhib cov hlab ntsha thiab rov ua kom cov ntshav ntws mus rau thaj chaw cuam tshuam, kev phais tshem tawm cov ntaub so ntswg tuag tseem yog qhov tsim nyog rau feem ntau ntawm gangrene
Kauj Ruam 6. Kho tus mob ua rau mob gangrene
Ua rau gangrene muaj xws li mob ntshav qab zib, atherosclerosis ntawm txhais ceg, kab mob hauv lub cev, haus luam yeeb, raug mob, rog, thiab kab mob Raynaud. Kho cov xwm txheej no nrog tshuaj lossis phais yuav tsim nyog los kho cov ntshav ntws mus rau cov ntaub so ntswg uas mob thiab txhim kho koj kev noj qab haus huv yav tom ntej. Sib tham txog kev kho mob nrog koj tus kws kho mob.
Ceeb toom
- Tsis txhob sim kho gangrene ntawm koj tus kheej. Gangrene tsuas yog yuav mob zuj zus yam tsis muaj kev kho mob zoo. Nrhiav kev kho mob yog tias koj xav tias koj muaj hom gangrene.
- Ib txwm ua raws cov lus qhia ntawm kws kho mob lossis kws kho mob hauv chav kho mob xwm txheej ceev hauv kev kho qhov txhab thiab ischemic gangrene.
