Gangrene yog tus mob hnyav thiab nws yog qhov tseem ceeb kom tau txais kev kho mob tshaj lij rau gangrene sai li sai tau. Ntev npaum li koj tos kom nrhiav kev kho mob rau tus mob gangrene, ua rau koj qhov pheej hmoo ntawm kev rov zoo tag nrho yuav yog. Cov kws kho mob feem ntau kho tus mob gangrene los ntawm kev tshem tawm cov ntaub so ntswg tuag uas tsim los ntawm qhov mob, siv tshuaj tua kab mob, thiab siv lwm yam kev kho mob, xws li kev kho oxygen thiab kho kab mob. Kawm paub yuav kho tus mob gangrene li cas thiaj li koj yuav paub tias yuav muaj dab tsi tshwm sim thaum kho tus mob gangrene.
Cov kauj ruam
Txoj Kev 1 ntawm 2: Tau Txais Kev Pab Kho Mob
Kauj Ruam 1. Nrhiav kev kho mob yog tias koj xav tias koj muaj kab mob gangrene qhuav
Gangrene tuaj yeem tshwm sim los ntawm teeb meem ntawm daim tawv nqaij lossis hloov pauv, lossis qee zaum los ntawm kev mob caj dab ischemia (txhaws cov hlab ntsha mus rau sab ceg thiab taw). Txhua hom gangrene xav tau kev kho mob zoo. Yog tias koj xav tias koj muaj mob gangrene qhuav, txawm tias nws yog mob me me, ces koj yuav tsum hu rau koj tus kws kho mob kom sai li sai tau. Cov tsos mob ntawm gangrene qhuav muaj xws li:
- Cov tawv nqaij qhuav thiab ntsws uas hnoos tau yooj yim
- Cov tawv nqaij daj lossis xim dub
- Mob khaub thuas, tawv nqaij
- Mob (qee zaum, tab sis tsis tas li tam sim no)
Kauj Ruam 2. Mus rau chav kho mob xwm txheej kub hnyiab yog tias koj muaj kab mob ntub
Thaum txhua hom gangrene xav tau kev kho mob sai, ntub gangrene feem ntau yuav muaj kev kis mob, uas tuaj yeem nyuaj kho yog tias nws nkag rau hauv koj cov ntshav. Kev raug mob kuj tseem tuaj yeem ua rau mob gangrene ntub, yog li koj yuav xav tau kev kho tam sim rau qhov laj thawj ntawd ib yam. Nrhiav kev kho mob xwm txheej ceev yog tias koj pom 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 uas tau hloov pauv los ntawm liab mus rau xim av mus rau dub
- Cov hlwv los yog qhov txhab nrog nrog qhov hnov tsw tsw phem (pus)
- Ua npaws
- Feem ntau hnov mob
- Lub suab tawg thaum koj nias ntawm thaj chaw cuam tshuam
Kauj Ruam 3. Saib xyuas cov tsos mob hnyav
Yog tias koj txiav txim siab tias koj muaj gangrene, muaj qee cov tsos mob tuaj yeem qhia tau tias gangrene tau kis koj cov ntshav, uas xav tau kev kho mob tam sim. Yog tias koj pom ib qho ntawm cov tsos mob hauv qab no, hu rau 911 lossis mus rau chav kho mob xwm txheej tam sim ntawd.
- Ntshav siab
- Lub plawv dhia ceev
- Ua pa nyuaj lossis ua tsis taus pa
- Kev hloov pauv sai ntawm lub cev kub
- Mob hauv koj lub cev
- Ua pob
- Kev tsis meej pem thiab/lossis lub teeb taub hau
- Txias, clammy, tawv nqaij daj
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 rau koj lossis qhia koj kom noj tshuaj tua kab mob qhov ncauj raws li ib feem ntawm koj kev kho mob. Koj kuj tseem tuaj yeem tau txais cov tshuaj los tswj koj cov ntshav qab zib txij li cov cai tswj ntshav qab zib thiab lub sijhawm luv glycemic tswj txhim kho cov txiaj ntsig ntev thaum nws los kho thiab tiv thaiv kev kis mob. Ua raws li koj tus kws kho mob cov lus qhia rau noj tshuaj tua kab mob thiab lwm yam tshuaj uas koj tus kws kho mob sau ntawv los pab kho koj tus mob gangrene.
- Yog tias koj muaj cov kev mob tshwm sim lossis zoo li koj tsis xav tau tshuaj ntxiv, hu rau koj tus kws kho mob ua ntej txiav lawv.
- Tsis txhob tsum noj tshuaj tua kab mob kom txog thaum koj tau noj tag nrho cov ntawv yuav tshuaj. Txwv tsis pub, lawv yuav tsis muaj txiaj ntsig zoo thiab kev kis mob yuav nyuaj rau kho yav tom ntej.
Kauj Ruam 2. Tshaj tawm qhov txhab txhab thiab dej
Qhov txhab nrog cov nqaij mos devitalized, kis kab mob, lossis cov seem suture xav tau debridement ua ntej lwm yam haujlwm tiav. Kev ywg dej yog qhov tseem ceeb hauv kev tshem tawm cov kab mob thiab tshem cov khoom xoob.
- Hauv kev phais mob debridement, siv tawv taub hau lossis txiab siv los tshem tawm cov ntaub so ntswg lossis cov khib nyiab uas tsis xav tau.
- Enzymatic debridement cuam tshuam nrog kev siv ntau yam tshuaj enzymatic rau lub qhov txhab.
Kauj Ruam 3. Ua raws txoj kev kho pa
Qee zaum kev kho oxygen tuaj yeem siv los pab txhawb kev kho cov ntaub so ntswg puas. Rau qhov kev kho mob no, koj yuav raug muab tso rau hauv chav tshwj xeeb uas muaj cov pa. Cov concentration ntawm cov pa yuav ntau dua nyob hauv chav no ntau dua li ib puag ncig ib puag ncig, uas tau xav tias yuav pab koj kho kom sai thiab muaj txiaj ntsig zoo dua.
- Kev kho oxygen tuaj yeem pab kho qhov txhab thiab pab txo cov nqaij mos uas xav tau txiav tawm.
- Kev kho cov pa kuj tau pom tias muaj txiaj ntsig zoo heev hauv kev phais mob qhov txhab cuam tshuam nrog hom Clostridium uas ua rau "roj av gangrene," uas yog hom gangrene uas tsim tawm hauv lub cev.
Kauj Ruam 4. Xav txog lwm yam kev kho mob
Kev kho tshuaj lom neeg xws li tshuaj kho kab mob maggot tau siv los kho mob txhab, mob txhab ntshav ntev, mob ntshav qab zib, thiab lwm yam mob hnyav thiab mob ntev. Recombinant tib neeg txoj kev loj hlob tam sim no tau tshuaj xyuas raws li muaj peev xwm kho tau rau kev kho mob. Cov xwm txheej no suav nrog platelet-tau txais txiaj ntsig kev loj hlob, fibroblast kev loj hlob zoo, thiab granulocyte-macrophage pawg loj-txhawb nqa qhov zoo. Koj tus kws kho mob yuav pom zoo sim ib qho ntawm cov kev kho mob no txhawm rau txhawb kev kho mob.
Sim ua kom qhib siab txog kev kho maggot. Tsis muaj menyuam, cov kab laum tau tsa los siv ntau zaus los kho tus mob gangrene. Vim tias maggots tsuas yog noj cov nqaij tuag xwb, lawv tuaj yeem siv rau cov nqaij uas cuam tshuam thiab tso cai noj cov tawv nqaij tuag tam sim ntawd. Cov txheej txheem no tseem tuaj yeem pab koj lub cev kho nws tus kheej thiab pab tiv thaiv kev kis mob
Kauj Ruam 5. Tham nrog koj tus kws txiav plaub hau
Kev phais kuj tseem yuav tsum tau tshem cov ntaub so ntswg los ntawm koj lub cev. Yog tias tsis tshem tawm, cov gangrene yuav kis tau thiab ua rau muaj kev phom sij ntxiv rau koj lub cev thiab tej zaum tseem yuav tuag. Yog li, nws yuav tsim nyog rau koj tus kws kho mob kom tshem tus ntiv tes, ntiv taw, ko taw, lossis txhais ceg txhawm rau kho tus mob gangrene.
Nco ntsoov tias txawm tias kev cuam tshuam tau ua tiav los qhib cov hlab ntshav thiab rov tsim cov ntshav ntws mus rau thaj chaw cuam tshuam, kev phais tshem tawm cov nqaij tuag tseem siv rau gangrene hauv yuav luag txhua qhov
Kauj Ruam 6. Kho tus mob uas ua rau mob gangrene loj tuaj
Ua rau gangrene suav nrog mob ntshav qab zib, atherosclerosis ntawm txhais ceg, kab mob hauv lub cev ib leeg, haus luam yeeb, raug mob, rog, thiab Raynaud's Disease. Tej zaum nws yuav tsim nyog los kho qhov xwm txheej hauv qab no nrog kev siv tshuaj lossis phais txhawm rau txhawm rau rov qab cov ntshav ntws mus rau cov nqaij uas cuam tshuam thiab txhim kho koj kev noj qab haus huv yav tom ntej. Sib tham txog kev kho mob nrog koj tus kws kho mob.
