Emzimbeni onempilo oye wahlaselwa izifo ezifuywayo, izimpendulo zamasosha omzimba zivela. Kodwa kwezinye izimo kukhona ukungasebenzi kahle, kanti izinambuzane ezifakwe emathangeni zidala ukubhujiswa okuphawulekayo. Ngenxa yomthelela wezinto ezimbi zangaphandle nezangaphakathi, i-necrosis (ukufa kwezicubu) iqala.
Amafomu nezinhlobo ze-necrosis
Ochwepheshe bahlukanisa izinhlobo ezimbili ze-necrosis:
- I-coagulation necrosis (eyomile) iyenzeka lapho i-protein yamathambo ihlanganiswa ngokungabikho kokugeleza kwegazi futhi ngenxa yokushisa okukhulu komswakama. Kulesi simo, izindawo ezithintekayo zithola i-hue ephuzi noma emnyama. Izicubu zomile futhi zinyuka, i-abscess ivela, i-abscess isakhiwe, futhi uma ivuliwe, kuvezwa i-fistula.
- I-necrosis ehlanganisiwe (emanzi) ibonakala ngokuvuvukala nokuhlanzwa kwezicubu ezifile. Ngenxa yendlela yokwelashwa, i-gray egcwele igcwele iphunga elibikiwe elibhekwayo.
Kunezinhlobo eziningana ze-necrosis:
- i-necrosis yezicubu zesisu (i-waxy noma i-Zeckerov) ihlotshaniswa nesilonda semisipha yamathambo;
- i-necrosis yamathambo adipose - izinqubo ezingenakuguqulwa ezinhlokweni ezinamafutha;
- i-necrosis yezicubu ezixhumeneyo;
- I-necrosis ye-Caseous, evezwe ukuthi izindawo ezithintekayo ziqala ukuqhuma;
- isisu - i-necrosis yezicubu ezithambile (izingxenyeni ezingaphezulu nangaphansi) nezitho zangaphakathi;
- ukulandelana - i-necrosis yamathambo aqinile (amathambo);
- ukuhlaselwa kwenhliziyo okwenzeka ngenxa yokuphazanyiswa kwegazi kwezinye izitho noma izicubu ezithile.
Izimpawu zezicubu ze-necrosis
Esinye sezibonakaliso zokuqala ze-necrosis ukulahlekelwa ukuzwela nokuphelelwa amandla. Ngesikhathi esifanayo, isikhumba endaweni esithintekayo sibonakala sinamahloni kakhulu kunezicubu ezinempilo eziseduze futhi sithola ukubonakala okubonakalayo "kwe-waxy". Ukwelapha, okwaqala ngesikhathi sokuqala kwesifo, kusiza ukuyeka izinguquko ze-pathological. Kulesi sigaba kusekhona ukubuyisela ukujikeleza kwegazi. Uma izinyathelo zingathathwa, isikhumba sibe umbala we-cyanotic, bese uphenduka ngokushesha. Ezinye izibonakaliso ze-necrosis zezicubu ezithambile zomzimba ziyi:
- ukuxubha;
- ukucacisa okuphakathi ;
- izilonda ze-trophic.
Kungakhathaliseki indawo ethinteke yi-necrosis, ukwephulwa kwenzeka kulo msebenzi:
- isimiso sezinzwa;
- izinso;
- isibindi;
- uhlelo lokuphefumula.
Lokhu kuhambisana nalokhu:
- ukukhulelwa kwengculazi;
- Ukuphazamiseka kwezinqubo zokuxilonga, okuholela ku-hypovitaminosis nokukhulelwa okuvamile;
- isimo esibi sempilo, ukusebenza okuqhubekayo njalo.
Ukwelashwa kwezicubu ze-necrosis
Ukwelapha kwe-necrosis eyomile neyemanzi kunemibono eyinhloko.
Ukwelapha kwendawo nge coagulation necrosis ukwenza:
1. Imisebenzi yokuvimbela ukusabalala kwe-pathology, kufaka phakathi:
- ukwelashwa kwesikhumba nama-antiseptics eduze kwendawo ethintekile;
- ukusetshenziswa kokugqoka ngama-disinfectants;
- ukomisa isikhumba esiteshini sokutheleleka ngemifino yedayimane yotshwala noma isisombululo se-5% se-potassium permanganate.
2. I-Necrectomy (ukuxoshwa kwezicubu ezingenakusebenza).
3. Ukwelashwa kwesifo esiyisisekelo esibangela i-necrosis, kufaka phakathi:
- ukubuyiselwa kwegazi lokujikeleza kwegazi ;
- ukuthuthukiswa kwegazi;
- ukuvimbela izinkinga ezithathelwanayo ngokusebenzisa ukusetshenziswa kwama-antibiotics.
Ukwelashwa kwe-necrosis ehlanganisiwe ezinyathelweni zokuqala kufaka ukuzama ukudlulisela kwifomu ephephile, eyomile.
Ukwelashwa kwendawo kuqukethe izinqubo ezilandelayo:
- ukugeza nge-3% ikhambi le-hydrogen peroxide;
- ukuvulwa kwezikhukhula, amanzi;
- ukusetshenziswa kwezigqoko zokuhlukunyezwa;
- ukufakwa kwe-gypsum langettes.
Ngaphezu kwalokho, okulandelayo:
- ukuphathwa kwe-antibiotics;
- ukuxoshwa;
- ukwelashwa kwenhliziyo.
Ngokuqhubeka kokuvuvukala nokungabikho kwemiphumela yokwelashwa okunamandla, ukuhlinzwa okuhlinzekwa ukukhipha izicubu ezingenakulungiswa kunconywa.