Even at the present level of development of medicine gangrene remains quite a serious illness requiring urgent use of therapeutic measures.
It manifests necrosis of tissue due to the emergence of complex changes in the cells, and when found gangrene - treatment using the most advanced drugs and money restoring and compensating the disorder of metabolism types, can save the patient's life.I must say that gangrene of the extremities tissue develops most often, at least - the gall bladder or bowel.The effectiveness of interventions depends on the timely start of treatment, the level and extent of the spread of tissue damage.
disease The pathogenesis of gangrenous process is expressed by tissue hypoxia, which develops during acute poor circulation and nerve regulation.Often these processes are developed for various injuries when damaged blood vessels and nerve processes.The basis of the disease can also be a blockage of large arteries thrombi or atherosclerotic plaques.
The cause of the disease can also be a metabolic disorders, burns, thromboangiitis obliterans, as well as exposure to chemicals, electric current or excessively high temperatures, which cause the death of one-stage tissue or expressed disorders of blood circulation and innervation.It is proved that the detection of gangrene treatment of this disease should be carried out in the early stages, when there are no pronounced intoxication and necrosis of large areas of tissue, which in most cases prevent amputation and disability of patients.
Types of gangrene
Depending on the type of the necrotic process in the tissues, distinguish wet gangrene, its dry form, but also one that is predetermined by the anaerobic microflora (so-called gas).
Gas gangrene refers to anaerobic infections, has an unfavorable course and requires specific treatment.
Dry occurs when the sudden cessation of blood supply to the tissues, which then condense and become dark brown or even black (passes mummification process).It should be noted that this form of gangrene can go into the wet form of the disease.
Wet gangrene usually develops when damaged internal organs when the affected tissues are not able to dry (not in contact with the external, ambient air).I must say that very often dead tissue infected with various pathological agents, since these tissues destroyed the mechanism of local immunity.
It is worth noting that the etiological factor that provokes tissue necrosis, gangrene can be:
- infectious - provoked by pathogenic micro-organisms;
- traumatic - occurring on the background of mechanical damage;
- allergic - the cause of the termination of circulation becomes immediate type allergic reaction;
- toxic - cause circulatory disorders becomes toxic reaction that affects the walls of blood vessels;
How to cure the disease of mixed etiology, must be determined after the removal of precipitating factors contributing to development of this disease.In cases where the tissue die under the influence of pathogenic microflora develops purulent variety.Sometimes it develops aseptic gangrene, when excluded the role of pathogenic flora - the main cause of tissue damage lies in the internal changes in the body, which include blood clots or vascular sclerosis.
Separately should mention the facial gangrene that affects the soft tissues of the region, which is characterized by severe.Gas gangrene is most often develops on the face when injured when fall into the wound bacteria, which under anaerobic conditions begin to actively proliferate and cause corresponding symptoms of the disease.
Rana in this case has an unpleasant odor, the clinical manifestations are developing rapidly, worsening the patient's general condition and tissue necrosis in the face area can go to the neck and even chest.Quite often it is developing gangrene in diabetics, which is ischemic nature - it occurs due to lack of blood flow and vascular disorders of innervation.
Clinical manifestations of various kinds of illness
Dry gangrene in most cases affects the separate section on the limb and is not covered.First, the patient feels severe pain in the area of necrosis, after which the skin of the affected limb becomes pale, like a marble, and cold to the touch.Characteristically the absence of pulsations in the affected area.
I must say that the pain has long enough for as subsequent necrosis of nerve fibers occurs quite slowly.For this form of the disease is not characterized by severe intoxication, and the rapid spread of necrosis to surrounding tissue, so at first we treat gangrene without amputation.
Wet gangrene can occur for the same reasons as its dry form, but it is characterized by rapid development and progression of disorders of blood circulation in the tissues.Most often it occurs in overweight people.For this type of disease characterized by mummification not (does not fully dehydrated tissue), which contributes to the development of putrefactive processes and considerable toxicity.
That is why it is not necessary to use folk remedies of gangrene, because in this form of the disease in the patient's body to actively enter the decomposition products of tissue.Severe intoxication can provoke serious complications, such as sepsis.It should be noted that antibiotics are in the development of this type inhibit the process of decay, but it is desirable in the treatment of this pathology also include detoxification and strengthening means.
Gas gangrene can develop in various parts of the body, but most often affects the upper and lower limbs.Most often diagnosed with acute atherosclerotic and shapes.Disease manifested by pain and swelling of the affected area.From the wounds, which were anaerobic flora begins to stand out dark liquid with an unpleasant odor.
skin around the wound becomes dark in color, with its characteristic palpation can be heard crackling, which is associated with the destruction of the gas bubbles that formed during this gangrene.It must be said that often the drug of gangrene of this type do not give the desired effects, so doctors have to use surgical treatment, which is the complete removal of the affected area.In severe amputation of the whole limb is held together with the pathological focus.
Treatment of traditional medicine
Treatment of this disease must necessarily include addressing the underlying disease, provoked tissue necrosis.If there is a wet form of gangrene try to translate it in a dry form, which is characterized by a more favorable prognosis with respect to conservative treatment.
How to treat gangrene should be determined by the physician after a thorough examination of the affected areas and setting a clear diagnosis.Selection of methods of treatment should depend not only on the etiology of tissue necrosis, but also on the extent of its spread and the patient's general condition.
Conservative methods of treatment of gangrene include antibiotics, topical agents, antibacterial, dried and analgesic effect.Prescribe drugs that improve blood flow and blood rheology.If there is no desired effect - held amputation of dead areas.It should be noted that the treatment gas gangrene performed only using surgical techniques.
to prevent tissue necrosis, which occurs on a background of diabetes, you need to eliminate all possible causes of development, especially important time to treat burns, frostbite, various skin lesions.When sepsis is blood transfusions, also shows the use of antibiotics and conduct detoxification therapy.Treatment of gangrene in diabetes with significant tissue necrosis also includes amputation of the affected areas.
At the heart disease prevention lies aseptic processing of even the most minor skin injuries, which helps to avoid contamination of the wound aerobic microorganisms.In addition, it is important to prevent thrombosis or atherosclerosis, deteriorating blood circulation, and avoid exposure to chemicals, burns or other damaging factors that affect the integrity of the skin and tissues and can cause the development of gangrene.It is necessary to realize that the treatment of gangrene spend much more difficult than to prevent its development.
We must also remember that gangrene is a disease with serious consequences.Especially need to be attentive to their health during pregnancy.No matter what the pathology develops - a simple cold, gangrene or hematoma - during pregnancy any breach in the body is dangerous not only for women but also to the fetus.