Maguti amadya kwambiri kuposa chakudya chovunda. Amadya minofu yakufa, nayonso.
Anthu ambiri akhoza kulingalira kokha m'magazi. Komabe, mankhwala opanga mphutsi amayamba kutchuka monga njira yotetezeka yowononga minofu yakufa ndikulimbikitsanso kukula kwa tizilombo toyambitsa matenda.
Thandizo lachidakwa la Maggot
Kugonjetsedwa kwakukulu ndi njira imene dokotala amachotsera nthendayi kapena minofu yakufa pa bala, motero amawonetsa maziko a bala loyera.
Kugonjetsedwa kovulaza kungachitidwe mwa njira zinayi:
- chotsutsana ndi opaleshoni pamene minofu yakufa imachotsedwa ndi dokotala wa opaleshoni mu chipinda chogwiritsira ntchito
- Kusokonezeka kwa mankhwala komwe kumagwiritsa ntchito mankhwala opangidwa ndi mankhwala kuti zikhomere minofu yakufa
- kumangika kumene kumakhala kofiira wouma kuti akhwanye minofu yochuluka
- chokwanira chamagetsi chomwe chimagwiritsa ntchito mphutsi kapena mphutsi zouluka kuti zidye minofu yakufa
Kukonzekera kwa magogolo ndi njira yokongola yogwiritsira ntchito chifukwa mphutsi zogwiritsidwa ntchito pazipatala zimadya minofu yokha yokha ndipo imasiya minofu yamoyo. Njira zina zowonongeka zimathetsa minofu yamoyo yomwe ikufunika kuchiritsidwa. Kuwonjezera pamenepo, njira zoterezi zingakhale zosasangalatsa, ndipo opaleshoni imafuna makamaka anesthesia yomwe imakhala ndi zoopsa zake. Mwa kuyankhula kwina, ndi mphutsi yamagetsi, wodwala samataya minofu yathanzi ndipo safunikira kukhala ndi anesthesia.
Mphutsi zomwe zimagwiritsidwa ntchito potsitsimutsa zimangodula minofu yakufa.
(Mitundu ina ya mphutsi imadya zamoyo zonse komanso zamoyo zakufa ndipo sizili zoyenera kugwiritsa ntchito monga chithandizo chamankhwala.) Mwachitsanzo, Lucilia sericata kapena mtundu wa botolo wobiriwira ndiwo mitundu yomwe amagwiritsidwa ntchito mobwerezabwereza.
Kuphatikiza pa kuchotsa kapena kuchotseratu minofu yakufa, kafukufuku waposachedwapa amasonyeza kuti mphutsi za mphutsi zingathe kuchepetsa kutupa ndi kuwonongeka kwa minofu yamoyo kotero kutetezera bedi losalimba lalonda lomwe liri lofunika kuti lipange mawonekedwe ofala.
Mbiri ya Maggots monga Chithandizo Chachipatala
Palibe chatsopano chokhudza mankhwala a magog. Kwa zaka mazana ambiri, madokotala pankhondo awona kuti asilikali ovulala amene anadwala matenda a mphutsi adachiritsidwa bwino. Pakati pa zaka za m'ma 1920, William Baer ku yunivesite ya Johns Hopkins anagwiritsa ntchito ma laboratory pofuna kukweza ana ndi osteomyelitis (matenda opatsirana) ndi zofewa zofewa. Chifukwa chake, pogwiritsa ntchito mphutsi kuti zikhale ndi mabala, zinakhala zotchuka m'zaka za m'ma 1930, ndipo zikwi zikwi zinakhazikitsidwa. Komabe, kubwera kwa ma antibayotiki ndi kupititsa patsogolo opaleshoni kunabweretsa kugwiritsa ntchito mphutsi zomwe zinatayika ngati "njira yomaliza."
Pofika zaka za m'ma 1990, chidwi cha kugwiritsidwa ntchito kwa mphutsi monga mankhwala a zilonda. Kafukufuku wochuluka akuwonetsa ubwino wothandizidwa ndi mankhwala a maggot monga mankhwala am'mbuyomu pa chisamaliro cha zilonda, ndipo pofika 2004, FDA inavomereza ziphuphu zopanda ntchito kuti zigwiritsidwe ntchito pa zochitika zaumoyo. Mu 2008, anthu pafupifupi 50,000 kuzungulira dziko lapansi adachiritsidwa ndi mphutsi zowonongeka.
Zina Zambiri pa Thandizo la Mankhwala a Magog
Mankhwala ozunguza magog amagwiritsidwa ntchito pochiza mitundu yosiyanasiyana ya mabala monga zotsatirazi:
- zilonda zam'tsogolo
- matenda osteomyelitis
- zilonda zam'mimba
- zilonda zam'mimba ( zilonda za "bedi" zomwe zimapezeka mwa anthu omwe akhala akugona kwa masiku ambiri kapena milungu ingapo-ganizirani anthu omwe ali ndi malo osamalira nthawi yaitali)
- odwala matenda a shuga (zilonda zam'mimba)
- zilonda zopanda machiritso kapena zoopsa
Mankhwala otsutsana ndi maggot ndi awa:
- mabala a ischemic (mabala a ischemic ali ndi mphulupulu yopanda mphamvu kapena mpweya wokhala ndi mphutsi zomwe zingathe kudyedwa ndi mphutsi motero kukula kwa malo a chilonda)
- mabala omwe amatseguka m'zinthu za thupi kapena ziwalo za mkati
- mabala owopsa chifukwa cha kuopsa kwa moyo kapena matenda ena akuluakulu
- anthu omwe ali ndi yisiti, mankhwala a soya, kapena larva okha (mapiritsi a yisiti ndi soya amagwiritsidwa ntchito kuti akule mphutsi)
Ndipotu, anthu omwe amagwiritsa ntchito mankhwala opatsirana pogonana (mwachitsanzo, ochepa magazi) ayenera kuonedwa ngati odwala chifukwa cha mphutsi chifukwa mphutsi zimayambitsa magazi.
Malingana ndi kukula kwa chilonda, paliponse pakati pa 50 ndi 1000 mphutsi zamagetsi zimagwiritsidwa ntchito pa chilonda kwa masiku awiri kapena atatu ndi kutsekedwa (osakanikirana) mu kuvala kwa bala. Anthu ambiri amafunika mankhwala awiri okha kapena atatu okha, koma anthu omwe ali ndi zilonda zoopsa amatha kuzungulira zisanu kapena zisanu. Chizolowezi chothetsera mankhwala ndi mphutsi ndikuyang'ana maziko oyera a bala. Zomwe zimawonongera zotsatira za mankhwala opatsirana pogwiritsa ntchito mphutsi zimakhala zolekerera ndipo zimaphatikizapo ululu, zovuta, komanso kutuluka magazi pang'ono. Mwachitsanzo, analgesics kapena kuchepetsa kupweteka nthawi zambiri amaperekedwa chifukwa cha ululu.
Mawu Ochokera
Ngati inu kapena munthu amene mumamukonda ali ndi zilonda zam'tsogolo kapena mabala ena omwe angathe kuthandizidwa ndi mankhwala a maggot, ngati aperekedwa ngati chithandizo cha mankhwala, zingakhale bwino kulingalira chithandizochi. Palibe amene angatsutse kuti mphutsi zomwe zimapezeka mu zinyalala zili "yucky" ndi zonyansa. Koma mphutsi zomwe zimagwidwa mu labu zimakhala zamphamvu, zenizeni, zamtundu, zosinthasintha, makina opanga opaleshoni omwe amachititsa kuti ayambe kuchira. Ndipotu, kukangana ndi magogots nthawi zina amatchedwa biosurgery .
Zotsatira:
Iserson KV. Mutu 22. Mabala ndi Kutentha. Mu: Iserson KV. eds. Kupititsa patsogolo Mankhwala: Kusamalila M'zinthu Zovuta . New York, NY: Hill ya McGraw; 2012.
van der Plas, MJA et al. Buku la Serine Protease Lovomerezedwa ndi Magagots Amapindulitsa Plasminogen Activator-Yachokera Fibrinolysis. MITU YOYAMBA. 2014. 9 (6): e101646.
Pfenninger, JL, Fowler, GC. "Mankhwala a Magog a Ulonda Wachilendo" mwa: Njira za Pfenninger ndi Fowler za Kusamaliridwa Kwambiri. 2010.