Gangrene
Vergleich: Siehe: Krankheiten
[Dr. Manish Bhatia]
Gangrene defines as death of a body tissue which is caused due to loss
of blood supply or inadequate blood supply to the tissue.
Symptoms of Gangrene
Change in skin color to red or
black
Numbness
Pain
Skin breakdown
Coolness
Types of Gangrene
Dry gangrene
Dry gangrene develops in ischemic tissue, where the blood supply is
inadequate to keep tissue viable. It is not a disease itself, but a symptom of
other diseases. Dry gangrene
is often due to peripheral artery disease, but can be due to acute limb
ischemia. The limited oxygen in the ischemic limb limits putrefaction and
bacteria fail to survive.
The affected part is dry, shrunken, and dark reddish-black. The line of
separation usually brings about complete separation, with eventual falling off
of the gangrenous tissue
if it is not removed surgically, a process called autoamputation.
Wet gangren
In wet gangrene, the tissue is infected by saprogenic microorganisms
(Clostridium perfringens or Bacillus fusiformis, for example), which cause
tissue to swell and emit a fetid smell. Wet gangrene usually develops rapidly
due to blockage of venous (mainly) or arterial blood flow. The affected part is
saturated with stagnant blood, which promotes the rapid growth of bacteria. The
toxic products formed by bacteria are absorbed, causing systemic manifestation
of sepsis and finally death. The affected part is edematous, soft, putrid,
rotten, and dark.
Gas gangrene
Gas gangrene is a bacterial infection that produces gas within tissues.
It can be caused by Clostridium, most commonly alpha toxin-producing C.
perfringens, or various nonclostridial species. Infection spreads rapidly as
the gases produced by the bacteria expand and infiltrate healthy tissue in the
vicinity.
Causes of Gangrene
Vascular gangrene is seen is
vascular diseases such as peripheral arteriosclerosis, thrombosis of the large
arteries, thrombosis of terminal aorta etc.
Infection: gangrene mainly
produced by clostridium perfringens and other clostridia, bacteria such as
streptococcal, staphylococcal may also produce certain forms
of gangrene.
Neoplasm multiple myelomas
are generally associated with Raynaud phenomenon which produces gangrene.
Neurological peripheral
neuropathy, syringomyelia, trasverse myelitis, may be associated with gangrene.
Intoxication should keep in
mind that use of ergot alkaloids may also be associated with gangrene.
Trauma laceration of major
artery of extremities or pressure from
splinters may cause gangrene.
Decreased temperature
extremes of cold may produce frostbite which can ultimately lead to gangrene.
Autoimmune diseases such as
lupus erythematosus, scleroderma and rheumatoid arthritis may be associated
with Raynaud phenomenon and gangrene.
Endocrine gangrene can be
associated with diabetes.
Homeopathic treatment of Gangrene
Ars.
Arsenicum
has a foetid diarrhea, great weakness, emaciation, coldness and heat
alternately.
Bromium hospital gangrene; cancerous ulcers on
face; stony hard swelling of glands of lower jaw and throat
Carb-v.
Bothrops homeopathic medicine for gangrene has
swollen, livid, cold with hemorrhagic infiltration; malignant erysipelas.
Echinec.
Lach.
Crot-h
Sec.
blue color of skin; dry gangrene, developing
slowly; varicose ulcers; boils, small, painful with green contents; skin feels
too cold to touch yet covering is not
tolerated. Great aversion to heat; formication
under skin.
Sec.
Anthrac.
Canth. tendency to gangrene; vesicular eruptions;
burns, scalds, with burning and itching; erysipelas, vesicular type, with
marked restlessness.
Merc. gangrene of the lips, cheeks and gums;
inflammation and swelling of the glands of neck; pains aggravated by hot or
cold applications.
Sul-ac. traumatic gangrene; hemorrhages from wounds;
dark pustules; blue spots like suggillations; bedsores.
Phos-ac. medicine for senile gangrene.
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