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**Сухая** — развивается постепенно, на фоне хронического нарушения кровоснабжения [1](https://doct.ru/diseases/gangrena.html). Ткани медленно теряют влагу и темнеют, приобретая чёрный или тёмно-коричневый оттенок [4](https://www.mos-clinics.ru/diseases/gangrena/). \n* **Влажная** — характеризуется быстрым распространением и выраженной интоксикацией организма [4](https://www.mos-clinics.ru/diseases/gangrena/). Поражённые ткани имеют влажную, рыхлую структуру, неприятный запах и зеленовато-чёрный цвет [4](https://www.mos-clinics.ru/diseases/gangrena/). \n* **Газовая** — наиболее опасная форма, вызванная инфицированием тканей анаэробными бактериями [4](https://www.mos-clinics.ru/diseases/gangrena/). Бактерии выделяют токсины и газы, которые быстро распространяются по организму, вызывая отёк, крепитацию (характерный хруст) и некроз тканей [4](https://www.mos-clinics.ru/diseases/gangrena/).\n\n\n\n## Причины\n**Некоторые причины гангрены**: \n* травмы, при которых ткани разрываются, разрушается большое количество клеток [7](https://www.VIDAL.ru/encyclopedia/travmi-i-neschastnyie-sluchai/gangrena); \n* ожоги термические и химические, обморожения III и IV степени [7](https://www.VIDAL.ru/encyclopedia/travmi-i-neschastnyie-sluchai/gangrena); \n* необратимые нарушения в функционировании артерий и вен, включая атеросклероз, тромбозы, эмболии [7](https://www.VIDAL.ru/encyclopedia/travmi-i-neschastnyie-sluchai/gangrena); \n* повреждения магистральных сосудов при длительном сдавливании жгутом, гипсом, тяжёлыми предметами [7](https://www.VIDAL.ru/encyclopedia/travmi-i-neschastnyie-sluchai/gangrena); \n* сахарный диабет и другие эндокринные нарушения, при которых повреждаются нервы и мелкие сосуды, из-за чего нарушается поступление в ткани питательных веществ [7](https://www.VIDAL.ru/encyclopedia/travmi-i-neschastnyie-sluchai/gangrena); \n* бактериальные инфекции [7](https://www.VIDAL.ru/encyclopedia/travmi-i-neschastnyie-sluchai/gangrena).\n\n## Симптомы\n**Некоторые симптомы гангрены**: \n* изменение цвета кожи в поражённой области — от бледного до синюшного или даже чёрного [4](https://www.mos-clinics.ru/diseases/gangrena/); \n* прикосновение к этой зоне может вызывать потерю чувствительности или, наоборот, острую боль [4](https://www.mos-clinics.ru/diseases/gangrena/); \n* ощущение холода в поражённой конечности [4](https://www.mos-clinics.ru/diseases/gangrena/); \n* появление отёков, ткани в области поражения могут выглядеть опухшими, натянутыми [4](https://www.mos-clinics.ru/diseases/gangrena/); \n* иногда на поверхности кожи образуются пузыри, заполненные мутной жидкостью [4](https://www.mos-clinics.ru/diseases/gangrena/). \n\n**При подозрении на гангрену необходимо незамедлительно обратиться за медицинской помощью** [1](https://doct.ru/diseases/gangrena.html)[7](https://www.VIDAL.ru/encyclopedia/travmi-i-neschastnyie-sluchai/gangrena). Самолечение при подозрении на гангрену недопустимо [13](https://mc21.ru/articles/gangrena-nogi/).\n\n## Диагностика\n**Для диагностики гангрены используют разные методы** [11](https://www.acibademhealthpoint.com/%D0%B2%D0%B8%D0%B4%D1%8B-%D0%B3%D0%B0%D0%BD%D0%B3%D1%80%D0%B5%D0%BD%D1%8B-%D0%B8-%D0%B4%D0%B8%D0%B0%D0%B3%D0%BD%D0%BE%D1%81%D1%82%D0%B8%D0%BA%D0%B0-%D0%BE%D1%81%D0%BD%D0%BE%D0%B2%D1%8B-%D0%BF%D0%BE/): \n* **Физический осмотр** — врач проверяет кожу на цвет, запах и другие признаки [11](https://www.acibademhealthpoint.com/%D0%B2%D0%B8%D0%B4%D1%8B-%D0%B3%D0%B0%D0%BD%D0%B3%D1%80%D0%B5%D0%BD%D1%8B-%D0%B8-%D0%B4%D0%B8%D0%B0%D0%B3%D0%BD%D0%BE%D1%81%D1%82%D0%B8%D0%BA%D0%B0-%D0%BE%D1%81%D0%BD%D0%BE%D0%B2%D1%8B-%D0%BF%D0%BE/). \n* **Лабораторные исследования** — анализы крови, микробиологический анализ [11](https://www.acibademhealthpoint.com/%D0%B2%D0%B8%D0%B4%D1%8B-%D0%B3%D0%B0%D0%BD%D0%B3%D1%80%D0%B5%D0%BD%D1%8B-%D0%B8-%D0%B4%D0%B8%D0%B0%D0%B3%D0%BD%D0%BE%D1%81%D1%82%D0%B8%D0%BA%D0%B0-%D0%BE%D1%81%D0%BD%D0%BE%D0%B2%D1%8B-%D0%BF%D0%BE/). \n* **Инструментальная диагностика** — рентгенография, магнитно-резонансная томография (МРТ), ультразвуковое исследование (УЗИ) [11](https://www.acibademhealthpoint.com/%D0%B2%D0%B8%D0%B4%D1%8B-%D0%B3%D0%B0%D0%BD%D0%B3%D1%80%D0%B5%D0%BD%D1%8B-%D0%B8-%D0%B4%D0%B8%D0%B0%D0%B3%D0%BD%D0%BE%D1%81%D1%82%D0%B8%D0%BA%D0%B0-%D0%BE%D1%81%D0%BD%D0%BE%D0%B2%D1%8B-%D0%BF%D0%BE/).\n\n## Лечение\n**Лечение гангрены направлено на остановку распространения отмирания тканей и борьбу с инфекцией** [4](https://www.mos-clinics.ru/diseases/gangrena/). **Некоторые методы лечения**: \n* **Хирургическое вмешательство** — удаление отмерших тканей для предотвращения распространения гангрены [4](https://www.mos-clinics.ru/diseases/gangrena/). \n* **Антибактериальная терапия** — антибиотики помогают справиться с инфекцией, которая часто сопровождает гангрену [4](https://www.mos-clinics.ru/diseases/gangrena/). \n* **Гипербарическая оксигенация** — насыщение тканей кислородом стимулирует заживление и борется с бактериями [4](https://www.mos-clinics.ru/diseases/gangrena/). \n* **Восстановительная терапия** — после лечения пациенту может понадобиться реабилитация для восстановления функций конечности [4](https://www.mos-clinics.ru/diseases/gangrena/). \n\n**В тяжёлых случаях** может потребоваться ампутация поражённой конечности [4](https://www.mos-clinics.ru/diseases/gangrena/).","linksData":[{"sourceId":1,"url":"https://doct.ru/diseases/gangrena.html","shownUrl":"https://doct.ru/diseases/gangrena.html","title":"Гангрена (некроз тканей) - 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