I-necrotizing fasciitis: kuyini, izimpawu nokwelashwa

-Delile

• Izimpawu ze-Necrotizing Fasciitis
• Izinkinga ezingenzeka
• Ukuxilongwa kwenziwa kanjani
• Indlela yokwelapha

I-Necrotizing fasciitis isifo esingajwayelekile futhi esibi kakhulu sebhaktheriya esibonakala ngokuvuvukala nokufa kwezicubu ezingaphansi kwesikhumba futhi okubandakanya imisipha, izinzwa nemithambo yegazi, ebizwa nge-fascia. Lokhu kutheleleka kwenzeka ikakhulukazi ngamagciwane ohlobo I-Streptococcus Iqembu A, livama kakhulu ngenxa ye- IStreptococcus pyogenes.

Ama-bacteria akwazi ukusabalala ngokushesha, abangele izimpawu ezinokuvela ngokushesha okukhulu, okufana nomkhuhlane, ukubonakala kwesifunda esibomvu nokuvuvukala esikhunjeni futhi esiguqukela kwizilonda kanye nokumnyama kwesifunda. Ngakho-ke, lapho kukhona noma yiluphi uphawu olukhombisa i-necrotizing fasciitis, kubalulekile ukuya esibhedlela ukuqala imishanguzo futhi ngaleyo ndlela ugweme izinkinga.

Izimpawu ze-Necrotizing Fasciitis

Amagciwane angangena emzimbeni ngokuvuleka esikhunjeni, noma kungenxa yokujova, ukusetshenziswa kwezidakamizwa ezifakwe emthanjeni, ukusha nokusikeka. Kusukela lapho amabhaktheriya angangena emzimbeni, asabalale ngokushesha, okuholela ekubonakaleni kwezimpawu ezithuthuka ngokushesha, okuyizona eziyinhloko:

• Ukubukeka kwesifunda esibomvu noma esivuvukile esikhumbeni esanda ngokuhamba kwesikhathi;
• Ubuhlungu obukhulu esifundeni esibomvu nokuvuvukala, esingabonakala nakwezinye izingxenye zomzimba;
• Imfiva;
• Ukuvela kwezilonda namabhamuza;
• Ubumnyama besifunda;
• Uhudo;
• Isicanucanu;
• Ukuba khona kobovu enxebeni.

Ukuvela kwezimpawu nezimpawu kukhombisa ukuthi ibhaktheriya liyanda futhi lidala ukufa kwezicubu, okuthiwa i-necrosis. Ngakho-ke, uma kutholakala noma yiluphi uphawu olungakhombisa i-necrotizing fasciitis, kubalulekile ukuya esibhedlela ukuze kwenziwe ukuxilongwa bese kuqala ukwelashwa.

ngaphandle kwe- I-Streptococcus Iqembu A lingatholakala ngokwemvelo emzimbeni, i-necrotizing fasciitis ayenzeki kubo bonke abantu. Lokhu kutheleleka kuvame kakhulu kubantu abanesifo sikashukela, abantu abanezifo ezingamahlalakhona noma ezibulalayo, abaneminyaka engaphezu kwengama-60 ubudala, ukukhuluphala ngokweqile, abasebenzisa izidakamizwa zokuzivikela ezifweni noma abanezifo zemithambo yegazi.

Funda kabanzi mayelana neqembu A iStreptococcus.

Izinkinga ezingenzeka

Izinkinga ze-necrotizing fasciitis zenzeka lapho ukutheleleka kungabonakali futhi kwelashwa ngama-antibiotics. Ngakho-ke, kungahle kube ne-sepsis nokuhluleka komzimba, njengoba amabhaktheriya angafinyelela kwezinye izitho futhi athuthuke lapho. Ngaphezu kwalokho, ngenxa yokushona kwezicubu, kungabuye kube nesidingo sokususa isitho esithintekile, ukuze kuvinjelwe ukusabalala kwamagciwane kanye nokuvela kwezinye izifo.

Ukuxilongwa kwenziwa kanjani

Ukuxilongwa kwe-necrotizing fasciitis kwenziwa ngokubheka izimpawu nezimpawu ezethulwe ngumuntu, ngaphezu kwemiphumela yokuhlolwa kwelabhorethri. Imvamisa ukuhlolwa kwegazi nezithombe kucelwa ukuthi kubhekwe isifunda esithintekile, ngaphezu kwe-biopsy yezicubu, okubalulekile ukukhomba ubukhona begciwane endaweni. Qonda ukuthi i-biopsy iyini nokuthi kwenziwa kanjani.

Yize welulekwa ukuthi ukwelashwa ngama-antibiotic kufanele kuqalwe kuphela ngemuva komphumela wezivivinyo ezihambisanayo, esimweni se-necrotizing fasciitis, ukwelashwa kufanele kwenziwe ngokushesha okukhulu ngenxa yesifo esibi futhi esisheshayo.

Indlela yokwelapha

Ukwelashwa kwe-necrotizing fasciitis kufanele kwenziwe esibhedlela, futhi kunconywa ukuthi lowo muntu ahlale yedwa amasonto ambalwa ukuze kungabikho bungozi bokudlulisela amagciwane kwabanye abantu.

Ukwelashwa kwenziwa ngokusetshenziswa kwama-antibiotics ngemithambo (emthanjeni) ukulwa nokutheleleka. Kodwa-ke, lapho ukutheleleka sekuvele sekuthuthuke kakhulu futhi kunezimpawu ze-necrosis, ukuhlinzekwa ukususa isicubu futhi ngaleyo ndlela kulwe nokutheleleka kungakhonjiswa.