I-Necrotizing fasciitis: yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu zeNecrotizing Fasciitis
• Iingxaki ezinokwenzeka
• Uxilongo lwenziwa njani
• Unyango njani

I-Necrotizing fasciitis sisifo esinqabileyo nesibi kakhulu esibangelwa kukudumba kunye nokufa kwethishu ephantsi kolusu kwaye ibandakanya izihlunu, imithambo-luvo kunye nemithambo yegazi, ebizwa ngokuba yi-fascia. Olu sulelo lwenzeka ikakhulu ngenxa yohlobo lweentsholongwane IStreptococcus Iqela A, liphindaphindeka ngenxa ye- IStreptococcus pyogenes.

Iibhaktheriya ziyakwazi ukusasazeka ngokukhawuleza, zibangele iimpawu ezinokuvela ngokukhawuleza okukhulu, ezinjengomkhuhlane, ukubonakala kommandla obomvu kunye nokudumba kulusu kwaye kuguqukela kwizilonda kunye nokumnyama kwengingqi. Ke ngoko, phambi kwalo naluphi uphawu olubonisa i-necrotizing fasciitis, kubalulekile ukuba uye esibhedlele ukuze uqale unyango kwaye ke uthintele iingxaki.

Iimpawu zeNecrotizing Fasciitis

Iibhaktheriya zinokungena emzimbeni ngokuvuleka kolusu, nokuba kungenxa yenaliti, ukusetyenziswa kwamachiza asetyenziswe emthanjeni, ukutsha kunye nokusika. Ukususela ngethuba ibhaktheriya ingena emzimbeni, isasazeka ngokukhawuleza, ekhokelela ekubonakaleni kweempawu ezihamba ngokukhawuleza, eziphambili zi:

• Inkangeleko yommandla obomvu okanye odumbileyo kulusu olonyuka ngokuhamba kwexesha;
• Iintlungu eziqatha kummandla obomvu nokudumba, onokuthi uqatshelwe nakwezinye iindawo zomzimba;
• Ifiva;
• Ukuvela kwezilonda kunye namadyungudyungu;
• Ubumnyama bommandla;
• Urhudo;
• Isicaphucaphu;
• Ubukho bolusu enxebeni.

Ukuvela kweempawu kunye neempawu kubonisa ukuba intsholongwane iyanda kwaye ibangela ukusweleka kwethishu, ebizwa ngokuba yi-necrosis. Ke ngoko, ukuba naluphi na uphawu lubonwa olunokuthi lubonise i-necrotizing fasciitis, kubalulekile ukuba uye esibhedlele ukuze kufunyaniswe isifo kwaye unyango luqale.

ngaphandle kwe IStreptococcus Iqela A linokufumaneka ngokwendalo emzimbeni, i-necrotizing fasciitis ayenzeki kubo bonke abantu. Olu suleleko luxhaphake kakhulu kubantu abanesifo seswekile, abantu abanezifo ezinganyangekiyo okanye ezinobungozi, ngaphezulu kweminyaka engama-60 ubudala, ukutyeba kakhulu, abasebenzisa iziyobisi ezikhuselayo okanye abanesifo semithambo.

Funda ngakumbi malunga neqela A iStreptococcus.

Iingxaki ezinokwenzeka

Iingxaki ze-necrotizing fasciitis zenzeka xa usulelo aluchongwanga kwaye lunyangwa ngamayeza okubulala iintsholongwane. Ke, kunokubakho i-sepsis kunye nokusilela kwelungu, njengoko ibhaktiriya inokufikelela kwamanye amalungu kwaye ikhule apho. Ukongeza, ngenxa yokusweleka kwesihlunu, kunokubakho isidingo sokususa ilungu elichaphazelekayo, ukuthintela ukusasazeka kwebhakteria kunye nokuvela kolunye usulelo.

Uxilongo lwenziwa njani

Ukuchongwa kwe-necrotizing fasciitis kwenziwa ngokujonga iimpawu kunye neempawu ezivezwe ngumntu, ukongeza kwiziphumo zovavanyo lwelabhoratri. Ngokwesiqhelo ukuhlolwa kwegazi kunye nokucinga kuyacelwa ukuba kugcinwe ummandla ochaphazelekayo, ukongeza kwi-biopsy yethishu, ebalulekileyo ekuchongeni ubukho bentsholongwane kuloo ndawo. Qonda ukuba yintoni i-biopsy kwaye yenziwa njani.

Ngaphandle kokucetyiswa ukuba unyango ngamayeza okubulala iintsholongwane kufuneka luqaliswe kuphela emva kwesiphumo seemviwo ezongezelelweyo, kwimeko ye-necrotizing fasciitis, unyango kufuneka lwenziwe ngokukhawuleza ngenxa yesifo esiqatha nesikhawulezayo.

Unyango njani

Unyango lwe-necrotizing fasciitis kufuneka lwenziwe esibhedlele, kwaye kuyacetyiswa ukuba umntu lowo ahlaliswe yedwa iiveki ezimbalwa ukuze kungabikho mngcipheko wokuhambisa ibhaktiriya kwabanye abantu.

Unyango lwenziwa ngokusetyenziswa kwee-antibiotics ngaphakathi (emthanjeni) ukulwa usulelo. Nangona kunjalo, xa usulelo sele luqhubele phambili kwaye kukho imiqondiso ye-necrosis, utyando lokususa izicwili kwaye ke ngaloo ndlela kuliwe usulelo kungabonakaliswa.