I-Fournier syndrome: yintoni, iimpawu, izizathu kunye nonyango

Umxholo

• Iimpawu eziphambili
• Unyango lwenziwa njani
• Oonobangela besi sifo sikaFournier
• Indlela yokuthintela

Isifo i-Fournier sisifo esinqabileyo esibangelwa kukwanda kweebhaktiriya kwindawo yesini ekhuthaza ukusweleka kweeseli kuloo ndawo kwaye ikhokelela ekubonakaleni kweempawu zesilonda esibuhlungu, ezinjengeentlungu ezibuhlungu, ivumba elibi kunye nokudumba kulo mmandla.

Esi sifo sixhaphake kakhulu kumadoda amadala okanye kubantu abangenakuncitshiswa zizifo ngenxa yomsebenzi ophantsi wamajoni omzimba, ongakwaziyo ukuphelisa ii-microorganisms ezijongene nosulelo.

Isifo sika-Fournier siyanyangeka kwaye asosuleli, nangona kunjalo unyango lwayo kufuneka luqaliswe ngokukhawuleza ukunciphisa umngcipheko wokunqunyulwa nokusasazeka kwebhaktheriya kwamanye amalungu, anokubusongela ubomi.

Iimpawu eziphambili

Ubukho bentsholongwane kummandla osondeleyo kubangela usulelo olomeleleyo kwaye luyakwazi ukuphazamisa ukujikeleza kwegazi kulo mmandla, okunokuthi kubangele ukusweleka kwethishu, eyaziwa ngokuba sisilonda esibuhlungu. Ke ngoko, iimpawu kunye neempawu zesifo sikaFournier zithathwa njengezibuhlungu kwaye zingonwabisi, ezona ziphambili zezi:

• Ulusu lommandla obomvu osondeleyo othi kamva uguquke ube mnyama;
• Intlungu enkulu kunye nengapheliyo;
• Ivumba elibi kunye nokudumba kommandla;
• Umkhuhlane ongaphezu kwama-38ºC;
• Ukudinwa okugqithisileyo.

Nangona kuncinci rhoqo, kwabasetyhini kuhlala kukho ukubandakanyeka kwilungu lobufazi kunye nokugcuma, ngelixa emadodeni kubonwa ikakhulu kwisingxobo samalungu esini kunye nakubudoda.

Unyango lwenziwa njani

Unyango kufuneka lucetyiswe ngugqirha womchamo okanye ugqirha wezifo zabasetyhini, kwaye utyando luhlala luboniswa ukususa ulusu kunye neeseli ezifileyo kwaye ke kuthintele isifo ukuba siqhubele phambili. Ukongeza, izicubu ezisusiweyo zithunyelwa elabhoratri ukuze zihlolwe kunye ne-microorganism ejongene nesifo inokuchongwa.

Ukongeza kotyando, ugqirha usenokubonisa ukusetyenziswa kwee-antibiotics ngomlomo okanye ngokuthe ngqo emthanjeni, njengePiperacillin-Tazobactam okanye iClindamycin, umzekelo, ukuthintela isifo ukuba singaphindi.

Kwiimeko ezinzima kakhulu, kunokuba yimfuneko ukususa uninzi lolusu oluchaphazelekayo kunye nezicubu kwaye, ke, isigulana sinokulaliswa esibhedlele ukusukela kwiintsuku ezimbalwa ukuya kwiintsuku ezininzi de ulusu kunye nazo zonke izicwili ezichaphazelekayo zikhule zibuyele umva.

Ngamanye amaxesha, kunokuba yimfuneko ukuba umntu enze utyando ukuze akhe ummandla osondeleyo, kuba ibacteria ejongene nesifo itshabalalisa izicubu kunye neeseli. Qonda ukuba inyangwa njani i-Fournier syndrome.

Oonobangela besi sifo sikaFournier

Isifo sikaFournier sibangelwa ziintsholongwane eziyinxalenye yentsholongwane engaphantsi komzimba enokuthi ikhule endaweni leyo kwaye ikhokelele ekufeni kweeseli ngenxa yobukho beetyhefu. Ezinye iimeko zithanda ukwanda kwezi bhakteria kwaye zonyuse umngcipheko wokuphuhlisa isifo, ezona ziphambili:

• Ukungabikho kococeko;
• Ubumnandi kulusu, oluqokelela ibhaktiriya;
• Iswekile yemellitus;
• Ukutyeba okubi;
• Ukungondleki;
• I-vascularization ephantsi kunye ne-thrombosis kwimithambo yegazi yommandla;
• Amaqhuma anezilonda;
• Sepsis;
• Ukufumana isifo se-immunodeficiency syndrome;
• Usulelo lwe-Urinary tract;
• Usulelo oluncinci.

Ukongeza, ezinye izinto ezonyusa umngcipheko wesifo sikaFournier sisifo sokuqina kwesibindi, ukunxila, uxinzelelo lwegazi, ukusetyenziswa gwenxa kweziyobisi kunye nokubulala iintsholongwane ngaphandle kwengcebiso yezonyango, kuba oko kunokukhuthaza isigxina seentsholongwane ezinganyangekiyo.

Indlela yokuthintela

Njengoko isifo sika-Fournier sibangelwa ziibhakteria ezifumaneka ngokwendalo kummandla wesini, kubalulekile ukwamkela amanyathelo athintela ukwanda kwawo, kubalulekile ukugcina ucoceko oluchanekileyo lwendawo yesini, ukongeza ekuthinteleni ukutya okuneeswekile, njengoko unokuthanda ibacteria yophuhliso.

Ukongeza, kubalulekile ukunqanda izinto ezinobungozi, kubalulekile ukuba ube nokutya okunempilo, ukunqande ukusela iziselo ezinxilisayo okanye iziyobisi, ungasebenzisi ii-antibiotics ngaphandle kwengcebiso yezonyango.