Yala aw bɛ nin bana faratilen in dɔn min bɛ ‘sogo-sɔgɔsɔgɔninjɛ’ (Necrotizing Fasciitis) in dɔn wa? An ka kuma!

Ni aw ye joginda fitini dɔ sɔrɔ, a ka ca a la a bɛ kuru dɔɔni ka kɛnɛya tile damadɔ kɔnɔ. Nka, yala i delila ka bana jugumanba dɔ mɛn, min bɛ se ka mɔgɔ ka ɲɛnamaya bila farati la, bana min bɛ daminɛ joginda fitini dɔ la, ka sogo wuli dɔɔni dɔɔni wa? O ye o faratiba dɔ ye an bɛna kuma min kan bi, n’o bɛ wele ko Necrotizing Fasciitis. Mɔgɔ dɔw fana b’a wele ko sogo-dumubana.

Fasciitis Necrotizing ye mun ye?

N’an y’a fɔ cogo nɔgɔman na, Necrotizing Fasciitis ye banakisɛ ye min ka jugu kosɛbɛ, a bɛ jɛnsɛn joona kosɛbɛ, wa a bɛ se ka kɛ saya yɛrɛ ye. Daɲɛ min ye ko ‘necrotizing’ o kɔrɔ ye ko ‘ka fɛn wɛrɛ faga’. ‘Fasciitis’ bɛ tali kɛ fasa funu na.

Sisan, i bɛ se k’i yɛrɛ ɲininka fascia ye mun ye. O ye fɛn ye min bɛ i n’a fɔ membrane, min bɛ farikolo yɔrɔw, nɛrɛmuguma, tulu ani joli siraw lamini an fari jukɔrɔ. Ni an b’a fɛ ka tiɲɛ fɔ, nin ye farikolo jukɔrɔla fɛn ye.

Fasciitis necrotizing ye banakisɛ suguya dɔ ye min bɛ wele ko Necrotizing Soft Tissue Infection (NSTI). Nin NSTI in kɔnɔ, bana wɛrɛw bɛ sɔrɔ, i n’a fɔ Necrotizing Myositis (banakisɛ min bɛ farikolo faga) ani Necrotizing Cellulitis (banakisɛ min bɛ kɛ sababu ye ka fari jukɔrɔla banakisɛw faga).

Yala Necrotizing Fasciitis suguya dɔw bɛ yen wa?

Ɔwɔ, suguya fila de bɛ yen kosɛbɛ:

1. Banakisɛ caman walima suguya fɔlɔ : O bɛ sɔrɔ banakisɛ suguya caman fɛ. A ka ca a la, banakisɛ minnu bɛ fiɲɛ bila mɔgɔ la ani banakisɛ minnu tɛ fiɲɛ bila mɔgɔ la, olu fila bɛɛ sen bɛ banakisɛ in na.

2. Monomicrobial walima Type II : A ka ca a la o bɛ sɔrɔ banakisɛ suguya kelen de fɛ. A ka ca a la, a bɛ sɔrɔ banakisɛw fɛ ``Group A Streptococcus`` walima ``Staphylococcus aureus``.

Jɔn de ka teli ka nin bana in sɔrɔ?

Mɔgɔ dɔw farati ka bon ka ``Necrotizing Fasciitis.`` sɔrɔ.An k’a lajɛ u ye mɔgɔ minnu ye:

• Fari joginda bɛ mɔgɔ minnu na walima joginda minnu bɛ ɲɛgɛnɛsira la (misali la, da kɔnɔ, nugu): O bɛ tigɛ minnu bɛ kɛ opereli senfɛ, olu sen bɛ o la. Hali ni sɔgɔsɔgɔninjɛ fitinin dɔ bɛ se ka kɛ gɛlɛya ye tuma dɔw la.
• Fasa bɛ mɔgɔ minnu na: O kɔrɔ ye ko mɔgɔ minnu fasa kojugu.
• Jabɛtibana bɛ mɔgɔ minnu na : Aw b’a dɔn ko ni sukarodunbana bɛ aw la, joginda bɛ kɛnɛya dɔɔni dɔɔni ani banakisɛw bɛ sɔrɔ nɔgɔya la. O ɲɔgɔnna mɔgɔw fana ka teli ka nin sɔrɔ.
• Dɔlɔminbana bɛ mɔgɔ minnu na: Dɔlɔmin kojugu fana ye farati ye.
• Mɔgɔ minnu farikolo tangacogo fanga dɔgɔyara: O kɔrɔ ye ko mɔgɔ minnu farikolo ka se ka banaw kɛlɛ, o bɛ dɔgɔya.
• Gɛlɛya bɛ mɔgɔ minnu na joli siraw la.
• Mɔgɔ minnu bɛ kansɛri bana.
• Musokɔnɔmaw.

Nin bana in ka ca cogo di? Yala farati b’a la wa?

Necrotizing Fasciitis tɛ bana ye min ka ca kosɛbɛ. Jateminɛw y’a jira ko a hakɛ bɛ 0,3 ni 15 cɛ mɔgɔ 100 000 o 100.000 cɛ. Nka, a dalen b’a la ko banabagatɔ hakɛ yɛrɛ bɛ se ka caya ka tɛmɛ o kan. Misali la, Fasciitis Necrotizing, min bɛ sɔrɔ kulu A ka sɔgɔsɔgɔninjɛ fɛ, a fɔra ko a bɛ sɔrɔ mɔgɔ 700 fo 1200 la san kɔnɔ.

Nin bana in ka jugu fo, hali ni a furakɛra, a bɛ mɔgɔ saba o saba la, kelen ɲɔgɔn bɛ sa. O de kama furakɛli joona nafa ka bon kosɛbɛ.

Necrotizing Fasciitis taamasiɲɛw ye jumɛnw ye?

Nin bana in taamasiɲɛ fɔlɔw bɛ se ka kɛ i n’a fɔ fariganba taamasiɲɛw, o la a dɔnni bɛ se ka gɛlɛya tuma dɔw la a daminɛ na.

A taamasiɲɛ fɔlɔw:

• Farikolo dimi
• Farigan
• Farigan bɛ kɛ
• Fɔɔnɔnege
• Kɔnɔboli
• Dimi jugumanba, min tɛ se ka muɲu joginda yɔrɔ la. Nin ye taamasiɲɛ fɔlɔ ye min nafa ka bon kosɛbɛ. Dimi bɛ se ka bonya kosɛbɛ ka tɛmɛ joginda bonya kan.

Necrotizing Fasciitis ye bana ye min bɛ jɛnsɛn joona kosɛbɛ, o la a taamasiɲɛw bɛ se ka juguya joona.

Kɔfɛ taamasiɲɛw:

• Fari bilenni ni a ɲɛci bɛ kɛ joginda yɔrɔ la (bilen dibiman, nɛrɛmuguma).
• Farikolo yɔrɔ min bananen don , o fununi .
• Joli bɔli min tɛ sabati.
• Kurukuru minnu falen don joli walima ji jɛman na.
• Tissu necrosis (Tissu necrose) (Tissu necrose).
• Tansiyɔn jiginni.
• Sepsis (joli baga).

Min nafa ka bon kosɛbɛ, o ye ko ni nin taamasiɲɛ ninnu bɛ aw la, kɛrɛnkɛrɛnnenya la dimi jugumanba ni joginda ni fari ɲɛ bɛ wuli ani ka funu, aw ka kan ka taa dɔgɔtɔrɔso la joona.** Nin bana in bɛ jɛnsɛn teliya la min tɛ se ka da a la.

Nin ‘sogo-la-bana’ in sababuw ye mun ye?

A ka ca a la, ``Necrotizing Fasciitis`` bɛ sɔrɔ ni banakisɛw donna i fari la tigɛ walima sɔgɔsɔgɔninjɛ fɛ i fari la. Nka tuma dɔw la, a bɛ se ka kɛ ni joginda tɛ fari la, i n’a fɔ ka bɔ fɛn wɛrɛ la aw fari kɔnɔ, i n’a fɔ joginda.

Banakisɛw bɛ se ka don farikolo la cogo min na:

• Tigɛ, sɔgɔsɔgɔ, jeninida.
• Fɛnɲɛnamaw ka kinni joginda (misali la, sosow ka kinni jugumanba).
• Joginda minnu bɛ bɔ fɛnw na i n’a fɔ pikirijikɛlan.
• Opereli kɔfɛ.
• Hali ni a sababuba ye banakisɛ ye ``Group A strep``, a bɛ se ka sɔrɔ banakisɛ caman wɛrɛw fɛ. Banakisɛ dɔw minnu bɛ balo ji la, olu fana bɛ se k’a sɔrɔ. O kɔrɔ ye ko ni aw nana joginda dɔ la ji nɔgɔlen bɛ yɔrɔ minnu na, aw fana bɛ farati la.

Dɔgɔtɔrɔw bɛ o sɛgɛsɛgɛ cogo di?

Ni aw ka dɔgɔtɔrɔ bɛ sigasiga nin ‘sogo-bana’ in na aw sɛgɛsɛgɛli kɔfɛ ani ka aw ka bana taamasiɲɛw lamɛn, u bɛna sɛgɛsɛgɛli dɔw yamaruya:

• Joli sɛgɛsɛgɛli : Misali la, joli jate dafalen (CBC).
• Farikolo yɔrɔ jugumanw sɛnɛcogo : Farikolo yɔrɔ fitinin dɔ bɛ bɔ bana bɛ yɔrɔ min na, ka o sɛgɛsɛgɛ walasa ka a dɔn banakisɛ minnu bɛ a la.
• Tissue biopsie (Tissue biopsie) : Farikolo yɔrɔ dɔ bɛ ta ka a lajɛ ni mikroskɔpu ye walasa ka a dɔn ni farikolo yɔrɔ salen don.
• Jala sɛgɛsɛgɛliw: A ka ca a la, CT scan (Computed Tomography scan) bɛ se ka kɛ.

Ka fara o kan, dɔgɔtɔrɔ bɛna opereli kɛ walasa ka a dɔn ni Fasciitis Necrotizing ye. Ani fana, opereli bɛna daminɛ ni farikolo yɔrɔ salenw bɔli ye.

Fasciitis Necrotizing bɛ furakɛ cogo di?

Furakɛcogo teliya nafa ka bon walasa ka nin bana in kunbɛn.

• Opereli : Opereli kɛcogo dɔ ka kan ka kɛ min bɛ wele ko ``debriding'' walasa ka bana sɛgɛsɛgɛli dafa ani ka farikolo yɔrɔ salenw bɛɛ bɔ . Tuma dɔw la, opereli kelen bɛ se ka kɛ a tɛ se ka kɛ. Opereli caman bɛ se ka kɛ (a ka ca a la siɲɛ saba ɲɔgɔn) fo ka se bana in kunbɛn pewu.
• Banakisɛfagalanw : Banakisɛfagalan barikamaw bɛ di jolisira fɛ (IV).
• Ji minnu bɛ don jolisira fɛ (ji IV): O bɛ dɛmɛ ka ji hakɛ to farikolo la ani ka tansiyɔn sabati.

Opereli kɔfɛ, farilaji walima plastiki opereli bɛ se ka kɛ walasa ka joginda kɛnɛya ka ɲɛ.

Gɛlɛya jumɛnw bɛ se ka sɔrɔ bana in na?

``Necrotizing Fasciitis'' gɛlɛya caman ka jugu. U dɔw ye:

• Sɔgɔsɔgɔninjɛw
• Farikolo yɔrɔw bɔnɛni (ni banakisɛ jɛnsɛnna, o yɔrɔw bɛna tigɛ) .
• Sɔgɔsɔgɔninjɛ min bɛ wele ko toxic shock syndrome
• Sepsis (joli baga) .
• Saya

Aw bɛ se ka aw yɛrɛ tanga cogo di Fasciitis Necrotizing ma?

Sisan boloci si tɛ o la. Nka, fɛn dɔw bɛ yen aw bɛ se ka minnu kɛ walasa ka faritanabana banakisɛw sɔrɔli farati dɔgɔya, i n’a fɔ Necrotizing Fasciitis:

• Ni a bɛ se ka kɛ cogo min naAw bɛ aw yɛrɛ tanga tigɛ, sɔgɔsɔgɔninjɛ, jeninida ani fɛnɲɛnamaw ka kinni ma.
• Ni joginda bɛ aw la, aw bɛ a ko ka ɲɛ ni safinɛ ni ji ye ka a datugu ni bandi sanuman ye fo a ka kɛnɛya.
• Ni tigɛ jugumanba walima joginda jugumanw walima joginda jugumanw bɛ aw la, aw bɛ taa dɔgɔtɔrɔso la.
• Aw bɛ aw tɛgɛw saniya ni aw bɛ u ko ni safinɛ ye tuma bɛɛ walima ni dɔlɔ ye min bɛ kɛ ni banakisɛfagalan ye min bɛ aw bolo saniya.
• Ni joginda walima tigɛ bɛ aw fari la, aw kana taa jidagayɔrɔw la, jisumayɔrɔw la, walima kɛnɛma jidagayɔrɔw la (i n’a fɔ kɔw, bajiw).

Aw ka kan ka taa dɔgɔtɔrɔso la tuma jumɛn? (Hakililajigin dɔ)

Ni nin taamasiɲɛ ninnu bɛ aw la, aw bɛ dɔgɔtɔrɔ ka laadilikan ɲini joona:

• ni fari kulɛri Changé ani ni a yɔrɔ bɛ i n' a fɔ a bɛ bonya joona ni funu ye .
• Ni dimi bɛ yen min tɛ se ka muɲu .
• Ni farigan bɛ aw la .

Aw bɛ se ka mun makɔnɔ ni nin bana in bɛ aw la?

Ni nin bana in bɛ aw la, a nɔ ɲuman bɛ sɔrɔ ni aw ye a sɛgɛsɛgɛ joona, ka banakisɛfagalanw, ani ka opereli kɛ ka farikolo yɔrɔ salenw bɔ.

Necrotizing Fasciitis ye bana ye min bɛ juguya joona, ka aw farikolo yɔrɔw tiɲɛ ani ka kɛ sababu ye ka farikolo yɔrɔw tiɲɛ. Hali ni furakɛli kɛra, i n’a fɔ a fɔra cogo min ka tɛmɛ, banabagatɔ tila sabanan ɲɔgɔn bɛ se ka sa.

Tuma caman na, opereli ka ca ni kelen ye, wa joginda bɛ se ka kɛ.

Danfara jumɛn bɛ Gazi Gangrene ni Necrotizing Fasciitis cɛ?

Gazi gangrene (clostridial myonecrosis) ye bana ye min bɛ farikolo yɔrɔ kɛnɛmanw de minɛ, o bɛ kɛ sababu ye ka gazi (fiɲɛ) caya farikolo yɔrɔ kɔnɔ. O gazi in bɛ bɔ i n’a fɔ bɔgɔlan min bɛ bɔ tumuw la. Gazi fana bɛ se ka caya farikolo yɔrɔ la gazi gangrene ni Type I Necrotizing Fasciitis la. Nka, banakisɛ suguya minnu bɛ nin bana fila in lase mɔgɔ ma, olu tɛ kelen ye. Gazi gangrene fana bɛ se ka nɔ bila farikolo yɔrɔw la.

Fasciitis necrotizing bɛ ye farikolo yɔrɔ jumɛn na ka caya?

O ka teli ka ye bolow ni senw na, kɛrɛnkɛrɛnnenya la ni sukarodunbana bɛ aw la, barisa a ka teli ka kɛ senw na (kɛrɛnkɛrɛnnenya la senw ni senkɔniw).

Ka fara o kan, nin bana in bɛ se ka kɛ cɛya ni musoya la ani kunkolo ni kɔda yɔrɔ la.

Yala aw bɛ se ka kisi ni aw ye Necrotizing Fasciitis sɔrɔ wa?

Ɔwɔ, i bɛ se ka ɲɛnamaya kɛ. Min nafa ka bon kosɛbɛ, o ye ka bana in dɔn joona ani ka furakɛli daminɛ joona. Ni a bɛ mɛn ka taa a fɛ, ko bɛ juguya ka taa a fɛ.

Yala Necrotizing Fasciitis bɛ mɔgɔ minɛ wa?

O man teli ka jɛnsɛn ka bɔ mɔgɔ la ka taa mɔgɔ wɛrɛ la.O la, a ka ca a la, a man kan ka banakisɛfagalanw di banabagatɔ somɔgɔw ma. Nka, ni bana in ka jugu kosɛbɛ, dɔgɔtɔrɔ bɛ se k’a ɲini banabagatɔ somɔgɔw fɛ u ka banakisɛfagalanw ta minnu bɛ a kunbɛn, k’o kɛ u yɛrɛ tangacogo ye.

A bɛ waati joli ta walasa fasciitis necrotizing ka sɔrɔ?

A taamasiɲɛw bɛ se ka ye lɛri 24 kɔnɔ ni aw ye sɔgɔsɔgɔ, tigɛ, walima fɛnɲɛnamaw ka kinni sɔrɔ. O bɛ se ka juguya joona kosɛbɛ. O la, aw bɛ aw ɲɛ jɔ joginda la walasa a ka funu, ni a bilennen don, ani ni a bɛ bonya.

Ni joginda bɛ aw la, ni a tigɛra, walima ni a jeni, aw bɛ a ko ka ɲɛ ni safinɛ ni ji ye. Ni farigan donna aw la, dimi jugumanba, ani/walima yɔrɔ bilenman walima yɔrɔ min ɲɛ bɛ wuli joona, ni aw magara a la, aw bɛ a sumaya, aw bɛ taa dɔgɔtɔrɔso la joona. Ni aw ye furakɛli daminɛ joona, aw bɛ se ka Necrotizing Fasciitis bɔ aw la.

Take-Home cikan

O bɛ ɲɛ, o la sisan, an kumana bana jugu min kan, n’o tɔgɔ ye ko ``Necrotizing Fasciitis.``, aw ye faamuyali ɲuman sɔrɔ o la, aw ka kan ka aw hakili to fɛn minnu na:

• Nin ye banakisɛfagalan ye min farati ka bon kosɛbɛ, a bɛ jɛnsɛn joona. A bɛ Weele fana ko ‘sogo-sɔgɔsɔgɔninjɛ’.
• A bɛ se ka daminɛ hali ni joginda fitini dɔ don.
• Aw bɛ aw janto kosɛbɛ taamasiɲɛw la i n’a fɔ dimi jugumanba joginda yɔrɔ la, bilenni/ɲɛnajɛ ni funu min bɛ jɛnsɛn joona, ani sumaya .
• Ni nin taamasiɲɛ ninnu bɛ aw la, aw kana mɛn ka taa dɔgɔtɔrɔso la joona. Waati de ye fɛn ye min bɛ ɲɛnamaya ni saya cɛ yan.
• Ni aw ye joginda saniya ani ka saniya ɲuman kɛ, o bɛ kɛ sababu ye ka aw tanga nin bana suguya ninnu ma.

An jigi b’a kan ko nin kunnafoniw nafa ka bon aw bolo. Aw ka to kɛnɛya la!

` Fasciitis necrotizing, Sogo dunni bana, Banakisɛw ka bana, Faribana, Sogo dunni bana, Tissue saya, Sepsis