Ðe wò abi ate ŋu anye afɔkua? Mina míaƒo nu tso Gas Gangrene ŋu!

Ðe abi aɖe si dze abe ɖe wògoglo vie ene eye vɔvɔ̃ ɖo wò vie kpɔa? Ɣeaɖewoɣi la, abi sue aɖe gɔ̃ hã, ne womekɔe nyuie o la, ate ŋu ava zu afɔku le vome. Gas gangrene nye dɔlékui mawo dometɔ ɖeka si ate ŋu ade ame ƒe agbe afɔku me evɔ mànya gɔ̃ hã o. Ele vevie ŋutɔ be míanya nu tso esia ŋu, elabena afɔɖeɖe kaba ate ŋu axɔ ame aɖe ɖe agbe.

Nukae nye Gas Gangrene?

Kpuie ko la, gas gangrene nye dɔlékui aɖe si gblẽa nu le wò ŋutilã ƒe lãkusiwo ŋu vevie ŋutɔ. Ðɔktawo hã yɔnɛ be Clostridial Myonecrosis. Zi geɖe la, dɔlékuiwo ƒe ƒuƒoƒo aɖe si woyɔna be Clostridium, vevietɔ Clostridium perfringens, gbɔe wòtsona.

Bu eŋu kpɔ, ne dɔlékui siawo ge ɖe míaƒe ŋutilã me la, wowɔa aɖinuwo. Aɖi siawo tea míaƒe ʋumenugbagbeviwo, ʋukawo, kple lãmekawo dome gbegblẽ. Ðeko wòle abe ɖe wole gbegblẽm tso ememe ene. Esia ate ŋu ana ʋuʋudedi gãwo nado, avuvu, eye ŋutigbalẽ ƒe amadede natrɔ (e.g., eƒe amadede nazu ɣie, wòazu dzĩ viviti, alo aɖabɛ) ƒo xlã abi la ɣeaɖewoɣi. Esi dɔlékui siawo wɔa ya le woƒe dɔwɔwɔ me ta la, ne abi la ʋu la, ate ŋu aʋẽna ɣeaɖewoɣi. Gas mae nye nusi woyɔna be "gas gangrene." Aɖi sia ate ŋu ana ame ƒe ŋutilã katã naxɔ abi vevie hã.

Esia nye afɔku ale gbegbe be ate ŋu ade ame ƒe agbe afɔku me le gaƒoƒo ʋɛ aɖewo megbe tso esime dzesiawo dze egɔme.

Aleke gbegbee nɔnɔme sia bɔe?

Gake esia menye dɔléle si bɔ o. Le nyateƒe me la, ƒã ŋutɔ. Le kpɔɖeŋu me, ne èlé ŋku ɖe akɔntabubu siwo le dukɔ abe Amerika ene me ŋu la, wogblɔa esia le ame siwo mede ɖeka le ame akpe alafa ɖeka me o ƒe sia ƒe. Tsã, vevietɔ le xexemeʋawo wɔɣi la, nɔnɔme sia bɔ vie elabena egbegbe mɔnu aɖeke menɔ anyi si dzi woato akɔ abiwo ŋu nyuie ahawu dɔlékuiwo o.

Vovototo kae le Gas Gangrene kple Necrotizing Fasciitis dome?

Ðewohĩ èse dɔlékui sesẽ bubu si woyɔna be ``Necrotizing Fasciitis'' ŋu nya. Dzesiwo kple nusiwo gbɔ wo ame evea siaa tsona la ɖi wo nɔewo vie. Wo ame evea siaa gblẽa lãmekawo eye woate ŋu awu ame. Vovototo vevitɔe nye lãkusi ƒomevi si ŋu wògblẽ nu le.

Zi geɖe la, necrotizing fasciitis gblẽa nu le ami si le wò ŋutigbalẽ te kple kadodoŋusẽ si doa alɔ wò ŋutilã (fascia) ŋu. Gas gangrene gblẽa nu le ʋumenugbagbeviwo, ʋukawo, kple lãmekawo ŋu koŋ.

Togbɔ be dɔlékui ɖeka ate ŋu atso wo ame evea siaa gbɔ hã la, dɔlékui `(Clostridium)` gbɔe gas gangrene tsona zi geɖe, eye `(Necrotizing Fasciitis)` tso `(Group A Streptococcus)` alo `(Staphylococcus Aureus)` gbɔ zi geɖe.

Nukae nye gas gangrene ƒe dzesiwo?

Ne gas gangrene va do la, wò ŋutigbalẽ ate ŋu atrɔ amadede, axɔ ʋuʋudedi gãwo, eye wòavuvu le afisi abi la le. Àte ŋu ade dzesi dzesi bubuwo hã, abe:

• Vevesese le abi la gbɔ: Vevesese sia ate ŋu nu sẽ ŋutɔ, ne edze abe abi la le sue ene gɔ̃ hã.
• Asrã.
• Dzi ƒe tsotso ƒe dzidziɖedzi (tachycardia).
• Fifia ƒe ʋuʋu.
• Dzimaɖitsitsi, dzimaɖitsitsi.
• Ŋutilã ƒe ɣie (jaundice).
• Vertigo (sese le ɖokuiwò me abe ɖe nèle tsatsam ene).
• Ʋu ƒe sisi ƒe ɖiɖi (ʋusɔgbɔdɔ).

Aleke abi la le?

Gas gangrene gblẽa wò ŋutigbalẽ kple wò lãmekawo. Esia ate ŋu ana lãmeka kukuwo nanɔ teƒe gãwo eye wòaxɔ abi. Esi dɔlékuiawo tsina kabakaba ta la, àte ŋu akpɔ tɔtrɔwo le wò ŋutigbalẽ ŋu le aɖabaƒoƒo alo gaƒoƒo ʋɛ aɖewo ko me. Afisi abi la le ate ŋu anɔ ale:

• Tete.
• Ŋutilã ƒe amadede trɔna: ate ŋu anye aŋutiɖiɖi, dzĩ dzẽ, alo aŋutiɖiɖi.
• Ʋuʋudedi alo aŋɔ gãwo: Esiawo ate ŋu anye dzĩ, aŋutiɖiɖi, amadede dzẽ, alo yibɔ.
• Ya kotokuwo ƒe anyinɔnɔ le tsi si le ŋutigbalẽa te alo ʋuʋudedi la me.
• Lãmetsi si dona le ʋuʋudediawo me la ʋẽna lilili ŋutɔ.
• Gbeɖiɖi alo seselelãme si nye "crackling" ne woka asi ʋuʋudedi la ŋu (crepitus).

Aleke gas gangrene ʋẽna lilili?

Wogblɔna zi geɖe be tsi si dona tso gas gangrene blisters me la ʋẽna lilili ŋutɔ, si gblẽna alo ʋeʋẽ lilili si mevivina o .

Nukae hea gas gangrene vɛ?

Zi geɖe la, dɔlékui si nye Clostridium perfringens gbɔe gas gangrene tsona. Gake Clostridium ƒomevi bubuwo kple Ƒuƒoƒo A Streptococcus dɔlékuiwo hã ate ŋu ahee vɛ.

Dɔlékui siawo nɔa anyigba, kpakple amegbetɔwo kple lãwo ƒe GI-mɔ̃ me. Wowɔa aɖi siwo gblẽa míaƒe lãmenugbagbeviwo, siwo dometɔ aɖewoe nye ʋumenugbagbeviwo, ʋukawo, kple lãmekawo.

Dɔlékui siawo tsina nyuie le nuto si me oxygen mesɔ gbɔ ɖo o me. Ne wogblẽ míaƒe ʋumenugbagbeviwo dome la, ɔksidzin si ɖoa lãmekawo gbɔ dzi ɖena kpɔtɔna. Esia wɔnɛ be wònɔa bɔbɔe na wo be woatsi, awɔ aɖi, eye woakaka nusiwo gblẽ la kabakaba. Alesi nunyiamewo gbãa oxygen manɔmee (si ƒe ʋeʋẽ lilili) ye nana gas ƒe kuɖɔ mawo dona.

Aleke esia gena ɖe ŋutilãa me?

Mɔ si dzi gas gangrene tona dzɔna wue nye ne abi goglo sesẽ aɖe ge ɖe ŋutilãa me. Esesẽna be woakɔ abi mawo ŋu keŋkeŋ. Azɔ hã, abi siawo mexɔa ɔksidzin si le yame boo o. Oxygen ye wua dɔlékui `(C. perfringens)`. Anɔ eme be gas gangrene naxɔ abi ne e:

• Ne abi la yi lãmeka aɖe gbɔ ke.
• Ne ɖi alo gbeɖuɖɔ ƒo ɖi abi la.
• Ne màte ŋu akɔ abi la ŋu kaba le eƒe dzɔdzɔ vɔ megbe o.

Bu eŋu kpɔ, mina míagblɔ be ège tso wò gasɔa dzi eye wotsoe gã aɖe le mɔa dzi. Alo, esime nèle dɔ wɔm le agble dzi la, nane si le abe aŋɔ ene ƒo wò eye wòtso goglo. Ði kple ɖiƒoƒo ate ŋu age ɖe abi siawo ƒomevi me bɔbɔe. Ne womekɔe nyuie o la, teƒe sia sɔ nyuie na dɔlékui `(Clostridium)` si megblɔ va yi. Esia ƒe kpɔɖeŋu aɖewoe nye tudada kple abi gãwo abe abi siwo wotsɔ yi ƒoe ene.

Esiawoe nye susu siwo mebɔ o:

• Amekoko bubu siwo wowɔna na ƒodo le dɔgboa, aɖuɖɔtoe, alo ƒodo ŋu.
• Nyɔnuwo ƒe amekoko alo dɔwɔwɔ na wo.
• Dɔdzẽ alo atikewɔwɔ me nɔnɔme bubu siwo ate ŋu agblẽ nu le dɔgboa ŋu.
• Vidzidzi.
• Ne fu aɖe do le ame ŋu.
• Nɔnɔme siwo ɖea ʋu ƒe sisi yi lãmekawo me dzi kpɔtɔna, abe suklidɔ ene, ƒe kuxiwo. Oxygen ƒe anyimanɔmanɔ nana dɔlékuiwo ƒe tsitsi nɔa bɔbɔe, si wɔnɛ be gas gangrene dona.

Nukawoe nye nusiwo ate ŋu ana woaxɔ gas gangrene?

Nuveviwɔame sesẽwo kple ƒodo ƒe dɔwɔwɔ na wò nana nèle afɔku gã aɖe me be nàxɔ gas gangrene si gblẽa nu le ame ŋu, si dzɔna le teƒe si abi le. Afɔku gã aɖe le ŋuwò be nàxɔ gas gangrene si dzɔna le eɖokui si, si dzɔna nuvevi aɖeke mawɔmawɔe, ne nɔnɔme siwo gbɔna dometɔ aɖe le ŋuwò:

• Dɔgbo me dɔdzẽ.
• Diverticulitis (nɔnɔme si ate ŋu agblẽ nu le dɔgbo gã la ŋu).
• Suklidɔ `(Suklidɔ)`.
• Le kpɔɖeŋu me, ʋukawo ƒe dɔlélewo, ʋukawo ƒe ʋuʋu (si me ami siwo le ʋukawo me ƒoa ƒu ɖe ʋukawo me eye wòxea wo).

Gake ɖo ŋku nu ɖeka dzi, togbɔ be afɔku siawo le eme hã la, mɔnukpɔkpɔ si li be nàxɔ gas gangrene la le sue ŋutɔ. Gake ele vevie ɣesiaɣi be nànɔ ŋudzɔ.

Nukawoe nye gas gangrene ƒe kuxiwo?

Gas gangrene ate ŋu ahe kuxi siwo ate ŋu ade ame ƒe agbe afɔku me vɛ kaba. Wo dometɔ vevitɔwoe nye:

• Ayikuwo ƒe Dɔmawɔmawɔ nyuie: Esi dɔlékuiawo tsrɔ̃a ʋumenugbagbevi dzĩwo kabakaba ta la, ayiku siwo kɔa míaƒe ʋu ŋu la megate ŋu wɔa woƒe dɔ o eye womate ŋu awɔ dɔ na wo o.
• Sepsis Kple Septic Shock: Clostridium difficile nana míaƒe dɔlélenutsiŋutete wɔa nu wògbɔa eme. Esia ate ŋu ana ame ƒe ŋutilã katã naxɔ abi, ʋu ƒe sisi naɖiɖi kpata, eye ŋutinuwo nawɔ dɔ nyuie. Woyɔa esia be septic shock. Nɔnɔme siawo evea siaa ate ŋu ade ame ƒe agbe afɔku me.

Aleke nàwɔ anya gas gangrene?

Fifia ɖewohĩ ànɔ ɖokuiwò biam be, aleke ɖɔkta awɔ anya kple kakaɖedzi be gas gangrene ye nye esia?

Zi geɖe la, ɖɔktaa akpɔ susu gbãtɔ to toɖoɖo wò dzesiwo kple ŋkuléle ɖe abi la ŋu me. Emegbe, woaɖe lãkusi aɖe tso abi la me alo tsi aɖe atsɔ akpɔe le nusuekpɔmɔ̃ me atsɔ aɖo kpe esia dzi. Ɣeaɖewoɣi la, woate ŋu azã X-ray, CT scan, alo MRI hã atsɔ alé ŋku ɖe nusiwo gblẽ le lãkusia ŋu ŋu.

Dodokpɔ kawoe wowɔna tsɔ dea dzesi esia?

Be ɖɔktaa naɖo kpe edzi alo atso nya me le atikewɔwɔ ŋu la, ate ŋu awɔ dodokpɔwo abe:

• Nɔnɔmetatawo dodokpɔ: Woate ŋu azã X-ray, CT scan, alo MRI atsɔ akpɔe ɖa be gas ƒe kuɖɔwo le lãkusiawo me alo ne tɔtrɔwo va le lãmekawo me hã.
• Dɔlékuiwo ƒe ɖiƒoƒo alo dekɔnu: Wodoa tsi si woɖe tso abi la me kpɔ le nusuekpɔmɔ̃ me be woakpɔe ɖa be dɔlékui aɖewo li siwo hea gas gangrene vɛ hã. Ɣeaɖewoɣi la, wodoa dɔlékuiawo ɖe nudokpɔƒe hedea agble ɖe wo dzi.
• Biopsy: Woɖea lãkusi sue aɖe tso abi la me hedoa wo kpɔna be nu gblẽ alo tɔtrɔ aɖewo le eŋu hã.

Nukawoe nye gas gangrene ƒe atikewo?

Gas gangrene nye dɔléle si hiã be woawɔ atike nɛ enumake. Menye susu nyui aɖeke gbeɖe be nàhe ɖe megbe o. Wò ɖɔkta ana dɔlékuiwutike geɖe wò eye wòawɔ dɔ na wò hã be wòaɖe lãkusi si me dɔlékuia le la ƒe akpa gãtɔ ɖa alesi wòate ŋui. Le alesi dɔlékuia nu sẽe nu la, ate ŋu ahiã be nàgawɔ atike bubuwo na wò. Woanɔ kɔdzi eye woalé ŋku ɖe ŋuwò nyuie le atikewɔwɔ sia me.

Esia ƒe atikewɔwɔ vevitɔwoe nye:

• Debridement: Esiae nye ne ɖɔkta la wɔa dɔ tsɔ ɖea lãkusi kuku siwo gblẽ, kple gbeɖuɖɔ siwo le abi la me ɖa. Esia le vevie elabena dɔlékuiwo ate ŋu ayi edzi anɔ tsitsim zi alesi lãkusi kukuwo le afima ko.
• Dɔlékuiwutikewo: Zi geɖe la, wonaa dɔlékuiwutike eve, siwo nye penicillin kple clindamycin, tsɔ wua dɔlékui siwo hea gas gangrene vɛ. Wodoa nusiawo to ʋuka me (IV).
• Lãɖeɖe: Le nɔnɔme sesẽ aɖewo me la, mɔ nyuitɔ si dzi woato atɔ te dɔlékuia ƒe kaka ahaɖe ame ƒe agbee nye be woaɖe abɔ alo afɔ si ŋu dɔlélea le la ɖa. Wobu akɔnta be ahiã be woalã abɔ alo afɔ na amesiwo ade ame ɖeka le atɔ̃ ɖesiaɖe si ŋu gas gangrene le. Esia aɖi vɔvɔ̃, gake ate ŋu ahiã be woaɖe ame aɖe ƒe agbe.
• Hyperbaric Oxygen Therapy: Esia nye atikewɔwɔ tɔxɛ aɖe. Le esia me la, wotsɔa wò dea xɔ tɔxɛ aɖe me eye wonaa oxygen 100% wò. Oxygen si le esia me anɔ ya si sɔ ƒe teƒe atɔ̃. Esia wɔnɛ be ɔksidzin si ɖoa lãmekawo gbɔ la dzina ɖe edzi, si kpena ɖe wo ŋu wodaa gbe. Azɔ hã, esi dɔlékui si nye Clostridium melɔ̃a oxygen o ta la, atikewɔwɔ sia hã kpena ɖe ame ŋu wòɖua dɔlékuia dzi.

Aleke woawɔ axe mɔ ɖe gas gangrene nu?

Azɔ mina míakpɔ nusi míate ŋu awɔ be míanɔ dedie tso gas gangrene sia si me afɔku le la me ɖa.

Ðɔktawo kple kɔdzidɔwɔlawo wɔa afɔɖeɖe geɖe be woaxe mɔ ɖe dɔlékuiwo xɔxɔ nu ne wole amekoko wɔm, eye wo dometɔ aɖewoe nye mɔxexe ɖe dɔlékuiwo ƒe dɔléle si hea gas gangrene vɛ nu.

Nu aɖewo siwo nàte ŋu awɔ atsɔ akpɔ ɖokuiwò ta tso dɔlékui sia kple dɔlékui bubuwo me lae nye esi:

• Klɔ abi la nyuie kple adzalẽ kple tsi ne edzɔ ko. Wɔ esia ne abi sue aɖee wònye gɔ̃ hã.
• Ne abi goglo aɖe le ŋuwò la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Vevietɔ ne enye abi si màte ŋu atsɔ adzalẽ kple tsi akɔ keŋkeŋ o la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.
• Lé ŋku ɖe abi la ŋu. Di tɔtrɔ le ŋutigbalẽ ƒe amadede ŋu, vevesese sesẽ, alo vuvu. Ne ède dzesi esiawo dometɔ aɖe la, gblɔe na ɖɔkta.
• Do ametakpɔwu siwo tsyɔa wò abɔwo kple afɔwo dzi ne èle dzokeke alo gasɔ dom. Esia le vevie be nàkpɔ ɖokuiwò ta tso abixɔxɔ abe mɔ dzi ʋuʋudedi ene, si ate ŋu adzɔ la me.
• Ne dɔléle aɖe le ŋuwò, abe suklidɔ ene, si gblẽa nu le ʋukawo kple ʋu ƒe sisi ŋu, alo si nana dɔlélenutsiŋutete gbɔdzɔ la, ke di atike tso ɖɔkta gbɔ.

Nukae woakpɔ mɔ na ne gas gangrene dze ame dzi?

Enyo, azɔ na míakpɔ nusi míakpɔ mɔ na ne gas gangrene dze dziwò.

Esi wònye be esia nye nudzɔdzɔ kpata si ate ŋu ade wò agbe afɔku me ta la, ahiã be nànɔ kɔdzi va se ɖe esime woate ŋu awɔ atike na wò. Le afima la, ɖɔktawo awɔ:

• Da wò abiwo eye nàkɔ wo ŋu edziedzi.
• Wotoa vein (IV antibiotics) dzi naa dɔlékuiwutikewo.
• Nɔ ŋudzɔ ɣesiaɣi ɖe tɔtrɔ siwo ava wò nɔnɔmea me ŋu.
• Woawɔ atikewɔwɔ kple dodokpɔ bubuwo le wò nɔnɔmea nu.

Nyagblɔɖia nɔ te ɖe nusi gbɔ dɔlélea tso kple afisi dɔlélea le le ŋutilãa me dzi. Ame siwo ŋu gas gangrene le le woƒe afɔwo ŋu la ƒe hayahaya ƒe mɔnukpɔkpɔ nyo wu amesiwo ŋu gas gangrene le le ƒodo alo akɔta, alo amesiwo xɔ gas gangrene si dzɔna le wo ɖokui si evɔ womexɔ abi aɖeke o.

Ðe esia ate ŋu aɖe amewo ƒe agbea?

Ẽ, ne èxɔ atike kaba la, àte ŋu axɔ wò agbe godoo. Gake ne wowɔ atike nɛ gɔ̃ hã la, mɔnukpɔkpɔ li be woaku tso 20% va ɖo 30%. Ne mèxɔ atike o la, ewua ame ɣesiaɣi. Esia tae wokafui be nàyi ɖɔkta gbɔ kaba ne ɖikeke suetɔ kekeake le ŋuwò.

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Ne abi si gena ɖe lãme na wò le ŋuwò la, ele be nàyi ɖɔkta gbɔ enumake. Ahiã be woakɔ abi goglowo ŋu kaba eye ate ŋu ahiã be woatɔ abi. Wò ɖɔkta ate ŋu aŋlɔ dɔlékuiwutikewo hã na wò be wòaxe mɔ ɖe dɔlékuiwo xɔxɔ nu.

Ɣekaɣie wòle be nàyi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) ?

Ne gas gangrene ƒe dzesiwo le ŋuwò, vevietɔ ne èxɔ abi goglo alo wowɔ dɔ na wò nyitsɔ laa la, yi xɔ si te ɖe ŋuwò si kpɔa nudzɔdzɔ kpatawo gbɔ enumake.Esia ate ŋu awu ame ne womewɔ atike nɛ kaba o.

Nya siwo wòle be nàbia wò ɖɔkta

Ne èyi ɖɔkta gbɔ la, aɖe vi na wò be nàbia nya siawo tɔgbe:

• Aleke gbegbee nye nɔnɔmea nu sẽe?
• Nukae hea dɔlékui sia vɛ?
• Atikewɔwɔ kawoe li nam?

Mlɔeba la, nya vevitɔ kekeake si magblɔ na wò

Gas gangrene nye dɔlékui si mebɔ o gake ate ŋu ade ame ƒe agbe afɔku me. Woate ŋu adae ne wolée kaba. Gake ate ŋu ava zu nu sesẽ le gaƒoƒo ʋɛ aɖewo, alo aɖabaƒoƒo ʋɛ aɖewo gɔ̃ hã me tso esime dzesiawo dze egɔme.

Eyata ne ɖikeke suetɔ kekeake le ŋuwò, ne abi aɖe dze abe ɖe mebɔ o ene, alo ne edze abe vevesesea gbɔ eme ene la, taflatse mègahe ɖe megbe o eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Wò agbe ate ŋu anɔ te ɖe edzi.

` Gas Gangrene, Clostridium, Clostridium perfringens, Abi ƒe Dɔléle, Lãmetsiŋusẽ ƒe Ʋuʋu, Dɔlékuiwo ƒe Dɔléle, Atikewɔwɔ Kpata