E noʻonoʻo pehea ʻoe e manaʻo ai inā hoʻomaka koke ʻoe e ʻike i ka ʻeha nui, ka pehu ʻana, a me ke kala ʻole o ke kala a puni kou mau ʻōpū. ʻO ka hapa nui o ka manawa, hiki iā mākou ke hoʻokuke aku i kēia ma ke ʻano he maʻi ʻili maʻalahi. Akā hiki ke lilo i hōʻailona mua o kahi maʻi bacteria weliweli loa a hoʻoweliweli i ke ola i kapa ʻia ʻo Fournier's Gangrene . ʻOiai e laha koke ana, ʻoiai he mau hola o ka lohi hiki ke ʻano o ka ʻokoʻa ma waena o ke ola a me ka make. No laila e aʻo hou kākou e pili ana i kēia maʻi koʻikoʻi i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka Fournier's Gangrene?
He maʻi bacteria kakaikahi loa kēia, akā he koʻikoʻi loa. Hoʻopilikia nui ia i ko kākou mau ʻōpū a me ka wahi a puni lākou (ka perineum). Ma ke ʻano lapaʻau, pili ia i ka māhele o "necrotizing fasciitis." He mea weliweli iki ka lohe ʻana i kēia inoa, ʻeā? ʻO ke kumu, ua laha ka bacteria e hoʻoulu ai i kēia maʻi ma ka luku ʻana a me ka hoʻoheheʻe ʻana i nā ʻiʻo palupalu o ko kākou kino.
E noʻonoʻo i kēia. I kekahi ʻano, ua komo ka bacteria i ko mākou wahi genital ma o ka ʻili. Hele ka bacteria i ka papa hohonu loa o ko mākou ʻili, ka hypodermis , a me ka membrane lahilahi a puni nā ʻiʻo, ka fascia . ʻO kēia mau papa hohonu kahi e loaʻa ai nā kīʻaha koko e hoʻolako koko i kēlā wahi.
Ke loaʻa ka maʻi, luku nā bacteria i kēia mau kīʻaha koko. A laila, ʻaʻole e loaʻa ke koko i nā ʻiʻo ma ia wahi a hoʻomaka e make. I ka make ʻana o nā ʻiʻo ma kēia ʻano, hoʻomaka ka bacteria e laha wikiwiki i nā wahi ʻē aʻe, no ka laʻana, nā ʻūhā, ka ʻōpū, a me ka umauma.
ʻO ka mea nui, i ka manawa e hoʻomaka ai kēia maʻi e ʻike ʻia ma ka ʻili o ka ʻili, ua hōʻino nui ia i nā ʻiʻo hohonu a me nā kīʻaha koko ma lalo o ka ʻili. No laila, he mea nui loa ka ʻike ʻana i nā hōʻailona mua.
He aha nā hōʻailona o kēia maʻi? Pehea e ʻike ʻia ai?
Hiki ke ʻike koke ʻia nā hōʻailona o ka Fournier's Gangrene, no laila he mea nui e makaʻala iā lākou.
| ʻAno o ka hōʻailona | Wehewehena |
|---|---|
| Nā hōʻailona mua (ma ka ʻāpana genital) |
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| Nā hōʻailona maʻamau ʻē aʻe i ke kino |
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| Nā hōʻailona koʻikoʻi e kū mai ana i ka wā e lohi ai |
|
ʻOi loa aku inā loaʻa iā ʻoe ka maʻi diabetes , ʻoiai inā lawe ʻoe i ka insulin e like me ke kauoha, hiki i kou pae kō koko ke lilo i mea hiki ʻole ke kaohi. Hiki i kēia ke lilo i hōʻailona o kēia maʻi.
Pehea e komo ai kēia bacteria i ke kino?
Aia kekahi mau ala e komo ai kēia bacteria i ko kākou kino. ʻO ke ala maʻamau ma o kahi ʻeha a haki paha i ka ʻili a puni nā ʻōpū a i ʻole ka anus.
- He paila a he abscess paha
- ʻO ka fistula anal
- ʻO kahi maʻi i loko o ka ʻōpū nui (Diverticulitis)
- ʻO ka maʻi ʻōpū a i ʻole ka maʻi ʻōpū mimi (UTI)
- Nā ʻeha ʻōpū
- Nā ʻōpala a i ʻole nā wela i ka wā o ka moekolohe
- Ke kui ʻana o ka ʻōpū
- Nā nahu a nā ʻūlū pepeke paha
- ʻOiai kahi ʻōpala liʻiliʻi a ʻoki paha ke hana i kēia.
Hiki i nā bacteria anaerobic a me aerobic ke kōkua i kēia maʻi. ʻO nā ʻano bacteria maʻamau ʻo E. coli, Staphylococcus, Streptococcus, a me Bacteroides.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o kēia maʻi?
ʻOiai hiki ke loaʻa ka Fournier's Gangrene i kēlā me kēia makahiki, he ʻumi manawa ka nui o ia mea i nā kāne ma mua o nā wahine. Eia kekahi, hiki i kekahi mau kūlana olakino a me nā ʻano nohona ke hoʻonui i kēia pilikia.
Nā Kumu Pilikia
- Maʻi diabetes: He kiʻekiʻe loa ka pilikia no ka poʻe me ka maʻi diabetes i kāohi ʻole ʻia.
- Ka pale ʻana i ka maʻi kanesa: Ma muli o nā kumu e like me ka maʻi HIV a me nā lāʻau lapaʻau chemotherapy no ka maʻi kanesa.
- ʻOiai ma luna o 50 mau makahiki.
- Momona: ʻOi aku ka nui o ke kino (BMI) ma mua o 30.
- Ka inu nui ʻana i ka waiʻona.
- Ka puhipaka a me ka hoʻohana ʻana i nā huahana paka ʻē aʻe.
- Nā maʻi cardiovascular.
- ʻO ka cirrhosis o ke akepaʻa a i ʻole ka hāʻule ʻana o ke akepaʻa.
- Ka hāʻule ʻana o nā puʻupaʻa.
- Ke koko kiʻekiʻe (Hypertension).
ʻO ka loaʻa ʻana o kēia mau mea pilikia, ʻaʻole ia he manaʻo e loaʻa maoli iā ʻoe ka maʻi. ʻO ia hoʻi, pono ʻoe e akahele ma mua o nā poʻe ʻē aʻe.
Pehea e ʻike ai nā kauka i kēia maʻi a he aha nā lāʻau lapaʻau?
ʻIkepili
No ka mea he pilikia kēia, hiki i nā kauka ke kuhi wale i ka maʻi ma muli o nā hōʻailona a me ka hoʻokolokolo kino. I kekahi manawa, ʻaʻohe manawa e hana ai i kekahi mau hoʻokolohua. Eia nō naʻe, inā he manawa, hiki ke hana ʻia nā hoʻokolohua aʻe e hōʻoia i ke kumu a me ka laha ʻana o ka maʻi:
- CT scan: No ka ʻike ʻana inā ua hōʻiliʻili ʻia ka ea a me ka wai i loko o nā ʻiʻo.
- ʻO ke kiʻi ʻana o Ultrasound: E ʻike inā he ea i loko o nā ʻiʻo palupalu a e hoʻokaʻawale iā ia mai nā kūlana olakino ʻē aʻe.
- X-ray: E nānā i ka mamao o ka laha ʻana o ka ea.
- Nā hoʻāʻo koko: E nānā i ka helu ʻana o nā sela koko keʻokeʻo kiʻekiʻe, e hōʻike ana i ka maʻi, a i ʻole no ka septic shock.
Nā ʻano lapaʻau
ʻO ke ʻoki kino ulia pōpilikia ka lāʻau lapaʻau maikaʻi loa a hoʻokahi wale nō no ka Fournier's Gangrene. Pono kēia e komo i ka Emergency Treatment Unit (ETU) o ka haukapila me ka hoʻokaʻulua ʻole.
Aia ke kaʻina hana lapaʻau i kekahi mau ʻanuʻu:
1. Debridement: ʻO kēia ka hana koʻikoʻi loa. E ʻoki ke kauka ʻoki i nā ʻiʻo i loaʻa i ka maʻi, make, a me ka hōʻino ʻia. E hoʻōki kēia i ka laha ʻana o ka bacteria. I kekahi manawa, pono paha nā ʻokiʻoki he nui e wehe loa i nā ʻiʻo make.
2. Nā lāʻau antibiotic: Ma hope o ke ʻoki ʻana, hāʻawi ʻia nā lāʻau antibiotic ākea ikaika e hana kūʻē i nā ʻano bacteria like ʻole ma ke kino.
3. Hoʻōla kōkua:
- Pono paha kekahi poʻe e hana i kahi colostomy manawa pōkole e pale ai i ke komo ʻana o ka ʻōpala i loko o ka ʻeha a hiki i ka wā e ho'ōla ai ka ʻeha.
- I mea e pale ai i ka maʻi o ka ʻeha urethral, hiki ke hoʻokomo ʻia kahi paipu (suprapubic catheter) ma o ka ʻōpū i loko o ka ʻōpū mimi.
4. Hyperbaric Oxygen Therapy (HBOT): I kekahi mau hihia, hoʻokomo ʻia ka mea maʻi i loko o kahi keʻena hyperbaric a hāʻawi ʻia i ka 100% oxygen. Kōkua kēia i ka ho'ōla wikiwiki ʻana o nā ʻiʻo i hōʻino ʻia a pale i ka ulu ʻana o ka bacteria.
5. ʻOki hana hou: Ma hope o ka ho'ōla piha ʻia ʻana o ka maʻi, pono paha ke ʻoki ʻili e hoʻihoʻi i ka wahi i wehe ʻia ai ka ʻiʻo.
Nā nīnau i nīnau pinepine ʻia a me nā ʻano pale
He maʻi laha pili i ke moekolohe (STI) anei kēia?
ʻAʻole. ʻAʻole he maʻi i laha ma ke ʻano moekolohe ka Fournier's Gangrene. ʻAʻole hiki ke hoʻoili ʻia mai iā ʻoe i kekahi kanaka ʻē aʻe, ʻaʻole hoʻi hiki ke hoʻoili ʻia mai kekahi kanaka iā ʻoe.
He maʻi anei kēia i hoʻokumu ʻia e ka hoʻomaʻemaʻe maikaʻi ʻole?
Hiki i nā hana hoʻomaʻemaʻe maikaʻi ʻole ke hoʻonui i ka pilikia. ʻO ka mālama ʻole ʻana i ka ʻāpana genital a me nā wahi a puni me ke kopa a me ka wai i nā manawa a pau e hiki ai i ka bacteria ke ulu. Eia nō naʻe, hiki nō i kekahi kanaka me ka hoʻomaʻemaʻe maikaʻi ke loaʻa i kēia maʻi ma o kahi ʻoki liʻiliʻi.
He aha ka mea hiki ke hana ʻia e pale aku ai i kēia?
ʻOiai ʻaʻole hiki ke pale loa ʻia, hiki i kēia mau mea ke kōkua i ka hōʻemi ʻana i ka pilikia:
- E mālama pono i nā maʻi e like me ka maʻi diabetes: E lawe i kāu lāʻau lapaʻau i ka manawa kūpono a kaohi i kāu ʻai.
- E mālama i ka maʻemaʻe o ka ʻāpana genital.
- Inā ʻoe e wehe ana i ka lauoho ma ia wahi, e hoʻohana i kahi pahi ʻoi a maʻemaʻe . E makaʻala i ʻole e hana i kekahi ʻoki.
- ʻOiai inā he ʻeha liʻiliʻi a he ʻōpala paha, e hoʻomaʻemaʻe pono iā ia a e mālama pono i ʻole e lilo i ka maʻi.
- E mālama i ke kaumaha olakino.
- E ho'ōki i ka puhi paka a me ka hoʻohana ʻana i ka waiʻona.
- E hoʻomaʻamaʻa i ka ʻai olakino no ka puʻuwai a me ka hoʻoikaika kino mau .
Leka Lawe-Home
- He pilikia olakino kakaikahi ka maʻi ʻo Fournier's Gangrene, akā he mea hoʻoweliweli paha i ke ola.
- E makaʻala loa i ka ʻeha nui koke, ka pehu ʻana, a me ke kala ʻana o ka ʻili (ʻulaʻula, poni, ʻeleʻele) i loko a puni paha o kou mau ʻāpana genital.
- Inā hele pū kēia mau hōʻailona me ke kuni a me ke anu, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
- Inā he mau mea pilikia kou e like me ka maʻi diabetes, he mea nui e mālama pono i kou mau kūlana olakino a e makaʻala i nā loli o ka ʻili.
- I kēia maʻi, ʻo ka wikiwiki o ka hoʻomaka ʻana o ka lāʻau lapaʻau, ʻoi aku ka nui o ka manawa e hoʻopakele ai i nā ola a hoʻōla piha. No laila, mai hoʻowahāwahā i kēia mau hōʻailona. E kamaʻilio me kāu kauka.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 🤒 He aha ka Fournier's Gangrene? He mea maoli anei ia e makaʻu ai?
ʻAe, he kūlana weliweli loa kēia. ʻO ka mea e hana ʻia, ʻo ia ka luku koke ʻia ʻana o nā ʻiʻo a puni ko mākou wahi genital a me ka anus a hoʻomaka e pala (gangrene) ma muli o kahi maʻi bacteria. He kūlana hoʻoweliweli ola kēia e pono ai ka mālama olakino ulia pōpilikia.
💬 🤔 ʻO wai ka mea i loaʻa pinepine i kēia maʻi?
ʻOiai ʻo ia ka mea pinepine e loaʻa i nā kāne, ʻaʻole hiki ke loaʻa pinepine i nā wahine. He mea maʻamau ia i nā poʻe me ka maʻi diabetes i kāohi ʻole ʻia, ka poʻe me nā ʻōnaehana pale nāwaliwali, a me ka poʻe inu nui i ka waiʻona.
💬 🚨 He aha nā hōʻailona o kēia? I ka manawa hea mākou e makaʻu ai?
ʻO nā hōʻailona nui ka ʻeha nui, ka pehu ʻana, a me ka ʻulaʻula a puni ka ʻāpana genital. Eia kekahi, inā he ʻala maikaʻi ʻole e puka mai ana mai ka wahi, ke kuni nui, a me ka mea e like me ka ʻeha, mai hoʻokaʻulua. ʻO ka mea nui loa, ʻo ia ke hele i ka haukapila a loaʻa ka lāʻau lapaʻau i ka wā hikiwawe loa.
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