Hiki paha i kou ʻeha ke lilo i mea weliweli? E kamaʻilio kākou e pili ana i ke Gas Gangrene!

Ua loaʻa paha iā ʻoe kahi ʻeha i like me ka hohonu iki a ua makaʻu iki ʻoe? I kekahi manawa, ʻoiai kahi ʻeha liʻiliʻi, inā ʻaʻole i hoʻomaʻemaʻe pono ʻia, hiki ke lilo i mea weliweli i manaʻo ʻole ʻia. ʻO ka gangrene gas kekahi o ia mau maʻi e hiki ke hoʻoweliweli i ke ola me ka ʻike ʻole ʻoe. He mea nui loa ka ʻike e pili ana i kēia, no ka mea, ʻo ka hana wikiwiki ʻana hiki ke hoʻopakele i ke ola.

He aha ka Gangrene Kinoea?

I ka ʻōlelo maʻalahi, he maʻi bacteria koʻikoʻi loa ka gas gangrene e hoʻopau ana i nā ʻiʻo o kou kino. Ua kapa pū nā kauka iā ia ʻo Clostridial Myonecrosis. Hoʻokumu pinepine ʻia e kahi hui o nā bacteria i kapa ʻia ʻo Clostridium, ʻo ia hoʻi ʻo Clostridium perfringens.

E noʻonoʻo, ke komo kēia mau bacteria i loko o ko kākou kino, hana lākou i nā mea ʻawahia. Hoʻomaka kēia mau mea ʻawahia e luku i ko kākou mau hunaola koko, nā kīʻaha koko, a me nā ʻiʻo ʻiʻo. Me he mea lā e pala ana mai loko mai. I kekahi manawa hiki i kēia ke hana i nā pehu nui, ka pehu ʻana, a me ka hoʻololi ʻana o ka ʻili (e laʻa, e lilo ana i ke keʻokeʻo, ʻulaʻula ʻeleʻele, a poni paha) a puni ka ʻeha. No ka mea, hana kēia mau bacteria i kahi kinoea i ka wā o kā lākou hana ʻana, i ka wā e wehe ai ka ʻeha, hiki ke honi ʻino i kekahi manawa. ʻO kēlā kinoea ka mea i kapa ʻia ʻo "gas gangrene." Hiki i kēia mea ʻawahia ke hana i ka mumū nui ma ke kino holoʻokoʻa.

He mea weliweli loa kēia a hiki ke hoʻoweliweli i ke ola i loko o kekahi mau hola o ka hoʻomaka ʻana o nā hōʻailona.

Pehea ka maʻamau o kēia kūlana?

Akā, ʻaʻole kēia he maʻi maʻamau. He mea kākaʻikahi loa ia. No ka laʻana, inā ʻoe e nānā i nā helu helu ma kahi ʻāina e like me ʻAmelika, ua hōʻike ʻia kēia ma lalo o hoʻokahi kanaka i hoʻokahi haneli tausani i kēlā me kēia makahiki. I ka wā ma mua, ʻoiai i nā kaua honua, ua maʻamau iki kēia ʻano no ka mea ʻaʻohe ʻano hana hou e hoʻomaʻemaʻe pono ai a hoʻopau i nā ʻeha.

He aha ka ʻokoʻa ma waena o ke Gas Gangrene a me ka Necrotizing Fasciitis?

Ua lohe paha ʻoe i kekahi maʻi koʻikoʻi ʻē aʻe i kapa ʻia ʻo "Necrotizing Fasciitis". Ua like iki nā hōʻailona a me nā kumu o nā mea ʻelua. Hoʻopau nā mea ʻelua i nā ʻiʻo a hiki ke make. ʻO ka ʻokoʻa nui ke ʻano o nā ʻiʻo i hoʻopilikia ʻia.

Hoʻopōʻino pinepine ka necrotizing fasciitis i ka momona ma lalo o kou ʻili a me nā ʻiʻo pili e kākoʻo ana i kou kino (fascia). ʻO ka gangrene gas ka mea nui e hōʻino i nā hunaola koko, nā kīʻaha koko, a me nā ʻiʻo ʻiʻo.

ʻOiai hiki ke hoʻokumu ʻia nā mea ʻelua e ka bacteria like, ʻo ka gangrene gas ka mea i hoʻokumu pinepine ʻia e ka bacteria `(Clostridium)`, a ʻo ka `(Necrotizing Fasciitis)` ka mea i hoʻokumu pinepine ʻia e `(Group A Streptococcus)` a i ʻole `(Staphylococcus Aureus)`.

He aha nā hōʻailona o ka gangrene gas?

Ke ulu ka gangrene gas, hiki i kou ʻili ke loli ke kala, loaʻa nā pehu nui, a pehu ma kahi o ka ʻeha. Hiki paha iā ʻoe ke ʻike i nā hōʻailona ʻē aʻe, e like me:

• ʻEha kokoke i ka ʻeha: Hiki i kēia ʻeha ke ikaika loa, ʻoiai inā he ʻano liʻiliʻi ka ʻeha.
• Kuni.
• Hoʻonui ʻia ka helu o ka puʻuwai (tachycardia).
• Ke hou nei.
• Hoʻomaha ʻole, hopohopo.
• Melemele o ka ʻili (jaundice).
• Vertigo (manaʻo e like me ʻoe e milo ana).
• Ke koko haʻahaʻa (hypotension).

Pehea ke ʻano o ka ʻeha?

Hoʻopau ka gangrene gas i kou ʻili a me nā ʻiʻo. Hiki i kēia ke hana i nā wahi nui o nā ʻiʻo make a me ka mumū. Ma muli o ka ulu wikiwiki ʻana o ka bacteria, hiki iā ʻoe ke ʻike i nā loli i kou ʻili i loko o nā minuke a i ʻole nā ​​hola. Penei paha ke ʻano o ka ʻeha:

• Pehu.
• Nā loli o ke kala o ka ʻili: hiki ke keʻokeʻo, ʻulaʻula ʻeleʻele, a poni paha.
• Nā ʻūlū nui a i ʻole nā ​​papule: Hiki i kēia ke ʻulaʻula, ʻeleʻele, ʻōmaʻomaʻo ʻeleʻele, a ʻeleʻele paha.
• ʻO ke alo o nā ʻeke ea i loko o ke wai ma lalo o ka ʻili a i loko paha o ka pehu.
• He ʻala ikaika ko ke kahe e kahe ana mai nā pehu.
• He kani a he manaʻo paha "e paʻipaʻi" ke hoʻopā ʻia ka pehu (crepitus).

He aha ke ʻala o ke kinoea gangrene?

ʻO ke kahe e kahe ana mai nā pehu gangrene kinoea ua wehewehe pinepine ʻia he ʻala ʻino loa, pilau a i ʻole he ʻala ʻono a ʻoluʻolu ʻole .

He aha ke kumu o ka gangrene kinoea?

ʻO ka hapa nui o nā manawa, ʻo ka bacteria Clostridium perfringens ka mea i hoʻokumu i ka gas gangrene. Eia nō naʻe, hiki i nā ʻano Clostridium ʻē aʻe a me nā bacteria Group A Streptococcus ke hana pū.

Noho kēia mau bacteria i ka lepo, a ma ke ala GI o kānaka a me nā holoholona. Hoʻopuka lākou i nā mea ʻawahia e luku ai i kā mākou mau cell, me nā cell koko, nā kīʻaha koko, a me nā ʻiʻo ʻiʻo.

Ulu maikaʻi kēia mau bacteria i kahi kaiapuni haʻahaʻa ka oxygen. Ke luku lākou i ko mākou mau hunaola koko, emi iho ka nui o ka oxygen e hiki aku ana i nā ʻiʻo. ʻO kēia ka mea e maʻalahi ai iā lākou ke ulu, hana i nā mea ʻawahia, a hoʻolaha koke i ka pōʻino. ʻO ke kaʻina hana o ka wāwahi ʻana i nā meaʻai me ka ʻole o ka oxygen (fermentation) ka mea e hana ai i kēlā mau pehu kinoea.

Pehea e komo ai kēia i loko o ke kino?

ʻO ke ala maʻamau e ulu ai ka gangrene gas i ka wā e komo ai kahi ʻeha hohonu a koʻikoʻi i loko o ke kino. He paʻakikī ke hoʻomaʻemaʻe loa i kēlā mau ʻeha. Eia kekahi, ʻaʻole i pili nui kēia mau ʻeha i ka oxygen i ka lewa. ʻO ka oxygen ka mea e pepehi ai i ka bacteria `(C. perfringens)`. ʻOi aku ka nui o ka hiki i kahi ʻeha ke ulu i ka gangrene gas inā:

• Inā ua hele ka ʻeha a hiki i kahi ʻiʻo.
• Inā ua lepo ka ʻeha i ka lepo a i ʻole nā ​​ʻōpala.
• Inā ʻaʻole hiki iā ʻoe ke hoʻomaʻemaʻe koke i ka ʻeha ma hope o kona hiki ʻana mai.

E noʻonoʻo, e ʻōlelo kākou e hāʻule ʻoe mai kāu paikikala a loaʻa iā ʻoe kahi ʻoki nui ma ke alanui. A i ʻole, ʻoiai ʻoe e hana ana ma kahi mahiʻai, ua pā ʻia ʻoe e kahi mea e like me ka hoe a loaʻa iā ʻoe kahi ʻoki hohonu. Hiki i ka lepo a me ka lepo ke komo maʻalahi i loko o kēia ʻano ʻeha. Inā ʻaʻole i hoʻomaʻemaʻe pono ʻia, he wahi kūpono kēia no ka bacteria `(Clostridium)` aʻu i ʻōlelo ai ma mua. ʻO nā hiʻohiʻona o kēia me nā ʻeha pū a me nā ʻeha koʻikoʻi e like me nā ʻeha hou.

Eia nā kumu i emi pinepine ʻole:

• ʻO nā ʻoki ʻōpū ʻē aʻe ma ka kolona, ​​ka gallbladder, a i ʻole ka ʻōpū.
• Nā ʻoki kino a i ʻole nā ​​​​kaʻina hana wahine.
• Nā puʻupuʻu a i ʻole nā ​​​​​​kūlana olakino ʻē aʻe e hiki ke hōʻino i nā ʻōpū.
• Ka hānau ʻana.
• I ka hanana o ka hāʻule ʻana o ka hāpai keiki.
• Nā pilikia o nā kūlana e hōʻemi ana i ke kahe koko i nā ʻiʻo, e like me ka maʻi diabetes mellitus. ʻO ka nele o ka oxygen e maʻalahi ai ka ulu ʻana o ka bacteria, e hana ana i ka gangrene gas.

He aha nā kumu pilikia no ka gangrene gas?

ʻO nā ʻeha koʻikoʻi a me nā ʻoki ʻōpū e hoʻokau iā ʻoe i kahi pilikia kiʻekiʻe no ka gangrene gas traumatic, kahi e kū nei ma kahi o ka ʻeha. ʻOi aku kou pilikia no ka gangrene gas spontaneous, kahi e kū nei me ka ʻole o ka ʻeha, inā loaʻa iā ʻoe kekahi o kēia mau kūlana ma lalo:

• Ka maʻi ʻaʻai kolona.
• ʻO Diverticulitis (kahi maʻi e hiki ai ke hōʻino i ka ʻōpū nui).
• ʻO ka maʻi diabetes `(Diabetes Mellitus)`.
• ʻO nā maʻi o nā kīʻaha koko, no ka laʻana, atherosclerosis (kahi e hōʻiliʻili ai nā waihona momona i loko o nā kīʻaha koko a pani iā ​​lākou).

Akā e hoʻomanaʻo i hoʻokahi mea, ʻoiai me kēia mau mea pilikia, haʻahaʻa loa kou manawa e loaʻa ai ka gangrene gas. Akā he mea nui mau ka makaʻala.

He aha nā pilikia o ka gangrene gas?

Hiki i ke gangrene kinoea ke alakaʻi koke i nā pilikia e hoʻoweliweli ana i ke ola. ʻO nā mea nui:

• Ka Hāʻule ʻana o ka Renal: Ma muli o ka luku koke ʻana o ka bacteria i nā hunaola koko ʻulaʻula, ʻaʻole hiki i nā puʻupaʻa, ka mea e hoʻomaʻemaʻe i ko mākou koko, ke hana hou i kā lākou hana a lilo i mea hiki ʻole ke hana.
• Sepsis a me ka Septic Shock: Hoʻoulu ʻo Clostridium difficile i kā mākou ʻōnaehana pale e pane nui. Hiki i kēia ke hana i ka mumū ma ke kino holoʻokoʻa, ka emi koke ʻana o ke koko, a me ka hāʻule ʻana o nā ʻōpū. Ua kapa ʻia kēia he septic shock. He mea hoʻoweliweli kēia mau kūlana ʻelua i ke ola.

Pehea e ʻike ai i ka gangrene gas?

I kēia manawa ke noʻonoʻo nei paha ʻoe, pehea lā e ʻike maopopo ai ke kauka he gangrene kinoea kēia?

ʻO ka hapa nui o ka manawa, e loaʻa i ke kauka kahi manaʻo mua ma ka hoʻolohe ʻana i kāu mau hōʻailona a me ka nānā ʻana i ka ʻeha. A laila, e lawe lākou i kahi ʻāpana o ka ʻiʻo mai ka ʻeha a i ʻole kahi hāpana o ka wai a nānā iā ia ma lalo o kahi microscope e hōʻoia i kēia. I kekahi manawa, hiki iā lākou ke hoʻohana i nā X-ray, CT scans, a i ʻole MRI e nānā i ka hōʻino ʻia o ka ʻiʻo.

He aha nā hoʻokolohua e hana ʻia e ʻike ai i kēia?

No ka hōʻoia hou ʻana a i ʻole ka hoʻoholo ʻana i ka lāʻau lapaʻau, hiki i ke kauka ke hana i nā hoʻokolohua e like me:

• Nā hoʻāʻo kiʻi: Hiki ke hoʻohana ʻia nā kukuna X, CT scans, a i ʻole MRI e ʻike inā he mau pehu kinoea i loko o nā ʻiʻo a i ʻole inā he mau loli i nā ʻiʻo.
• Ka hoʻoluʻu ʻana i ka bacteria a i ʻole ka moʻomeheu: Nānā ʻia kahi hāpana o ka wai mai ka ʻeha ma lalo o kahi microscope e ʻike ai inā he bacteria e hoʻoulu ai i ka gangrene gas. I kekahi manawa ulu ʻia ka bacteria i loko o kahi keʻena hoʻokolohua a hoʻoulu ʻia.
• Biopsy: Lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka lesion a nānā ʻia no ka hōʻino a i ʻole nā ​​​​loli.

He aha nā lāʻau lapaʻau no ka gangrene gas?

He kūlana ka gangrene gas e pono ai ka mālama koke ʻana. ʻAʻole ia he manaʻo maikaʻi e hoʻopaneʻe. E hāʻawi kāu kauka iā ʻoe i nā lāʻau antibiotic kiʻekiʻe a e hana pū i ke ʻoki ʻana e wehe i ka nui o ka ʻiʻo i loaʻa i ka maʻi. Ma muli o ke koʻikoʻi o ka maʻi, pono paha ʻoe i ka mālama hou aku. E mālama ʻia ʻoe i loko o ka haukapila a e nānā pono ʻia i ka wā o kēia mālama ʻana.

ʻO nā lāʻau lapaʻau nui no kēia:

• Debridement: ʻO kēia ka manawa e hana ai ke kauka i ke ʻoki kino e wehe i nā ʻiʻo make, hōʻino ʻia, a me nā ʻōpala mai ka ʻeha. He mea nui kēia no ka mea hiki i ka bacteria ke hoʻomau i ka ulu ʻana inā loaʻa nā ʻiʻo make.
• Nā lāʻau antibiotic: I ka manawa pinepine, hāʻawi ʻia ka hui pū ʻana o ʻelua mau lāʻau antibiotic, penicillin a me clindamycin, e pepehi i nā bacteria e hoʻoulu ai i ka gangrene gas. Hāʻawi ʻia kēia mau mea ma ke ʻano intravenous (IV).
• ʻOki ʻia ke kino: I kekahi mau hihia koʻikoʻi, ʻo ke ala maikaʻi loa e pale aku ai i ka laha ʻana o ka maʻi a hoʻopakele i ke ola, ʻo ia ka wehe ʻana i ka lālā a i ʻole ka wāwae i loaʻa i ka maʻi. Ua manaʻo ʻia ma kahi o hoʻokahi o ʻelima mau kānaka e loaʻa ana i ka gangrene kinoea e pono e ʻoki ʻia kahi lālā a i ʻole ka wāwae. He mea weliweli paha kēia, akā he mea pono paha e hoʻopakele i ke ola.
• Lapaʻau Oxygen Hyperbaric: He lāʻau lapaʻau kūikawā kēia. Ma kēia, hoʻokomo ʻia ʻoe i loko o kahi keʻena kūikawā a hāʻawi ʻia i ka 100% oxygen. Loaʻa i kēia ma kahi o ʻelima mau manawa ka nui o ka oxygen o ka ea maʻamau. Hoʻonui kēia i ka nui o ka oxygen e hiki aku i nā ʻiʻo, e kōkua ana iā lākou e ho'ōla. Eia kekahi, ʻoiai ʻaʻole makemake ka bacteria Clostridium i ka oxygen, kōkua pū kēia lāʻau lapaʻau i ka kaohi ʻana i ka maʻi.

Pehea e pale ai i ka gangrene gas?

I kēia manawa, e nānā kākou i ka mea hiki iā kākou ke hana e palekana ai mai kēia gangrene kinoea weliweli.

Lawe nā kauka a me nā limahana o ka haukapila i nā hana palekana he nui e pale aku ai i nā maʻi i ka wā e hana ai i nā ʻoki kino, me ka pale ʻana i ka maʻi bacteria e hoʻoulu ai i ka gangrene gas.

Eia kekahi mau mea hiki iā ʻoe ke hana e pale iā ʻoe iho mai kēia a me nā maʻi bacteria ʻē aʻe:

• E holoi pono i ka ʻeha me ke kopa a me ka wai i ka wā e puka mai ai. E hana i kēia ʻoiai inā he ʻeha liʻiliʻi.
• Inā he ʻeha hohonu kou, e ʻimi koke i ke kōkua lapaʻau. ʻOi loa aku inā he ʻeha ia hiki ʻole ke hoʻomaʻemaʻe loa me ke kopa a me ka wai, e ʻike pono i ke kauka.
• E makaʻala i ka ʻeha. E nānā i nā loli o ke kala o ka ʻili, ka ʻeha nui, a i ʻole ka pehu ʻana. Inā ʻike ʻoe i kekahi o kēia mau mea, e haʻi i ke kauka.
• E ʻaʻahu i nā lole pale e uhi ana i kou mau lima a me kou mau wāwae i ka wā e holo ana i ka mokokaikala a i ʻole ka paikikala. He mea nui kēia e pale iā ʻoe iho mai nā ʻeha e like me ka ʻōpala ma ke alanui, hiki ke hana.
• Inā loaʻa iā ʻoe kahi maʻi olakino, e like me ka maʻi diabetes mellitus, e hoʻopilikia ana i nā kīʻaha koko a me ke kahe koko, a i ʻole e hoʻonāwaliwali ana i ka ʻōnaehana pale kino, e ʻimi i ka lāʻau lapaʻau mai ke kauka.

He aha ka mea e manaʻo ai i ka wā o ka gangrene gas?

ʻAe, e nānā kākou i ka mea e manaʻo ai inā loaʻa iā ʻoe ka gangrene kinoea.

No ka mea he pilikia hoʻoweliweli kēia i ke ola, pono ʻoe e noho i ka haukapila a hiki i ka wā e hiki ai ke mālama ʻia. Ma laila, e hana nā kauka:

• E mālama a hoʻomaʻemaʻe i kou mau ʻeha i nā manawa a pau.
• Hāʻawi ʻia nā lāʻau antibiotic ma o kahi vein (IV antibiotics).
• E makaʻala mau i nā loli o kou kūlana.
• E hana ʻia nā lāʻau lapaʻau a me nā hoʻokolohua hou aʻe ma muli o kou kūlana.

Aia ka wānana ma ke kumu o ka maʻi a me kahi o ke kino i loaʻa ai ka maʻi. ʻOi aku ka maikaʻi o ka hoʻōla ʻana o ka poʻe e loaʻa ana i ka gangrene gas ma nā lālā ma mua o ka poʻe e loaʻa ana i ka gangrene gas ma ka ʻōpū a i ʻole ka umauma, a i ʻole ka poʻe e loaʻa ana i ka gangrene gas spontaneous me ka ʻole o ka ʻeha.

Hiki i kēia ke hoʻōla i nā ola?

ʻAe, inā loaʻa koke iā ʻoe ka lāʻau lapaʻau, hiki iā ʻoe ke hoʻopakele i kou ola. Akā me ka lāʻau lapaʻau, aia kahi manawa e make ai he 20% a 30%. Inā ʻaʻole ʻoe e loaʻa ka lāʻau lapaʻau, he make mau ia. No laila ke ʻōlelo ʻia nei e ʻike koke i ke kauka inā he kānalua iki kou.

Āhea ʻoe e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kahi ʻeha komo, pono ʻoe e ʻike koke i ke kauka. Pono e hoʻomaʻemaʻe koke ʻia nā ʻeha hohonu a pono paha e humuhumu ʻia. Hiki i kāu kauka ke kuhikuhi i nā lāʻau antibiotic e pale aku i ka maʻi.

I ka manawa hea ʻoe e hele ai i kahi Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe nā hōʻailona o ke kinoea gangrene, ʻoiai inā ua loaʻa iā ʻoe kahi ʻeha hohonu a i ʻole ke ʻoki ʻana, e hele koke i ka lumi pilikia kokoke loa.Hiki ke make kēia inā ʻaʻole e mālama koke ʻia.

Nā nīnau e nīnau aku ai i kāu kauka

Ke ʻike ʻoe i ke kauka, he mea kōkua iā ʻoe ke nīnau i nā nīnau e like me kēia:

• Pehea ke koʻikoʻi o koʻu kūlana?
• He aha ke kumu o kēia maʻi?
• He aha nā lāʻau lapaʻau i loaʻa iaʻu?

ʻO ka mea hope loa, ʻo ka mea nui loa e haʻi aku iā ʻoe

He maʻi laha ʻole ka gangrene gas akā he maʻi hoʻoweliweli paha ia i ke ola. Hiki ke mālama ʻia inā loaʻa koke. Eia nō naʻe, hiki ke lilo i mea koʻikoʻi i loko o nā hola, a i ʻole nā ​​minuke, o ka hoʻomaka ʻana o nā hōʻailona.

No laila, inā he kānalua iki kou, inā he ʻano ʻē ke ʻano o kahi ʻeha, a inā paha he nui loa ka ʻeha, mai hoʻokaʻulua a e ʻimi koke i ke kōkua lapaʻau. Aia paha kou ola ma luna o ia mea.

ʻO ke Kinoea Gangrene, Clostridium, Clostridium perfringens, Maʻi ʻeha, Necrosis ʻiʻo, Maʻi bacteria, Lapaʻau pilikia