Ua ʻike anei ʻoe i kēia maʻi hoʻoheheʻe ʻiʻo weliweli (Necrotizing Fasciitis)? E kamaʻilio kākou!

Ke loaʻa iā ʻoe kahi ʻeha liʻiliʻi, he mea maʻamau ia e pehu iki a hoʻōla i loko o kekahi mau lā. Akā ua lohe anei ʻoe i kahi maʻi koʻikoʻi e hoʻoweliweli ana i ke ola e hoʻomaka ana mai kahi ʻeha liʻiliʻi a hoʻoheheʻe mālie i ka ʻiʻo? ʻO ia kekahi o kēlā mau kūlana weliweli a mākou e kamaʻilio ai i kēia lā, i kapa ʻia ʻo Necrotizing Fasciitis. Ua kapa pū kekahi poʻe iā ia ʻo ka maʻi ʻai ʻiʻo.

He aha ka Necrotizing Fasciitis?

I ka ʻōlelo maʻalahi, he maʻi bacteria koʻikoʻi loa ka Necrotizing Fasciitis e laha koke ana a hiki ke alakaʻi i ka make. ʻO ke ʻano o ka huaʻōlelo 'necrotizing' ʻo ia hoʻi 'ke hoʻomake nei i kahi mea ʻē aʻe'. ʻO 'Fsciitis' e pili ana i ka mumū o ka fascia.

I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o ka fascia. He ʻiʻo like me ka membrane e hoʻopuni ana i nā ʻiʻo, nā aʻalolo, ka momona, a me nā kīʻaha koko ma lalo o ko mākou ʻili. I ka pololei, he ʻiʻo subcutaneous kēia.

ʻO ka Necrotizing Fasciitis kahi ʻano maʻi i kapa ʻia ʻo Necrotizing Soft Tissue Infection (NSTI). Hoʻokomo pū kēia NSTI i nā maʻi ʻē aʻe, e like me Necrotizing Myositis (maʻi e make ai nā ʻiʻo) a me Necrotizing Cellulitis (maʻi e make ai nā ʻāpana ma lalo o ka ʻili).

Aia kekahi mau ʻano o ka Necrotizing Fasciitis?

ʻAe, ʻelua mau ʻano nui:

1. Polymicrobial a i ʻole Type I: Hoʻokumu ʻia kēia e nā ʻano bacteria he nui. I ka hapanui o nā hihia, pili nā bacteria aerobic a me anaerobic i ka maʻi.

2. Monomicrobial a i ʻole Type II: Hoʻokumu pinepine ʻia kēia e hoʻokahi ʻano bacteria. ʻO ka hapa pinepine, hoʻokumu ʻia e ka bacteria "Group A Streptococcus" a i ʻole "Staphylococcus aureus".

ʻO wai ka mea i loaʻa pinepine i kēia maʻi?

ʻOi aku ka nui o ka pilikia o kekahi poʻe i ka loaʻa ʻana o ka "Necrotizing Fasciitis." E nānā kākou iā lākou:

• ʻO ka poʻe me nā ʻeha ʻili a i ʻole nā ​​ʻeha ma nā membrane mucous (e.g. i loko o ka waha, ihu): Hoʻokomo pū kēia i nā ʻoki i hana ʻia i ka wā o ke kaʻina hana ʻoki. ʻOiai he ʻōpala liʻiliʻi hiki ke lilo i pilikia i kekahi manawa.
• Nā kānaka me ka momona: ʻO ia hoʻi, nā kānaka momona loa.
• Nā kānaka me ka maʻi diabetes Mellitus: Ua ʻike ʻoe i ka wā e loaʻa ai iā ʻoe ka maʻi diabetes, e ho'ōla mālie nā ʻeha a ulu maʻalahi nā maʻi. ʻOi aku ka nui o ka poʻe e like me ia e loaʻa i kēia.
• ʻO ka poʻe me ka maʻi hoʻohana waiʻona: ʻO ka hoʻohana nui ʻana i ka waiʻona kekahi mea pilikia.
• Nā kānaka me nā ʻōnaehana pale maʻi nāwaliwali: ʻO ia hoʻi, nā kānaka i hoʻemi ʻia ko lākou hiki ke pale aku i nā maʻi.
• ʻO nā kānaka me nā pilikia me ka ʻōnaehana vascular.
• Nā kānaka e ʻeha nei i ka maʻi kanesa.
• Nā wahine hāpai.

Pehea ka maʻamau o kēia maʻi? He mea weliweli anei ia?

ʻAʻole maʻi maʻamau ka Necrotizing Fasciitis. Wahi a nā helu helu, aia ka nui ma waena o 0.3 a me 15 no 100,000. Eia nō naʻe, ua manaʻoʻiʻo ʻia he ʻoi aku ka nui o nā maʻi maoli. No ka laʻana, ʻo ka Necrotizing Fasciitis, i hoʻokumu ʻia e ka Group A strep, ua hōʻike ʻia e kū mai ana ma 700 a 1,200 mau hihia i kēlā me kēia makahiki.

He maʻi koʻikoʻi loa kēia, ʻoiai me ka mālama ʻia ʻana, e make ana kekahi o nā kānaka ʻekolu e loaʻa ana iā ia. No laila he mea nui ka mālama mua ʻana.

He aha nā hōʻailona o ka Necrotizing Fasciitis?

Hiki i nā hōʻailona mua o kēia maʻi ke like me nā hōʻailona o ke anu maʻamau, no laila i kekahi manawa paʻakikī ke ʻike i ka wā mua.

Nā hōʻailona mua:

• ʻEha kino
• kuni
• Anuanu
• Ka luaʻi
• Ka maʻi pākī
• ʻEha nui a hiki ʻole ke hoʻomanawanui ma kahi o ka ʻeha. He hōʻailona mua koʻikoʻi loa kēia. Hiki ke ʻoi aku ka nui o ka ʻeha ma mua o ka nui o ka ʻeha.

He maʻi laha wikiwiki loa ka Necrotizing Fasciitis, no laila hiki ke lilo koke nā hōʻailona i mea koʻikoʻi.

Nā hōʻailona ma hope:

• ʻUlaʻula a me ke kala ʻole o ka ʻili ma kahi o ka ʻeha (poni ʻeleʻele, ʻeleʻele).
• Ka pehu ʻana o nā ʻiʻo i hoʻopilikia ʻia.
• Ke kahe koko paʻa ʻole.
• Nā pehu i piha i ke koko a i ʻole ka wai melemele.
• Necrosis o nā ʻiʻo.
• Ke koko haʻahaʻa.
• Sepsis (ka lāʻau make koko).

ʻO ka mea nui loa, inā loaʻa iā ʻoe nā hōʻailona e like me kēia, ʻoi aku ka ʻeha nui me kahi ʻeha a me ka hoʻololi ʻana o ka ʻili a me ka pehu ʻana, pono ʻoe e ʻike koke i ke kauka.** Hoʻolaha kēia maʻi i ka wikiwiki kupaianaha.

He aha nā kumu o kēia 'maʻi hoʻoheheʻe ʻiʻo'?

ʻO ka hapa pinepine, loaʻa ka "Necrotizing Fasciitis" i ka wā e komo ai ka bacteria i kou kino ma o kahi ʻoki a i ʻole kahi ʻōpala ma kou ʻili. Akā i kekahi manawa hiki ke hana me ka ʻole o kahi ʻeha ma ka ʻili, e like me kahi mea ʻē aʻe i loko o kou kino, e like me kahi palapū.

Pehea e komo ai ka bacteria i loko o ke kino:

• ʻOki, ʻōpala, kuni.
• Nā ʻeha nahu pepeke (e.g., kahi nahu namu nui).
• Nā ʻeha i hou ʻia e nā mea e like me nā nila.
• Ma hope o ke ʻoki kino.
• ʻOiai ʻo ke kumu nui ka bacteria "Group A strep", hiki ke hana ʻia e nā bacteria ʻē aʻe he nui. Hiki i kekahi mau bacteria e noho ana i ka wai ke hana iā ia. ʻO ke ʻano kēia inā ʻoe e pili me kahi ʻeha ma nā wahi i loaʻa ai ka wai lepo, aia nō hoʻi ʻoe i ka pilikia.

Pehea e ʻike ai nā kauka i kēia?

Inā kānalua kāu kauka i kēia 'maʻi hoʻoheheʻe ʻiʻo' ma hope o ka nānā ʻana iā ʻoe a me ka hoʻolohe ʻana i kāu mau hōʻailona, ​​​​e kauoha lākou i kekahi mau hoʻokolohua:

• Nā hoʻāʻo koko: No ka laʻana, he helu koko piha (CBC).
• Moʻomeheu ʻiʻo hohonu: Lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka wahi i loaʻa i ka maʻi a hoʻāʻo ʻia e ʻike i nā bacteria i loaʻa.
• Biopsy ʻiʻo: Lawe ʻia kahi ʻāpana ʻiʻo a nānā ʻia ma lalo o kahi microscope e hoʻoholo ai inā ua make ke ʻiʻo.
• Nā hoʻāʻo kiʻi: Hiki ke hana pinepine ʻia kahi CT scan (Computed Tomography scan).

Eia kekahi, e hana ke kauka i ke ʻoki kino e hōʻoia inā he Necrotizing Fasciitis ia. Eia kekahi, e hoʻomaka ke ʻoki kino me ka wehe ʻana i nā ʻiʻo make.

Pehea e mālama ʻia ai ka Necrotizing Fasciitis?

He mea nui ka hana wikiwiki e kaohi ai i kēia maʻi.

• ʻOki kino: Pono ke kaʻina hana ʻoki kino i kapa ʻia ʻo "debriding" e hōʻoia i ka hōʻailona a wehe i nā ʻiʻo make a pau . I kekahi manawa, ʻaʻole lawa ka ʻoki kino hoʻokahi. Pono paha kekahi mau ʻoki kino (ʻekolu paha) a hiki i ka wā e kāohi loa ʻia ai ka maʻi.
• Nā lāʻau ʻaʻai: Hāʻawi ʻia nā lāʻau ʻaʻai ikaika ma ke ʻano intravenous (IV).
• Nā wai intravenous (nā wai IV): Kōkua kēia i ka mālama ʻana i nā pae wai i loko o ke kino a hoʻopaʻa i ke koko.

Ma hope o ke ʻoki ʻana, pono paha nā hoʻopili ʻili a i ʻole ke ʻoki plastik e ho'ōla piha i nā ʻeha.

He aha nā pilikia e hiki mai ana o kēia maʻi?

He koʻikoʻi ka nui o nā pilikia o ka "Necrotizing Fasciitis". ʻO lākou kekahi:

• Nā ʻōpala
• Ka nalowale ʻana o nā lālā (inā pālahalaha ka maʻi, pono e ʻoki ʻia kēlā mau ʻāpana)
• ʻO ka maʻi haʻalulu ʻawahia
• Sepsis (ka lāʻau make koko)
• Make

Pehea e pale ai iā ʻoe iho mai ka Necrotizing Fasciitis?

ʻAʻohe lāʻau pale no kēia i kēia manawa. Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i ka pilikia o ka loaʻa ʻana o nā maʻi ʻili bacteria, me ka Necrotizing Fasciitis:

• E like me ka hikiE pale i nā ʻoki, nā ʻōpala, nā kuni, a me nā nahu pepeke.
• Inā he ʻeha kou, e holoi pono me ke kopa a me ka wai a uhi iā ia me kahi kāʻei maʻemaʻe a hiki i kona ho'ōla ʻana.
• Inā he mau ʻoki hohonu a koʻikoʻi paha kou a he mau ʻeha puka paha, e ʻike i ke kauka.
• E hoʻomaʻemaʻe i kou mau lima ma ka holoi pinepine ʻana me ke kopa a i ʻole ka hoʻohana ʻana i kahi huahana hoʻomaʻemaʻe lima antibacterial i loaʻa ka waiʻona.
• Inā he ʻeha a ʻoki paha kou ma kou ʻili, mai komo i loko o nā loko ʻauʻau, nā ʻauʻau wela, a i ʻole nā ​​​​kino wai o waho (e like me nā loko, nā muliwai).

Āhea ʻoe e ʻike ai i ke kauka? (He hoʻomanaʻo)

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e ʻimi koke i ke kōkua lapaʻau:

• Inā ua loli ke kala o ka ʻili a me he mea lā e hoʻonui koke ʻia ana ka ʻili me ka pehu ʻana .
• Inā he ʻeha hiki ʻole ke hoʻomanawanui .
• Inā he kuni kou.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe kēia maʻi?

Inā loaʻa iā ʻoe kēia maʻi, loaʻa nā hopena maikaʻi loa me ka ʻike mua ʻana, nā lāʻau antibiotic, a me ke ʻoki ʻana e wehe i nā ʻiʻo make.

He maʻi ka Necrotizing Fasciitis e lilo koke i mea ʻino, e luku ana i kou mau ʻiʻo a e hoʻopilikia ai i ka hāʻule ʻana o nā ʻōkana. ʻOiai me ka mālama ʻia, e like me ka mea i ʻōlelo ʻia ma mua, hiki i kahi hapakolu o nā hihia ke make.

I ka manawa pinepine, ʻoi aku ma mua o hoʻokahi ʻoki kino e pono ai, a hiki ke loaʻa ka ʻeha.

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

ʻO ka gangrene kinoea (clostridial myonecrosis) kahi maʻi e hoʻopilikia i nā ʻiʻo olakino, e hoʻoulu ai i ke kinoea (ea) e hōʻiliʻili i loko o nā ʻiʻo. Hoʻopuka ʻia kēia kinoea ma ke ʻano he huahana ʻōpala mai nā germs. Hiki nō hoʻi ke hōʻiliʻili ke kinoea i loko o nā ʻiʻo i ka gangrene kinoea a me ke ʻano I Necrotizing Fasciitis. Eia nō naʻe, ʻokoʻa nā ʻano germs e hoʻoulu ai i kēia mau maʻi ʻelua. Hiki i ka gangrene kinoea ke hoʻopilikia i nā ʻiʻo.

Ma hea i loko o ke kino e ʻike pinepine ʻia ai ka necrotizing fasciitis?

ʻIke pinepine ʻia kēia ma nā lima a me nā wāwae, ʻoiai inā he maʻi diabetes kou. ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi ma kou mau wāwae (ʻoi aku hoʻi kou mau wāwae a me kou mau manamana wāwae).

Eia kekahi, hiki i kēia maʻi ke loaʻa i loko o nā ʻōpū a me ke poʻo a me ka ʻāʻī.

Hiki iā ʻoe ke ola inā loaʻa iā ʻoe ka Necrotizing Fasciitis?

ʻAe, hiki iā ʻoe ke ola. ʻO ka mea nui loa, ʻo ia ka ʻike mua ʻana i ka maʻi a hoʻomaka i ka mālama ʻana i ka wā hikiwawe loa. ʻO ka lōʻihi o ka hoʻopaneʻe ʻia ʻana, ʻoi aku ka ʻino o ke kūlana.

He maʻi lele anei ka Necrotizing Fasciitis?

ʻAʻole laha pinepine kēia mai ke kanaka a i ke kanaka.No laila, ʻaʻole pono ka hāʻawi ʻana i nā lāʻau antibiotic i nā hoahānau pili o ka mea maʻi. Eia nō naʻe, inā koʻikoʻi loa ka maʻi, hiki i ke kauka ke noi aku i nā hoahānau pili o ka mea maʻi e lawe i nā lāʻau antibiotic pale ma ke ʻano he hana palekana.

ʻEhia ka lōʻihi o ka ulu ʻana o ka necrotizing fasciitis?

Hiki ke ʻike ʻia nā hōʻailona i loko o 24 mau hola o kou loaʻa ʻana o kahi ʻōpala, ʻoki, a nahu pepeke paha. Hiki i kēia ke lilo i mea ʻino loa me ka wikiwiki loa. No laila e makaʻala i ka ʻeha no ka pehu ʻana, ka ʻulaʻula, a inā e nui aʻe.

Inā loaʻa iā ʻoe kahi ʻeha, ʻoki, a wela paha, e holoi pono me ke kopa a me ka wai. Inā loaʻa iā ʻoe ke kuni, ʻeha nui, a/a i ʻole kahi ʻulaʻula a ʻulaʻula paha e pālahalaha wikiwiki ana e mehana ana i ka pā ʻana, e ʻimi koke i ke kōkua lapaʻau. ʻO ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau lapaʻau, ʻoi aku ka maikaʻi o kou manawa e hoʻopau ai i ka Necrotizing Fasciitis.

Leka Lawe-Home

ʻAe, i kēia manawa ua ʻike maikaʻi ʻoe i ka maʻi koʻikoʻi a mākou i kamaʻilio ai i kapa ʻia ʻo "Necrotizing Fasciitis." Eia kekahi o nā mea nui e hoʻomanaʻo ai:

• He maʻi bacteria weliweli loa kēia e laha wikiwiki ana. Ua kapa ʻia hoʻi ʻo ia ʻo 'ka maʻi hoʻoheheʻe ʻiʻo'.
• Hiki ke hoʻomaka me kahi ʻeha liʻiliʻi.
• E makaʻala loa i nā hōʻailona e like me ka ʻeha nui ma kahi o ka ʻeha, ka laha wikiwiki ʻana o ka ʻulaʻula/hoʻololi kala a me ka pehu ʻana, a me ke kuni .
• Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​mai hoʻokaʻulua a e ʻike koke i ke kauka. ʻO ka manawa ke kumu hoʻoholo ma waena o ke ola a me ka make ma ʻaneʻi.
• ʻO ka mālama ʻana i nā ʻeha i ka maʻemaʻe a me ka hoʻomaʻamaʻa ʻana i ke olakino kūpono e kōkua i ka pale ʻana i kēia mau ʻano maʻi.

Lana ko mākou manaʻo he mea pono kēia ʻike iā ʻoe. E noho olakino!

ʻO ka Necrotizing Fasciitis, ka maʻi ʻai ʻiʻo, ka maʻi bacteria, ka maʻi ʻili, ka maʻi ʻai ʻiʻo, ka make ʻana o nā ʻiʻo, Sepsis