ʻO nā mea e pono ai ʻoe e ʻike e pili ana i ka maʻi weliweli i kapa ʻia ʻo Fournier's Gangrene!

Ua loaʻa koke anei iā ʻoe ka ʻeha nui, ka ʻulaʻula, a i ʻole ka pehu ʻana ma kou wahi genital a puni kou anus? Ke manaʻo nei ʻoe he nāwaliwali a kuni paha? Mai hoʻowahāwahā i kēia mau hōʻailona. He mau hōʻailona paha kēia o kahi maʻi weliweli loa a laha koke i kapa ʻia ʻo Fournier's Gangrene . He mea nui e makaʻala i kēia, no ka mea, hiki i ka lāʻau lapaʻau koke ke hoʻopakele i ke ola.

He aha ka maʻi ʻeha o Fournier?

I ka ʻōlelo maʻalahi, ʻo ka Fournier's Gangrene kahi maʻi bacteria koʻikoʻi a laha koke i kou mau ʻōpū, ka ʻeke e loaʻa ana kāu mau testicles (scrotum), a i ʻole ka wahi a puni lākou (perineum). He ʻano maʻi ia i kapa ʻia ʻo "Necrotizing Fasciitis", i ʻike ʻia hoʻi he maʻi hoʻoheheʻe ʻiʻo.

ʻO ka gangrene ka make ʻana o nā ʻiʻo o ke kino ma muli o ka maʻi a i ʻole ka nele o ke koko. I ka Fournier's Gangrene, komo ka bacteria i loko o nā ʻiʻo ma lalo o ka ʻili a pālahalaha koke, e luku ana i nā ʻiʻo palupalu e hoʻopuni ana i nā ʻiʻo, nā kīʻaha koko, a me nā aʻalolo. I nā hihia koʻikoʻi, hiki i kēia ʻiʻo make ke pālahalaha i nā ʻūhā, ka ʻōpū, a me ka umauma.

Pehea ka maʻamau o kēia maʻi?

He maʻi laha ʻole kēia. Ma kahi o 1.6 o 100,000 mau kāne e loaʻa i kēia maʻi i kēlā me kēia makahiki. ʻOi aku ka liʻiliʻi o ka loaʻa ʻana o nā wāhine a me nā keiki. No laila, ʻaʻohe pono e makaʻu pono ʻole ʻia, akā he mea nui e makaʻala i nā hōʻailona.

ʻOi aku ka maʻamau o kēia maʻi i nā kāne ma luna o 50 mau makahiki. Wahi a kekahi mau noiʻi, ma waena o 20% a me 40% o ka poʻe i loaʻa i kēia maʻi e make paha. Akā e hoʻomanaʻo, ʻo ka wikiwiki o ka hoʻomaka ʻana o ka lāʻau lapaʻau, ʻoi aku ka nui o ka manawa e hoʻopakele ai i ke ola.

He aha nā hōʻailona o ka Fournier's Gangrene?

E makaʻala i kēia mau hōʻailona. Inā ʻike mua ʻia, ʻoi aku ka maʻalahi o ka mālama ʻana.

He aha ke kumu o kēia kūlana weliweli?

Hoʻokumu ʻia kēia maʻi e kahi maʻi bacteria. Nui nā ʻano e komo ai kēia mau bacteria i loko o nā ʻiʻo ma lalo o ka ʻili.

• Nā maʻi ʻaʻai mimi: Ka laha ʻana o ka maʻi i loko o ke ʻaʻai mimi a i ʻole ka ʻōpū mimi.
• Nā ʻōpū : Nā puʻupuʻu piha i ka pus e hana ana a puni ka anus a i ʻole ka ʻāpana genital.
• ʻOki kino: Ma hope o nā ʻoki kino i hana ʻia ma ia wahi.
• Nā ʻeha liʻiliʻi: Nā ʻōpala a i ʻole nā ​​​​ʻeha i hana ʻia e ka moekolohe , nā nahu ʻana o nā pepeke, a i ʻole kekahi kumu ʻē aʻe.
• ʻĒ aʻe: Hiki ke hana pinepine ʻia ma hope o ke kī ʻana i nā ʻāpana genital a i ʻole ke ʻoki poepoe ʻana o nā keiki.

ʻO kekahi mau ʻano bacteria maʻamau e hiki ke hana i kēia:

• ʻO ka streptococci hui A
• ʻO Staphylococcus aureus
• ʻE. coli
• ʻO ka Pseudomonas aeruginosa

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka Fournier's Gangrene?

ʻOi aku ka nui o ka pilikia o ka poʻe me nā ʻōnaehana pale maʻi nāwaliwali a me ka poʻe me nā maʻi maʻi ʻē aʻe i ka loaʻa ʻana o kēia maʻi.

• Maʻi diabetes: ʻO kēia ke kumu nui o ka pilikia . Ma waena o 20% a me 70% o ka poʻe i loaʻa i ka Fournier's Gangrene he maʻi diabetes. Eia naʻe, ʻaʻole nā ​​​​kānaka āpau me ka maʻi diabetes e loaʻa iā ia.
• Hoʻohana pono ʻole ʻana i ka waiʻona
• ka maʻi HIV
• Ka pōʻino o ke akepaʻa
• Momona
• Nā maʻi mau e like me ke koko kiʻekiʻe, nā maʻi puʻupaʻa, a me nā maʻi puʻuwai .
• Puhi paka.
• Lāʻau lapaʻau chemotherapy no ke kanesa a i ʻole ka hoʻohana lōʻihi ʻana i nā lāʻau steroid .

Hiki paha i kēia ke hana ʻia e nā lāʻau lapaʻau maʻi diabetes?

Ua hōʻike ka FDA i nā hihia o kēia ʻano ma kekahi poʻe e lawe ana i nā mea hoʻopaʻa SGLT2 (e.g., canagliflozin, dapagliflozin, empagliflozin), kahi papa o nā lāʻau i hoʻohana ʻia e mālama i ka maʻi diabetes type 2. ʻAʻole ʻike ʻia ke kumu pololei, akā ua manaʻo ʻia e hoʻonui kēia mau lāʻau i ka pilikia o nā maʻi ʻōpū urinary. Inā ʻoe e lawe ana i kekahi o kēia mau lāʻau, e kamaʻilio me kāu kauka e pili ana i ia mea.

E ke kauka, pehea ʻoe e ʻike ai i kēia?

Inā kānalua kāu kauka i kēia maʻi ma muli o kāu mau hōʻailona, ​​e nānā ʻo ia i kou ʻili. Inā koʻikoʻi ke ʻano, hiki ke hoʻomaka ka lāʻau lapaʻau ma mua o ka hana ʻana i nā hoʻokolohua ʻē aʻe. ʻO nā hoʻokolohua maʻamau:

• CT scan: Hiki ke ʻike i ka mamao o ka laha ʻana o ka maʻi.
• ʻO ke nānā ʻana o ka ultrasound: Kōkua i ke kāpae ʻana i nā kūlana ʻē aʻe e hōʻike ana i nā hōʻailona like.
• Nā kukuna X: E nānā i nā pehu ea i loko o nā ʻiʻo i hōʻino ʻia. He hōʻailona koʻikoʻi kēia no ka mea hana kekahi mau bacteria i ke kinoea.
• Nā hoʻāʻo koko: E ʻike i nā maʻi a me nā hōʻailona ʻē aʻe.

Pehea e mālama ʻia ai?

ʻO nā lāʻau lapaʻau nui ʻelua he ʻoki kino a me nā antibiotics .

1. Debridement: Hana ʻia ke ʻoki kino i ka wā e ʻike ʻia ai ka maʻi. Pili kēia i ka ʻoki ʻana a me ka wehe ʻana i nā ʻiʻo make a hōʻino ʻia. He mea nui kēia e hoʻōki i ka laha ʻana o ka maʻi. Pono paha i kekahi mau ʻoki kino e wehe loa i nā ʻiʻo make.

2. Nā lāʻau antibiotic: Hāʻawi ʻia nā lāʻau antibiotic ikaika loa ma ke kino (IV) e pepehi i nā bacteria. ʻO kēia ʻano hana e hiki ai i nā lāʻau ke komo koke i ke kino ma mua o ka lawe ʻana i nā pila.

3. Hyperbaric Oxygen Therapy: I kekahi mau hihia, hoʻokomo ʻia ka mea maʻi i loko o kahi keʻena kūikawā me ka nui o ka oxygen. Hoʻolalelale kēia oxygen i ka ho'ōla ʻana o ka ʻeha a hoʻōki i ka ulu ʻana o ka bacteria.

Ke kāohi ʻia ka maʻi, hiki ke hoʻoponopono ʻia ka wahi i hōʻino ʻia me ke ʻoki hana hou, inā pono. Pono paha ʻoe e noho i ka haukapila no kekahi mau pule e hoʻōla ai mai kēia maʻi.

He aha kā mākou e hana ai e pale aku i kēia?

Aia kekahi mau hana maʻalahi e hiki ai iā kākou ke hahai e pale iā kākou iho mai kēia maʻi weliweli.

• Maʻemaʻe: E mālama mau i kou wahi hoʻokamakama a me nā wahi a puni e maʻemaʻe a maloʻo.
• Kaohi ʻana i ka maʻi diabetes: Inā loaʻa iā ʻoe ka maʻi diabetes, e kaohi i kou pae kō koko. E lawe i kāu lāʻau lapaʻau e like me ke kauoha a kāu kauka. E nānā pinepine i kou wahi genital no kekahi mau ʻoki liʻiliʻi, nā ʻōpala, a i ʻole ka ʻulaʻula.
• E mālama i nā ʻeha: Inā loaʻa kahi ʻeha a ʻōpala paha ma ia wahi, e holoi pono me ke kopa a mālama iā ia i ka maʻemaʻe a me ka maloʻo.
• He nohona olakino: E hōʻemi i ke kaumaha inā momona ʻoe. E pale loa i ka puhipaka.