Koj puas tau muaj mob hnyav, liab, lossis o ntawm koj qhov chaw mos lossis ib ncig ntawm koj lub qhov quav? Koj puas xav tias qaug zog lossis kub taub hau? Tsis txhob tsis quav ntsej cov tsos mob no. Cov no yuav yog cov cim qhia txog kev kis tus kab mob txaus ntshai heev thiab kis sai sai hu ua Fournier's Gangrene . Nws yog ib qho tseem ceeb uas yuav tsum paub txog qhov no, vim tias kev kho mob sai sai tuaj yeem cawm tau ib tus neeg txoj sia.
Fournier's Gangrene yog dab tsi?
Hais yooj yim xwb, Fournier's Gangrene yog ib qho kab mob loj heev, kis tau sai sai rau koj lub qhov chaw mos, lub hnab uas muaj koj cov noob qes (scrotum), lossis thaj chaw ib puag ncig lawv (perineum). Nws yog ib hom mob hu ua "Necrotizing Fasciitis", uas kuj hu ua kab mob yaj cov nqaij.
Kab mob Gangrene yog kev tuag ntawm cov nqaij ntawm lub cev vim muaj kev kis kab mob lossis tsis muaj ntshav txaus. Hauv Fournier's Gangrene, cov kab mob nkag mus rau hauv cov nqaij hauv qab daim tawv nqaij thiab kis mus sai sai, rhuav tshem cov nqaij mos uas nyob ib puag ncig cov leeg nqaij, cov hlab ntsha, thiab cov hlab ntsha. Hauv cov xwm txheej hnyav, cov nqaij tuag no tuaj yeem kis mus rau lub duav, lub plab, thiab hauv siab.
Kab mob Fournier's Gangrene yog ib qho xwm txheej ceev . Yog tias koj muaj cov tsos mob no, koj yuav tsum mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd yam tsis muaj kev ncua.
Kab mob no feem ntau tshwm sim li cas?
Qhov no yog ib yam kab mob uas tsis tshua muaj. Muaj li ntawm 1.6 tus ntawm 100,000 tus txiv neej muaj tus kab mob no txhua xyoo. Cov poj niam thiab cov menyuam yaus tsis tshua muaj tus kab mob no. Yog li ntawd, tsis tas yuav ntshai heev, tab sis nws yog ib qho tseem ceeb uas yuav tsum paub txog cov tsos mob.
Kab mob no feem ntau tshwm sim rau cov txiv neej hnub nyoog tshaj 50 xyoo. Raws li qee qhov kev tshawb fawb, ntawm 20% thiab 40% ntawm cov neeg uas kis tus kab mob no yuav tuag. Tab sis nco ntsoov, qhov pib kho mob sai dua, qhov muaj feem ntau dua los cawm ib tus neeg txoj sia.
Cov tsos mob ntawm Fournier's Gangrene yog dab tsi?
Yuav tsum paub txog cov tsos mob no. Yog tias kuaj pom thaum ntxov, kev kho mob yuav yooj yim dua.
| Hom tsos mob | Kev piav qhia |
|---|---|
| Cov tsos mob thaum ntxov (mus ntsib kws kho mob sai li sai tau thaum koj pom cov no!) | |
| Mob thiab o tam sim ntawd | Cov qau lossis thaj chaw ib puag ncig ntawd mam li mob, mob thaum kov, thiab pib o. |
| Kev hloov xim ntawm daim tawv nqaij | Daim tawv nqaij yuav liab los yog ntshav qhov twg mob. |
| Kev tsis xis nyob dav dav | Koj yuav muaj qhov tsis muaj zog, qaug zog, xeev siab, thiab kub taub hau. |
| Cov tsos mob ntawm kev lig | |
| Mob hnyav heev | Qhov mob maj mam zuj zus tuaj, qee zaum nthuav mus rau lub plab. |
| Kev ua kom daim tawv nqaij tsaus ntuj | Daim tawv nqaij, uas yog xim liab/ntshav, hloov xim xiav-grey, thiab tom qab ntawd dub . Qhov no txhais tau tias cov nqaij ntawd tab tom tuag. |
| Ib qho ntxhiab tsw phem | Tej zaum yuav muaj ntxhiab tsw phem tawm los ntawm thaj chaw muaj kab mob. |
| Lwm yam nta | Lub plawv dhia ceev ceev, ntshav qis, ntuav, mob taub hau me ntsis, khaus, thiab muaj suab "pop" thaum kov qhov chaw mob. |
Dab tsi ua rau muaj qhov xwm txheej txaus ntshai no?
Kab mob no yog los ntawm kev kis kab mob ntawm cov kab mob me me. Muaj ntau txoj hauv kev uas cov kab mob no nkag mus rau hauv cov nqaij hauv qab daim tawv nqaij.
- Kev kis kab mob hauv txoj hlab zis: Kev kis kab mob hauv txoj hlab zis lossis lub zais zis.
- Cov pob khaus : Cov pob khaus uas puv nrog kua qaub uas tsim nyob ib puag ncig lub qhov quav lossis thaj chaw ntawm lub cev.
- Kev Phais Mob: Tom qab phais mob hauv thaj chaw ntawd.
- Kev raug mob me: Cov qhov khawb lossis cov qhov txhab uas tshwm sim los ntawm kev sib deev , kab tom, lossis lwm yam ua rau.
- Lwm yam: Nws kuj tseem tuaj yeem tshwm sim tsawg heev tom qab tho qhov chaw mos lossis txiav daim tawv nqaij ntawm cov menyuam yaus.
Qee hom kab mob bacteria uas feem ntau ua rau muaj qhov no yog:
- Pawg A streptococci
- Staphylococcus aureus
- E. coli
- Pseudomonas aeruginosa
Leej twg muaj feem yuav mob Fournier's Gangrene ntau dua?
Cov neeg uas lub cev tiv thaiv kab mob tsis muaj zog thiab cov neeg uas muaj lwm yam kab mob ntev ntev muaj feem yuav mob no ntau dua.
- Kab mob ntshav qab zib: Qhov no yog qhov tseem ceeb tshaj plaws uas ua rau muaj kev pheej hmoo . Nruab nrab ntawm 20% thiab 70% ntawm cov neeg uas muaj Fournier's Gangrene muaj kab mob ntshav qab zib. Txawm li cas los xij, tsis yog txhua tus neeg uas muaj kab mob ntshav qab zib yuav muaj nws.
- Kev siv cawv tsis raug
- Kev kis tus kab mob HIV
- Kev puas tsuaj rau daim siab
- Kev rog dhau
- Cov kab mob ntev xws li ntshav siab, kab mob raum, thiab kab mob plawv .
- Haus luam yeeb.
- Kev kho mob qog noj ntshav los yog kev siv tshuaj steroid ntev .
Qhov no puas yog vim muaj tshuaj kho mob ntshav qab zib?
FDA tau tshaj tawm tias muaj cov neeg mob no hauv qee tus neeg uas noj cov tshuaj SGLT2 inhibitors (piv txwv li, canagliflozin, dapagliflozin, empagliflozin), uas yog ib hom tshuaj siv los kho mob ntshav qab zib hom 2. Tsis paub meej tias yog vim li cas tiag, tab sis xav tias cov tshuaj no yuav ua rau muaj kev pheej hmoo ntawm kev kis kab mob ntawm txoj hlab zis. Yog tias koj noj ib yam tshuaj no, nrog koj tus kws kho mob tham txog qhov no.
Kws kho mob, koj kuaj qhov no li cas?
Yog koj tus kws kho mob xav tias muaj tus kab mob no vim koj cov tsos mob, nws yuav kuaj koj daim tawv nqaij. Yog tias tus mob hnyav heev, kev kho mob yuav pib ua ntej ua lwm yam kev kuaj mob. Cov kev kuaj mob feem ntau suav nrog:
- CT scan: Pom tau tias tus kab mob tau kis mus deb npaum li cas.
- Kev kuaj mob Ultrasound: Pab tshem tawm lwm yam mob uas muaj cov tsos mob zoo sib xws.
- X-rays: Nrhiav cov npuas cua hauv cov nqaij uas puas lawm. Qhov no yog ib qho cim tseem ceeb vim tias qee cov kab mob tsim cov pa roj.
- Kev kuaj ntshav: Txheeb xyuas cov kab mob thiab lwm yam tsos mob.
Yuav kho li cas?
Ob txoj kev kho mob tseem ceeb yog phais thiab tshuaj tua kab mob .
1. Kev Tshem Tawm Cov Qhov Ncauj: Yuav phais sai li sai tau thaum kuaj pom tias muaj mob. Qhov no suav nrog kev txiav thiab tshem tawm tag nrho cov nqaij tuag thiab puas tsuaj. Qhov no yog qhov tseem ceeb kom tiv thaiv kev kis tus kab mob. Tej zaum yuav siv ntau zaus phais kom tshem tawm cov nqaij tuag tag nrho.
2. Tshuaj tua kab mob: Cov tshuaj tua kab mob muaj zog heev raug muab rau hauv cov hlab ntsha (IV) kom tua cov kab mob. Txoj kev no ua rau cov tshuaj mus txog lub cev sai dua li noj tshuaj ntsiav.
3. Kev Kho Mob Siv Pa oxygen Ntau: Muaj tej lub sij hawm, tus neeg mob yuav raug muab tso rau hauv ib chav tshwj xeeb uas muaj pa oxygen ntau. Cov pa oxygen no ua rau cov qhov txhab kho sai dua thiab tiv thaiv cov kab mob kom tsis txhob loj hlob.
Thaum tus kab mob tswj tau lawm, qhov chaw puas tsuaj tuaj yeem kho tau los ntawm kev phais kho dua tshiab, yog tias tsim nyog. Tej zaum koj yuav tsum nyob hauv tsev kho mob ob peb lub lis piam kom rov zoo los ntawm qhov mob no.
Peb ua tau dab tsi los tiv thaiv qhov no?
Muaj ob peb kauj ruam yooj yim uas peb tuaj yeem ua raws li los tiv thaiv peb tus kheej ntawm tus kab mob txaus ntshai no.
- Kev Huv Si: Ib txwm ua kom koj qhov chaw mos thiab thaj chaw ib puag ncig huv si thiab qhuav.
- Kev tswj tus kab mob ntshav qab zib: Yog tias koj muaj tus kab mob ntshav qab zib, tswj koj cov ntshav qab zib kom zoo. Noj koj cov tshuaj raws li koj tus kws kho mob tau qhia. Xyuas koj qhov chaw mos tsis tu ncua seb puas muaj qhov txiav me me, khawb, lossis liab.
- Saib xyuas cov qhov txhab: Yog tias koj tau txais ib qho qhov txhab lossis khawb hauv thaj chaw ntawd, ntxuav nws kom huv si nrog xab npum thiab ua kom nws huv thiab qhuav.
- Kev ua neej noj qab haus huv: Txo qhov hnyav yog tias koj rog dhau. Tsis txhob haus luam yeeb kiag li.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Fournier's Gangrene yog ib qho xwm txheej ceev uas tuaj yeem ua rau tuag taus.
- Cov tsos mob tseem ceeb yog mob hnyav sai sai, o, liab, thiab tom qab ntawd daim tawv nqaij dub/ntshav liab hauv lossis ib puag ncig thaj chaw mos.
- Yog koj pom ib qho ntawm cov tsos mob no, mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm tsev kho mob tam sim ntawd yam tsis tas xav txog lwm yam.
- Qhov kev pheej hmoo no yuav raug txo kom tsawg los ntawm kev tswj cov kab mob ntev xws li ntshav qab zib kom zoo thiab kev tu cev huv si.
- Muaj feem yuav zoo tag nrho thiab cawm tau txoj sia yog tias kho sai sai.
👩🏽⚕️ Cov Lus Nug Ntxiv (FAQs)
💬 Kab mob Fournier's gangrene yog hom kab mob txaus ntshai dab tsi?
Qhov no yog ib qho kab mob loj heev thiab ntsiag to uas cuam tshuam rau daim tawv nqaij nyob ib puag ncig lub qhov chaw mos thiab qhov quav ntawm cov txiv neej lossis cov poj niam. Nws ua rau daim tawv nqaij thiab cov leeg nqaij hauv thaj chaw ntawd lwj thiab tuag sai sai.
💬 Dab tsi yog cov ua rau muaj tus kab mob hnyav no?
Qhov no feem ntau tshwm sim rau cov neeg uas tsis tswj lawv cov piam thaj (ntshav qab zib) zoo thiab muaj lub cev tiv thaiv kab mob tsis muaj zog heev. Cov kab mob no tuaj yeem nkag mus rau hauv lub cev los ntawm qhov txhab me me, khawb, lossis phais.
💬 Koj paub li cas tias koj muaj Fournier's gangrene?
Yog koj pom tias thaj chaw ib puag ncig koj lub qhov chaw mos liab, o, thiab mob, thiab nws tig dub thiab lwj, qhov no yuav yog qhov tseeb. Qhov no yuav tsum tau phais tam sim ntawd kom tshem tawm thaj chaw uas raug mob sai li sai tau.
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