Fournier’s Gangrene: Yu no bɔt dis denja kɔndishɔn?

Imajin aw yu go fil if yu bigin fil bad bad pen, swel, ɛn chenj kɔlɔ rawnd yu bɔdi wantɛm wantɛm. Bɔrku tɛm, wi kin dismis dis as simpul skin infekshɔn. Bɔt i kin bi wan fɔs sayn fɔ wan baktri infɛkshɔn we rili denja ɛn we kin mek pɔsin in layf de pan denja we dɛn kɔl Fournier’s Gangrene . Bikɔs i kin skata kwik kwik wan, ivin if yu de de fɔ sɔm awa, dat kin min difrɛns bitwin layf ɛn day. So lɛ wi lan mɔ bɔt dis siriɔs sik tide.

Fɔ tɔk am simpul wan, wetin na Fournier’s Gangrene?

Dis na wan sik we nɔ kin apin so ɔltɛm, bɔt we kin rili siriɔs. i kin mεnli afekt wi jεnital dεm εn di εria we de rawnd dεm (di perineum). fכ mεdikal, i de insay di kεtכgrεf we dεn kכl "necrotizing fasciitis." We yu yɛri dis nem, i kin mek yu fred smɔl, nɔto so? di rizin na dat di baktri dεm we de mek dis infεkshכn de spre bay we dεn de pwεl εn sכlv di sכft tisu dεm na wi bכdi.

Imajin dis. Sɔntɛm, baktri dɛn dɔn go insay wi jɛnɛral eria tru di skin. di baktri dεm kin travul go na di dip layt we de na wi skin, we na di haypodεmis , εn di tin we de rawnd di mכsul dεm, we na di fascia . Dɛn dip layers ya na di say we di blɔd vesel dɛn we de gi blɔd to da eria de de.

We di bɔdi gɛt di sik, di bɔdi kin pwɛl dɛn blɔd vesel ya. Dɔn di tisu dɛn we de na da say de nɔ kin gɛt blɔd ɛn dɛn kin bigin fɔ day. As di tisu dεm de day dis we, di bכdi kin bigin fכ spre kwik kwik wan to כda say dεm, fכ egzampl, di tכŋ, bεlε, εn chεst.

Wetin na di sayn dɛm fɔ dis sik? Aw dɛn kin no se i gɛt am?

Di sayn dɛm fɔ Fournier’s Gangrene kin apia wantɛm wantɛm, so i impɔtant fɔ kip yu yay pan dɛm.

Ɛspɛshali if yu gɛt dayabitis , ilɛksɛf yu tek insulin lɛk aw dɛn tɛl yu fɔ tek, yu blɔd shuga nɔ kin ebul fɔ kɔntrol. Dis kin bi wan sayn bak fɔ dis infekshɔn.

Aw dis baktri de go insay di bɔdi?

Bɔku we dɛn de fɔ mek dis bɔdi go insay wi bɔdi. di we we kכmכn pas כl na fכ wund כ brok na di skin we de rawnd di jεnital כ anus.

• Wan bɔyl ɔ absɛs
• Fistula we de na di anal
• Wan infεkshכn na di big intestinal (Diverticulitis) .
• Blad infεksh כn כ urinary tract infεkshכn (UTI) .
• Ɔlsa dɛn we de na di bɔdi
• Skrat ɔ bɔn we yu de du mami ɛn dadi biznɛs
• Fɔ chuk pɔsin in bɔdi
• Insɛkt dɛn de bit ɔ sting
• Ivin smɔl skrach ɔ kɔt kin mek dis apin.

כl tu di anaerobic εn aerobic baktri dεm kin kכntribyut to dis infεkshכn. di kayn baktri dεm we kכmכn pas כl na E. coli, Staphylococcus, Streptococcus, εn Bacteroides.

Udat dɛn kin gɛt dis sik pasmak?

Pan ɔl we Fournier’s Gangrene kin apin pan ɛni ej, i kin apin lɛk tɛn tɛm so pan man dɛn pas uman dɛn. Apat frɔm dat, sɔm kayn mɛrɛsin ɛn aw pɔsin kin liv in layf kin mek dis prɔblɛm bɔku.

Tin dɛn we kin mek pɔsin gɛt prɔblɛm

• Dayabitis: Di risk kin pasmak fɔ di wan dɛn we gɛt dayabitis we dɛn nɔ kin kɔntrol.
• Immunosuppression: Na bikɔs ɔf rizin dɛn lɛk HIV infɛkshɔn ɛn kemotɛrapi tritmɛnt fɔ kansa.
• Bikɔs i dɔn pas 50 ia.
• Fat: Bɔdi mas indeks (BMI) we pas 30.
• Fɔ drink rɔm pasmak.
• Smok ɛn yuz ɔda tin dɛn we dɛn kin yuz fɔ smok.
• Di sik dɛn we kin apin to di at ɛn di blɔd.
• Sirosis na di liva ɔ di liva nɔ de wok fayn.
• Kidni we nɔ de wok fayn.
• Ay blɔd prɛshɔn (Hypertension).

If yu gɛt dɛn tin ya we kin mek yu gɛt dis sik, dat nɔ min se yu go rili gɛt di sik. I min se yu fɔ tek tɛm pas ɔda pipul dɛn.

Aw dɔktɔ dɛn kin no bɔt dis sik ɛn wetin na di tritmɛnt dɛn?

Diagnosis we dɛn kin gɛt

Bikɔs dis na imejensi, dɔktɔ dɛn kin jɔs mek wan asɔmpshɔn bɔt di sik bay di sayn dɛm ɛn we dɛn de chɛk dɛn bɔdi. Sɔntɛnde, tɛm nɔ kin de fɔ du ɛni tɛst. Bɔt if tɛm de, dɛn kin du dɛn tɛst ya fɔ no usay di sik kɔmɔt ɛn usay i de skata:

• CT scan: Fɔ si if di briz ɛn wata dɔn gɛda insay di tisu dɛn.
• Ultrasound scan: Fכ si if briz de na di sכft tisu dεm εn fכ difrεnt am frכm כda mεdikal kכndyushכn dεm.
• X-ray: Si aw fa di briz dɔn skata.
• Blɔd tɛst: Chɛk fɔ si if di wayt blɔd sɛl dɛn bɔku, we de sho se yu gɛt di sik, ɔ if yu gɛt sɛptik shɔk.

Di we aw dɛn kin trit am

Di tritmɛnt prɔses gɛt sɔm step dɛn:

1. Debridement: Dis na di step we impɔtant pas ɔl. Di dɔktɔ we de du di ɔpreshɔn go kɔt ɔl di tisu dɛn we gɛt di sik, we dɔn day, ɛn we dɔn pwɛl. Dis go mek di baktri dɛn nɔ de skata. Sɔntɛnde, dɛn kin nid fɔ du bɔku ɔpreshɔn fɔ pul di tisu we dɔn day ɔltogɛda.

2. Antibayɔtik: Afta dɛn dɔn du ɔpreshɔn, dɛn kin gi pawaful brayt spɛktrum antibayɔtik we de wok agens bɔku difrɛn kayn baktri dɛm insay di bɛlɛ.

3. Adjɔnt tɛrapi: .

• Sɔm pipul dɛn kin nid fɔ gɛt kɔlostomi fɔ sɔm tɛm fɔ mek di stɔl nɔ go insay di wund te di wund wɛl.
• fכ mek di urethral wund nכ infεkshכn, dεn kin put wan tכb (suprapubic catheter) tru di bכdi insay di blad.

4. Hyperbaric Oxygen Therapy (HBOT): Sɔntɛnde, dɛn kin put di pɔsin na haypabarik chɛmba ɛn gi am 100% ɔksijɛn. dis de εp di tisu dεm we dεn dכn pwεl fכ hεl fast εn i de mek baktri dεm nכ de gro.

5. Rikɔnstrɔktiv ɔpreshɔn: Afta di infɛkshɔn dɔn wɛl ɔl, dɛn kin nid fɔ du plastic ɔpreshɔn fɔ mek di say we dɛn pul di tisu bin de bak.

Kwɛstyɔn dɛn we dɛn kin aks bɔku tɛm ɛn di we aw dɛn kin mek dɛn nɔ gɛt dis sik

Dis na sik we pɔsin kin gɛt we i du mami ɛn dadi biznɛs wit ɔda pɔsin (STI)?

Nɔ, Fournier’s Gangrene nɔto sik we pɔsin kin gɛt we i du mami ɛn dadi biznɛs. I nɔ go ebul fɔ pas frɔm yu to ɔda pɔsin, ɛn i nɔ go pas frɔm ɔda pɔsin to yu.

Dis na sik we pɔsin nɔ de klin?

If yu nɔ gɛt fayn abit fɔ klin, dat kin mek yu gɛt mɔ prɔblɛm. If yu nɔ kip di say we yu bɔn ɛn di say we de rawnd am klin wit sop ɛn wata ɔltɛm, dat kin mek baktri dɛn gro. Bɔt ivin pɔsin we gɛt gud hajɛns kin stil gɛt dis infɛkshɔn tru smɔl kɔt.

Wetin dɛn kin du fɔ avɔyd dis?

Pan ɔl we dɛn nɔ go ebul fɔ stɔp am kpatakpata, dɛn tin ya kin ɛp fɔ ridyus di prɔblɛm:

• Manej sik dɛn lɛk dayabitis fayn fayn wan: Tek yu mɛrɛsin di rayt tɛm ɛn kɔntrol di tin dɛn we yu de it.
• Kip di say we yu kin put yu bɔdi klin.
• If yu de pul ia na da say de, yuz klin ɛn shap reza . Tek tɛm mek yu nɔ mek ɛni kɔt.
• Ivin if na smɔl wund ɔ skrap, klin am fayn ɛn tek tɛm mek i nɔ gɛt di sik.
• Mek yu gɛt wɛlbɔdi wet.
• Stɔp fɔ smok ɛn fɔ drink rɔm.
• Yuz to it we go ɛp yu at ɛn ɛksesaiz ɔltɛm .