He natna hlauhawm tak ‘sa hmin’ (Necrotizing Fasciitis) hi i hria em? Kan sawi dun teh ang!

Hliam te tak te i neih chuan a fester tlem a, ni engemaw zat chhunga a dam hi thil pangngai a ni. Mahse, hliam na tak, nunna atana hlauhawm tak, hliam te tak te atanga intan a, zawi zawiin tisa chu a hmin vek tih i hre tawh em? Chu chu vawiin a kan sawi tur dinhmun hlauhawm tak pakhat, Necrotizing Fasciitis tih chu a ni. Mi thenkhat chuan Tisa Ei Natna an ti bawk.

Necrotizing Fasciitis hi eng nge ni?

A awlsam zawngin sawi ila, Necrotizing Fasciitis hi bacteria infection na tak a ni a, a darh chak hle a, thihna pawh a thlen thei a ni. ‘Necrotizing’ tih thumal hi ‘thil dang thih tir’ tihna a ni. ‘Fasciitis’ tih hian fascia inflammation a kawk a.

Tunah chuan fascia chu eng nge ni tih i ngaihtuah mai thei. Kan vun hnuaia taksa ruh, nerve, thau leh thisen kalna kawng hrang hrang hualtu, membrane ang chi tissue a ni. A dik tak chuan hei hi subcutaneous tissue a ni.

Necrotizing Fasciitis hi natna chi khat a ni a, Necrotizing Soft Tissue Infection (NSTI) an ti a. He NSTI hian natna dang, Necrotizing Myositis (muscle thihna thlentu natna) leh Necrotizing Cellulitis (vun hnuaia cell awmte thihna thlentu natna) te a huam a ni.

Necrotizing Fasciitis chi hrang hrang a awm em?

Ni e, chi hnih a awm ber a:

1. Polymicrobial emaw Type I: Hei hi bacteria chi khat aia tam avanga lo awm a ni. A tam zawkah chuan aerobic leh anaerobic bacteria te hi natna kainaah hian an inrawlh vek a ni.

2. Monomicrobial emaw Type II: Hei hi bacteria chi khat vang a ni tlangpui. A tam zawkah chuan bacteria ``Group A Streptococcus`` emaw ``Staphylococcus aureus`` emaw avanga lo awm a ni.

He natna hi tuin nge vei tam ber?

Mi thenkhat chu ``Necrotizing Fasciitis`` vei theihna chance a sang zawk a ni.`` An nihna hi han en ila:

• Mite vun hliam emaw, mucous membrane-a hliam (e.g. hmui chhung, hnar): Hei hian surgery tih laiin cut tih te pawh a huam tel. Scratch tlemte pawh hi a chang chuan harsatna a ni thei.
• Mi thau lutuk: Chu chu mi thau lutuk tihna a ni.
• Diabetes Mellitus vei: Zunthlum i neih chuan hliam a dam zawi zawi a, natna hrik pawh awlsam takin a lo awm thin tih i hria. Chutiang mite pawhin hetiang hi an nei tam zawk.
• Zu in lama harsatna nei te: Zu in tam lutuk pawh hi a hlauhawmna a ni.
• Immune system chak lo tak takte: Chu chu an taksain natna a do theihna a tlahniam tihna a ni.
• Vascular system lama harsatna nei te.
• Cancer vei te.
• Hmeichhe naupai.

He natna hi engtiang chiahin nge a hluar? A hlauhawm em?

Necrotizing Fasciitis hi natna tlanglawn tak a ni lo. Statistics atanga a lan dan chuan mi 100,000 zingah 0.3 leh 15 inkar a ni. Mahse, damlo awm zat tak tak chu a tam zawk mai thei niin an ngai. Entirnan, Group A strep avanga lo awm Necrotizing Fasciitis hi kum khatah mi 700 atanga 1,200 velin an vei tih an sawi.

He natna hi a nasat em avangin, enkawl a nih pawhin, a vei mi pathum zinga pakhat vel chu an thi ang. Chuvang chuan a hmaa enkawl a pawimawh em em a ni.

Necrotizing Fasciitis natna lan chhuahna chu engte nge ni?

He natna lan chhuah hmasak dan hi khawsik natna lan chhuah dan nen a inang thei a, chuvangin a tir lamah chuan hriat harsa tak a ni thei.

A lan chhuah hmasak ber: 1.1.

• Taksa a na
• Khawsik
• Chills a awm
• Luhai
• Kawthalo
• Hliam na hmuna natna nasa tak, tuar theih loh. Hei hi a hmaa symptom pawimawh tak a ni. Hliam lian tham aiin a natna chu a nasa zawk thei.

Necrotizing Fasciitis hi natna darh chak tak a nih avangin a natna lan chhuah dan chu a na nghal vat thei a ni.

A hnu lama a lan chhuah dan:

• Hliam na hmuna vun sen leh rawng danglam (dark purple, black).
• A natna tissue chu a hring chhuak .
• Thisen kal dan nghet lo.
• Thisen emaw yellow fluid emaw a khat blister.
• Tissue necrosis a awm thin.
• Thisen sang hniam.
• Sepsis (thisen avanga rimchhia).

A pawimawh ber chu hetiang symptoms i neih chuan, a bik takin hliam na tak leh vun rawng danglam leh vun rawng i neih chuan doctor pan nghal tur a ni.** He natna hi a darh chak hle a, rin loh takin a darh zel a ni.

He ‘sa hmin natna’ hi eng nge a chhan?

A tam zawkah chuan ``Necrotizing Fasciitis`` hi i vun a cut emaw scratch emaw hmanga i taksaah bacteria a luh hian a thleng thin. Mahse a chang chuan vunah hliam awm lovin a thleng thei a, chu chu i taksa chhunga thil dang atanga lo chhuak, hliam ang chi a ni.

Bacteria taksaa a luh theih dan: 1.1.

• A cut, a scrape, a kang.
• Insect seh hliam (e.g., rulhut seh na tak).
• Thil chi hrang hrang, needle ang chi avanga hliam tuar (puncture).
• Operation hnuah.
• A chhan ber chu bacteria ``Group A strep`` ni mahse, bacteria dang tam tak avanga lo awm thei a ni. Tui chhunga awm bacteria thenkhat te pawhin an thlen thei bawk. Chumi awmzia chu tui bawlhhlawh awmna hmuna hliam i tawk a nih chuan i hlauhawm bawk tihna a ni.

Engtin nge doctor-te hian hei hi an hriat chian?

I doctor-in a enfiah hnua i natna lan chhuah dan a ngaihthlak hnua he ‘tisa-melting disease’ hi a rinhlelh chuan test thenkhat an ti ang:

• Thisen test: Entirnan, thisen chhiar kim (CBC).
• Deep tissue culture: Hri kai awmna hmun atanga tissue te tak te lakchhuah a ni a, eng bacteria nge awm tih enfiah a ni.
• Tissue biopsy: Tissue chi khat lak a, microscope hmanga enfiah a, tissue chu a thi tawh em tih hriat a ni.
• Imaging test: CT scan (Computed Tomography scan) tih a ni fo thei.

Hei bakah hian doctor chuan Necrotizing Fasciitis a nih leh nih loh finfiah nan surgery a nei ang. Tin, surgery hi tissue thi debriding atanga tan tur a ni bawk.

Necrotizing Fasciitis hi engtin nge enkawl a nih?

He natna thunun tur hian rang taka hmalak a pawimawh hle.

• Surgery: Surgery procedure ``debriding'' tih a ngai a, chu chu a natna hriat chian nan leh tissue thi zawng zawng lakchhuah nan a ni . A châng chuan, zai vawi khat chauh pawh a tawk lo thei. Infection hi a control vek hma loh chuan surgery engemaw zat (a tlangpuiin vawi thum vel) a ngai thei bawk.
• Antibiotics: Antibiotics chak tak chu thisenah (IV) pek thin a ni.
• Intravenous fluids (IV fluids): Hei hian taksaa tui awm zat a vawng reng a, thisen sang a ti nghet thei bawk.

Surgery zawhah vun graft emaw plastic surgery emaw a ngai mai thei a, chu chu hliam chu a dam kim theih nan a ni.

He natna hian eng harsatna nge a thlen theih?

``Necrotizing Fasciitis'' avanga harsatna tam tak hi a na hle. Chung zingah chuan:

• Scars a awm
• Kawng leh ke hloh (infection a darh chuan chu part te chu tan a ngai dawn a ni) .
• Toxic shock natna (Toxic shock) natna a ni
• Sepsis (thisen avanga rimchhia) .
• Thihna

Necrotizing Fasciitis lakah engtin nge i inven theih ang?

Tunah hian hemi atan hian vaccine a la awm lo. Mahse, bacterial skin infection neih theihna tur tihziaawmna tur thil i tih theih a awm a, chung zingah chuan Necrotizing Fasciitis te pawh a tel:

• A theih ang tawkinCut, scrape, kang, leh insect seh loh tur.
• Hliam i neih chuan sahbawn leh tuiin uluk takin silfai la, a dam hma chu bandage fai takin khuh rawh .
• I hliam thuk emaw, na tak emaw, hliam tuar emaw i neih chuan doctor pan tur a ni.
• I kut chu sahbawn hmanga sil fo emaw, zu hmanga siam antibacterial hand cleaning product hmang emaw hmangin fai takin vawng reng ang che .
• I vunah hliam emaw, hliam emaw i neih chuan swimming pool, hot tub, pawn lama tui (dil, lui ang chi)-ah te lut suh.

Engtikah nge doctor i hmuh ang? (Hriat nawn tirna)

Heng symptoms te hi i neih chuan doctor rawn la nghal rawh:

• Vun rawng a danglam a , a hmun chu a hring chhuak rang thei ang bera a lan chuan .
• Natna tuar theih loh a awm chuan .
• Khawsik i neih chuan .

He natna hi i vei a nih chuan eng nge i beisei theih ang?

He natna hi i vei chuan a rah tha ber chu a hmaa hriatchhuah te, antibiotics te, leh tissue thi te lakchhuahna tur operation te hmangin a ni.

Necrotizing Fasciitis hi natna a ni a, a zual nghal vat a, i tissue te a tichhia a, organ failure a thlen thin. Enkawlna hmang pawhin, a hmaa kan sawi tawh ang khan, a vei hmun thuma ṭhena hmun khat vel chu an thi thei a ni.

Vawi tam tak chu vawi khat aia tam operation neih a ngai a, hliam pawh a awm thei bawk.

Gas Gangrene leh Necrotizing Fasciitis hi eng nge an danglamna?

Gas gangrene (clostridial myonecrosis) hi tissue hrisel tak tak a nghawng a, tissue chhungah gas (air) a lo pungkhawm thin. He gas hi hrik atanga bawlhhlawh (waste product) anga siam a ni. Gas gangrene leh Type I Necrotizing Fasciitis-ah pawh tissue-ah gas a pung thei bawk. Mahse, heng natna pahnih thlentu hrik chi hrang hrang hi a inang lo. Gas gangrene hian taksa ruh a nghawng thei bawk.

Taksa chhungah khawiah nge necrotizing fasciitis hi hmuh tam ber?

Hei hi kut leh keah hmuh tur a tam ber a, a bik takin zunthlum i neih chuan ke (a bik takin ke leh ke ruh)-ah a lo awm tam zawk avangin.

Tin, he natna hi serh leh lu leh kawr velah a awm thei bawk.

Necrotizing Fasciitis i vei chuan i dam thei ang em?

Ni e, i nung thei. A pawimawh ber chu natna hriat hmasak a, a rang thei ang bera enkawl tan a ni. A tihkhawtlai rei poh leh thil awmdan chu a chhe zual zel a ni.

Necrotizing Fasciitis hi a kai theih em?

Hei hi mi pakhat atanga mi dangah a darh tam lo hle.Chuvangin damlo chhungte hnai tak hnenah antibiotics pek a ngai lo tlangpui. Amaherawhchu, hri kai hi a na hle a nih chuan doctor chuan damlo chhungte hnai berte chu fimkhurna atan preventive antibiotics ei turin a ti thei a ni.

Necrotizing fasciitis hi eng chen nge a lo awm?

Scrape, cut, insect bite i neih atanga darkar 24 chhungin symptoms a lang thei. Hei hi a zual thuai thei hle. Chuvangin hliam chu a hring leh sen loh leh a lian lehzual loh en reng ang che.

Hliam i neih emaw, i tan emaw, i kang emaw a nih chuan sahbawn leh tuiin uluk takin silfai ang che. Khawsik, natna nasa tak, leh/ emaw, khawih pawhin a lum tih hriatna hmun sen emaw, rawng danglam emaw, a darh chak lutuk i neih chuan doctor pan nghal rawh. Enkawl i tan hma poh leh Necrotizing Fasciitis i tihbo theihna chance a sang zawk.

Take-Home Thuchah a ni

Okay, chuvangin tunah chuan kan sawi tawh natna khirh tak ``Necrotizing Fasciitis`` tih chu i hrethiam tawh zawk a ni.`` tih hriat reng tur pawimawh thenkhat chu hetiang hi a ni:

• Hei hi bacteria infection hlauhawm tak, rang taka darh thei a ni. ‘Flesh-melting disease’ an ti bawk.
• Hliam te tak te atang pawhin a intan thei.
• Hliam na hmuna natna nasa tak, sen/ rawng danglam leh hring chhuak rang taka darh, leh khawsik te chu fimkhur hle ang che
• Heng symptoms te hi i neih chuan tihkhawtlai lo la, doctor pan nghal rawh. Hetah hian nunna leh thihna inkara thutlukna siamtu chu hun hi a ni.
• Hliam fai taka vawn leh faina dik taka kalpui hian heng natna chi hrang hrang laka invenna kawngah hian kawng thui tak a zawh a ni.

He thu hi i tan a tangkai ngei kan beisei. Hrisel takin awm rawh!

` Necrotizing Fasciitis, Sa ei natna, Bacterial Infection, Vun natna, Sa ei natna, Tissue thihna, Sepsis