Fournier’s Gangrene an tih natna hlauhawm tak chungchanga i hriat tur chu!

I serh hmun emaw, i hnute chhehvel emaw-ah natna nasa tak, sen, emaw, hring emaw i nei nghal em? I chak lo emaw, i khawsik emaw i ti em? Heng symptoms te hi ngaihthah suh. Chûngte chu natna hlauhawm tak, darh chak tak, Fournier’s Gangrene tih chhinchhiahna a ni thei. Hei hi hriat a pawimawh a, enkawl vat chuan nunna a chhanhim thei a ni.

Fournier-a Gangrene hi eng nge ni?

A awlsam zawngin sawi ila, Fournier’s Gangrene hi i taksa peng hrang hrang, i testicles awmna sac (scrotum), emaw, a chhehvel (perineum) emawa bacteria infection na tak, rang taka darh thei a ni. Condition chi khat ``Necrotizing Fasciitis`` an tih a ni a, sa hmin natna tia hriat a ni bawk.

Gangrene tih hi infection emaw thisen supply tlakchham vanga taksa tissue thihna a ni. Fournier’s Gangrene-ah hian bacteria te hi vun hnuaia tissue-ah lutin an darh chak hle a, taksa ruh, thisen kalna leh nerve vel tissue nem tak takte chu a tichhia a ni. A nasat chuan he tissue thi hi kekawr, pum leh rilruah a darh thei a ni.

He natna hi engtiang chiahin nge a hluar?

Hei hi a takah chuan natna hmuh tur awm lo tak a ni. Kum tin mipa 100,000 zinga 1.6 velin he natna hi an vei thin. Hmeichhia leh naupangte pawhin an vei tlem hle. Chuvangin a tul lova hlauh a ngai lova, a natna lan chhuah dan hriat chian a pawimawh hle.

He natna hi mipa kum 50 chunglam zingah a tam ber a, zirchianna thenkhatah chuan he natna vei zinga 20% atanga 40% inkar velin an thi thei a ni. Mahse, enkawl tan hma chuan nunna chhanhim theihna chance a sang zawk tih hre reng ang che.

Fournier’s Gangrene natna lan chhuah dan chu engte nge ni?

Heng symptoms te hi fimkhur rawh. A hmaa hmuhchhuah a nih chuan enkawl a awlsam zawk hle.

Eng thilin nge he dinhmun hlauhawm tak hi a thlen?

He natna hi bacteria infection avanga lo awm a ni. Heng bacteria te hian vun hnuaia tissue te hi an luh theih dan kawng hrang hrang a awm a.

• Urinary tract infection: Urinary tract emaw bladder-a natna darh zel dan.
• Abscesses : Pus-filled lumps, anus emaw genital area vel a lo awm thin.
• Surgery: Chu hmuna surgery tih hnuah.
• Hliam tenau : Mipat hmeichhiatna avanga hliam emaw hliam emaw , rulhut seh emaw, thil dang emaw avanga hliam.
• Thil dang: Naupang serh tan emaw, serh tan emaw hnuah pawh a awm tlem hle thei bawk.

Hetianga thlen thei bacteria chi hrang hrang tlanglawn thenkhat chu:

• Group A ah hian streptococci a awm a
• ` Staphylococcus aureus tih hi a awm a , a natna chu a awm lo
• `E. coli` tih a ni
• ` Pseudomonas aeruginosa ` tih hi a ni

Fournier’s Gangrene vei theihna chance sang zawk tu nge awm?

Immune system chak lo nei leh natna khirh dang nei te chu he natna hi an vei theihna a sang zawk.

• Diabetes: Hei hi a hlauhawm ber a ni . Fournier’s Gangrene vei zinga 20% leh 70% inkar chuan zunthlum an vei a ni. Mahse, zunthlum vei zawng zawng hian an vei vek lo.
• Zu in hman dik loh
• HIV hrik kai
• Liver a chhiat phah
• Thau lutuk
• Natna rei tak , thisen sang, kal natna, leh thinlung natna te .
• Meizial zuk.
• Cancer enkawlna emaw, hun rei tak chhunga steroid damdawi hman emaw chemotherapy hmanga enkawlna .

Hei hi zunthlum damdawi avanga lo awm a ni thei ang em?

FDA chuan mi thenkhat SGLT2 inhibitor (e.g., canagliflozin, dapagliflozin, empagliflozin), type 2 diabetes enkawlna atana hman thin damdawi chi khat ei thinte zingah hetiang natna hi an nei tih an report a. A chhan dik tak erawh hriat a la ni lo a, mahse heng damdawi te hian zun kawng infection a tipung thei nia rinhlelh a ni. Heng damdawi zinga pakhat i ei a nih chuan i doctor nen inbia ang che.

Doctor, engtin nge hei hi i diagnose?

I doctor-in i natna lan chhuah dan a zirin he natna hi a rinhlelh chuan i vun a enfiah ang. A natna a nasat chuan test dang tih hmain enkawl tan theih a ni. Test hman tlanglawn tak takte chu:

• CT scan: Infection hi eng chen nge a darh tih a hmu thei.
• Ultrasound scan: Hetiang chiah hian natna dang a awm tih loh nan a pui thin.
• X-ray: Hengte hian tissue chhiaah boruak bubble an zawng thin. Hei hi chhinchhiahna pawimawh tak a ni a, a chhan chu bacteria thenkhat chuan gas an siam chhuak a ni.
• Thisen test: Infection leh chhinchhiahna dangte hriatchhuah.

Engtin nge enkawl a nih?

Enkawlna lian ber pahnih chu surgery leh antibiotics te hi a ni .

1. Debridement: Diagnosis an siam veleh surgery an ti nghal mai thin. Hei hian tissue thi leh chhia zawng zawng chu cut chhuakin lakchhuah a huam a ni. Hei hi hri kai darh zel tur tihtawp nan a pawimawh hle. Tissue thi chu paih vek tur chuan operation vawi tam tak a ngai thei.

2. Antibiotics: Antibiotics chak tak tak hi thisenah (IV) pek a ni a, chu chuan bacteria tihlum a ni. Hetiang tih dan hian damdawi chu pill ei ai chuan taksaah a thleng rang zawk a ni.

3. Hyperbaric Oxygen Therapy: A then phei chuan damlo chu special chamber-ah oxygen tamna hmunah dah a ni. He oxygen hian hliam damna a ti chak a, bacteria thang chakna a titawp bawk.

Infection chu control a nih hnuah a chhiat lai chu reconstructive surgery hmangin siamthat theih a ni a, a tul chuan. Hetiang dinhmun atanga dam leh tur hian damdawi inah kar engemaw zat i awm a ngai mai thei.

Hei hi pumpelh turin eng nge kan tih theih ang?

He natna hlauhawm tak laka kan invenna tur hian step awlsam tlemte kan zawm thei a.

• Faina: I serh leh a chhehvel chu fai leh vawt takin vawng reng ang che.
• Diabetes control: Zunthlum i vei chuan i thisen sugar level kha control la. I damdawi ei tur chu i doctor-in a tih ang chiah khan ei rawh. I genital area chu a hliam tenau, a hrual emaw, a sen emaw a awm leh awm loh enfiah fo ang che.
• Hliam enkawl: A hmuna hliam emaw, hrual emaw i neih chuan sahbawn hmangin uluk takin silfai la, fai leh vawt takin dah rawh.
• Nun hrisel: I thau lutuk chuan taksa rihna tihtlem rawh. Meizial zuk loh vek tur a ni.