Whakaarohia te āhua o ōu kare ā-roto mēnā ka tīmata ohorere koe ki te pāngia e te mamae nui, te pupuhi, me te huri ke i te tae o te kiri huri noa i ō ira tāne. I te nuinga o te wā, ka whakahēngia pea tēnei hei mate kiri noa iho. Engari he tohu wawe pea tēnei o tētahi mate kitakita tino morearea, e kiia nei ko te Fournier's Gangrene . Nā te tere o te horapa, ahakoa he torutoru noa ngā haora o te whakaroa, ka rerekē pea te ora me te mate. Nō reira, kia ako tātou mō tēnei mate kino i tēnei rā.
He aha te tikanga o te Fournier's Gangrene?
He mate huakita tino onge tēnei, engari he tino kino. Ko te nuinga o te wā ka pā ki ō tātou ira tangata me te rohe e karapoti ana i a rātou (te perineum). I roto i te kōrero hauora, kei roto i te kāwai "necrotizing fasciitis." He ahua whakamataku te rongonga i tēnei ingoa, kāore? Ko te take he horapa ngā huakita e puta ai tēnei mate mā te whakangaro me te whakarewa i ngā kiko ngohengohe o tō tātou tinana.
Whakaarohia tēnei. Nā te āhua nei, kua uru mai ngā huakita ki roto i tō tātou wāhi ira tangata mā te kiri. Ka haere ngā huakita ki te paparanga hohonu rawa o tō tātou kiri, te hypodermis , me te kiri angiangi e karapoti ana i ngā uaua, te fascia . Ko ēnei paparanga hohonu ake te wāhi e noho ana ngā uaua toto e tuku toto ana ki taua wāhi.
Ina pangia, ka whakangaromia e ngā huakita ēnei oko toto. Kātahi ka kore ngā kiko o taua wāhi e whiwhi toto, ka tīmata te mate. I te matenga o ngā kiko pēnei, ka tere ake te horapa o ngā huakita ki ētahi atu wāhi, hei tauira, ngā huha, te puku, me te uma.
Ko te mea nui, i te wā ka tīmata te puta o tēnei mate ki te mata o te kiri, kua pāngia kētia ngā kiko hohonu me ngā uaua toto i raro i te kiri. Nō reira, he mea tino nui kia mōhio ki ngā tohu tōmua.
He aha ngā tohu o tēnei mate? Me pēhea te tautuhi i tōna mate?
Ka puta ohorere pea ngā tohu o te Fournier's Gangrene, nō reira he mea nui kia mataara tonu ki a rātou.
| Momo tohu | Whakaahuatanga |
|---|---|
| Ngā tohu tōmua (i te rohe ira tangata) |
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| Ētahi atu tohu noa i roto i te tinana |
|
| Ngā tohu kino ka puta mai ina whakaroahia |
|
Ina koa mēnā he mate huka tōu , ahakoa ka tangohia e koe te insulin e ai ki te whakahaunga, ka kore e taea te whakahaere i ngā taumata huka toto. He tohu anō hoki tēnei o tēnei mate.
Me pēhea te urunga mai o tēnei huakita ki te tinana?
He maha ngā huarahi e uru ai ēnei huakita ki roto i ō tātou tinana. Ko te huarahi tino noa ko te mā roto i te patunga, i te whati rānei i te kiri huri noa i te ira tangata, i te nono rānei.
- He whewhe, he whēwhe rānei
- Te pūwero o te ihu
- He mate pāwera i roto i te whekau nui (Diverticulitis)
- Mate pūkahukahu , mate mimi rānei (UTI)
- Ngā mate pukupuku o te ira tangata
- Ngā karawarawa, ngā wera rānei i te wā moe tāne
- Te wero i te ira tangata
- Ngau pepeke, wero rānei
- Ahakoa he rakuraku, he motu rānei iti noa iho ka puta tēnei.
Ka taea e ngā huakita anaerobic me ngā huakita aerobic te whai wāhi ki tēnei mate. Ko ngā momo huakita tino kitea ko E. coli, Staphylococcus, Streptococcus, me Bacteroides.
Ko wai kei te nui ake te mōrearea ki te pangia e tēnei mate?
Ahakoa ka taea te pā mai o te Fournier's Gangrene i ngā tau katoa, e tekau ngā wā ka nui ake te kitea o tēnei mate i roto i ngā tāne i ngā wāhine. Hei tāpiri, ka taea e ētahi āhuatanga hauora me ngā tikanga noho te whakanui ake i tēnei mōrearea.
Ngā Take Mōrearea
- Mate huka: He tino nui te mōrearea mō te hunga kāore e taea te whakahaere i te mate huka.
- Te pehi i te pūnaha ārai mate: Nā ngā take pēnei i te mate HIV me ngā maimoatanga chemotherapy mō te mate pukupuku.
- Neke atu i te 50 tau te pakeke.
- Momona: Ko te taupū papatipu tinana (BMI) neke atu i te 30.
- Te inu nui rawa o te waipiro.
- Te momi hikareti me te whakamahi i ētahi atu hua tupeka.
- Ngā mate pūnaha toto.
- Te ānini o te ate, te ngoikore rānei o te ate.
- Te ngoikore o te whatukuhu.
- Te toto toto tiketike (hypertension).
Ahakoa kei a koe ēnei āhuatanga mōrearea, ehara i te mea ka tino pāngia koe e te mate. Engari me tino tupato koe i ētahi atu.
Me pēhea te tautuhi a ngā tākuta i tēnei mate, ā, he aha ngā maimoatanga?
Tātaritanga
Nā te mea he āhuatanga ohorere tēnei, ka taea e ngā tākuta te whakatau i te mate i runga i ngā tohu me te whakamātautau tinana. I ētahi wā, kāore pea he wā hei whakahaere i ngā whakamātautau. Heoi, ki te wātea te wā, ka taea te whakahaere i ēnei whakamātautau hei whakaū i te pūtake me te horapa o te mate:
- Matawai CT: Hei tirotiro mēnā kua kohia te hau me te wai i roto i ngā kiko.
- Matawai ultrasound: Hei tirotiro mēnā he hau kei roto i ngā kiko ngohengohe, hei wehewehe hoki i tēnā mai i ētahi atu mate hauora.
- Hiko-X: Tirohia te tawhiti kua horapa te hau.
- Ngā whakamātautau toto: Tirohia mēnā he nui ake te maha o ngā pūtau toto mā, e tohu ana i te mate, i te ohorere rānei o te tinana.
Ngā tikanga maimoatanga
Ko te pokanga ohorere te rongoā pai rawa atu, ko te rongoā anake hoki mō te mate pukupuku Fournier. Me tere te whakauru atu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
He maha ngā taahiraa o te tukanga maimoatanga:
1. Te tango i ngā kiri: Koinei te taahiraa tino nui. Ka tapahia e te taote pokanga ngā kiko kua pangia, kua mate, kua pakaru hoki. Mā tēnei ka aukati i te horapa o ngā huakita. I ētahi wā, me mahi he maha ngā pokanga hei tango katoa i te kiko kua mate.
2. Ngā rongoā paturopi: I muri i te pokanga, ka tukuna mā roto i te uaua ngā rongoā paturopi kaha e mahi ana ki ngā momo huakita rerekē.
3. Te rongoā tāpiri:
- Me pokanga wā poto pea ētahi tāngata hei ārai i te urunga o te paru ki roto i te patunga kia ora rā anō te patunga.
- Hei ārai i te mate o te urethra, ka taea te whakauru i tētahi ngongo (te catheter suprapubic) mā roto i te puku ki roto i te pūkahukahu.
4. Whakaora Hāora Hyperbaric (HBOT): I ētahi wā, ka whakanohoia te tūroro ki roto i tētahi rūma hyperbaric, ā, ka hoatu he hāora 100%. Mā tēnei ka tere ake te ora o ngā kiko kua pakaru, ā, ka ārai i te tipu o ngā huakita.
5. Pokanga hanga anō: Kia ora rawa te mate, me mahi pea he pokanga kirihou hei whakaora i te wāhi i tangohia ai te kiko.
Ngā pātai e pātai pinepinetia ana me ngā tikanga ārai
He mate tuku iho tēnei i te taatai (STI)?
Kāo. Ehara te mate pūkahukahu o Fournier i te mate tuku iho. Kāore e taea te tuku atu i a koe ki tētahi atu tangata, kāore hoki e taea te tuku atu i tētahi atu tangata ki a koe.
He mate tēnei i puta mai i te koretake o te akuaku?
Ka taea e ngā tikanga akuaku koretake te whakanui ake i te mōrearea. Mā te kore e horoi i te wāhi taihemahema me te rohe e karapoti ana ki te hopi me te wai i ia wā ka taea te whakatipu huakita. Heoi, ahakoa he pai te akuaku o te tangata, ka taea tonu e ia te pangia e tēnei mate mā te motu iti.
He aha ngā mea ka taea te mahi hei karo i tēnei?
Ahakoa kāore e taea te ārai katoa, ka taea e ēnei mea te āwhina ki te whakaiti i te mōrearea:
- Whakahaeretia ngā mate pēnei i te mate huka: Tangohia te rongoā i te wā tika, me te whakahaere i tō kai.
- Kia ma te wāhi ira tangata.
- Ki te heu koe i taua wāhi, whakamahia he heu koi, ma . Kia tūpato kei motu.
- Ahakoa he patunga iti, he karawarawa rānei, horoia rawatia, kia tūpato hoki kei pangia e te mate.
- Kia mau tonu te taumaha hauora.
- Kati te kai hikareti me te whakamahi waipiro.
- Whakamātauria ki tētahi kai hauora mō te ngākau, me te whakakori tinana auau .
Karere Tangohia ki te Kāinga
- He mate urutā onge te Gangrene a Fournier, engari he āhuatanga morearea pea.
- Kia tino tūpato ki te mamae nui ohorere, te pupuhi, me te rerekētanga o te kiri (whero, papura, mangu) i roto, i te taha rānei o ō ira tāne.
- Mena kei te haere tahi mai ēnei tohu me te kirika me te makariri, me haere tonu ki te Tari Ohotata (ETU) o te hōhipera tata.
- Mena kei a koe ngā āhuatanga mōrearea pēnei i te mate huka, he mea nui kia pai te whakahaere i ō āhuatanga hauora, kia mōhio hoki ki ngā huringa kiri.
- Mō tēnei mate, ko te wawe o te tīmatanga o te maimoatanga, ko te nui ake o te tūponotanga ka ora ai te tangata, ka ora katoa ai. Nō reira, kaua rawa e warewarehia ēnei tohu. Kōrero ki tō tākuta.
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 🤒 He aha te Fournier's Gangrene? He mea pono rānei tēnei hei wehi māu?
Ae, he tino morearea tēnei āhua. Ko te mea ka tupu, ka tere te whakangaromanga o ngā kiko e karapoti ana i tō tātou ira tangata me te nono, ā, ka tīmata te pirau (gangrene) nā te mate huakita. He āhua morearea tēnei e hiahia ana kia rongoatia wawetia.
💬 🤔 Ko wai te mea tino tūpono ka pāngia e tēnei mate?
Ahakoa he maha ngā wā ka pā ki ngā tāne, he onge noa iho te pā ki ngā wāhine. He mea tino noa tēnei i roto i te hunga mate huka kāore i te whakahaeretia, te hunga ngoikore te pūnaha ārai mate, me te hunga e inu nui ana i te waipiro.
💬 🚨 He aha ngā tohu o tēnei? Āhea tātou me mataku ai?
Ko ngā tohu matua ko te mamae nui, te pupuhi, me te whero huri noa i te wāhi ira tangata. Waihoki, ki te puta mai he haunga kino mai i te wāhi, he kirika nui, me te āhua whara, kaua e whakaroa. Ko te mea nui ko te haere ki te hōhipera me te whiwhi maimoatanga i te wā e taea ai.
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