E mōhio ana koe ki tēnei mate kino 'rewa-kikokiko' (Necrotizing Fasciitis)? Me kōrero tāua!

Ina pāngia koe e te patunga iti, he mea noa kia paku pirau, ā, ka ora i roto i ētahi rā. Engari kua rongo kē koe i tētahi mate kino, e morearea ana ki te ora, e tīmata ana i tētahi patunga iti, ā, ka rewa haere te kikokiko? Koinei tētahi o ngā mate morearea ka kōrerohia e tātou i tēnei rā, e kiia nei ko te Necrotizing Fasciitis. E kiia ana hoki e ētahi ko te Mate Kai-kikokiko.

He aha te Necrotizing Fasciitis?

Ki te whakarapopoto, he mate huakita tino kino te Necrotizing Fasciitis e horapa tere ana, ā, ka mate pea. Ko te tikanga o te kupu 'necrotizing' ko te 'mea e mate ai tētahi atu mea'. Ko te 'Fasiitis' e pā ana ki te mumura o te fascia.

Tērā pea kei te whakaaro koe he aha te fascia. He kiko rite ki te kiriuhi e karapoti ana i ngā uaua, i ngā io, i te ngako, me ngā oko toto i raro i tō tātou kiri. Hei whakamārama, he kiko raro i te kiri tēnei.

Ko te Necrotizing Fasciitis he momo mate e kiia nei ko te Necrotizing Soft Tissue Infection (NSTI). Kei roto i tēnei NSTI ētahi atu mate, pērā i te Necrotizing Myositis (mate e mate ai ngā uaua) me te Necrotizing Cellulitis (mate e mate ai ngā pūtau i raro i te kiri).

He momo Necrotizing Fasciitis anō kei reira?

Ae, e rua ngā momo matua:

1. Polymicrobial, Momo I rānei: E pā mai ana tēnei i ngā momo huakita maha. I te nuinga o te wā, ka uru ngā huakita aerobic me ngā huakita anaerobic ki te mate.

2. Monomicrobial, Momo II rānei: Kotahi te momo huakita e puta ai tēnei. I te nuinga o te wā, ko te huakita "Group A Streptococcus" "Staphylococcus aureus" rānei te take.

Ko wai te mea tino tūpono ka pāngia e tēnei mate?

He nui ake te mōrearea o ētahi tāngata ki te whakawhanake i te "Necrotizing Fasciitis." Me titiro tātou ko wai rātou:

• Te hunga he patunga kiri, he patunga rānei kei runga i ngā kiriuhi mucous (hei tauira, i roto i te waha, i te ihu): Kei roto hoki i tēnei ko ngā motu i te wā o ngā mahi pokanga. Ahakoa he rakuraku iti noa iho, ka raru pea i ētahi wā.
• Ngā tāngata momona rawa: Arā, ngā tāngata he tino momona rawa.
• Ngā tāngata e pāngia ana e te mate huka: E mōhio ana koe, ina pāngia koe e te mate huka, ka puhoi te ora o ngā patunga, ā, ka tere te puta o ngā mate. He nui ake te tūponotanga o te hunga pērā ki te pāngia e tēnei mate.
• Ngā tāngata e pāngia ana e te mate whakamahi waipiro: He take mōrearea anō hoki te whakamahi nui i te waipiro.
• Ngā tāngata he ngoikore te pūnaha ārai mate: Arā, ko te hunga kua heke te kaha o te tinana ki te whawhai ki te mate.
• Ngā tāngata whai raruraru ki te pūnaha toto.
• Ngā tāngata e pāngia ana e te mate pukupuku.
• Ngā wāhine hapu.

He pēhea te noa o tēnei mate? He morearea?

Ehara te Necrotizing Fasciitis i te mate tino noa. E ai ki ngā tatauranga, kei waenga i te 0.3 me te 15 te maha o ngā tūroro i roto i te 100,000. Heoi, e whakaponohia ana he nui ake pea te maha o ngā tūroro. Hei tauira, ko te Necrotizing Fasciitis, i puta mai i te Group A strep, e kīia ana ka puta i roto i te 700 ki te 1,200 ngā take i ia tau.

He tino kino tēnei mate, ahakoa te rongoā, tata ki te kotahi i roto i te toru o ngā tāngata ka pāngia e tēnei mate ka mate. Koia te mea nui o te rongoā wawe.

He aha ngā tohu o te Necrotizing Fasciitis?

He rite tonu ngā tohu tuatahi o tēnei mate ki ērā o te makariri noa, nō reira he uaua pea te kite i ētahi wā i te tīmatanga.

Ngā tohu tōmua:

• Ngā mamae o te tinana
• Kirika
• Ngā makariri
• Whakapairuaki
• Korere
• He mamae nui, kāore e taea te whakamanawanui i te wāhi i whara ai. He tohu tino nui tēnei mō te tīmatanga. Tērā pea ka nui rawa atu te mamae i te rahi o te whara.

He mate tino tere te horapa o te Necrotizing Fasciitis, nō reira ka tere te kino o ngā tohu.

Ngā tohu o muri mai:

• Te whero me te rerekētanga o te kiri i te wāhi i whara ai (papura pouri, mangu).
• Te pupuhi o te kiko e pāngia ana.
• Te rere o te toto kāore i te pumau.
• He mirumiru kī tonu i te toto, i te wai kōwhai rānei.
• Te pirau o ngā kiko.
• Te toto toto iti.
• Sepsis (paitini toto).

Ko te mea nui, ki te pā mai ēnei tohu ki a koe, inā koa te mamae nui me te patunga me te rerekētanga me te pupuhi o te kiri, me toro atu koe ki te tākuta tonu.** Ka horapa tere rawa atu tēnei mate.

He aha ngā pūtake o tēnei 'mate rewa-kikokiko'?

I te nuinga o te wā, ka puta te "Necrotizing Fasciitis" ina uru mai ngā huakita ki roto i tō tinana mā te motu, mā te karawarawa rānei i tō kiri. Engari i ētahi wā ka puta mai i waho o te patunga i te kiri, pērā i te mea nō roto i tō tinana, pērā i te marō.

Me pēhea te uru atu o ngā huakita ki te tinana:

• Ngā motu, ngā karawarawa, ngā weranga.
• Ngā patunga i te ngau a te pepeke (hei tauira, te ngau kino o te waeroa).
• Ngā patunga poka i puta mai i ngā mea pēnei i ngā ngira.
• I muri i te pokanga.
• Ahakoa ko te huakita "Rōpū A strep" te tino take, ka taea e ētahi atu huakita te take. Ka taea hoki e ētahi huakita e noho ana i roto i te wai te take. Ko te tikanga tēnei, ki te pā atu koe ki tētahi patunga i ngā wāhi he wai paru, ka tūpono anō koe.

Me pēhea te tautuhi a ngā tākuta i tēnei?

Ki te whakapae tō tākuta kei a koe tēnei 'mate rewa-kikokiko' i muri i te tirotiro i a koe me te whakarongo ki ō tohumate, ka tonoa e rātou ētahi whakamātautau:

• Ngā whakamātautau toto: Hei tauira, he tatau toto katoa (CBC).
• Ahurea kiko hōhonu: Ka tangohia he wahi kiko iti mai i te wāhi pangia, ka whakamatautauria kia kitea ai he aha ngā huakita kei roto.
• Kohikohi kiko: Ka tangohia he wahi kiko ka tirotirohia i raro i te karu hiko hei whakatau mena kua mate te kiko.
• Ngā whakamātautau whakaahua: Tērā pea ka mahia he matawai CT (matawai Tomography Rorohiko).

Hei tāpiritanga, ka whakahaerehia e te tākuta he pokanga hei whakaū mēnā he Necrotizing Fasciitis. Ka tīmata hoki te pokanga mā te tango i te kiko mate.

Me pēhea te rongoā i te Necrotizing Fasciitis?

He mea nui te wawaotanga tere hei whakahaere i tēnei mate.

• Pokanga: Me whakamahi he tikanga pokanga e kiia nei ko te "debriding" hei whakaū i te mate me te tango i ngā kiko mate katoa . I ētahi wā, kāore pea e ranea te pokanga kotahi. Tērā pea e hiahiatia kia maha ngā pokanga (e toru pea te nuinga) kia tino ora rawa te mate.
• Paturopi: Ka hoatu ngā paturopi kaha mā roto i te uaua (IV).
• Ngā wai ā-uaua (ngā wai ā-infus): Ka āwhina tēnei ki te pupuri i ngā taumata wai i roto i te tinana me te whakau i te toto toto.

I muri i te pokanga, tera pea e hiahiatia he whakapiri kiri, he pokanga kirihou rānei hei whakaora katoa i ngā patunga.

He aha ngā raruraru pea ka pā mai i tēnei mate?

He kino rawa ngā raruraru o te "Necrotizing Fasciitis". Kei roto i ēnei:

• Ngā whara
• Te ngaronga o ngā waewae (mēnā ka horapa te mate, me tapahi aua wāhanga)
• Te mate ohorere paitini
• Sepsis (paitini toto)
• Mate

Me pēhea te tiaki i a koe mai i te Necrotizing Fasciitis?

Kāore anō kia kitea he kano ārai mate mō tēnei i tēnei wā. Heoi anō, kei reira ētahi mea ka taea e koe te mahi hei whakaiti i te tūponotanga o te whakawhanake i ngā mate kiri kitakita, tae atu ki te Necrotizing Fasciitis:

• I ngā mea katoa e taea anaĀta karohia ngā motu, ngā karawarawa, ngā weranga, me ngā ngau a ngā pepeke.
• Ki te pāngia koe e te patunga, horoia rawatia ki te hopi me te wai, ka hipoki ki te takai ma kia ora ra ano.
• Mena he hōhonu, he kino rānei ō motu, ō patunga wero rānei, me toro atu ki te tākuta.
• Kia ma tonu ō ringaringa mā te horoi i a rātou ki te hopi i ngā wā katoa , mā te whakamahi rānei i tētahi hua horoi ringa patu huakita kei roto he waipiro.
• Mena he patunga, he motu rānei tō kiri, kaua e haere ki roto i ngā puna kaukau, i ngā kaukau wera, i ngā wai rānei o waho (pērā i ngā roto, i ngā awa).

Āhea koe me toro atu ki te tākuta? (He whakamaumahara)

Mena kei a koe ēnei tohu, rapua tonutia he tohutohu hauora:

• Mena kua rerekē te tae o te kiri, ā, te āhua nei kei te tere te whakanui me te pupuhi o te kiri .
• Mena he mamae e kore e taea te manawanui .
• Ki te mea he kirika tōu .

He aha ngā mea ka taea e koe te tumanako mēnā ka pāngia koe e tēnei mate?

Ki te pāngia koe e tēnei mate, ka tutuki ngā hua pai rawa atu mā te tautuhi wawe i te mate, ngā rongoā paturopi, me te pokanga hei tango i te kiko mate.

He mate te Necrotizing Fasciitis e tere haere ana te kino, e whakangaro ana i ō kiko, e ngoikore ai hoki ō whekau. Ahakoa te rongoā, e ai ki te kōrero i mua ake nei, tata ki te hautoru o ngā mate ka mate.

He maha ngā wā e hiahiatia ana he nui atu i te kotahi te pokanga, ā, ka puta pea he koha.

He aha te rerekētanga i waenga i te Gas Gangrene me te Necrotizing Fasciitis?

Ko te mate pūhā hau (clostridial myonecrosis) he mate e pā ana ki ngā kiko hauora, ka puta ai te hau (hau) ki roto i te kiko. Ka puta tēnei hau hei para mai i ngā iroriki. Ka taea hoki e te hau te puta ki roto i te kiko i roto i te mate pūhā hau me te Momo I Necrotizing Fasciitis. Heoi, he rerekē ngā momo iroriki e puta ai ēnei mate e rua. Ka pā hoki te mate pūhā hau ki ngā uaua.

Kei hea o te tinana e kitea nuitia ai te necrotizing fasciitis?

Ka kitea nuitia tēnei i ngā ringaringa me ngā waewae, inā koa mēnā he mate huka tōu, nā te mea he nui ake te tūponotanga ka puta i ngā waewae (ina koa ko ngā waewae me ngā matimati).

Hei tāpiritanga, ka pā pea tēnei mate ki ngā ira tangata me te rohe o te mahunga me te kaki.

Ka taea e koe te ora mēnā ka pāngia koe e te Necrotizing Fasciitis?

Āe, ka taea e koe te ora. Ko te mea nui ko te kite wawe i te mate, me te tīmata wawe i te maimoatanga. Ka roa te whakaroa, ka kino haere te āhua.

He mate hopuhopu te Necrotizing Fasciitis?

Kāore i te tino horapa tēnei mai i te tangata ki te tangata.Nō reira, kāore e hiahiatia te hoatu i ngā rongoā paturopi ki ngā whanaunga tata o te tūroro. Heoi, ki te tino kino te mate, ka tono pea te tākuta ki ngā whanaunga tata o te tūroro kia tango i ngā rongoā paturopi ārai hei mahi ārai.

Kia pēhea te roa ka puta te necrotizing fasciitis?

Ka puta pea ngā tohu i roto i ngā haora 24 i muri i te waruhanga, te motu, te ngau rānei a te pepeke. Ka tere tonu te kino atu o tēnei. Nō reira, kia mataara tonu ki te patunga mō te pupuhi, te whero, me te mea ka nui haere.

Mena he patunga, he motu, he wera rānei tōu, horoia rawatia ki te hopi me te wai. Mena ka pāngia koe e te kirika, te mamae nui, me/ranei he wāhi whero, he wāhi kua memeha haere, ā, ka mahana te pā atu, rapua tonutia he awhina hauora. Ko te wawe o te tīmatanga o te maimoatanga, ko te nui ake o te tūponotanga ka kore e pāngia e te Necrotizing Fasciitis.

Karere Tangohia ki te Kāinga

Āe, kua mārama ake koe ināianei ki te mate kino i kōrerohia e tātou, ko te "Necrotizing Fasciitis." Anei ētahi mea nui hei maumahara:

• He mate kitakita tino morearea tēnei, e tere horapa ana. E kiia ana hoki ko te 'mate rewa-kikokiko'.
• Ka taea te tīmata ahakoa he patunga iti.
• Kia tino tūpato ki ngā tohu pēnei i te mamae nui i te wāhi i whara ai, te tere horapa o te whero/te rerekētanga o te tae me te pupuhi, me te kirika .
• Ki te pā mai ēnei tohu ki a koe, kaua e whakaroa, me toro atu ki te tākuta tonu. Ko te wā te mea whakatau i waenga i te ora me te mate i konei.
• Mā te pupuri i ngā patunga kia ma, me te whai i ngā tikanga akuaku tika, ka āwhina nui tēnei ki te ārai i ēnei momo mate urutā.

Ko te tumanako ka whai hua ēnei mōhiohio ki a koe. Kia ora tonu!

` Te Mate Pūkahukahu, Te Mate Kai-kikokiko, Te Mate Kitakita, Te Mate Kiri, Te Mate Kai-kikokiko, Te Matenga o te Kikokiko, Te Sepsis