Ngā mea e tika ana kia mōhio koe mō te mate kino e kiia nei ko te Fournier's Gangrene!

Kua pāngia koe e te mamae nui, te whero, te pupuhi rānei i tō rohe ira tangata, i tō taha rānei o tō nono? Kei te ngoikore koe, kei te kirika rānei? Kaua e warewarehia ēnei tohu. He tohu pea ēnei o tētahi mate tino kino, tere horapa e kiia nei ko te Fournier's Gangrene . He mea nui kia mōhio koe ki tēnei, nā te mea ka taea e te maimoatanga tere te whakaora i te ora.

He aha te Gangrene a Fournier?

Ki te kī māmā noa, ko te Fournier's Gangrene he mate huakita kino, tere te horapa ki ō ira tangata, ki te pēke kei roto ō testicles (scrotum), ki te rohe huri noa rānei (perineum). He momo mate e kiia nei ko te "Necrotizing Fasciitis", e mōhiotia ana hoki ko te mate rewa kikokiko.

Ko te gangrene te matenga o ngā kiko o te tinana nā te mate urutā, nā te kore rānei o te toto e rere. I roto i te gangrene a Fournier, ka uru ngā huakita ki ngā kiko i raro i te kiri, ka horapa tere, ka whakangaro i ngā kiko ngohengohe e karapoti ana i ngā uaua, ngā oko toto, me ngā io. I ngā wā tino kino, ka horapa pea tēnei kiko mate ki ngā huha, te puku, me te uma.

He pēhea te noa o tēnei mate?

He mate tino onge tēnei. Tata ki te 1.6 i roto i te 100,000 tāne ka pāngia e tēnei mate i ia tau. He iti ake te tūponotanga ka pāngia ngā wāhine me ngā tamariki. Nō reira, kāore he take e mataku nui ai, engari he mea nui kia mōhio ki ngā tohu.

Ko tēnei mate te mea tino noa i roto i ngā tāne neke atu i te 50 tau te pakeke. E ai ki ētahi rangahau, i waenga i te 20% me te 40% o te hunga e pangia ana e tēnei mate ka mate pea. Engari kia maumahara, ko te wawe o te tīmatanga o te maimoatanga, ko te nui ake o te tūponotanga ka ora te tangata.

He aha ngā tohu o te Gangrene a Fournier?

Kia tūpato ki ēnei tohu. Mēnā ka kitea wawetia, ka māmā ake te rongoā.

He aha te take o tēnei āhuatanga mōrearea?

He mate huakita tēnei e puta mai ana. He maha ngā huarahi e taea ai e ēnei huakita te uru ki roto i ngā kiko i raro i te kiri.

• Ngā mate urutā o te ara mimi: Te horapa o te mate ki roto i te ara mimi , i te pūhā rānei.
• Ngā whēwhe : He puku kī tonu i te pūkahukahu e hanga ana i te taha o te nono, o te ira tangata rānei.
• Pokanga: I muri i ngā pokanga i mahia ki taua wāhi.
• Ngā whara iti: Ngā karawarawa, ngā patunga rānei i puta mai i te moe tāne , i te ngau a ngā pepeke, i tētahi atu take rānei.
• Ētahi atu: Kāore e tino kitea i muri i ngā wero ira tangata, i te kotinga rānei o ngā tamariki.

Ko ētahi momo huakita noa ka puta ai tēnei:

• Ngā streptococci Rōpū A
• ` Staphylococcus aureus`
• `E. coli`
• Pseudomonas aeruginosa

Ko wai kei te nui ake te mōrearea ki te whakawhanake i te Fournier's Gangrene?

Ko te hunga he ngoikore te pūnaha ārai mate me te hunga he mate pūmau anō hoki kei a rātou, he nui ake te mōrearea ki te pāngia e tēnei mate.

• Mate huka: Koinei te take mōrearea matua . I waenga i te 20% me te 70% o te hunga e pāngia ana e te mate huka Fournier's Gangrene. Heoi, ehara i te katoa e pāngia ana e te mate huka ka pāngia e tēnei mate.
• Te whakamahi kino i te waipiro
• Mate HIV
• Te kino o te ate
• Momonatanga
• Ngā mate pūmau pērā i te toto toto tiketike, te mate tākihi, me te mate manawa .
• Te momi hikareti.
• Te rongoā chemotherapy mō te mate pukupuku, te whakamahinga roa rānei o ngā rongoā steroids .

Ka taea tēnei te puta mai i ngā rongoā mate huka?

Kua pūrongo te FDA i ngā kēhi o tēnei mate i roto i ētahi tāngata e tango ana i ngā aukati SGLT2 (hei tauira, canagliflozin, dapagliflozin, empagliflozin), he momo rongoā e whakamahia ana hei rongoā i te mate huka momo 2. Kāore i te mōhiotia te take tuturu, engari e whakapaetia ana ka piki ake te mōrearea o ngā mate mimi i roto i ēnei rongoā. Mena kei te tango koe i tētahi o ēnei rongoā, kōrero ki tō tākuta mō tēnei.

E te tākuta, me pēhea te tautuhi i tēnei?

Mena kei te whakapae tō tākuta mō tēnei mate i runga i ō tohumate, ka tirohia e ia tō kiri. Mena he kino te mate, ka tīmata pea te maimoatanga i mua i te whakahaerenga o ētahi atu whakamātautau. Ko ngā whakamātautau noa ko:

• Matawai CT: Ka taea te kite i te horapa o te mate.
• Matawai ultrasound: Ka āwhina ki te whakakore i ētahi atu mate e whakaatu ana i ngā tohu rite.
• Ngā hihi-X: Tirohia mēnā he mirumiru hau kei roto i ngā kiko kua pakaru. He tohu nui tēnei nā te mea ka puta he hau i ētahi huakita.
• Ngā whakamātautau toto: Tāutuhia ngā mate me ētahi atu tohu.

Me pēhea te rongoā?

Ko ngā maimoatanga matua e rua ko te pokanga me ngā paturopi .

1. Te tango i ngā kiriuhi: Ka mahia te pokanga i te wā tonu ka kitea te mate. Ko te tikanga o tēnei ko te tapahi me te tango i ngā kiko mate me ngā kiko kua pakaru. He mea nui tēnei hei aukati i te horapa o te mate. Tērā pea ka hiahiatia he maha ngā pokanga hei tango katoa i te kiko mate.

2. Ngā paturopi: Ka hoatu ngā paturopi tino kaha mā roto i te uaua (IV) hei patu i ngā huakita. Mā tēnei tikanga ka tere ake te tae atu o ngā rongoā ki te tinana i te tango pire.

3. Whakaora Hāora Hyperbaric: I ētahi wā, ka whakanohoia te tūroro ki roto i tētahi rūma motuhake he nui te kukū o te hāora. Ka tere ake te whakaora o te patunga i tēnei hāora, ā, ka mutu te tipu o ngā huakita.

Kia oti te whakahaere i te mate, ka taea te whakatika i te wāhi kua pakaru mā te pokanga hanga anō, mēnā e tika ana. Me noho pea koe ki te hōhipera mō ētahi wiki kia ora ai koe i tēnei mate.

He aha tā tātou e taea ai te ārai i tēnei?

He torutoru ngā mahi māmā ka taea e tātou te whai hei tiaki i a tātou i tēnei mate kino.

• Te Ma: Me pupuri tonu kia ma, kia maroke hoki tō ira tangata me te wāhi e karapoti ana.
• Te whakahaere i te mate huka: Ki te mea he mate huka koe, kia mau tonu te whakahaere i ō taumata huka toto. Tangohia tō rongoā kia rite ki te whakahau a tō tākuta. Tirohia tō ira tangata i ia wā, i ia wā, mō ngā motu iti, ngā karawarawa, ngā whero rānei.
• Tiakina ngā patunga: Ki te pā he patunga, he karawarawa rānei ki te wāhi, horoia rawatia ki te hopi, kia ma, kia maroke hoki.
• He momo noho hauora: Whakaitihia tō taumaha mēnā he taumaha rawa koe. Kaua e kai paipa rawa.