Fournier's Gangrene: Kodi mukudziwa za vuto loopsa ili?

Tangoganizirani momwe mungamvere ngati mwadzidzidzi mutangoyamba kumva kupweteka kwambiri, kutupa, ndi kusintha mtundu kuzungulira ziwalo zanu zoberekera. Nthawi zambiri, tinganene kuti izi ndi matenda wamba a pakhungu. Koma zitha kukhala chizindikiro choyambirira cha matenda oopsa kwambiri, oopsa a bakiteriya otchedwa Fournier's Gangrene . Popeza amafalikira mofulumira kwambiri, ngakhale maola ochepa ochedwa angatanthauze kusiyana pakati pa moyo ndi imfa. Choncho tiyeni tiphunzire zambiri za matenda oopsawa lero.

Mwachidule, kodi Fournier's Gangrene ndi chiyani?

Uwu ndi matenda osowa kwambiri, koma oopsa kwambiri a bakiteriya. Amakhudza kwambiri ziwalo zathu zoberekera komanso malo ozungulira (perineum). Malinga ndi zamankhwala, ndi m'gulu la "necrotizing fasciitis." Kumva dzinali kumamveka koopsa pang'ono, sichoncho? Chifukwa chake n'chakuti mabakiteriya omwe amayambitsa matendawa amafalikira powononga ndikusungunula minofu yofewa ya thupi lathu.

Tangoganizirani izi. Mwanjira ina, mabakiteriya alowa m'malo athu oberekera kudzera pakhungu. Mabakiteriyawa amapita ku gawo lakuya kwambiri la khungu lathu, hypodermis , ndi nembanemba yopyapyala yozungulira minofu, fascia . Zigawo zakuya izi ndi komwe mitsempha yamagazi yomwe imapereka magazi kudera limenelo ili.

Mabakiteriya akagwidwa ndi kachilomboka, amawononga mitsempha yamagazi iyi. Kenako minofu yomwe ili m'derali silandira magazi ndipo imayamba kufa. Minofuyo ikafa motere, mabakiteriya amayamba kufalikira mwachangu kumadera ena, mwachitsanzo, ntchafu, mimba, ndi pachifuwa.

Kodi zizindikiro za matendawa ndi ziti? Kodi amapezeka bwanji?

Zizindikiro za Fournier's Gangrene zimatha kuwonekera mwadzidzidzi, choncho ndikofunikira kuziyang'anira.

Makamaka ngati muli ndi matenda a shuga , ngakhale mutamwa insulin monga mwalangizidwira, kuchuluka kwa shuga m'magazi anu kumatha kukhala kosalamulirika. Ichi chingakhalenso chizindikiro cha matendawa.

Kodi mabakiteriya amenewa amalowa bwanji m'thupi?

Pali njira zingapo zomwe mabakiteriyawa amalowera m'thupi mwathu. Njira yodziwika kwambiri ndi kudzera pabala kapena kusweka kwa khungu kuzungulira ziwalo zoberekera kapena kuthako.

• Chithupsa kapena thumba
• Fistula ya m'malungo
• Matenda a m'matumbo akulu (Diverticulitis)
• Matenda a chikhodzodzo kapena matenda a mkodzo (UTI)
• Zilonda zam'mimba
• Kukanda kapena kupsa panthawi yogonana
• Kuboola ziwalo zoberekera
• Kulumidwa ndi tizilombo kapena kulumidwa
• Ngakhale kukanda pang'ono kapena kudula pang'ono kungayambitse izi.

Mabakiteriya onse a anaerobic ndi aerobic angathandize kufalitsa matendawa. Mitundu yodziwika bwino ya mabakiteriya ndi E. coli, Staphylococcus, Streptococcus, ndi Bacteroides.

Ndani ali pachiwopsezo chachikulu chotenga matendawa?

Ngakhale kuti Fournier's Gangrene imatha kuchitika pa msinkhu uliwonse, imakhala yofala kwambiri mwa amuna nthawi khumi kuposa akazi. Kuphatikiza apo, matenda ena ndi zizolowezi zina za moyo zimatha kuwonjezera chiopsezochi.

Zinthu Zoopsa

• Matenda a shuga: Chiwopsezo chake chimakhala chachikulu makamaka kwa anthu omwe ali ndi matenda a shuga osalamulirika.
• Kuchepetsa chitetezo chamthupi: Chifukwa cha zifukwa monga matenda a HIV ndi mankhwala a chemotherapy a khansa.
• Kukhala ndi zaka zoposa 50.
• Kunenepa Kwambiri: Kunenepa kwambiri (BMI) kuposa 30.
• Kumwa mowa mopitirira muyeso.
• Kusuta fodya ndi kugwiritsa ntchito zinthu zina za fodya.
• Matenda a mtima.
• Matenda a chiwindi kapena kulephera kwa chiwindi.
• Kulephera kwa impso.
• Kuthamanga kwa magazi (BP).

Kukhala ndi zinthu zoopsazi sikutanthauza kuti mutenga matendawa, koma zikutanthauza kuti muyenera kusamala kwambiri kuposa ena.

Kodi madokotala amazindikira bwanji matendawa ndipo mankhwala ake ndi otani?

Kuzindikira matenda

Popeza izi ndi zadzidzidzi, madokotala amatha kungoganiza za matendawa potengera zizindikiro ndi kuyezetsa thupi. Nthawi zina, sipangakhale nthawi yoti ayesere. Komabe, ngati pali nthawi, mayeso otsatirawa angachitike kuti atsimikizire komwe kachilomboka kamayambira komanso kufalikira kwake:

• Kujambula kwa CT: Kuona ngati mpweya ndi madzi zasonkhana m'kati mwa minofu.
• Kujambula kwa Ultrasound: Kuona ngati pali mpweya m'minofu yofewa ndikusiyanitsa ndi matenda ena.
• X-ray: Onani momwe mpweya wafalikira.
• Kuyezetsa magazi: Yang'anani kuchuluka kwa maselo oyera m'magazi, komwe kumasonyeza matenda, kapena ngati muli ndi vuto la septic shock.

Njira zochizira

Njira yothandizira ili ndi magawo angapo:

1. Kuchotsa minofu: Iyi ndi sitepe yofunika kwambiri. Dokotala wochita opaleshoni amadula minofu yonse yodwala, yakufa, komanso yoonongeka. Izi ziletsa kufalikira kwa mabakiteriya. Nthawi zina, opaleshoni zingapo zingafunike kuti muchotse minofu yonse yofa.

2. Mankhwala opha tizilombo toyambitsa matenda: Pambuyo pa opaleshoni, mankhwala amphamvu opha tizilombo toyambitsa matenda omwe amagwira ntchito motsutsana ndi mitundu yosiyanasiyana ya mabakiteriya amaperekedwa kudzera m'mitsempha.

3. Chithandizo chowonjezera:

• Anthu ena angafunike kuchitidwa opaleshoni ya colostomy kwakanthawi kuti aletse ndowe kulowa m'bala mpaka bala litachira.
• Pofuna kupewa matenda a mkodzo, chubu (suprapubic catheter) chingalowetsedwe kudzera m'mimba kupita m'chikhodzodzo.

4. Chithandizo cha Oxygen ya Hyperbaric (HBOT): Nthawi zina, wodwalayo amaikidwa m'chipinda cha hyperbaric ndipo amapatsidwa mpweya wa 100%. Izi zimathandiza kuti minofu yowonongeka ichire mwachangu komanso kuti mabakiteriya asakule.

5. Opaleshoni yokonzanso: Matendawa akachira kwathunthu, opaleshoni ya pulasitiki ingafunike kuti ibwezeretse malo omwe minofu yochotsedwayo inali.

Mafunso Ofunsidwa Kawirikawiri ndi Njira Zopewera

Kodi iyi ndi matenda opatsirana pogonana (STI)?

Ayi. Fournier's Gangrene si matenda opatsirana pogonana. Sangapatsiridwe kuchokera kwa inu kupita kwa munthu wina, komanso sangapatsiridwe kuchokera kwa munthu wina kupita kwa inu.

Kodi iyi ndi matenda omwe amayamba chifukwa cha ukhondo wosakwanira?

Kusachita zinthu zosayenera pa ukhondo kungawonjezere chiopsezo. Kusasunga malo oberekera ndi ozungulira ali oyera ndi sopo ndi madzi nthawi zonse kungathandize kuti mabakiteriya achuluke. Komabe, ngakhale munthu waukhondo wabwino akhoza kutenga matendawa kudzera m'mabala ang'onoang'ono.

Kodi tingatani kuti tipewe izi?

Ngakhale kuti sizingatheke kupeweratu, zinthu izi zingathandize kuchepetsa chiopsezo:

• Thandizani matenda monga matenda a shuga: Imwani mankhwala anu pa nthawi yake ndipo samalani zakudya zanu.
• Sungani malo oberekera aukhondo.
• Ngati mukumeta tsitsi pamalopo, gwiritsani ntchito lezala loyera komanso lakuthwa . Samalani kuti musachite mabala aliwonse.
• Ngakhale chilonda chaching'ono kapena chokwawa, chitsukeni bwino ndipo samalani kuti chisalowe m'matenda.
• Khalani ndi kulemera koyenera.
• Siyani kusuta fodya ndi kumwa mowa.
• Zolowerani kudya zakudya zopatsa thanzi komanso kuchita masewera olimbitsa thupi nthawi zonse .