Kodi mukudziwa za matenda oopsa awa oyambitsa kusungunuka kwa thupi (Necrotizing Fasciitis)? Tiyeni tikambirane!

Ukalandira bala laling'ono, sizachilendo kuti lizipsa pang'ono ndikuchira pakatha masiku ochepa. Koma kodi mudamvapo za matenda oopsa, omwe amaika moyo pachiswe omwe amayamba ndi bala laling'ono kenako n'kusungunuka pang'onopang'ono mnofu? Imeneyo ndi imodzi mwa matenda oopsa omwe tikambirane lero, otchedwa Necrotizing Fasciitis. Anthu ena amatchanso kuti Matenda Odya Nyama.

Kodi Necrotizing Fasciitis ndi chiyani?

Mwachidule, Necrotizing Fasciitis ndi matenda oopsa kwambiri a bakiteriya omwe amafalikira mofulumira kwambiri ndipo amatha kupha munthu. Mawu oti 'necrotizing' amatanthauza 'kupangitsa china chake kufa'. 'Fasciitis' amatanthauza kutupa kwa fascia.

Tsopano mwina mukudabwa kuti fascia ndi chiyani. Ndi minofu yonga nembanemba yomwe imazungulira minofu, mitsempha, mafuta, ndi mitsempha yamagazi pansi pa khungu lathu. Kunena zoona, iyi ndi minofu yobisika pansi pa khungu.

Necrotizing Fasciitis ndi mtundu wa matenda otchedwa Necrotizing Soft Tissue Infection (NSTI). NSTI iyi imaphatikizapo matenda ena, monga Necrotizing Myositis (matenda omwe amachititsa kufa kwa minofu) ndi Necrotizing Cellulitis (matenda omwe amachititsa maselo omwe ali pansi pa khungu kufa).

Kodi pali mitundu ya Necrotizing Fasciitis?

Inde, pali mitundu iwiri makamaka:

1. Mabakiteriya amitundu yosiyanasiyana kapena mtundu woyamba: Izi zimachitika chifukwa cha mitundu yosiyanasiyana ya mabakiteriya. Nthawi zambiri, mabakiteriya onse a aerobic ndi anaerobic ndi omwe amakhudzidwa ndi matendawa.

2. Monomicrobial kapena Type II: Izi nthawi zambiri zimachitika chifukwa cha mtundu umodzi wa mabakiteriya. Nthawi zambiri, zimachitika chifukwa cha mabakiteriya otchedwa ``Group A Streptococcus`` kapena ``Staphylococcus aureus``.

Ndani amene ali ndi mwayi waukulu wopeza matendawa?

Anthu ena ali pachiwopsezo chachikulu chotenga "Necrotizing Fasciitis." Tiyeni tiwone omwe ali:

• Anthu omwe ali ndi mabala pakhungu kapena mabala pa nembanemba ya mucous (monga mkati mwa pakamwa, mphuno): Izi zikuphatikizapo mabala omwe amapangidwa panthawi ya opaleshoni. Ngakhale kukanda pang'ono nthawi zina kungakhale vuto.
• Anthu onenepa kwambiri: Ndiko kuti, anthu onenepa kwambiri.
• Anthu Odwala Matenda a Shuga: Mukudziwa kuti mukakhala ndi matenda a shuga, mabala amachira pang'onopang'ono ndipo matenda amayamba mosavuta. Anthu oterewa nawonso amakhala ndi vutoli.
• Anthu omwe ali ndi vuto la kumwa mowa: Kumwa mowa mopitirira muyeso ndi chinthu china chomwe chingayambitse mavuto.
• Anthu omwe ali ndi chitetezo chamthupi chofooka: Ndiko kuti, anthu omwe mphamvu zawo zolimbana ndi matenda zimachepa m'thupi lawo.
• Anthu omwe ali ndi mavuto ndi dongosolo la mitsempha yamagazi.
• Anthu omwe akudwala khansa.
• Azimayi oyembekezera.

Kodi matendawa ndi ofala bwanji? Kodi ndi oopsa?

Matenda a Necrotizing Fasciitis si matenda ofala kwambiri. Malinga ndi ziwerengero, matendawa amapezeka pakati pa 0.3 ndi 15 pa 100,000. Komabe, akukhulupirira kuti chiwerengero chenicheni cha odwala chikhoza kukhala chokwera. Mwachitsanzo, Necrotizing Fasciitis, yomwe imayamba chifukwa cha strep ya Gulu A, akuti imachitika pa milandu 700 mpaka 1,200 pachaka.

Matendawa ndi oopsa kwambiri moti, ngakhale atalandira chithandizo, pafupifupi munthu m'modzi mwa atatu aliwonse amene amadwala matendawa amafa. Ichi ndichifukwa chake kulandira chithandizo msanga n'kofunika kwambiri.

Kodi zizindikiro za Necrotizing Fasciitis ndi ziti?

Zizindikiro zoyamba za matendawa zimatha kufanana ndi za chimfine, kotero nthawi zina zimakhala zovuta kuzizindikira poyamba.

Zizindikiro zoyambirira:

• Kupweteka kwa thupi
• Malungo
• Kuzizira
• Kusanza
• Kutsegula m'mimba
• Ululu waukulu komanso wosapiririka pamalo pomwe pavulala. Ichi ndi chizindikiro chofunikira kwambiri choyambirira. Ululu ukhoza kukhala waukulu kwambiri kuposa kukula kwa kuvulalako.

Necrotizing Fasciitis ndi matenda omwe amafalikira mofulumira kwambiri, kotero zizindikiro zimatha kukula mofulumira.

Zizindikiro zamtsogolo:

• Kufiira ndi kusintha kwa mtundu wa khungu pamalo pomwe pavulala (wofiirira wakuda, wakuda).
• Kutupa kwa minofu yokhudzidwa.
• Kuyenda kwa magazi kosakhazikika.
• Matuza odzaza ndi magazi kapena madzi achikasu.
• Kutupa kwa minofu.
• Kuthamanga kwa magazi pang'ono.
• Sepsis (kuopsa kwa magazi).

Chofunika kwambiri ndichakuti ngati muli ndi zizindikiro ngati izi, makamaka kupweteka kwambiri ndi bala komanso khungu limasintha mtundu wake komanso kutupa, muyenera kuwonana ndi dokotala nthawi yomweyo.** Matendawa amafalikira mofulumira kwambiri.

Kodi ndi zifukwa ziti zomwe zimayambitsa 'matenda osungunuka a nyama'?

Kawirikawiri, ``Necrotizing Fasciitis`` imachitika pamene mabakiteriya amalowa m'thupi mwanu kudzera mu kudula kapena kukanda pakhungu lanu. Koma nthawi zina zimatha kuchitika popanda bala pakhungu, monga kuchokera ku chinthu china mkati mwa thupi lanu, monga kuvulala.

Momwe mabakiteriya angalowere m'thupi:

• Kudula, kukwapula, kupsa.
• Mabala olumidwa ndi tizilombo (monga kulumidwa ndi udzudzu kwambiri).
• Kuboola mabala oyambitsidwa ndi zinthu monga singano.
• Pambuyo pa opaleshoni.
• Ngakhale kuti chifukwa chachikulu ndi mabakiteriya otchedwa ``Group A strep``, amatha kuyambitsidwa ndi mabakiteriya ena ambiri. Mabakiteriya ena omwe amakhala m'madzi amathanso kuyambitsa. Izi zikutanthauza kuti ngati mutakhudza bala m'malo omwe muli madzi odetsedwa, muli pachiwopsezo.

Kodi madokotala amazindikira bwanji izi?

Ngati dokotala wanu akukayikira kuti 'matenda osungunula thupi' awa atakufufuzani ndi kumvetsera zizindikiro zanu, adzalamula kuti muyesedwe:

• Kuyezetsa magazi: Mwachitsanzo, kuwerengera magazi onse (CBC).
• Kukulitsa minofu yozama: Kachidutswa kakang'ono ka minofu kamatengedwa kuchokera pamalo omwe ali ndi kachilomboka ndikuyesedwa kuti awone mabakiteriya omwe alipo.
• Kufufuza minofu: Kachidutswa ka minofu kamatengedwa ndikuyang'aniridwa pogwiritsa ntchito maikulosikopu kuti adziwe ngati minofuyo yafa.
• Mayeso ojambulira: Kawirikawiri CT scan (Computed Tomography scan) imachitika.

Kuphatikiza apo, dokotalayo adzachita opaleshoni kuti atsimikizire ngati ndi Necrotizing Fasciitis. Komanso, opaleshoniyo idzayamba ndi kuchotsa minofu yakufa.

Kodi Necrotizing Fasciitis imachiritsidwa bwanji?

Kulowererapo mwachangu ndikofunikira kuti matendawa athetsedwe.

• Opaleshoni: Njira yochitira opaleshoni yotchedwa ``debriding'' imafunika kuti itsimikizire kuti matendawa apezeka ndikuchotsa minofu yonse yakufa . Nthawi zina, opaleshoni imodzi singakhale yokwanira. Maopaleshoni angapo (nthawi zambiri atatu) angafunike mpaka matendawa atathetsedwa kwathunthu.
• Mankhwala opha tizilombo: Mankhwala amphamvu opha tizilombo amaperekedwa kudzera m'mitsempha (IV).
• Madzi olowa m'mitsempha (madzi olowa m'mitsempha): Izi zimathandiza kusunga madzi m'thupi komanso kukhazikika kwa kuthamanga kwa magazi.

Pambuyo pa opaleshoni, kuyikapo khungu kapena opaleshoni ya pulasitiki kungakhale kofunikira kuti mabala achiritsidwe mokwanira.

Kodi ndi mavuto otani omwe angayambitse matendawa?

Mavuto ambiri a ``Necrotizing Fasciitis'' ndi aakulu. Akuphatikizapo:

• Zipsera
• Kutayika kwa miyendo (ngati matendawa afalikira, ziwalo zimenezo ziyenera kudulidwa)
• Matenda a poizoni
• Sepsis (kuopsa kwa magazi)
• Imfa

Kodi mungadziteteze bwanji ku Necrotizing Fasciitis?

Pakadali pano palibe katemera wa izi. Komabe, pali zinthu zomwe mungachite kuti muchepetse chiopsezo chotenga matenda a pakhungu la mabakiteriya, kuphatikizapo Necrotizing Fasciitis:

• Momwe mungatherePewani kudulidwa, kukwawa, kupsa, ndi kulumidwa ndi tizilombo.
• Ngati bala layamba, litsukeni bwino ndi sopo ndi madzi ndipo liphimbeni ndi bandeji yoyera mpaka litachira.
• Ngati muli ndi mabala akuya kapena aakulu kapena mabala oboola, pitani kwa dokotala.
• Sungani manja anu oyera mwa kuwatsuka ndi sopo nthawi zonse kapena kugwiritsa ntchito mankhwala oyeretsera manja okhala ndi mowa.
• Ngati muli ndi bala kapena chotupa pakhungu lanu, musapite m'madziwe osambira, m'mabafa otentha, kapena m'madzi akunja (monga nyanja, mitsinje).

Kodi muyenera kupita kwa dokotala liti? (Chikumbukiro)

Ngati muli ndi zizindikiro izi, funsani upangiri wa dokotala nthawi yomweyo:

• Ngati mtundu wa khungu wasintha ndipo malowo akuoneka kuti akukulirakulira mofulumira chifukwa cha kutupa .
• Ngati pali ululu wosapiririka .
• Ngati muli ndi malungo .

Kodi mungayembekezere chiyani ngati mutadwala matendawa?

Ngati mukupeza matendawa, zotsatira zabwino kwambiri zimapezeka pozindikira msanga, kuchiza maantibayotiki, ndi opaleshoni yochotsa minofu yakufa.

Necrotizing Fasciitis ndi matenda omwe amakula mofulumira, kuwononga minofu yanu ndikupangitsa ziwalo kulephera kugwira ntchito. Ngakhale mutalandira chithandizo, monga tafotokozera kale, pafupifupi gawo limodzi mwa magawo atatu a milandu amatha kufa.

Kawirikawiri pamafunika opaleshoni yoposa imodzi, ndipo zipsera zimatha kuchitika.

Kodi pali kusiyana kotani pakati pa Gas Gangrene ndi Necrotizing Fasciitis?

Gangrene ya mpweya (clostridial myonecrosis) ndi matenda omwe amakhudza minofu yathanzi, zomwe zimapangitsa mpweya (mpweya) kusonkhana mkati mwa minofu. Mpweya uwu umapangidwa ngati zinyalala kuchokera ku majeremusi. Mpweya ukhozanso kusonkhana m'minofu mu gangrene ya mpweya ndi Type I Necrotizing Fasciitis. Komabe, mitundu ya majeremusi omwe amayambitsa matenda awiriwa ndi yosiyana. Gangrene ya mpweya imathanso kukhudza minofu.

Kodi ndi kuti m'thupi komwe necrotizing fasciitis imapezeka kwambiri?

Izi zimachitika kwambiri m'manja ndi m'mapazi, makamaka ngati muli ndi matenda a shuga, chifukwa nthawi zambiri amapezeka m'miyendo (makamaka mapazi ndi zala).

Kuphatikiza apo, matendawa amatha kuchitika m'malo oberekera komanso m'mutu ndi m'khosi.

Kodi mungapulumuke ngati mutayamba Necrotizing Fasciitis?

Inde, mutha kukhala ndi moyo. Chofunika kwambiri ndi kuzindikira matendawa msanga ndikuyamba kulandira chithandizo mwachangu momwe mungathere. Pamene akuchedwa kwambiri, zinthu zimaipiraipira.

Kodi Necrotizing Fasciitis ndi yopatsirana?

Izi sizimafalikira kawirikawiri kuchokera kwa munthu wina kupita kwa wina.Choncho, nthawi zambiri sikofunikira kupereka mankhwala opha majeremusi kwa achibale apafupi a wodwalayo. Komabe, ngati matendawa ndi oopsa kwambiri, dokotala angapemphe achibale apafupi a wodwalayo kuti amwe mankhwala opha majeremusi oletsa matenda ngati njira yodzitetezera.

Kodi zimatenga nthawi yayitali bwanji kuti matenda a fasciitis ayambe?

Zizindikiro zimatha kuonekera mkati mwa maola 24 mutalandira kukwapulidwa, kudulidwa, kapena kulumidwa ndi tizilombo. Izi zitha kukulirakulira mwachangu kwambiri. Choncho yang'anirani bala ngati latupa, lafiira, komanso ngati lakula.

Ngati muli ndi bala, kudula, kapena kupsa, sambitsani bwino ndi sopo ndi madzi. Ngati mukumva malungo, kupweteka kwambiri, komanso/kapena malo ofiira kapena osinthika omwe amafalikira mofulumira ndipo amamva kutentha mukakhudza, pitani kuchipatala nthawi yomweyo. Mukayamba chithandizo mwachangu, mwayi wanu wochotsa Necrotizing Fasciitis umakhala wabwino.

Uthenga Wopita Nawo Kunyumba

Chabwino, tsopano mwamvetsa bwino matenda oopsa omwe tinakambirana otchedwa ``Necrotizing Fasciitis``. Nazi zinthu zofunika kukumbukira:

• Uwu ndi matenda oopsa kwambiri, omwe amafalikira mofulumira ndi mabakiteriya. Amatchedwanso 'matenda osungunula nyama'.
• Ingayambe ngakhale ndi bala laling'ono.
• Samalani kwambiri ndi zizindikiro monga kupweteka kwambiri pamalo ovulala, kufiira/kusintha mtundu ndi kutupa komwe kukufalikira mofulumira, komanso malungo .
• Ngati muli ndi zizindikiro izi, musachedwe ndipo pitani kwa dokotala nthawi yomweyo. Nthawi ndiyo chinthu chofunikira kwambiri pakati pa moyo ndi imfa pano.
• Kusunga mabala oyera komanso kuchita ukhondo wabwino kumathandiza kwambiri poteteza matenda amtunduwu.

Tikukhulupirira kuti izi zikuthandizani. Khalani ndi thanzi labwino!

` Necrotizing Fasciitis, Matenda Odya Nyama, Matenda a Bakiteriya, Matenda a Khungu, Matenda Odya Nyama, Imfa ya Minofu, Sepsis