Ese uzi iyi ndwara iteje akaga yo gushonga kw'inyama (Necrotizing Fasciitis)? Reka tuganire!

Iyo ugize igikomere gito, ni ibisanzwe ko kibyimba gato kandi kigakira mu minsi mike. Ariko se wigeze wumva indwara ikomeye ishobora gushyira ubuzima mu kaga ihera ku gikomere gito ikagenda ishonga buhoro buhoro? Iyo ni imwe mu ndwara ziteje akaga tugiye kuvugaho uyu munsi, yitwa Necrotizing Fasciitis. Hari n'abantu bayita Indwara Irya Inyama.

Necrotizing Fasciitis ni iki?

Muri make, Necrotizing Fasciitis ni indwara ikomeye cyane iterwa na bagiteri ikwirakwira vuba cyane ndetse ishobora no gutuma umuntu apfa. Ijambo 'necrotizing' risobanura 'gutera ikindi kintu gupfa'. 'Fasciitis' bivuga kubyimba kw'ikibyimba.

Noneho ushobora kwibaza icyo fascia ari cyo. Ni urugingo rumeze nk'ururabo rukikije imitsi, imitsi, ibinure n'imitsi y'amaraso munsi y'uruhu rwacu. Mu by'ukuri, uru ni urugingo ruri munsi y'uruhu.

Necrotizing Fasciitis ni ubwoko bw'indwara yitwa Necrotizing Soft Tissue Infection (NSTI). Iyi NSTI ikubiyemo izindi ndwara, nka Necrotizing Myositis (indwara itera imitsi gupfa) na Necrotizing Cellulitis (indwara ituma uturemangingo turi munsi y'uruhu dupfa).

Ese hari ubwoko bwa Necrotizing Fasciitis?

Yego, hari ubwoko bubiri ahanini:

1. Mikorobe nyinshi cyangwa Ubwoko bwa I: Ibi biterwa n'ubwoko burenze bumwe bwa bagiteri. Kenshi na kenshi, bagiteri zombi zo mu bwoko bwa aerobic na anaerobic ziba zifite uruhare mu kwandura.

2. Monomicrobial cyangwa Type II: Ibi akenshi biterwa n'ubwoko bumwe bwa bagiteri. Akenshi, biterwa na bagiteri ``Itsinda A Streptococcus`` cyangwa ``Staphylococcus aureus```.

Ni nde ushobora kurwara iyi ndwara kurusha abandi?

Hari abantu bafite ibyago byinshi byo kurwara "Necrotizing Fasciitis." Reka turebe abo ari bo:

• Abantu bafite ibikomere ku ruhu cyangwa ibikomere ku ruhu (urugero: imbere mu kanwa, mu mazuru): Ibi birimo ibikomere bikorwa mu gihe cyo kubagwa. Ndetse no gukomereka gato rimwe na rimwe bishobora kuba ikibazo.
• Abantu bafite umubyibuho ukabije: Ni ukuvuga abantu bafite ibinure bikabije.
• Abantu barwaye Diyabete Mellitus: Uzi ko iyo urwaye diyabete, ibikomere bikira buhoro buhoro kandi indwara zikwirakwira mu buryo bworoshye. Abantu nk'abo nabo bafite amahirwe menshi yo kurwara iyi ndwara.
• Abantu bafite ikibazo cyo kunywa inzoga: Kunywa inzoga nyinshi na byo ni ikintu gishobora gutera ibyago.
• Abantu bafite ubudahangarwa bw'umubiri budakomeye: Ni ukuvuga abantu bafite ubushobozi bwo kurwanya indwara bugabanuka.
• Abantu bafite ibibazo by'imitsi.
• Abantu barwaye kanseri.
• Abagore batwite.

Iyi ndwara ikunze kugaragara gute? Ese ni mbi?

Indwara ya Necrotizing Fasciitis si indwara ikunze kugaragara cyane. Dukurikije imibare, iyi ndwara iri hagati ya 0.3 na 15 kuri 100.000. Ariko, bikekwa ko umubare nyawo w'abarwayi ushobora kuba uri hejuru. Urugero, Necrotizing Fasciitis, iterwa na strep yo mu itsinda rya A, bivugwa ko igaragara ku bantu 700 kugeza ku 1.200 buri mwaka.

Iyi ndwara ni mbi cyane ku buryo, nubwo yavurwa, umuntu umwe kuri batatu uyirwaye ahita apfa. Niyo mpamvu kuyivura hakiri kare ari ingenzi cyane.

Ni ibihe bimenyetso bya Necrotizing Fasciitis?

Ibimenyetso by'ibanze by'iyi ndwara bishobora gusa n'iby'ibicurane bisanzwe, bityo rimwe na rimwe bishobora kugorana kubimenya mu ntangiriro.

Ibimenyetso bya mbere:

• Kubabara umubiri
• Umuriro
• Ubukonje
• Isesemi
• Impiswi
• Ububabare bukomeye kandi budashobora kwihanganira aho igikomere cyakomeretse. Iki ni ikimenyetso cy'ingenzi cyane mu ntangiriro. Ububabare bushobora kuba buruta cyane ingano y'igikomere.

Necrotizing Fasciitis ni indwara ikwirakwira vuba cyane, bityo ibimenyetso bishobora gukomera vuba.

Ibimenyetso bya nyuma:

• Gutukura no guhinduka ibara ry'uruhu aho rwakomeretse (umuhengeri wijimye, umukara).
• Kubyimba kw'ingingo zangiritse.
• Amaraso atembera nabi.
• Uduheri twuzuye amaraso cyangwa amazi y'umuhondo.
• Kurwara kw'imitsi.
• Umuvuduko w'amaraso uri hasi.
• Sepsis (uburozi bw'amaraso).

Igikuru ni uko niba ufite ibimenyetso nk'ibi, cyane cyane ububabare bukabije hamwe n'igisebe n'ibara ry'uruhu no kubyimba, ugomba guhita ubonana na muganga.** Ubu bwandu bukwirakwira ku muvuduko utangaje.

Ni izihe mpamvu zitera iyi 'ndwara yo gushonga kw'inyama'?

Akenshi, "Necrotizing Fasciitis" ibaho iyo bagiteri zinjiye mu mubiri wawe zinyuze mu gisebe cyangwa udusebe ku ruhu rwawe. Ariko rimwe na rimwe zishobora kubaho nta gisebe ku ruhu, urugero nk'igikomere kiri mu mubiri wawe, nk'igikomere.

Uburyo bagiteri zishobora kwinjira mu mubiri:

• Gutema, gushwanyagurika, gushya.
• Ibikomere byatewe n'udukoko (urugero: kurumwa n'umubu cyane).
• Gutobora ibikomere biterwa n'ibintu nk'inshinge.
• Nyuma yo kubagwa.
• Nubwo impamvu nyamukuru ari bagiteri ``group A strep``, ishobora guterwa n'izindi bagiteri nyinshi. Bagiteri zimwe na zimwe ziba mu mazi nazo zishobora kuyitera. Ibi bivuze ko iyo uhuye n'igikomere ahantu hari amazi mabi, nawe uba uri mu kaga.

Abaganga bapima iki kibazo gute?

Niba muganga wawe akeka ko iyi ndwara yo gushonga kw'inyama nyuma yo kugusuzuma no kumva ibimenyetso byawe, azagutegeka ko hakorwa ibizamini bimwe na bimwe:

• Gupima amaraso: Urugero, kubara amaraso yose (CBC).
• Gutunganya ingirabuzima fatizo: Agace gato k'ingirabuzima fatizo gakurwa mu gace kanduye kagapimwa kugira ngo harebwe bagiteri zihari.
• Isuzuma ry'uturemangingo: Agace k'uturemangingo gafatwa kagasuzumwa hifashishijwe mikorosikopi kugira ngo hamenyekane niba uturemangingo twapfuye.
• Ibizamini byo gufata amashusho: Gupima CT (Computed Tomography scan) bishobora gukorwa kenshi.

Byongeye kandi, muganga azakora operasiyo kugira ngo yemeze niba ari Necrotizing Fasciitis. Nanone, operasiyo izatangirana no gukuraho ingirangingo zapfuye.

Indwara ya Necrotizing Fasciitis ivurwa ite?

Gufata ingamba zihuse ni ngombwa kugira ngo iyi ndwara igenzurwe.

• Kubaga: Uburyo bwo kubaga bwitwa "debriding" burakenewe kugira ngo hemezwe ko umuntu yanduye kandi hagakurwaho ingingo zose zapfuye . Hari igihe kubaga rimwe gusa bishobora kuba bidahagije. Kubaga inshuro nyinshi (ubusanzwe hafi eshatu) bishobora kuba ngombwa kugeza igihe ubwandu bugabanutse burundu.
• Antibiyotike: Antibiyotike zikomeye zitangwa mu mitsi (IV).
• Ibinyobwa biva mu mitsi (IV fluids): Ibi bifasha kugumana urugero rw'ibinyobwa mu mubiri no gutuza umuvuduko w'amaraso.

Nyuma yo kubagwa, gukuba uruhu cyangwa kubagwa mu buryo bwa plastiki bishobora kuba ngombwa kugira ngo ibikomere bikire neza.

Ni izihe ngorane zishobora guterwa n'iyi ndwara?

Ingorane nyinshi za "Necrotizing Fasciitis" zirakomeye. Zirimo:

• Inkovu
• Gutakaza amaguru n'amaboko (niba ubwandu bwakwirakwiriye, ibyo bice bigomba gucibwa)
• Indwara y'uburozi mu gihe cy'ihungabana
• Sepsis (uburozi mu maraso)
• Urupfu

Ni gute wakwirinda Necrotizing Fasciitis?

Kugeza ubu nta rukingo ruraboneka. Ariko hari ibintu ushobora gukora kugira ngo ugabanye ibyago byo kwandura indwara z'uruhu za bagiteri, harimo na Necrotizing Fasciitis:

• Uko bishoboka koseIrinde gukomereka, gushwanyagurika, gushya, no kurumwa n'udukoko.
• Niba ufite igisebe, oza neza n'isabune n'amazi hanyuma ugipfuke n'igitambaro gisukuye kugeza gikize.
• Niba ufite ibikomere bikomeye cyangwa bikomeye cyangwa ibikomere byo gukomereka, gana muganga.
• Komeza intoki zawe zisukuye ukazisukura n'isabune buri gihe cyangwa ukoreshe umuti wo gusukura intoki urimo alukolo urimo imiti irwanya udukoko.
• Niba ufite igikomere cyangwa igikomere ku ruhu rwawe, ntukajye muri pisine, mu bwogero bushyushye, cyangwa mu mazi yo hanze (nk'ibiyaga, imigezi).

Ni ryari wagombye kujya kwa muganga? (Icyibutswa)

Niba ufite ibi bimenyetso, shaka ubufasha kwa muganga byihutirwa:

• Iyo ibara ry'uruhu ryahindutse kandi agace kakagaragara ko kari kwiyongera vuba bitewe no kubyimba .
• Niba hari ububabare budashobora kwihanganira .
• Niba ufite umuriro .

Ni iki wakwitega uramutse urwaye iyi ndwara?

Iyo urwaye iyi ndwara, umusaruro mwiza uboneka iyo upimwe hakiri kare, ugahabwa imiti yica udukoko, ndetse ukabagwa kugira ngo ukureho ingingo zapfuye.

Necrotizing Fasciitis ni indwara irushaho gukomera vuba, igasenya ingingo zawe igatera ubumuga bw'ingingo. Nubwo wavurwa, nk'uko byavuzwe mbere, hafi kimwe cya gatatu cy'abarwayi bashobora gupfa.

Akenshi hakenewe kubagwa inshuro zirenze imwe, kandi inkovu zishobora kubaho.

Ni irihe tandukaniro riri hagati ya Gas Gangrene na Necrotizing Fasciitis?

Gangrene ya gas (clostridial myonecrosis) ni indwara yibasira ingingo nzima, igatera umwuka (umwuka) kwirundanya imbere mu ngingo. Uyu mwuka ukorwa nk'imyanda iva muri mikorobe. Gas ishobora no kwirundanya mu ngingo muri gangrene ya gas na Type I Necrotizing Fasciitis. Ariko, ubwoko bwa mikorobe zitera izi ndwara zombi buratandukanye. Gangrene ya gas ishobora no kugira ingaruka ku mitsi.

Ni hehe mu mubiri hakunze kugaragara indwara ya fasciitis ifata amaguru n'amaboko?

Ibi bikunze kugaragara mu biganza no mu birenge, cyane cyane iyo urwaye diyabete, kuko ishobora kugaragara cyane mu maguru (cyane cyane mu birenge no mu mano).

Byongeye kandi, iyi ndwara ishobora kugaragara mu myanya ndangagitsina no mu mutwe no mu ijosi.

Ese ushobora kurokoka uramutse urwaye Necrotizing Fasciitis?

Yego, ushobora kubaho. Icy'ingenzi ni ukumenya indwara hakiri kare no gutangira kuyivura vuba bishoboka. Uko itinda niko ibintu birushaho kuba bibi.

Ese Necrotizing Fasciitis yandura?

Ibi ntibikunze gukwirakwira kuva ku muntu umwe kugeza ku wundi.Bityo rero, ubusanzwe si ngombwa guha imiti ya antibiyotike abantu bo mu muryango wa hafi w’umurwayi. Ariko, iyo ubwandu bukomeye cyane, muganga ashobora gusaba abantu bo mu muryango wa hafi w’umurwayi gufata imiti ya antibiyotike mu rwego rwo kwirinda indwara.

Bifata igihe kingana iki kugira ngo indwara ya fasciitis itere?

Ibimenyetso bishobora kugaragara mu masaha 24 uhereye igihe ukomerekejwe, ukomeretse, cyangwa utewe n'udukoko. Ibi bishobora kwiyongera vuba cyane. Bityo rero komeza urebe neza niba hari ibibyimba, umutuku, cyangwa niba birushijeho kuba binini.

Niba ufite igisebe, wakomeretse, cyangwa wahiye, karaba neza n'isabune n'amazi. Niba ugize umuriro, ububabare bukabije, cyangwa ahantu hatukura cyangwa hahinduka ibara ryihuta cyane, shakisha ubufasha bwa muganga ako kanya. Uko utangiye kuvurwa vuba, niko amahirwe yawe yo gukurwaho Necrotizing Fasciitis aba menshi.

Ubutumwa bwo kujyana mu rugo

Noneho rero ubu usobanukiwe neza indwara ikomeye twavugaga yitwa "Necrotizing Fasciitis." Dore ibintu by'ingenzi ugomba kwibuka:

• Iyi ni indwara iterwa na bagiteri iteje akaga cyane, ikwirakwira vuba. Yitwa kandi 'indwara yo gushonga kw'inyama'.
• Bishobora gutangirana n'igikomere gito.
• Witondere cyane ibimenyetso nko kubabara cyane aho byakomeretse, gutukura/guhinduka ibara no kubyimba, hamwe n'umuriro .
• Niba ufite ibi bimenyetso, ntugatinde ujye kwa muganga ako kanya. Igihe ni cyo kintu kigena ubuzima n'urupfu hano.
• Gusukura ibikomere no kugira isuku ikwiye bigira uruhare runini mu kwirinda ubwo bwoko bw'indwara.

Twizeye ko aya makuru azaba ingirakamaro kuri wewe. Komeza ugire ubuzima bwiza!

Fasciitis itera indwara, Indwara irya inyama, Indwara ya bagiteri, Indwara irya uruhu, Indwara irya inyama, Urupfu rw'ingingo, Sepsis