Unoziva here nezvechirwere ichi chine njodzi chekunyungudutsa nyama (Necrotizing Fasciitis)? Ngatikurukurei!

Kana wava neronda diki, zvakajairika kuti ritange kuonda zvishoma uye ropora mumazuva mashoma. Asi wakambonzwa here nezvehutachiona hwakakomba, hunogona kuurayisa hunotangira paronda diki uye hunonyungudutsa nyama zvishoma nezvishoma? Ndiyo imwe yezvirwere zvine njodzi zvatichataura nezvazvo nhasi, inonzi Necrotizing Fasciitis. Vamwe vanhu vanotiwo chirwere chekudya nyama.

Chii chinonzi Necrotizing Fasciitis?

Zvichitaurwa zviri nyore, Necrotizing Fasciitis chirwere chakakomba chebhakitiriya chinopararira nekukurumidza uye chinogona kutokonzera rufu. Izwi rekuti 'necrotizing' rinoreva 'kukonzera chimwe chinhu kufa'. 'Fasciitis' zvinoreva kuzvimba kwefascia.

Zvino ungave uchishamisika kuti chii chinonzi fascia. Inyama yakaita semembrane inopoteredza tsandanyama, tsinga, mafuta, uye mitsipa yeropa pasi peganda redu. Kutaura chokwadi, iyi inyama iri pasi peganda.

Necrotizing Fasciitis rudzi rwechirwere chinonzi Necrotizing Soft Tissue Infection (NSTI). NSTI iyi inosanganisira zvimwe zvirwere zvakaita seNecrotizing Myositis (chirwere chinokonzera kufa kwetsandanyama) uye Necrotizing Cellulitis (chirwere chinokonzera kufa kwemasero ari pasi peganda).

Kune mhando dzeNecrotizing Fasciitis here?

Ehe, kune mhando mbiri chete:

1. Polymicrobial kana Type I: Izvi zvinokonzerwa nemarudzi anopfuura rimwe emabhakitiriya. Kazhinji, mabhakitiriya ese ari maviri aerobic neanaerobic anobatanidzwa muhutachiona.

2. Monomicrobial kana Type II: Izvi zvinowanzo kukonzerwa nerudzi rumwe chete rwebhakitiriya. Kazhinji, zvinokonzerwa nebhakitiriya rinonzi ``Group A Streptococcus`` kana ``Staphylococcus aureus```.

Ndiani ane mukana mukuru wekuwana chirwere ichi?

Vamwe vanhu vari panjodzi huru yekubatwa ne "Necrotizing Fasciitis." Ngatitarisei kuti ndivanaani:

• Vanhu vane maronda paganda kana maronda ari paganda (semuenzaniso mumuromo, mumhino): Izvi zvinosanganisira maronda anoitwa panguva yekuvhiyiwa. Kunyangwe kukwenya kudiki kunogona dzimwe nguva kuva dambudziko.
• Vanhu vane kufuta zvakanyanya: Kureva kuti, vanhu vane mafuta akawandisa.
• Vanhu Vane Chirwere Cheshuga: Unoziva kuti kana uine chirwere cheshuga, maronda anopora zvishoma nezvishoma uye hutachiona hunokura zviri nyore. Vanhu vakadaro vane mukana mukuru wekuwana chirwere ichi.
• Vanhu vane dambudziko rekushandisa doro: Kunwa doro zvakanyanya kunewo njodzi.
• Vanhu vane masoja emuviri asina simba: Kureva kuti, vanhu vane simba remuviri rekurwisa zvirwere rinodzikira.
• Vanhu vane matambudziko netsinga dzeropa.
• Vanhu vanorwara negomarara.
• Vakadzi vane mimba.

Chirwere ichi chakajairika zvakadii? Chine njodzi here?

Necrotizing Fasciitis haisi chirwere chinowanzoitika. Zvichienderana nehuwandu, kuwanda kwacho kuri pakati pe0.3 ne15 pavanhu 100,000. Zvisinei, zvinofungidzirwa kuti huwandu chaihwo hwevarwere hunogona kunge hwakakwira. Semuenzaniso, Necrotizing Fasciitis, inokonzerwa neGroup A strep, inonzi inoitika muvanhu 700 kusvika 1,200 pagore.

Chirwere ichi chakakomba zvekuti, kunyangwe kana munhu mumwe chete pavanhu vatatu vanochiwana anofa. Ndosaka kurapwa nekukurumidza kuchikosha.

Ndezvipi zviratidzo zveNecrotizing Fasciitis?

Zviratidzo zvekutanga zvechirwere ichi zvinogona kufanana nezvechikosoro, saka dzimwe nguva zvinogona kuoma kuziva pakutanga.

Zviratidzo zvekutanga:

• Marwadzo emuviri
• Kupindwa nechando
• Kutonhora
• Kusvotwa
• Manyoka
• Kurwadziwa kwakanyanya, kusingatsungiririki panzvimbo yekukuvara. Ichi chiratidzo chakakosha pakutanga. Kurwadziwa kunogona kunge kwakakura kupfuura hukuru hwekukuvara.

Necrotizing Fasciitis chirwere chinopararira nekukurumidza, saka zviratidzo zvinogona kukurumidza kukura.

Zviratidzo zvinotevera:

• Kutsvuka uye kuchinja kweruvara rweganda panzvimbo yekukuvara (pepuru yakasviba, dema).
• Kuzvimba kwenyama yakakanganiswa.
• Kuyerera kweropa kusina kugadzikana.
• Maronda azere neropa kana mvura yeyero.
• Kubuda kwemasero munyama.
• Kuderera kweropa.
• Sepsis (kuchetura ropa).

Chinhu chakakosha ndechekuti kana uine zviratidzo zvakaita seizvi, kunyanya kurwadziwa kwakanyanya neronda uye ganda richichinja ruvara uye kuzvimba, unofanira kuona chiremba nekukasika.** Utachiona uhwu hunopararira nekukurumidza.

Ndezvipi zvinokonzera 'chirwere ichi chekunyunguduka kwenyama'?

Kazhinji, "Necrotizing Fasciitis" inoitika kana mabhakitiriya achipinda mumuviri wako kuburikidza nekucheka kana kukwenya paganda rako. Asi dzimwe nguva zvinogona kuitika pasina ronda paganda, senge kubva kune chimwe chinhu chiri mukati memuviri wako, senge kukwenya.

Mabhakitiriya anogona sei kupinda mumuviri:

• Kuchekwa, kukwenywa, kupiswa.
• Maronda ekurumwa nezvipembenene (semuenzaniso, kurumwa neumhutu zvakanyanya).
• Kuboorwa kwemaronda anokonzerwa nezvinhu zvakaita setsono.
• Mushure mekuvhiyiwa.
• Kunyangwe chikonzero chikuru chiri bhakitiriya rinonzi "Group A strep", rinogona kukonzerwa nemamwe mabhakitiriya akawanda. Mamwe mabhakitiriya anogara mumvura anogonawo kukonzera. Izvi zvinoreva kuti kana ukasangana neronda munzvimbo dzine mvura yakasviba, uri panjodzi zvakare.

Vanachiremba vanoongorora sei izvi?

Kana chiremba wako achifungidzira kuti chirwere ichi chinonyungudutsa nyama mushure mekukuongorora uye kuteerera zviratidzo zvako, achakuraira mimwe miedzo:

• Kuongororwa kweropa: Semuenzaniso, kuongororwa kweropa rose (CBC).
• Kugadzira tissue yakadzika: Kanyama kadiki kanotorwa kubva panzvimbo ine hutachiona koedzwa kuti kuonekwe kuti mabhakitiriya api aripo.
• Kuongororwa kwenyama: Chidimbu chenyama chinotorwa choongororwa nemaikorosikopu kuti chionekwe kana nyama yacho yafa.
• Miedzo yekufungidzira: Kuongororwa kweCT (Computed Tomography scan) kunogona kuitwa kakawanda.

Pamusoro pezvo, chiremba achaita oparesheni kuti aone kana iri Necrotizing Fasciitis. Uyewo, oparesheni iyi ichatanga nekubvisa nyama yakafa.

Necrotizing Fasciitis inorapwa sei?

Kupindira nekukurumidza kwakakosha kudzora chirwere ichi.

• Kuvhiyiwa: Kuvhiyiwa kunonzi "debriding" kunodiwa kuti kusimbiswe kuongororwa uye kubvisa nyama dzese dzakafa . Dzimwe nguva, kuvhiyiwa kamwe chete kungasakwana. Kuvhiyiwa kwakawanda (kazhinji katatu) kungadiwa kusvika hutachiona hwadzorwa zvachose.
• Mishonga inorwisa mabhakitiriya: Mishonga inorwisa mabhakitiriya ine simba inopihwa netsinga (IV).
• Mvura inopinzwa mutsinga (IV fluids): Izvi zvinobatsira kuchengetedza huwandu hwemvura mumuviri uye kudzikamisa BP.

Mushure mekuvhiyiwa, kuisirwa ganda kana kuvhiyiwa kwepurasitiki zvingadikanwa kuti maronda apore zvakakwana.

Ndezvipi zvinetso zvinogona kukonzera chirwere ichi?

Matambudziko mazhinji e "Necrotizing Fasciitis" akakomba. Anosanganisira:

• Mavanga
• Kurasikirwa nemakumbo nemaoko (kana chirwere chikapararira, zvikamu izvozvo zvinofanirwa kugurwa)
• Chirwere chekuvhunduka kweganda chine chepfu
• Sepsis (kuchetura ropa)
• Rufu

Ungazvidzivirira sei kubva kuNecrotizing Fasciitis?

Parizvino hapana mushonga wekudzivirira izvi. Zvisinei, pane zvaunogona kuita kuderedza njodzi yekubatwa nehutachiona hweganda hunokonzerwa nemabhakitiriya, kusanganisira Necrotizing Fasciitis:

• Nekunge zvichibviraDzivisa kucheka, kukwenya, kutsva, uye kurumwa nezvipembenene.
• Kana uine ronda, rigeze zvakanaka nesipo nemvura worifukidza nebhandeji rakachena kusvika raparara.
• Kana uine maronda akadzika kana akakomba kana maronda ekuboorwa, ona chiremba.
• Chengeta maoko ako akachena nekuageza nesipo nguva dzose kana kushandisa mushonga wekuchenesa maoko une antibacterial based alcohol.
• Kana uine ronda kana kuti ganda rakachekwa, usapinde mumadziva ekushambira, mumabhawa anopisa, kana munzvimbo dzine mvura dziri panze (dzakadai semadziva, nzizi).

Unofanira kuona chiremba rini? (Chiyeuchidzo)

Kana uine zviratidzo izvi, tsvaga rubatsiro rwechiremba nekukasika:

• Kana ruvara rweganda rwachinja uye nzvimbo yacho ichiita seyakura nekukurumidza nekuda kwekuzvimba .
• Kana paine kurwadziwa kusingatsungiririki .
• Kana uine fivha .

Chii chaungatarisira kana ukabatwa nechirwere ichi?

Kana ukabatwa nechirwere ichi, mhedzisiro yakanaka inowanikwa nekuongororwa nekukurumidza, mishonga inorwisa mabhakitiriya, uye kuvhiyiwa kubvisa nyama yakafa.

Necrotizing Fasciitis chirwere chinokurumidza kuipa, chichiparadza nyama dzako uye chichikonzera kutadza kushanda kwenhengo. Kunyangwe kana ukarapwa, sezvambotaurwa, chikamu chimwe muzvitatu chevarwere chinogona kufa.

Kazhinji kuvhiyiwa kunopfuura kamwe chete kunodiwa, uye mavanga anogona kuitika.

Ndeupi musiyano uripo pakati peGas Gangrene neNecrotizing Fasciitis?

Gangrene yegesi (clostridial myonecrosis) chirwere chinokanganisa nyama ine hutano, zvichiita kuti gasi (mhepo) riungane mukati menyama. Gasi iri rinogadzirwa semarara anobva kuhutachiona. Gasi rinogonawo kuungana munyama mugasi rinopinda negasi uye Type I Necrotizing Fasciitis. Zvisinei, mhando dzehutachiona hunokonzera zvirwere izvi zviviri dzakasiyana. Gangrene yegesi inogonawo kukanganisa tsandanyama.

Ndekupi mumuviri uko necrotizing fasciitis inonyanya kuonekwa?

Izvi zvinonyanya kuonekwa mumaoko nemakumbo, kunyanya kana uine chirwere cheshuga, sezvo chinowanzoonekwa mumakumbo (kunyanya tsoka nezvigunwe).

Pamusoro pezvo, chirwere ichi chinogona kuitika munhengo dzesikarudzi nemusoro nemutsipa.

Unogona kurarama here kana ukawana Necrotizing Fasciitis?

Ehe, unogona kurarama. Chinhu chakakosha kuziva chirwere ichi nekukurumidza uye kutanga kurapwa nekukurumidza. Kana chikanonoka kwenguva refu, ndipo panowedzera kuipa.

Necrotizing Fasciitis inotapukira here?

Izvi hazviwanzo pararira kubva kumunhu kuenda kumunhu.Saka, hazviwanzodiwi kupa mishonga inorwisa mabhakitiriya kuhama dzepedyo dzemurwere. Zvisinei, kana hutachiona hwacho hwakanyanya, chiremba anogona kukumbira hama dzepedyo dzemurwere kuti dzitore mishonga inorwisa mabhakitiriya senzira yekudzivirira.

Zvinotora nguva yakareba sei kuti necrotizing fasciitis itange?

Zviratidzo zvinogona kuonekwa mukati memaawa makumi maviri nemana mushure mekunge wakuvara, kuchekwa, kana kurumwa nezvipembenene. Izvi zvinogona kuwedzera nekukurumidza. Saka tarisa ronda kuti rione kana rakazvimba, rakatsvuka, uye kana rakakura.

Kana uine ronda, rakachekwa, kana kuti rakatsva, rigeze zvakanaka nesipo nemvura. Kana ukatanga fivha, kurwadziwa kwakanyanya, uye/kana nzvimbo tsvuku inopararira nekukurumidza kana kuti yakachinja ruvara inonzwa ichidziya kana ukaibata, tsvaga rubatsiro rwechiremba nekukasika. Kana ukakurumidza kutanga kurapwa, mikana yako yekubvisa Necrotizing Fasciitis inowedzera.

Mharidzo Yekuenda Nayo Kumba

Zvakanaka, saka ikozvino wava kunzwisisa zviri nani chirwere chakakomba chatakataura nezvacho chinonzi ``Necrotizing Fasciitis.`` Heano zvimwe zvinhu zvakakosha zvekurangarira:

• Utachiona uhwu hune njodzi huru, hunopararira nekukurumidza. Hunonziwo 'chirwere chekunyungudutsa nyama'.
• Inogona kutanga kunyangwe neronda diki.
• Ngwarira zviratidzo zvakaita sekurwadziwa kwakanyanya panzvimbo yekukuvara, kutsvuka/kuchinja kweruvara uye kuzvimba zvinopararira nekukurumidza, uye fivha .
• Kana uine zviratidzo izvi, usanonoka wobva waona chiremba nekukasika. Nguva ndiyo inosarudza pakati pehupenyu nerufu pano.
• Kuchengetedza maronda akachena uye kuita utsanana hwakakodzera zvinobatsira zvikuru mukudzivirira kubva kuzvirwere zverudzi urwu.

Tinovimba kuti ruzivo urwu ruchakubatsira. Ramba uine hutano hwakanaka!

` Necrotizing Fasciitis, Chirwere Chinodya Nyama, Utachiona hweMabhakitiriya, Utachiona hweGanda, Chirwere Chinodya Nyama, Rufu rweMitezo, Sepsis