Khawuthelekelele indlela obuya kuziva ngayo ukuba ngequbuliso uqala ukuziva iintlungu eziqatha, ukudumba, kunye nokutshintsha kombala kumalungu akho esini. Uninzi lwexesha, singayithatha le nto njengosulelo nje lolusu. Kodwa inokuba luphawu lokuqala losulelo oluyingozi kakhulu nolusongela ubomi olubizwa ngokuba yiFournier's Gangrene . Ekubeni lusasazeka ngokukhawuleza, nokuba ziiyure ezimbalwa zokulibaziseka kunokuthetha umahluko phakathi kobomi nokufa. Ngoko ke masifunde ngakumbi ngale meko inzima namhlanje.
Ngamafutshane, yintoni iFournier's Gangrene?
Olu luhlobo lwentsholongwane olungaqhelekanga, kodwa luyingozi kakhulu. Luchaphazela kakhulu amalungu ethu esini kunye nendawo ejikelezileyo (i-perineum). Ngokwezonyango, lukwicandelo le- "necrotizing fasciitis." Ukuva eli gama kuvakala kuyoyikisa kancinci, akunjalo? Isizathu kukuba iintsholongwane ezibangela olu hlobo lwentsholongwane zisasazeka ngokutshabalalisa nokunyibilikisa izicubu ezithambileyo zomzimba wethu.
Khawucinge ngoku. Ngandlela thile, iintsholongwane zingene kwindawo yethu yangasese ngesikhumba. Iintsholongwane zihamba ziye kumaleko obunzulu besikhumba sethu, i-hypodermis , kunye ne-membrane encinci ejikeleze izihlunu, i-fascia . Ezi maleko zinzulu kulapho ikhoyo imithambo yegazi ehambisa igazi kuloo ndawo.
Xa intsholongwane isulelekile, iintsholongwane ziyayitshabalalisa le mithambo yegazi. Emva koko izicubu ezikuloo ndawo azifumani gazi kwaye ziqala ukufa. Njengoko izicubu zisifa ngale ndlela, iintsholongwane ziqala ukusasazeka ngokukhawuleza kwezinye iindawo, umzekelo, emathangeni, esiswini, nasesifubeni.
Into ebalulekileyo kukuba xa olu sulelo luqala ukubonakala phezu kolusu, sele lubangele umonakalo omkhulu kwizicubu ezinzulu kunye nemithambo yegazi engaphantsi kolusu. Ngoko ke, kubaluleke kakhulu ukuqaphela iimpawu zokuqala.
Zithini iimpawu zesi sifo? Sifunyaniswa njani?
Iimpawu zeFournier's Gangrene zinokuvela ngequbuliso, ngoko ke kubalulekile ukuzijonga.
| Uhlobo lwempawu | Inkcazo |
|---|---|
| Iimpawu zokuqala (kwindawo yesini) |
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| Ezinye iimpawu eziqhelekileyo emzimbeni |
|
| Iimpawu eziqatha ezenzekayo xa zilibazisekile |
|
Ingakumbi ukuba unesifo seswekile , nokuba uthatha i-insulin njengoko kuyalelwe, amanqanaba eswekile egazini lakho asenokungalawuleki. Oku kungaba luphawu losulelo.
Le bhaktiriya ingena njani emzimbeni?
Zininzi iindlela ezisetyenziswa yile ntsholongwane ukungena emizimbeni yethu. Eyona ndlela ixhaphakileyo kukungena kwinxeba okanye ukuqhekeka kwesikhumba esijikeleze amalungu esini okanye i-anus.
- Ithumba okanye ithumba
- I-Anal fistula
- Usulelo olukwithumbu elikhulu (i-Diverticulitis)
- Usulelo lwesinyi okanye usulelo lwendlela yomchamo (UTI)
- Izilonda zesini
- Ukukrwela okanye ukutsha ngexesha lokwabelana ngesondo
- Ukubhoboza amalungu esini
- Ukulunywa okanye ukuhlatywa zizinambuzane
- Nokuba umkrwelo okanye isilonda esincinci sinokubangela oku.
Zombini iintsholongwane ezingena-aerobic kunye ne-aerobic zinokuba negalelo kolu sulelo. Iintlobo eziqhelekileyo zeentsholongwane yi -E. coli, i-Staphylococcus, i-Streptococcus, kunye ne-Bacteroides.
Ngubani osengozini enkulu yokufumana esi sifo?
Nangona i-Fournier's Gangrene inokwenzeka nangaliphi na ixesha, ixhaphake ngokuphindwe kalishumi kumadoda kunakwabasetyhini. Ukongeza, ezinye iimeko zempilo kunye nemikhwa yokuphila inokunyusa le ngozi.
Izinto Ezinobungozi
- Isifo seswekile: Umngcipheko uphezulu kakhulu kwabo banesifo seswekile esingalawulekiyo.
- Ukunciphisa amasosha omzimba: Ngenxa yezizathu ezinje ngosulelo lwe-HIV kunye nonyango lwe-chemotherapy lomhlaza.
- Ukuba uneminyaka engaphezu kwama-50 ubudala.
- Ukutyeba kakhulu: Isalathisi sobunzima bomzimba (BMI) esingaphezulu kwama-30.
- Ukusela utywala ngokugqithisileyo.
- Ukutshaya nokusebenzisa ezinye iimveliso zecuba.
- Izifo zentliziyo.
- I-cirrhosis yesibindi okanye ukungasebenzi kakuhle kwesibindi.
- Ukungasebenzi kakuhle kwezintso.
- Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu).
Ukuba nezi zinto zinobungozi akuthethi ukuba uza kufumana esi sifo ngokuqinisekileyo. Kuthetha ukuba kufuneka ulumke ngakumbi kunabanye.
Oogqirha bayixilonga njani le sifo kwaye zithini iindlela zonyango?
Uxilongo
Ngenxa yokuba le yimeko engxamisekileyo, oogqirha banokwenza isigqibo malunga nesifo ngokusekelwe kwiimpawu kunye novavanyo lomzimba. Ngamanye amaxesha, kusenokungabikho xesha lokwenza naluphi na uvavanyo. Nangona kunjalo, ukuba kukho ixesha, ezi vavanyo zilandelayo zingenziwa ukuqinisekisa umthombo kunye nokusasazeka kosulelo:
- I-CT scan: Ukujonga ukuba umoya kunye nolwelo ziqokelelene na ngaphakathi kwizicubu.
- I-ultrasound scan: Ukubona ukuba kukho umoya kwizicubu ezithambileyo kunye nokwahlula kwezinye iimeko zonyango.
- I-X-reyi: Jonga ukuba umoya usasazeke kangakanani.
- Uvavanyo lwegazi: Jonga ukuba kukho inani eliphezulu leeseli ezimhlophe zegazi, ezibonisa usulelo, okanye ukuba kukho i-septic shock.
Iindlela zonyango
Unyango olungcono nolukuphela kwalo lweFournier's Gangrene lutyando olungxamisekileyo. Oku kufuna ukuba ungeniswe kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngaphandle kokulibazisa.
Inkqubo yonyango inamanyathelo aliqela:
1. Ukususa izicubu ezifileyo: Eli lelona nyathelo libalulekileyo. Ugqirha uza kususa zonke izicwili ezisulelekileyo, ezifileyo, nezonakaliswe yintsholongwane. Oku kuya kuyithintela intsholongwane ukuba isasazeke. Ngamanye amaxesha, kunokufuneka utyando oluninzi ukuze kususwe ngokupheleleyo izicwili ezifileyo.
2. Ii-antibiotics: Emva kotyando, ii-antibiotics ezinamandla ezibanzi ezisebenza kwiintlobo ezahlukeneyo zeebhaktheriya zinikwa ngemithambo yegazi.
3. Unyango oluncedisayo:
- Abanye abantu banokufuna ukuhlinzwa okwethutyana ukuze bathintele ukuba indle ingangeni enxebeni de inxeba liphole.
- Ukuthintela ukosuleleka kwenxeba le-urethra, ityhubhu (i-suprapubic catheter) inokufakwa ngesisu iye kwisinyi.
4. Unyango lwe-Hyperbaric Oxygen (HBOT): Kwezinye iimeko, isigulana sifakwa kwigumbi eline-hyperbaric kwaye sinikwe i-oxygen eyi-100%. Oku kunceda izicubu ezonakeleyo ziphilise ngokukhawuleza kwaye kuthintele ukukhula kweebhaktheriya.
5. Utyando lokwakha ngokutsha: Emva kokuba usulelo luphelile ngokupheleleyo, utyando lweplastiki lunokufuneka ukuze kubuyiselwe indawo apho izicubu ezisusiweyo zazikhona.
Imibuzo ebuzwa rhoqo kunye neendlela zokuthintela
Ingaba esi sisifo esidluliselwa ngesondo (STI)?
Hayi. Isifo sikaFournier asisosifo esidluliselwa ngesondo. Asinakudluliselwa kuwe siye komnye umntu, kwaye asinakudluliselwa komnye umntu siye kuwe.
Ingaba esi sisifo esibangelwa kukungazinzi kakuhle kococeko?
Imikhwa emibi yococeko inokunyusa umngcipheko. Ukungagcini indawo yesini kunye nendawo engqongileyo icocekile ngesepha namanzi rhoqo kunokuvumela ukuba iintsholongwane zikhule. Nangona kunjalo, nomntu ococekile usenokufumana olu sulelo ngokusikwa okuncinci.
Yintoni enokwenziwa ukuze kuthintelwe oku?
Nangona ingenakuthintelwa ngokupheleleyo, ezi zinto zinokunceda ekunciphiseni umngcipheko:
- Lawula izifo ezifana nesifo seswekile kakuhle: Sela amayeza akho ngexesha kwaye ulawule ukutya kwakho.
- Gcina indawo yangasese icocekile.
- Ukuba ucheba kuloo ndawo, sebenzisa i-razor ecocekileyo nebukhali . Lumka ungabangeli mingxunya.
- Nokuba linxeba elincinci okanye ukukrweleka, licoce kakuhle kwaye uqaphele ukuba lingasuleleki.
- Gcina ubunzima bakho busempilweni.
- Yeka ukutshaya nokusebenzisa utywala.
- Ziqhelise ukutya okunempilo kwentliziyo kunye nokuzilolonga rhoqo .
Umyalezo Wokuya Ekhaya
- Isifo sikaFournier yingxaki yezonyango engaqhelekanga, kodwa enokuba yingozi ebomini.
- Lumka kakhulu malunga neentlungu eziqatha ngequbuliso, ukudumba, kunye nokutshintsha kombala wolusu (ukuba bomvu, ukuba mfusa, ukuba mnyama) ngaphakathi okanye kufutshane nesini sakho.
- Ukuba ezi mpawu zihamba nomkhuhlane kunye nokubanda, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngaphandle kokulibazisa.
- Ukuba unezinto ezinobungozi ezifana nesifo seswekile, kubalulekile ukulawula iimeko zakho zempilo kakuhle kwaye uqaphele utshintsho lolusu.
- Kwesi sifo, xa unyango luqalwa ngokukhawuleza, amathuba okusindisa ubomi ayanda kwaye uphile ngokupheleleyo. Ngoko ke ungaze uzityeshele ezi mpawu. Thetha nogqirha wakho.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 🤒 Yintoni iFournier's Gangrene? Ngaba yinto yokoyika ngokwenene?
Ewe, le yimeko eyingozi kakhulu. Okwenzekayo kukuba izicwili ezijikeleze indawo yethu yesini kunye ne-anus zitshatyalaliswa ngokukhawuleza kwaye ziqale ukubola (ukubola kwesikhumba) ngenxa yosulelo lwebhaktheriya. Le yimeko esongela ubomi efuna unyango olungxamisekileyo.
💬 🤔 Ngubani onokuba nesi sifo?
Nangona ixhaphake kakhulu kubantu abangamadoda, ayinakwenzeka kangako kubantu basetyhini. Ixhaphake kakhulu kubantu abanesifo seswekile esingalawulekiyo, abo baneenkqubo zomzimba ezibuthathaka, kunye nabo basela utywala obuninzi.
💬 🚨 Zithini iimpawu zoku? Sifanele soyike nini?
Iimpawu eziphambili ziintlungu eziqatha, ukudumba, kunye nokubomvu okujikeleze indawo yangasese. Kwakhona, ukuba kukho ivumba elibi elivela kuloo ndawo, umkhuhlane ophezulu, kunye nento ebonakala ngathi kukwenzakala, musa ukulibazisa. Eyona nto ibalulekileyo kukuya esibhedlele kwaye ufumane unyango ngokukhawuleza.
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