Ngaba inxeba lakho linokuba yingozi? Makhe sithethe ngeGas Gangrene!

Ngaba wakha waba nenxeba elibonakala linzulu kancinci waza waziva usoyika? Ngamanye amaxesha nenxeba elincinci, ukuba alicocwanga kakuhle, linokuba yingozi ngokungalindelekanga. I-gas gangrene yenye yezifo ezinjalo ezinokuba yingozi ebomini ngaphandle kokuba uqaphele. Kubalulekile ukwazi ngale nto, kuba ukuthatha inyathelo ngokukhawuleza kunokusindisa ubomi.

Yintoni iGas Gangrene?

Ngamafutshane, i-gas gangrene lusulelo olukhulu kakhulu olutshabalalisa izicubu zomzimba wakho. Oogqirha balubiza ngokuba yiClostridial Myonecrosis. Idla ngokubangelwa liqela leebhaktheriya ezibizwa ngokuba yiClostridium, ingakumbi iClostridium perfringens.

Khawuthelekelele, xa ezi bhaktheriya zingena emizimbeni yethu, zivelisa iityhefu. Ezi tyhefu ziqala ukutshabalalisa iiseli zethu zegazi, imithambo yegazi, kunye nezicubu zemisipha. Kufana nokuba zibola ngaphakathi. Oku ngamanye amaxesha kunokubangela amadyungudyungu amakhulu, ukudumba, kunye nokutshintsha kombala wesikhumba (umz., ukujika ube mthubi, ube bomvu bumnyama, okanye ube mfusa) ujikeleze inxeba. Ngenxa yokuba ezi bhaktheriya zivelisa igesi ngexesha lenkqubo yazo, xa inxeba livuleka, ngamanye amaxesha linovumba kakubi. Loo gesi yinto ebizwa ngokuba yi "gas gangrene." Le tyhefu inokubangela nokuvuvukala okukhulu emzimbeni wonke.

Oku kuyingozi kakhulu kangangokuba kunokubeka ubomi esichengeni kwiiyure ezimbalwa emva kokuba iimpawu ziqalile.

Ixhaphake kangakanani le meko?

Kodwa esi ayisosifo siqhelekileyo. Enyanisweni asiqhelekanga kakhulu. Umzekelo, ukuba ujonga izibalo kwilizwe elifana neMelika, oku kuxelwa ngaphantsi komntu omnye kwikhulu lamawaka ngonyaka. Ngaphambili, ingakumbi ngexesha leemfazwe zehlabathi, le meko yayixhaphakile kuba kwakungekho ndlela zanamhlanje zokucoca nokubulala iintsholongwane kumanxeba ngokufanelekileyo.

Yintoni umahluko phakathi kweGas Gangrene kunye neNecrotizing Fasciitis?

Usenokuba ukhe weva ngolunye usulelo olubi olubizwa ngokuba yi-"Necrotizing Fasciitis". Iimpawu kunye nezizathu zazo zombini ziyafana kancinci. Zombini zitshabalalisa izicwili kwaye zinokubulala. Umahluko ophambili luhlobo lwezicwili ezichaphazelekileyo.

I-Necrotizing fasciitis idla ngokonakalisa amafutha angaphantsi kolusu lwakho kunye nezicubu ezinxibelelanayo ezixhasa umzimba wakho (i-fascia). I-gas gangrene iwonakalisa kakhulu iiseli zegazi, imithambo yegazi kunye nezicubu zemisipha.

Nangona zombini zinokubangelwa yintsholongwane efanayo, i-gas gangrene idla ngokubangelwa yintsholongwane `(Clostridium)`, kwaye `(Necrotizing Fasciitis)` idla ngokubangelwa yi-`(Group A Streptococcus)` okanye `(Staphylococcus Aureus)`.

Zithini iimpawu ze-gas gangrene?

Xa kuvela i-gas gangrene, ulusu lwakho lunokutshintsha umbala, lube namadyungudyungu amakhulu, kwaye ludumbe kwindawo yenxeba. Ungaphawula nezinye iimpawu, ezinje:

• Intlungu ekufutshane nenxeba: Le ntlungu inokuba qatha kakhulu, nokuba inxeba libonakala lincinci.
• Ifiva.
• Ukunyuka kwesantya sentliziyo (i-tachycardia).
• Ukubila.
• Ukungazoli, ixhala.
• Ukutyheli kwesikhumba (i-jaundice).
• I-Vertigo (ukuziva ngathi uyajikeleza).
• Uxinzelelo lwegazi oluphantsi (uxinzelelo lwegazi oluphantsi).

Injani inxeba?

I-gas gangrene itshabalalisa ulusu lwakho kunye nemisipha. Oku kunokubangela iindawo ezinkulu zezicubu ezifileyo kunye nokudumba. Ngenxa yokuba iintsholongwane zikhula ngokukhawuleza, unokubona utshintsho kulusu lwakho kwimizuzu okanye iiyure. Indawo yenxeba ingabonakala ngolu hlobo:

• Ukudumba.
• Umbala wolusu uyatshintsha: unokuba mthubi, ubomvu obumnyama, okanye ube mfusa.
• Amaqhuqhuva amakhulu okanye iipapule: Ezi zinokuba bomvu, mdaka, luhlaza okotshani, okanye mnyama.
• Ubukho beepokotho zomoya kulwelo oluphantsi kwesikhumba okanye ngaphakathi kwiblister.
• Ulwelo oluphuma kwiimpumlo lunevumba elibi.
• Isandi "esiqhekekayo" okanye imvakalelo xa i-blister ichukunyiswa (i-crepitus).

Ivumba njani irhashalala yegesi?

Ulwelo oluphuma kwi-gas gangrene blisters ludla ngokuchazwa njengolunevumba elibi kakhulu, elibolileyo okanye ivumba elimnandi nelingathandekiyo .

Yintoni ebangela ukubola kwegesi?

I-gas gangrene idla ngokubangelwa yintsholongwane iClostridium perfringens. Nangona kunjalo, ezinye iintlobo zeClostridium kunye nentsholongwane yeGroup A Streptococcus nazo zinokubangela oku.

Ezi bhaktheriya zihlala emhlabeni, nakwindlela ye-GI yabantu nezilwanyana. Zivelisa iityhefu ezitshabalalisa iiseli zethu, kuquka iiseli zegazi, imithambo yegazi kunye nezicubu zemisipha.

Ezi bhaktheriya ziyachuma kwindawo engenaoksijini ininzi. Xa zitshabalalisa iiseli zethu zegazi, umlinganiselo weoksijini ofikelela kwizicwili uyancipha. Oku kwenza kube lula ukuba zikhule, zivelise iityhefu, kwaye zisasaze umonakalo ngokukhawuleza. Inkqubo yokuqhekeza izondlo ngaphandle kweoksijini (ukubila) yiyo edala loo maqamza egesi.

Oku kungena njani emzimbeni?

Eyona ndlela ixhaphakileyo yokukhula kwe-gas gangrene kuxa inxeba elinzulu nelinzima lingena emzimbeni. Amanxeba anjalo kunzima ukuwacoca ngokupheleleyo. Kwakhona, la manxeba awachaphazeleki kakhulu yioksijini emoyeni. Ioksijini yiyo ebulala iintsholongwane `(C. perfringens)`. Inxeba linokuba ne-gas gangrene ukuba:

• Ukuba inxeba lihambe laya kutsho kwisihlunu.
• Ukuba inxeba lingcolile ngenxa yothuli okanye inkunkuma.
• Ukuba awukwazi ukucoca inxeba ngokukhawuleza emva kokuba livele.

Khawucinge nje, masithi uwa ebhayisekileni yakho uze uchetywe kakhulu endleleni. Okanye, ngelixa usebenza efama, utshayiswa yinto efana nekhuba uze uchetywe nzulu. Ukungcola kunye nokungcola kungangena lula kolu hlobo lwamanxeba. Ukuba akucocwanga kakuhle, le yindawo efanelekileyo yebhaktheriya `(Clostridium)` endikhankanyileyo ngaphambili. Imizekelo yoku ibandakanya amanxeba okudutyulwa kunye nokwenzakala okukhulu okufana namanxeba okuhlatywa.

Nazi izizathu ezingaqhelekanga:

• Ezinye iindlela zotyando lwesisu kwi-colon, gallbladder, okanye esiswini.
• Utyando okanye iinkqubo zotyando lwabasetyhini.
• Iithumba okanye ezinye iimeko zempilo ezingonakalisa amathumbu.
• Ukuzala.
• Xa kuthe kwaphuma isisu.
• Iingxaki zeemeko ezinciphisa ukuhamba kwegazi ukuya kwizicwili, ezifana nesifo seswekile. Ukunqongophala komoya-mpilo kwenza kube lula ukuba iintsholongwane zikhule, nto leyo ebangela ukubola kwegesi.

Ziziphi izinto ezibangela umngcipheko we-gas gangrene?

Ukwenzakala kakhulu kunye notyando lwesisu kukubeka emngciphekweni omkhulu we-gas gangrene ebuhlungu, eyenzeka kwindawo yenxeba. Usemngciphekweni omkhulu we-gas gangrene ezenzekelayo, eyenzeka ngaphandle kokwenzakala, ukuba unenye yezi meko zilandelayo:

• Umhlaza wamathumbu amakhulu.
• I-Diverticulitis (imeko enokwenzakalisa amathumbu amakhulu).
• Isifo seswekile (iDiabetes Mellitus)`.
• Izifo zemithambo yegazi, umzekelo, i-atherosclerosis (apho amafutha aqokelelwa ngaphakathi kwemithambo yegazi aze ayivale).

Kodwa khumbula into enye, nangona kukho ezi zinto zinobungozi, amathuba akho okuba ne-gas gangrene aphantsi kakhulu. Kodwa kubalulekile ukuba uqaphele.

Zithini iingxaki ze-gas gangrene?

Ukubola kwegesi kunokukhokelela ngokukhawuleza kwiingxaki ezisongela ubomi. Ezona ziphambili zezi:

• Ukungasebenzi Kwezintso: Ngenxa yokuba iintsholongwane zitshabalalisa ngokukhawuleza iiseli ezibomvu zegazi, izintso, ezicoca igazi lethu, azisenakwenza umsebenzi wazo kwaye zingasebenzi.
• I-Sepsis kunye ne-Septic Shock: I-Clostridium difficile ibangela ukuba amasosha omzimba ethu asabele ngokugqithisileyo. Oku kunokubangela ukudumba emzimbeni wonke, ukwehla ngequbuliso koxinzelelo lwegazi, kunye nokungasebenzi kakuhle kwamalungu omzimba. Oku kubizwa ngokuba yi-septic shock. Zombini ezi meko zibeka ubomi esichengeni.

Uyifumanisa njani i-gangrene yegesi?

Ngoku usenokuba uzibuza, ugqirha wazi njani ngokuqinisekileyo ukuba le yi-gas gangrene?

Uninzi lwexesha, ugqirha uya kufumana umbono wokuqala ngokumamela iimpawu zakho aze ajonge inxeba. Emva koko, baya kuthatha iqhekeza lesicwili esilimeleni okanye isampuli yolwelo baze bajonge phantsi kwe-microscope ukuqinisekisa oku. Ngamanye amaxesha, banokusebenzisa ii-X-ray, ii-CT scans, okanye ii-MRI ukujonga umonakalo kwizicubu.

Zeziphi iimvavanyo ezenziwayo ukufumanisa oku?

Ukuqinisekisa okanye ukuthatha isigqibo ngonyango, ugqirha angenza iimvavanyo ezifana nezi:

• Uvavanyo lwemifanekiso: Ii-X-ray, ii-CT scans, okanye ii-MRIs zingasetyenziselwa ukubona ukuba kukho amaqamza egesi kwizicubu okanye ukuba kukho utshintsho kwimisipha.
• Ukwaphuka okanye ukukhuliswa kweentsholongwane: Isampulu yolwelo oluvela enxebeni ihlolwa phantsi kwemakroskopu ukuze kubonwe ukuba kukho na iintsholongwane ezibangela ukubola kwegesi. Ngamanye amaxesha iintsholongwane zikhuliswa kwilebhu kwaye zikhuliswe.
• I-Biopsy: Kuthathwa iqhekeza elincinci lesicwili kwindawo enesilonda size sihlolwe ukuba akukho monakalo okanye utshintsho.

Ziziphi iindlela zonyango lwe-gas gangrene?

I-gangrene yegesi yimeko efuna unyango olukhawulezileyo. Akuyonto ilungileyo ukulibazisa. Ugqirha wakho uza kukunika iidosi eziphezulu zee-antibiotics kwaye uza kwenza utyando lokususa uninzi lwezicubu ezisulelekileyo kangangoko kunokwenzeka. Ngokuxhomekeke kubukhulu bosulelo, unokufuna unyango olongezelelweyo. Uza kugcinwa esibhedlele kwaye ujongwe ngokusondeleyo ngeli xesha lonyango.

Iindlela eziphambili zonyango zoku zezi:

• Ukucocwa kwezicubu: Kulapho ugqirha enza utyando lokususa izicwili ezifileyo, ezonakeleyo, kunye nenkunkuma enxebeni. Oku kubalulekile kuba iintsholongwane zinokuqhubeka zikhula logama nje izicwili ezifileyo zikhona.
• Ii-antibiotics: Rhoqo, kunikwa umxube wee-antibiotics ezimbini, i-penicillin kunye ne-clindamycin, ukubulala iintsholongwane ezibangela i-gas gangrene. Ezi zinikwa nge-intravenously (IV).
• Ukunqunyulwa kwelungu: Kwezinye iimeko ezinzima, eyona ndlela ilungileyo yokuthintela usulelo ukuba lungasasazeki kwaye usindise ubomi kukususa ilungu okanye umlenze osulelekileyo. Kuqikelelwa ukuba malunga nomntu omnye kwabahlanu abafumana i-gangrene yegesi kuya kufuneka anqunyulwe ilungu okanye umlenze. Oku kunokuvakala kusoyikisa, kodwa kunokuba yimfuneko ukusindisa ubomi.
• Unyango lwe-Hyperbaric Oxygen: Olu lunyango olukhethekileyo. Kulo, ubekwa kwigumbi elikhethekileyo kwaye unikwe i-oxygen eyi-100%. Oku kunomlinganiselo we-oxygen ophindwe kahlanu kunomoya oqhelekileyo. Oku kwandisa ubungakanani be-oxygen efikelela kwizicwili, nto leyo enceda ukuba ziphilise. Kwakhona, ekubeni intsholongwane iClostridium ingawuthandi umoya, olu nyango lukwanceda ukulawula usulelo.

Ungayithintela njani i-gas gangrene?

Ngoku makhe sibone ukuba singenza ntoni ukuze sihlale sikhuselekile kule gangrene iyingozi yegesi.

Oogqirha kunye nabasebenzi basesibhedlele bathatha amanyathelo amaninzi okuthintela usulelo xa besenza utyando, kuquka nokuthintela usulelo lweebhaktheriya olubangela ukubola kwegesi.

Nazi ezinye izinto onokuzenza ukuze uzikhusele koku nakwezinye izifo ezibangelwa ziintsholongwane:

• Hlamba inxeba kakuhle ngesepha namanzi kwangoko xa livela. Yenza oku nokuba linxeba elincinci.
• Ukuba unenxeba elinzulu, funa ingcebiso kagqirha ngokukhawuleza. Ingakumbi ukuba linxeba ongenakukwazi ukulicoca ngokupheleleyo ngesepha namanzi, qiniseka ukuba ubona ugqirha.
• Hlala ujonge inxeba. Khangela utshintsho kumbala wolusu, iintlungu eziqatha, okanye ukudumba. Ukuba ubona nayiphi na kwezi, xelela ugqirha.
• Nxiba impahla yokuzikhusela egubungela iingalo nemilenze yakho xa ukhwela ibhayisekile okanye ibhayisekile. Oku kubalulekile ukuze uzikhusele ekwenzakaleni okufana nokurhawuzelelwa kwendlela, okunokwenzeka.
• Ukuba unesifo, esifana nesifo seswekile, esichaphazela imithambo yegazi kunye nokujikeleza kwegazi, okanye esenza buthathaka inkqubo yomzimba yokuzikhusela, funa unyango kugqirha.

Yintoni onokuyilindela xa kukho i-gas gangrene?

Kulungile, ngoku makhe sibone ukuba ungalindela ntoni ukuba unesifo sokubola kwegesi.

Ngenxa yokuba le yimeko engxamisekileyo esongela ubomi, kuya kufuneka uhlale esibhedlele ude ufumane unyango. Apho, oogqirha baya:

• Nyanga kwaye ucoce amanxeba akho rhoqo.
• Ii-antibiotics zinikwa ngemithambo yegazi (ii-antibiotics ze-IV).
• Hlala ulumkele utshintsho olukwimeko yakho.
• Kuza kwenziwa unyango olongezelelweyo kunye novavanyo ngokuxhomekeke kwimeko yakho.

Ingqikelelo ixhomekeke kwisizathu sosulelo kunye nokuba lufumaneka phi emzimbeni usulelo. Abantu abafumana i-gas gangrene kwimilenze banethuba elingcono lokuchacha kunabo bafumana i-gas gangrene esiswini okanye esifubeni, okanye abo bafumana i-gangrene ye-gas ezenzekelayo ngaphandle kokwenzakala.

Ngaba oku kungasindisa ubomi?

Ewe, ukuba ufumana unyango ngokukhawuleza, ngokuqinisekileyo ungasindisa ubomi bakho. Kodwa nangona unyango lukhona, kukho amathuba okufa angama-20% ukuya kuma-30%. Ukuba awufumani unyango, luhlala lubulala. Yiyo loo nto kucetyiswa ukuba ubone ugqirha ngokukhawuleza ukuba unamathandabuzo amancinci.

Ufanele uye nini kugqirha?

Ukuba unesilonda esingena ngaphakathi, kufuneka ubone ugqirha ngoko nangoko. Amanxeba anzulu kuya kufuneka acocwe ngokukhawuleza kwaye asenokufuna ukuthungwa. Ugqirha wakho angakunika nee-antibiotics ukuthintela usulelo.

Ufanele uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba uneempawu ze-gas gangrene, ingakumbi ukuba usandul’ ukuba nenxeba elinzulu okanye utyando, yiya kwigumbi likaxakeka elikufutshane ngokukhawuleza.Oku kunokuba yingozi ukuba akunyangwa ngokukhawuleza.

Imibuzo omele uyibuze ugqirha wakho

Xa ubona ugqirha, kuya kuba luncedo kuwe ukubuza imibuzo efana nale:

• Ingxaki yam inzulu kangakanani?
• Yintoni ebangela olu sulelo?
• Zeziphi iindlela zonyango ezikhoyo kum?

Okokugqibela, eyona nto ibalulekileyo endinokuyithetha kuwe

I-gas gangrene sisifo esingaqhelekanga kodwa esisongela ubomi. Singanyangeka ukuba sifunyenwe kwangethuba. Nangona kunjalo, sinokuba sibi kwiiyure okanye kwimizuzu embalwa emva kokuqala kweempawu.

Ngoko ke, ukuba unamathandabuzo amancinci, ukuba inxeba libonakala lingaqhelekanga, okanye ukuba intlungu ibonakala igqithisile, nceda ungalibazisi kwaye ufune ingcebiso kagqirha ngoko nangoko. Ubomi bakho bunokuxhomekeka kulo.

I- Gas Gangrene, iClostridium, iClostridium perfringens, Usulelo lwenxeba, iTissue Necrosis, Usulelo lweBhaktheriya, Unyango oluNgxamisekileyo