Ngaba uyayazi le sifo siyingozi 'sokunyibilikisa inyama' (Necrotizing Fasciitis)? Masithethe!

Xa ufumana inxeba elincinci, kuyinto eqhelekileyo ukuba libole kancinci lize liphole kwiintsuku ezimbalwa. Kodwa ngaba wakha weva ngesifo esiyingozi, esisongela ubomi esiqala kwinxeba elincinci size sinyibilikise inyama kancinci kancinci? Le yenye yeemeko eziyingozi esiza kuthetha ngazo namhlanje, ezibizwa ngokuba yiNecrotizing Fasciitis. Abanye abantu babiza ngokuba yiFasciitis etya inyama.

Yintoni iNecrotizing Fasciitis?

Ngamafutshane, iNecrotizing Fasciitis lusulelo olukhulu kakhulu olusasazeka ngokukhawuleza kwaye lunokukhokelela ekufeni. Igama elithi 'necrotizing' lithetha 'ukubangela ukuba enye into ife'. Igama elithi 'Fasciitis' libhekisa ekuvuvukeni kwefascia.

Ngoku usenokuba uyazibuza ukuba yintoni i-fascia. Sisicwili esifana ne-membrane esijikeleze izihlunu, imithambo-luvo, amafutha, kunye nemithambo yegazi phantsi kolusu lwethu. Ngokuchanekileyo, esi sisicwili esingaphantsi kolusu.

I-Necrotizing Fasciitis luhlobo losulelo olubizwa ngokuba yi-Necrotizing Soft Tissue Infection (NSTI). Le NSTI ibandakanya ezinye izifo, ezifana ne-Necrotizing Myositis (usulelo olubangela ukufa kwemisipha) kunye ne-Necrotizing Cellulitis (usulelo olubangela ukuba iiseli ezingaphantsi kolusu zife).

Ngaba kukho iintlobo zeNecrotizing Fasciitis?

Ewe, kukho iintlobo ezimbini eziphambili:

1. Iintsholongwane ezibangela iintsholongwane ezininzi okanye uhlobo I: Oku kubangelwa ziintlobo ezahlukeneyo zeentsholongwane. Kwiimeko ezininzi, zombini iintsholongwane ezibangela iintsholongwane ezibangela iintsholongwane ezibangela iintsholongwane kunye nezibangela iintsholongwane ezibangela iintsholongwane ezibangela iintsholongwane.

2. I-Monomicrobial okanye i-Type II: Oku kudla ngokubangelwa luhlobo olunye lwebhaktheriya. Ngokuqhelekileyo, kubangelwa yibhaktheriya ethi ``Group A Streptococcus`` okanye ``Staphylococcus aureus``.

Ngubani onokuthi abe nesi sifo?

Abanye abantu basengozini enkulu yokuba ne-"Necrotizing Fasciitis." Makhe sijonge ukuba bangoobani:

• Abantu abaneenxeba zesikhumba okanye amanxeba kwi-mucous membranes (umz. ngaphakathi emlonyeni, empumlweni): Oku kuquka amanxeba awenziwa ngexesha lotyando. Nokuba ngumkrwelo omncinci unokuba yingxaki ngamanye amaxesha.
• Abantu abatyebe kakhulu: Oko kukuthi, abantu abatyebe kakhulu.
• Abantu abaneSifo seswekile: Uyazi ukuba xa unesifo seswekile, amanxeba ayaphola kancinci kwaye usulelo lukhula lula. Abantu abanjalo nabo banamathuba amaninzi okuba nale ngxaki.
• Abantu abanengxaki yokusebenzisa utywala: Ukusebenzisa utywala kakhulu kukwangumngcipheko.
• Abantu abaneenkqubo zomzimba ezibuthathaka: Oko kukuthi, abantu abanamandla omzimba okulwa nezifo anciphileyo.
• Abantu abaneengxaki ngenkqubo yemithambo yegazi.
• Abantu abanesifo somhlaza.
• Abafazi abakhulelweyo.

Ingaba sixhaphake kangakanani esi sifo? Ingaba siyingozi?

I-Necrotizing Fasciitis ayisosifo sixhaphakileyo. Ngokwezibalo, ukwenzeka kwayo kuphakathi kwe-0.3 ne-15 kwi-100,000 nganye. Nangona kunjalo, kukholelwa ukuba inani langempela lezigulana linokuba phezulu. Umzekelo, i-Necrotizing Fasciitis, ebangelwa yi-Group A strep, kuthiwa yenzeka kwiimeko ezingama-700 ukuya kwi-1,200 ngonyaka.

Esi sifo sibi kakhulu kangangokuba, nokuba sinyangwa, umntu omnye kwabathathu osifumanayo uya kufa. Yiyo loo nto unyango lwasekuqaleni lubaluleke kangaka.

Ziziphi iimpawu zeNecrotizing Fasciitis?

Iimpawu zokuqala zesi sifo zinokufana nezomkhuhlane oqhelekileyo, ngoko ke ngamanye amaxesha kunokuba nzima ukuzazi ekuqaleni.

Iimpawu zokuqala:

• Iintlungu zomzimba
• Ifiva
• Ukugodola
• Isicaphucaphu
• Urhudo
• Intlungu enzima nenganyamezelekiyo kwindawo yokwenzakala. Olu luphawu olubaluleke kakhulu kwasekuqaleni. Intlungu inokuba nkulu kakhulu kunobungakanani benxeba.

I-Necrotizing Fasciitis sisifo esisasazeka ngokukhawuleza, ngoko ke iimpawu zinokuba nzima ngokukhawuleza.

Iimpawu kamva:

• Ubomvu kunye nokutshintsha kombala wesikhumba kwindawo yokwenzakala (umsobo omnyama, omnyama).
• Ukudumba kwezicubu ezichaphazelekayo.
• Ukuhamba kwegazi okungazinzanga.
• Amaqhuqhuva azele ligazi okanye ulwelo olumthubi.
• I-necrosis yezicubu.
• Uxinzelelo lwegazi oluphantsi.
• I-Sepsis (ityhefu egazini).

Eyona nto ibalulekileyo kukuba ukuba uneempawu ezinje, ingakumbi iintlungu eziqatha kunye nenxeba kunye nokutshintsha kombala wesikhumba kunye nokudumba, kufuneka ubone ugqirha ngoko nangoko.** Olu sulelo lusasazeka ngesantya esimangalisayo.

Zithini izizathu zesi sifo 'sokunyibilika kwenyama'?

Isiqhelo, i-"Necrotizing Fasciitis" yenzeka xa iintsholongwane zingena emzimbeni wakho ngokusika okanye ukukrwela eluswini lwakho. Kodwa ngamanye amaxesha ingenzeka ngaphandle kwesilonda eluswini, njengakwinto ethile engaphakathi emzimbeni wakho, njengokukrwela.

Indlela iibhaktheriya ezingena ngayo emzimbeni:

• Ukusikwa, ukukrweleka, ukutsha.
• Amanxeba okulunywa zizinambuzane (umz., ukulunywa ziingcongconi kakhulu).
• Ukubhoboza amanxeba abangelwa zizinto ezifana neenaliti.
• Emva kotyando.
• Nangona unobangela oyintloko yintsholongwane ethi ``Group A strep``, inokubangelwa zezinye iintsholongwane ezininzi. Ezinye iintsholongwane ezihlala emanzini nazo zinokubangela oku. Oku kuthetha ukuba ukuba udibana nenxeba kwiindawo apho kukho amanzi angcolileyo, nawe usengozini.

Oogqirha bayixilonga njani le nto?

Ukuba ugqirha wakho urhanela esi 'sifo sokunyibilika kwenyama' emva kokukuhlola nokumamela iimpawu zakho, uya kuyalela uvavanyo oluthile:

• Uvavanyo lwegazi: Umzekelo, ukubalwa kwegazi okupheleleyo (CBC).
• Ukukhula kwezicubu ezinzulu: Kuthathwa iqhekeza elincinci lezicubu kwindawo enesifo kwaye livavanywe ukuze kubonwe ukuba zeziphi iintsholongwane ezikhoyo.
• I-biopsy yezicubu: Kuthathwa iqhekeza lezicubu lize lihlolwe phantsi kwe-microscope ukuze kuqinisekiswe ukuba izicubu zifile na.
• Uvavanyo lokufota: I-CT scan (i-Computed Tomography scan) inokwenziwa rhoqo.

Ukongeza, ugqirha uza kwenza utyando ukuqinisekisa ukuba yiNecrotizing Fasciitis. Kwakhona, utyando luza kuqala ngokukhupha izicubu ezifileyo.

Inyangwa njani iNecrotizing Fasciitis?

Ukungenelela ngokukhawuleza kubalulekile ukulawula esi sifo.

• Utyando: Inkqubo yotyando ebizwa ngokuba yi-"debriding" iyafuneka ukuqinisekisa ukuxilongwa nokususa zonke izicwili ezifileyo . Ngamanye amaxesha, utyando olunye lusenokunganeli. Utyando oluninzi (oludla ngokuba malunga nolwesithathu) lunokufuneka de usulelo lulawulwe ngokupheleleyo.
• Ii-antibiotics: Ii-antibiotics ezinamandla zinikwa ngemithambo yegazi (IV).
• Ulwelo olufakwa emthanjeni (ii-IV fluids): Oku kunceda ukugcina amanqanaba olwelo emzimbeni kunye nokuzinzisa uxinzelelo lwegazi.

Emva kotyando, ukufakelwa kwesikhumba okanye utyando lweplastiki kunokufuneka ukuze kupholiswe ngokupheleleyo amanxeba.

Ziziphi iingxaki ezinokubakho zesi sifo?

Iingxaki ezininzi ze-"Necrotizing Fasciitis" zinkulu kakhulu. Ziquka:

• Amanxeba
• Ukulahlekelwa ngamalungu omzimba (ukuba usulelo lusasazeka, loo malungu kuya kufuneka anqunyulwe)
• Isifo soxinzelelo olunobungozi
• I-Sepsis (ityhefu yegazi)
• Ukufa

Ungazikhusela njani kwiNecrotizing Fasciitis?

Okwangoku akukho gonyo lokugonya oku. Nangona kunjalo, kukho izinto onokuzenza ukunciphisa umngcipheko wokufumana usulelo lwesikhumba olubangelwa ziintsholongwane, kuquka iNecrotizing Fasciitis:

• Ngokukhawuleza ngokungxamisekileKuphephe ukusikwa, ukukrweleka, ukutsha, kunye nokulunywa zizinambuzane.
• Ukuba unenxeba, lihlambe kakuhle ngesepha namanzi uze uligqume ngebhandishi ecocekileyo ide iphole.
• Ukuba unezinxeba ezinzulu okanye ezinzima okanye amanxeba okubhoboza, bona ugqirha.
• Gcina izandla zakho zicocekile ngokuzihlamba rhoqo ngesepha okanye usebenzisa imveliso yokucoca izandla esekwe kwi-alcohol-antibacterial.
• Ukuba unenxeba okanye isilonda eluswini lwakho, musa ukuya kumadama okudada, kwiibhafu ezishushu, okanye kwiindawo zamanzi ezingaphandle (ezifana namachibi, imilambo).

Ufanele uye nini kugqirha? (Isikhumbuzo)

Ukuba unale mpawu, funa ingcebiso kagqirha ngoko nangoko:

• Ukuba umbala wolusu utshintshile kwaye indawo ibonakala ikhula ngokukhawuleza ngenxa yokudumba .
• Ukuba kukho intlungu enganyamezelekiyo .
• Ukuba unomkhuhlane .

Yintoni onokuyilindela ukuba unesifo esi?

Ukuba unesifo esi, iziphumo ezilungileyo zifumaneka ngokuxilongwa kwangoko, amayeza okubulala iintsholongwane, kunye notyando lokususa izicubu ezifileyo.

I-Necrotizing Fasciitis sisifo esiba mandundu ngokukhawuleza, sitshabalalisa izicubu zakho kwaye sibangele ukungasebenzi kakuhle kwamalungu omzimba. Nokuba unyango lukhona, njengoko bekutshiwo ngaphambili, malunga nesithathu samatyala anokufa.

Amaxesha amaninzi kufuneka utyando olungaphezulu kolunye, kwaye amanxeba anokubakho.

Yintoni umahluko phakathi kweGas Gangrene kunye neNecrotizing Fasciitis?

I-gas gangrene (i-clostridial myonecrosis) sisifo esichaphazela izicwili eziphilileyo, nto leyo ebangela ukuba igesi (umoya) iqokelele ngaphakathi kwezicwili. Le gesi iveliswa njengenkunkuma evela kwiintsholongwane. Igesi inokuqokelelana nakwizicwili kwi-gas gangrene kunye ne-Type I Necrotizing Fasciitis. Nangona kunjalo, iintlobo zeentsholongwane ezibangela ezi zifo zimbini zahlukile. I-gas gangrene inokuchaphazela nezihlunu.

Kuphi emzimbeni apho i-necrotizing fasciitis ibonakala khona kakhulu?

Oku kubonakala kakhulu ezandleni nasezinyaweni, ingakumbi ukuba unesifo seswekile, njengoko kunokwenzeka ukuba sikhule emilenzeni (ingakumbi ezinyaweni nasezinzwaneni).

Ukongeza, esi sifo sinokuvela kwizitho zangasese nakwindawo yentloko nentamo.

Ngaba ungasinda ukuba unesifo seNecrotizing Fasciitis?

Ewe, ungaphila. Eyona nto ibalulekileyo kukubona isifo kwangethuba uze uqale unyango ngokukhawuleza. Okukhona silibazisa ixesha elide, kokukhona imeko iba mandundu.

Ngaba iNecrotizing Fasciitis iyosulela?

Oku akufane kusasazeka ukusuka komnye umntu ukuya komnye.Ngoko ke, akusoloko kuyimfuneko ukunika izalamane ezisondeleyo zesigulana amayeza okubulala iintsholongwane. Nangona kunjalo, ukuba usulelo lubi kakhulu, ugqirha angacela izalamane ezikufutshane zesigulana ukuba zithathe amayeza okuthintela isifo njengenyathelo lokukhusela.

Kuthatha ixesha elingakanani ukuba i-necrotizing fasciitis iphuhle?

Iimpawu zingabonakala kwiiyure ezingama-24 emva kokuba ufumene ukukrweleka, ukunqunyulwa, okanye ukulunywa zizinambuzane. Oku kunokuba mandundu ngokukhawuleza. Ngoko ke jonga inxeba ukuba alidumbanga, libomvu, kwaye nokuba liyakhula na.

Ukuba unenxeba, usikekile, okanye utshile, lihlambe kakuhle ngesepha namanzi. Ukuba unesilonda, intlungu eqatha, kunye/okanye indawo ebomvu esasazeka ngokukhawuleza okanye enombala oguqukayo evakalelwa kukuba ifudumele xa uyichukumisa, funa uncedo lonyango ngokukhawuleza. Okukhona uqala unyango ngokukhawuleza, kokukhona amathuba akho okuphelisa iNecrotizing Fasciitis aba maninzi.

Umyalezo Wokuya Ekhaya

Kulungile, ngoku uyaqonda ngcono isifo esibi esikhuluma ngaso esibizwa ngokuba yi-"Necrotizing Fasciitis." Nazi izinto ezibalulekileyo ekufuneka uzikhumbule:

• Olu luhlobo losulelo oluyingozi kakhulu nolusasazeka ngokukhawuleza. Lukwabizwa ngokuba 'sisifo sokunyibilikisa inyama'.
• Ingaqala nokuba inxeba elincinci.
• Lumka kakhulu kwiimpawu ezifana nentlungu eqatha kwindawo yokwenzakala, ukusasazeka ngokukhawuleza kobomvu/ukutshintsha kombala kunye nokudumba, kunye nomkhuhlane .
• Ukuba unale mpawu, musa ukulibazisa uye kugqirha ngoko nangoko. Ixesha lelona candelo libalulekileyo phakathi kobomi nokufa apha.
• Ukugcina amanxeba ecocekile kunye nokugcina ucoceko olufanelekileyo kunceda kakhulu ekukhuseleni olu hlobo losulelo.

Siyathemba ukuba olu lwazi luluncedo kuwe. Hlala usempilweni!

I- Necrotizing Fasciitis, Isifo Sokutya Inyama, Usulelo Lweebhaktheriya, Usulelo Lwesikhumba, Isifo Sokutya Inyama, Ukufa Kwezicubu, I-Sepsis