Ngaba ngequbuliso ukhe waba nentlungu eqatha, ukubomvu, okanye ukudumba kwindawo yakho yesini okanye ejikeleze i-anus yakho? Ngaba uzive ubuthathaka okanye unesicaphucaphu? Musa ukuyityeshela le miqondiso. Ezi zinokuba ziimpawu zosulelo oluyingozi kakhulu nolusasazeka ngokukhawuleza olubizwa ngokuba yi-Fournier's Gangrene . Kubalulekile ukuqaphela oku, njengoko unyango olukhawulezileyo lunokusindisa ubomi.
Yintoni iFournier's Gangrene?
Ngamafutshane, i-Fournier's Gangrene sisifo esiyingozi nesisasazeka ngokukhawuleza kwilungu lakho langasese, ingxowa equlethe amasende akho (i-scrotum), okanye indawo ejikeleze wona (i-perineum). Luhlobo lwesifo esibizwa ngokuba yi-"Necrotizing Fasciitis", esaziwa ngokuba sisifo sokunyibilika kwenyama.
I-Gangrene kukufa kwezicubu zomzimba ngenxa yosulelo okanye ukunqongophala kwegazi. Kwi-Fournier's Gangrene, iintsholongwane zingena kwizicubu ezingaphantsi kolusu kwaye zisasazeke ngokukhawuleza, zitshabalalise izicubu ezithambileyo ezijikeleze izihlunu, imithambo yegazi, kunye nemithambo-luvo. Kwiimeko ezinzima, ezi zicubu zifileyo zinokusasazeka ziye emathangeni, esiswini, nasesifubeni.
Isifo sikaFournier's Gangrene sisifo esingxamisekileyo sezonyango . Ukuba unale mpawu, kufuneka uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko.
Ixhaphake kangakanani le sifo?
Esi sisifo esingaqhelekanga ngokwenene. Malunga ne-1.6 kwamadoda ayi-100,000 afumana esi sifo minyaka le. Abafazi nabantwana abanalo ithuba lokuba naso. Ngoko ke, akukho mfuneko yokoyika ngokungeyomfuneko, kodwa kubalulekile ukuba uqaphele iimpawu.
Esi sifo sixhaphake kakhulu kumadoda angaphezulu kweminyaka engama-50 ubudala. Ngokwezinye izifundo, phakathi kwama-20% nama-40% abo banesifo esi basenokufa. Kodwa khumbula, ukuba unyango luqalwa ngokukhawuleza, kokukhona amathuba okusindisa ubomi aba maninzi.
Zithini iimpawu zeFournier's Gangrene?
Qaphela ezi mpawu. Ukuba zifunyenwe kwangethuba, unyango lulula kakhulu.
| Uhlobo lwempawu | Inkcazo |
|---|---|
| Iimpawu zokuqala (bonana nogqirha kwangoko nje ukuba uzibone!) | |
| Intlungu kunye nokudumba ngequbuliso | Izitho zangasese okanye indawo engqongileyo ziqala ukuqaqamba ngequbuliso, zibe buhlungu xa uzichukumisa, zize ziqale ukudumba. |
| Ukutshintsha kombala wolusu | Ulusu lujika lube bomvu okanye lube mfusa apho kukho intlungu khona. |
| Ukungonwabi ngokubanzi | Usenokuba buthathaka, ukudinwa, isicaphucaphu, kunye nomkhuhlane. |
| Iimpawu zokufika emva kwexesha | |
| Intlungu ebuhlungu | Intlungu iya isiba mandundu kancinci kancinci, ngamanye amaxesha isasazeka iye esiswini. |
| Ubumnyama besikhumba | Ulusu, olwalubomvu/lumfusa, lujika lube ngwevu-luhlaza okwesibhakabhaka, luze lube mnyama . Oku kuthetha ukuba izicubu ziyafa. |
| Ivumba elibi | Kusenokubakho ivumba elibi eliphuma kwindawo enesifo. |
| Ezinye iimpawu | Ukubetha kwentliziyo ngokukhawuleza, uxinzelelo lwegazi oluphantsi, ukuhlanza, ukuba nentloko ebuhlungu, ukurhawuzelelwa, kunye nesandi esithi "pop" xa uchukumisa indawo enesifo. |
Yintoni ebangela le meko iyingozi?
Esi sifo sibangelwa lusulelo lwebhaktiriya. Kukho iindlela ezahlukeneyo ezi bhaktiriya zokungena kwizicwili ezingaphantsi kolusu.
- Usulelo lwendlela yomchamo: Ukusasazeka kosulelo kwindlela yomchamo okanye isinyi.
- Amathumba : Amaqhuma azaliswe ngumphunga ajikeleza i-anus okanye indawo yangasese.
- Utyando: Emva kotyando olwenziwe kuloo ndawo.
- Ukulimala okuncinci: Imikrwelo okanye amanxeba abangelwa kukwabelana ngesondo , ukulunywa zizinambuzane, okanye nayiphi na enye imbangela.
- Okunye: Inokwenzeka kancinane emva kokugqojozwa kwamalungu esini okanye ukwaluswa kwabantwana.
Ezinye iintlobo eziqhelekileyo zeebhaktheriya ezinokubangela oku zezi:
- I-streptococci yeQela A
- I- Staphylococcus aureus
- `E. coli`
- ` Pseudomonas aeruginosa`
Ngubani osengozini enkulu yokufumana i-Fournier's Gangrene?
Abantu abaneenkqubo zomzimba ezibuthathaka kunye nabo banezinye izifo ezingapheliyo basengozini enkulu yokuhlaselwa sesi sifo.
- Isifo seswekile: Le yeyona nto iphambili ebangela umngcipheko . Phakathi kwama-20% nama-70% abantu abanesifo se-Fournier's Gangrene banesifo seswekile. Nangona kunjalo, ayinguye wonke umntu onesifo seswekile osibangelayo.
- Ukusetyenziswa kakubi kotywala
- Usulelo lwe-HIV
- Umonakalo wesibindi
- Ukutyeba kakhulu
- Izifo ezingapheliyo ezifana noxinzelelo lwegazi oluphezulu, isifo sezintso, kunye nesifo sentliziyo .
- Ukutshaya.
- Unyango lwe-chemotherapy lomhlaza okanye ukusetyenziswa ixesha elide kwamayeza e-steroid .
Ngaba oku kungabangelwa ngamayeza esifo seswekile?
I-FDA ibike iimeko zesi sifo kwabanye abantu abasebenzisa izithinteli ze-SGLT2 (umz., i-canagliflozin, i-dapagliflozin, i-empagliflozin), uhlobo lwamayeza asetyenziselwa ukunyanga isifo seswekile sohlobo lwesibini. Isizathu esichanekileyo asikaziwa, kodwa kurhanelwa ukuba la mayeza anokunyusa umngcipheko wosulelo lomchamo. Ukuba uthatha elinye lala mayeza, thetha nogqirha wakho ngalo mba.
Gqirha, uyixilonga njani le nto?
Ukuba ugqirha wakho urhanela ukuba esi sifo sibangelwa ziimpawu zakho, uza kuhlola ulusu lwakho. Ukuba imeko imbi kakhulu, unyango lunokuqala ngaphambi kokuba kwenziwe ezinye iimvavanyo. Uvavanyo oluqhelekileyo luquka:
- I-CT scan: Ndingabona ukuba usulelo lusasazeke kangakanani.
- I-ultrasound scan: Inceda ekuthinteleni ezinye iimeko ezibonisa iimpawu ezifanayo.
- Ii-X-reyi: Ezi zikhangela amaqamza omoya kwizicubu ezonakeleyo. Olu luphawu olubalulekileyo kuba ezinye iibhaktheriya zivelisa igesi.
- Uvavanyo lwegazi: Chonga usulelo kunye nezinye iimpawu.
Iphathwa njani?
Iindlela ezimbini eziphambili zonyango lutyando kunye nee-antibiotics .
1. Ukususwa kwezicubu: Utyando lwenziwa kwangoko emva kokuba kufunyaniswe ukuba kukho isifo. Oku kuquka ukusika nokususa zonke izicwili ezifileyo nezonakeleyo. Oku kubalulekile ukuze kuthintelwe ukusasazeka kosulelo. Kungathatha utyando oluninzi ukuze kususwe ngokupheleleyo izicwili ezifileyo.
2. Ii-antibiotics: Ii-antibiotics ezinamandla kakhulu zinikwa ngemithambo yegazi (IV) ukubulala iintsholongwane. Le ndlela ivumela amayeza ukuba afikelele emzimbeni ngokukhawuleza kunokusela iipilisi.
3. Unyango lwe-Hyperbaric Oxygen: Kwezinye iimeko, isigulana sifakwa kwigumbi elikhethekileyo elinoxinzelelo olukhulu lwe-oxygen. Le oksijini ikhawulezisa ukuphiliswa kwamanxeba kwaye iyamisa ukukhula kweebhaktheriya.
Xa usulelo lulawulekile, indawo eyonakeleyo ingalungiswa ngotyando lokwakha kwakhona, ukuba kuyimfuneko. Kusenokufuneka uhlale esibhedlele iiveki ezininzi ukuze uphile kwesi simo.
Singenza ntoni ukuthintela oku?
Kukho amanyathelo ambalwa alula esinokuwalandela ukuze sizikhusele kwesi sifo siyingozi.
- Ucoceko: Soloko ugcine indawo yakho yesini kunye nendawo engqongileyo icocekile kwaye yomile.
- Ulawulo lwesifo seswekile: Ukuba unesifo seswekile, gcina amanqanaba eswekile egazini lakho elawulwa. Sela amayeza akho njengoko ugqirha wakho emyalele. Jonga indawo yakho yesini rhoqo ukuze ubone ukuba kukho amanxeba amancinci, imikrwelo, okanye ukubomvu.
- Nyamekela amanxeba: Ukuba ufumana inxeba okanye ukukrweleka kuloo ndawo, yihlambe kakuhle ngesepha uze uyigcine icocekile kwaye yomile.
- Indlela yokuphila esempilweni: Yehlisa umzimba ukuba utyebile kakhulu. Kuphephe ukutshaya ngokupheleleyo.
Umyalezo Wokuya Ekhaya
- Isifo sikaFournier yingxaki yezonyango enokuba yingozi ebomini.
- Iimpawu eziphambili ziintlungu eziqatha ngequbuliso, ukudumba, ukuba bomvu, kunye nokutshintsha kombala wolusu olumnyama/omfusa ngaphakathi okanye olujikeleze indawo yesini.
- Ukuba ubona naziphi na kwezi mpawu, yiya kwiSebe leNgxamiseko (ETU) lesibhedlele ngoko nangoko ngaphandle kokucinga ngenye into.
- Umngcipheko ungancitshiswa ngokulawula izifo ezingapheliyo ezifana nesifo seswekile kakuhle nokugcina ucoceko lomntu.
- Amathuba okuchacha ngokupheleleyo nokusindisa ubomi ngonyango olukhawulezileyo aphezulu kakhulu.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Luhlobo luni lwesifo esiyingozi i-Fournier's gangrene?
Olu luhlobo lwentsholongwane olubi kakhulu nolungabonakaliyo oluchaphazela ulusu olujikeleze amalungu esini kunye ne-anus yamadoda okanye abafazi. Lubangela ukuba ulusu kunye nemisipha kuloo ndawo zibole ngokukhawuleza zize zife.
💬 Zithini izizathu eziphambili zolu sulelo luqatha?
Oku kwenzeka kakhulu kubantu abangayilawuli kakuhle iswekile yabo (iswekile) kwaye abanamajoni omzimba abuthathaka kakhulu. Le ntsholongwane inokungena emzimbeni ngenxeba elincinci, ukukrweleka, okanye utyando.
💬 Uqonda njani ukuba une-Fournier's gangrene?
Ukuba ngequbuliso uqaphela ukuba indawo ejikeleze isini sakho iba bomvu ngequbuliso, idumbe, kwaye ibuhlungu, kwaye ijika ibe mnyama kwaye ibole, oku kungenzeka. Oku kufuna utyando olukhawulezileyo ukuze kususwe indawo echaphazelekayo ngaphandle kokulibazisa.
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