Cabanga ukuthi ubungazizwa kanjani uma kungazelelwe uqala ukuzwa ubuhlungu obukhulu, ukuvuvukala, kanye nokushintsha kombala ezithweni zakho zangasese. Esikhathini esiningi, singase sikulahle lokhu njengokutheleleka kwesikhumba okulula. Kodwa kungaba uphawu lokuqala lokutheleleka kwebhaktheriya okuyingozi kakhulu, okusongela impilo okubizwa ngokuthi i-Fournier's Gangrene . Njengoba kusakazeka ngokushesha kangaka, ngisho namahora ambalwa okulibala kungasho umehluko phakathi kokuphila nokufa. Ngakho-ke ake sifunde kabanzi ngalesi simo esibucayi namuhla.
Kalula nje, iyini i-Fournier's Gangrene?
Lokhu kuyisifo esingavamile kakhulu, kodwa esibi kakhulu esibangelwa amagciwane. Sithinta kakhulu izitho zethu zangasese kanye nendawo ezizungezile (i-perineum). Ngokwezokwelapha, singesigaba se- "necrotizing fasciitis." Ukuzwa leli gama kuzwakala kuyesabisa kancane, akunjalo? Isizathu ukuthi amagciwane abangela lokhu kutheleleka asakazeka ngokubhubhisa nokuncibilikisa izicubu ezithambile zomzimba wethu.
Cabanga ngalokhu. Ngandlela thile, amabhaktheriya angene endaweni yethu yangasese ngesikhumba. Amabhaktheriya aya engxenyeni ejulile yesikhumba sethu, i-hypodermis , kanye ne-membrane encane ezungeze imisipha, i-fascia . Lezi zingxenye ezijulile yilapho kutholakala khona imithambo yegazi ehlinzeka ngegazi kuleyo ndawo.
Uma igciwane lithelelekile, amabhaktheriya ayabhubhisa le mithambo yegazi. Bese izicubu ezikuleyo ndawo zingatholi igazi bese ziqala ukufa. Njengoba izicubu zifa ngale ndlela, amabhaktheriya aqala ukusabalala ngokushesha kwezinye izindawo, isibonelo, emathangeni, esiswini nasesifubeni.
Into ebalulekile ukuthi ngesikhathi lesi sifo siqala ukuvela ebusweni besikhumba, sesivele sibangele umonakalo omkhulu ezicutshini ezijulile kanye nemithambo yegazi ngaphansi kwesikhumba. Ngakho-ke, kubaluleke kakhulu ukuqaphela izimpawu zokuqala.
Ziyini izimpawu zalesi sifo? Sitholakala kanjani?
Izimpawu ze-Fournier's Gangrene zingavela ngokuzumayo, ngakho-ke kubalulekile ukuziqaphela.
| Uhlobo lwesibonakaliso | Incazelo |
|---|---|
| Izimpawu zokuqala (endaweni yokuzala) |
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| Ezinye izimpawu ezivamile emzimbeni |
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| Izimpawu ezinzima ezenzeka uma sekwephuzile |
|
Ikakhulukazi uma unesifo sikashukela , noma ngabe uthatha i-insulin njengoba uyalelwe, amazinga kashukela egazini lakho angaba angalawuleki. Lokhu kungaba uphawu lwalesi sifo.
Leli gciwane lingena kanjani emzimbeni?
Kunezindlela eziningana zaleli gciwane lokungena emizimbeni yethu. Indlela evame kakhulu iwukungena enxebeni noma esikhumbeni esizungeze izitho zangasese noma indunu.
- Ithumba noma ithumba
- I- fistula yendunu
- Ukutheleleka emathunjini amakhulu (i-Diverticulitis)
- Ukutheleleka kwesinye noma ukutheleleka komgudu womchamo (UTI)
- Izilonda zesitho sangasese
- Ukuklwebheka noma ukusha ngesikhathi socansi
- Ukubhoboza isitho sangasese
- Ukulunywa noma ukuhlatshwa yizinambuzane
- Ngisho nokuklwebheka okuncane noma ukusikeka kungabangela lokhu.
Kokubili amabhaktheriya angenawo umoya kanye nalawo angenawo umoya angaba nomthelela kulokhu kutheleleka. Izinhlobo ezivame kakhulu zamabhaktheriya yi -E. coli, i-Staphylococcus, i-Streptococcus, kanye ne-Bacteroides.
Ubani osengozini enkulu yokuthola lesi sifo?
Nakuba i-Fournier's Gangrene ingavela kunoma yimuphi ubudala, ivame kakhulu ngokuphindwe kayishumi kwabesilisa kunakwabesifazane. Ngaphezu kwalokho, izimo ezithile zezokwelapha kanye nemikhuba yokuphila kungandisa le ngozi.
Izinto Eziyingozi
- Isifo Sikashukela: Ingozi iphezulu kakhulu kulabo abanesifo sikashukela esingalawuleki.
- Ukucindezeleka kwamasosha omzimba: Ngenxa yezizathu ezifana nokutheleleka nge-HIV kanye nokwelashwa ngamakhemikhali komdlavuza.
- Ukuba neminyaka engaphezu kwengu-50 ubudala.
- Ukukhuluphala: Inkomba yesisindo somzimba (i-BMI) engaphezu kuka-30.
- Ukuphuza utshwala ngokweqile.
- Ukubhema nokusebenzisa eminye imikhiqizo kagwayi.
- Izifo zenhliziyo.
- I-cirrhosis yesibindi noma ukwehluleka kwesibindi.
- Ukwehluleka kwezinso.
- Umfutho wegazi ophezulu (i-Hypertension).
Ukuba nalezi zici eziyingozi akusho ukuthi uzosithola lesi sifo nakanjani. Kusho ukuthi kufanele uqaphele kakhulu kunabanye.
Odokotela basithola kanjani lesi sifo futhi yiziphi izindlela zokwelapha?
Ukuxilongwa
Ngenxa yokuthi lesi yisimo esiphuthumayo, odokotela bangenza isiphetho mayelana nesifo ngokusekelwe ezimpawini kanye nokuhlolwa ngokomzimba. Ngezinye izikhathi, kungase kungabi nesikhathi sokwenza noma yiziphi izivivinyo. Kodwa-ke, uma kunesikhathi, izivivinyo ezilandelayo zingenziwa ukuqinisekisa umthombo kanye nokusabalala kokutheleleka:
- I-CT scan: Ukubona ukuthi umoya noketshezi kuqongelelekile yini ezicutshini.
- Ukuskena nge-ultrasound: Ukubona ukuthi kukhona umoya ezicutshini ezithambile nokuhlukanisa kwezinye izimo zezokwelapha.
- I-X-ray: Bona ukuthi umoya ususabalale kangakanani.
- Ukuhlolwa kwegazi: Hlola inani eliphezulu lamaseli amhlophe egazi, okubonisa ukutheleleka, noma ukushaqeka kwe-septic.
Izindlela zokwelapha
Ukwelashwa okungcono kakhulu nokuwukuphela kwakho kwe-Fournier's Gangrene ukuhlinzwa okuphuthumayo. Lokhu kudinga ukungeniswa e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
Inqubo yokwelapha inezinyathelo eziningana:
1. Ukususwa kwezicubu: Lesi yisinyathelo esibaluleke kakhulu. Udokotela ohlinzayo uzosika zonke izicubu ezinesifo, ezifile, nezilimele. Lokhu kuzomisa ukusabalala kwamagciwane. Ngezinye izikhathi, kungase kudingeke ukuhlinzwa okuningana ukuze kususwe ngokuphelele izicubu ezifile.
2. Ama-antibiotic: Ngemva kokuhlinzwa, ama-antibiotic anamandla asebenza ngokumelene nezinhlobo eziningi ezahlukene zamagciwane anikezwa ngemithambo yegazi.
3. Ukwelashwa okungeziwe:
- Abanye abantu kungadingeka benze i -colostomy yesikhashana ukuze bavimbele indle ukuthi ingangeni enxebeni kuze kube yilapho inxeba liphola.
- Ukuze kuvinjelwe ukutheleleka kwesilonda se-urethra, ithubhu (i-suprapubic catheter) ingafakwa ngesisu iye esinyeni.
4. Ukwelashwa Nge-Hyperbaric Oxygen (HBOT): Kwezinye izimo, isiguli sifakwa ekamelweni le-hyperbaric futhi sinikezwe i-oxygen engu-100%. Lokhu kusiza izicubu ezonakele ukuthi zelaphe ngokushesha futhi kuvimbele ukukhula kwamagciwane.
5. Ukuhlinzwa Okwakha Kabusha: Ngemva kokuba ukutheleleka sekuphulukiswe ngokuphelele, kungase kudingeke ukuhlinzwa kwepulasitiki ukuze kubuyiselwe indawo lapho kwakukhona khona izicubu ezisusiwe.
Imibuzo evame ukubuzwa kanye nezindlela zokuvimbela
Ingabe lesi yisifo esithathelwana ngocansi (STI)?
Cha. I-Fournier's Gangrene ayisona isifo esithathelwana ngocansi. Ayikwazi ukudluliselwa kusuka kuwe iye komunye umuntu, futhi ayinakudluliselwa kusuka komunye umuntu iye kuwe.
Ingabe lesi yisifo esibangelwa ukungahlanzeki kahle?
Imikhuba emibi yokuhlanzeka ingandisa ingozi. Ukungagcini indawo yangasese nendawo ezungezile ihlanzekile ngensipho namanzi njalo kungavumela amagciwane ukuba akhule. Kodwa-ke, ngisho nomuntu ohlanzekile angakuthola lokhu kutheleleka ngokusikeka okuncane.
Yini engenziwa ukuze kugwenywe lokhu?
Nakuba kungenakuvinjelwa ngokuphelele, lezi zinto zingasiza ekunciphiseni ingozi:
- Phatha kahle izifo ezifana nesifo sikashukela: Thatha imithi yakho ngesikhathi futhi ulawule ukudla kwakho.
- Gcina indawo yangasese ihlanzekile.
- Uma ushefa kuleyo ndawo, sebenzisa i-razor ehlanzekile nebukhali . Qaphela ukuthi ungabangeli noma yikuphi ukusikeka.
- Ngisho noma kuyinxeba elincane noma ukuklwebheka, lihlanze kahle futhi uqaphele ukuthi lingangeni ezifweni.
- Gcina isisindo esinempilo.
- Yeka ukubhema nokusebenzisa utshwala.
- Jwayela ukudla okunempilo kwenhliziyo kanye nokuzivocavoca njalo .
Umlayezo Wokuya Nawe Ekhaya
- I-Fournier's Gangrene iyisimo esiphuthumayo sezokwelapha esingavamile, kodwa esingasongela ukuphila.
- Qaphela kakhulu ubuhlungu obukhulu obungazelelwe, ukuvuvukala, kanye nokushintsha kombala wesikhumba (ukuba bomvu, onsomi, ukuba mnyama) ngaphakathi noma eduze kwezitho zakho zobulili.
- Uma lezi zimpawu zihambisana nomkhuhlane kanye nokubanda, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
- Uma unezici eziyingozi njengesifo sikashukela, kubalulekile ukuphatha kahle izimo zakho zezokwelapha futhi uqaphele izinguquko zesikhumba.
- Kulesi sifo, uma ukwelashwa kuqalwa ngokushesha, amathuba okusindisa izimpilo nokululama ngokugcwele ayanda. Ngakho-ke ungalokothi uzishaye indiva lezi zimpawu. Khuluma nodokotela wakho.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 🤒 Kuyini i-Fournier's Gangrene? Ingabe kuyinto okufanele uyesabe ngempela?
Yebo, lesi yisimo esiyingozi kakhulu. Okwenzekayo ukuthi izicubu ezizungeze indawo yethu yokuzala kanye nendunu zibhujiswa ngokushesha bese ziqala ukubola (ukubola kwesikhumba) ngenxa yokutheleleka ngamagciwane. Lesi yisimo esisongela ukuphila esidinga ukwelashwa okuphuthumayo.
💬 🤔 Ubani onamathuba amaningi okuthola lesi sifo?
Nakuba kuvame ukwenzeka kwabesilisa, akuvamile ukwenzeka kwabesifazane. Kuvame kakhulu kubantu abanesifo sikashukela esingalawuleki, labo abanezivikeli mzimba ezibuthakathaka, kanye nalabo abaphuza utshwala obuningi.
💬 🚨 Ziyini izimpawu zalokhu? Kufanele sesabe nini?
Izimpawu eziyinhloko ubuhlungu obukhulu, ukuvuvukala, kanye nokubomvu okuzungeze indawo yangasese. Futhi, uma kukhona iphunga elibi elivela endaweni, umkhuhlane omkhulu, kanye nalokho okubukeka njengokulimala, ungalibali. Into ebaluleke kakhulu ukuya esibhedlela bese uthola ukwelashwa ngokushesha okukhulu.
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