Ingabe inxeba lakho lingaba yingozi? Ake sixoxe ngeGas Gangrene!

Wake waba nesilonda esibonakala sijule kancane futhi wazizwa wesaba kancane? Ngezinye izikhathi ngisho nesilonda esincane, uma singahlanzwa kahle, singaba yingozi ngokungalindelekile. I-gas gangrene ingenye yezifo ezinjalo ezingasongela ukuphila ngaphandle kokuthi uqaphele. Kubaluleke kakhulu ukwazi ngalokhu, ngoba ukuthatha isinyathelo esisheshayo kungasindisa impilo.

Kuyini i-Gas Gangrene?

Kalula nje, i-gas gangrene iyisifo esiyingozi kakhulu esibhubhisa izicubu zomzimba wakho. Odokotela basibiza nangokuthi i-Clostridial Myonecrosis. Sivame ukubangelwa yiqembu lamagciwane abizwa ngokuthi i-Clostridium, ikakhulukazi i-Clostridium perfringens.

Cabanga nje, lapho la mabhaktheriya engena emizimbeni yethu, akhiqiza ubuthi. Lawa ma-toxin aqala ukubhubhisa amangqamuzana egazi lethu, imithambo yegazi, kanye nezicubu zemisipha. Kunjengokungathi abola ngaphakathi. Lokhu ngezinye izikhathi kungabangela amabhamuza amakhulu, ukuvuvukala, kanye nokushintsha kombala wesikhumba (isb., ukuphenduka umbala okhanyayo, obomvu obumnyama, noma onsomi) eduze kwesilonda. Ngenxa yokuthi la mabhaktheriya akhiqiza igesi ngesikhathi senqubo yawo, lapho isilonda sivuleka, ngezinye izikhathi singanuka kabi. Leyo gesi yilokho okubizwa ngokuthi "i-gangrene yegesi." Lobuthi bungabangela nokuvuvukala okukhulu emzimbeni wonke.

Lokhu kuyingozi kakhulu kangangokuthi kungaba yingozi empilweni zingakapheli amahora ambalwa kusukela izimpawu ziqale.

Sivame kangakanani lesi simo?

Kodwa lesi akusona isifo esivamile. Empeleni asivamile kakhulu. Isibonelo, uma ubheka izibalo ezweni elifana neMelika, lokhu kubikwa kubantu abangaphansi koyedwa kwabayizinkulungwane eziyikhulu ngonyaka. Esikhathini esidlule, ikakhulukazi ngesikhathi sezimpi zomhlaba, lesi simo sasivamile ngoba zazingekho izindlela zesimanje zokuhlanza nokubulala amagciwane amanxeba ngendlela efanele.

Uyini umehluko phakathi kwe-Gas Gangrene kanye ne-Necrotizing Fasciitis?

Kungenzeka ukuthi uke wezwa ngesinye isifo esibi esibizwa ngokuthi "Necrotizing Fasciitis". Izimpawu nezimbangela zaso zombili ziyafana. Zombili zibhubhisa izicubu futhi zingabulala. Umehluko omkhulu uhlobo lwezicubu ezithintekile.

I-necrotizing fasciitis ivame ukulimaza amafutha ngaphansi kwesikhumba sakho kanye nezicubu ezixhumeneyo ezisekela umzimba wakho (i-fascia). I-gas gangrene ilimaza kakhulu amangqamuzana egazi, imithambo yegazi, kanye nezicubu zemisipha.

Nakuba kokubili kungabangelwa yibhaktheriya efanayo, i-gas gangrene ivame ukubangelwa yibhaktheriya `(Clostridium)`, kanye ne-`(Necrotizing Fasciitis)` ivame ukubangelwa yi-`(Group A Streptococcus)` noma `(Staphylococcus Aureus)`.

Ziyini izimpawu ze-gangrene yegesi?

Uma kuvela i-gas gangrene, isikhumba sakho singashintsha umbala, sibe nama-blister amakhulu, futhi sivuvuke endaweni yenxeba. Ungase futhi uqaphele ezinye izimpawu, ezifana nalezi:

• Ubuhlungu eduze kwenxeba: Lobuhlungu bungaba bukhulu kakhulu, noma ngabe inxeba libonakala lincane.
• Imfiva.
• Ukwanda kwesilinganiso senhliziyo (i-tachycardia).
• Ukujuluka.
• Ukungaphumuli, ukukhathazeka.
• Ukuphuzi kwesikhumba (i-jaundice).
• I-Vertigo (ukuzizwa sengathi uyajikeleza).
• Umfutho wegazi ophansi (hypotension).

Libukeka kanjani inxeba?

I-gas gangrene ibhubhisa isikhumba sakho kanye nemisipha. Lokhu kungabangela izindawo ezinkulu zezicubu ezifile kanye nokuvuvukala. Ngenxa yokuthi amabhaktheriya akhula ngokushesha, ungabona izinguquko esikhumbeni sakho kungakapheli imizuzu noma amahora. Indawo yesilonda ingase ibukeke kanje:

• Ukuvuvukala.
• Umbala wesikhumba uyashintsha: ungaba mhlophe, ubomvu obumnyama, noma onsomi.
• Ama-blister amakhulu noma ama-papule: Lawa angaba bomvu, onsundu, oluhlaza okotshani, noma amnyama.
• Ukuba khona kwamaphakethe omoya oketshezini olungaphansi kwesikhumba noma ngaphakathi kwe-blister.
• Uketshezi oluphuma emaqandeni lunephunga elinamandla.
• Umsindo "oqhumayo" noma umuzwa lapho kuthintwa i-blister (i-crepitus).

Iphunga le-gas gangrene linjani?

Uketshezi oluphuma emaqandeni e-gas gangrene luvame ukuchazwa njengolunephunga elibi kakhulu, elibolile noma iphunga elimnandi nelingajabulisi .

Yini ebangela i-gas gangrene?

I-gas gangrene ivame ukubangelwa yibhaktheriya i-Clostridium perfringens. Kodwa-ke, ezinye izinhlobo ze-Clostridium kanye nebhaktheriya ye-Group A Streptococcus nazo zingayibangela.

Lawa mabhaktheriya ahlala enhlabathini, kanye nasemzimbeni we-GI wabantu nezilwane. Akhiqiza ubuthi obubhubhisa amangqamuzana ethu, okuhlanganisa amangqamuzana egazi, imithambo yegazi, kanye nezicubu zemisipha.

Lawa magciwane ayachuma endaweni engenawo umoya-mpilo oningi. Uma ebhubhisa amangqamuzana ethu egazi, inani lomoya-mpilo ofinyelela ezicutshini liyancipha. Lokhu kwenza kube lula ngawo ukukhula, ukukhiqiza ubuthi, nokusabalalisa umonakalo ngokushesha. Inqubo yokuphula izakhamzimba ngaphandle komoya-mpilo (ukuvutshelwa) yiyo edala lawo mabhamuza egesi.

Lokhu kungena kanjani emzimbeni?

Indlela evame kakhulu yokwakheka kwe-gas gangrene yilapho inxeba elijulile nelinzima lingena emzimbeni. Amanxeba anjalo kunzima ukuwahlanza ngokuphelele. Futhi, la manxeba awavezwa kakhulu umoya-mpilo emoyeni. Umoya-mpilo yiwona obulala amagciwane `(C. perfringens)`. Inxeba linamathuba amaningi okukhula kwe-gas gangrene uma:

• Uma inxeba selidlulele emsipheni.
• Uma inxeba lingcolile ngenxa yokungcola noma ukungcola.
• Uma ungakwazi ukuhlanza inxeba ngokushesha ngemva kokuba livele.

Ake sithi uwe ebhayisikilini lakho bese usika kakhulu emgwaqweni. Noma, ngenkathi usebenza epulazini, ushaywa yinto efana negeja bese usika ngokujulile. Ukungcola nokungcola kungangena kalula kulezi zinhlobo zamanxeba. Uma kungahlanzwa kahle, lena indawo efanelekile yamagciwane engikhulume ngawo ngaphambili. Izibonelo zalokhu zifaka phakathi amanxeba okudutshulwa kanye nokulimala okukhulu njengamanxeba okugwazwa.

Lezi yizizathu ezingavamile:

• Okunye ukuhlinzwa kwesisu ku-colon, gallbladder, noma esiswini.
• Ukuhlinzwa noma izinqubo zezifo zabesifazane.
• Izimila noma ezinye izimo zezokwelapha ezingalimaza amathumbu.
• Ukubeletha.
• Uma kwenzeka isisu siphuphuma.
• Izinkinga zezimo ezinciphisa ukugeleza kwegazi ezicutshini, njengesifo sikashukela. Ukuntuleka komoya-mpilo kwenza kube lula ngamagciwane ukukhula, okubangela ukubola kwegesi.

Yiziphi izinto ezibangela ingozi ye-gas gangrene?

Ukulimala okukhulu kanye nokuhlinzwa kwesisu kukubeka engcupheni enkulu yokubhajwa kwegesi okubuhlungu, okwenzeka endaweni yenxeba. Usengozini enkulu yokubhajwa kwegesi okuzenzekelayo, okwenzeka ngaphandle kokulimala, uma unezinye zezimo ezilandelayo eziyisisekelo:

• Umdlavuza wamathumbu amakhulu.
• I-Diverticulitis (isimo esingalimaza amathumbu amakhulu).
• Isifo Sikashukela (i-Diabetes Mellitus)`.
• Izifo zemithambo yegazi, isibonelo, i-atherosclerosis (lapho amafutha aqongelela khona ngaphakathi kwemithambo yegazi bese eyivala).

Kodwa khumbula into eyodwa, ngisho nalezi zici eziyingozi, amathuba akho okuthola i-gas gangrene aphansi kakhulu. Kodwa kubalulekile njalo ukuqaphela.

Yiziphi izinkinga ze-gas gangrene?

I-gas gangrene ingaholela ngokushesha ezinkingeni ezisongela impilo. Eziyinhloko yilezi:

• Ukwehluleka Kwezinso: Ngenxa yokuthi amabhaktheriya abhubhisa ngokushesha amangqamuzana abomvu egazi, izinso, ezihlanza igazi lethu, azisakwazi ukwenza umsebenzi wazo futhi zingasebenzi.
• I-Sepsis kanye ne-Septic Shock: I-Clostridium difficile ibangela ukuthi amasosha omzimba ethu asabele ngokweqile. Lokhu kungabangela ukuvuvukala emzimbeni wonke, ukwehla kwengcindezi yegazi ngokuzumayo, kanye nokwehluleka kwezitho zomzimba. Lokhu kubizwa ngokuthi i-septic shock. Zombili lezi zimo zisongela ukuphila.

Ungayixilonga kanjani i-gas gangrene?

Manje ungase uzibuze, udokotela wazi kanjani ukuthi lokhu kuyi-gas gangrene?

Esikhathini esiningi, udokotela uzothola umbono wokuqala ngokulalela izimpawu zakho nokubuka inxeba. Ngemuva kwalokho, bazothatha ingcezu yezicubu enxebeni noma isampula yoketshezi bese beyibheka ngaphansi kwe-microscope ukuqinisekisa lokhu. Ngezinye izikhathi, bangasebenzisa ne-X-ray, i-CT scans, noma i-MRIs ukubheka umonakalo wezicubu.

Yiziphi izivivinyo ezenziwayo ukuze kutholakale lokhu?

Ukuze aqinisekise noma anqume ukwelashwa okwengeziwe, udokotela angenza izivivinyo ezifana nalezi:

• Ukuhlolwa kwezithombe: Ama-X-ray, ama-CT scan, noma ama-MRI angasetshenziswa ukubona ukuthi kukhona yini amabhamuza egesi ezicutshini noma ukuthi kukhona yini izinguquko emisipheni.
• Ukungcola noma ukukhuliswa kwamagciwane: Isampula yoketshezi oluvela enxebeni ihlolwa ngaphansi kwe-microscope ukuze kubonakale ukuthi kukhona yini amagciwane abangela ukubola kwegesi. Ngezinye izikhathi amagciwane akhuliswa elabhorethri futhi akhuliswe.
• I-Biopsy: Kuthathwa ingxenye encane yezicubu esilondeni bese kuhlolwa umonakalo noma izinguquko.

Yiziphi izindlela zokwelapha i-gangrene yegesi?

I-gangrene yegesi yisimo esidinga ukwelashwa okusheshayo. Akuyona neze into enhle ukulibala. Udokotela wakho uzokunikeza imithamo ephezulu yama-antibiotic futhi uzophinde enze ukuhlinzwa ukuze kususwe izicubu eziningi ezithelelekile ngangokunokwenzeka. Kuye ngobukhulu bokutheleleka, ungase udinge ukwelashwa okwengeziwe. Uzogcinwa esibhedlela futhi uqashwe ngokucophelela phakathi nalokhu kwelashwa.

Izindlela zokwelapha eziyinhloko zalokhu yilezi:

• Ukususwa kwezicubu: Yilapho udokotela enza khona ukuhlinzwa ukuze asuse izicubu ezifile, ezonakele, kanye nemfucumfucu enxebeni. Lokhu kubalulekile ngoba amabhaktheriya angaqhubeka nokukhula uma nje izicubu ezifile zikhona.
• Ama-antibiotic: Ngokuvamile, inhlanganisela yama-antibiotic amabili, i-penicillin ne-clindamycin, inikezwa ukubulala amabhaktheriya abangela i-gas gangrene. Lawa anikezwa nge-intravenously (IV).
• Ukunqunywa kwezicubu: Kwezinye izimo ezimbi kakhulu, indlela engcono kakhulu yokuvimba ukutheleleka ukuthi kungasabalali futhi kusindise impilo ukususa isitho noma umlenze onegciwane. Kulinganiselwa ukuthi cishe umuntu oyedwa kwabahlanu abathola i-gas gangrene kuzodingeka anqunywe isitho noma umlenze. Lokhu kungase kuzwakale kusabeka, kodwa kungadingeka ukusindisa impilo.
• Ukwelashwa Nge-Hyperbaric Oxygen: Lokhu ukwelashwa okukhethekile. Kulokhu, ufakwa ekamelweni elikhethekile futhi unikezwa i-oxygen engu-100%. Lokhu kunokuqukethwe kwe-oxygen okuphindwe kahlanu kunomoya ojwayelekile. Lokhu kwandisa inani le-oxygen elifinyelela ezicutshini, kuzisize zelapheke. Futhi, njengoba i-bacterium i-Clostridium ingawuthandi umoya-mpilo, lokhu kwelashwa kusiza nokulawula ukutheleleka.

Ungakuvimbela kanjani ukubola kwegesi?

Manje ake sibone ukuthi yini esingayenza ukuze sihlale siphephile kulesi silonda esiyingozi segesi.

Odokotela nabasebenzi basesibhedlela bathatha izinyathelo eziningi zokuvikela ukutheleleka lapho benza ukuhlinzwa, okuhlanganisa nokuvimbela ukutheleleka ngamagciwane okubangela ukubola kwegesi.

Nazi ezinye izinto ongazenza ukuze uzivikele kulokhu kanye nezinye izifo ezibangelwa amagciwane:

• Geza inxeba kahle ngensipho namanzi ngokushesha nje lapho livela. Yenza lokhu noma ngabe liyinxeba elincane.
• Uma unenxeba elijulile, funa iseluleko sezokwelapha ngokushesha. Ikakhulukazi uma kuyinxeba ongeke ukwazi ukulihlanza ngokuphelele ngensipho namanzi, qiniseka ukuthi ubona udokotela.
• Qaphela inxeba. Bheka izinguquko embala wesikhumba, ubuhlungu obukhulu, noma ukuvuvukala. Uma ubona noma yikuphi kwalokhu, tshela udokotela.
• Gqoka izingubo zokuzivikela ezimboza izingalo nemilenze yakho uma ugibela isithuthuthu noma ibhayisikili. Lokhu kubalulekile ukuze uzivikele ekulimaleni okufana nokuqubuka komgwaqo, okungase kwenzeke.
• Uma unesifo, njengesifo sikashukela, esithinta imithambo yegazi kanye nokujikeleza kwegazi, noma esenza buthaka amasosha omzimba, funa ukwelashwa kudokotela.

Yini ongayilindela uma kwenzeka i-gas gangrene?

Kulungile, manje ake sibone ukuthi yini ongayilindela uma ungenwa yi-gas gangrene.

Ngenxa yokuthi lesi yisimo esiphuthumayo esisongela ukuphila, kuzodingeka uhlale esibhedlela uze welashwe. Lapho, odokotela bazokwenza okulandelayo:

• Phatha futhi uhlanze amanxeba akho njalo.
• Ama-antibiotic anikezwa ngemithambo yegazi (ama-antibiotic e-IV).
• Hlala uqaphele izinguquko esimweni sakho.
• Kuzokwenziwa ukwelashwa okwengeziwe kanye nokuhlolwa kuye ngesimo sakho.

Ukubikezela kuncike embangela yokutheleleka nokuthi ukutheleleka kukuphi emzimbeni. Abantu abathola i-gas gangrene emaphethelweni banethuba elingcono lokululama kunalabo abathola i-gangrene esiswini noma esifubeni, noma labo abathola i-gangrene engazelelwe ngaphandle kokulimala.

Ingabe lokhu kungasindisa izimpilo?

Yebo, uma uthola ukwelashwa ngokushesha, ungasindisa impilo yakho nakanjani. Kodwa ngisho nangokwelashwa, kunethuba lokufa elingu-20% kuya ku-30%. Uma ungakutholi ukwelashwa, kuhlale kuyingozi. Yingakho kunconywa ukubona udokotela ngokushesha okukhulu uma unokungabaza okuncane.

Kufanele ubonane nini nodokotela?

Uma unenxeba elihlabayo, kufanele ubonane nodokotela ngokushesha. Amanxeba ajulile kuzodingeka ahlanzwe ngokushesha futhi angadinga ukuthungwa. Udokotela wakho angase futhi akunike ama-antibiotic ukuvimbela ukutheleleka.

Kufanele uye nini e-Emergency Treatment Unit (ETU) ?

Uma unezimpawu ze-gas gangrene, ikakhulukazi uma usanda kuba nesilonda esijulile noma ukuhlinzwa, hamba uye ekamelweni lezimo eziphuthumayo eliseduze ngokushesha.Lokhu kungaba yingozi uma kungelashwa ngokushesha.

Imibuzo okufanele uyibuze udokotela wakho

Uma ubona udokotela, kuzokusiza ukubuza imibuzo efana nale:

• Isimo sami sibi kangakanani?
• Yini ebangela lokhu kutheleleka?
• Yiziphi izindlela zokwelapha ezitholakalayo kimi?

Okokugcina, into ebaluleke kakhulu engingayisho kuwe

I-gas gangrene iyisifo esingavamile kodwa esingasongela ukuphila. Singelapheka uma sitholakala kusenesikhathi. Kodwa-ke, singaba sibi kakhulu emahoreni ambalwa, noma ngisho nasemizuzwini embalwa, kusukela ekuqaleni kwezimpawu.

Ngakho-ke, uma unokungabaza okuncane, uma inxeba libukeka lingavamile, noma uma ubuhlungu bubonakala bungaphezu kwamandla, sicela ungalibali futhi ufune iseluleko sezokwelapha ngokushesha. Impilo yakho ingancika kukho.

I- Gas Gangrene, i-Clostridium, i-Clostridium perfringens, Ukutheleleka Kwamanxeba, I-Tissue Necrosis, Ukutheleleka Kwamagciwane, Ukwelashwa Okuphuthumayo