Ingabe uke waba nobuhlungu obukhulu, ukubomvu, noma ukuvuvukala endaweni yakho yangasese noma eduze kwendunu yakho? Ingabe uzizwa ubuthakathaka noma ushisa? Ungazinaki lezi zimpawu. Lezi kungaba izimpawu zokutheleleka okuyingozi kakhulu, okusakazeka ngokushesha okubizwa ngokuthi i-Fournier's Gangrene . Kubalulekile ukuqaphela lokhu, njengoba ukwelashwa okusheshayo kungasindisa impilo.
Kuyini i-Fournier's Gangrene?
Kalula nje, i-Fournier's Gangrene iwukutheleleka okubangelwa amagciwane okusabalala ngokushesha ezithweni zakho zobulili, isikhwama esiqukethe amasende akho (i-scrotum), noma indawo ezungezile (i-perineum). Luhlobo lwesifo esibizwa ngokuthi "i-Necrotizing Fasciitis", esaziwa nangokuthi isifo sokuncibilikisa inyama.
I-Gangrene ukufa kwezicubu zomzimba ngenxa yokutheleleka noma ukuntuleka kwegazi. Ku-Gangrene ka-Fournier, amabhaktheriya angena ezicutshini ezingaphansi kwesikhumba futhi asakazeke ngokushesha, abhubhise izicubu ezithambile ezizungezile imisipha, imithambo yegazi, kanye nemizwa. Ezimweni ezimbi kakhulu, lesi zicubu ezifile zingasakazeka ziye emathangeni, esiswini nasesifubeni.
I-Fournier's Gangrene iyisimo esiphuthumayo sezokwelapha . Uma unalezi zimpawu, kufanele uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
Sivame kangakanani lesi sifo?
Empeleni lesi yisifo esingavamile kakhulu. Cishe amadoda ayi-1.6 kwangu-100,000 athola lesi sifo minyaka yonke. Abesifazane nezingane banamathuba amancane kakhulu okusithola. Ngakho-ke, asikho isidingo sokwesaba ngokungadingekile, kodwa kubalulekile ukuqaphela izimpawu.
Lesi sifo sivame kakhulu kwabesilisa abaneminyaka engaphezu kwengu-50. Ngokwezinye izifundo, phakathi kuka-20% no-40% walabo abathola lesi sifo bangase bafe. Kodwa khumbula, uma ukwelashwa kuqalwa ngokushesha, amathuba okusindisa impilo aba maningi.
Yiziphi izimpawu ze-Fournier's Gangrene?
Qaphela lezi zimpawu. Uma zitholakala kusenesikhathi, ukwelashwa kulula kakhulu.
| Uhlobo lwesibonakaliso | Incazelo |
|---|---|
| Izimpawu zokuqala (bona udokotela ngokushesha nje lapho uzibona!) | |
| Ubuhlungu obungazelelwe nokuvuvukala | Izitho zangasese noma indawo ezungezile ziqala ukuba buhlungu ngokuzumayo, zibe buhlungu uma uzithinta, bese ziqala ukuvuvukala. |
| Ukushintsha kombala wesikhumba | Isikhumba siba bomvu noma sibe nsomi lapho kukhona khona ubuhlungu. |
| Ukungakhululeki okuvamile | Ungase ube nobuthakathaka, ukukhathala, isicanucanu kanye nomkhuhlane. |
| Izimpawu zokuphuza | |
| Ubuhlungu obukhulu | Ubuhlungu buya ngokuya buba bubi, ngezinye izikhathi busakazekela esiswini. |
| Ubumnyama besikhumba | Isikhumba, esasibomvu/sinsomi, siphenduka sibe luhlaza okwesibhakabhaka, bese kuba mnyama . Lokhu kusho ukuthi izicubu ziyafa. |
| Iphunga elibi | Kungase kube nephunga elibi elivela endaweni enesifo. |
| Ezinye izici | Ukushaya kwenhliziyo okusheshayo, umfutho wegazi ophansi, ukuhlanza, ikhanda elibuhlungu, ukulunywa, kanye nomsindo "wokuqhuma" lapho uthinta indawo enesifo. |
Yini ebangela lesi simo esiyingozi?
Lesi sifo sibangelwa ukutheleleka ngamagciwane. Kunezindlela ezahlukene la magciwane angena ngazo ezicutshini ezingaphansi kwesikhumba.
- Ukutheleleka komgudu womchamo: Ukusabalala kokutheleleka emgudwini womchamo noma esinyeni.
- Amathumba : Amaqhubu agcwele ubomvu akheka eduze kwendunu noma endaweni yokuzala.
- Ukuhlinzwa: Ngemva kokuhlinzwa okwenziwe kuleyo ndawo.
- Ukulimala okuncane: Imihuzuko noma amanxeba abangelwa ucansi , ukulunywa yizinambuzane, noma esinye isizathu.
- Okunye: Kungavela kaningi kakhulu ngemva kokubhoboza izitho zangasese noma ukusoka izingane.
Ezinye izinhlobo ezivamile zamagciwane ezingabangela lokhu yilezi:
- I-streptococci yeqembu A
- I- Staphylococcus aureus
- `I-E. coli`
- I- Pseudomonas aeruginosa
Ubani osengozini enkulu yokuthola i-Fournier's Gangrene?
Abantu abanezivikeli mzimba ezibuthakathaka kanye nalabo abanezinye izifo ezingamahlalakhona basengozini enkulu yokuthola lesi sifo.
- Isifo Sikashukela: Lesi yisona sici esiyinhloko esiyingozi . Phakathi kuka-20% no-70% wabantu abathola i-Fournier's Gangrene banesifo sikashukela. Kodwa-ke, akubona bonke abanesifo sikashukela abasitholayo.
- Ukusetshenziswa kabi kotshwala
- Ukutheleleka nge-HIV
- Ukulimala kwesibindi
- Ukukhuluphala ngokweqile
- Izifo ezingamahlalakhona ezifana nomfutho wegazi ophakeme, isifo sezinso, kanye nesifo senhliziyo .
- Ukubhema.
- Ukwelashwa ngamakhemikhali okwelapha umdlavuza noma ukusetshenziswa isikhathi eside kwemithi yama-steroid .
Ingabe lokhu kungabangelwa imithi yesifo sikashukela?
I-FDA ibike amacala alesi simo kwabanye abantu abasebenzisa ama-inhibitor e-SGLT2 (isib. i-canagliflozin, i-dapagliflozin, i-empagliflozin), uhlobo lwemithi esetshenziselwa ukwelapha isifo sikashukela sohlobo 2. Imbangela eqondile ayaziwa, kodwa kusolwa ukuthi le mithi ingandisa ingozi yokutheleleka komgudu womchamo. Uma uthatha omunye wale mithi, khuluma nodokotela wakho ngakho.
Dokotela, ukuxilonga kanjani lokhu?
Uma udokotela wakho esola lesi sifo ngokusekelwe ezimpawini zakho, uzohlola isikhumba sakho. Uma isimo sibi kakhulu, ukwelashwa kungase kuqale ngaphambi kokuba kwenziwe ezinye izivivinyo. Izivivinyo ezivamile zifaka:
- I-CT scan: Ngingabona ukuthi ukutheleleka sekusabalele kangakanani.
- Ukuskena nge-ultrasound: Kusiza ekususeni ezinye izimo ezibonisa izimpawu ezifanayo.
- Ama-X-ray: Bheka amabhamuza omoya ezicutshini ezonakele. Lokhu kuyisibonakaliso esibalulekile ngoba amanye amabhaktheriya akhiqiza igesi.
- Ukuhlolwa kwegazi: Thola izifo nezinye izimpawu.
Iphathwa kanjani?
Izindlela ezimbili zokwelapha eziyinhloko ukuhlinzwa kanye nama-antibiotic .
1. Ukususwa kwezicubu: Ukuhlinzwa kwenziwa ngokushesha nje lapho kutholakala ukuthi kutholakale ukuthi kukhona yini okubangela ukugula. Lokhu kuhilela ukusika nokususa zonke izicubu ezifile nezonakele. Lokhu kubalulekile ukuze kumiswe ukusabalala kokutheleleka. Kungathatha ukuhlinzwa okuningana ukuze kususwe ngokuphelele izicubu ezifile.
2. Ama-antibiotic: Ama-antibiotic anamandla kakhulu anikezwa ngemithambo yegazi (IV) ukuze abulale amagciwane. Le ndlela ivumela ukuthi imithi ifinyelele emzimbeni ngokushesha kunokuthatha amaphilisi.
3. Ukwelashwa Nge-Hyperbaric Oxygen: Kwezinye izimo, isiguli sifakwa ekamelweni elikhethekile elinomoya-mpilo omningi. Lo moya-mpilo usheshisa ukuphulukiswa kwenxeba futhi umise ukukhula kwamagciwane.
Uma ukutheleleka sekulawulekile, indawo eyonakele ingalungiswa ngokuhlinzwa okwakha kabusha, uma kudingeka. Kungase kudingeke uhlale esibhedlela amasonto amaningana ukuze ululame kulesi simo.
Yini esingayenza ukuvimbela lokhu?
Kunezinyathelo ezimbalwa ezilula esingazilandela ukuze sizivikele kulesi sifo esiyingozi.
- Ukuhlanzeka: Gcina njalo indawo yakho yangasese kanye nendawo ezungezile ihlanzekile futhi yomile.
- Ukulawulwa kwesifo sikashukela: Uma unesifo sikashukela, gcina amazinga kashukela egazini lakho elawulwa. Thatha imithi yakho njengoba nje udokotela wakho ekuyalele. Hlola indawo yakho yesitho sangasese njalo ukuze uthole noma yikuphi ukusikeka okuncane, imihuzuko, noma ukubomvu.
- Nakekela amanxeba: Uma uthola inxeba noma ukuklwebheka endaweni, geza kahle ngensipho bese uyigcina ihlanzekile futhi yomile.
- Indlela yokuphila enempilo: Yehlisa isisindo uma ukhuluphele. Gwema ukubhema ngokuphelele.
Umlayezo Wokuya Nawe Ekhaya
- I-Fournier's Gangrene iyisimo esiphuthumayo sezokwelapha esingasongela ukuphila.
- Izimpawu eziyinhloko ubuhlungu obukhulu obungazelelwe, ukuvuvukala, ukubomvu, kanye nokushintsha kombala wesikhumba kamuva okumnyama/okunsomi endaweni yesitho sangasese noma ezungezile.
- Uma ubona noma yiziphi zalezi zimpawu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha ngaphandle kokucabanga ngenye into.
- Ingozi ingancishiswa ngokuphatha kahle izifo ezingamahlalakhona njengesifo sikashukela nokugcina inhlanzeko yomuntu siqu.
- Amathuba okululama ngokugcwele nokusindisa izimpilo ngokwelashwa okusheshayo aphezulu kakhulu.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Yiluphi uhlobo lwesifo esiyingozi i-Fournier's gangrene?
Lokhu kuyigciwane elibi kakhulu nelithule elithinta isikhumba esizungeze izitho zangasese kanye nendunu yabesilisa noma abesifazane. Libangela isikhumba nemisipha kuleyo ndawo ukuthi zibole ngokushesha futhi zife.
💬 Yiziphi izimbangela eziyinhloko zalokhu kutheleleka okukhulu?
Lokhu kwenzeka kakhulu kubantu abangalawuli kahle ushukela wabo (isifo sikashukela) futhi abanamasosha omzimba abuthakathaka kakhulu. La magciwane angangena emzimbeni ngesilonda esincane, ukuklwebheka, noma ukuhlinzwa.
💬 Ubona kanjani ukuthi unesifo esibi se-Fournier?
Uma ungazelele ubona ukuthi indawo ezungeze izitho zakho zobulili iba bomvu, ivuvuke, futhi ibe buhlungu, nokuthi iba mnyama futhi ibole, lokhu kungaba njalo. Lokhu kudinga ukuhlinzwa okusheshayo ukuze kususwe indawo ethintekile ngaphandle kokulibala.
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