I-Necrotizing Fasciitis kwizigulane ezibhedlele
Enye yezifo ezithe zafunyanwa ngelixa esibhedlele zenza i-fasciitis, iyaziwa ngegama layo eliqhelekileyo, ibhakteria yokutya inyama, okanye isifo esidla inyama. I-necrotizing fasciitis yintsholongwane yokusasazeka kwebhakteria eyenziwa ngokukhawuleza ebulala umzimba. Nangona abantu abaneempilweni abanamasosha omzimba aqhelekanga basengozini yokuphuhlisa i-fasciitis enempilo yabo yemihla ngemihla, izigulane ezibhedlele zisengozi enkulu yokufumana isifo.
I-necrotizing fasciitis ingabangela iintlobo ezahlukeneyo zeebhaktheriya, kubandakanywa neqela le- Streptococcus (iqela le-strep), iKlebsiella , iClostridium , i- Escherichia coli , i- Staphylococcus aureus kunye ne- Aeromonas hydrophila . Iqela le-strep yiyona ibhaktheriya eqhelekileyo ebangela isifo, kodwa iingcali zikholelwa ukuba i-fasciitis engabonakaliyo ebangelwa ngu -Staphylococcus aureus (MRSA) engamelana ne-methicillin .
I-Necrotizing Fasciitis Inokulimaza njani Izigulane?
Esi sifo sikhula xa i-bhakteria isasazeka emva kokungena emzimbeni, ngokuqhelekileyo ngokuphuka kwesikhumba, njengento eqingqiweyo, i-scrape, ukutshisa, ukuluma kwezinambuzane, okanye ukulimala kwilonda. Iibhaktheriya zichaphazela iindawo eziphathekayo ze- fascia , zidibanisa iinqununu zengxube ezijikeleza izihlunu, izibilini, amanqatha, nemithambo yegazi. Iibhoksi ezikhishwe ngamabhaktheriya zibulala ama-fascia kunye nezicubu ezijikelezayo.
Ibhaktheriya isasazeka ngokukhawuleza emzimbeni ( sepsis ) kwaye kufuneka iphathwe ngokukhawuleza.
Izigulane ezininzi zifumana ubunzima obunzima kwaye zisenokufuna ukukhishwa kwesigxina. Phantse i-25% yezigulane ezitheleleke nge-fasciitis ene-necrotizing ziya kufa ngenxa yesifo. Ngokutsho kweCDC, izigulane zase-Amerika ezingama-10 000 ngonyaka zisuleleke kwi-fasciitis. Kuzo ezi-2,000 ukuya ku-3,000 ziyafa.
Uninzi lwezibhedlele ze-fasciitis ezithandwayo zenzeke kwizigulane ezinamaxhoba avulekileyo, ngokukodwa, abo baye bathethwa okanye baphelelwa esibhedlele ngenxa yengozi eyingozi. Ngenxa yobume bentsholongwane, i-fasciitis ene-necrotizing ayikho isifo sesibhedlele sokuba izigulane zinokwenza okuninzi ukulawula ngaphandle kokuba uqiniseke ukuba amanxeba ahlala ecocekile.
Ukugcina inxeba ecocekileyo idinga ukuthobela ngokuthe ngqo ukucwangciswa kocwangco, kuquka ukuhlamba izandla . Kukwacetyiswa ukuba nabasebenzi basezibhedlele abanezilonda ezivulekileyo okanye baziqhekeza ngokwabo, okanye izifo zokuphefumula, akufanele baqhagamshelane nezigulane ezineenxeba ezivulekileyo ukuphepha ukuthintela loo maxeba.
Nasiphi na isigulane esiya esibhedlele ukuhlinzwa okanye nayiphi na isilonda evulekile kufuneka zikhusele ngokwenza amanyathelo okukhusela isifo esibanjwe sisibhedlele .
Ziziphi iimpawu ze-Necrotizing Fasciitis?
Izimpawu ze-fasciitis ze-Necrotizing zivame ukubonakala emva kweeyure zokulimala okanye isilonda, kwaye zihlala zilula kwaye zifana nezinye izifo. Iimpawu ziquka:
- Ubunzima okanye ubuhlungu, obufana ne "
- Ukufudumala nokubomvu okanye iindawo zokuzikhukhumeza ezazisasazeka ngokukhawuleza
- Ulcers, i-blisters okanye amabala amnyama esikhumbeni
- Imfiva, ukubola, ukukhathala okanye ukuhlanza kungalandela isilonda sokuqala okanye ukukhathazeka
I-Necrotizing Fasciitis Yenzelwa Njani?
Izigulane ezinomdla we-fasciitis zidinga unyango ngamayeza anamandla kakhulu alawulwayo ngenaliti. Nangona kunjalo, i-antibiotics ezinamandla kunakho ukufikelela kuzo zonke iindawo ezinentsholongwane ngenxa yokulimala komzimba kunye nokunciphisa ukuhamba kwegazi kubangelwa yi-toxins ye-bacteria. Ngenxa yoko, ngamanye amaxesha, oogqirha baya kuthi baqhube ukuhlola nokukhwabanisa , ukususwa kweethambo ezifileyo.
Imithombo:
Iqela I-Streptococcal (GAS) Izifo ezivela kwiCDC.
Ukutheleleka kwe-tishu ehamba phambili e-Medline Plus.
I-Necrotizing fasiitis evela kwiYunivesithi yaseWisconsin kwiSebe lezeMpilo kunye neMpilo kaRhulumente.