Necrotizing fasciitis: he aha ia, nā ʻōuli a me nā lāʻau

Anter

• Nā ʻōuli o Necrotizing fasciitis
• Nā pilikia i hiki
• Pehea e hana ʻia ai ke kuhi
• Pehea e mālama ai

ʻO Necrotizing fasciitis kahi maʻi maʻi maʻi nui a koʻikoʻi ʻole i ʻike ʻia e ka mumū a me ka make ʻana o nā mea i waiho ʻia ma lalo o ka ʻili a pili i nā mākala, nā aʻa a me nā kīʻaha koko, i kapa ʻia ʻo fascia. Hana ʻia kēia maʻi i nā bacteria o ke ʻano ʻO Streptococcus hui A, ʻoi aku ka pinepine ma muli o ka ʻO Streptococcus pyogenes.

Hiki ke pālahalaha koke aku ka bacteria, ke kumu ʻana o nā ʻōuli i wikiwiki loa ka evolution, e like me ke kuni, ke ʻano o ka ʻulaʻula a me ka pehu ma ka ʻili a hoʻololi i nā maʻi ulcer a me ka pouli o ka ʻāina. No laila, i ke alo o kekahi hōʻailona o ka necrotizing fasciitis, he mea nui e hele i ka haukapila e hoʻomaka i ka mālama ʻana a pēlā e hōʻalo ai i nā pilikia.

Nā ʻōuli o Necrotizing fasciitis

Hiki i ke koʻohune ke komo i loko o ke kino ma o ka puka o ka ʻili, ma muli paha o ka hoʻopili ʻana, ka hoʻohana ʻana i nā lāʻau i hoʻopili ʻia i ka aa, nā ʻāʻoki a me nā ʻoki. Mai ka manawa hiki i nā bacteria ke komo i ke kino, hohola koke, hiki i ke ʻano o nā ʻōuli e holo wikiwiki, ʻo nā mea nui:

• ʻO ka helehelena o kahi ʻulaʻula a pehu paha ma ka ʻili e hoʻonui ana i ka manawa;
• ʻO kaʻeha nui ma ka ʻulaʻula a me ka pehu, kahi hiki ke ʻike ʻia i nā ʻāpana ʻē aʻe o ke kino.
• Fiva;
• Ke kū mai o nā ulcer a me nā palapū;
• Pouli ka ʻāina;
• Pohā;
• Nualea;
• Ke kū ʻana o ka pā i ka ʻeha.

ʻO ka ulu ʻana o nā hōʻailona a me nā hōʻailona e hōʻike ana ke hoʻonui nei ka maʻi bacteria a ke kumu o ka make ʻana o nā meaola, i kapa ʻia ʻo nekrosis. No laila, inā ʻike ʻia kekahi hōʻailona e kuhikuhi paha i ka frotciitis necrotizing, he mea nui e hele i ka haukapila no ke kuhi ʻana e hana a hoʻomaka ka lāʻau.

ʻoiai ka ʻO Streptococcus hiki ke loaʻa kūlohelohe ka hui A i ke kino, ʻaʻole hiki i ka frotciitis necrotizing i nā poʻe āpau. ʻOi aku ka maʻi o kēia maʻi i nā diabetics, nā kānaka me nā maʻi maʻi a malignant paha, ma luna o 60 mau makahiki, ka momona, nā mea hoʻohana i nā lāʻau immunosuppressive a i ʻole nā ​​maʻi vascular.

E aʻo hou aʻe e pili ana i ka hui A Streptococcus.

Nā pilikia i hiki

Hana ʻia nā pilikia o ka frotciitis necrotizing ke hōʻike ʻole ʻia ka maʻi a mālama ʻia me nā lāʻau ʻaloʻalo. Pēlā, aia paha he sepsis a me nā hemahema o ke koʻokoʻo, no ka mea hiki i nā bacteria ke hōʻea i nā mea ʻē aʻe a ulu ma laila. Eia hou, ma muli o ka make ʻana o ke kino, pono paha e hemo i ka lālā i hoʻopili ʻia, i mea e pale aku ai i ka hoʻolaha ʻana o nā bacteria a me nā hanana ʻino ʻē aʻe.

Pehea e hana ʻia ai ke kuhi

Hana ʻia ke kuhi o ka necrotizing fasciitis e ka nānā ʻana i nā ʻōuli a me nā ʻōuli i hōʻike ʻia e ke kanaka, a me nā hopena o nā hoʻokolohua hoʻokolohua. Nonoi ʻia nā hoʻokolohua koko a me nā kiʻi e nānā i ka ʻāpana i hoʻopilikia ʻia, me ka hoʻohui ʻana i ka biopsy iʻa, kahi mea nui e hoʻomaopopo ai i ke kū ʻana o nā bacteria i kēia pūnaewele. Hoʻomaopopo i ke ʻano o ka biopsy a pehea e hana ai.

Me ke aʻo ʻia ʻana e hoʻomaka wale ʻia ka mālama ʻana me nā lāʻau antibiotic ma hope o ka hopena o nā hoʻokolohua kōkua, i ka hihia o ka necrotizing fasciitis, pono e hana i ka lāʻau i ka wā hiki loa ma muli o ka ulu nui ʻana o ka maʻi.

Pehea e mālama ai

Pono e hana i ka mālama ʻana i ka frotciitis necrotizing ma ka haukapila, a ua ʻōlelo ʻia e noho kaʻawale ke kanaka no kekahi mau pule i hiki ʻole ke lawe i ka bacteria i nā kānaka ʻē aʻe.

Hana ʻia ka lapaʻau me ka hoʻohana ʻana i nā lāʻau ʻalopero (intravenously) (i ke aa koko) e hakakā i ka maʻi. Eia nō naʻe, ke holomua o ka maʻi a aia nā hōʻailona o ka nekrosis, ʻoki e wehe i nā aʻa a no laila hakakā i ka maʻi.