Fournier syndrome: he aha ia, nā ʻōuli, nā kumu a me nā lāʻau

Anter

• Nā hōʻailona nui
• Pehea e hana ai i ka lāʻau
• Nā kumu o ka maʻi o Fournier's
• Pehea e pale aku ai

ʻO ka maʻi ʻo Fournier kahi maʻi maʻamau i hoʻokumu ʻia e ka hoʻolaha ʻana o nā bacteria i loko o ka ʻāina genital e hāpai ana i ka make ʻana o nā hunaola ma ia wahi a alakaʻi ʻia i ke ʻano o nā ʻōuli o ka gangrene, e like me ka ʻehaʻeha, ʻaʻala ʻaʻala a me ka huʻi ʻana o ka ʻāina.

ʻOi aku ka maʻamau o kēia maʻi maʻi i nā kāne makua a i ʻole ka poʻe immunocompromised ma muli o ka haʻahaʻa o ka hana pale, ʻaʻole hiki ke hoʻopau i nā microorganism kuleana no ka maʻi.

Hiki ke hoʻōla ʻia ka maʻi o Fournier a ʻaʻohe maʻi lele, akā naʻe, e hoʻomaka koke ʻia kāna lāʻau ʻana e hōʻemi i ka makaʻu o ka ʻoki a hoʻolaha ʻana o nā maʻi bacteria i nā meaola ʻē aʻe, hiki ke hoʻoweliweli i ke ola.

Nā hōʻailona nui

ʻO ke kū ʻana o nā koʻohune i loko o ka ʻāina pili e kumu i ka maʻi nui a hiki iā ia ke keʻakeʻa i ke kahe o ke koko i loko o ka ʻāina, kahi e hopena ai i ka make o nā meaola, i kapa ʻia ʻo gangrene. No laila, ʻo nā hōʻailona a me nā ʻōuli o ka maʻi o Fournier i manaʻo ʻia he ʻeha a hōʻoluʻolu ʻole ia, ʻo nā mea nui ke:

• ʻIli o ka ʻāpana pili ʻulaʻula e hele a pouli;
• ʻEha nui a mau;
• ʻAʻala ʻaʻala a pehu o ka ʻāina;
• Fiva ma luna o 38ºC;
• Ka luhi nui loa.

ʻOiai ʻoi aku ka liʻiliʻi o ka manawa pinepine, i nā wahine ke komo pinepine ʻana o ka puʻupuʻu a me ke aʻa, ʻoiai i nā kāne ke nānā nui ʻia i ka scrotum a me ka penis.

Pehea e hana ai i ka lāʻau

Pono e koi ʻia ka lapaʻau e ka urologist a i ʻole gynecologist, a hōʻike pinepine ʻia ke ʻoki e wehe i ka ʻili a me nā hunaola make a pēlā e pale ai i ka maʻi mai ka neʻe ʻana. Hoʻohui ʻia, hoʻouna ʻia kaʻiʻo i hoʻoneʻe ʻia i ke keʻena hoʻokolohua no ka loiloi a hiki ke ʻike ʻia ke microorganism kuleana no ka maʻi.

Ma waho aʻe o ke kaha ʻana, hiki i ke kauka ke kuhikuhi i ka hoʻohana ʻana o nā antibiotic ma ka waha a i ʻole pololei i loko o ke aa, e like me Piperacillin-Tazobactam a i ʻole Clindamycin, no ka laʻana, i pale i ka maʻi mai ka hoʻi hou ʻana.

I nā hihia ʻoi loa, pono paha e hemo i ka nui o nā ʻili i hoʻopili ʻia a no laila, no ka hale maʻi, hiki i ka haukapila mai kahi mau lā a i kekahi mau lā a hiki i ka ulu ʻana o ka ʻili a me nā mea āpau i hoʻopili ʻia.

I kekahi mau hihia, pono paha ia i ke kanaka e hana ʻokiʻoki e kūkulu hou i ka ʻāina pili, no ka mea ʻo ke koʻohune ke kuleana no ka maʻi e luku i nā mea a me nā hunaola. E hoʻomaopopo pehea e mālama ʻia ai ʻo Fournier Syndrome.

Nā kumu o ka maʻi o Fournier's

Hoʻokumu ʻia ka maʻi ʻo Fournier e nā bacteria i ʻāpana o ka genbi microbiota i hiki ke hoʻomohala ma kahi a alakaʻi i ka make o nā hunaola ma muli o ke kū ʻana o nā toxins. Kūpono kekahi mau hanana i ka hoʻolaha ʻana o kēia mau koʻohune a hoʻonui i ka makaʻu o ka hoʻomohala ʻana i ka maʻi, nā mea nui:

• Ka nele o ka maʻemaʻe;
• Nā Pleats ma ka ʻili, e hōʻiliʻili i nā bacteria;
• Mimikō diabetes;
• Morbid momona;
• Kaʻai pono ʻole;
• ʻO ka vascularization haʻahaʻa a me ka thrombosis i nā kīʻaha koko o ka ʻāina;
• ʻO nā puʻupuʻu me ka hoʻokumu ʻana i nā ʻūlū;
• Sepsis;
• Loaʻa maʻi pale maʻi maʻi maʻi;
• Maʻi maʻi urinary tract;
• Nā maʻi liʻiliʻi.

Hoʻohui ʻia, nā kumu ʻē aʻe e hoʻonui i ka makaʻu o ka maʻi o Fournier ʻo ka cirrhosis, ka wai ʻona, ke kiʻekiʻe kiʻekiʻe, ka lāʻau a me ka hana ʻino antibiotic me ka ʻole o ka lāʻau lapaʻau, no ka mea hiki ke hāpai i ka paʻa mau ʻana o nā bacteria.

Pehea e pale aku ai

ʻOiai ʻo Fournier's Syndrome ka mea i hoʻokumu ʻia e nā bacteria i ʻike kūlohelohe ʻia i ka ʻāpana genital, he mea nui e lawe i nā ana e pale ai i kāna hoʻolaha ʻana, he mea nui e mālama i ka hoʻomaʻemaʻe kūpono o ka genital region, me ka pale ʻana i nā meaʻai momona i ke kō, ʻoiai hiki ke aloha i ka bacterian hoʻomohala.

Eia hou, he mea nui e hōʻalo i nā kumu pilikia, he mea nui ka papaʻai olakino, pale i ka ʻai ʻana i nā mea inu ʻona a lāʻau lāʻau paha, mai hoʻohana i nā lāʻau ʻaloʻalo me ka ʻōlelo aʻoaʻo ʻole a ka lāʻau.