I-Necrotizing Fasciitis Ezitholampilo Ezibhedlela
Esinye sezifo ezingase zitholakale ngesikhathi esibhedlela kungukuthi i-fasciitis ene-necrotizing, eyaziwa ngegama layo elivamile, amabhaktheriya enyama, noma isifo esidla inyama. I-necrotizing fasciitis iyisifo esithinta isikhumba esishesha ngokushesha esibulala umzimba. Ngenkathi abantu abanempilo ephethe amasosha omzimba ajwayelekile bengasengozini yokuthuthukisa i-fasciitis enempilo emisebenzini yabo yansuku zonke, iziguli ezibhedlela zibeka engozini enkulu yokuthola lesi sifo.
I-fasciitis ene-Necrotizing ingabangelwa izinhlobo eziningana ezahlukene zamabhaktheriya, kuhlanganise neqembu A Streptococcus (iqembu A strep), Klebsiella , Clostridium , Escherichia coli , Staphylococcus aureus, ne- Aeromonas hydrophila . I-Group A strep yiyona ibciwane elivame kakhulu elibangela lesi sifo, kodwa ochwepheshe bakholelwa ukuthi i-fasciitis ene-necrotizing ebangelwa i -Staphylococcus aureus engamelana ne-methicillin (MRSA) iyaba yinto evamile kakhulu.
I-Necrotizing Fasciitis Ilimaza Iziguli?
Lesi sifo siqala lapho ama-bacteria esakazeka ngemva kokungena emzimbeni, ngokuvamile ngekhefu esikhunjeni, njenge-cut, scrape, burn, i-bite insects, noma i-puncture wound. Ama-bacteria ahlasela izingqimba ezinjengezicabha , ezihlanganisa izicubu zomzimba ezizungeze imisipha, izinzwa, amafutha negazi. Amakhomikhali akhishwe amabhaktheriya abulala izicubu ezithandekayo nezizungezile.
Amabhaktheriya angasakazeka ngokushesha emzimbeni ( sepsis ) futhi adinga ukuphathwa ngokushesha.
Iziguli eziningi zihlushwa unomphela futhi zingadinga ukuxoshwa kwesilungu. Cishe ama-25% weziguli ezithathelwana ne-fasciitis ye-necrotizing izofa ngokutheleleka. Ngokusho kwe-CDC, iziguli ezingu-10 000 kuya ku-15 000 zaseMelika zitheleleke nge-fasciitis ye-necrotizing. Kubo aba 2,000 kuya ku-3 000 bafa.
Amacala amaningi esibhedlele we-fasciitis enomdlavuza avela ezigulini ezinamahlumela avulekile, ikakhulukazi labo abaye bahlinzwa noma baboshwa ngenxa yokulimala okulimazayo. Ngenxa yesifo, isifo se-fasciitis esine-necrotizing akusona isifo esibhedlela ukuthi iziguli zingenza okuningi ukulawula ngaphandle kokuthi uqiniseke ukuthi amanxeba ahlale ehlanzekile.
Ukugcina isilonda esihlanzekile kudinga ukunamathela ngokuqinile emilonyeni yokuphepha, kuhlanganise nokuwashwa ngesandla njalo . Kunconywa ukuthi noma yikuphi abasebenza esibhedlela abanezilonda ezivulekile noma abaziqhayisa, noma ukugula okuphefumulayo, akufanele baxhumane neziguli ezinamahlumela avulekile ukuze bagweme ukutheleleka kulawo manxeba.
Noma yisiphi isiguli esizoba esibhedlela sokuhlinzwa noma isilonda esivulekile kufanele sizivikele ngokuthatha izinyathelo zokuvimbela ukutheleleka okutholakala esibhedlela .
Ziyini Izimpawu Ze-Necrotizing Fasciitis?
Izimpawu ze-fasciitis ze-Necrotizing zivame ukuvela phakathi kwamahora okulimala noma ukulimala, futhi zivame ukungaqondakali futhi zifana nezinye zezinye izifo. Izimpawu zihlanganisa:
- Ubuhlungu noma ubuhlungu, obufana nalokho "kosizi oluthile"
- Ukufudumala nokubomvu noma izindawo zokuhluma ezanda ngokushesha
- Izilonda, ama-blisters noma izindawo ezimnyama esikhumbeni
- Ukushisa, ukukhukhuma, ukukhathala noma ukuhlanza kungalandela isilonda sokuqala noma ubuhlungu
I-Necrotizing Fasciitis Iphathwe Kanjani?
Iziguli ezine-nefrotizing fasciitis zidinga ukwelashwa ngama-antibiotic aqinile kakhulu alawulwa ngenaliti emgqonyeni. Kodwa-ke, ngisho nemithi elwa nemithi enamandla kunazo zonke ayifinyelele kuzo zonke izindawo ezithathelelekile ngenxa yokulimala kwezicubu ezithambile nokunciphisa ukugeleza kwegazi okubangelwa ubuthi be-bacteria. Ngenxa yalokhu, kwezinye izimo, odokotela bavame ukwenza ukuhlolwa nokukhishwa kwemithi yokuhlinzwa, nokususwa kwezicubu ezifile.
Imithombo:
I-A A Streptococcal (GAS) Izifo ezivela ku-CDC.
Ukutheleleka kwe-tishu esithambile esivela ku-Medline Plus.
I-Necrotizing fasiitis evela e-University of Wisconsin uMnyango Wezokwelapha Nempilo Yomphakathi.