Necrotizing fasciitis

I-necrotizing fasciitis yintsholongwane engaphantsi, ekhokelela kwi-necrosis yezicubu ezincinci, kuquka i-fascia (iimbumba ezihlanganisa izihlunu). I-necrotizing fasciitis ikhula kuyo nayiphina indawo yomzimba, kodwa idla ngokubanzi isithintela isilungu, isisu esiswini kunye ne-perineum. Ngokuxhomekeke kwiintlobo zebhaktheriya ezibangela isifo, i-fasciitis enokuthi ingabangela ukutyhafaza okunobungozi ngokukhululeka kokufa okanye ukushiya imiphumo engavumelekiyo emzimbeni wesigulane, ehambelana nokuqhekeka kwesifo se-skin kunye nokubunjwa kwama-fibrin clots kwiinqanawa. Oogqirha baninzi kufuneka benze isigqibo malunga nokuchithwa kwelungu elithintekileyo kwisigulane.

Iimbangela ze-fasciitis

Isizathu esisisiseko sesi sifo sisasazeka kwiimpawu ezincinci ze-aerobic, i-anaerobic ibterteria kunye ne-streptococci ukusuka kwilonda elisondeleyo, isilonda, okanye isifo ngenxa yokuhamba kwegazi. Usulelo lwe-Necrotic luyakhula:

• ngenxa yexinzelelo (ukusika, ukutyumla, isilonda evulekileyo esikhumba);
• ngenxa yokungena kwintsholongwane ngokubaluleka kwesikhumba (ukuqhawulwa, ukukhukhula);
• emva kokungenelela.

Kukho idatha malunga nokuvela kwe-fasciitis emva kokuluma kwezilwanyana.

Iimpawu ze-fasciitis

Umqondiso wokuqala ngowona ntlungu. Nangona kunjalo, kwezinye iimeko, intlungu ingabikho. Ngaphezulu, iimpawu zesifo ziyabonakala:

• Indawo echaphazelekayo iyaba nokuthukuthela, ishushu, ibomvu (okanye icacisiwe);
• kukho i-blisters yesikhumba kunye nokuqulethwe kwe-serous okanye ye-serous-hemorrhagic;
• ukuya kwiqondo lokushisa elibalulekileyo;
• kukho i-tachycardia, i-hypotension, iyancipha umsebenzi wengqondo;
• ikhula isifo .

Ukuxilongwa ngokuchanekileyo kusekwa ngugqirha ekubhaliseni kwaye kuqinisekiswa ziziphumo zeemvavanyo ezibonisa i-leukocytosis ephezulu, ukungonakaliswa kwesimo se-hemodynamic kunye nesimo somzimba.

Unyango lwe-fasciitis

Umbuzo wendlela yokuphatha i-fasciitis ibaluleke kakhulu, kuba umntu ngamnye wesithathu uyafa, kunye nenxalenye enkulu yabasindileyo esi sifo sihlala sikhubazekileyo kubomi.

I-necrotizing therapy ye-fasciitis iquka:

• ukusetyenziswa kwee-antibiotics zenani ezimbini;
• ukusetyenziswa kwabaxhamli be- immunomodulator ;
• ukungenelela kokusasazeka kwentsholongwane, ngelixa ubuchule bokunyangwa ngonyango luhambelana nolwazi lwentsholongwane kunye nommandla ochaphazelekayo.

Kwiimeko ezinzima kakhulu, ukufunwa okukhawulezayo kuyadingeka.