Necrotizing fasciitis

Necrotizing fasciitis ndi matenda a subcutaneous, omwe amachititsa kuti necrosis ya minofu yapansi, kuphatikizapo fascia (membranes akuphimba minofu). Necrotizing fasciitis ikukula kumbali iliyonse ya thupi, koma nthawi zambiri imakhudza chiwalo, m'mimba m'mimba ndi perineum. Malinga ndi mitundu ya mabakiteriya omwe amachititsa matendawa, nthenda yotchedwa necrotizing fasciitis ikhoza kuchititsa mantha kwambiri kuti munthu afe kapena kusiya zotsatira zosalephereka m'thupi la wodwala, zomwe zimagwirizanitsa ndi kugawanika kwa khungu la khungu ndi kupanga mapuloteni a fibrin m'mitsuko. Nthawi zambiri madokotala amafunika kupanga chisankho cha kuchotsa chiwalo cha wodwalayo.

Chifukwa cha chisokonezo fasciitis

Chowopsa chenicheni cha matendawa chikufalikira kumagulu ang'onoang'ono a aerobic, mabakiteriya a anaerobic ndi streptococci kuchokera ku chilonda chapafupi, chilonda, kapena matenda kudzera mwa magazi. Matenda opatsirana amatha kuyamba:

• chifukwa cha zoopsa (kudula, kuvulaza, chilonda cha khungu);
• chifukwa cha kupatsirana kwa matendawa kudzera mu kapangidwe khungu (kutsekemera, kutentha kwa nthaka);
• atatha kuchita opaleshoni.

Pali deta pa zochitika za fasciitis pambuyo pa kuluma kwa tizilombo.

Zizindikiro za fasciitis

Chizindikiro choyamba ndikumva ululu waukulu. Komabe, nthawi zina, ululu ukhoza kukhala palibe. Komanso, zizindikilo za matendawa zimatchulidwa:

• Malo okhudzidwa amakhala otupa, otentha, ofiira (kapena otumbulutsidwa);
• Pali zotupa za khungu zomwe zili ndi serous kapena serous-hemorrhagic;
• mpaka kufika kutentha kwakukulu;
• pali tachycardia, hypotension, kuchepa kwa maganizo;
• imakhala yopweteka .

Dokotala amadziŵa bwinobwino zomwe zimachitika ndipo amatsimikiziridwa ndi zotsatira za mayesero omwe amasonyeza leukocytosis yapamwamba, kuwonongeka kwa malo a hemodynamic ndi kagayidwe kake.

Kuchiza kwa fasciitis

Funso la momwe tingachitire fasciitis ndi lofunika kwambiri, chifukwa munthu aliyense wachitatu amamwalira, ndipo ambiri mwa opulumukawo matendawa amakhalabe olumala kwa moyo.

Necrotizing fasciitis therapy ikuphatikizapo:

• kugwiritsa ntchito maantibayotiki a mitundu iwiri;
• kugwiritsa ntchito ma immunomodulators ;
• Kuchulukitsa opaleshoni mu kufalikira kwa matenda, pamene njira yothandizira opaleshoni imagwirizanitsidwa ndi malo omwe ali ndi kachilomboka komanso dera lomwe lasokonezeka.

M'milandu yovuta kwambiri, kuchotsa mwadzidzidzi n'kofunika.