Necrotizing fasciitis

I-necrotizing fasciitis iyisifo esithinta inhliziyo, eholela ku-necrosis yezincubu ezingaphansi, kufaka phakathi i-fascia (izibungu ezimboza imisipha). I-necrotizing fasciitis iqala kunoma yiziphi izingxenye zomzimba, kodwa ngokuvamile kaningi kuthinta isilungu, isisu nesisu somzimba. Ngokuya ngezinhlobo zamabhaktheriya abangela lesi sifo, i-fasciitis enomdlavuza ingabangela ukushaqeka okwesibhakabhakeni ngezinga eliphakeme lokufa noma ukushiya imiphumela engavumeleki emzimbeni wesiguli, ehambisana nokuhlukaniswa kwesifo socansi emigqeni yesikhumba kanye nokubunjwa kwama-fibrin clots ezitsheni. Odokotela bavame ukwenza isinqumo mayelana nokukhishwa kwesiguli esithintekile isiguli.

Izimbangela ze-fasciitis necrotic

Isizathu esisha saleso sifo sisakazeka emathanjeni angaphansi kwe-aerobic, ama-bacterial anaerobic kanye ne-streptococci kusuka esilonda esiseduze, isilonda, noma isifo ngenxa yokugeleza kwegazi. Ukutheleleka kwe-Necrotic kungakhula:

• ngenxa yeso sigameko (ukusika, ukulimaza, isilonda esivulekile esikhumba);
• ngenxa yokungena kwesifo ngenxa yokubunjwa esikhumbeni (ukuphazamiseka, ukuguguleka kwamanzi);
• ngemuva kokungenelela kokuhlinzwa.

Kukhona idatha mayelana nokuvela kwe-fasciitis ngemuva kokulunywa kwezinambuzane.

Izimpawu ze-fasciitis

Isibonakaliso sokuqala ubuhlungu obukhulu. Nokho, kwezinye izimo, ubuhlungu bungasekho. Ngaphezu kwalokho, izimpawu zesifo ziyaqaphela:

• indawo ethintekile iphenduka isithukuthezi, ishisayo, ibomvu (noma ihlukaniswe);
• kukhona izibhanki zesikhumba ezinokuqukethwe okunama-serous noma e-serous-hemorrhagic;
• kuze kufike ukushisa okubalulekile;
• kukhona i-tachycardia, i-hypotension, yehlile umsebenzi wengqondo;
• iqala ukuhlukumeza .

Ukuhlolwa ngokuqondile kutholakala udokotela ekuhlolweni futhi kuqinisekiswa ngemiphumela yezivivinyo ezibonisa i-leukocytosis ephakeme, ukuwohloka kwesimo se-hemodynamic nesimiso somzimba.

Ukwelashwa kwe-fasciitis

Umbuzo wendlela yokuphatha i-fasciitis kubaluleke kakhulu, ngoba wonke umuntu wesithathu uyafa, futhi ingxenye enkulu yabasindile lesi sifo sihlala sikhubazekile impilo.

I-neecrotizing the fasciitis therapy ihlanganisa:

• ukusetshenziswa kwama-antibiotics okungenani izinhlobo ezimbili;
• ukusetshenziswa kwama- immunomodulators ;
• ukungenelela kokuhlinzekwa kokusabalala kokutheleleka, kuyilapho inqubo yokwelashwa okuphathelene nokuhlinzwa ihlotshaniswa nokwehlukaniswa kwendawo yokutheleleka futhi indawo ethintekile.

Ezimweni ezimbi kunazo zonke, ukuxoshwa okuphuthumayo kuyadingeka.