Necrotizing yakapfava hutachiona hutachiona

Necrotizing yakapfava hutachiona hutachiona husingawanzo asi hwakanyanya hutachiona hutachiona. Inogona kuparadza mhasuru, ganda, uye pasi pechipunu. Izwi rekuti "necrotizing" rinoreva chimwe chinhu chinoita kuti nyama yemuviri ife.

Mhando dzakasiyana dzakasiyana dzehutachiona dzinogona kukonzera hutachiona. Iyo yakaoma kwazvo uye inowanzo kuuraya fomu yekukanganisa hutachiona hutachiona inokonzerwa nehutachiona Streptococcus pyogenes, iyo dzimwe nguva inonzi "nyama inodya mabhakitiriya" kana strep.

Necrotizing yakapfava hutachiona hutachiona inokura apo hutachiona hunopinda mumuviri, kazhinji kuburikidza nekucheka kudiki kana kukwenya. Hutachiona hunotanga kukura nekuburitsa zvinhu zvinokuvadza (chepfu) zvinouraya nyama uye zvinokanganisa kuyerera kweropa kunharaunda. Nenzara yekudya nyama, mabhakitiriya anogadzirawo makemikari anovharira kugona kwemuviri kupindura kune muviri. Sezvo nyama inofa, hutachiona hunopinda muropa uye hunokurumidza kupararira mumuviri wese.

Zviratidzo zvinogona kusanganisira:

• Diki, tsvuku, bundu rinorwadza kana bundu paganda rinopararira
• Iyo inorwadza-sekupwanya-senge nzvimbo inozokura nekukura nekukurumidza, dzimwe nguva mune isingasviki awa
• Pakati panosviba uye pakasviba ndokuzoshanduka kuita nhema uye munyama unofa
• Ganda rinogona kuvhurika uye kubuda mvura

Zvimwe zviratidzo zvinogona kusanganisira:

• Kunzwa kurwara
• Kupindwa nechando
• Kudikitira
• Kutonhora
• Nausea
• Dzungu
• Kushaya simba
• Shock

Anopa hutano anogona kukwanisa kuongorora mamiriro aya nekutarisa ganda rako. Kana, mamiriro acho anogona kuongororwa mukamuri yekuvhiya nachiremba anovhiya.

Miedzo inogona kuitwa inosanganisira:

• Ultrasound
• X-ray kana CT scan
• Kuongororwa kweropa
• Ropa tsika kuongorora mabhakitiriya
• Kuvezwa kweganda kuti uone kana pus iripo
  
• Ganda tishu biopsy uye tsika

Kurapa kunodiwa ipapo ipapo kudzivirira kufa. Iwe ungangoda kugara muchipatara. Kurapa kunosanganisira:

• Mishonga inorwisa mabhakitiriya inopihwa kuburikidza netsinga (IV)
• Kuvhiya kubvisa chironda uye kubvisa nyama dzakafa
• Mishonga yakakosha inonzi donor immunoglobulins (antibodies) kubatsira kurwisa hutachiona mune dzimwe nguva

Mimwe mishonga inogona kusanganisira:

• Ganda rekumisikidza mushure mekunge hutachiona hwaenda kubatsira ganda rako kupora uye kutaridzika zvirinani
• Kudimburwa kana chirwere chikapararira kuburikidza neruoko kana gumbo
• Mazana muzana okisijeni pakudzvinyirira kukuru (hyperbaric oxygen therapy) yemamwe marudzi ehutachiona hutachiona

Unyatsoita sei zvinoenderana ne:

• Hutano hwako hwese (kunyanya kana uine chirwere cheshuga)
• Kuti wakakurumidza kuongororwa sei uye nekukurumidza sei iwe wakagamuchira kurapwa
• Rudzi rwehutachiona hunokonzera hutachiona
• Kurumidza sei kutapukira hutachiona
• Kurapa kunoshanda sei

Chirwere ichi chinowanzo kukonzera kukuvara uye kuora kweganda.

Rufu runogona kuitika nekukurumidza pasina kurapwa kwakakodzera.

Matambudziko anogona kukonzerwa nemamiriro aya anosanganisira:

• Utachiona hunopararira mumuviri wese, zvichikonzera hutachiona hweropa (sepsis), hunogona kuuraya
• Kushungurudza uye kushanduka
• Kurasikirwa kwekugona kwako kushandisa ruoko kana gumbo
• Rufu

Dambudziko iri rakanyanya uye rinogona kutyisidzira hupenyu. Bata mupi wako ipapo ipapo kana zviratidzo zvehutachiona zvikaitika pakukuvara kweganda, kusanganisira:

• Kudonha kwepus kana ropa
• Kupindwa nechando
• Kurwadziwa
• Kutsvuka
• Kuzvimba

Gara uchichenesa ganda zvakakwana mushure mekucheka, kukwenya, kana kumwe kukuvara kweganda.

Necrotizing fasciitis; Fasciitis - necrotizing; Nyama-kudya mabhakitiriya; Nyoro zvinyama zvinyoro; Gangrene - nyoro nyama

Abbas M, Uçkay I, Ferry T, Hakko E, Pittet D. Hwakanyanya hutete-hutachiona hutachiona. Mune: Bersten AD, Handy JM, eds. Chinyorwa Chekuchengetedza Kwakanyanya. 8th ed. Philadelphia, PA: Elsevier; 2019: chap 72.

Fitzpatrick JE, High WA, Kyle WL. Necrotic uye ulcerative ganda kusagadzikana. Mune: Fitzpatrick JE, High WA, Kyle WL, eds. Inokurumidza Kuchengeta Dermatology: Chiratidzo-Yakavakirwa Kuongorora. Philadelphia, PA: Elsevier; 2018: chitsiko 14.

Pasternack MS, Swartz MN. Cellulitis, necrotizing fasciitis, uye subcutaneous tishu hutachiona. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier Saunders; 2020: chits. 93.

Stevens DL, Bisno AL, Makamuri HF, et al. Dzidzira maitiro ekuongororwa uye manejimendi eganda uye akapfava hutachiona hutachiona: 2014 inovandudzwa neInfectious Diseases Society yeAmerica Clin Infect Dis. 2015; 60 (9): 1448. Kukanganisa kwedosi muchinyorwa chinyorwa]. Clin Infect Dis. 2014; 59 (2): e10-e52. PMID: 24973422 pubmed.ncbi.nlm.nih.gov/24973422.