Necrotizing fasciitis - isifo esibi kakhulu

Ngethamsanqa bonke, sisifo inqabile kakhulu, ezifana necrotizing fasciitis kunqabile. Esi sifo a usuleleko yintsholongwane. Yintoni unobangela wayo kwaye sinyangeke njani?

iintsholongwane ezitya ezibangela ukuwa isifo kulo kwizihlunu ezithambileyo kunye ifascia, nto leyo iqokobhe ngelaphu esogqume izihlunu. Oko kunokuthi kwenzeke eziphelweni emva kokufumana iingozi ezincinane okanye emva iinkqubo ezahlukeneyo yotyando. Usulelo ne Group A iStreptococcus, kukho amaninzi ngenxa kwii ka pathogen emzimbeni nokuba ukwenzakala kancinane kakhulu eluswini. izifo Mixed bacteria isiphumo oqhelekileyo uqhaqho. Necrotizing fasciitis kwenzeka kwimeko kuqondana iimeko ezininzi ezithile: umntu waba cut, umvumbo okanye inxeba ezivulekileyo, apho ibhaktiriya ukugqobhoza kungena esikule; kwakukho ukuqhagamshelana umntu inaso esi iintsholongwane (kaninzi ke serotypes zabo invasive okanye iintlobo ze streptococci). Zingene emzimbeni womntu, eli gciwane kuvelisa ngokukhawuleza kwaye uvelisa ngeenxa ngokwalo enzyme obuba- atshabalalise kwizihlunu ezithambileyo kunye ifascia. Ngenxa yale nkqubo eqhubekayo, bakhawuleza baba ezililize. Le inyama xuki kufuneka isuswe intsumpa, kuba kungenjalo, ubomi yomguli lunokubulala.

Ukuba necrotizing fasciitis eshiyekileyo ifunyanwa kwi zigaba yokuqala sifo ngexesha kokususa yesikhumba kunye inyama ithambile inani elincinane kubo zisuswe, kwaye kufuneka nje nokususwa kwamafutha kunye kwithishyu. Iintsholongwane Sukuya umsipha okanye ithambo, nangona oku kungekho namnye uya kusinda. Kwiimeko ezininzi kakhulu efunekayo okwalandelwa mlenze achaphazelekayo. Ukuba oogqirha ngaba abakaqiniseki ngokupheleloyo ukuba wosuleleko wayeka, inxeba ivaliwe, njengoko umthetho, esebenzisa isikhumba grafts. Necrotizing fasciitis sesinye sezifo ngokukhawuleza progressive. Kungenxa yoko le nto ukufaneleka unyango - eyona nto ibalulekileyo kule nkqubo zokonga umguli.

Izinto ezibangela le zezifo umonakalo inyama usuleleko streptococcal okanye anaerobic neentsholongwane aerobic. Ezi amagciwane athunyelwa inyama ongama ye kwethumba osecaleni okanye yokwenzakala. Ingozi inkulu esi sifo ekhoyo izigulane kunye seswekile. Necrotizing fasciitis kukhokelela kwezihlunu ischemia ngenxa occlusion kwemithambo yegazi kunye ongama kubangela amanxeba necrotic kwesikhumba.

Iimpawu zesi sifo:

- ubuhlungu obukhulu;

- inyama enesifo bomvu, iba shushu kwaye edematous, kwakheka amadlu;

- fever, hypotension, tachycardia, sinciphise nengqondo engqondweni;

- kuphuhliso ukubola.

Uxilongo ingqinwa yeemviwo leukocytosis phezulu, ubukho berhasi emzimbeni, hemodynamic zisiba kunye nobume metabolic.

Unyango necrotizing fasciitis na ukusetyenziswa zintsholongwane kunye iindidi ezininzi uqhaqho. Malunga nama-30% ukufa le yomguli iphela fasciitis. ubudala nangaphezulu, ukulibaziseka afunyaniswe isifo kwaye afumane unyango zimbi kakhulu abantu abane.

Umahluko kukuba plantar fasciitis fasciitis emele ukudumba aseptic zilahlwe kwindawo uncamathiselo kwi calcaneal tuber plantar aponeurosis. Indlela yesi sifo ezinxulumene ngqo ne ukukhuthazwa periosteum phantsi komthwalo, ifascia intlungu plantar kunye nophuhliso ukudumba kule ndawo. Iimpawu Clinical: intlungu isithende, evela emva kokuba uhambe ixesha elide ukuba ukunxiba izihlangu.

Plantar fasciitis, apho unyango kukunciphisa ukuqina kwindawo ifascia plantar iyanyangeka ngokusebenzisa ifaka ekhethekileyo izihlangu, ikhondo unyango ngokwasemzimbeni, amachiza anti-ukudumba, unyango kukothuka-ngumtshangatshangiso.