Necrotizing fasciitis - isifo esiyingozi

Ngenhlanhla konke, iyisifo ayeyivelakancane, ezifana necrotizing fasciitis akuvamile. Lesi sifo igciwane sina virus. Yiziphi nezimbangela zayo nendlela ingelapheka?

amagciwane ezidla ezibangela isifo iwela izicubu zomzimba ezithambile kanye fascia, okuyinto igobolondo Indwangu ukuthi ihlanganisa imisipha. Kungenzeka emachosheni ngemuva kokuthola imihuzukwana noma ngemva izinqubo ezihlukahlukene kuhlinzwa. Ukutheleleka nge-Group A streptococcus, kukhona ngokuvamile iningi ngenxa Ukungena pathogen emzimbeni ngisho at ukulimala okuncane kakhulu esikhumbeni. izifo ezithathelwanayo ezibangelwa amagciwane ezixutshiwe Uyi buwumphumela ovamile ukuhlinzwa. Necrotizing fasciitis kwenzeka endabeni kuqondana imibandela ethize eziningana: umuntu waba cut, ilimaze noma evulekile isikhumba isilonda, lapho amagciwane ukungena izicubu; kwakukhona ukuxhumana umuntu othwala amabhaktheriya (avame kuba serotypes yabo koda noma amagciwane streptococci). Engena phakathi komzimba womuntu, lokhu igciwane ukhiqiza okusheshayo futhi ukhiqiza emhlabeni ngokwayo enzyme ubuthi ezibhubhisa izicubu zomzimba ezithambile kanye fascia. Ngenxa yale nqubo eqhubekayo, basheshe baba gangrenous. Lokhu izicubu gangrenous kumelwe kususwe surgically, ngoba uma kungenjalo, ukuphila lesiguli kungaba yingozi.

Uma necrotizing fasciitis itholwa kusaqalwa lesi sifo ngesikhathi ukususwa kuhlinzwa zesikhumba izicubu zomzimba ezithambile inombolo encane kubo angasuswa, kuphela kudingeka ukususwa amafutha nezicubu. Ama-bacterium ngeke sibahlasele imisipha noma ithambo, nakuba lokhu akekho iphephile. Emacaleni angu-olunzima edingekayo ukunqunywa esitho ethintekile. Uma odokotela uqiniseka ngokuphelele ukuthi amagciwane wayeka, isilonda ivaliwe, njengoba umthetho, usebenzisa isikhumba grafts. Necrotizing fasciitis ingenye izifo eziningi ngokushesha ezithuthukayo. Yingakho nesikhathi yokwelapha - ke isici esibaluleke kunazo e inqubo kulondolozwa nesineke.

Izimbangela lesi sifo kukhona umonakalo izicubu ukutheleleka streptococcal noma anaerobic namagciwane aerobic. Lezi Amagciwane basakazwa nezicubu ongama we isilonda eduze noma ukulimala. Ubungozi kunazozonke isifo elikhona iziguli sikashukela. Necrotizing fasciitis kuholela izicubu ischemia ngenxa occlusion imithambo yegazi kanye ongama kubangela izilonda necrotic kwesikhumba.

Izimpawu zesifo:

- ubuhlungu obukhulu;

- izicubu onesifo bomvu, iba hot futhi edematous, akhiwa Bubbles;

- imfiva, hypotension, tachycardia, kwehle kokuqapha sengqondo;

- ukuthuthukiswa esibhibhayo.

Sifo kuqinisekiswa luhlolo ne leukocytosis okusezingeni eliphezulu, khona igesi emisipheni, eziya ziba zimbi hemodynamic kanye nesimo umzimba.

Ukwelashwa nokuvikelwa necrotizing fasciitis ukusetshenziswa imithi elwa namagciwane futhi izinhlobo eziningana ukuhlinzwa. Cishe 30% ukufa lokhu lesiguli uphela fasciitis. yobudala Okudala, ukubambezeleka ukuxilongwa kanye nokwelashwa kakhulu lesi Izibikezelo.

Enye kuyinto plantar fasciitis fasciitis emelela ukuvuvukala aseptic ngokufanele endaweni ukunamathela calcaneal tuber plantar aponeurosis. Mshini yalesi sifo lihlanganiswe ngokuqondile ukukhuthazwa periosteum ngaphansi komthwalo, usizi fascia plantar kanye nokuthuthukiswa ukuvuvukala endaweni. izimpawu Clinical: ubuhlungu esithendeni, okuzovela ngemva uhamba ibanga elide futhi ukugqoka izicathulo.

Plantar fasciitis, okuyinto kwelashwa ekunciphiseni izingxabano we plantar fascia endaweni ingelapheka esebenzisa ifaka ekhethekile zezicathulo, inkambo ukuze athole ukwelashwa komzimba, imithi eqeda ukuvuvukala, ukwelashwa ukushaqeka-wave.