Necrotizing fasciitis - matenda oopsa kwambiri

Mwamwayi zonse, ndi matenda n'chosoŵa, monga necrotizing fasciitis ali osowa. matenda ndi matenda oopsa. Kodi zimayambitsa ndi mmene anawachiritsa?

mabakiteriya zimadya amene amayambitsa matenda amagwa minofu zofewa ndi fascia, yomwe ndi nsalu chipolopolo okuta minofu. Iwo angayambe pa malekezero atalandira kuvulala zazing'ono kapena pambuyo njira zosiyanasiyana opaleshoni. Infection ndi Gulu A streptococcus, pali zambiri chifukwa malowedwe a tizilomboto m'thupi ngakhale pa choipa pang'ono kwambiri wa khungu. matenda obwerawa bakiteriya amayamba chifukwa wamba opaleshoni. Necrotizing fasciitis amapezeka mu nkhani ya mwangozi wa zinthu zingapo yeniyeni: munthuyo anali odulidwa, yotupa kapena lotseguka khungu bala, amene mabakiteriya kudutsa mu minofu; panali kukhudzana ndi munthu ndi chonyamulira cha bakiteriya (zambiri ndi serotypes awo olanda kapena tizilombo ta streptococci). Ozama mu thupi la munthu, bakiteriya ici ulikubala kudya ndi kubala padziko yokha michere ndi poizoni kuti awononge minofu zofewa ndi fascia. Chifukwa cha ndondomekoyi mosalekeza, iwo mwamsanga gangrenous. Izi minofu gangrenous ayenera kuchotsedwa opaleshoni, chifukwa mukatero, moyo wa wodwala akhoza chakupha.

Ngati necrotizing fasciitis ndi wapezeka mu magawo oyambirira a matenda pa nthawi ya kuchotsa opaleshoni khungu ndi minofu zofewa ochepa iwo akhoza kuchotsedwa, ndipo muyenera kuchotsa mafuta ndi minofu. Mabakiteriya sangathe kuukira minofu kapena fupa, ngakhale palibe munthu otetezeka. Mu Zikavuta kwambiri chofunika amputation wa nthambi akhudzidwa. Ngati madokotala bwinobwino kuti matenda ndi anaima, bala chatsekedwa, monga ulamuliro, ntchito grafts khungu. Necrotizing fasciitis ndi matendawa kwambiri mofulumira pang'onopang'ono. N'chifukwa chake Timeliness wa mankhwala - mfundo yofunika kwambiri pa ndondomeko ya kupulumutsa wodwalayo.

Zimayambitsa matenda ndi minofu kuwonongeka streptococcal matenda kapena anaerobic ndi aerobic mabakiteriya. tizilombo toyambitsa matenda amenewa amafalitsidwa ndi minofu subcutaneous wa chilonda pafupi kapena kuvulala. Chiopsezo chachikulu cha matenda alipo odwala ndi shuga. Necrotizing fasciitis kumabweretsa minofu ischemia chifukwa occlusion Mitsempha ndi subcutaneous amachititsa zotupa necrotic wa khungu.

Zizindikiro za matendawa:

- ululu;

- matenda minofu akutembenukira wofiira, amakhala otentha ndipo edematous, thovu anapanga;

- kutentha thupi, hypotension, tachycardia, utachepa tcheru maganizo

- kukula kwa chilonda.

Matendawa zikutsimikiziridwa ndi Kupenda ndi leukocytosis mkulu, pamaso pa mafuta zimakhala ndi, akuchuluka hemodynamic ndi udindo kagayidwe kachakudya.

Chithandizo cha necrotizing fasciitis ndi ntchito maantibayotiki ndi mitundu yambiri ya opaleshoni. Pafupifupi 30% ya imfa wodwala uyu chikutha fasciitis. Achikulire zaka, akuchedwa matenda ndi mankhwala kwambiri kumawonjezera madokotala ananena zawo.

inanso ndi plantar fasciitis fasciitis woimira aseptic kutupa oyenerera m'dera ubwenzi ndi calcaneal tuber plantar aponeurosis. Limagwirira cha matenda mwachindunji ndi kukondoweza kwa periosteum pansi katundu, chisoni plantar fascia ndi chitukuko cha kutupa m'deralo. Matenda zizindikiro: ululu chidendene, akuwuka patapita kuyenda yaitali ndi kuvala nsapato.

Plantar fasciitis, amene mankhwala ndi kuchepetsa mavuto a fascia m'dera plantar mankhwala ochiritsa mwa oyika wapadera nsapato, njira ya mankhwala thupi, odana ndi yotupa mankhwala, mantha-yoweyula mankhwala.