Fournier chirwere

Neronda rinonyenga anogona kushatiriswa zvose zvokunze uye dzimwe zvinhu. Muchiitiko chokutanga, mhaka wehurumende ndiyo zvokuimba zvazvinoita. Zvikurukuru, ichi makuvaro ayo pamwe nokupwanywa, kupwanya kukuvara pamwe havachanyatsogoni tsinga uye mudziyo kuvimbika uye kumanikidzwa maronda. Neronda rinonyenga anogona kushatiriswa zvokunze panyama (frostbite, kutsva), kemikari (kwechirwere Arsenic, phosphorus, simba acids kana alkalis) zvinhu uye ve ionizing mwaranzi.

Pakati munyika zvinokonzera triggering ezvinhu, anogona kutaurwa avo pezvakaitwa kuti pave chirwere tishu kudya kunovaka. Izvi kunyanya vascular maronda. Izvi zvinosanganisira blockage kuti tsinga. The maronda anogona kukonzerwa vasoconstriction pakati kurwadza kwacho kana anatomical kuchinja atherosclerosis Somuenzaniso, iro rinowanzoshandurwa kunokonzerwa thrombosis, infarcts.

Chii neronda rinonyenga? Pfungwa iyi rinotsanangura mamiriro necrosis (necrosis) chero nzvimbo mumuviri kana muviri pamwe hwokufananidzira ruvara shanduko (kubva dzinongoitika ruvara kuti rinokwanisa kucheneruka, shava kana dema). Neronda rinonyenga anogona kuva se chokuita (septic kana chinonyangadza) kana pasina (aseptic) tupukanana. Condition unovapo nokuda chimbichimbi kumira, kana kushomeka wedzerai reokisijeni kuti munyama. Kazhinji, rinenge rakati munzvimbo kure mwoyo (semuenzaniso, zvigunwe). Mamiriro anokwanisika kuitikawo mune nzvimbo dzomuungano kweropa chirwere (semuenzaniso, mumapapu kana mwoyo tsandanyama panguva chemwoyo).

Kusiyanisa gasi, yakaoma uye kunyorova neronda rinonyenga.

Mukupera nyaya, mamiriro ezvinhu kunoratidzwa kuzvimba, ruvara shanduko (kune grayish mashava), kuwedzera Vhoriyamu lesion. Sezvo kutonga, kwakakanganisa munyama tinoshandurirwa kuva guru dzakapfavirira kwemashoko tsvina zvakasvibirira. Nokuti zvinhu zvakadai nyoro neronda rinonyenga uye chinonyangadza kwakanaka noruzhinji.

Kana zvakanaka kuyerera pakati akafa uye utano zvinyama chakaumbwa muganhu yakajeka. Naizvozvo kuramba kunoitika necrotic maronda. The zvichiguma kukuvara anotanga kuporesa pamwe vanga inotungamirwa.

Mune zvisingawanzoitiki Muzviitiko, chirwere ari urogenital ino kungaita kuti tishu necrosis. mamiriro uku kunorondedzerwa se Fournier neronda rinonyenga.

Zvinofanira kucherechedzwa kuti iyi nyaya pane necrotizing fasciitis (yakanyanya noutachiona munyama), kufambira mberi nokukurumidza zvakakwana. Fournier neronda rinonyenga rinokanganisa vulva uye perineum. The chirwere ngozi murwere upenyu, saka nokukurumidza chiito kunokosha.

Kazhinji, mangwanani chirwere kwakaoma vakafuta murwere. Uyewo, kuziva chirwere tanga kunobva chiremba Kusvinurira, kukwanisa kwake kuziva zviratidzo.

Fournier neronda rinonyenga kunokudziridzwa, apo mugumisiro zvigare anoverengeka, kusanganisira staphylococci, streptococci, notumwe tupukanana enterobacteria. Kuvapo anaerobic mabhakitiriya kunoratidza maitiro chinonyangadza kunhuwa. The mhaka kukundwa kunogona kuva dambudziko.

Mukana rufu kana hosha zvakakwirira chaizvo uye ari Proportional kune njodzi nzvimbo zvakananga.

Hwaro chokubata mamiriro inzira zvomusejari yokurapa kushandisa dzakasiyana-siyana zvinokonzerwa nemishonga. Zvinofanira kucherechedzwa kuti chirwere Fournier raMwari chinokurwadzai zvikuru mutsekwende Varwere kuwana nayo. Hwakabatana, kazhinji zhinji Vhoriyamu kuvhiya Kupindira umo excision rinoitwa (kubviswa) zvose vakafa uye utachiona tishu.