Necrotizing fasciitis - chirwere chakakomba zvikuru

Sezvineiwo zvose, ane dererei chirwere, akadai necrotizing fasciitis hariwanikwi. chirwere ichi chinhu chakakomba noutachiona. Ndezvipi ayo chinokonzera uye sei chinogona kupera?

Mbeswa Mabhakitiriya kuti anokonzera chirwere yawira nyoro zvinyama uye fascia, inova Mucheka goko anofukidza netsandanyama. Inogona kuitika pamakona mushure mekugamuchira kukuvara kuduku kana pashure siyana maoparesheni. Chirwere pamwe Group A streptococcus, pane kazhinji nokuda kupinda pakati nayo utachiona mumuviri kunyange zvishomanana kukuvadzwa ganda. Mixed zvirwere zvinokonzerwa nemabhakitiriya ndivo nevakawanda mugumisiro kuvhiyiwa. Necrotizing fasciitis kunoitika panyaya masanga mamiriro ezvinhu akawanda chaizvo: Munhu waiva akachekwa, Kukuvadzwa kana isina ganda ronda, kuburikidza icho utachiona kupinda mukati tishu; paiva nevanhu ari mutakuri utachiona (kazhinji ndiwo serotypes kana okuva streptococci ravo invasive). Rakapinza muruoko womunhu, utachiona ichi pave kutsanya uye pave kumativi pacharo makemikari uye muchetura kuti kuparadza nyoro zvinyama uye fascia. Nokuda kwaizvozvi chichiitika, vakakurumidza kuva gangrenous. Izvi zvinyama gangrenous zvinofanira kubviswa surgically, nekuti zvimwe, upenyu murwere anogona kuurayisa.

Kana necrotizing fasciitis iri dzakaonekwa mukutanga nzendo chirwere panguva kuvhiya kubviswa ganda uye akapfava zvinyama vashomanana vavo inogona kubviswa, uye chete vanoda nokubviswa mafuta uye tishu. Mabhakitiriya anogona putsi tsandanyama kana pfupa, kunyange izvi hapana yakachengeteka. In wakakura zvikuru kacho zvaida kugura njodzi richiripo. Kana vanachiremba vane chokwadi zvachose kuti utachiona anomiswa, vanga yapera, sezvo mutemo, uchishandisa ganda grafts. Necrotizing fasciitis ndechimwe chezvinhu nokukurumidza mberi noutachiona. Ndokusaka timeliness kurapa - chinonyanya kukosha chokufunga mubishi rokuponesa murwere.

The zvinokonzera chirwere ichi vari zvinyama kukuvara streptococcal noutachiona kana anaerobic uye Kurovedza utachiona. utachiona aya anoparadzirwa munyika subcutaneous zvinyama zviri pedyo urikanwi kana kukuvara. Mukuru mukana hosha aripo pavarwere vane chirwere cheshuga. Necrotizing fasciitis kunotungamirira zvinyama ischemia nokuda occlusion midziyo ropa uye subcutaneous kunokonzera necrotic maronda ganda.

Zviratidzo zviri chirwere:

- kurwadziwa kwakanyanya;

- hosha zvinyama inodzora tsvuku, inova inopisa uye edematous, matema vari akaumba;

- fivha, hypotension, tachycardia, ungaderedza mupfungwa kurinda;

- kukura neronda rinonyenga.

Chirwere kunosimbiswa pakuongorora dzakakwirira leukocytosis, kuvapo gasi munyama, kuwedzera hemodynamic uye metabolic chinzvimbo.

Mabatirwo necrotizing fasciitis riri asingaurayiwi kushandiswa uye nemhando wandei kuvhiyiwa. Inenge 30% uyu murwere rufu rinoguma fasciitis. Older zera, kunonoka chirwere uye kurapwa yekudyidzana achiipa kubva fungidziro.

A kushanduka kuri plantar fasciitis fasciitis anomirira aseptic kuzvimba dzinongoda ari kuda nzvimbo kuti calcaneal tuber plantar aponeurosis. The mashandiro chirwere ichi chokuita kurudziro iri periosteum pasi mutoro, nokurwadziwa plantar fascia uye kukura kuzvimba munharaunda. Clinical zviratidzo: marwadzo chitsitsinho, yomuka pashure kufamba refu uye kupfeka shangu.

Plantar fasciitis, izvo kurapwa kuti kuderedza kunetseka pamusoro plantar fascia nzvimbo zvinogona kurapwa pachishandiswa anokosha inoisa vari shangu, kosi mumuviri kurapa, Anti-anogumbura zvinodhaka, vakakatyamadzwa-wave mishonga.