Matenda a Fournier: chomwe chiri, zizindikiro, zoyambitsa ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Momwe mankhwalawa amachitikira
• Zomwe zimayambitsa matenda a Fournier
• Momwe mungapewere

Matenda a Fournier ndimatenda achilendo omwe amabwera chifukwa cha kuchuluka kwa mabakiteriya omwe amalimbikitsa kufa kwa maselo m'derali ndipo amatsogolera kuwonekera kwa zilonda, monga kupweteka kwambiri, kununkhira koipa komanso kutupa m'deralo.

Matendawa amapezeka kwambiri mwa amuna achikulire kapena anthu omwe ali ndi chitetezo chokwanira chifukwa cha kuchepa kwa chitetezo cha mthupi, chomwe sichitha kuthetsa tizilombo tomwe timayambitsa matendawa.

Matenda a Fournier amachiritsika ndipo sakupatsirana, komabe chithandizo chake chiyenera kuyambitsidwa mwachangu kuti muchepetse kudulidwa ndi kufalikira kwa mabakiteriyawo ku ziwalo zina, zomwe zitha kupha moyo.

Zizindikiro zazikulu

Kupezeka kwa mabakiteriya mdera loyandikana kumayambitsa matenda akulu ndipo kumatha kusokoneza kuyenda kwa magazi m'derali, zomwe zitha kupangitsa kuti minofu, yomwe imadziwika kuti chilonda, ifa. Chifukwa chake, zizindikilo za matenda a Fournier zimawoneka ngati zopweteka komanso zosasangalatsa, zazikuluzikulu ndizo:

• Khungu la dera lofiira lomwe pambuyo pake limasanduka mdima;
• Kupweteka kwakukulu komanso kosalekeza;
• Fungo loipa ndi kutupa kwa dera;
• Malungo pamwamba 38ºC;
• Kutopa kwambiri.

Ngakhale ndizocheperako, mwa akazi nthawi zambiri pamakhala kukhudzana ndi maliseche ndi kubuula, pomwe mwa amuna zimawonedwa makamaka m'matumbo ndi mbolo.

Momwe mankhwalawa amachitikira

Chithandizochi chikuyenera kulimbikitsidwa ndi dokotala wa udokotala kapena amayi, ndipo opareshoni nthawi zambiri amawonetsedwa kuti amachotsa khungu ndi ma cell akufa ndipo potero amateteza matendawa kupita patsogolo. Kuphatikiza apo, minofu yomwe idachotsedwa imatumizidwa ku labotale kuti ikawunikidwe ndipo tizilombo tomwe timayambitsa matendawa titha kudziwika.

Kuphatikiza pa opareshoni, adotolo amatha kuwonetsa kugwiritsa ntchito maantibayotiki pakamwa kapena mwachindunji mumitsempha, monga Piperacillin-Tazobactam kapena Clindamycin, mwachitsanzo, popewa matendawa kuti asabwererenso.

Milandu yovuta kwambiri, pangafunike kuchotsa khungu ndi zotupa zambiri, chifukwa chake, wodwalayo atha kugonekedwa mchipatala masiku angapo mpaka masiku angapo mpaka khungu ndi ziwalo zonse zomwe zakhudzidwa zikukula.

Nthawi zina, zingakhale zofunikira kuti munthuyo achite opaleshoni kuti amangenso malo oyandikana nawo, chifukwa bakiteriya yomwe imayambitsa matendawa imawononga minofu ndi maselo. Mvetsetsani momwe matenda a Fournier amathandizira.

Zomwe zimayambitsa matenda a Fournier

Matenda a Fournier amayamba chifukwa cha mabakiteriya omwe ali mbali ya ziwalo zoberekera zomwe zimatha kukhala pomwepo ndikupangitsa kufa kwa maselo chifukwa chakupezekapo kwa poizoni. Zochitika zina zimalimbikitsa kuchuluka kwa mabakiteriyawa ndikuwonjezera chiopsezo chokhala ndi matendawa, makamaka:

• Kupanda ukhondo;
• Zokoma pakhungu, zomwe zimasonkhanitsa mabakiteriya;
• Matenda a shuga;
• Kunenepa kwambiri;
• Kusowa zakudya m'thupi;
• Low vascularization ndi thrombosis mu mitsempha ya dera;
• Ziphuphu ndi mapangidwe;
• Sepsis;
• Anapeza matenda a immunodeficiency syndrome;
• Matenda a mkodzo;
• Matenda ang'onoang'ono.

Kuphatikiza apo, zina zomwe zimawonjezera chiopsezo cha matenda a Fournier ndi matenda am'mimba, uchidakwa, matenda oopsa, kugwiritsa ntchito mankhwala osokoneza bongo komanso maantibayotiki popanda chilolezo chakuchipatala, chifukwa zimatha kulimbikitsa kukhalanso kwa mabakiteriya omwe sagonjetsedwa.

Momwe mungapewere

Popeza matenda a Fournier amayamba chifukwa cha mabakiteriya omwe amapezeka mwachilengedwe m'chigawo choberekera, ndikofunikira kutsatira njira zomwe zimalepheretsa kufalikira kwake, kukhala kofunikira kuti ukhondo ukhale woyenera, kuphatikiza kupewa zakudya zokhala ndi shuga ambiri, Angakonde chitukuko cha bakiteriya.

Kuphatikiza apo, ndikofunikira kupewa zinthu zoopsa, ndikofunikira kukhala ndi chakudya chopatsa thanzi, kupewa kumwa zakumwa zoledzeretsa kapena mankhwala osokoneza bongo, osagwiritsa ntchito maantibayotiki popanda malangizo achipatala.