Fournier ka maʻi

Gangrene hiki e hoʻonāukiuki aku ai iā ia e nā mawaho a me na aʻe. Ma ka hihia mua, i ke kumu o ka moku'āina o ka me mechanical hopena. Ma kekahi, i kēia nā palapū i komo pū ma ka palaoa, hahi nā palapū hui me kaʻole nā aʻalolo a me ka ipu pono a me ka puʻe mai hehe. Gangrene hiki e hoʻonāukiuki aku ai iā ia e mawaho physical (frostbite, 'ā), Nine Inch (hopena arsenic, phosphorus, ikaika nāʻakika a alkalis) kumumea a me ka ole o ka ionizing pāhawewe.

Mawaena o na kumu triggering ana, ka mea hiki e hoike ia ua mau keʻano o ka hanaʻana i hoʻonui i ka kāna hana'aʻaʻa kino. Heʻano nui vascular lesions. Kēia nā blockage o artery. Nā lesions hiki e kena ae la ma ka vasoconstriction amid spasms a anatomical loli ma ka atherosclerosis, no ka laʻana, a ua pinepine ke kumu ma ka thrombosis, infarcts.

He aha ka gangrene? Kēia manaʻo wehewehe i ka moku'āina o necrosis (necrosis) o kekahi wahi o ke kino a me ke kino a me ka typical waihoʻoluʻu loli (mai ke kala maoli i bluish, eleele a me ka eleele). Gangrene hiki hoʻomōhala like 'ole i (septic ole putrid) a me (aseptic) microbes. ʻAno o aicieeaao aie i ka abrupt cessation o, a kali i ke kokuaia mai e o oxygen i na nā'aʻaʻa. E like me ka rula, ka mea, ua kaulana ma ka wahi mamao aku, mai ka naau (e like, nā manamana wāwae). Ke ano hiki no hoi ana i loko o ka-oaio? A me ka kūloko circulatory kāna hana (e like, ma ka ia maʻiʻaʻai a me ka naau Muscle i loko o ka naʻau hoouka).

Hoomaopopo kinoea, maloo a me ka pulu gangrene.

Ma ka hope hihia, ke ano ua wehewehe aku ma ka hoʻokano, ke kala loli (i grayishʻeleʻele), mahuahua i ka buke o ke lesion. E like me ka rula, e hoopahaohao ka loli nā'aʻaʻa i loko o ka nui o ka pahee hana mau o kaʻino'ōmaʻomaʻo. No ka mea, na olelo e like me ka pulu gangrene a putrid ala ano.

Ina o ka maikaʻi pele ma waena o make, a ola'aʻaʻa ua hanaʻia ma ke maopopo palena. A laila rejection ia lŘlŘ necrotic lesions. Ke kūpono poho hoʻomaka e hoola i me ka makaʻu no ho okumu.

Ma pohihihi keia hihia, i ka maʻi o ka urogenital'ōnaehana ke alakai i ka'aʻaʻa necrosis. Kēia moku'āina Ua hoakakaia like Fournier gangrene.

It E e kaulana ia ma keia hihia he mea he necrotizing fasciitis (loa maʻiʻaʻai i loko o nā nā'aʻaʻa), i holopono nō koke lawa. Fournier gangrene e loli ai i ka vulva a me ka perineum. Ka maʻi He pilikia no ka hoʻomanawanui i ka ola, no laila ka manaʻo 'ana he mea nui.

I ka nui nui, i kakahiaka nuiʻike, Ua pilikia overweight ahonui. Eia hou, i ka 'ike o ka maʻi i loko o ka kakahiaka kuʻina hilinaʻi nui ma luna o ke kauka o ka makaʻala, i kona hiki e ike i ka symptoms.

Fournier gangrene ua ulu, oiai o ka hope o kekahi mau microorganisms, a me staphylococci, streptococci, fungi, enterobacteria. Ke alo aku o ka anaerobic koʻohune Hōʻike ke ano putridʻala. Ke kumu o ka make ke lilo i trauma.

Ka pahiki o ka make, ina o ka maʻi ka loa kiʻekiʻe a me ka mea pololei hapaʻauhau i ka hoʻohuli ai i nā wahi.

Ke kumu no ka hana maikaʻi i keʻano mea heʻoki lāʻau lapaʻau ano o ka hana ka hoʻohana 'ana i ka laulāʻano o nā hopena o antibiotics. It E e kaulana ia Fournier ka maʻi hoʻonāukiukiʻana mai o ka hopena o kona kulana nui i loko o nā mea maʻi undergoing ia. Ua Ua pili, IeAUPIIe, IAa IO me ka buke nui o keʻoki lāʻau lapaʻau 'uao i loko i ka excision ua lawe mai (ana) o nā mea a pau i make, a me ka iho mailoko o'aʻaʻa.