Necrotizing fasciitis - he maʻi loa nui

Mea pōmaikaʻi no ka mea a pau, o ka kŘpa a pohihihi keia maʻi, e like me necrotizing fasciitis mea pohihihi keia. Kēia maʻi He He nui mea koʻohune maʻiʻaʻai. He aha nō kona kumu, a pehea ia hiki ke ola?

Carnivorous koʻohune e i ka maʻi hāʻule i loko o kaʻaeʻae'aʻaʻa a me ka fascia, i mea he lole iwi e uhi i nā nāʻiʻo. Ua hiki ke'ākoʻakoʻa ma kaʻaoʻao ma hope o ka loaa ana nīnūnē nā palapū a ma hope o nāʻoki lāʻau lapaʻau kaʻina hana. Maʻiʻaʻai me Group A streptococcus, he mea loa pinepine no i ka anal o ka pathogen i loko o ke kino a hiki i loa hōʻemi iki poino o ka ili. Hui mea koʻohune nā mea palahēhē mea i ka hoʻomaopopo like no o keʻoki kino. Necrotizing fasciitis ia lŘlŘ i loko o ka hihia o ka coincidence o kekahi mau manaʻo rula: ke kanaka i ke oki, loa paha he hamama ili eha, ma i koʻohune komo i loko o ka'aʻaʻa; ka mea, ua hui 'ia me ke kanaka mea he lawe o ka koʻohune (loa pinepine ia o kā lākou mau invasive serotypes a me ke kanana nei o streptococci). Penetrating i loko o ke kino o ke kanaka, keia bacterium produces hookeai, a produces puni iho nā'ūhū a me toxins e luku aku i kaʻaeʻae'aʻaʻa a me ka fascia. No ka mea, o keia ana kaʻina, ka mea, koke lilo gangrenous. pono e wehe 'surgically kēia gangrenous'aʻaʻa, no ka mea, i ole ia, i ke ahonui o ka ola hiki e ona.

Inā necrotizing fasciitis ua 'akomi i loko o nā kuʻina kakahiaka o ka maʻi ma ka manawa o kaʻoki lāʻau lapaʻau ana o ka ili a me ka pahee'aʻaʻa uuku helu o ia hiki ke wehe' ia, a me ka hemahema ana o ka mea momona a me ka'aʻaʻa wale. hiki ole koʻohune hoouka mai i ke Muscle ai iwi, eia nae keia i kekahi mea pakele. Ma ka loa loa hihia koi amputation o ka loli ana o ka lala. Inā kauka e ponoʻoiaʻiʻo i ka maʻiʻaʻai ua papani iho la i, kaʻeha ua paa hou mai la, e like me ka rula, hoʻohana ' ili pakui. Necrotizing fasciitis o kekahi o ka loa hikiwawe loa e holumua ai nā mea palahēhē. Ia mea ke kumu o ka Alemanaka o ka lapaau - ka loa nui ololi i loko o ke kaʻina hana o ka hoola i ka hoʻomanawanui.

Nā kumu o kēia maʻi i'aʻaʻa poho streptococcal maʻiʻaʻai a anaerobic a me aerobic koʻohune. Mau pathogens i māhele i ka subcutaneous'aʻaʻa o ka pili ulcer a eha. Ka pilikia nui o ka maʻi i noho i loko o nā mea maʻi i mimikō. Necrotizing fasciitis hiki aku ai i ka'aʻaʻa ischemia aie i ka occlusion ana o na moku ke koko a me ka subcutaneous kumu necrotic lesions o ka ili.

Symptoms o ka maʻi.

-, pili eha;

- maÿi'aʻaʻa huli ulaula, i wela a me ka edematous, Oe i hana;

- wela, hypotension, tachycardia, ua hoʻemi noʻonoʻoʻeleu maoli;

- i ka hooulu ana o ka gangrene.

ʻike, ua hookupaa iho la ia ma ka hookolokolo ana a me kiʻekiʻe leukocytosis, i ke alo o ke kinoea i loko o nā nā'aʻaʻa, worsening hemodynamic a me metabolic kūlana.

Lapaʻau o ka necrotizing fasciitis mea antibiotic hoʻohana a me kekahi mauʻano o kaʻoki kino. Kahi o 30% o keia hoomanawanui ka make welau fasciitis. Mua makahiki, lohi ma kaʻike, a me ka lapaau me ka nui loa worsen i ka prognosis.

A oko ka plantar fasciitis fasciitis ia ho aseptic li nui manaʻo i loko o ka IeIIeYOA kahi i ka calcaneal tuber plantar aponeurosis. Keʻano papa hana o keia maʻi ua 'ana me ka stimulation o ka periosteum ma lalo o haawe, kaumaha nui loa plantar fascia a me ka hooulu ana o ka li nui i loko o ka wahi pili. Lapaʻau hoailona:ʻeha ma ke kuekue wawae, ala ma hope o ka lōʻihi hele, a e komo kamaa.

Plantar fasciitis, a lapaʻau mea e emi i ka hoʻopilikia o ka plantar fascia āpana hiki ke ola ma ka mea o ka kūikawā inserts i loko o nā kāmaʻa, o ka papa o physical Inc, Anati-hoʻoʻino ai ', hawewe-nalu Inc.