Necrotizing tšoaetso ea lisele tse bonolo

Ho tšoaetsoa ke lisele tse bonolo ke mofuta o sa tloaelehang empa o matla haholo oa tšoaetso ea baktheria. E ka senya mesifa, letlalo le lisele tse ka tlase. Lentsoe "necrotizing" le bolela ntho e 'ngoe e etsang hore lisele tsa' mele li shoe.

Mefuta e mengata e fapaneng ea libaktheria e ka baka tšoaetso ena. Mofuta o matla haholo 'me hangata o bolaeang oa tšoaetso ea lisele tse bonolo o bakoang ke baktheria Streptococcus pyogenes, eo ka linako tse ling e bitsoang "libaktheria tse jang nama" kapa strep.

Ho tšoaetsoa ke lisele tse bonolo ho hola ha libaktheria ho kena 'meleng, hangata ka ho seha kapa ho senya. Libaktheria li qala ho hola le ho ntša lintho tse kotsi (chefo) tse bolaeang lisele le ho ama phallo ea mali sebakeng seo. Ka ho ja nama, libaktheria li boetse li etsa lik'hemik'hale tse thibelang matla a 'mele ho arabela ho' mele. Ha lisele li e-shoa, libaktheria li kena maling 'me li namela ka potlako' meleng oohle.

Matšoao a ka kenyelletsa:

• Sekhahla se senyenyane, se sefubelu, se bohloko kapa bump letlalong le namang
• Sebaka se kang bohloko se kang bohloko se ntan'o hola le ho hola ka potlako, ka linako tse ling ka nako e ka tlase ho hora
• Setsi se ba lefifi 'me se fifale ebe se ba ntšo mme lisele lia shoa
• Letlalo le ka buleha 'me la phalla mokelikeli

Matšoao a mang a kenyeletsa:

• Ho utloa bohloko
• Feberu
• Ho fufuleloa
• Ho bata
• Ho nyekeloa
• Botsoa
• Bofokoli
• Ho tshoha

Mofani oa tlhokomelo ea bophelo a ka tseba ho tseba boemo bona ka ho sheba letlalo la hao. Kapa, ​​boemo bo ka fumanoa ka phapusing ea ho buoa ke ngaka e buoang.

Liteko tse ka etsoang li kenyelletsa:

• Ultrasound
• X-ray kapa CT scan
• Liteko tsa mali
• Tloaelo ea mali ho hlahloba libaktheria
• Ho kaboha hoa letlalo ho bona hore na boladu bo teng na
  
• Biopsy ea letlalo le setso

Kalafo e hlokahala hang-hang ho thibela lefu. Mohlomong u tla hloka ho lula sepetlele. Kalafo e kenyelletsa:

• Lithibela-mafu tse matla li fanoa ka mothapo (IV)
• Ho buoa ho ntša bohloko le ho tlosa lisele tse shoeleng
• Meriana e khethehileng e bitsoang donor immunoglobulins (masole a 'mele) ho thusa ho loants'a ts'oaetso maemong a mang

Mefuta e meng ea kalafo e ka kenyelletsa:

• Ho hlomathisoa ha letlalo kamora hore ts'oaetso e fele ho thusa letlalo la hau ho fola le ho shebahala le le betere
• Ho poma setho haeba lefu le ata ka letsoho kapa leoto
• Makholo a lekholo a oksijene ka khatello e phahameng (hyperbaric oxygen therapy) bakeng sa mefuta e meng ea tšoaetso ea baktheria

Hore na o sebetsa hantle hakae ho latela:

• Bophelo ba hau ka kakaretso (haholo haeba o na le lefu la tsoekere)
• U fumanoe kapele hakae le hore na u fumane kalafo kapele hakae
• Mofuta oa libaktheria tse bakang tšoaetso
• Tšoaetso e ata kapele hakae
• Kalafo e sebetsa hantle hakae

Lefu lena hangata le baka mabali le ho holofala ha letlalo.

Lefu le ka hlaha kapele ntle le kalafo e nepahetseng.

Mathata a ka hlahisoang ke boemo bona a kenyelletsa:

• Tšoaetso e ata hohle 'meleng, e baka tšoaetso ea mali (sepsis), e ka ba kotsi
• Ho senya le ho senya
• Ho lahleheloa ke bokhoni ba hau ba ho sebelisa letsoho kapa leoto
• Lefu

Boloetse bona bo matla ebile bo ka beha bophelo kotsing. Ikopanye le mofani oa hau hang-hang haeba matšoao a tšoaetso a hlaha haufi le kotsi ea letlalo, ho kenyelletsa:

• Ho lutla hoa marapo kapa mali
• Feberu
• Bohloko
• Bofubelu
• Ho ruruha

Kamehla hloekisa letlalo hantle kamora ho seha, ho senya kapa ho lemala ha letlalo.

Ho hlohlelletsa fasciitis; Fasciitis - necrotizing; Libaktheria tse jang nama; Ho ruruha ha lisele tse bonolo; Sekhahla - lisele tse bonolo

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Fitzpatrick JE, High WA, Kyle WL. Mathata a letlalo le bohloko. Ka: Fitzpatrick JE, High WA, Kyle WL, bahlophisi. Dermatology ea Tlhokomelo e Potlakileng: Tlhatlhobo e Thehiloeng ke Matšoao. Philadelphia, PA: Elsevier; 2018: khaolo ea 14.

Motsoako oa Pasternack MS, Swartz MN. Cellulitis, necrotizing fasciitis, le tšoaetso ea lisele tse ka tlase. Ka: Bennett JE, Dolin R, Blaser MJ, bahlophisi. Mandell, Douglas, le Bennett's Principles and Practice of Infectious Diseases. La 9th. Philadelphia, PA: Elsevier Saunders; 2020: khaolo ea 93.

Stevens DL, Bisno AL, Chambers HF, le al. Itloaetse litataiso tsa tlhahlobo le taolo ea mafu a letlalo le lisele tse bonolo: Tlhatlhobo ea 2014 ke Infectious Diseases Society of America [tokiso e phatlalalitsoeng e hlaha ho Kliniki ea tšoaetso Dis. 2015; 60 (9): 1448. Phoso ea litekanyo sengolong sa sengoloa]. Kliniki ea tšoaetso Dis. 2014; 59 (2): e10-e52. PMID: 24973422 phatlalalitsoeng.ncbi.nlm.nih.gov/24973422.