Necrotizing fasciitis inorwara ine utachiona, inotungamirira ku necrosis yezvinyorwa zviduku, zvinosanganisira fascia (membrane yakafukidza misumbu). Necrotizing fasciitis inowedzera kune dzimwe nhengo dzomuviri, asi kazhinji dzinobata chikamu, mimba dzemuviri uye perineum. Zvichienderana nemhando yebhakitiriya inokonzera chirwere ichi, necrotizing fasciitis inogona kukonzera kushungurudzika kunotyisa nehupamhi hwekufa kana kuti kusiya mamiriro ezvinhu asingagoni kuregererwa mumuviri wemurwere, anosangana necrotic kuparadzaniswa kweganda reganda uye kuumbwa kwe fibrin mukati mumidziyo. Vanachiremba vanowanzotora chisarudzo pamusoro pekugumburwa kwechikwata chinotarisana nemurwere.
Zvinokonzera necrotic fasciitis
Chikonzero chekupedzisira chechirwere ichi kupararira kune zvinyorwa zviduku zveaerobic, vanaerobic mabhakitiriya uye streptococci kubva pane ronda riri pedyo, chironda, kana utachiona kuburikidza neropa. Necrotic utachiona inogona kukura:
- semugumisiro wekushungurudzika (kucheka, kuputika, ruvara rweganda rakazaruka);
- nekuda kwekupinda kwehutachiona kuburikidza nekuumbwa kweganda (kuputika, kudengenyeka);
- mushure mekuvhiya.
Iko kune dhiyabhorosi pamusoro pezvinoitika zve fasciitis mushure mekurumwa kwezvipembenene.
Zviratidzo zveFasciitis
Chiratidzo chekutanga chokutanga chinorwadza zvikuru. Zvisinei, pane dzimwe nguva, kurwadziwa kungave kusipo. Uyezve, zviratidzo zvehutano zvechirwere zvinowanikwa:
- nzvimbo inoshandiswa inova kuvhuvhuta, kupisa, tsvuku (kana kutsauka);
- kune blister yeganda nes serous kana serous-hemorrhagic mukati;
- kusvika kumatambudziko ekushisa anomuka;
- kune tachycardia, hypotension, kuderedza basa repfungwa;
- inokura chirwere .
Kunyatsoongororwa kunosimbiswa nachiremba pamubvunzo uye kunosimbiswa nemigumisiro yechiratidzo inoratidza kureva leukocytosis, kuora kwehemodynamic uye chimiro chemagetsi.
Kurapa kwefasciitis
Mubvunzo wekurapa fasciitis inokosha zvikuru, nokuti munhu wese wechitatu anofa, uye chikamu chikuru chevakasara
Necrotizing fasciitis therapy inosanganisira:
- kushandiswa kwemishonga inorwisa mabhakitiriya yemamwe marudzi maviri;
- kushandiswa kwema immunomodulator ;
- kurovedza kupindira mune kupararira kwehutachiona, asi nzira yekurapa inoshandiswa inobatanidza nekuwana kwehutachiwana uye nzvimbo inobatwa.
Mumatambudziko akaoma, kupiwa kwekukurumidza kunodiwa.