Necrotizing muag nqaij mos sib kis kab mob

Necrotizing nqaij mos mos ua mob yog ib yam mob uas tsis tshua muaj muaj tab sis mob hnyav. Nws tuaj yeem rhuav tshem cov leeg, tawv nqaij, thiab nqaij hauv qab. Lo lus "necrotizing" yog hais txog qee yam uas ua rau lub cev tuag.

Ntau hom kab mob tuaj yeem ua rau tus mob no. Ib daim foos hnyav heev thiab feem ntau ua rau cov nqaij mos mos ua rau mob lub cev yog vim cov kab mob Cov kab mob Streptococcus pyogenes, uas qee zaum hu ua "cov kab mob noj cov nqaij" los yog tawm.

Necrotizing mos mos ua mob tau kis thaum tus kab mob nkag mus rau hauv lub cev, feem ntau yog los ntawm kev txiav me me lossis khawb. Cov kab mob pib loj zuj zus thiab tso cov tshuaj phem (co toxins) uas tua cov nqaij mos thiab cuam tshuam rau cov ntshav mus rau thaj chaw. Nrog rau cev nqaij daim tawv noj, cov kab mob kuj tseem ua cov tshuaj uas thaiv lub cev kev muaj peev xwm los teb rau tus kab mob. Raws li cov ntaub so ntswg tuag, cov kab mob nkag mus rau hauv cov ntshav thiab kis ceev ceev thoob plaws lub cev.

Cov tsos mob tuaj yeem suav nrog:

• Me, liab, mob qog los sis ua pob rau ntawm daim tawv uas kis
• Qhov nqaij doog xim uas zoo li thaj chaw ntawd tawm tuaj thiab loj hlob sai heev, qee zaum hauv tsawg dua ib teev
• Lub chaw tsaus thiab tsaus ntuj thiab tom qab ntawd dub thiab tawv nqaij tuag
• Cov tawv nqaij yuav tawg qhib thiab ua pa tawm kua

Lwm cov tsos mob tuaj yeem suav nrog:

• Hnov mob
• Ua npaws
• Tawm hws
• Ua daus no
• Xeev siab
• Kiv taub hau
• Neeg tsis muaj zog
• Poob Siab

Tus kws kho mob yuav tuaj yeem kuaj tus mob no los ntawm kev saib ntawm koj cov tawv nqaij. Lossis, tus mob yuav raug kuaj hauv chav ua haujlwm los ntawm tus kws phais neeg mob.

Kev ntsuam xyuas uas yuav ua tau muaj xws li:

• Ultrasound
• X-ray lossis CT scan
• Kuaj ntshav
• Cov kab lis ntshav los kuaj xyuas cov kab mob
• Kev phais mob ntawm daim tawv nqaij kom pom tias pus tau pom
  
• Cov ntaub so ntswg ua nqaij thiab nqaij sib luag

Txoj kev kho mob xav tau tam sim ntawd txhawm rau tiv thaiv kev tuag. Tej zaum koj yuav tsum tau nyob hauv tsev kho mob. Kev kho mob suav nrog:

• Cov tshuaj tua kab mob muaj zog yog muab los ntawm txoj hlab ntshav (IV)
• Kev phais kom ntws tawm qhov mob thiab tshem tawm cov ntaub so ntswg tuag
• Cov tshuaj tshwj xeeb hu ua pub cov tshuaj immunoglobulins (tshuaj tiv thaiv) los pab tua kab mob hauv qee kis

Lwm yam kev kho mob suav nrog:

• Cov tawv nqaij ua haujlwm tom qab kis tau tus mob mus kom pab koj cov tawv nqaij zoo thiab zoo dua
• Txiav tes yog hais tias tus kab mob kis tau los ntawm sab caj npab los txhais ceg
• Ib puas feem pua ​​oxygen nyob rau qhov siab (kho hyperbaric oxygen) rau qee yam mob los ntawm cov kab mob

Koj ua tau zoo npaum li cas nyob ntawm:

• Koj li kev noj qab haus huv tag nrho (tshwj xeeb yog tias koj muaj ntshav qab zib)
• Koj kuaj pom sai npaum li cas thiab koj tau txais kev kho mob sai npaum li cas
• Hom kab mob ua rau kis tau tus kabmob
• Tus kab mob yuav kis tau sai npaum li cas
• Kev kho mob zoo li cas

Tus kab mob no feem ntau ua rau mob caws pliav thiab tawv nqaij.

Kev tuag tuaj yeem tshwm sim sai yam tsis muaj kev kho kom zoo.

Lwm yam mob uas yuav yog los ntawm tus mob no suav nrog:

• Kab mob sib kis thoob plaws lub cev, ua rau muaj mob ntshav (sepsis), uas tuaj yeem tuag taus
• Caws pliav thiab tsis zoo
• Poob ntawm koj lub peev xwm los siv caj npab lossis txhais ceg
• Kev Tuag

Qhov kev tsis zoo no yog qhov hnyav thiab yuav tsim kev tuag taus. Hu rau koj tus kws kho mob sai li sai tau yog tias cov tsos mob tshwm sim nyob ib ncig ntawm qhov nqaij raug mob, suav nrog:

• Ntws dej ntawm cov kua paug lossis ntshav
• Ua npaws
• Mob
• Liab
• O o

Yuav tsum ntxuav daim tawv nqaij kom huv si tom qab kev txiav, khawb, lossis lwm yam tawv nqaij.

Necrotizing fasciitis; Fasciitis - necrotizing; Flesh-noj cov kab mob; Cov ntaub so ntswg nqaij mos; Mob qog - mos mos

Abbas M, Uçkay I, Ferry T, Hakko E, Pittet D. Kev mob rau cov nqaij mos. Hauv: Bersten AD, Handy JM, eds. Huag phau ntawv qhia kev saib xyuas hnyavCov. 8 tus ed. Philadelphia, PA: Elsevier; 2019: chap 72.

Fitzpatrick JE, Siab WA, Kyle WL. Necrotic thiab ulcerative ntawm daim tawv nqaij mob. Hauv: Fitzpatrick JE, Siab WA, Kyle WL, eds. Kev Kho Mob Nrawm Dermatology: Kev Ntsuam Xyuas Raws Li Kev Tshuaj Ntsuam XyuasCov. Philadelphia, PA: Elsevier; 2018: chap 14.

Pasternack MS, Swartz MN. Cellulitis, necrotizing fasciitis, thiab kab mob hauv lub cev. Hauv: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, thiab Bennett's Cov Ntsiab Cai thiab Kev Coj Ua ntawm Kab Mob KisCov. 9le ed. Philadelphia, PA: Elsevier Saunders; 2020: cha 93.

Stevens DL, Bisno AL, Chambers HF, li al. Siv cov lus qhia rau kev kuaj mob thiab kev tswj cov tawv nqaij thiab cov nqaij mos mos ua mob: 2014 hloov tshiab los ntawm Koom Haum Kab Mob Sib Kis ntawm Tebchaws Asmeskas [luam tawm cov lus qhia pom nyob hauv Clin Kab Mob Tsis Zoo. Xyoo 2015; 60 (9): 1448. Dosage yuam kev hauv cov ntawv xov xwm]. Clin Kab Mob Tsis Zoo. 2014; 59 (2): e10-e52. PMID: 24973422 pubmed.ncbi.nlm.nih.gov/24973422.