Gas gangrene

Gas gangrene wani nau'ine ne mai mutuƙar mutuƙar nama (gangrene).

Gas gangrene galibi ana haifar da kwayoyin cuta da ake kira Clostridium turare. Hakanan ana iya haifar dashi ta rukuni na A streptococcus, Staphylococcus aureus, kuma Vibrio vulnificus.

Ana samun Clostridium kusan ko'ina. Yayinda kwayoyin ke girma cikin jiki, yana sanya gas da abubuwa masu cutarwa (gubobi) waɗanda zasu iya lalata ƙwayoyin jiki, ƙwayoyin halitta, da jijiyoyin jini.

Gas gangrene yana tasowa kwatsam. Yawanci yakan faru ne a wurin rauni ko rauni na tiyata. A wasu lokuta, hakan na faruwa ba tare da wani abin da ya tayar da hankali ba. Mutanen da ke cikin haɗarin kamuwa da ciwon gas a galibi suna da cututtukan jijiyoyin jini (atherosclerosis, ko taurin jijiyoyin jini), ciwon sukari, ko kansar hanji.

Gas gangrene yana haifar da kumburi mai raɗaɗi. Fatar ta zama kodadde zuwa launin ruwan kasa-ja. Lokacin da aka danna yankin da ya kumbura, ana iya jin iskar gas (kuma wani lokacin ana ji shi) azaman ƙarancin ƙarfi (crepitus). Gefen yankin da ya kamu da cutar yayi girma da sauri wanda za'a iya ganin canje-canje a cikin mintina. Yankin na iya lalacewa gaba daya.

Kwayar cutar sun hada da:

• Iska a karkashin fata (ƙananan fata emphysema)
• Fuskokin da aka cika da ruwan-kasa-ruwan ja
• Magudanar ruwa daga kyallen takarda, warin launin ruwan kasa-ja ko ruwa mai jini (fitowar serosanguineous)
• Heartara yawan bugun zuciya (tachycardia)
• Matsakaici zuwa zazzabi mai zafi
• Matsakaici zuwa ciwo mai tsanani kewaye da raunin fata
• Launin farar fata, daga baya ya zama dusky kuma ya canza zuwa duhu ja ko shunayya
• Kumburi wanda ke kara lalacewa a kusa da raunin fata
• Gumi
• Samuwar Vesicle, haɗuwa cikin manyan ƙuraje
• Launi rawaya zuwa fata (jaundice)

Idan ba a magance halin ba, mutum na iya shiga cikin damuwa tare da rage karfin jini (hypotension), gazawar koda, rashin lafiya, da kuma mutuwa a karshe.

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki. Wannan na iya bayyana alamun damuwa.

Gwajin da za a iya yi sun hada da:

• Nama da al'adun ruwa don gwada ƙwayoyin cuta ciki har da nau'in clostridial.
• Al'adun jini don ƙayyade ƙwayoyin cuta da ke haifar da kamuwa da cuta.
• Gram tabo na ruwa daga yankin da cutar.
• X-ray, CT scan, ko MRI na yankin na iya nuna gas a cikin kyallen takarda.

Ana buƙatar aikin tiyata da sauri don cire matattu, lalacewa, da ƙwayoyin cuta masu cutar.

Ana iya buƙatar cirewar cikin hannu (yanki) na hannu ko kafa don kula da yaɗuwar kamuwa da cuta. Yankewar wani lokaci dole ne ayi shi kafin a samu dukkan sakamakon gwajin.

Ana kuma ba da rigakafi. Ana ba da waɗannan magunguna ta jijiyoyin jini (intravenously). Hakanan za'a iya ba da umarnin magunguna masu zafi.

A wasu lokuta, ana iya gwada maganin oxygen na hyperbaric.

Gas gangrene yakan fara ne farat ɗaya kuma da sauri ya daɗa muni. Yana da sau da yawa m.

Matsalolin da zasu iya haifar sun hada da:

• Coma
• Delirium
• Rushewa ko nakasa lalacewar nama na dindindin
• Jaundice tare da lalata hanta
• Rashin koda
• Shock
• Yada kamuwa da cuta ta jiki (sepsis)
• Wawa
• Mutuwa

Wannan yanayin gaggawa ne da ke buƙatar kulawa ta gaggawa.

Kira mai ba ku sabis idan kuna da alamun kamuwa da cuta a kusa da raunin fata. Jeka dakin gaggawa ko kira lambar gaggawa na cikin gida (kamar 911), idan kana da alamun gas gangrene.

Tsaftace duk wani rauni na fata sosai. Kalli alamun kamuwa da cuta (kamar ja, zafi, malalewa, ko kumburi a kusa da rauni). Dubi mai ba da sabis da sauri idan waɗannan sun faru.

Ciwon nama - clostridial; Gangrene - gas; Ciwon ƙwayar cuta Clotstridial kamuwa da kyallen takarda; Cutar ƙwayar cuta mai laushi

• Gas gangrene
• Gas gangrene
• Kwayar cuta

Henry S, Cain C. Gas gangrene na ƙarshen. A cikin: Cameron AM, Cameron JL, eds. Far Mashi na Yanzu. 13th ed. Philadelphia, PA: Elsevier; 2020: 862-866.

Onderdonk AB, Garrett WS. Cututtukan da aka samu ta hanyar clostridium. A cikin: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, da Ka'idojin Bennett da Aiwatar da Cututtukan Cutar. 9th ed. Philadelphia, PA: Elsevier; 2020: babi na 246.