Cutar ƙwayar cuta mai laushi

Necrotizing kamuwa da cuta mai laushi nau'in cuta ne mai wahala amma mai tsananin gaske. Zai iya lalata tsokoki, fata, da kayan da ke ciki. Kalmar "nerorozing" na nufin wani abu da yake sanya kayan jikin mutum su mutu.

Yawancin nau'ikan kwayoyin cuta na iya haifar da wannan kamuwa da cuta. Wani nau'i mai tsananin gaske wanda yawanci mai saurin kisa na kamuwa da laushin nama mai laushi shine saboda ƙwayoyin cuta Streptococcus lafiyar jiki, wanda wani lokaci ake kira "kwayoyin cuta masu cin nama" ko strep.

Cutar ƙwayar cuta mai laushi yana tasowa lokacin da ƙwayoyin cuta suka shiga cikin jiki, yawanci ta hanyar ƙarami ko yanke. Kwayoyin suna fara girma da sakin abubuwa masu cutarwa (gubobi) waɗanda ke kashe nama kuma suna shafar gudan jini zuwa yankin. Tare da tsinkewar cin nama, kwayoyin kuma suna yin sinadarai wadanda suke toshe karfin jiki don amsa kwayar halitta. Yayinda nama ya mutu, kwayoyin suna shiga cikin jini kuma suna yaduwa cikin sauri cikin jiki.

Kwayar cutar na iya haɗawa da:

• Smallananan, ja, dunƙule mai zafi ko kumburi akan fatar da ta bazu
• Wani yanki mai kamar ciwo mai rauni sosai yana tasowa da girma cikin sauri, wani lokacin a ƙasa da awa ɗaya
• Cibiyar ta yi duhu da dusky sannan ta zama baƙi kuma naman ya mutu
• Fata na iya fasawa ta fitar da ruwa

Sauran cututtuka na iya haɗawa da:

• Jin rashin lafiya
• Zazzaɓi
• Gumi
• Jin sanyi
• Ciwan
• Dizziness
• Rashin ƙarfi
• Shock

Mai ba da sabis na kiwon lafiya na iya iya bincika wannan yanayin ta duban fata. Ko kuma, ana iya bincikar yanayin a cikin ɗakin tiyata ta wani likita mai fiɗa.

Gwajin da za a iya yi sun hada da:

• Duban dan tayi
• X-ray ko CT scan
• Gwajin jini
• Al'adar jini don bincika ƙwayoyin cuta
• Yankewa ga fata don ganin idan fitsari ya kasance
  
• Kwayar halittar fata da al'ada

Ana buƙatar magani kai tsaye don hana mutuwa. Da alama za ku bukaci zama a asibiti. Jiyya ya hada da:

• Ana ba da ƙwayoyin cuta masu ƙarfi ta jijiya (IV)
• Tiyata don zubar da ciwon da cire mataccen nama
• Magunguna na musamman da ake kira donor immunoglobulins (antibodies) don taimakawa yaƙi da kamuwa da cutar a wasu yanayi

Sauran jiyya na iya haɗawa da:

• Tallafin fata bayan kamuwa da cutar ya tafi don taimakawa fatarka ta warke da kyau
• Yankewar hannu idan cutar ta yadu ta hannu ko kafa
• Kashi dari bisa dari na oxygen a matsin lamba (hyperbaric oxygen therapy) don wasu nau'ikan cututtukan ƙwayoyin cuta

Yadda za ku yi ya dogara da:

• Lafiyar ku gaba daya (musamman idan kuna da ciwon suga)
• Yaya saurin gano ku da kuma yadda kuka sami magani da sauri
• Nau'in kwayoyin cutar da ke haifar da cutar
• Yaya saurin kamuwa da cutar
• Yaya kyau magani yake aiki

Wannan cuta galibi tana haifar da tabo da nakasar fata.

Mutuwa na iya faruwa cikin sauri ba tare da magani mai kyau ba.

Matsalolin da zasu iya haifar da wannan yanayin sun haɗa da:

• Kamuwa da cuta ya bazu ko'ina cikin jiki, yana haifar da kamuwa da jini (sepsis), wanda zai iya zama m
• Ararƙasawa da nakasa
• Rashin ikon yin amfani da hannu ko kafa
• Mutuwa

Wannan rikicewar yana da tsanani kuma yana iya zama barazanar rai. Tuntuɓi mai ba da sabis kai tsaye idan alamun kamuwa da cuta ya faru a kusa da raunin fata, gami da:

• Ruwan malala ko jini
• Zazzaɓi
• Jin zafi
• Redness
• Kumburi

Koyaushe tsabtace fata sosai bayan yanke, ɓoye, ko wani rauni na fata.

Necrotizing fasciitis; Fasciitis - necrotizing; Kwayoyin cuta masu cin nama; Gangaran mai laushi; Gangrene - nama mai laushi

Abbas M, Uçkay I, Ferry T, Hakko E, Pittet D. infectionsananan cututtuka masu laushi. A cikin: Bersten AD, Handy JM, eds. Oh's Intensive Care Manual. 8th ed. Philadelphia, PA: Elsevier; 2019: sura 72.

Fitzpatrick JE, High WA, Kyle WL. Necrotic da cututtukan fata. A cikin: Fitzpatrick JE, High WA, Kyle WL, eds. Cutar Kulawa da Gaggawa: Cutar Ciwon Cutar Ciwon Hankali. Philadelphia, PA: Elsevier; 2018: babi na 14.

Pasternack MS, Swartz MN. Cellulitis, necrotizing fasciitis, da ƙananan cututtukan nama. 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 Saunders; 2020: babi na 93.

Stevens DL, Bisno AL, Chambers HF, et al. Guidelinesa'idojin aiki don bincikowa da kula da fata da cututtukan nama mai laushi: sabuntawar 2014 ta Societyungiyar Cututtuka na Cututtuka na Amurka [gyaran da aka buga ya bayyana a Clin Infect Dis. 2015; 60 (9): 1448. Kuskuren kashi a rubutun rubutu]. Clin Infect Dis. 2014; 59 (2): e10-e52. PMID: 24973422 pubmed.ncbi.nlm.nih.gov/24973422.