Kesi kesi

Gas gangrene o se ono ono afaina ai ituaiga o oti oti (gangrene).

O le kesi gangrene e masani ona mafua mai siama e taʻua Clostridium perfringens. E mafai foi ona mafua mai i le kulupu A streptococcus, Staphylococcus aureus, ma Vibrio vulnificus.

Clostridium e maua toetoe lava soʻo se mea. A o tupu siama i totonu o le tino, e gaosia ai le kesi ma mea leaga (vailaʻau oona) e mafai ona faʻaleagaina ai tino o le tino, sela, ma ala toto.

Ua tupu faʻafuaseʻi le gasolo o le kesi. E masani ona tupu ile nofoaga o manuʻa pe o se manuʻa tipi lata mai. I nisi tulaga, e tupu e aunoa ma se faʻalavelave faʻalavelave. O tagata e sili ona lamatia le kesi gangrene e masani ona iai faʻamaʻi toto (atherosclerosis, poʻo le faʻamaʻaina o alatoto), maʻi suka, poʻo le kanesa kanesa.

Gas gangrene mafua ai matua tiga fulafula. O le paʻu ua sesega i le enaena-mumu. A oomi le vaega fulafula, e mafai ona lagonaina le kesi (ma o nisi taimi faʻalogo) o se paʻulia lagona (crepitus). O pito o le vaega ua pisia e tupu vave ona mafai ai ona vaaia suiga i ni nai minute. O le eria ono faʻaleagaina atoa.

Faʻailoga aofia ai:

• Air i lalo o le paʻu (subcutaneous empysema)
• Falaoa na faʻatumuina i le suavai enaena-mumu
• Alavai mai i aano o le tino, manogi leaga-enaena mumu poʻo le toto toto (serosanguineous faʻamamaina)
• Faʻateleina le fatu fatu (tachycardia)
• Feololo i le maualuga fiva
• Feololo i tiga matuitui faataamilo i se paʻu manuʻa
• Lanu paʻu lanu, mulimuli ane avea dusky ma suia i le pogisa mumu po o le pāuli
• Fula fulafula e leaga faataamilo i se paʻu manuʻa
• Afu
• Vesicle faʻavaeina, tuʻufaʻatasia i lapoʻa lapoʻa
• Lanu samasama i le paʻu (jaundice)

Afai e le togafitia le tulaga, e mafai e le tagata ona faʻateʻia i le faʻaititia o le toto (faʻafitauli), fatugaʻo toilalo, koma, ma iu ai i le oti.

E faʻataʻitaʻi e le tausi soifua le suʻega o le tino. E mafai ona faʻaalia ni faʻailoga o le teʻi.

O suʻega e mafai ona faia e aofia ai:

• Tuʻufaʻatasi ma aganuu suavai e faʻataʻitaʻi ai siama e aofia ai ma ituaiga clostridial.
• Toto aganuu e fuafua ai siama mafua ai le siama.
• Gram pisia o suavai mai le eria aafia.
• X-ray, CT scan, poʻo le MRI o le eria ono faʻaalia kesi i totonu o aano.

E manaʻomia vave se taotoga e aveʻese ai le oti, afaina, ma isi papala.

Aveʻese taotoga (tipiina) o se lima poʻo se vae ono manaʻomia e taofi ai le sosolo o faʻamaʻi. O le fetuunaiga i nisi taimi e tatau ona faia ae leʻi maua uma faʻaiʻuga o suʻega.

O loʻo tuʻuina atu vailaʻau faʻasaʻi. O nei vailaʻau e avatua i le alatoto (faʻaalu). E mafai foi ona faatonuina vailaʻau tiga.

I nisi tulaga, hyperbaric oxygen togafitiga ono faʻataʻitaʻia.

Gas gangrene masani lava ona amata faʻafuaseʻi ma vave ona leaga. E masani ona oti.

Faʻafitauli e ono iʻuga aofia ai:

• Koma
• Delirio
• Faʻaletonu poʻo le faʻamamaina o le tino tumau faʻaleagaina
• Jaundice ma faʻaleagaina ate
• Le manuia fatugaʻo
• Teʻi
• Faʻasalalau o faʻamaʻi ala ile tino (sepsis)
• Le mautonu
• Oti

Ole faʻalavelave faʻafuaseʻi lea e manaʻomia vave ai se togafitiga faʻafomaʻi.

Valaʻau lau tautua peʻa iai ni faʻamaʻi pipisi i se papala o le paʻu. Alu i le potu faʻafuaseʻi pe valaʻau le numera faʻafuaseʻi i le lotoifale (pei o le 911), pe a fai oe maua faʻailoga o le kesi gangrene.

Faʻamama lelei soʻo se manuʻa manuʻa. Matamata mo faʻailoga o le faʻamaʻi (pei o mumu, tiga, alavai, poʻo le fulafula faʻataʻaliʻalia se manuʻa). Vaʻai vave lau tautua peʻa tupu nei mea.

Faʻamaʻi pipisi - pipili; Gangrene - kesi; Myonecrosis; Faʻamaʻi pipisi o sela; Necrotizing malulu palapala siama

• Kesi kesi
• Kesi kesi
• Siama

Henry S, Kaini C. Gas o gaʻo o le pito. I: Cameron AM, Cameron JL, eds. Togafitiga i le taimi nei. 13th lomiga. Filatelefia, PA: Elsevier; 2020: 862-866.

Onderdonk AB, Garrett WS. O faʻamaʻi e mafua mai i le clostridium. I totonu: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, ma Bennett's Mataupu Faavae ma Faʻataʻitaʻiga o Faamaʻi pipisi. 9th ed. Filatelefia, PA: Elsevier; 2020: chap 246.