Nammude Arogyam April 2018 | Page 93

t^mWn-bgvkv {Km³{Ko³ (Fournier's Gangrene) Cu `mK-§-fn thZ-\bpw shÅw \ndª Ipan-fp-IÄ {]Xy-£-s¸-Sp-¶-Xp-amWv CXnsâ e£-W-§Ä. C¯-c-¯n-epÅ AWp- _m-[-IÄ cà-¯n IeÀ¶v Kpcp-X-c-kz-`mhw {]m]n¡mw F¶p-Å-Xp -sImïv NnInÕ F{Xbpw thKw Bcw-`n-t¡-ï-Xm-Wv. FÃp-I-fnepw AØn-I-fn -ep-ap-ïm-Ip¶ AWp-_m-[ -Ifpw {]ta-l-tcm-Kn-I-fn Iïp-h-cp-¶p. aän-S-§-fnse AWp-_m-[-IÄ hym]n- t¨m, ikv{X-{In-b-bpsS A\-´-c-^-e-am-bnt«m CXp-ïm-Ip-¶p. ]mZ-¯nse {hW-§Ä D¸p-än-bp-sSbpw aäv kao-]-{]-tZ-is¯ FÃp-I-fp-sSbpw AWp-_m- -[-bmb HmÌntbm ssase -änkv (Osteomyelitis) Bbn amdp-¶Xv {]tal tcmKn-I -fn Hcp km[m-cW ImgvN -bm-Wv. C³^vfp-h³km sshdkv aqew sNdnb Akz-Ø-X-IÄ am{X-ap -ïmbn amdm-hp¶ AkpJw \yqtam-Wnb hsc F¯n AXn \n¶p acWw kw`-hn-¡m-\pÅ km[yX {]tal tcmKn-I-fn \mep- a-S§v IqSp-X-em-Wv. izmk -tIm-i-¯nse _mly-I-h-N- ¯n-\p-Ån ]gp¸v \nd- bm-\pÅ km[y-Xbpw {]tal tcmKn-I-fn IqSp-X-emWv (empyema). {]tal NnIn-Õsb IqSp-X k¦oÀ-®-am-¡p¶ asämcp AWp-_m-[-bmWv £bw. izmk-tIm-iw, aq{Xm-ibw apX-emb Ah -b-h-§-fn £b-tcm-K- _m-[-bv¡pÅ km[yX {]tal tcmKn-I-fn hfsc IqSp-X-em-Wv. £b-tcmKw {]ta-l-t¯mSp tNcp -t¼mÄ izmk-tIm-i-¯n henb \mi-\-jvS-§Ä hnX-bv¡p-¶p. km[m-cW ipNnXz \ne-hmcw ]peÀ¯p¶ Hcm-fn C³kp-en³ Ip¯n-shbv¸v AWp-_m- -[bv¡v CS-bm-¡m-dn-Ã. F¶mÂ, {]talw Xosc A\n-b-{´n-X-am-bn-cn-¡p¶ Ah-k-c-§-fn Ip¯n -hbv¸v FSp-¡p¶ Øm\¯v Nne-t¸mÄ AWp-_m[ Dïm-Imw. ikv{X-{In-b-IÄ¡v tijw, AXv hb-dn-sâtbm, FÃp-Isf kw_-Ôn-¡p -¶tXm, lrZ-b-[-a-\n-I-fpsS ss_¸mkv ikv{X-{In -btbm Bbmepw {]ta-l -tcm-Kn-I-fn apdn-hp-I-fn AWp-_m-[-bv¡pÅ km[yX aäp-Å-hsc At] -£n¨v IqSn \n¡p-¶p. s]mXpsh Hcp {]tal tcmKn Bb-Xp-sImïv tcmK-{]-Xn-tcm-[-i-àn-bn hogvN-IÄ Dïm-tb-¡m-sa -¦nepw IrXy-amb {]ta-l- \n-b-{´-W-¯n-eqsS tcmKm -Wp-_m-[-IÄ¡pÅ km[yX hfsc Ipd -bv¡m³ km[n-¡pw. AWp- -_m-[-IÄ Dïm-Ip-t¼mÄ cà-¥q-t¡mkv \ne km[m -c-W-bn Ihnªv IqSm-dp -ïv. ]e-t¸mgpw Kpfn-I-IÄ D]-tbm-Kn-¡p¶ HcmÄ¡v C³kp-en³ Ip¯n-shbv¸v Xm¡m-en-I-am-sb¦nepw XpS-t§-ïn-h-cmw. Bip-] -{Xn-bn InS-¡p-t¼mÄ Znh-khpw aqt¶m \mtem t\cw cà-¥q-t¡mkv ]cn-tim-[n-¨v, AXv A\p-k -cn¨v Ip¯n-sh-bv¸p-IÄ {Iao-I-cn-¡p-I-bmWv D¯ -aw. DS³ A\n-hm-cy-sa- ¶pÅ ikv{X-{In-b-IÄ Hgn-sI-bp-Åh IrXy-amb {]ta-l-\n-b-{´-W-¯n\p tijw sNbvXm hnP-b -km-[yX IqSp-¶p. \½p-sS B-tcm-Kyw | G{]n 2018 93