Yintoni iCellulitis?
ICellulitis yintsholongwane evamile ye-bacteria yesikhumba kunye nezicubu ezithambileyo ngaphantsi kwayo. Iveliswa xa i-bacteria, ikakhulu i-Streptococcus pyogenes (iqela A strep) kunye ne-Staphylococcus aureus, zingena kwiindawo eziphukileyo zesikhumba kwaye zisasazeke kwiindawo ezijulile kubandakanya i-dermis kunye nezicubu eziphantsi kwesikhumba. ICellulitis ayithintelwa kumntu ukuya kumntu, kodwa i-bacteria ezibangela yona zikhona kakhulu kwindalo kunye nasemzimbeni womntu.
Le ntsholongwane ithintela abantu abaninzi ngonyaka kwaye ingomnye wezizathu ezivamile zokuvakashela kwi-ofisi yezenzo eziphuthumayo ezinxulumene nezimo zesikhumba. Nangona uninzi lweemeko luphendula kakuhle kumjikelo we-antibiotic, i-cellulitis engaphathwanga okanye enzima ingaholela kwiingxaki ezibulalayo.
Izizathu kunye Nokwakheka KweNtsholongwane
ICellulitis ikhula xa i-bacteria ingena kwi-bhanti yokhuseleko yesikhumba ngokusebenzisa iimpungushe, iimpungushe, iindawo zokuhlinzwa, ukulunywa yizinambuzane, i-ulcers, okanye iindawo zesikhumba eziphukileyo nezomileyo ezifana nezo ezibangelwa yi-eczema okanye i-athlete's foot. Nokuba iimpungushe ezincinci zesikhumba ezingabonakali ngamehlo zikwazi ukuba yindawo yokungena. Nje ukuba zibe ngaphakathi, i-bacteria iyanda ngokukhawuleza kwaye ikhiqiza i-enzymes eziphula izicubu, ivumela ukuba le ntsholongwane isasazeke ngokuqhubekayo kwi-skin kunye nezicubu ezijulile.
Impendulo yomzimba yokulwa nezifo ibangela ukutsha, okukhupha umbala ophakathi, ubushushu, ukuvuvukala, kunye nobuhlungu. Kwezinye iimeko, ngakumbi kwiimeko ze-bacteria ezinamandla ngakumbi okanye kwiingcali ezineemeko zokungasebenzi kakuhle komzimba, le ntsholongwane ingasakazeka kwi-bloodstream (bacteremia) okanye kwiindawo ezijulile ezifana ne-fascia kunye nemisipha.
Iimpawu zeCellulitis
Iimpawu eziphambili ze-cellulitis ziquka indawo yesikhumba ebomvu, evuvukalayo, efudumeleyo kumphunga, kunye nebonakalayo okanye ebuhlungu. Umbala obomvu uqhelekile ukusasazeka ngaphandle ukusuka kwiindawo zokuqala zentsholongwane kwaye unokubangela imida engacacanga, engalunganga. Isikhumba esithintekileyo sikwazi ukubonakala sikhazimlile kwaye sithambile ngenxa yokuvuvukala, kwaye ungabona iimpawu ezibomvu ezisuka kwiindawo zentsholongwane ziya kwiindawo ze-lymph ezikufutshane.
I-blisters okanye iimpundu ezincinci ezigcwele i-pus zingavela phezulu. Iimpawu eziphathekayo ezifana nomkhuhlane, i-chills, ukudinwa, kunye nobuhlungu bomzimba zibonisa ukuba le ntsholongwane ingasakazeka ngaphezu kwesikhumba. ICellulitis ivamile ukuba ithinte iinyawo eziphantsi, kodwa ingenzeka naphi na emzimbeni kuquka ubuso, iintso, kunye nendawo zokuhlinzwa.
Iimpawu Zengozi
Iimeko ezininzi zandisa amathuba okuphumelela i-cellulitis. Nanyani imeko ethintela ibhanti yesikhumba ikhuphula umngcipheko, kuquka i-eczema, i-psoriasis, i-athlete's foot, iindawo ezichaphazelekayo, kunye neziqhamo zokuhlinzwa. I-Lymphedema, imeko apho umkhuhlane we-lymph uqokelela kwaye ubangela ukuvuvukala kwiingalo, iyinto ephambili yokuphosa umngcipheko kuba umkhuhlane ogciniweyo unika indawo efanelekileyo yokukhula kwe-bacteria.
Ukukhuluphala, i-diabetes, kunye nezifo ze-peripheral vascular zinciphisa ukuhamba kunye nomsebenzi wokulwa nezifo, zenza isikhumba sibe sithambile kumjikelezo. Ukunciphisa umphumo kwiimithi, i-chemotherapy, okanye iimeko ezifana ne-HIV zandisa ukungabikho. Umlando we-cellulitis yangaphambili ungomnye wemigangatho emininzi yokuphosa umngcipheko, kunye nezinga lokuphindaphinda elilinganiselwa phakathi kwe-20 kunye ne-50 percent. Ukusebenzisa i-drug ye-intravenous kunye nokusebenzisa i-alcohol ngexesha elide kuphinda kuphakamisa umngcipheko.
Xa iCellulitis Iba Yingozi
Nangona uninzi lwe-cellulitis lungaphathwa ngemithi ye-antibiotic yokutya kwiimeko eziphuthumayo, iimpawu ezithile zibonisa umngcipheko wezempilo ofuna ingqalelo yesiqhelo. 5 degrees Celsius, ukuhamba ngokukhawuleza kombala obomvu onokuwubona usanda kwandulelayo, ubuhlungu obukhulu obonakala bungalingani neenguqu ezibonakalayo zesikhumba, i-blisters ezinkulu okanye iindawo zesikhumba eziguquka zaba mnyama okanye zaba purple, ukungonwabi okanye ukunceda kwiindawo ezithintekileyo, okanye iimpawu zokudideka okanye ukuguqulwa kwesimo sengqondo. Le miphumo ingabonisa i-necrotizing fasciitis, i-intsholongwane ye-tissue ejulile engavamile kodwa ebangela ubomi, efuna ukuhlinzwa okuphuthumayo, okanye i-sepsis, impendulo ye-inflammatory yesistim kwi-intsholongwane engaholela ekuphuleni kwemisebenzi. Ukwenza umgca malunga nemida yombala obomvu ngombhalo kwaye uqaphele ixesha kungasiza wena kunye nodokotela wakho ukuba balandele ukuba le ntsholongwane iyasakazeka naphezu kokuphathwa.
Ubulungisa
Ubulungisa obuphambili be-cellulitis ngama-antibiotics, akhethwa ngokusekelwe kwi-bacteria ethathwa njengokungafanelekanga kunye nobunzima bokutheleleka. I-cellulitis ethambileyo ukuya emaphakathi ivame ukulungiswa ngexesha leentsuku ezi-5 ukuya kwezi-14 usebenzisa ama-antibiotics omlomo afana ne-cephalexin, dicloxacillin, okanye amoxicillin-clavulanate. Ukuba i-MRSA (i-methicillin-resistant Staphylococcus aureus) ithathwa njengokungafanelekanga, ama-antibiotics afana ne-trimethoprim-sulfamethoxazole okanye i-doxycycline angabhalwa.
I-cellulitis enzima okanye i-cellulitis kwiimfuno eziphantsi komzimba ivame ukufuna ukungena esibhedlele kunye nama-antibiotics e-intravenous. Ngaphandle kwama-antibiotics, ubulungisa buquka ukuphakamisa ilungu elichaphazelekayo ukuze kuncitshiswe ukuvuvukala, ukufaka i-compresses ezibandayo ukuze kube nokhathalelo, ukuthatha iipilisi zokunceda, kunye nokugcina isikhumba sicocekile kwaye sithambile. Uninzi lwezigulane luqala ukubona ukuphucuka phakathi kweeyure ezi-48 ukuya kwezi-72 emva kokuqala ama-antibiotics, kodwa umjikelo opheleleyo kufuneka uqedwe ukuze kugwenywe ukuphinda kubonakale kunye nokuphikiswa kwama-antibiotics.
Ukuthintela kunye noNakekelo lweSkin
Ukuthintela i-cellulitis kugxile ekugcineni ubungqina be-barrier yesikhumba sakho kunye nokuphendula ngokukhawuleza kwiingxaki zesikhumba. Hlanza zonke iimpawu, iimpawu, kunye neenhlungu zezinambuzane ngokucokisekileyo ngensipho namanzi kwaye ufake i-ointment ye-antiseptic. Gcina isikhumba sakho sithambile ukuze ugweme ukopha, ngakumbi kwiinyawo ezisezantsi.
Phendula kwiimeko eziphakathi ezifana ne-athlete's foot, eczema, kunye nefungus yeenxiba zenyawo ngokukhawuleza, njengoko lezi zenza iindawo zokungena kwi-bacteria. Ukuba unolymphedema, sebenzisa iimpahla zokucinezela njengoko kubhalwe kwaye practice good skin hygiene. Abantu abaninzi abaphinda bephinda be-cellulitis bangazuza kwi-antibiotics eziphantsi zexesha elide. I-Skinscanner ingakusiza ukuba ujonge iindawo zesikhumba ezibonakala zikhathazekile okanye ezingaqhelekanga, ukwenza kube lula ukubona iimpawu zokuqala zokutheleleka kunye nokufumana iingcebiso zonyango ngexesha ngaphambi kokuba ingxaki ethambileyo ibe yinkxalabo enzima.
