Iyini I-Cellulitis?
I-Cellulitis iyisitshalo esivamile sokutheleleka kwe-bacterial kwesikhumba kanye nezicubu ezithambile ngaphansi kwaso. Ivela lapho ama-bacteria, ikakhulukazi i-Streptococcus pyogenes (iqembu A strep) kanye ne-Staphylococcus aureus, engena ngophawu oluthile kwesikhumba bese spreada ezindaweni ezijulile kuhlanganise ne-dermis nezicubu ezithambile. I-Cellulitis ayitholakali phakathi kwabantu, kodwa ama-bacteria abanga khona akhona kakhulu emvelweni nasezikhumbeni zabantu.
Lokhu kutheleleka kuthinta abantu abayizigidi minyaka yonke futhi kuyisizathu esivamile sokuvakashela emnyangweni wezokwelapha okuhlobene nezimo zesikhumba. Nakuba amacala amaningi ephendula kahle ekwelashweni nge-antibiotic, i-cellulitis engalashwanga noma ebucayi ingaholela ezinkingeni eziphuthumayo.
Izimbangela Nokuthi Ukutheleleka Kukhula Kanjani
I-Cellulitis ikhuliswa lapho ama-bacteria engena emgqeni ovikela isikhumba ngophawu, ukugwaza, izilonda zokuhlinzwa, izinyosi, izilonda, noma ezindaweni eziphukile nezomile ezifana nalokho okubangelwa yi-eczema noma i-athlete's foot. Ngisho nezikhala ezincane emgqeni wesikhumba ezingabonakali ngamehlo zingaaba indawo yokungena. Uma sekuhamba ngaphakathi, ama-bacteria akhula ngokushesha futhi akhiqiza ama-enzyme aphula izicubu, avumela ukutheleleka ukuthi kusabalale ngokuhamba kwesikhumba nasemafutheni ajulile.
Impendulo yomzimba yokuvikela ibangela ukuvuvukala, okukhombisa ububomvu, ukufudumala, ukuvuvukala, nokubuhlungu. Kwezinye izimo, ikakhulukazi uma kukhona ama-strain e-bacterial anobungozi obukhulu noma kubantu abane-immunocompromised, ukutheleleka kungasabalala emgudwini wegazi (bacteremia) noma ezakhiweni ezijulile ezifana ne-fascia nemisipha.
Izimpawu Ze-Cellulitis
Izimpawu eziphawulekayo ze-cellulitis zifaka indawo yesikhumba ebomvu, evuvukalayo, efudumele uma ithintwa, futhi ethokozisayo noma ebuhlungu. Ubumvu ngokuvamile busabalala ngaphandle ukusuka endaweni yokuqala yokutheleleka futhi bungase bube nemingcele engacacile, engajwayelekile. Isikhumba esithintekile sivame ukubonakala sikhanya futhi siqinile ngenxa yokuvuvukala, futhi ungase uqaphele imigqa ebomvu esuka endaweni iye ezindaweni eziseduze ze-lymph nodes.
Amabhlogo noma izikhukhula ezincane ezigcwele iphunga zingavela phezulu. Izimpawu ezijwayelekile ezifana ne-fever, chills, ukukhathala, nokubuhlungu komzimba zikhombisa ukuthi ukutheleleka kungase kusabalale ngaphezu kwesikhumba. I-Cellulitis ivame ukuthinta izinyawo eziphansi, kodwa ingenzeka noma kuphi emzimbeni kuhlanganise nobuso, izandla, nasemazingeni okuhlinzwa.
Izici Eziyingozi
Izinto eziningi zandisa amathuba okuthola i-cellulitis. Noma iyiphi imbangela ethinta umkhawulo wesikhumba ikhuphula ingozi, kuhlanganise ne-eczema, i-psoriasis, i-athlete's foot, izilonda eziphindaphindiwe, kanye nezinsalela zokuhlinzwa. I-lymphedema, isimo lapho umswakama we-lymph uqoqeka futhi ubangela ukuvuvukala ezandleni, iyinto enkulu ethinta ingozi ngoba umswakama ovinjiwe unikeza indawo efanele ukukhula kwamagciwane.
Ukukhuluphala, i-diabetes, kanye nezifo ze-peripheral vascular zithinta ukuhamba kwegazi kanye nemisebenzi yokuvikela, okwenza isikhumba sibe sengozini yokutheleleka. Ukuncipha kokuvikela okuvela kumaphilisi, i-chemotherapy, noma izimo ezifana ne-HIV kukhuphula ukungathinteki. Umlando we-cellulitis yangaphambili ungomunye wezinto ezinamandla kakhulu ezithinta ingozi, ngokubalwa kokuphindaphinda okulinganiselwa phakathi kuka-20 no-50 percent. Ukusetshenziswa kwezidakamizwa nge-intravenous kanye nokusetshenziswa kwe-alcohol okuqhubekayo nakho kukhuphula ingozi.
Lapho i-Cellulitis Iba Yingozi
Ngenkathi i-cellulitis eningi ingaphathwa ngama-antibiotics aphuzwayo ngaphandle kokungena esibhedlela, ezinye izimpawu zikhombisa ukuhlinzeka kwezokwelapha okudingekayo ngokushesha. 5 degrees Celsius, ububanzi obusheshayo bokubomvu obungakwazi ukukubona bukhula ngezinsuku, ubuhlungu obukhulu obubonakala bungahambisani nezinguquko ezibonakalayo zesikhumba, izikhumba ezinkulu noma izindawo zesikhumba ezishintsha zaba mnyama noma zaba purple, ukungabi namandla noma ukuvuvukala endaweni ethintwayo, noma izimpawu zokuphazamiseka noma isimo sengqondo esishintshile. Lezi zimpawu zingakhombisa i-necrotizing fasciitis, ukutheleleka okungajwayelekile kodwa okungaba yingozi empilweni okujolise ezicubu ezijulile okudingekayo ukuhlinzwa ngokushesha, noma i-sepsis, impendulo ye-inflammatory yesistimu yokutheleleka engaholela ekwehlulekeni kwezitho. Ukudweba umugqa emaphethelweni okubomvu ngempushana nokubhala isikhathi kungasiza wena nodokotela wakho ukuba balandele ukuthi ukutheleleka kuyakhula noma ngabe kukhona ukwelashwa.
Ukuphathwa
Ukuphathwa okuyinhloko kwe-cellulitis ama-antibiotics, akhethwa ngokuya ngamagciwane okukholelwa ukuthi akhona kanye nobunzima bokutheleleka. I-cellulitis elula kuya emaphakathi ivamise ukuphathwa ngama-antibiotics aphuzwayo phakathi kwezinsuku ezi-5 kuya kwezi-14 njenge-cephalexin, dicloxacillin, noma i-amoxicillin-clavulanate. Uma i-MRSA (methicillin-resistant Staphylococcus aureus) ikholakala, ama-antibiotics afana ne-trimethoprim-sulfamethoxazole noma i-doxycycline anganikezwa.
I-cellulitis ebucayi noma i-cellulitis kubaguli abane-immunocompromised ivamise ukufuna ukuhlinzwa esibhedlela kanye nama-antibiotics e-intravenous. Ngaphezu kwama-antibiotics, ukuphathwa kuhlanganisa ukuphakamisa ilunga elithintekile ukuze kuncishiswe ukuvuvukala, ukufaka ama-compresses abandayo ukuze kuhlale kukhululekile, ukuthatha ama-pain relievers, nokugcina isikhumba sihlanzekile futhi sithambile. Abaguli abaningi baqala ukubona ukuthuthuka phakathi kwezinsuku ezi-48 kuya kwezi-72 zokusebenzisa ama-antibiotics, kodwa kufanele kuqedwe konke ukuvimbela ukuphindaphinda kanye nokumelana nama-antibiotics.
Ukuvimbela Nokunakekela Isikhumba
Ukuvimbela i-cellulitis kugxile ekugcineni ukuvikeleka komkhawulo wesikhumba sakho nokuphatha ngokushesha noma yiziphi izikhala esikhumbeni. Hlanza zonke izikhala, izikhumba, nezilonda zezinambuzane kahle ngensipho namanzi bese ufaka i-ointment ye-antiseptic. Gcina isikhumba sakho sithambile ukuvimbela ukuvuvukala, ikakhulukazi ezinyaweni nasemathangeni.
Phatha izimo eziphakeme ezifana ne-athlete's foot, i-eczema, kanye ne-fungus ye-toenail ngokushesha, njengoba lezi zidalela amathuba amagciwane. Uma ungena i-lymphedema, sebenzisa izingubo zok压 njengoba zikhuluma futhi ulandele imikhuba emihle yokunakekela isikhumba. Abantu abane-cellulitis ephindaphindiwe bangazuza kumama-antibiotics aphansi isikhathi eside. I-Skinscanner ingakusiza ukuba ulandelele izindawo zesikhumba ezibonakala zishisa noma ezingajwayelekile, okwenza kube lula ukubona izimpawu zokuqala zokutheleleka nokufuna izeluleko zezokwelapha ngesikhathi ngaphambi kokuthi inkinga encane ibe yinkinga enkulu.
