I-Cellulitis ingafika ngokukhawuleza
I-cellulitis iqheleke kakhulu. Inokufika ngokukhawuleza malunga nantoni na.
I-cellulitis yintsholongwane yesikhumba, phantse rhoqo ibangelwa yiibhaktheriya. Usulelo lusasazeka ukusuka kwesikhumba kwaye luya kwandula. Isasazeka ngaphantsi kwe-epidermis, ungqongqo ophezulu wesikhumba, kwaye ungene kwi-dermis nakwi-fat cutaneous. Ingabangela ubomvu, ukuvuvukala kwesikhumba, intlungu, ubushushu kwisayithi kwaye mhlawumbi umkhuhlane.
I-cellulitis ixhaphaza umlenze kwaye ngamanye amaxesha ubuso, izandla okanye iingalo. Ngokuqhelekileyo kuthinta indawo enye ngexesha, umlenze owodwa nje, kungekhona zombini.
I-cellulitis ingaqala ngesifo esikhankeni, nokuba ngaba kukunqunywe, ukuluma okanye ukutshisa.
Ezinye iimeko zesikhumba, njenge- eczema okanye unyawo lomdlali, kunokubangela ukuphuka okuncane kwesikhumba kwaye kunokukhokelela kwi-cellulitis. Abo bavuba emilenzeni yabo njengokuba bevela kwi-venous stasis okanye i-lymphedema (njengokuba emva kokuhlinzwa ngenxa yomhlaza wesibeleko) banamathuba amaninzi e-cellulitis, njengoko abanako ukucima izifo ngokukhawuleza. Abo baye bathatha i-grain grafts ethathwe (xa i-lymphatic fluid ikhuphuka, njengentliziyo yokuhlinzwa) okanye i-varicose veins ine-cellulitis engaphezulu. Eminye imingcipheko ye-cellulitis nayo ibandakanya ukukhuluphala, ukuvuvukala umlenze kunye nesifo sikashukela. Abantu abanesifo sikashukela kufuneka bahlole iinyawo ukuqinisekisa ukuba abanalo naluphi na uphahla lwesikhumba okanye i-cellulitis ukuba abanakuzibona.
Kuqheleke kakhulu kubantu abadala badala kodwa kunokwenzeka nakweyiphi na ibakala elidala kunye nokuba isini.
Kukho iintlobo ezahlukeneyo ze-cellulitis.
Izifo zivame ukubangelwa ibhaktheriya iStaplocloccus Aureus kunye neQela leStraptococcus. Amaninzi amaninzi ka-Staph Aureus ayaxhatshazwa kwii-antibiotics ezazisetyenziswa. Uninzi lwezifo kufuneka ziphathwe ngeMMSA .
Kukho izimbalwa ezimbalwa ezinqabileyo zeentlobo eziqhelekileyo ze-cellulitis. Eminye yale miba ingabungozi kulabo basemngciphekweni - njengabo abangenakuxilongwa, abanesifo sikashukela, abangenayo ipeni, okanye abaneengxaki zesibindi.
Ukubanjwa ngamakati, ezona zinzulu kwaye ziyingozi kunokuba zicinge, zingakhokelela kwi- Pasteurella multocida . Inyosi yokuluma ayinakubangela ukuba kubekho imbangela enkulu yentsholongwane, iCapnocytophaga, eyingozi kakhulu kulabo abangenayo.
Ukubonakaliswa kumanzi afudumeleyo, ityuwa, njengokuba uhamba ngokuhamba emanxwemeni, ngakumbi kulabo abaneengxaki zesibindi okanye utywala, kunokukhokelela kuVibrio vulnificus . Le yintsholongwane enzulu kwaye ingaba yingozi xa ingaphathwa ngokukhawuleza. Ukuxhamla kwamanzi amanzi kunxulumene neAeromonas hydrophila izifo. Kwabanye amaxesha abantwana banokusuleleka kwi- Haemophilus influenza.
Ukuhlinzwa kungakhokelela kwi-cellulitis, kwaneentlobo ezinqabileyo ezinjenge-Mycobacterial infections. Labo abangenakho ukuxilongwa ngokungaxilwanga kunokuthi banamathele kwizifo ezininzi-ezifana nePseudomonas, Proteus, Fusarium, Serratia .
Abo basemngciphekweni banokufuna i-antibiotic eyahlukeneyo ngaphambili, nangona iimeko ezininzi ze-cellulitis zibangelwa yi-Staph okanye iStrep infections.
Inokudideka kunye ne-DVT ( Deep Vein Thrombosis ) efuna unyango oluhlukileyo.
Kubalulekile ukuba uthethe ugqirha wakho ukuze wenze uvavanyo olufanelekileyo.
Unyango
Uphulo luvame ukuqulethelwa ngamayeza omlomo kwizigulane ezininzi. Uninzi luphucule ngokukhawuleza kwaye aludingi ukulaliswa esibhedlele.
Kukho ama-antibiotics anikwa ngokuqhelekileyo kwi-cellulitis. Akukho nqabile naluphi na uvavanyo olwenziwe ukubonisa uhlobo luni lwebhaktheriya oluxanduva. I-antibiotics ikhethwe ngugqirha ukuze ihlanganise iintlobo ezininzi zebhaktheriya, kuxhomekeke kwiziphi iingozi ezithile umntu analo.
Kungaba luncedo ukudweba umgca ojikeleze imida yentsholongwane ukuba ibonakala ukuze kuqinisekiswe ukuba i-cellulitis iyakhula okanye iyaqhubeka.
Kungaba nzima ukuxelela ubusuku ukuba i-cellulitis iye yafumana ngcono okanye yimbi.
Ukuba kukho ukuvuvukala okanye umntu akanalo isisu esihle okanye i-lymph flow, pha kamisa umlenze okanye ingalo echaphazelekayo ukuvumela umkhuhlane ukucima.
Kuqhelekile ukuba usulelo alupheli ngokukhawuleza. Kungathatha usuku okanye ezimbini ukuba ubone ukutshatyalaliswa kwintsholongwane.
Nangona kunjalo ukuba umntu egula kakhulu okanye ephazamisekileyo okanye intsholongwane ayifuni, ingadinga ukufakwa esibhedlele kwaye ingadinga ii-antibiotics ze-IV.
Kukho iingxaki ezimbalwa eziyingozi ze-cellulitis.
- I-Necrotizing Fasciitis yintsholongwane engabonakaliyo yecala elincinci lesikhumba, efikelela phantsi kwi-fascia engezansi, Yenza ubandezeleka obukhulu kwaye inokusasazeka ngokukhawuleza. Ingakhokelela ngokukhawuleza ekufeni kwezicubu kulezi ziqendu (i-subcutaneous and fascia). Ingakhokelela ekufeni, ingakumbi ukuba unyango (uphando kunye ne-antibiotics) alufumaneki ngokukhawuleza.
- I-Sepsis iyakwenzeka xa iibhaktheriya ezivela esikhumbeni zifikelela ngokujulile kwaye zisasazeka ngegazi, zihluma ezinye iindawo zomzimba. Oku kunokuba lukhulu kakhulu olufuna i-antibiotic ye-hospitali kunye ne-IV.
- Ama-Absesses angabumba kwiintsholongwane ezinzulu. I-abscess iyisitokethi sentsholongwane kwaye kunokuba kunzima ukucima. Ingadinga umjelo kwaye kungekhona nje ngamayeza.
- I-Orbital Cellulitis ingenzeka xa iibhaktheriya zisasazeka kwiindawo ezijikeleze iliso (emva kwesebital septum). Naluphi na ubuhlungu obushukumisa iso, ukungakwazi ukuvula iso, ukusuleleka kweso okanye ukuvuvukala kwejwabu leso kufuneka kuthathwe ngokungathí sina. Kuqhelekileyo kubantwana. Ngokuqhelekileyo kubandakanye ukusasazeka kweebhaktheriya kwi-cellulitis ngaphambili nangenxa yelihlo okanye kwizono (okanye igazi legazi) ukuya kwisango. Akunjalo efanayo ne-periorbital cellulitis ebhekisela kwintsholongwane kuphela phambi kwemehlo kwaye ingangene ngaphakathi kwisoloko. I-cellbitis ye-Orbital yintsholongwane enokuthi ingakhokelela ekulahlekelweni kwamehlo kunye nokusabalala kweebhaktheriya kumadoda okanye kwiingqondo.
Ziqhele kangakanani i-Cellulitis?
I-cellulitis ifanelekile. Olunye uphando oluthola phantse 1 kwi-400 luya kuphuhlisa i-cellulitis ngonyaka-ngaphezulu kulabo abadala. Olunye uphando lwabadala abaselula abangaphantsi kwe-40 abayaziwayo bephilile (kunye nasemkhosini) bafumana isantya se-2 kwi-10,000. Ukunyuswa kwamaxabiso kunye nobudala kunye nezinye izifo.