Funda kabanzi malunga neqoqo lezintlu zeentloko ezinyantsholongwane
I-carbuncle iqoqo lezintlu ezininzi ezineentsholongwane zentsholongwane . Kuyi- abscess , njenge-furuncle, kodwa i-carbuncle yintsholongwane enkulu. Uluhlu oluphambili: Ubunzima obunentsholongwane yentloko enye kunye neengxube zaso ezijikelezayo, ngelixa i-carbuncle yimiba emininzi ehlanganisiwe.
Izinto zobungozi
Ezinye izinto zibeka kuwe ingozi ephakamileyo yokuphuhlisa i-carbuncle.
Ezi zibandakanya: kuba nesistim somzimba esichengileyo, esinesifo sikashukela , esinemeko yesikhumba efana ne- acne okanye i- eczema , kunye nobudlelwane obusondeleyo nomntu one-infection ye-staph.
Kukhangeleka Njani I-Carbuncle?
I-carbuncle ivame ukufikelela kwiindawo ezinzulu zolusu- i-fat-cutaneous . Yenza into evulekileyo, ebomvu, eshushu, esichukumisayo esoloko idonsa iindawo ezivulekileyo zesikhumba. Umntu onesifo se-carbuncle mhlawumbi uya kugula aze abe nefiva kunye nokukhathala. Iibhondi zivame ukuvela kwiindawo ezinomkhuhlane okhudlwana njenge-nape entanyeni, emva, okanye emathangeni.
Indlela echongwa ngayo
Ukuba ucinga ukuba unayo i-carbuncle, biza umnonophelo wakho oyintloko okanye udermatologist (ugqirha ogxininise ekuphatheni ulusu). I-carbuncle ixilongwa ngokusekelwe ekubukeni kwayo, kodwa ngamanye amaxesha inokudideka kunye ne- epidermoid cyst . Azikho na iimvavanyo ezenziwayo ukugqiba ukuba isifo sisifo se-carbuncle, kodwa ngokuqhelekileyo i-pus ngaphakathi kwe-carbuncle ivavanywa nge-gram stain okanye i-bacterial culture ukuze ibone ukuba ibhakteriyo ebangela ukusuleleka ngu- Staphylococcus aureus (aka staph ) uhlobo okanye olungagxininisi kwi-antibiotics (uhlobo lwe-MRSA, jonga ngezantsi ukuze uthole iinkcukacha ezingaphezulu).
OluPhezulu unyango
Ngenxa yokuba i-carbuncle isoloko iqulethe ixabiso elincinci, zihlala ziphathwa ngokuqala ngenkqubo ebizwa ngokuba yi- incision kunye ne-drainage (I & D) . Oku kuphelisa i-pus kwaye kuvumela ukuba sulela ukuphulukiswa ngaphakathi ngaphakathi. (Kungcono ukuba ungazami ukwenza oku ngokwakho ekhaya ngokuwucima okanye ukuwufakela, kuba ungagqiba ukwenza kube nzima ngakumbi kwaye usasaze intsholongwane.)
Ekubeni i-carbuncle ibangelwa yi-british Staphylococcus aureus, imichiza eqhelekileyo isetyenziselwa ukunyanga i- staph infections ibandakanya i-antibiotics dicloxacillin okanye i-cephalexin.
Ngelishwa, kukho uhlobo oluthile olutsha lwe-staph olunqabile kule ntlobo ye-antibiotics. Ngaphezulu, qhubeka ufunda.
Emva kokuba i-carbuncle iphilise, kunokubakho ikrakra.
I-Carbuncles eyenziwa ngu-MRSA
Kule minyaka emininzi edluleyo, kuye kwaba nokwanda okukhawulezayo kwiziganeko zokusulela izifo ezibangelwa uhlobo olukhethekileyo lwe- Staphylococcus aureus engaxhatshali kwi-antiictic antibiotic. Kuze kube kutshanje, i-MRSA (ifutshane malunga ne- staphylococcus aureus engamelana ne-methicillin) yayingumngcipheko ongeqhelekanga owenziwa kumakhaya asebekhulile kunye nezinye izibonelelo zonyango. Kodwa ngokusetyenziswa kakubi kwee-antibiotics kwiimeko ezingafuneki ngamayeza, izifo ze-MRSA ngoku, ngelishwa, ziqhelekileyo kwimimandla ethile yase-United States.
Ezi zintsholongwane zivame ukuvela ngokukhawuleza kwi-groin, kwintlambo, nakummandla wesinye. Okwangoku, kukho iziza-antibiotics eziphatha ukuxhatshazwa. I-antibiotics ekhethiweyo kwizifo zika-MRSA ezingazange zifumaneke esibhedlele okanye kwisibonelelo sokunakekelwa kwexesha elide i-trimethoprim-sulfamethoxazole (aka Septra okanye iBactrim).
Inketho elandelayo yi-clindamycin, ingakumbi kubantu abaphikisayo kwi- sulfa .
> Imithombo:
> Halpern, Analisa, kunye noWarren Heymann. "Izifo zeBhaktheriya." Dermatology. 2. Ed. Jean Bologna. ENew York: iMosby, 2008: 1075-84.