Ukuqonda Ukuhlinzekwa Kwakho Nokuguqulwa Kwemvula
Uma udokotela wakho ekhuthaze inqubo yokucubungula nokukhipha amanzi ukuze uphathe i-abscess ungase uzibuze ukuthi iyiphi inqubo. Isebenza kanjani, ingabe ingakhululekile, futhi kwenzekani ngemuva?
Ama-abscesses (Amathumba) angaba khona cishe kunoma iyiphi indawo
I- abscess iyisifo esibuhlungu esingashukumisela abantu abaningi ekamelweni lokuphuthumayo. Ziphumela lapho ama-gland ekhiqiza amafutha noma ama-sweat avinjelwe, futhi amabhaktheriya aphethwe.
Lokhu kubangela ukutheleleka nokuvuvukala kanye nobuhlungu nokubomvu.
Ama-Abscesses angakha noma kuphi emzimbeni. Ngokujwayelekile, zitholakala emagqumeni, esifundeni sesishicilelo, ngaphansi komgogodla, nxazonke zinozinyo, noma eduze kwendabuko yezinwele , lapho kwenzeka khona i-abscess ibizwa ngokuthi ngamathumba .
Uma amafomu we-abscess, ubuhlungu, nokuvuvukala kungenza wenze ukuphamba bese uyilungisa ukuze uzame ukusula wena ngokwakho. Kodwa-ke, odokotela baqaphele kakhulu lokhu njengoba kuvame ukukwenza ukuthi ukutheleleka kube kubi futhi kungabangela izinkinga ezihlala njalo njengezifo ze-bloodstream ( sepsis ) nokukhwabanisa.
Esikhundleni salokho, vakashela i- dermatologist yakho enobungane ngenqubo elula futhi ephumelelayo eyaziwa ngokuthi ukushiswa nokugeleza, noma i-I & D. I-abscess ngeke ikwazi ukuphulukisa eyedwa noma ngisho ne-antibiotics , futhi ngokuvamile i-pus idinga ukucwiliswa ukuze kukhuthazwe ukuphulukiswa. I-I & D, ngokuvamile eyenziwa ngqo ehhovisi lakho, lingakwazi ukufeza lokhu ngokuphepha nangokunethezeka.
Ngabe i-I & D ihilela?
Ukusebenzisa ukuhlinzekwa kwezinzwa zendawo (njenge-lidocaine) ukuze unqothule indawo eseduze ne-abscess ngakho ungazizwa ubuhlungu, udokotela bese ufaka isikhumba noma isikhonkwane esikhumbeni phezu kwe-pus futhi i-pus igxiliwe. Ezinye izimbongolo zinezikhwama ezingaphezu kweyodwa okumele ziphulwe ukuze zikhiphe zonke izinto ezithathelwanayo.
Ngemuva kokuthi i-pus igudlile, isilonda sizohlanzwa futhi sihlanjululwe ngesisombululo saline.
Uma ingekho enkulu kakhulu noma ejulile, isilonda singase sigcwaliswe nge-gauze bandaging amahora angu-24 kuya kwangu-48 ukuze sithole noma yikuphi ukuqhuma noma ukukhipha okuqhubekayo ukukhipha. Uma i-abscess ikhulu kakhulu noma ejulile, i-drain ingafakwa efundeni elihlanzayo ukuze lihlale livulekile futhi livumele liqhubeke lidla njengoba liphilisa.
Inqubo yonke ngokuvamile ithatha ngaphansi kwehora, futhi bambalwa kakhulu abantu ababhekana nezinkinga. Abantu ababhema noma abanesimo esenza buthakathaka amasosha omzimba banamathuba amaningi okubhekana nezinkinga. Uma kwenzeka izinkinga, ngokuvamile ziba mncane futhi zingabandakanya:
- Ubuhlungu
- Ukuphuza
- Ukuthuka
Ngemuva kohlelo
Emva kokuba i-I & D igcwaliswe futhi uthunyelwa ekhaya, kufanele ulandele ngokucophelela izinkomba zakho zedokotela mayelana nokushintsha amabhandeshi nokuhlanza isilonda. Ungabuye unikezwe ngama-antibiotic futhi utshele ukuthatha imithi yesifo njengoba kudingeka. Uma ubona noma yiziphi izimpawu zokutheleleka, njengokuhlukumeza ubuhlungu, ukubomvu, ukuvuvukala, ukuphuma kwegazi, noma umkhuhlane, kufanele ubize udokotela wakho ngokushesha.
Ama-Abscesses ajwayelekile
Izikhathi eziningi i-abscess yinto eyodwa yesikhathi esingaxazululwa nge-I & D. Kwabanye abantu, isimo esibizwa ngokuthi i- hidradenitis suppurative sihilela ama-abscesses aphindaphindiwe afana nezindawo ezinjenge-groin, i-armpits, ngaphansi kwesifuba.
Ngaphezu kokuphatha ama-abscesses ngabanye nge-I & D, ezinye izindlela zokwelashwa ezifana ne-Accutane (isotretinoin) kanye nokujola kwe-steroid kungadingeka ukulawula lesi sifo.
MRSA
Ngaphambi kwe-I & D yakho udokotela wakho noma umhlengikazi uzokubuza ukuthi unayo i-MRSA. I-MRSA imele ukutheleleka kwe-staphylococcus emithi ye-methicillin. Izifo eziningi zesikhumba zibangelwa amabhaktheriya okuthiwa yi- Staphylococcus aureus . Kulawa ma-bacteria, ezinye izinkinga zenze ushintsho olwenza ukuba lukwazi ukumelana nemithi eminingi yama-antibiotics esinayo. Ngenxa yokwazi kwabo ukukhipha ama-antibiotic amaningi, lawo ma-bacterium abuye abizwe ngokuthi "ama-superbugs."
Ukutheleleka nge-MRSA kungabuka ezifweni ezincane kakhulu zesikhumba (njengezimbongolo ezincane) ezifweni ezisongela ukuphila. E-US kunezifo ezingaphezu kuka-75,000 ze-MRSA ngonyaka, nakuba iningi likhona kubantu abaye bahlala esibhedlela. Lokho kusho ukuthi okungenani amaphesenti angu-15 alezi zifo zenzeka emphakathini futhi kuthiwa yi- community acquired methicillin resistant Staph aureus .
Uma uthwala i-MRSA kubalulekile ukwabelana nalokhu nodokotela wakho ngezizathu ezimbili: ngakho-ke lezo ziyokwelapha ezifanele zikhethwa uma uzidinga, ngakho-ke izinyathelo zingathathwa ukusiza ukunciphisa ukusakazeka kwamabhaktheriya.
Imithombo:
UHabif, uTomas. "Izifo Zibhaktheriya." Dermatology Clinic, Edition 6. Ed. UThomas Habif, MD. I-New York: Ngo-Mosby, ngo-2015.