I-cellulitis ingafika ngokuzumayo
I-cellulitis ivame kakhulu. Kungenzeka ngokuzumayo cishe noma ubani.
I-cellulitis iyigciwane lesikhumba, cishe njalo ebangelwa amagciwane. Ukutheleleka kuvame ukusabalala kusukela esikhumbeni bese kuhamba ngokujulile. Isakazeka ngezansi kwe-epidermis, ungqimba ophezulu wesikhumba, futhi ungene esidlangalaleni nakumafutha angaphansi. Kungabangela ubomvu, ukuvuvukala kwesikhumba, ubuhlungu, ukushisa kusayithi kanye nomkhuhlane.
I-cellulitis ivame ukungena emlenzeni futhi ngezinye izikhathi ubuso, izandla noma izingalo. Ngokuvamile kuthinta indawo eyodwa ngesikhathi esisodwa, umlenze owodwa kuphela, hhayi kokubili.
I-cellulitis ingaqala nge-nick esikhumbeni, kungakhathaliseki ukuthi kunqunywe, ukulunywa noma ukushiswa.
Ezinye izimo zesikhumba, njengezinyawo ze- eczema noma umgijimi, zingabangela ukuphazamiseka okuncane esikhumbeni futhi kungaholela ku-cellulitis. Labo abanokuvuvukala emilenzeni yabo njenge-venous stasis noma i-lymphedema (njengokungathi ngemva kokuhlinzwa komdlavuza wesifuba) banezimo eziningi ze-cellulitis, njengoba bengakwazi ukusula izifo ngokushesha. Labo abaye bathatha ama-grain we-vein athathe (uma i-lymph fluid ibuyela emuva, njengokuhlinzwa kwenhliziyo) noma ube nemivamisa ye-varicose ine-cellulitis engaphezulu. Ezinye izici ezingozini ze cellulitis nazo zihlanganisa ukukhuluphala, ukuvuvukala komlenze, nesifo sikashukela. Labo abanesifo sikashukela kufanele babe nezinyawo zokuhlola ukuze baqiniseke ukuthi abanalo ukuphazamiseka kwesikhumba noma i-cellulitis uma bengakwazi ukuzibona.
Kuvame kakhulu kubantu abadala kodwa kungenzeka kunoma yiliphi iqembu lobudala kanye nobulili.
Kunezinhlobo ezahlukene ze-cellulitis.
Izifo ngokuvamile zibangelwa ama-bacteria Staphylococcus Aureus neQembu A Streptococcus. Amacala amaningi ka-Staph Aureus ayamelana nemithi elwa namagciwane eyayake yasebenza. Izifo eziningi zidinga ukuphathwa ngeMMSA .
Kunezimbangela ezimbalwa ezingavamile zezinhlobo ezingavamile ze-cellulitis. Ezinye ezimbalwa zingaba yingozi kulabo abasengozini - njengalabo abangenasifo sokuzivikela, abanesifo sikashukela, abangenayo isitebe, noma abanezinkinga zesibindi.
Ukulunywa ngamakati, okujulile futhi okuyingozi kunokucabanga, kungaholela ku- Pasteurella multocida . Inja ehlabayo ingavamile ukuthi ibangele imbangela eyodwa ebalulekile yokutheleleka, i- Capnocytophaga, eyingozi kakhulu kulabo abangenawo ama-spleens.
Ukuboniswa emanzini afudumele, amanzi anosawoti, njengokuhamba emgodini, ikakhulukazi kulabo abanezinkinga zesibindi noma utshwala, kungaholela kuVibrio vulnificus . Lesi sifo esibi kakhulu futhi singaba sengozini uma singaphathwa ngokushesha. Ukutholakala kwamanzi ahlanzekile kungahlanganiswa ne- Aeromonas hydrophila izifo. Izingane ngezinye izikhathi zinezifo ezine- Haemophilus influenza.
Ukuhlinzwa kungabangela ukuba i-cellulitis, ngisho nezinhlobo ezingavamile ezifana nokutheleleka kwe-Mycobacterial. Labo abangazivikeli kahle bangakwazi ukubhekana nezifo ezahlukene - njengePseudomonas, Proteus, Fusarium, Serratia .
Labo abasengozini bangadinga ama-antibiotic ahlukene ngaphambili, yize noma amacala amaningi e-cellulitis abangelwa ukutheleleka kwe-Staph noma Strep.
Kungabuye kudideke ne-DVT ( Deep Vein Thrombosis ) efuna ukwelashwa okuhluke kakhulu.
Kubalulekile ukukhuluma nodokotela wakho ukuze uthole ukuhlonza kahle.
Ukwelapha
Ukwelashwa kuvame ukuqukethe ama-antibiotic omlomo eziguli eziningi. Iningi liphuthuma ngokushesha futhi alidingi ukufakwa esibhedlela.
Kukhona ama-antibiotic anikezwa ngokujwayelekile nge-cellulitis. Akuvamile ukuthi noma yikuphi ukuhlolwa okwenziwe ukukhombisa ukuthi iyiphi uhlobo lwebhaktheriya elibhekene nalo. Ama-antibiotics akhethwe udokotela ukumboza izinhlobo eziningi zamabhaktheriya, kuye ngokuthi yiziphi izingozi ezithile umuntu analo.
Kungaba usizo ukudweba umugqa oseduze kwemingcele yesifo uma kubonakala ukuze kutholakale ukuthi i-cellulitis iyanda noma ikhula yini.
Kungaba nzima ukutshela ubusuku noma ngabe i-cellulitis iye yazuza kangcono noma kubi kakhulu.
Uma kukhona ukuvuvukala noma umuntu engenawo umvuthwandaba omuhle noma ukugeleza kwe-lymph, phakamisa umlenze noma ingalo ethintekile ukuvumela uketshezi ukukhipha.
Kuyinto evamile ukuthi ukutheleleka akupheli ngokushesha. Kungathatha usuku noma amabili ukubona ngempela ukutheleleka kuphelile.
Kodwa-ke uma umuntu egula kakhulu noma egazini noma ukutheleleka akudluli, kungase kudingeke ukuthi bangene esibhedlela futhi bangadinga ama-antibiotic e-IV.
Kunezinkinga ezimbalwa eziyingozi ze-cellulitis.
- I-Necrotizing Fasciitis iyisifo esingajwayelekile ezingxenyeni ezijulile zesikhumba, sifinyelele phansi e-fascia engezansi, Idala ubuhlungu obunzima futhi ingasakazeka ngokushesha. Kungasheshe kuholele ekufeni kwezicubu kulezi zigaba (ngaphansi kwesigcawu kanye ne-fascia). Kungabangela ukufa, ikakhulukazi uma ukwelashwa (ukuhlinzwa nokulwa namagciwane) kungatholakali ngokushesha.
- I-Sepsis ingenzeka uma ama-bacteria avela esikhumbeni afika ejulile futhi asakazeka ngegazi, ehluma ezinye izingxenye zomzimba. Lokhu kungaba okubi kakhulu okudinga ama-antibiotics e-hospitalization nase-IV.
- Ama-abscesses angase afane nezifo ezinzima. I-abscess iyisikhwama sokutheleleka futhi kungaba nzima kakhulu ukusula. Kungase kudinge amanzi futhi hhayi nje ama-antibiotic.
- Cellulitis ye-Orbital ingenzeka uma amabhaktheriya asakazeka ezindaweni ezungeze iso (ngemuva kwe-septum orbital). Noma yibuphi ubuhlungu obushukumisa iso, ukungakwazi ukuvula iso, ukutheleleka ezungeze iso noma ukuvuvukala kwejwabu leso kufanele kuthathwe ngokungathí sina. Kuvame kakhulu ezinganeni. Ngokuvamile kuhilela ukusabalala kwama-bacteria avela ku-cellulitis ngaphambili nangaseduze kweso noma ezenzweni (noma ngegazi) kuze kube sokwakheka kweso. Akufani ne-periorbital cellulitis okubhekisela ekuthelelekeni kuphela phambi kweso futhi hhayi ngokujulile ekhoneni leso. I-cellbitis ye-Orbital iyisifo esithathelwanayo esingaholela ekulahlekelweni kokubona ngisho nokusakazeka kwamabhaktheriya emadodeni noma ebuchosheni.
Kuvamile kangakanani i-Cellulitis?
I-cellulitis inhle kakhulu. Ucwaningo oluthile oluthola cishe u-1 ku-400 luzothuthukisa i-cellulitis ngonyaka - ngaphezulu kulabo asebekhulile. Ezinye izifundo zabantu abadala abasha abangaphansi kweminyaka engama-40 abaziwa ukuthi banempilo (nangasempi) bathola isilinganiso esingu-2 ku-10,000. Ukwanda kwamazinga ngokudala kanye nezinye izifo.