I-cellulitis

I-Cellulitis isifo esivamile sesikhumba esibangelwa amagciwane. Ithinta ungqimba oluphakathi kwesikhumba (i-dermis) nezicubu ezingezansi. Kwesinye isikhathi, imisipha ingathinteka.

I-Staphylococcus ne-streptococcus bacteria yizimbangela ezivame kakhulu ze-cellulitis.

Isikhumba esijwayelekile sinezinhlobo eziningi zamagciwane ahlala kuso. Lapho kunesikhala esikhunjeni, la magciwane angadala ukutheleleka kwesikhumba.

Izici zobungozi be-cellulitis zifaka:

• Ukuqhekeka noma isikhumba esikhanyayo phakathi kwezinzwani
• Umlando wesifo semithambo yegazi
• Ukulimala noma ukuhlukumezeka ngekhefu esikhunjeni (amanxeba esikhumba)
• Ukulunywa izinambuzane nezindosi, ukulunywa yizilwane, noma ukulunywa ngabantu
• Izilonda ezivela ezifweni ezithile, kufaka phakathi isifo sikashukela nesifo semithambo
• Ukusetshenziswa kwemithi ye-corticosteroid noma eminye imithi ecindezela amasosha omzimba
• Isilonda sokuhlinzwa kwamuva

Izimpawu ze-cellulitis zifaka:

• Imfiva ebandayo nokujuluka
• Ukukhathala
• Ubuhlungu noma isisa endaweni ethintekile
• Ukubomvu kwesikhumba noma ukuvuvukala okukhula njengoba ukutheleleka kusakazeka
• Isikhumba sibuhlungu noma ukuqubuka okuqala ngokuzumayo, kukhule ngokushesha emahoreni angama-24 okuqala
• Ukuqina, ukucwebezela, nokubukeka kwesikhumba
• Isikhumba esifudumele endaweni ebomvu
• Ubuhlungu bemisipha nokuqina kwamalunga ngokuvuvukala kwezicubu ngaphezu kwejoyinti
• Isicanucanu nokuhlanza

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba. Lokhu kungaveza:

• Ububomvu, imfudumalo, isisa, nokuvuvukala kwesikhumba
• Ukugeleza okungenzeka, uma kukhona ubomvu obuningi (ithumba) ngokutheleleka kwesikhumba
• Izindlala ezivuvukele (ama-lymph node) eduze kwendawo ethintekile

Umhlinzeki angamaka emaphethelweni obubomvu ngepeni, ukubona ukuthi ububomvu budlula yini umngcele omakiwe ezinsukwini ezimbalwa ezizayo.

Izivivinyo ezinga-odwa zifaka:

• Isiko legazi
• Qedela ukubalwa kwegazi (CBC)
• Isiko lanoma yikuphi uketshezi noma okokusebenza ngaphakathi kwendawo ethintekile
• I-biopsy ingenziwa uma kusolwa ezinye izimo

Kungenzeka unikezwe ama-antibiotic okufanele athathwe ngomlomo. Unganikezwa nomuthi wezinhlungu futhi, uma kudingeka.

Ekhaya, phakamisa indawo enegciwane ngaphezulu kwenhliziyo yakho ukunciphisa ukuvuvukala nokusheshisa ukwelashwa. Phumula kuze kube yilapho izimpawu zakho sezithuthuka.

Ungadinga ukuhlala esibhedlela uma:

• Ugula kakhulu (isibonelo, unezinga lokushisa eliphakeme kakhulu, izinkinga zomfutho wegazi, noma isicanucanu nokuhlanza okungapheli)
• Ubulokhu usebenzisa ama-antibiotic futhi ukutheleleka kuya ngokuya kuba kubi (kusakazeka ngaphesheya kokumakwa kwepeni langempela)
• Amasosha omzimba wakho awasebenzi kahle (ngenxa yomdlavuza, i-HIV)
• Unesifo esiseduze kwamehlo akho
• Udinga ama-antibiotic ngomthambo (IV)

I-cellulitis ivame ukuphela ngemuva kokuthatha ama-antibiotic izinsuku eziyi-7 kuya kwezingu-10. Ukwelashwa okude kungadingeka uma i-cellulitis inzima kakhulu. Lokhu kungenzeka uma unesifo esingelapheki noma amasosha akho omzimba engasebenzi kahle.

Abantu abanezifo zefungal zezinyawo bangaba ne-cellulitis eqhubeka ibuya, ikakhulukazi uma unesifo sikashukela. Ukuqhekeka esikhumbeni kusuka ekuthelelekeni kwefungal kuvumela ukuthi amabhaktheriya angene esikhunjeni.

Lokhu okulandelayo kungahle kwenzeke uma i-cellulitis ingelashwa noma ukwelashwa kungasebenzi:

• Ukutheleleka ngegazi (sepsis)
• Ukutheleleka kwamathambo (i-osteomyelitis)
• Ukuvuvukala kwemikhumbi ye-lymph (lymphangitis)
• Ukuvuvukala kwenhliziyo (endocarditis)
• Ukutheleleka kolwelwesi olumboze ubuchopho nomgogodla (meningitis)
• Ukushaqeka
• Ukufa kwezicubu (ukubola)

Shayela umhlinzeki wakho ngokushesha uma:

• Unezimpawu ze-cellulitis
• Ulashelwa i-cellulitis futhi uba nezimpawu ezintsha, njengokushisa okuqhubekayo, ukozela, ukoma, ukushaya i-cellulitis, noma imicu ebomvu esakazekayo

Vikela isikhumba sakho ngo:

• Ukugcina isikhumba sakho simanzi ngamafutha noma ngezigcobo ukuvimbela ukuqhekeka
• Ukugqoka izicathulo ezilingana kahle futhi zinikeze indawo eyanele izinyawo zakho
• Ukufunda ukusika izinzipho zakho ukugwema ukulimaza isikhumba esibazungezile
• Ukugqoka okokuvikela okufanele lapho ubamba iqhaza emsebenzini noma kwezemidlalo

Noma nini lapho uthola ikhefu esikhunjeni:

• Hlanza ikhefu ngokucophelela ngensipho namanzi. Faka ukhilimu wama-antibiotic noma amafutha nsuku zonke.
• Mboza ngebhandishi bese uyishintsha nsuku zonke kuze kube yilapho kuvela uqweqwe.
• Bheka ububomvu, ubuhlungu, amanzi, noma ezinye izimpawu zokutheleleka.

Ukutheleleka kwesikhumba - igciwane; Iqembu A streptococcus - cellulitis; I-Staphylococcus - cellulitis

• I-cellulitis
• I-cellulitis engalweni
• I-Periorbital cellulitis

IHabif TP. Ukutheleleka kwamagciwane. Ku: Habif TP, ed. I-Clinical Dermatology: Umhlahlandlela Wombala Wokuxilongwa Nokwelapha. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2016: isahluko 9.

Inzalo ye-AHM, uHarper N. Cellulitis kanye ne-erysipelas. Ku: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson I, abahleli. Ukwelashwa Kwezifo Zesikhumba: Amasu Wokwelashwa Okuphelele. Umhlaka 5. IPhiladelphia, PA: Elsevier Saunders; 2018: isahluko 40.

IPasternak MS, iSwartz MN. I-cellulitis, i-necrotizing fasciitis, kanye nezifo ezingaphansi kwesikhumba. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases, uHlelo Olubuyekeziwe. Umhlaka 8. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 95.