I-Nasal Vestibulitis

-Delile

• Ziyini izimpawu?
• Yini ebangela i-vestibulitis yamakhala?
• Iphathwa kanjani?
• Izinkinga ze-vestibulitis yamakhala
• I-cellulitis
• I-Cavernous sinus thrombosis
• Uyini umbono?

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Yini i-nasal vestibulitis?

I-vestibule yakho yamakhala iyindawo engaphakathi kwamakhala akho. Kuphawula ukuqala kwezindinyana zakho zamakhala. I-nasal vestibulitis isho ukutheleleka ku-vestibule yakho yamakhala, imvamisa ngenxa yokuphefumula kwamakhala noma ukukha. Yize kuvame ukwelashwa kalula, kwesinye isikhathi kungaholela ezinkingeni ezinkulu.

Qhubeka ufunde ukuze ufunde kabanzi mayelana nezimpawu zayo, kufaka phakathi ukuthi ibukeka kanjani, nezinketho zokwelashwa.

Ziyini izimpawu?

Izimpawu ze-nasal vestibulitis ziyahlukahluka ngokuya ngesizathu esiyimbangela nobukhulu besifo. Izimpawu ezijwayelekile zifaka:

• ububomvu nokuvuvukala ngaphakathi nangaphandle kwekhala lakho
• iqhubu elifana neqhubu ngaphakathi kwekhala lakho
• izigaxa ezincane ezizungeze izintambo zezinwele ngaphakathi kwempumulo yakho (folliculitis)
• uqweqwe lwangaphakathi noma oluzungeze ikhala lakho
• ubuhlungu nobumnene emakhaleni akho
• amathumba emakhaleni akho

Yini ebangela i-vestibulitis yamakhala?

I-Nasa vestibulitis ivame ukubangelwa ukutheleleka okubandakanya I-Staphylococcus amabhaktheriya, okuwumthombo ovamile wezifo zesikhumba. Ukutheleleka kuvame ukukhula ngenxa yokulimala okuncane emgodini wakho wamakhala, ngokuvamile ngenxa ye:

• ukuhluthula izinwele zamakhala
• ukushaya kwamakhala ngokweqile
• ukukha ikhala lakho
• ukubhoboza amakhala

Ezinye izimbangela ezibangelwa ukutheleleka zifaka:

• ukutheleleka ngegciwane, njenge-herpes simplex noma i-shingles
• ikhala eligobhoza njalo, imvamisa ngenxa yokungezwani komzimba noma ukutheleleka ngegciwane
• izifo eziphezulu zokuphefumula

Ngaphezu kwalokho, ucwaningo lwango-2015 luphinde lwathola ukuthi abantu abathatha imishanguzo yokwelashwa ehlosiwe esetshenziselwa ukwelapha umdlavuza othile babenengozi eyengeziwe yokuthola i-vestibulitis yamakhala.

Iphathwa kanjani?

Ukwelapha i-vestibulitis yamakhala kuncike ekutheni ukutheleleka kubi kangakanani. Kungcono uhlole nodokotela wakho uma ungaqiniseki ukuthi icala lakho linzima kangakanani. Amacala amaningi amnene ayelapheka ngokhilimu wama-antibiotic, njenge-bacitracin, ongayithola ku-Amazon. Faka ukhilimu emgodini wakho wamakhala okungenani izinsuku eziyi-14, noma ngabe izimpawu zakho zibonakala zihamba ngaphambi kwalokho. Udokotela wakho futhi angakunikeza i-antibiotic yomlomo ukuze nje uphephe.

Amathumba avame ukuvela ezifweni ezimbi kakhulu, ezidinga i-antibiotic yomlomo kanye ne-anti-antibiotic yama-topical, njenge-mupirocin (Bactroban). Ungadinga futhi ukufaka i-compress eshisayo kuleyo ndawo kathathu ngosuku imizuzu eyi-15 kuye kwengama-20 ngasikhathi ukusiza ukukhipha amathumba amakhulu. Ezimweni ezingavamile, udokotela wakho angadinga ukukhipha ithumba elikhulu ngokuhlinzwa.

Izinkinga ze-vestibulitis yamakhala

Amacala abucayi kakhulu we-nasal vestibulitis kwesinye isikhathi angaholela ezinkingeni, ikakhulukazi ngoba imithambo ekule ndawo ivame ukuholela ngqo ebuchosheni bakho.

I-cellulitis

I-cellulitus ingenzeka lapho ukutheleleka kusakazeka ngaphansi kwesikhumba sakho kwezinye izindawo. Izimpawu ze-nasal cellulitis zifaka ukubomvu, ubuhlungu nokuvuvukala ekugcineni kwempumulo yakho, okungagcina sekusakazeke ezihlathini zakho.

Ezinye izimpawu ze-cellulitis zifaka:

• isikhumba esizizwa sifudumele
• dimpling
• amabala abomvu
• amabhamuza
• imfiva

Uma ucabanga ukuthi ungahle ube ne-cellulitis, shayela udokotela wakho ngokushesha noma uye esikhungweni sokunakekelwa esiphuthumayo ukusivimba ukuthi singasakazeki ezindaweni eziyingozi kakhulu, njengama-lymph node noma umjikelezo wegazi.

I-Cavernous sinus thrombosis

Isono sakho se-cavernous yisikhala esisekelweni sobuchopho bakho, ngemuva kwamehlo akho. Amagciwane avela ekuthelelekeni ebusweni bakho, kufaka phakathi amathumba avela ku-nasal vestibulitis, angasakazeka futhi abangele ukuthi i-clot yegazi yakheke esoneni sakho se-cavernous, esibizwa nge-cavernous sinus thrombosis.

Funa ukwelashwa ngokushesha uma ngabe uke waba nokutheleleka kwamakhala kanye nesaziso:

• ikhanda elibi kakhulu
• ubuhlungu obukhulu ebusweni, ikakhulukazi eduze kwamehlo akho
• umkhuhlane
• ukufiphala noma ukubona kabili
• amajwabu amehlo alengayo
• ukuvuvukala kwamehlo
• ukudideka

Ukwelapha i-cavernous sinus thrombosis, udokotela wakho kungenzeka aqale ngama-antibiotic emithanjeni. Kwezinye izimo, ungadinga nokuhlinzwa ukuze ukhiphe ithumba lamakhala.

Uma une-vestibulitis yamakhala, unganciphisa ubungozi bokuthuthukisa i-cavernous sinus thrombosis ngo:

• ukugeza izandla zakho njalo ngaphambi kokufaka noma yimaphi ama-antibiotics
• ungathinti ikhala lakho ngaphandle uma usebenzisa ama-antibiotics
• ukungakhethi utwayi emakhaleni akho
• hhayi ukukhama ubomvu kusuka kumathumba ngaphakathi noma nxazonke zekhala lakho

Uyini umbono?

Amacala amaningi we-nasal vestibulitis kulula ukuwelapha ngama-antibiotics. Kodwa-ke, ukutheleleka okunzima kakhulu kungadinga kokubili i-oral kanye ne-topical antibiotic. Yize izinkinga zingavamile, zingaba zimbi kakhulu, ngakho-ke kungcono ukulandela udokotela wakho uma unanoma yiluphi uhlobo lokutheleleka ngamakhala ukuze uqiniseke ukuthi usebenzisa ama-antibiotic afanele. Xhumana nodokotela wakho khona manjalo uma uqala ukuthuthukisa umkhuhlane noma uqaphele ukuvuvukala, imfudumalo, noma ububomvu ngasekhaleni lakho.