Iyini i-Cellulitis? Izimpawu, Izimbangela, & Ukwelashwa

I-Cellulitis iwumkhuhlane lwesisu obangelwa yibhaktheriya oluthinta izigaba eziqhele ngaphansi kwesikhumba sakho kanye nezinye izicubu ezithambile ezikhona ngaphansi. Cabanga ngayo njengebhaktheriya efuna indlela yokungena ngaphandle kwesikhumba sakho esivikelekile futhi ibeka izicubu ezingezansi.

Lolu hlobo oluvamile lomkhuhlane lungathinta noma ubani, kodwa izindaba ezinhle ukuthi luphendula kahle ekwelapheni uma lubanjwe ngokushesha. Nakuba i-cellulitis ingase ibukeke iyikhathaza, ukuqonda ukuthi kwenzekani nokwazi ukuthi nini kufanele ufuna ukunakekelwa kungakusiza uzizwe ukhululekile ngokuyiphatha.

Iyini i-cellulitis?

I-Cellulitis ivela lapho ibhaktheriya ingena ngokuqhekeka kwesikhumba sakho futhi iziningi ezigabeni eziqhele ngaphansi kwesikhumba kanye nezinye izicubu ezithambile. Isistimu yakho yokulwa nomkhuhlane iphendula ngokuthumela amaseli alwa nomkhuhlane endaweni, okuyimbangela yobuso obubomvu, ubushushu, nokuvuvukala.

Ngokuvamile, umkhuhlane uhlala endaweni ethile kunokuba usakazeke emzimbeni wakho wonke. Izimo eziningi zithuthukela ezinyaweni, ezingalweni, noma ebusweni, nakuba i-cellulitis ingabonakala kuphi na emzimbeni wakho lapho ibhaktheriya ingena khona ngesikhumba esiyonakele.

Ngokungafani nemikhuhlane yesikhumba ekuqaleni ethinta kuphela isigaba esiphezulu, i-cellulitis iya ekujuleni kulokho odokotela abakubiza ngokuthi i-subcutaneous tissue. Kungakho indawo ethintekile ivame ukuba buhlungu futhi ingabonakala iphezulu noma iphezulu.

Ziyini izimpawu ze-cellulitis?

Ukuqaphela izimpawu ze-cellulitis ngokushesha kusiza uqinisekise ukuthi uthola ukwelashwa okudingekayo ngokushesha. Izibonakaliso ngokuvamile zithuthuka ezinsukwini ezimbalwa futhi zingase ziqale kancane ngaphambi kokuba zibe yinto ebonakalayo.

Nazi izimpawu eziyinhloko okufanele uzibheke:

• Isikhumba esibomvu, esiphuphumayo esinomuzwa wobushushu uma usilithinta
• Ubuhlungu noma ubuhlungu endaweni ethintekile
• Isikhumba esibonakala siqinisile noma siqhele ngaphansi
• Umuzi wokubopha esikhumbeni sakho
• Ukuqunjelwa kanye nokuthandaza
• Ukukhathala noma ukuzizwa ungaphili kahle
• Ama-lymph nodes avuvukile eduze kwendaweni ethintekile
• Imizila ebomvu evela endaweni ethintekile

Ubomvu ngokuvamile bunemigqa engavamile futhi lungasakazeka kancane kancane. Ungase uqaphele indawo ibe buhlungu ngokuqhubekayo ngokuhamba kwesikhathi, ikakhulukazi uma uyithinta noma ubeke uxinzelelo kuyo.

Yini ebangela i-cellulitis?

I-Cellulitis ithuthuka lapho ibhaktheriya ingena esikhumbeni sakho ngokuqhekeka, ukukhahlela, noma ezinye izindawo ezingena. Izimbangela ezivamile yi-streptococcus ne-staphylococcus bacteria, ezivame ukuhlala ebusweni besikhumba sakho ngaphandle kokubangela izinkinga.

Izinhlobo eziningi zokuqhekeka kwesikhumba zingavumela ibhaktheriya ukuba ingene:

• Ukuqhekeka, ukukhahlela, noma amahlulelo okuhlinzwa
• Ukukhonjwa izinambuzane noma izilwane
• Amahlulelo okuqhekeka asuka ezintweni ezincane noma ezinzipho
• Isikhumba esiqaqambile noma esiqhekeke esuka ezimweni ezinjenge-eczema
• Ulukhuni lwezinyawo noma ezinye izifo ze-fungal
• Ama-ulcers noma ama-sores asuka ekushayweni kweswekile noma ukungaphili kahle kwegazi
• Izindawo zokugcoba ezivela ezindleleni zokwelapha noma ukusetshenziswa kwezidakamizwa

Ngezinye izikhathi i-cellulitis ingathuthuka ngisho noma ungaboni ukuqhekeka okucacile esikhumbeni sakho. Lokhu kwenzeka ngoba izindawo ezincane kakhulu, njengezindawo zesikhumba esomile noma izikrathi ezincane, zingasavumela ibhaktheriya ukuba ingene.

Ezimeni ezingavamile, ezinye izinhlobo zebhaktheriya ezinamandla njenge-group A streptococcus zingabangela i-cellulitis ngisho nangaphandle kwesikhumba esiphelele, nakuba lokhu kungavamile futhi ngokuvamile kwenzeka kubantu abanesistimu yabo yokulwa nomkhuhlane ebuthakathaka.

Nini kufanele ubheke udokotela nge-cellulitis?

Kufanele uxhumane nodokotela wakho uma uqaphela izibonakaliso ze-cellulitis ezivela. Ukwelashwa ngokushesha kuvimbela ukusakazeka komkhuhlane futhi kunciphisa ingozi yezinkinga.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nalokhu okulandelayo:

• Indawo esakazeka yobuso obubomvu, ubushushu, noma ukuvuvukala
• Imizila ebomvu evela endaweni ethintekile
• Ukuqunjelwa noma ukuthandaza
• Ubuhlungu noma ubuhlungu obukhulu
• U-pus noma ukuphuma kwendawo
• Ukuzizwa ungaphili kahle noma ukukhathala

Thola ukunakekelwa okusheshayo uma uthuthukisa izimpawu ezinkulu njengokushisa okuphezulu, ukusakazeka okusheshayo kobuso obubomvu, ubuhlungu obukhulu, noma izibonakaliso zokutheleleka kwegazi njengokudideka, ukushaya kwenhliziyo okusheshayo, noma ubunzima bokuthandaza.

Ungalindi ukubona ukuthi i-cellulitis iphulukana yodwa. Imikhuhlane yebhaktheriya ngokuvamile iba mbi ngaphandle kokwelashwa ngama-antibiotic, futhi ukungenelela ngokushesha kuholela ekwelapheni okusheshayo nemiphumela emihle.

Ziyini izimbangela zengozi ze-cellulitis?

Ukuqonda izimbangela zengozi kungakusiza uthathe izinyathelo zokuvimbela i-cellulitis. Ezinye izinto zenza kube lula kubhaktheriya ukuba zingene esikhumbeni sakho noma kube nzima emzimbeni wakho ukulwa nomkhuhlane.

Izimbangela zengozi ezivamile zihlanganisa:

• I-Diabetes, enganciphisa ukuhamba kwegazi nokuphola
• Isistimu yokulwa nomkhuhlane ebuthakathaka esuka ekuguleni noma kwemithi
• Izimo zesikhumba ezingapheli njenge-eczema noma i-psoriasis
• Izimo zangaphambili ze-cellulitis
• I-Lymphedema noma ukuvuvukala okungapheli
• Ukukhuluphala
• Ukungaphili kahle kwegazi ezingalweni noma ezinyaweni
• Ukuhlinzwa kwamuva noma izindlela zokwelapha

Ubudala bungadlala indima, ngabantu abadala nabantwana abancane abanesongozi elikhulu ngenxa yesistimu yabo yokulwa nomkhuhlane. Ukuba no-athlete's foot noma ezinye izifo ze-fungal kudala izindawo zokungena zebhaktheriya.

Uma unezinye zalezi zimbangela zengozi, ukunakekela okwengeziwe kwesikhumba nokuvimbela izilonda kuba kubaluleke kakhulu ekugwemeni i-cellulitis.

Ziyini izinkinga ezingase zenzeke nge-cellulitis?

Izimo eziningi ze-cellulitis ziyaphola ngokuphelele ngokwelashwa okufanele ngama-antibiotic. Noma kunjalo, ukuqonda izinkinga ezingase zenzeke kusiza uqaphele izibonakaliso zezixwayiso futhi ufuna ukunakekelwa okufanele uma kudingeka.

Izinkinga ezingase zenzeke zihlanganisa:

• Ukutholakala kwegazi (sepsis) uma ibhaktheriya ingena egazini lakho
• Ukwenziwa kwama-abscess adinga ukususwa
• Ukuvuvukala okungapheli endaweni ethintekile
• Izimo ze-cellulitis eziphindaphindayo
• Ukufa kwezicubu (necrotizing fasciitis) ezimweni ezinkulu
• Ukutholakala kwamathambo noma amajoyinti uma i-cellulitis isakazeka ekujuleni

I-Sepsis iyinkinga enzima kakhulu futhi idinga ukwelashwa okusheshayo okuphuthumayo. Izibonakaliso zihlanganisa ukushisa okuphezulu, ukudideka, ukushaya kwenhliziyo okusheshayo, nokuzizwa ungaphili kahle kakhulu.

Ingozi yezinkinga iyanda uma i-cellulitis ingalashwa noma uma unezimo ezihlasela isistimu yakho yokulwa nomkhuhlane. Kungakho ukunakekelwa kwezokwelapha okusheshayo nokuphelelisa ikhosi yakho ephelele yama-antibiotic kubaluleke kangaka.

I-cellulitis ingavikeleka kanjani?

Unganciphisa kakhulu ingozi yakho yokuthuthukisa i-cellulitis ngokuvikela isikhumba sakho nokunakekela noma yiziphi izilonda ngokufanele. Ukuvimbela kugxila ekugcineni ibhaktheriya ingangeni ngokuqhekeka kwesikhumba sakho.

Amasu ayinhloko okuvimbela ahlanganisa:

• Hlambulula wonke ukuqhekeka nokukhahlela ngokushesha ngesepha namanzi
• Faka i-ointment yama-antibiotic ezilondeni ezincane
• Vala izilonda ngamabhande ahlanzekile kuze kube yilapho ziphulukile
• Gcina isikhumba sakho sinomswakama ukuvimbela ukuqhekeka
• Welapha i-athlete's foot nezinye izifo ze-fungal ngokushesha
• Gqoka izinto zokulwela uma uqhekeka
• Phatha izimo ezingapheli njenge-diabetes ngokucophelela
• Sebenzisa ukuhlanzeka okuhle, ikakhulukazi ukugeza izandla

Uma unezimbangela zengozi njenge-diabetes noma izinkinga zokungaphili kahle kwegazi, hlola isikhumba sakho nsuku zonke ukuze ubone noma yikuphi ukuqhekeka, ama-sores, noma izinguquko. Ukutholakala ngokushesha nokunakekelwa kwezilonda ezincane kungavimbela ukuba zingatheleleki.

Kubantu abane-cellulitis ephindaphindayo, udokotela wakho angase akukhuthaze ama-antibiotic okuvimbela isikhathi eside noma izindlela ezikhethekile zokunakekela isikhumba ukuze unciphise ingozi yakho yokubuyela.

I-cellulitis ihlonishwa kanjani?

Udokotela wakho ngokuvamile angakwazi ukuxilonga i-cellulitis ngokuhlola isikhumba sakho nokubuza ngezimpawu zakho. Ukubonakala okuvamile kwesikhumba esibomvu, esishisayo, esiphuphumayo ngokuvamile kwenza ukuxilongwa kucace.

Phakathi kokuhlolwa kwakho, umhlinzeki wakho wezokunakekelwa kwezempilo uzobheka indawo ethintekile futhi ahlole izibonakaliso ezinjengokushisa noma ama-lymph nodes avuvukile. Uzokubuza ukuthi izimpawu zaqala nini nokuthi uyakhumbula yini noma yiziphi izilonda zamuva noma ukuqhekeka kwesikhumba.

Ezimeni eziningi, azikho izivivinyo ezikhethekile ezidingekayo zokuxilonga. Noma kunjalo, udokotela wakho angase ayalele izivivinyo zegazi uma ubonakala ugula kakhulu noma uma becabanga ukuthi umkhuhlane usakazeke egazini lakho.

Ngezinye izikhathi, ezinye izivivinyo zisiza ukukhipha ezinye izimo noma ukubona ibhaktheriya ethile ebangela umkhuhlane wakho. Lezi zingase zihlanganise ukukhiqizwa kwama-wound, izifundo zokubonisa, noma ukukhiqizwa kwegazi, nakuba lezi ngokuvamile zigcinelwe izimo ezinkulu noma eziyinkimbinkimbi.

Ukuphathwa kwe-cellulitis kuyini?

Ama-Antibiotic yiwona ukwelashwa okuyinhloko kwe-cellulitis njengoba kubangelwa ukutheleleka kwe-bacterial. Izimo eziningi zingaphathwa ngempumelelo ngama-antibiotic amile athathwa ekhaya, nakuba ukutheleleka okukhulu kungase kudinge ukungena esibhedlela nama-antibiotic avela e-intravenous.

Udokotela wakho uzokhetha ama-antibiotic ngokuya ngebhaktheriya ecishe ibe yimbangela yokutheleleka kwakho nokuthi izimpawu zakho zinkulu kangakanani. Ama-antibiotic amile avamile ahlanganisa:

• I-Cephalexin yezimo ezilula kuya ezinkulu
• I-Clindamycin kubantu abana-allergy ku-penicillin
• I-Amoxicillin-clavulanate yokumboza okubanzi
• I-Doxycycline njengendlela ehlukile

Ngokuvamile uzothatha ama-antibiotic izinsuku eziyi-7 kuya kweziyi-10, nakuba udokotela wakho angase alungise lokhu ngokuya ngendlela ophendula ngayo ekwelapheni. Kubalulekile ukuthatha ikhosi ephelele ngisho noma uqala ukuzizwa ukhulu, njengoba ukuyeka ngokushesha kungavumela ukutheleleka ukuba kubuyele.

Nge-cellulitis enzima, ukwelashwa esibhedlela ngama-antibiotic e-IV njenge-vancomycin, i-clindamycin, noma i-ceftriaxone kungase kudingeke. Lokhu kungenzeka kakhulu uma une-fever ephakeme, ukutheleleka okusakazeka ngokushesha, noma izimo zempilo ezingaphansi.

Ezimeni ezingavamile ezihlanganisa ama-abscesses, udokotela wakho angase adinge ukususa indawo ethintekile ngaphezu kokubhalela ama-antibiotic.

Indlela yokwelapha ekhaya ngesikhathi se-cellulitis?

Ukusekela ukwelashwa kwakho kwezokwelapha ngokunakekelwa okufanele ekhaya kungakusiza uphulukise ngokushesha futhi uzizwe ukhululekile ngenkathi ama-antibiotic akho esebenza. Lezi zinyathelo zigeleza kodwa azithathi indawo yemithi yakho ebhaliwe.

Amasu aluncedo okunakekelwa ekhaya ahlanganisa:

• Phumula futhi uphakamise indawo ethintekile uma kungenzeka
• Faka izindwangu ezibandayo, ezimanzi ukuze unciphise ubuhlungu nokuvuvukala
• Thatha imithi yokunciphisa ubuhlungu engaphezu kokubaluleka njenge-ibuprofen noma i-acetaminophen
• Hlala unomswakama ngokunisela amanzi amaningi
• Thola ukuphumula okwanele ukuze usize isistimu yakho yokulwa nomkhuhlane
• Gcina indawo ethintekile ihlanzekile futhi yomile
• Maka imingcele yobuso obubomvu ukuze uqaphele ukusakazeka

Ukuphakamisa kusiza ukunciphisa ukuvuvukala, ikakhulukazi uma i-cellulitis ithinta imilenze yakho noma izingalo. Zama ukugcina indawo ethintekile iphakeme kunenhliziyo yakho uma uphumula.

Hlola izimpawu zakho nsuku zonke futhi uxhumane nodokotela wakho uma ubomvu busakazeka, uthuthukisa i-fever, noma awuqali ukuzizwa ukhulu phakathi kwezinsuku eziyi-2-3 zokuqala zokuqala ukusebenzisa ama-antibiotic.

Kufanele ulungiselele kanjani i-appointment yakho yodokotela?

Ukuba ulungile nge-appointment yakho kusiza uqinisekise ukuthi uthola ukuxilongwa okuchane kakhulu nokuphathwa okufanele. Ukuqoqa ulwazi olufanele kusengaphambili kusindisa isikhathi futhi kusiza udokotela wakho ukuqonda isimo sakho kangcono.

Ngaphambi kokuya kwakho, lungiselela ngokwenza lokhu okulandelayo:

• Bhala phansi ukuthi izimpawu zaqala nini nokuthi zishintshe kanjani
• Qaphela noma yiziphi izilonda zamuva, ukukhonjwa izinambuzane, noma izinkinga zesikhumba
• Bala yonke imithi kanye nezinye izinto ozithathayo
• Bhala ubushushu bakho uma uzizwa uqunjelwe
• Thatha izithombe zendawo ethintekile ukuze ubonise ukuqhubeka
• Lungiselela imibuzo mayelana nokuphathwa nokubuyela esimweni esijwayelekile

Letha uhlu lanoma yiziphi izimo zezokwelapha onazo, ikakhulukazi i-diabetes, izinkinga zokungaphili kahle kwegazi, noma izifo zesimiso sokulwa nomkhuhlane. Khipha umbiko uma uke waba ne-cellulitis ngaphambili noma noma yikuphi ukungaphili kahle kwama-antibiotic.

Unganqikazi ukubuza imibuzo mayelana nelenkane lakho lokuphatha, isikhathi esithathayo sokubuyela esimweni esijwayelekile, kanye nezibonakaliso zezixwayiso okufanele zikukhuthaze ukuba ucingo.

Iyini into ebaluleke kakhulu mayelana ne-cellulitis?

I-Cellulitis iwumkhuhlane wesikhumba obangelwa yibhaktheriya ophatheka kalula ophendula kahle kuma-antibiotic uma ubambe ngokushesha. Nakuba ingase ibukeke iyikhathaza, abantu abaningi baphola ngokuphelele ngokunakekelwa okufanele kwezokwelapha futhi abanawo amaphutha esikhathi eside.

Into ebaluleke kakhulu okumele uyikhumbule ukungalindelanga uma ucinga ukuthi une-cellulitis. Ukwelashwa okusheshayo kuvimbela izinkinga futhi kuholela ekwelapheni okusheshayo. Umhlinzeki wakho wezokunakekelwa kwezempilo angakwazi ngokushesha ukuthola ukuthi une-cellulitis yini bese uqala ukwelashwa okufanele.

Ukuvimbela ngokunakekelwa okuhle kwezilonda nokuhlanzeka kwesikhumba kunciphisa kakhulu ingozi yakho. Uma uthuthukisa i-cellulitis, ukulandela uhlelo lwakho lokwelapha ngokuphelele nokubheka izibonakaliso zezixwayiso kuqinisekisa umphumela omuhle kakhulu.

Khumbula ukuthi i-cellulitis ivamile futhi iphelelekeka kalula. Ngokunakekelwa okufanele, ungalindela ukubuyela emisebenzini yakho evamile uma ukutheleleka kuphelile.

Imibuzo evamile ebuzwa mayelana ne-cellulitis

Ingabe i-cellulitis iyadluliseka?

I-Cellulitis ngokwayo ayidluliseki futhi ayikwazi ukusakazeka kubantu ngokuxhumana okuvamile. Ibhaktheriya ebangela i-cellulitis idinga ukungena ngokuqhekeka kwesikhumba, ngakho ukuba nje eduze komuntu onayo i-cellulitis ngeke kukubeke engozini. Noma kunjalo, uma unezilonda ezingavaliwe futhi uthinta ukuphuma kwesikhumba esithintekile, kunethuba elincane lokuba ibhaktheriya ingene ezilondeni zakho.

I-cellulitis ithatha isikhathi esingakanani ukuze iphulukiswe?

Abantu abaningi baqala ukuzizwa bekhulu phakathi kwezinsuku eziyi-2-3 zokuqala zokuqala ukwelashwa ngama-antibiotic, ngokuthuthuka okukhulu okubonakala phakathi nesonto. Ukuphola okuphelele ngokuvamile kuthatha izinsuku eziyi-7-10, nakuba ubomvu obuthambile nokuvuvukala okuncane kungase kuqhubeke amasonto ambalwa. Isikhathi esithathayo singase sihluke ngokuya ngokukhulu kokutheleleka, impilo yakho yonke, nokuthi ukwelashwa kwaqala ngokushesha kangakanani.

Ingabe i-cellulitis ingabuya ngemuva kokwelashwa?

Yebo, i-cellulitis ingabuya, ikakhulukazi kubantu abanezinto eziyingozi njenge-diabetes, ukungaphili kahle kwegazi, noma izimo zesikhumba ezingapheli. Cishe u-15-20% wabantu bahlangabezana neziqephu eziphindaphindayo. Udokotela wakho angase akukhuthaze izinyathelo zokuvimbela ezinjengezindlela zokunakekela isikhumba nsuku zonke, ukwelashwa okusheshayo kwezilonda, noma kwezinye izimo, ama-antibiotic aphansi isikhathi eside ukuze unciphise ingozi yakho yokubuyela.

Kwenzekani uma i-cellulitis ishiyiwe ingalashwa?

I-Cellulitis engalashwanga ingasakazeka ezicubwini eziqhele ngaphansi, ama-lymph nodes, futhi mhlawumbe egazini lakho, ibangela izinkinga ezinkulu njenge-sepsis. Ukutholakala kungase futhi kwenze ama-abscess adinga ukususwa ngokuhlinzwa. Ezimeni ezinkulu ezingavamile, i-cellulitis engalashwanga ingabangela ukufa kwezicubu. Kungakho kubaluleke kakhulu ukufuna ukwelashwa kwezokwelapha okusheshayo.

Ngingaqeqesha yini nge-cellulitis?

Ngokuvamile kungcono ukuphumula futhi ugweme ukuqeqeshwa okunzima ngenkathi welapha i-cellulitis, ikakhulukazi uma ukutheleleka kuthinta imilenze yakho noma uma une-fever futhi uzizwa ungaphili kahle. Imisebenzi elula ngokuvamile ilungile, kodwa gwema imisebenzi engase ibe mbi ukuvuvukala noma ibangela ukulimala kwesikhumba okwengeziwe. Buza udokotela wakho ukuthi nini kuphephile ukubuyela emisebenzini yakho evamile yokuqeqesha, ngokuvamile uma izimpawu ziqala ukuthuthuka.