Iseli

I-Cellulitis sisifo solusu esiqhelekileyo esibangelwa ziintsholongwane. Ichaphazela ungqimba oluphakathi kwesikhumba (dermis) kunye nezicubu ezingezantsi. Ngamanye amaxesha, izihlunu zinokuchaphazeleka.

I-Staphylococcus kunye ne-streptococcus bacteria zezona zinto zixhaphakileyo kwi-cellulitis.

Ulusu oluqhelekileyo luneentlobo ezininzi zeebhaktiriya ezihlala kulo. Xa kukho ikhefu eluswini, ezi bhakteriya zinokubangela usulelo lolusu.

Imiba yomngcipheko we-cellulitis ibandakanya:

• Ukuqhekeka okanye ukukhupha ulusu phakathi kweenzwane
• Imbali yesifo se-vascular peripheral
• Ukwenzakala okanye ukwenzakala ngokwaphuka kwesikhumba (amanxeba esikhumba)
• Ukulunywa zizinambuzane kunye nokuhlaba, izilwanyana, okanye ukulunywa ngabantu
• Izilonda ezivela kwizifo ezithile, kubandakanya isifo seswekile kunye nesifo semithambo
• Ukusetyenziswa kwamayeza e-corticosteroid okanye amanye amayeza acinezela amajoni omzimba
• Inxeba lotyando lwamva nje

Iimpawu zeselulitis zibandakanya:

• Umkhuhlane obandayo nobila
• Ukudinwa
• Ubuhlungu okanye ukuthamba kwindawo echaphazelekayo
• Ububomvu besikhumba okanye ukudumba kuya kusiba lukhulu njengoko usulelo lusasazeka
• Ulusu lubuhlungu okanye irhashalala eqala ngequbuliso, kwaye ikhule ngokukhawuleza kwiiyure ezingama-24 zokuqala
• Tight, ecwebezelayo, imbonakalo yolusu
• Ulusu olufudumeleyo kwindawo ebomvu
• Ubuhlungu bemisipha kunye nokuqina ngokudibeneyo kokudumba kwethishu ngaphezulu kwelungu
• Isicaphucaphu nokugabha

Umboneleli wezempilo uya kwenza uvavanyo lomzimba. Oku kunokutyhila:

• Ubomvu, ukufudumala, ukuthamba, kunye nokudumba kolusu
• Umsele onokubakho, ukuba kukho ubofu obuninzi (ithumba) kunye nosulelo lolusu
• Ukudumba kwamadlala (ii-lymph node) kufutshane nendawo echaphazelekayo

Umboneleli unokumakisha imiphetho yobubomvu ngepeni, ukubona ukuba ubomvu buhamba ngaphaya komda ophawuliweyo kwiintsuku ezininzi ezizayo.

Uvavanyo olunoku-odolwa lubandakanya:

• Inkcubeko yegazi
• Gcwalisa ubalo lwegazi (CBC)
• Inkcubeko yalo naluphi na ulwelo okanye izinto ngaphakathi kwendawo echaphazelekayo
• I-biopsy inokwenziwa ukuba ezinye iimeko zikrokrelwa

Uya kuthi unikwe amayeza okubulala iintsholongwane ukuba athathwe ngomlomo. Unokunikwa amayeza entlungu, ukuba ayimfuneko.

Ekhaya, phakamisa indawo eyosulelekileyo ngaphezulu kwentliziyo yakho ukunciphisa ukudumba nokukhawulezisa ukuphilisa. Phumla de iimpawu zakho ziphuculwe.

Kuya kufuneka uhlale esibhedlele ukuba:

• Ugula kakhulu (umzekelo, unobushushu obuphezulu kakhulu, iingxaki zoxinzelelo lwegazi, okanye isicaphucaphu kunye nokugabha okungapheliyo)
• Unamayeza okubulala iintsholongwane kwaye usulelo luya lusiba mandundu (lusasazeka ngaphaya kokumakisha kwasekuqaleni)
• Amajoni akho omzimba awasebenzi kakuhle (ngenxa yomhlaza, i-HIV)
• Unentsholongwane ejikeleze amehlo akho
• Ufuna i-antibiotics ngomthambo (IV)

I-Cellulitis ihlala ihamba emva kokuthatha i-antibiotics iintsuku ezi-7 ukuya kwezi-10. Unyango olude lunokufuneka ukuba i-cellulitis inzima kakhulu. Oku kunokwenzeka ukuba unesifo esinganyangekiyo okanye amajoni akho omzimba akasebenzi kakuhle.

Abantu abanesifo sokungunda seenyawo banokuba ne-cellulitis eqhubeka ibuya, ngakumbi ukuba unesifo seswekile. Ukuqhekeka kolusu kusulelo losuleleko lokungunda kuvumela ibacteria ukuba ingene eluswini.

Oku kulandelayo kunokubangela ukuba i-cellulitis ayinyangwa okanye unyango alusebenzi:

• Usulelo lwegazi (sepsis)
• Usulelo lwe-Bone (osteomyelitis)
• Ukudumba kwenqanawa ye-lymph (lymphangitis)
• Ukudumba kwentliziyo (endocarditis)
• Usulelo lweembrane ezigubungela ubuchopho kunye nentambo yomgogodla (meningitis)
• Umothuko
• Ukufa kwamathambo (ukubola)

Fowunela umboneleli wakho ngoko nangoko ukuba:

• Unempawu zeselulitis
• Unyangwa i-cellulitis kwaye uhlakulela iimpawu ezintsha, ezinjengomkhuhlane oqhubekayo, ukozela, ukonqena, ukubetha ngaphezulu kweselulitis, okanye ukubomvu okusasazeka

Khusela ulusu lwakho ngoku:

• Ukugcina ulusu lwakho lufumile nge-lotions okanye i-ointments ukuthintela ukuqhekeka
• Ukunxiba izihlangu ezilingana kakuhle kwaye zibonelela ngokwaneleyo ngeenyawo zakho
• Ukufunda indlela yokucheba iinzipho zakho ukuthintela ukwenzakalisa ulusu olujikelezileyo
• Ukunxiba izixhobo ezifanelekileyo zokukhusela xa uthatha inxaxheba emsebenzini okanye kwezemidlalo

Nanini na xa unekhefu eluswini:

• Coca ikhefu ngononophelo ngesepha namanzi. Faka iyeza lokuthintela intsholongwane okanye ioyile yonke imihla.
• Gquma ngebhanti uze uyitshintshe yonke imihla de kubekho ukhwekhwe.
• Jonga ubomvu, intlungu, umjelo, okanye ezinye iimpawu zentsholongwane.

Ulusu losulelo - ibacteria; Iqela le-streptococcus - cellulitis; I-Staphylococcus - i-cellulitis

• Iseli
• I-Cellulitis engalweni
• Periorbital cellulitis

IHabif TP. Usulelo lwebhakteria. Ku: Habif TP, ed. I-Clinical Dermatology: Isikhokelo sombala wokufumanisa isifo kunye nonyango. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2016: isahluko 9.

Ubunzima be-AHM, uHarper N. Cellulitis kunye ne-erysipelas. Ku: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson I, ii-eds. Unyango lwezifo zolusu: Amacandelo oBuchule oNyango. Umhla we-5. IPhiladelphia, PA: Elsevier Saunders; I-2018: isahluko 40.

IPasternak MS, iSwartz MN. I-Cellulitis, i-necrotizing fasciitis, kunye nosulelo lwangaphantsi kwesikhumba. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. UMandell, uDouglas, kunye neMigaqo yeBennett kunye nokuSebenza kwezifo ezosulelayo, uHlelo oluHlaziyiweyo. Ngomhla we-8. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 95.