Cellulitis

Cellulitis ndimatenda apakhungu omwe amabwera chifukwa cha mabakiteriya. Zimakhudza khungu pakati (dermis) ndi matumba omwe ali pansipa. Nthawi zina, minofu imatha kukhudzidwa.

Staphylococcus ndi mabakiteriya a streptococcus ndizomwe zimayambitsa cellulitis.

Khungu labwinobwino limakhala ndi mitundu yambiri ya mabakiteriya okhala mmenemo. Pakaphulika pakhungu, mabakiteriyawa amatha kuyambitsa matenda akhungu.

Zowopsa za cellulitis ndizo:

• Ming'alu kapena khungu losenda pakati pa zala zakuphazi
• Mbiri ya matenda a zotumphukira
• Kuvulala kapena kupwetekedwa ndikuthyola khungu (mabala akhungu)
• Kulumidwa ndi tizilombo, kuluma kwa nyama, kapena kuluma kwa anthu
• Zilonda zamatenda ena, kuphatikizapo matenda ashuga komanso matenda amitsempha
• Kugwiritsa ntchito mankhwala a corticosteroid kapena mankhwala ena omwe amapondereza chitetezo cha mthupi
• Chilonda chochitidwa opaleshoni yaposachedwapa

Zizindikiro za cellulitis ndi monga:

• Malungo ndi kuzizira ndi thukuta
• Kutopa
• Ululu kapena kukoma mtima m'deralo
• Kufiira kwa khungu kapena kutupa komwe kumakula pamene matenda amafalikira
• Kupweteka pakhungu kapena zotupa zomwe zimayamba mwadzidzidzi, ndikukula msanga m'maola 24 oyamba
• Kuthina, kunyezimira, kuwonekera kwa khungu
• Khungu lotentha m'dera lofiira
• Kupweteka kwa minofu ndi kulimba kolumikizana kuchokera kutupa kwa minofu yolumikizira
• Nseru ndi kusanza

Wothandizira zaumoyo adzayesa. Izi zitha kuwulula:

• Kufiira, kutentha, kukoma mtima, ndi kutupa kwa khungu
• Kutaya kotheka, ngati pali mafinya (abscess) omwe ali ndi matenda akhungu
• Matenda otupa (ma lymph node) pafupi ndi dera lomwe lakhudzidwa

Wothandizirayo amatha kuyika m'mbali mwa redness ndi cholembera, kuti awone ngati kufiyikirako kudutsa malire odziwika masiku angapo otsatira.

Mayeso omwe atha kulamulidwa ndi awa:

• Chikhalidwe chamagazi
• Kuwerengera kwathunthu kwa magazi (CBC)
• Chikhalidwe cha madzimadzi kapena zinthu zilizonse zomwe zidakhudzidwa
• Chidziwitso chitha kuchitika ngati zinthu zina zikukayikiridwa

Muyenera kuti mudzapatsidwe mankhwala akumwa. Muthanso kupatsidwa mankhwala opweteka, ngati angafunike.

Kunyumba, kwezani malo omwe ali ndi kachilombo kuposa mtima wanu kuti muchepetse kutupa ndikufulumizitsa kuchira. Pumulani mpaka zizindikiro zanu zitukuke.

Mungafunike kukhala mchipatala ngati:

• Mukudwala kwambiri (mwachitsanzo, muli ndi kutentha kwambiri, mavuto a kuthamanga kwa magazi, kapena nseru ndi kusanza komwe sikupita)
• Mwakhala muli pa maantibayotiki ndipo matenda akukulirakulira (kufalikira kupitirira cholembera choyambirira)
• Chitetezo cha mthupi lanu sichikugwira ntchito bwino (chifukwa cha khansa, HIV)
• Muli ndi matenda m'maso mwanu
• Mumafuna maantibayotiki kudzera mumtsempha (IV)

Cellulitis nthawi zambiri imatha mukamamwa maantibayotiki masiku 7 mpaka 10. Chithandizo chotalikirapo chitha kufunikira ngati cellulitis ndiochulukirapo. Izi zitha kuchitika ngati muli ndi matenda osachiritsika kapena chitetezo chamthupi chanu sichikugwira ntchito moyenera.

Anthu omwe ali ndi matenda a fungus kumapazi amatha kukhala ndi cellulitis yomwe imabwerabe, makamaka ngati muli ndi matenda ashuga. Ming'alu pakhungu lochokera kumatenda a fungal amalola kuti mabakiteriya alowe pakhungu.

Zotsatirazi zitha kuchitika ngati cellulitis sakuchiritsidwa kapena mankhwala sakugwira:

• Matenda a magazi (sepsis)
• Matenda a mafupa (osteomyelitis)
• Kutupa kwa zotengera za lymph (lymphangitis)
• Kutupa kwa mtima (endocarditis)
• Kutenga ziwalo zomwe zimaphimba ubongo ndi msana (meningitis)
• Chodabwitsa
• Imfa yamatenda (chilonda)

Itanani omwe akukuthandizani nthawi yomweyo ngati:

• Muli ndi zizindikiro za cellulitis
• Mukuchiritsidwa ndi cellulitis ndipo mumakhala ndi zizindikilo zatsopano, monga kutentha thupi, kugona, ulesi, kuphulika kwa cellulitis, kapena mitsinje yofiira yomwe imafalikira

Tetezani khungu lanu ndi:

• Kusunga khungu lanu lonyowa ndi mafuta odzola kupewa mafuta
• Kuvala nsapato zomwe zimakwanira bwino ndikukupatsani malo okwanira mapazi anu
• Kuphunzira kudula misomali yanu kuti musavulaze khungu lozungulira
• Kuvala zida zotetezera pochita nawo ntchito kapena masewera

Nthawi iliyonse mukapuma pakhungu:

• Sambani nthawi yopumira mosamala ndi sopo. Ikani mankhwala opha tizilombo tsiku lililonse.
• Phimbani ndi bandeji ndikusintha tsiku lililonse mpaka nkhanambo zitayamba.
• Onetsetsani kufiira, kupweteka, ngalande, kapena zizindikiro zina za matenda.

Khungu matenda - bakiteriya; Streptococcus gulu - cellulitis; Staphylococcus - cellulitis

• Cellulitis
• Cellulitis padzanja
• Periorbital cellulitis

Khalani TP. Matenda a bakiteriya. Mu: Habif TP, mkonzi. Clinical Dermatology: Buku Lopangira Kuzindikira ndi Chithandizo. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2016: chap 9.

Hagerty AHM, Harper N. Cellulitis ndi erysipelas. Mu: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson I, olemba. Kuchiza kwa Matenda a Khungu: Njira Zambiri Zakuchiritsira. 5th ed. Philadelphia, PA: Elsevier Saunders; 2018: mutu 40.

Pasternak MS, Swartz MN (Adasankhidwa) Cellulitis, necrotizing fasciitis, ndi matenda opatsirana amkati. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Mfundo za Bennett ndi Kuchita kwa Matenda Opatsirana, Kusinthidwa. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chap 95.