Zilonda

Chithupsa ndi kachilombo kamene kamakhudza magulu azitsitsi ndi khungu loyandikira.

Zinthu zina zimaphatikizapo folliculitis, kutupa kwa umodzi kapena zingapo za tsitsi, ndi carbunculosis, matenda apakhungu omwe nthawi zambiri amakhala ndi gulu lazinthu zopangira tsitsi.

Zilonda ndizofala kwambiri. Nthawi zambiri zimayambitsidwa ndi mabakiteriya Staphylococcus aureus. Angathenso kuyambitsidwa ndi mitundu ina ya mabakiteriya kapena bowa zomwe zimapezeka pakhungu. Kuwonongeka kwa khungu la tsitsi kumapangitsa kuti kachilomboka kakule kwambiri mu follicle ndi minofu yomwe ili pansi pake.

Zilonda zimatha kupezeka pathupi pathupi paliponse pathupi. Amakonda kupezeka pankhope, pakhosi, m'khwapa, matako, ndi ntchafu. Mutha kukhala ndi zithupsa chimodzi kapena zingapo. Vutoli limatha kuchitika kamodzi kokha kapena lingakhale vuto lokhalitsa.

Chithupsa chimayamba ngati chofewa, chofiyira komanso chotupa, pakhungu lolimba. Popita nthawi, zimamveka ngati buluni yodzaza madzi kapena chotupa.

Ululu umakulirakulira chifukwa umadzaza mafinya ndi minofu yakufa. Ululu umachepa pamene chithupsa chimatuluka. Chithupsa chimatha kukha chokha. Nthawi zambiri, chithupsa chimayenera kutsegulidwa kuti chikhetse.

Zizindikiro zazikulu za chithupsa ndi monga:

• Bampu pafupifupi kukula kwa nsawawa, koma atha kukhala wokulirapo ngati mpira wa gofu
• Malo oyera kapena achikaso (pustules)
• Kufalikira kumadera ena akhungu kapena kujowina ndi zilonda zina
• Kukula msanga
• Kulira, kutuluka, kapena kutumphuka

Zizindikiro zina zitha kuphatikiza:

• Kutopa
• Malungo
• Kusamva bwino
• Kuyabwa pamaso pa chithupsa
• Kufiira kwa khungu mozungulira chithupsa

Wopereka chithandizo chamankhwala amatha kuzindikira chithupsa kutengera momwe chikuwonekera. Chitsanzo cha maselo ochokera ku chithupsa atha kutumizidwa ku labu kuti chikhalidwe chikayang'ane staphylococcus kapena mabakiteriya ena.

Zithupsa zimatha kuchira zokha patatha nthawi yoyabwa komanso kupweteka pang'ono. Nthawi zambiri, zimapweteka kwambiri mafinya akamakula.

Zilonda nthawi zambiri zimayenera kutseguka ndikukhetsa madzi kuti mupole. Izi zimachitika nthawi zambiri mkati mwa milungu iwiri. Muyenera:

• Ikani ofunda, ofunda, opanikizika pa chithupsa kangapo patsiku kuti muthamangitse kukhetsa ndi kuchiritsa.
• Osasinkhasinkha chithupsa kapena kuyesa kuchitsegula kunyumba. Izi zitha kufalitsa matenda.
• Pitirizani kuika ofunda, yonyowa, compresses pa chithupsa pambuyo kutsegula.

Mungafunike kuchitidwa opaleshoni kukhetsa zithupsa zakuya kapena zazikulu. Pezani chithandizo kuchokera kwa omwe amakupatsani ngati:

• Chithupsa chimatenga nthawi yayitali kuposa milungu iwiri.
• Chithupsa chimabwerera.
• Muli ndi chithupsa kumsana kapena pakati pankhope panu.
• Muli ndi malungo kapena zizindikiro zina ndi chithupsa.
• Chithupsa chimayambitsa kupweteka kapena kusapeza bwino.

Ndikofunika kusunga chithupsa. Kuti muchite izi:

• Sambani zithupsa ndikusintha mavalidwe awo pafupipafupi.
• Sambani m'manja bwino lisanachitike komanso mutakhudza chithupsa.
• Musagwiritsenso ntchito kapena kugawana masamba kapena matawulo. Sambani zovala, nsalu zopukutira m'manja, matawulo, ndi mapepala kapena zinthu zina zomwe zakhudza madera omwe ali ndi kachilombo m'madzi otentha.
• Ponyani mavalidwe omwe agwiritsidwa ntchito m'thumba losindikizidwa kuti madzi amadzimadzi asakhudze china chilichonse.

Wokuthandizani akhoza kukupatsani maantibayotiki oti muzimwa pakamwa kapena kuwombera, ngati chithupsa ndi choipa kwambiri kapena chikubweranso.

Sopo wama antibacterial ndi mafuta samathandiza kwambiri chithupsa chitayamba.

Anthu ena amabowola matenda obwereza ndipo amalephera kuwaletsa.

Zilonda m'malo ngati khutu kapena khutu zimakhala zopweteka kwambiri.

Zilonda zomwe zimayandikana zimatha kukulira ndikulumikizana, ndikupangitsa vuto lotchedwa carbunculosis.

Zovuta izi zitha kuchitika:

• Kupezeka kwa khungu, msana, ubongo, impso, kapena chiwalo china
• Matenda aubongo
• Matenda a mtima
• Matenda a mafupa
• Kutenga magazi kapena matumbo (sepsis)
• Matenda a msana
• Kufalitsa matenda kumadera ena a thupi kapena khungu
• Zipsera zosatha

Itanani omwe akukuthandizani ngati zithupsa:

• Onekerani pankhope panu kapena msana
• Bwererani
• Musachiritse ndi mankhwala kunyumba pasanathe sabata imodzi
• Kumakhala ndi malungo, timizere tofiira tomwe timatuluka pachilondacho, kuchuluka kwamadzimadzi mderalo, kapena zizindikilo zina za matenda
• Kuyambitsa kupweteka kapena kusapeza bwino

Zotsatirazi zingathandize kupewa kufalikira kwa matenda:

• Sopo la antibacterial
• Antiseptic (kupha majeremusi) amatsuka
• Kukhala oyera (monga kusamba mmanja mokwanira)

Kutulutsa

• Tsitsi la tsitsi

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.

Pallin DJ. Matenda a khungu. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 129.