Cellulitis

ʻO Cellulitis kahi maʻi ʻili maʻamau i hoʻokumu ʻia e nā bacteria. Hoʻopili ia i ka papa waena o ka ʻili (dermis) a me nā mea ma lalo. I kekahi manawa, hiki ke hoʻopili ʻia ka mākala.

ʻO Staphylococcus a me nā koʻohune streptococcus nā kumu maʻamau o cellulitis.

Nui a hewahewa nā ʻano bacteria e noho ana ma luna o ka ʻili maʻamau. Ke wāwahi i loko o ka ʻili, hiki i kēia mau bacteria ke kumu i ka maʻi o ka ʻili.

ʻO nā kumu pilikia no ka cellulitis e komo pū ana:

• ʻO nā māwae a ʻiliʻili paha i waena o nā manamana wāwae
• ʻO ka mōʻaukala o ka maʻi vipher peripheral
• Ka ʻeha a i ʻole trauma me ka haki o ka ʻili (ʻili ʻili)
• Nā nahu a nā ʻelala, nahu holoholona, ​​a nahu kanaka paha
• Nā maʻi maʻi mai kekahi mau maʻi, e like me ka maʻi kō a me nā maʻi vascular
• Hoʻohana i nā lāʻau corticosteroid a i ʻole nā ​​lāʻau ʻē aʻe e kāohi i ka ʻōnaehana pale
• Ua hōʻeha ʻia mai kahi ʻoki hou

ʻO nā ʻōuli o ka cellulitis me:

• Fiva me ka haʻalulu a me ka hou
• Ka luhi
• ʻEha a palupalu paha i ka wahi i hoʻopilikia ʻia
• ʻO kaʻulaʻula a me ka mumū paha e hoʻonui i ka hoʻolaha ʻana o ka maʻi
• ʻEha ka ʻili a wīwī paha e hoʻomaka koke, a ulu koke i nā hola he 24 i hala
• ʻImi, ʻōniʻoniʻo, hohola ke ʻano o ka ʻili
• ʻO ka ʻili pumehana ma kahi o ka ʻulaʻula
• ʻEha ka ʻū a me ka paʻakikī o ka ami mai ka pehu ʻana o nā mea ma luna o ka ami
• ʻO Nusea a me ka luaʻi

E hana ka mea mālama ola i kahi hoʻokolohua kino. Hōʻike paha kēia:

• ʻUlaʻula, mehana, palupalu, a me ka pehu ʻana o ka ʻili
• Hiki ke kahawai, inā loaʻa ke kūkulu o ka pus (abscess) me ka maʻi o ka ʻili
• ʻO nā pehu pehu (nā lymph node) kokoke i ka wahi i hoʻopilikia ʻia

Hiki i ka mea hāʻawi ke kahakaha i nā kihi o ka ʻulaʻula me ka peni, e ʻike ai inā e hala ka ʻula i ka palena i kaha ʻia i nā lā e hiki mai ana.

ʻO nā hoʻokolohua i kauoha ʻia e komo pū:

• Moʻomeheu Koko
• Helu piha koko (CBC)
• ʻO ka moʻomeheu o nā wai a me nā mea i loko o ka wahi i pā
• Hana ʻia kahi biopsy inā kuhi ʻia nā ʻano ʻē aʻe

E kuhikuhi ʻia paha ʻoe i nā antibiotic e lawe ʻia e ka waha. Hāʻawi ʻia ʻoe i ka lāʻau ʻeha pū, inā pono.

Ma ka home, e hoʻokiʻekiʻe i ka wahi i loaʻa i ka maʻi ma mua o kou puʻuwai e hōʻemi ai i ka pehu ʻana a wikiwiki i ka hoʻōla. E hoʻomaha a hiki i ka hoʻomaikaʻi ʻana o kāu mau hōʻailona.

Pono ʻoe e noho i kahi haukapila inā:

• Nui kou maʻi (ʻo kahi laʻana, loaʻa iā ʻoe kahi mahana kiʻekiʻe loa, nā pilikia o ke kaomi koko, a me ka nausea a me ka luaʻi e hele ʻole aku)
• Ua hele ʻoe ma luna o nā lāʻau ʻalopika a ke hele nei ka maʻi ʻoi aku ka maikaʻi (hohola ma ʻō aku o ka māka peni)
• ʻAʻole holo maikaʻi kāu ʻōnaehana pale (ma muli o ke kanesa, HIV)
• Loaʻa iā ʻoe kahi maʻi a puni kou mau maka
• Koi aku ʻoe i nā antibiotic ma o ke aa (IV)

Hele pinepine ʻo Cellulitis ma hope o ka lawe ʻana i nā lāʻau ʻaloʻalo no 7 a 10 mau lā. Pono paha ka lōʻihi o ka mālama ʻana inā ʻoi aku ke koʻikoʻi o cellulitis. Hiki paha kēia inā loaʻa ʻoe i ka maʻi maʻi mau a ʻaʻole e holo pono kāu ʻōnaehana pale.

Loaʻa i ka poʻe me nā maʻi fungal o nā wāwae i ka cellulitis e hoʻi hou ana, keu hoʻi inā he maʻi diabetes ʻoe. ʻO nā māwae i ka ʻili mai ka maʻi fungal e ʻae i ka bacteria e komo i loko o ka ʻili.

ʻO ka hopena e hopena inā ʻaʻole mālama ʻia ka cellulitis a hana ʻole paha ka mālama ʻana.

• Kino maʻi (sepsis)
• Iwi maʻiʻaʻai (osteomyelitis)
• ʻO ka hoʻohaunaele o nā moku lymph (lymphangitis)
• ʻO ka hoʻohaunaele o ka puʻuwai (endocarditis)
• ʻO ka maʻi o nā membrane e uhi ana i ka lolo a me ka iwi kuamoʻo (meningitis)
• Pāhaʻi
• ʻO ka make ʻana o ka ʻupena (gangrene)

Kāhea koke i kāu mea hāʻawi inā:

• Loaʻa iā ʻoe nā ʻōuli o ka cellulitis
• Mālama ʻia ʻoe no ka cellulitis a hoʻomōhala ʻoe i nā ʻōuli hou, e like me ke ahulau hoʻomau, ka hiamoe, ka lethargy, pāhola ma luna o ka cellulitis, a i ʻole nā ​​ʻulaʻula e pāhola.

Palekana i kou ʻili e:

• Ka mālama ʻana i kou ʻili me nā hamo a me nā hamo e pale ai i ka pohā
• Ke komo nei i nā kāmaʻa e kūpono pono a hoʻolako i kahi lumi no kou mau wāwae
• Ke aʻo ʻana pehea e ʻoki ai i kou mau kui e hōʻole ʻole i ka ʻili a puni lākou
• Ke komo pono ʻana i nā pono pale i ke komo ʻana i ka hana a i ʻole nā ​​haʻuki

Ke loaʻa ka haki i ka ʻili.

• E hoʻomaʻemaʻe pono i ka haki me ke kopa a me ka wai. E noi i kahi lāʻau antibiotic a me ka hamo i kēlā me kēia lā.
• Uhi me kahi kāʻei a hoʻololi iā ia i kēlā me kēia lā a hiki i kahi hana ʻehu.
• E nānā no ka ʻulaʻula, ʻeha, kahe, a i ʻole nā ​​hōʻailona ʻē aʻe o ka maʻi.

Maʻi maʻi ʻili - bacterial; Pūʻulu A streptococcus - cellulitis; Staphylococcus - cellulitis

• Cellulitis
• Cellulitis ma ka lima
• Cellulitis Periorbital

ʻO Habif TP. Nā maʻi bacteria. I: Habif TP, hoʻoponopono. ʻO Dermatology Haumana: Kahi Alakaʻi Kānana i ka Diagnosis a me ka Therapy. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2016: chap 9.

Heagerty AHM, Harper N. Cellulitis a me erysipelas. I: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson I, eds. Ka mālama ʻana i ka maʻi ʻili: nā ʻōnaehana Therapyutic Comprehensive. 5th lā. Piladelapia, PA: Elsevier Saunders; 2018: chap 40.

Pasternak MS, Swartz MN. Cellulitis, frotciitis necrotizing, a me nā maʻi maʻi subcutaneus. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principal a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpikipiki, Hoʻopuka Hou. 8th ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 95.