Dzidza zvakawanda pamusoro peiyo mutsara wehutachiona hwemusoro hwemvere
Carbuncle inounganidza hutachiwana hutachiona hwemvere . Icho chinhu chisina kufanana, sezvinongoita chikafu, asi carbuncle chirwere chakakomba zvikuru. Kusiyana kukuru: Chirwere chinotapukira chechinyorwa chimwe chetsitsi uye mhuka dzayo dzakapoteredza, asi carbuncle iri chaizvo inowanikwa huturu hwakawanda zvakabatanidzwa pamwechete.
Risk Factors
Zvimwe zvinokonzera iwe pangozi yakakwirira yekugadzira carbuncles.
Izvi zvinosanganisira: kuva nemaitiro ekudzivirira zvirwere zvemuviri, kuva nechirwere cheshuga , kuva nemamiriro ezvinhu eganda semakine kana eczema , uye kuva nehukama hwepedyo nemunhu ane chirwere chetachifu.
Ko Carbuncle Inoita Sei?
Carbuncle kazhinji inowedzera mukati memadzika akadzika eganda - mafuta asina kumira . Iyo inoumba muhupamhi, hutsvuku, inopisa, inogunun'una inoshungurudza iyo inowanzosviba inoputirana nemazamu akawanda eganda. Mumwe munhu ane carbuncle angangodaro achinetseka uye ave nefivha uye kuneta. Makarobheni anowanzoitika munzvimbo dzine ruvara rweganda sezvinoita nape yemutsipa, kumashure, kana mahudyu.
Maitiro Azvo Anoongororwa
Kana iwe uchifunga kuti iwe unogona kunge uine carbuncle, dana iwe wekutanga wekutarisira iwe kana dermatologist (chiremba anoziva mukurapa ganda). Carbuncles inorwara inowanikwa kubva pakuonekwa kwavo, asi dzimwe nguva inogona kuvhiringidzwa ne ruptured epidermoid cyst . Hapana hupi hupi huongororwa hunoitwa kuti hugadzirise kana chirwere ichi chiri carbuncle, asi kazhinji pus mukati me carbuncle inoedzwa ne gram stain kana bhakitiriya tsika kuti aone kana bhakitiriya inokonzera utachiona iyo inowanzoitwa Staphylococcus aureus (aka staph ) kushungurudza kana imwe isingagumi kune inowanikwa penicillin-aina antibiotics (kufanana neMRSA, ona pasi apa kuti uwane mamwe mashoko).
Kurapa Kwavakaitwa
Nemhaka yokuti carbuncles kazhinji inenge yakawanda yepus, inowanzotanga kurapwa nenzira inonzi incision uye mvura (I & D) . Izvi zvinoderedza pus uye inobvumira kuti utachiona upore kubva mukati. (Zvakanaka kuti usaedza kuita izvi iwe pamba kana uchizvinyima kana kuidzidzira, nokuti iwe ungaguma uchiita kuti uwedze uye kupararira utachiona.)
Sezvo carbuncle inowanzokonzerwa nebhakitiriya Staphylococcus aureus, mishonga inowanzoshandiswa kurapa staph zvirwere inosanganisira antibiotics dicloxacillin kana cephalexin.
Zvinosuruvarisa, kune rumwe rutivi rutsva rwe staph rinorwisana nemhando idzi dzemishonga inorwisa mabhakitiriya. Nokuda kweizvi, ramba uchiverenga.
Kamwe iyo carbuncle yaporeswa, pangave pane hove.
Carbuncles Inokonzerwa neMRSA
Kwemakore mashoma apfuura, kuve nekuwedzera kwakakura kwezvakaitika zvehutachiona hunokonzerwa nehutano hwakanyanya hweStaphylococcus aureus isingagumi kune yakakwana penicillin-based antibiotic treatment. Kusvikira munguva pfupi ichangopfuura, MRSA (shomanana yemethicillin-resistant Staphylococcus aureus) yakanga isingawanzogadziriswa mabhakitiriya mumisha yevakwegura uye dzimwe nzvimbo dzekuchengetedza kwenguva refu. Asi nekuwedzerwa kwemishonga inorwisa mabhakitiriya pamamiriro ezvinhu asingadi mishonga inorwisa mabhakitiriya, zvirwere zveMRSA zvino, zvinosuruvarisa, zvinowanikwa kune dzimwe nzvimbo dzeUnited States.
Izvi zvirwere zvinowanzoitika zvisingatauri mumupuranga, mombe, uye nechepamusoro yenzvimbo. Parizvino, pane maantibayoti anobata chirwere ichi chinopesana. Mishonga inorwisa mabhakitiriya yakasarudzwa nehutachiona hweMSASA iyo haina kuwanikwa kubva kuchipatara kana kuti nzvimbo yekuchengetedza kwenguva refu ndeye trimethoprim-sulfamethoxazole (aka Septra kana Bactrim).
Nzira inotevera ndeye clindamycin, kunyanya kune vanhu vanokonzera sulfa .
> Sources:
> Halpern, Analisa, uye Warren Heymann. "Bhakitiriya Zvirwere." Dermatology. 2nd. Ed. Jean Bolognia. New York: Mosby, 2008: 1075-84.