Cellulitis

Cellulitis yog ib hom mob los ntawm tawv nqaij los ntawm cov kab mob. Nws cuam tshuam rau hauv nruab nrab txheej ntawm daim tawv nqaij (dermis) thiab cov ntaub so ntswg hauv qab. Qee zaum, mob leeg tuaj yeem cuam tshuam.

Cov kab mob Staphylococcus thiab streptococcus yog cov ua rau mob cellulitis feem ntau.

Cov tawv nqaij ib txwm muaj ntau hom kab mob nyob ntawm nws. Thaum muaj tawv nqaij tawg, cov kab mob no tuaj yeem ua rau tawv nqaij.

Kev pheej hmoo ua rau cellulitis muaj xws li:

• Tawg lossis tev tawv nqaij ntawm cov ntiv taw
• Keeb kwm mob kab mob leeg
• Kev raug mob lossis mob nrog qhov tawg ntawm daim tawv nqaij (mob tawv nqaij)
• Cov kab tom thiab stings, tsiaj tom, lossis tib neeg tom
• Kev mob qog nqaij hlav los ntawm qee cov kab mob, suav nrog mob ntshav qab zib thiab mob vascular
• Siv cov tshuaj corticosteroid lossis lwm yam tshuaj uas ua kom lub cev tiv thaiv tsis tau
• Mob los ntawm kev phais mob tsis ntev los no

Cov tsos mob ntawm cellulitis suav nrog:

• Ua npaws nrog daus no thiab tawm hws
• Nkees
• Mob lossis rhiab hauv thaj chaw cuam tshuam
• Daim tawv nqaij liab lossis mob ua pob txha loj dua tuaj thaum kis tau kis mob
• Daim tawv nqaij mob lossis tawm pob xoo uas pib sai, thiab loj hlob sai sai hauv thawj 24 teev
• Tight, glossy, ncav cov tsos ntawm daim tawv nqaij
• Sov tawv nqaij hauv thaj chaw ntawm liab
• Cov leeg mob thiab mob pob txha los ntawm qhov o ntawm cov nqaij o
• Xeev siab thiab ntuav

Tus kws kho mob yuav kuaj xyuas lub cev. Qhov no yuav qhia:

• Liab, sov, khaus thiab o ntawm daim tawv nqaij
• Kev tso dej muaj txiaj ntsig, yog tias muaj qhov txhim kho ntawm cov kua paug (mob qog) nrog rau ntawm daim tawv nqaij
• Cov qog ntshav (cov qog ntshav) nyob ze rau thaj chaw muaj mob

Tus kws kho mob yuav kos cim rau ntawm lub ntsej muag liab nrog lub cwj mem, kom pom tias lub ntsej muag liab dhau lub cim ntawm ob peb hnub tom ntej.

Kev ntsuam xyuas uas yuav raug txiav txim suav nrog:

• Ntshav kev coj noj coj ua
• Ua kom tiav cov ntshav suav (CBC)
• Kab lis kev cai ntawm ib qho dej los yog cov khoom hauv thaj chaw muaj kev puas tsuaj
• Yuav txiav ib qho los mus kuaj yog tias muaj lwm yam mob

Koj yuav zoo li yog kws kho mob kom noj los ntawm qhov ncauj. Koj tuaj yeem muab tshuaj rau qhov mob kom zoo, yog tias xav tau.

Nyob hauv tsev, tsa thaj chaw muaj qhov siab dua koj lub siab txhawm rau txo qis o thiab kho kom sai. So kom txog thaum koj cov tsos mob zoo tuaj.

Koj yuav tsum tau nyob hauv tsev kho mob yog tias:

• Koj mob heev (piv txwv li, koj muaj qhov kub taub hau heev, teeb meem ntshav siab, lossis xeev siab thiab ntuav uas tsis ploj mus)
• Koj tau noj tshuaj tua kab mob thiab kis tus mob hnyav zuj zus (kis dua li tus cwj mem xub)
• Koj lub cev tiv thaiv tsis ua haujlwm (vim mob qog ntshav, mob HIV)
• Koj muaj mob ib ncig ntawm koj lub qhov muag
• Koj yuav tsum muaj tshuaj tua kab mob los ntawm txoj hlab ntshav (IV)

Cellulitis feem ntau ploj mus tom qab siv tshuaj tua kab mob rau 7 txog 10 hnub. Ntev mus ntev tuaj yeem kho tau yog tias mob cellulitis hnyav dua. Qhov no yuav tshwm sim tau yog tias koj muaj ib tus kab mob ntev los yog koj lub cev tiv thaiv tsis ua haujlwm tau zoo.

Cov neeg muaj mob fungal ntawm txhais taw yuav mob cellulitis uas rov qab los, tshwj xeeb yog tias koj muaj ntshav qab zib. Kev ua pob ntawm daim tawv nqaij los ntawm cov kab mob fungal cia cov kab mob nkag mus rau hauv daim tawv nqaij.

Cov hauv qab no tej zaum yuav yog yog tsis kho los yog kho tsis ua haujlwm:

• Kab mob ntshav (sepsis)
• Kab mob pob txha (osteomyelitis)
• Kev mob ntawm cov qog ua ntshav (lymphangitis)
• Kev mob ntawm lub plawv (endocarditis)
• Kev kis mob ntawm cov nyias nyias uas npog rau lub hlwb thiab tus txha caj qaum (mob hlwb)
• Poob Siab
• Cov nqaij mos ua kom tuag (mob tuag tes tuag taw)

Hu rau koj tus kws khomob sai sai yog tias:

• Koj muaj cov tsos mob ntawm cellulitis
• Koj tab tom kho tus kab mob cellulitis thiab koj pib muaj cov tsos mob tshiab, xws li ua npaws ntev, nkees nkees, qaug zog, sawv hlwv li ntawm cellulitis, lossis liab tawm uas kis tau

Tiv thaiv koj cov tawv nqaij los ntawm:

• Ua kom koj cov tawv nqaij noo nrog pleev tshuaj pleev lossis pleev pleev kom tiv thaiv kev tawg
• Yuav tsum hnav cov khau uas haum thiab npaj chav txaus rau koj txhais taw
• Kawm paub yuav ua li cas koj cov rau tes kom tsis txhob ua mob rau daim tawv nqaij ncig lawv
• Hnav cov khoom tiv thaiv uas tsim nyog thaum koom nrog kev ua haujlwm lossis ncaws pob

Thaum twg koj muaj kev so hauv daim tawv nqaij:

• Siv lub xub npum thiab dej ntxuav kom huv si. Siv tshuaj pleev lossis tshuaj pleev rau txhua hnub.
• Npog nrog cov ntaub qhwv thiab hloov nws txhua hnub kom txog thaum daim ntawv ci ci.
• Saib xyuas kev ua pob liab liab, mob, los ntshav, lossis lwm yam cim ntawm kev kis mob.

Kab mob voos - kab mob; Pawg A streptococcus - cellulitis; Staphylococcus - cellulitis

• Cellulitis
• Cellulitis ntawm caj npab
• Mob rau ntu leeg

Habif TP. Cov kab mob tua tau kab mob. Hauv: Habif TP, ed. Clinical Dermatology: Ib Daim Ntawv Qhia Xim Xim kom paub thiab Kev Kho MobCov. 6 tus ed. Philadelphia, PA: Elsevier; 2016: chap 9.

Tsis Txaus Siab AHM, Harper N. Cellulitis thiab erysipelas. Hauv: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson Kuv, eds. Kev Kho Mob Ntawm Cov tawv nqaij: Cov Tshuaj Txhuam Kho Kom ZooCov. Thib 5 ed. Philadelphia, PA: Elsevier Saunders; 2018: chap 40.

Pasternak MS, Swartz MN. Cellulitis, necrotizing fasciitis, thiab kab mob hauv lub cev. Hauv: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, thiab Bennett's Cov Ntsiab Cai thiab Kev Coj Ua ntawm Cov Kab Mob Kis, Hloov Kho TshiabCov. 8 tus ed. Philadelphia, PA: Elsevier Saunders; Xyoo 2015: chap 95.