An abscess is a collection of pus that has built up within the tissue of the body. Signs and symptoms of abscesses include redness, pain, warmth, and swelling. The swelling may feel fluid-filled when pressed. The area of redness often extends beyond the swelling. Carbuncles and boils are types of abscess that often involve hair follicles, with carbuncles being larger.
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Abantu abaningi baya emagumbini aphuthumayo ukuze bathole ukwelashwa kwezifo zesikhumba ezibangelwa amagciwane. Staphylococcus aureus igciwane eliyinhloko elidala lezi zifo, futhi kuyoba nzima ukuyelapha ngenxa yokuvela kwe‑community-associated methicillin-resistant Staphylococcus aureus (MRSA). Acute bacterial skin and skin-structure infections are a common reason for seeking care at acute healthcare facilities, including emergency departments. Staphylococcus aureus is the most common organism associated with these infections, and the emergence of community-associated methicillin-resistant Staphylococcus aureus (MRSA) has represented a considerable challenge in their treatment.
Staphylococcus aureus ingahlukaniswa ngezinhlobo ezimbili ngokuya ngempendulo yazo kuma‑antibiotics: methicillin‑sensitive Staphylococcus aureus (MSSA) and methicillin‑resistant Staphylococcus aureus (MRSA). Emashumini ambalwa eminyaka edlule, ngenxa yokwanda kwamagciwane kanye nokusetshenziswa ngokweqile kwama‑antibiotics, ukumelana kwe‑S. aureus nezidakamizwa bekhuphuka, okuholela ekwenyukeni kwamazinga okutheleleka nge‑MRSA emhlabeni wonke. According to the sensitivity to antibiotic drugs, S. aureus can be divided into methicillin-sensitive Staphylococcus aureus (MSSA) and methicillin-resistant Staphylococcus aureus (MRSA). In recent decades, due to the evolution of bacteria and the abuse of antibiotics, the drug resistance of S. aureus has gradually increased, the infection rate of MRSA has increased worldwide.
To review the salient features of the management of severe skin and soft tissue infections (SSTIs), including toxic shock syndrome, myonecrosis/gas gangrene, and necrotizing fasciitis.
Ngokuvamile, amathumba avame ukubangelwa ukutheleleka kwebhaktheriya. Ibhaktheriya evame kakhulu ebangela ithumba i‑Staphylococcus aureus, evame ukumelana ne‑methicillin. Ukuxilongwa kwethumba lesikhumba kuvame ukwenziwa ngokubuka ubuso balo, futhi kuqinisekiswa ngokuhlola ukuthi livulekile yini. I‑Ultrasound imaging ingasiza ezimweni lapho ukuxilongwa kungacacile. Emathumbeni amakhulu, i‑computer tomography (CT) ingasiza ukubona ukutheleleka okujulile.
Ukwelashwa okujwayelekile kwethumba lesikhumba noma amathumba ezicubu ezithambile kuwukuwuvula ukuze kukhishwe uketshezi, kanyekanye nokusebenzisa ama‑antibiotics. Ukumunca ubomvu nge‑needle ngokuvamile akwanele.
Amathumba esikhumba ajwayelekile ayanda eminyakeni yamuva. Izinto eziyingozi zihlanganisa ukusetshenziswa kwezidakamizwa ngokufakwa emathanjeni, lapho izinga lokubika lifinyelela ku‑65 % phakathi kwabasebenzisi. Ngo‑2005 e‑United States, abantu abayizigidi ezingu‑3.2 babhekela umnyango wezimo eziphuthumayo ukuze bathole ithumba. E‑Australia, cishe abantu abayi‑13 000 balashwa esibhedlela ngo‑2008 ngenxa yalesi simo.
○ Ukwelashwa
Ukwelapha amathumba ngemithi ethengwayo kunzima ezimeni eziningi. Uma izimpawu ezinjengomkhuhlane nokugula zivela kuwo wonke umzimba, sicela uthintane nodokotela ngokushesha ngangokunokwenzeka.