Chithandizo cha miyendo erysipelas

Erysipelas - matenda a khungu bakiteriya chifukwa cha hemolytic streptococcus gulu A, amene anatsagana ndi kuledzera kwambiri ndi kutupa pa khungu.

Tizilomboto (hemolytic streptococcus) kumayambitsa matenda ena monga angina, koma si anthu onse amene anali ndi zilonda zapakhosi, osauka erysipelas. chifukwa akhoza adatchithisira chitetezo chokwanira, thupi lawo siligwirizana ndi staphylococcus, kumakhala kutengera ndi matenda, komanso zinthu zina zambiri.

Infection kawirikawiri amapezeka ndi kukhudzana, kudzera kuwonongeka kakang'ono khungu, kuvala, kuyambira tizilomboto amakhala pa pamwamba khungu, koma amakhala katundu tizilombo yekha m'mikhalidwe yabwino.

kuipitsidwa zotheka kuchokera kunja mwa zida sanalandire chithandizo chamankhwala, komanso pali lymphogenous njira (mu erysipelas kobwereza).

Kutanthauzira nkhope angakhale osiyana: nkhope khosi, torso, koma nthawi zambiri zimakhudza miyendo m'munsi (ng'ombe).

Erysipelas miyendo zizindikiro.

Nthawi makulitsidwe ndi masiku ochepa (kawirikawiri 3-4 masiku), ngakhale kuti zizindikiro angathe kuyamba nkhani maola. Kusalekerera kusiyanitsa ofatsa, odziletsa ndi aakulu nkhope. Kutanthauzira: isanafalikire, patsogolo ndi metastatic. Ndi chikhalidwe cha otaya: erythematous, erythematous-bullous, erythematous-hemorrhagic ndi bullous.

erysipelas chachikulu akuyamba zikuchepa ndi kuwonjezeka thupi kutentha kwa madigiri 39-40, zizindikiro za kuledzera (mutu, kutopa, minofu ululu). zizindikiro zimenezi zingachitike pamene aakulu monga khunyu, kuona zilubwelubwe, nseru, kusanza, etc.

Pakutha tsiku loyamba, ndipo nthawizina tsiku lotsatira limodzi ndi zizindikiro za kutupa khungu: redness, moto kutengeka ndi khungu distention, m'dera kuwonjezeka kutentha (nthambi otentha kukhudza), limodzi ndi edema.

Ngati matenda isanafalikire kwa khungu la nkhope, ndi kutupa ndi redness zoipa magweru, kuchititsa matenda ndi dzina.

Chofuna dera khungu ndi ofiira owala, momveka isanafalikire m'mphepete ndi okwera (kutupa kutsinde) pa periphery nthawi zambiri kutupa poyerekeza ndi moto. Pachimake erysipelas chimakhala cha masiku asanu mpaka fifitini, ndipo amayamba kuchepa kutupa ndi makulitsidwe a khungu akuwonekera. Pa malo a chotupa ndi khungu mtundu.

Mu matenda kwambiri akhoza delaminate ndi khungu (chapamwamba wosanjikiza wa khungu) ndi kudzazidwa ndi nkhani serous matuza (bullous erythematous-mawonekedwe) kapena hemorrhagic zili (bullous-hemorrhagic mawonekedwe). Pambuyo posamutsa mitundu imeneyi kutupa angayambe nonhealing zilonda trophic.

Ngati zisadzachitikenso wa erysipelas zikadzatha matenda pachimake kwa zaka ziwiri, ndiye kulankhula za erysipelas kobwereza.

Kodi kuchitira mapazi erysipelas?

Chithandizo cha miyendo erysipelas ayenera kuyamba kuchepetsa kutentha thupi antipyretics. chithandizo Komanso wa miyendo erysipelas ikuchitika yekha kuyang'aniridwa ndi dokotala. Popeza kutupa ndi bakiteriya mu chiyambi, alandire ndi mankhwala, motero. Therapy ambiri anagwira mankhwala penicillin (penicillin, bicillin 5) ndi mlingo waukulu, moyo wa masiku 7-10. Ngati erysipelas zambiri kobwereza anawonjezera kuti mankhwala mankhwala mankhwala miyendo erysipelas mothandizidwa ndi mahomoni (prednisolone).

Komanso, mankhwala a kutupa miyendo erysipilatous zikuphatikizapo mankhwala apakhungu ndi njira antiseptic (njira Frc).