Exfoliative dermatitis akuluakulu ndi neonates (chithunzi)

Exfoliative dermatitis (dermatitis Ritter) - chifukwa cha luso moyo wa Staphylococcus aureus padziko khungu. Amatchedwa matenda yodziwika ndi aakulu ndi zizindikiro za kuledzera. Werengani zambiri za matenda nkhani zotsatirazi nkhaniyi.

Kodi matenda ndi dermatitis exfoliative

Nthawi zambiri amadwala dermatitis Ritter akhanda. Ichi ndi chifukwa cha kupanda ungwiro kwa chitetezo cha m'thupi ndi kokha anabadwa ana ndi mbali structural wa khungu lawo. Makamaka atengeke matenda kapena ana msanga anabadwa ndi kulemera otsika kubadwa.

Exfoliative dermatitis makanda uonekere pa tsiku lachiwiri atangobadwa kapena pambuyo mlungu umodzi kapena iwiri. Mwa njira, mwamsanga matenda akufotokozera, zimakhalanso zovuta ikudontha.

Infection tizilombo toyambitsa matenda amachokera mayi kapena ndodo ya chipatala ndipo limodzi ndi kugonjetsedwa ndi kukana khungu.

siteji dermatitis

Zizindikiro zoyambirira za dermatitis (siteji erythematous) - ndi redness kuzungulira pakamwa, ndi khungu exfoliation, m'michombo ndi makutu achilengedwe (padziko chotulukira, maliseche ndi khosi). The ndondomeko pathological mofulumira kwambiri kwa maola 6-12, kufalitsa lonse thupi mwana. Inasanduka hyperemic, edematous, thovu zimachitika pa khungu wodzazidwa ndi madzi mandala. Nthawi zambiri zinkakhala mucosa mkamwa ndi kumaliseche nyenyeswa.

Mu gawo lachiwiri, kunachitika tsiku wachiwiri kapena wachitatu pa isanayambike matenda, exfoliative dermatitis amasonyeza kutsegula thovu, zomwe akafika pa malowa erosions lonyowa. Ndipo kuzungulira iwo, pa malo akuoneka uninvolved, khungu mosavuta katungulume (T. N. Nikolsky syndrome). Mwa njira, zikuoneka onse amatikumbutsa lamoto zoipa.

Pankhaniyi, mwana Kutentha kuuka kwa 40 ° C, izo amadwala kudzimbidwa ndi ludzu monga osati yoyamwitsa. Mwana sangathe kugona, kuonda mofulumira ndi imfa angayambe popanda mankhwalawa.

Regenerative - Mbali yachitatu ya matenda. Monga dzina lake likunenera, mwanayo akuchira: erosions kuchiritsa, kusiya redness ndi kutupa, ndi chikhalidwe ambiri a mwanayo ndi dekhetsa.

NKHANI dermatitis otaya

Exfoliative dermatitis makanda n'koopsa palokha. matenda, zomwe, pakalibe chithandizo chokwanira ndi kusamalira odwala kuyenda kungachititse kuti septic foci matenda pamalowa osefukira, limene pamapeto, imfayo weighting matendawa. A vuto la matenda akhoza kukhala otitis TV, chibayo, matenda oumitsa khosi ndi peritonitis.

Mu mankhwala, pali kusiyana atatu a kuopsa kwa kudwala anafotokoza.

1. Wofatsa zizindikiro matenda ndi afewetsedwa ndi magawo bwino distinguishable matendawa. Pochira kale pa tsiku 10 ya isanayambike matenda.
2. Mu siteji aakulu amtengo matenda ndi bwino distinguishable, zizindikiro chitaperekedwa koma palibe mavuto ndi mwana akuchira bwino.
3. Aakulu kutsatira kumaphatikizapo matenda zasekondale ndi purulent matenda yotupa ziwalo zina. Nthawi zina matenda afika mu magazi ndi nthendayo kobvuta ndi sepsis. Mwamwayi, ndi yake ndi chithandizo choyenera cha amenewa n'kovuta kwambiri.

Ichi ndi chifukwa chake pali dermatitis exfoliative akuluakulu

Akuluakulu, izo anafotokoza kudwala amapezeka kwambiri kamodzikamodzi kuposa ana (1-2% ya anthu zaka zoposa 50) ndipo umakula ndi maziko a matenda aakulu kale, chitetezo cha m'thupi yafupika kwambiri. Awa ndi monga a shuga, khansa ndi zosiyanasiyana matenda a mtima. Komabe, tiyenera zikhulupiriro kuti 30% ya milandu, madokotala chiyani sakwanitsa kukhazikitsa chifukwa cha erythroderma (amatchedwanso matenda). Ndipo amuna ndi akazi chiŵerengero cha pakutchulidwa kwa ndondomeko pathological 5: 1.

Osati ntchito wamng'onong'ono mu chiopsezo chotenga dermatitis exfoliative masewero ndi mbiri banja, ndi matenda obadwa nawo. Nthawi zina zingakhale erythroderma anachita angaononge phwando mankhwala ena kapena chifukwa cha ziwengo alipo mankhwala kapena psoriasis.

Kodi exfoliative dermatitis akuluakulu

Akuluakulu, mbali yapadera ya matenda kukuchitika amadalira zinthu zokhudza thupi ndi umoyo wa wodwalayo. Nthawi zambiri, kudwala anaonetsa redness ndi khungu kwa khungu. Ndipo, characteristically, zikhoza exfoliate zowawa pang'ono, ngakhale pa malo zikuoneka wathanzi.

Zinachitikira mtima aakulu kuyabwa pa thovu khungu pamwamba zimphamvu, pambuyo kutsegula awo, kukokoloka kwa nthaka. Lymph mfundo ukuwonjezeka ndi limatuluka kutentha. Odwala Kawirikawiri wa kudzikayikira tsembwe, ozizira.

exfoliative dermatitis Izo zikuchitika, monga tanenera kale, mwamphamvu osiyana. Pa chitukuko mofulumira thupi wodwalayo kupanga kutumphuka wandiweyani losweka m'dipatimenti chopweteka.

matenda a matenda

Oterewa exfoliative dermatitis Ritter sikovuta, monga zizindikiro zake zambiri anafotokoza. A Nikolsky zabwino (kulekana kosavuta kwa wosanjikiza chapamwamba khungu padziko erosions) syndrome yapereka mwayi wina molondola kudziwa matenda.

Laboratory maphunziro kuti akatsimikizire pamaso pa amayaka ndipo chizindikiritso cha wothandizila ndi amene walandiridwa chikhalidwe mutsanulira okhutira. Komanso imachitikira ndi matenda masiyanidwe amayerekezera zosayembekezereka wa matenda ndi pemphigus, epidermolysis bullosa, phlegmon, ichthyosis ndipo kulankhula dermatitis.

Mfundo ya chithandizo cha dermatitis exfoliative

Ngati mukukayikira kuti dermatitis exfoliative (zizindikiro chithunzi mukhoza kuona m'nkhani) mayi ndi mwana wodwala wapatsidwa chipinda mseri (nkhonya). Chithandizo ndi jekeseni wa mankhwala ndi madzi okhala antistaphylococcal Popanga madzi a gamma globulin.

Kupewa madzi m'thupi mwana kutumikiridwa ndi kulowetsedwa (kulowetsedwa) ndi gemodez polyglukin. A probiotics (bifidumbacteria) anatumizidwa ku mapeto a zochita za ntchito antibiotkov.

khungu mwana mankhwala ndi njira ofooka a salicyl mowa kapena furatsilina ndi thovu lidzatsegulidwa ndi mafuta umagwiritsidwa nthaka ndi zodzola antibacterial. Exfoliative dermatitis kumaphatikizapo kusamba tsiku ndi Kuwonjezera wa madzi ndi ofooka njira ya permanganate potaziyamu. Atabadwa wopanda zovala, kuti ululu, ndi kumkanikiza-wochezeka matewera kuwaza talc zachipatala kapena okusayidi nthaka. Izo analimbikitsanso monga mwana ang'onoang'ono kuloza ngati n'kotheka kupewa kupatukana ndi khungu desquamation.

Zikavuta, crumb anaikidwa mu chofungatira (chofungatira) amene anakhalabe kutentha zina ndi chinyezi.

Kodi kupewa matenda

Exfoliative dermatitis, omwe amasonyeza zithunzi za ana ndi akulu mukhoza kuona m'nkhani ndi kupewedwa yekha potsatira kwambiri zofunika ukhondo mayi wa wobadwa kumene malamulo dipatimenti postpartum ndi kuvala gauze bandeji.

M'chipatala ndodo amafuna zonse akhanda kvartsevanie Komiti, kukonza ndi nsalu bedi, komanso macheke zonse pamaso pa Staphylococcus aureus.

Akuluakulu, nthendayo kupewedwa ndi kupewa allergens zomwe zingachititse dermatitis, chithandizo mwamsanga mtundu uliwonse kutupa kapena mkwiyo wa khungu, kugwilizana ndi zakudya ndi kukhalabe chitetezo chokwanira bwino.