Strep impetigo: Zoyambitsa ndi Chithandizo

Strep impetigo ndi ubiquitous pa anthu ndi khungu wolobodoka nkhongono ndi wachisasati. matenda kawirikawiri chifukwa cha ukhondo osauka, kawirikawiri zilili ndi ana, makamaka m'miyezi yotentha.

tanthauzo

Strep impetigo (ICD-10 L01) - kwambiri opatsirana khungu matenda chifukwa cha bakiteriya Streptococcus gulu. Izo kumaonekera fliktenami (finely totupa) ndi kutupa ndi redness. magulu ili thovu kuphatikiza ndi kukula, ndipo pambuyo kuphulika kutenga malo pamene khungu akadali pinki mawanga.

mawonetseredwe Cutaneous zina zatsopano iliyonse masiku asanu kapena asanu. Achuluke kwambiri m'madera wathanzi komanso ndondomeko akuyamba kachiwiri. chithandizo choipa prophylaxis kuwonongeka zikhoza malo akulu a pakhungu. The kutanthauzira zambiri: nkhope, manja ndi zina khungu poyera.

Mu khungu ndi mitundu zotsatirazi streptococcal impetigo: bullous, annular, kagawo woboola pakati, ndi turniol (matenda msomali zitunda), streptococcal intertrigo ndi posterozivny syphilide.

amachititsa impetigo

Waukulu matenda wothandizila amaonedwa kukhala streptococci ndi staphylococci. njira ya HIV - funsani, kudzera mwa zonyansa, zidole, zovala ndi zinthu zina zapakhomo. The malowedwe a mabakiteriya mwa mucosal zotheka ngati iwo kuonongeka, monga ming'alu kapena zimakhalapo.

Strep impetigo ana kumachitika ndi maziko a atopic dermatitis, chikanga, matupi awo sagwirizana kukhudzana dermatitis, kuyambira chitetezo cha m'thupi kale kusweka. Maceration wa khungu, hyperhydrosis (thukuta), kapena otitis rhinitis ndi kumaliseche profuse komanso ndi zinthu yabwino kwa maonekedwe a matenda. Makolo a ana amatchedwa strep impetigo "njenjete", chifukwa ana a gulu, zimafalikira ndi liwiro chodabwitsa.

zizindikiro

Izo zonse akuyamba ndi maonekedwe a khungu mawanga yaing'ono utoto. Patapita maola angapo pa malo awo thovu kuoneka, koma kuchulukana sinditi kulikonse - izo phlyctenas. Mu stepi ino, thovu ndi mavuto, madzimadzi kuti ali m'kati. Koma mzikiti awo zikukhazikitsa pa nthawi, ndi kukhala mitambo ndi kutembenukira zili mu mafinya. Kuyambira pamenepa pali zitsanzo ziwiri: ndi mafinya uphwetsa ndi khungu chikasu kapena zofiirira crusts kapena vesicles zokha anatsegula, madzi umayenda mafinya, kusiya zilonda. Pambuyo machiritso onse kapena peel bulauni pa khungu nthawi zina kukhala wofiirira mawanga.

Staphylococcal impetigo kumatenga palibe mankhwala (chimodzi mkombero phlyctenas) masiku asanu ndi awiri. totupa The nthawi ili m'madera lotseguka thupi: nkhope, mikono, pamimba ndi kumbuyo. Phlyctenas anakonza conglomerates ndipo amakonda kuphatikiza. Popeza mwanayo Ndiyokandika, ndiye iye akuchita matenda m'thupi mwanu. Ngati pali chithandizo chokwanira cha matenda chimadutsa mwezi, ndipo alibe kusiya zotsatira zodzikongoletsera.

diagnostics

Dermatologist tingadziwire ndi matenda zizindikiro strep impetigo. chikopa chithunzi (dermoscopy) ndi kuphunzira acidity ake koma kukhulupirira matenda. Kukhala winawake wa etiology matendawa, nkhani za mbale anali chifesedwa mu chikhalidwe sing'anga, ndi pamene njuchi mabakiteriya kukula - unachitikira maso ake.

Kukachitika kuti matenda zambiri recurs, n'zomveka kuti nidzitamandira pa immunologist, kotero kuti muphonye zakusokonenezedwa kwambiri. Cutaneous matenda bakiteriya - ichi ndi belu choyamba, kusonyeza lonse vuto.

Madokotala mu ndondomeko ya kutolera mfundo za matenda n'kofunika kusiyanitsa izo kwa folliculitis, sycosis, zotukwana impetigo, mliri pemphigus, nsungu simplex, chikanga Dyuringa. Kukomoka iwo amafanana strep impetigo. Photo-kuonongeka khungu ndi magnification mkulu limathandiza kusiyanitsa matenda Chrixitu.

annular impetigo

matenda limayamba ndi maonekedwe a vesicles yaing'ono lathyathyathya kuti ali odzazidwa ndi madzi kale loipa. Iwo mofulumira kukula mu kupingasa, kufalikira kwa mbali wathanzi, koma adzauma pakati kupanga kutumphuka bulauni. Choncho, pofika kumapeto kwa phlyctenas matenda ndi mawonekedwe a mphete. Nthawi zina, chitsanzo cha totupa kakufanana ndi korona.

M'mbali zina zonse akufanana matenda zambiri strep impetigo. Akatswiri kusiyanitsa fomu iyi ndi nsungu zoster, erythema multiforme, ndi Duhring dermatitis.

bullous impetigo

Nthumwi causative ndi streptococcus, koma nthawi zina, odwala anafesa ndi Staphylococcus. mabakiteriya kulowa thupi kudzera pakhungu macerated. Izi zimachitika nthawi zambiri m'chilimwe. mabuku anafotokoza mliri lonse la matenda amuna.

Features kuti kusiyanitsa bullous impetigo ndi strep, kwenikweni mawonekedwe a zotupa a. vesicles lalikulu (mpaka masentimita awiri) ali wa mawonekedwe hemispherical ndi wodzazidwa ndi madzi amatope wothira magazi. Favorite kutanthauzira kwa phlyctenas - dzanja ndi mwendo m'munsi. Mozungulira zotupa anaona kutupa ndi kutupa ziwiya lymph. Zizindikiro Local limodzi chamoyo ambiri anachita: malungo, kupweteka kwa mutu, kuchuluka leukocytes ndi ESR (erythrocyte sedimentation mlingo) mu kusanthula ambiri magazi.

Poyerekeza ndi matenda ena apakhungu bullous impetigo amapezeka ngakhale kwambiri.

Streptogennaya Zayed

Izi impetigo streptococcal, amene akufotokozera mu ngodya m'kamwa ndi mapangidwe thovu laling'ono mosabisa, serous madzimadzi odzazidwa choyamba, kenako mafinya. Chifukwa zoopsazo zonse (panthawi chakudya, kukambirana) phlyctenas adatseguka, ndipo mu malo awo pali ming'alu. Ngati matenda ikulira, ndiye ming'alu ndithu kwambiri ndi chopweteka. Monga mwana perleches zambiri anawathetsa akuyambiranso. Izi amagwirizana ndi pamlingo wochepa ukhondo ndi kupanda mavitamini a gulu B, ndi kukhalapo kwa matenda monga matenda a shuga.

Kusiyanitsa perleches ndi chancre, oyambirira kobadwa nako chindoko syndrome Plummer - Vinson. Pakuti matenda oyamba awiri yodziwika ndi zabwino serological mayesero kwa chindoko ndi kukhalapo kwa zizindikiro zina, syndrome Plummer a - Vinson limodzi hypochromic magazi m'thupi, dysphagia, glossitis ndi stomatitis, zimene sizili mu streptococcal kumangako.

Pamwamba felon (turniol)

matenda ndi zosinthika a impetigo bullous ndipo limapezeka wodzigudubuza okolonogtevogo. chikuoneka chikwiyire kuvulala, burrs, zimakhalapo kuti ali ndi kachilombo streptococcus ndi abscess. Thovu imakonzedwa mu horseshoe ozungulira msomali mbale pa manja ndi mapazi. Zimakhala kulowerera olekanitsidwa chala chimodzi ndi ambiri, kuphimba dzanja lonse.

Thovu kukula mu kupingasa, ndi wodzazidwa ndi nkhani serous kapena purulent. Ngati kuwonongeka kapu ya kuwira ndi kukokoloka kuti zinadzakuta ndi kutumphuka ndi. Ngati matenda bwino, zilonda zonse kuchiritsa, koma nthawi zina, matenda likulowerera zambiri za msomali mpaka kukanidwa kwake. Pambuyo pa zimenezi, mabakiteriya inafikira lymphatic ndi magazi zotengera.

Pamwamba felon ayenera kuwasiyanitsa ku chancre-felon, zitunda candidiasis msomali ndi dermatitis Allopo. The chancre a chindoko chachikulu ndi mawu, kotero izo ziyenera ake zizindikiro zokha khalidwe: lolemera pabuka-bluish kukwezedwa ndi chilonda pakati. Komanso wodwalayo zizindikiro zina chindoko. Candidiasis msomali masikono kumasonyeza kuchepetsa zokhudza zonse chitetezo chokwanira. Kutupa kwa zimakhala chala Pankhaniyi palibe zikhadabo zauve-bulauni mtundu, ndi kumaliseche osefukira anapeza bowa.

Posterozivny sifiloid

Kapena matenda ena Sevestra-Jacques. Ndi ambiri mwa makanda a onenepa. Chifukwa cha kuchuluka kwa m'makwinya a makolo Sizotheka khalidwe kusamalira iwo, choncho pali malo a khungu maceration ndi mkwiyo.

The chizindikiro chachikulu cha matenda - kuoneka zidzolo pa matako, amene pambuyo kutsegula kukokoloka kwa nkhokwe, wazunguliridwa ndi korona wa maselo exfoliated khungu. Nthawi patsogolo phlyctenas akhoza udzakhazikitsidwe pa nsana ndi ntchafu mkati, kuphatikiza, n'kupanga chodabwitsa arched mawonekedwe.

Patapita nthawi, malo osefukira walowerera, ndipo mmalo mwawo amaoneka papules. Pambuyo chigamulocho wa totupa, ndicho, machiritso a zilonda, nthaŵi zambiri amakhalabe mawanga mdima. Chifukwa cha zochuluka pa zinthu morphological Sizotheka matenda mu nthawi.

matenda masiyanidwe zikuphatikizapo papular syphilides ndi tizilombo tating'onoting'ono chikanga. Mbali yoyamba pali zabwino Wassermann anachita, ndipo chachiwiri - akumvera miyambo ya polymorphic totupa palibe redness. Komanso, papules ndi vesicles ndi chikanga tating'onoting'ono si kuphatikiza ndi mzake.

chithandizo

Pali mfundo za mankhwala streptococcal kukuthandizani troubleshoot ndi strep impetigo. Chithandizo ikuchitika ndi mankhwala antibacterial ndi disinfectants apakhungu. Ngati totupa zinthu payekha, iwo angathe kuchizidwa ndi aniline utoto: wanzeru zobiriwira kapena fukortsinom. Wogwira ndi ntchito mafuta maantibayotiki ( "Oksikort", "Dermazolon", "neomycin" ndi ena). Ngati mukufuna kugawira phlyctenas pa malo akulu a pakhungu angathe kuchizidwa strep impetigo resorcinol odzola.

Piritsi mankhwala mankhwala ndi abwino Zikavuta ndiponso musabise kawirikawiri matenda. Ndiponso, zina bracing Kwalamulidwa mankhwala. Izo sizitero mwapadera strep impetigo ana. Chithandizo ali yemweyo, koma patsogolo ntchito mafuta n'kofunika kudikira mowiriza kung'ambika thovu ndi kuonetsetsa kuti mwana si mwaukhondo khungu.

Kuvomereza ndi kupewa

Monga zodzitetezera ayenera kuphunzitsidwa chikhalidwe ukhondo. Ana ndi akulu amalangizidwa kuti kunyowetsa m'dera zinkakhala pa lipole. onse miyeso zotsatilazi ziyenela kuyan'anidwa:

- musayandikire ana ena;
- kugwiritsa ntchito Chalk osiyana kusamba ndi kusintha zofunda ndi kabudula nthawi;
- azindikire wodwala anapereka mbale.

Ngati mukhala mwa malamulo amenewa, ngakhale m'banja kapena mu gulu la ana matenda sadzakhala kufalikira. Pofuna kuteteza matenda, musanyalanyaze munthu ukhondo, nthawi zonse mosamala kusamalira zokhumudwitsa zimakhalapo, ndipo musawaletse chipeso khungu pa zotupa. Kobwereza strep impetigo - vuto kuti akufotokozera chifukwa cha kuchepa kukaniza thupi. Kukumbukira zimenezi ndipo penyani thanzi lanu.