Strep impetigo: Izimbangela Nezingozi Ukwelashwa

Strep impetigo kuyinto ikuyo yonke indawo abantu abanesikhumba obucayi ebucayi. Lokhu ukutheleleka ngokuvamile kuwumphumela ukungahlanzeki, kaningi kwenzeka nezingane, ikakhulukazi phakathi nezinyanga zasehlobo ezifudumele.

definition

Strep impetigo (ICD-10 L01) - a esithathelanayo kakhulu isikhumba Isifo esibangelwa igciwane Streptococcus iqembu. It kubonakala fliktenami (fake ukuqubuka) ne ukuvuvukala kanye ububomvu. amaqembu Kutholwe Bubbles uhlangane futhi ikhule, futhi ngemva iqhuma zenzeke, kuyilapho isikhumba esebomvana izindawo.

ukubonakaliswa Cutaneous ishintsha njalo izinsuku ezinhlanu noma eziyisithupha. Sabalalisa ngokushesha ezindaweni enempilo, futhi inqubo iqala futhi. impatho engafanele kanye prophylaxis umonakalo kungadala endaweni enkulu isikhumba. I kwasendaweni esivamile: ubuso, izandla, izingalo kanye nezinye yomzimba.

Ngo nezesikhumba kukhona izinhlobonhlobo elandelayo impetigo streptococcal: bullous, annular, okwenyanga slot, futhi turniol (ukugula nail emikhulu), intertrigo streptococcal futhi syphilide posterozivny.

Ubangela impetigo

The main izinto ezithwala izifo abhekwa streptococci futhi staphylococci. umzila yokudlulisela - uxhumane, ngokusebenzisa ezingcolile izandla, amathoyizi, izingubo kanye nezinye izinto zasendlini. Ukungena-bacterium ngokusebenzisa mucosal kungenzeka kuphela uma ezilimele, ezifana imifantu noma imihuzuko.

Strep impetigo ezinganeni kwenzeka ngokumelene isizinda atopic dermatitis, eczema, iguliswa contact dermatitis, kusukela izivikeli mzimba isivele ayekethisa. Maceration yesikhumba, hyperhydrosis (ukujuluka), noma rhinitis otitis nge osenyameni kakhulu futhi izimo ezivuna ukubukeka kwalesi sifo. Abazali abanezingane ezincane abizwa ngokuthi strep impetigo "bhu", ngoba izingane sisonke, elulele nge ngesivinini esimangalisayo.

izimpawu

Konke iqala ukubonakala isikhumba izindawo ezincane ngokubomvu. Ngemva kwamahora ambalwa endaweni yabo Bubbles avele, kodwa ukuminyana ayiyi ndawo - ke phlyctenas. Kulo sinyathelo, Bubbles bulimele, uketshezi ukuthi ibonakala ngokucacile. Kodwa Dome yabo luhlala ngokuhamba kwesikhathi, futhi babe esinamafu futhi uphendulela okuqukethwe ku ubomvu. Kusukela leli phuzu kukhona zimo ezimbili kungenzeka: ubomvu womisa isikhumba kukhona soma ophuzi noma onsundu ngokuphaphathekile noma abe vesicles angesabi livuliwe, uketshezi ageleza ubomvu, kusale izilonda. Phela ukuphulukiswa noma ikhasi brown esikhumbeni isikhashana ahlale izindawo purple.

impetigo Staphylococcal ihlala akukho ukwelashwa (omunye umjikelezo phlyctenas) izinsuku eziyisikhombisa. Ukuqubuka ngokuvamile zitholakala ezindaweni ezivulekile zomzimba: ubuso, izingalo, esiswini nasemhlane. Phlyctenas ahlelwe conglomerates futhi zivame uhlangane. Njengoba ingane emibi ke nguye ophatha ukutheleleka emzimbeni wakho. Uma kukhona ukwelashwa okufanele lesi sifo sidlula ngenyanga, futhi akusho siyekele nomphumela yezimonyo.

ukuhlola

Udokotela Wesikhumba kungacacisa ngu emitholampilo izimpawu strep impetigo. lesikhumba isithombe (dermoscopy) futhi ukufunda asidi yayo uqinisekise uphethwe kuphela. Ukuze ezithile etiology lesi sifo, okuqukethwe izitsha eziyisikhombisa yahlwanyelwa isiko aphakathi, lapho ikoloni amagciwane sikhule - labetibambile isibonakhulu wakhe.

Esimweni lapho lesi sifo ngokuvamile ivela, kunengqondo ukuba okwaxoxwa ngaso immunologist, ukuze singathwesi miss nokwephula. izifo Cutaneous webhaktheriya - lena insimbi yokuqala, okubonisa izinga inkinga.

Odokotela enqubeni ukubuthelela ilwazi mayelana sifo kuyadingeka ukuhlukanisa ke kusukela folliculitis, sycosis, impetigo inhlamba, ubhubhane pemphigus, herpes simplex, eczema Dyuringa. Emtholampilo ziyafana strep impetigo. isikhumba Photo-ezilimele nge kokukhulisa okusezingeni eliphezulu lisiza ekuhlukaniseni sifo kusuka komunye nomunye.

impetigo annular

Lesi sifo iqala ukubonakala vesicles ezincane flat ukuthi zigcwele ketshezi Murky. Ngokushesha sikhule ngobubanzi, esakaza izingxenye enempilo, kodwa wome maphakathi ukwakha uqweqwe ensundu. Ngakho-ke, ngo-ekupheleni phlyctenas isifo isimo izindandatho. Kwezinye izimo, kwephethini ukuqubuka sifana wezimbali.

Kuzo zonke ezinye izici ungathi isifo ngokuvamile strep impetigo. Ochwepheshe ukuhlukanisa leli fomu nge-herpes zoster, erythema multiforme, futhi dermatitis Duhring.

impetigo bullous

I-ejenti causative kuyinto streptococcus, kodwa kwezinye izimo, iziguli owahlwanyela futhi Staphylococcus. Kamuva amagciwane angena emzimbeni ngesikhumba macerated. Lokhu kwenzeka ngokuvamile kakhulu ehlobo. Lezo zincwadi uchaza yonke Igagasi sifo amadoda.

Izici ukuthi ukuhlukanisa impetigo bullous futhi strep, ngokuyinhloko ngendlela ukuqubuka. vesicles ezinkulu (kufika ku-amasentimitha amabili) yilezi yomumo hemispherical ayigcwalisa ketshezi ezinodaka okuxutshwe negazi. kwasendaweni Izintandokazi phlyctenas - isandla nomlenze aphansi. Emhlabeni izilonda waphawula ukuvuvukala kanye ukuvuvukala lymph. izimpawu zendawo umzimba kuhambisana indlela evamile: imfiva, ikhanda, leukocyte anda ESR (erythrocyte sedimentation izinga) ku jikelele igazi ukuhlaziywa.

Uma uqhathaniswa nezinye izifo zesikhumba impetigo bullous kwenzeka nakakhulu.

Streptogennaya Zayed

Lokhu impetigo streptococcal, okuyinto eba ezisemagumbini emlonyeni lapho kumiswa Bubbles ezincane flat, serous uketshezi ligcwaliswe kuqala, kulandele ubomvu. Ngenxa ukuhlukumezeka njalo (esidlweni ingxoxo) phlyctenas livulekile, endaweni yabo kukhona imifantu. Uma lesi sifo iyasebenza, bese ayangena ngempela ejulile futhi kubuhlungu. Ngiseyingane perleches ngokuvamile ziyabuya. Lokhu lihlotshaniswa amazinga aphansi kwenhlanzeko ukuntuleka kwamavithamini yeqembu B, futhi khona izifo ezinjengesifo sikashukela.

Ukuhlukanisa perleches nge chancre, ekuseni ugcunsula azalwa naso syndrome Plummer - Vinson. Ngoba izifo ezimbili zokuqala libhekene omuhle ukuhlolwa serological ngoba ugcunsula kanye khona nezinye izimpawu, Plummer Syndrome - Vinson ephelezelwa hypochromic kwegazi, dysphagia, glossitis kanye stomatitis, okuyinto abekho streptococcal esibophezelayo.

Surface felon (turniol)

Lesisifo okuhlukile impetigo bullous futhi livela roller okolonogtevogo. Khona kanye ukubukeka kwawo sokucasuka ukulimala, burrs, nokuklwebheka ukuthi utheleleke nge-streptococcus futhi ithumba. Amagwebu ahlelwe ukhamba ezungeze ipuleti nail on ezandleni nasezinyaweni. Kungaba nokuzigaxa isehlane elilodwa umunwe futhi kusakazeke, esehlanganise lonke ngesandla.

Amagwebu sikhule ngobubanzi futhi ugcwale okuqukethwe serous noma ubovu. Uma cap umonakalo of the bubble iyona ukuguguleka ukuthi ekugcineni embozwe uqweqwe. Uma lesi sifo evumayo, zonke Izilonda okuphulukisa, kodwa ezimweni ezingajwayelekile, ukutheleleka lingena shí nail kuze kwenqatshwa yayo. Ngemva kwalokhu, ama-bacterium kwafikela lymph kanye igazi emithanjeni yakhe.

Surface felon kufanele zihlukaniswa kusukela chancre-felon, candidiasis nail emikhulu kanye dermatitis Allopo. I chancre ka ugcunsula eyinhloko uwukubonakaliswa, ngakho-ke inezimpawu ayo isici: esindayo kokuphakama ngokubomvu bluish nge isilonda maphakathi. Ngaphezu kwalokho, isiguli unezinye izimpawu ugcunsula. Candidiasis nail imiqulu siwukubonakaliswa amasosha omzimba letindzala ukunciphisa. Ukuvuvukala kwezicubu isithupha kulokhu izinzipho lingekho umbala ezingcolile ansundu, futhi ukudedelwa ukuguguleka wathola amakhowe.

Posterozivny sifiloid

Noma omunye isifo Sevestra-Jacques. Kuvamile kakhulu izinsana zokukhuluphala. Ngenxa inqwaba emphethweni abazali akwenzeki ngaso sonke isikhathi ukunakekelwa izinga ngabo, ngakho kukhona izingxenye zesikhumba maceration futhi ukuluma.

Uphawu oyinhloko sifo - ukubukeka ukuqubuka ezinqeni, okuyinto ngemuva kokuvula ukuguguleka izinqolobane, sizungezwe umqhele kunamaqoqo amangqamuzana esikhumba exfoliated. Ezimweni eziphambili phlyctenas kungenziwa esisogwini ngemuva namathanga kwangaphakathi, hlanganisa, ukwakha isimo yinqaba arched.

Ngemva kwesikhathi esithile, indawo ukuguguleka ngesinyenyela, futhi esikhundleni sabo avele papules. Ngemva isinqumo ngokuphamazela, okungukuthi, ukuphulukisa izilonda, ngokuvamile ahlale amnyama. Ngenxa eziningi kangaka izakhi morphological akusiyo njalo kungenzeka ukuxilonga izifo ngesikhathi.

Imiphumela yaloku kuhlola okungenhla Ukwahlukaniswa kuhlanganisa papular syphilides futhi eczema amagciwane abe nenkani. Esimweni sokuqala kukhona omuhle Wassermann ukuphendula, kanti eyesibili - ngaphansi izakhi yephulukundlu polymorphic kungekho ububomvu. Ngaphezu kwalokho, papules kanye vesicles nge eczema microbial Ungahlanganisi nomunye.

ukwelashwa

Kukhona imigomo ejwayelekile yokwelapha streptococcal ukusiza ukuxazulula futhi strep impetigo. Ukwelashwa Kwenziwa imithi elwa namagciwane kanye izibulali-magciwane baqonde izinto ezenzekayo. Uma izakhi ukuqubuka ngabanye, bona ingelashwa nge aniline udayi: oluhlaza brilliant noma fukortsinom. Futhi ngendlela ephumelelayo ukusetshenziswa yokugcoba-antibiotic ( "Oksikort", "Dermazolon", "neomycin" kanye nabanye). Uma usabalalisa phlyctenas ezindaweni ezinkulu zesikhumba zingelashwa strep impetigo resorcinol elangeni.

I-Tablet yokwelapha ngemithi elwa namagciwane kufanelekile ezimweni ezinzima futhi uyahluleka uma elwa nokuphuza njalo lesi sifo. Ngaphezu kwalokho, ngokubhukula ezengeziwe ebekiwe izidakamizwa. Akukona bahluke strep impetigo ezinganeni. Ukwelashwa kuyafana, kodwa ngaphambi kokufaka namafutha kuyadingeka ukulinda asike izidumbu zabantu nokuguqulwa Bubbles futhi ukuze uqinisekise ukuthi umntwana usuke engakabi ayesebenza isikhumba.

Izincomo kanye nokuvinjelwa

Njengoba izinyathelo zokuvimbela kufanele zifundiswe inhlanzeko isiko. Izingane kanye nabantu abadala weluleka hhayi ukumanzisa endaweni ethintekile ngesikhathi le nqubo zokuphulukisa. zonke izinyathelo ezilandelayo kumele waphawula:

- zigweme ukuthintana nezinye izingane;
- ukusebenzisa ehlukile okugeza izesekeli ushintsho zokulala kanye izingubo zangaphansi njalo;
- ukuhlonza isiguli setha izitsha.

Uma ziyilalele imithetho, noma emkhayeni noma ngaphakathi eqenjini lezingane sifo ngeke ukusakaza. Ukuze ukuvimbela ukutheleleka, ungalilahli ukunganakwa inhlanzeko yomuntu siqu, njalo ukuphatha ngokucophelela ezisicasulayo kanye imihuzuko, futhi ungazami nekama isikhumba ngesikhathi izilonda. Phindaphinda strep impetigo - kwetintfo esakheka ngenxa ukwehla ukumelana lomzimba. Hlale ukhumbula lokhu futhi ubuke impilo yakho.