Ukwelashwa nokuvikelwa imilenze Erysipelas

Erysipelas - isifo esithathelanayo zesikhumba webhaktheriya kubangelwa hemolytic streptococcus Iqembu, okuyinto kuhambisana ukudakwa ezinzima kanye ukuvuvukala esikhumbeni.

Lwegciwane (hemolytic streptococcus) ebangela ezinye izifo ezifana angina, kodwa akubona bonke abantu abaye baba umphimbo obuhlungu, ukuthuthukisa Erysipelas. Isizathu kungase kwehliswe amasosha omzimba, komzimba nezinto Staphylococcus, nezici ezithile ukuze lesi sifo, nezinye izinto eziningi.

Ukutheleleka kwakuyinto eyayenzeka njalo ngokuthintana, ngokusebenzisa umonakalo isikhumba esincane, ukugqoka, kusukela lwegciwane uhlala ebusweni isikhumba, kodwa iba izakhiwo pathogenic kuphela ngaphansi kwezimo ezimvunayo.

ukungcoliswa kwenzeke ngaphandle ngokusebenzisa i amathuluzi yezokwelapha ingelashwa, kanye khona indlela lymphogenous (e Erysipelas yansukuzonke).

Kwasendaweni ubuso zingahluka: ubuso, intamo, esifubeni, kodwa ngokuvamile kakhulu kuthinta nemilenze aphansi (ithole).

Erysipelas imilenze izimpawu.

Isikhathi bayashintshana ekufukameleni kwezinsuku ezimbalwa (ngokuvamile 3-4 izinsuku), nakuba izimpawu ingaqala indaba amahora. Ubucayi ukuhlukanisa ubuso imnene, ngokulinganisela futhi ezinzima. Kwasendaweni: ezenziwe zendawo, oluseqophelweni metastatic. Ngu ubunjalo ukugeleza: erythematous, erythematous-bullous, erythematous-oluhambisana futhi bullous.

Erysipelas Primary iqala ngqo nokwanda lokushisa lomzimba kuya 39-40 degrees, izimpawu zokudakwa (ubuhlungu bekhanda, ukukhathala, imisipha ubuhlungu). lezi zimpawu kungenzeka uma ezinzima njengoba Ukudlikizela, delirium, isicanucanu, ukuhlanza, njll

Ekupheleni kosuku lokuqala, futhi ngezinye izikhathi ngosuku olulandelayo wajoyina izimpawu isikhumba ukuvuvukala: ububomvu, evutha ukuzwa futhi isikhumba distention, lendawo lokushisa ukwanda (esitho ashisayo kuya touch), ephelezelwa edema.

Uma ukutheleleka itholakala ku isikhumba ebusweni, ukuvuvukala kanye ububomvu kabi Ukushintshwa, okubangela isifo lethiwa.

endaweni Eshiswa zesikhumba kuyinto abomvu, onqenqemeni yenziwe yaba yasendaweni ngokucacile nge awalethe (ukuvuvukala shaft) empambanweni azungeze, ngokuvamile ukuvuvukala eqhathaniswa amalangabi. Erysipelas olunamandla Uthatha kwezinsuku ezinhlanu kuya nanhlanu, abese eqala ukubohla ukuvuvukala uyakekela kwesikhumba livela. Kusayithi we lesion kuyinto ibala lesikhumba.

Ngo ezifweni ezimbi kakhulu kungase delaminate le epidermis (ungqimba engenhla isikhumba) futhi ugcwale okuqukethwe serous amashashazi (bullous erythematous-ifomu) noma oluhambisana okuqukethwe (ifomu bullous-oluhambisana). Ngemva kokudlulisa lezi zinhlobo ukuvuvukala singenzeka izilonda nonhealing trophic.

Uma ukuphinda Erysipelas kwenzeka ngemva kokuba ukugula acute iminyaka emibili, bese ukhulume Erysipelas yansukuzonke.

Indlela esiphatha ngayo Erysipelas izinyawo?

Ukwelashwa nokuvikelwa Erysipelas imilenze kufanele kuqale ukwehlisa izinga lokushisa komzimba antipyretics. ukwelashwa okuqhubekayo Erysipelas imilenze kwenziwe kuphela ngaphansi kokuqondisa kukadokotela. Kusukela ukuvuvukala kuyinto webhaktheriya wolimi, yelashwe ngemithi elwa namagciwane, ngokulandelana. Ukwelashwa ngokuvamile eyenziwa izidakamizwa penicillins (penicillin akuzange kusize, bicillin 5) nge amazinga okukhishwa ezinkulu, inkambo izinsuku 7-10 of. Uma Erysipelas ngokuvamile yansukuzonke ukungezwa-antibiotic ukwelashwa ukwelashwa imilenze Erysipelas ngosizo hormone (prednisolone).

Futhi, ekwelapheni ukushisa imilenze erysipilatous ngokwamukelekayo kuhlanganisa nokuphatha nezokusigcoba nge isixazululo isinqandakuvunda (isixazululo Frc).