Strep impetigo: Sanadin kuma Jiyya

Strep impetigo ne yawaita a mutane da m da m fata. Wannan kamuwa da cuta yawanci ne sakamakon matalauta kiwon lafiya, don haka sau da yawa yanayin da yara, musamman a lokacin da warmer watanni.

definition

Strep impetigo (ICD-10 L01) - sosai m fata cuta lalacewa ta hanyar kwayoyin Streptococcus kungiyar. Yana bayyana kanta fliktenami (finely rash) tare da kumburi da redness. Located kungiyoyin kumfa ci da girma, da kuma bayan da eruptions faru, yayin da fata har yanzu ruwan hoda aibobi.

Cutaneous bayyananen an sabunta kowane biyar ko shida kwanaki. Yada hanzari zuwa ga lafiya yankunan, da kuma aiwatar fara sake. Rashin magani da kuma prophylaxis lalacewa iya haifar da wani babban yanki na fata. A mafi m sarrafawa: fuska, hannaye, da makamai da kuma wasu fallasa fata.

A dermatology ne da wadannan irin streptococcal impetigo: bullous, annular, Ramin-dimbin yawa, da kuma turniol (rashin lafiya ƙusa ridges), streptococcal intertrigo da posterozivny syphilide.

sa impetigo

Babban dauke da kwayar cutar jamiái suna dauke su streptococci da staphylococci. hanya na watsa - tuntube, ta hanyar datti hannuwa, toys, tufafi da sauran iyali abubuwa. A shigar azzakari cikin farji daga kwayoyin cuta ta hanyar da mucosal yiwu ne kawai idan suna lalace, kamar fasa ko scratches.

Strep impetigo a yara faruwa da wani bango na atopic dermatitis, eczema, rashin lafiyan lamba dermatitis, tun da na rigakafi da tsarin da aka riga damuwa. Maceration da fata, hyperhydrosis (sweating), ko otitis rhinitis da profuse sallama ma sharadi gwargwado domin bayyanar cutar. Iyaye na matasa da yara da ake kira strep impetigo "asu", saboda a cikin yara na gama, shi shimfidawa da ban mamaki gudun.

cututtuka

Yana duk ta fara da bayyanar da fata na kananan m aibobi. Bayan 'yan sa'o'i a game da wurin kumfa bayyana, amma cunkoso ba za a ko'ina - shi phlyctenas. A wannan mataki, da kumfa ƙunci, da ruwa da cewa su ne m. Amma su Dome settles a kan lokaci, da kuma zama hadari, kuma ya jũya abinda ke ciki a cikin ruɓaɓɓen jini. Daga wannan lokaci akwai biyu yiwu tatsuniyoyinsu: da ruɓaɓɓen jini ta kafe, kuma fata ne rawaya ko ruwan kasa crusts ko vesicles spontaneously bude, da ruwa gudana ruɓaɓɓen jini, da barin miyakunsa. Bayan duk waraka ko ruwan kasa kwasfa a kan fata don wani lokaci kasance m aibobi.

Staphylococcal impetigo yana babu magani (daya sake zagayowar phlyctenas) har kwana bakwai. A rash ne yawanci located in bude wurare na jiki: fuska, makamai, ciki da baya. Phlyctenas shirya conglomerates kuma ayan ci. Tun lokacin da yaro karce, sa'an nan ya daukawa da kamuwa da cuta a jikin ka. Idan akwai isasshen maganin da cutar ya wuce ta wata, kuma ba ya bar baya da wani kwaskwarima sakamako.

bincikowa da

Likitan fata iya sanin da na asibiti ãyõyi strep impetigo. fata photo (dermoscopy) da kuma karatu ta acidity kawai tabbatar da ganewar asali. Don zama wani daga cikin etiology da cutar, da abinda ke ciki na vials aka sown a al'adun matsakaici, da kuma lokacin da mallaka na kwayoyin cuta girma - da aka gudanar ta hange.

A cikin taron cewa cutar sau da yawa Ɗ, shi ya sa hankali da za a surveyed a immunologist, don haka kamar yadda ba miss wani tsanani take hakki. Cutaneous kwayan cututtuka - wannan shi ne na farko kararrawa, na nuna sikelin da matsala.

Likitoci a kan aiwatar da tara bayanai game da cutar wajibi ne don bambance shi daga folliculitis, sycosis, maras ɗa'a impetigo, annoba pemphigus, herpes simplex, eczema Dyuringa. Asibiti da suka yi kama da strep impetigo. Photo-lalace fata da high magnification taimaka wajen bambanta da cutar daga juna.

annular impetigo

Wannan cuta ta fara da bayyanar kananan lebur vesicles cewa suna cike da narkakken ruwa. Su sauri girma a fadin, yada zuwa lafiya sassa, amma bushe up a cibiyar samar da wata kasa-kasa ɓawon burodi. Saboda haka, nan da karshen cutar phlyctenas da nau'i na zobba. A wasu lokuta, da abin kwaikwaya daga cikin rash yayi kama da garland.

A duk sauran madaidaci kama da cutar yawanci strep impetigo. Kwararru bambance wannan nau'i tare da herpes zoster, erythema multiforme, kuma dermatitis Duhring.

bullous impetigo

A causative wakili ne streptococcus, amma a wasu lokuta, marasa lafiya shuka da kuma staphylococcus. A kwayoyin shiga jiki ta hanyar fata macerated. Wannan na faruwa mafi sau da yawa a lokacin rani. A adabi ya bayyana dukan annoba da cutar a maza.

Features cewa bambanta bullous impetigo da strep, shi ne da farko wani nau'i na kurji. manyan vesicles (har zuwa biyu santimita) ne na hemispherical siffar da kuma cika da a cike da laka ruwa, gauraye da jini. Favorite sarrafawa na phlyctenas - hannunka da kuma ƙananan kafa. Around da raunuka lura busa da kuma kumburi daga cikin Lymph tasoshin. Local cututtuka tare kwayoyin janar dauki: zazzabi, ciwon kai, ta ƙara leukocytes da ESR (erythrocyte sedimentation rate) a cikin general jini analysis.

Idan aka kwatanta da sauran fata cututtuka bullous impetigo auku ko da wuya.

Streptogennaya Zayed

Wannan streptococcal impetigo, wanda tasowa a cikin sasanninta daga bakin da samuwar kananan kumfa lebur, serous ruwa-cika na farko, bi da ruɓaɓɓen jini. Saboda da akai rauni (a lokacin da wani abinci, tattaunawar) phlyctenas buɗe, da kuma a wurin akwai fasa. Idan cutar ne a guje, sai fasa quite zurfi da kuma mai raɗaɗi. Kamar yadda wani yaro perleches sau da yawa sake aukuwa. Wannan ake dangantawa da low matakan kiwon lafiya da kuma rashin bitamin na kungiyar B, da kuma gaban cututtuka irin su ciwon sukari.

Bambance perleches da chancre, farkon nakasar syphilis ciwo Plummer - Vinson. Domin na farko da biyu cututtuka halin da kyau serological gwaje-gwaje domin syphilis kuma a gaban sauran cututtuka, Plummer ta ciwo - Vinson tare hypochromic anemia, dysphagia, glossitis da stomatitis, wanda ba a streptococcal nauyin.

Surface felon (turniol)

Wannan cuta ne bambance-bambancen da bullous impetigo da kuma bayyana a okolonogtevogo nadi. Its bayyanar tsokani raunuka, burrs, kuma scratches cewa an kamu da streptococcus da ƙurji. Kumfa aka shirya a kofaton kewaye da ƙusa farantin karfe a kan hannuwansa da ƙafafunsa. Yana iya zama kamar saniyar ware hannu na yatsa daya da tartsatsi, rufe da dukan hannun.

Kumfa girma a fadin da kuma cika da serous ko surkin jini abinda ke ciki. Idan lalacewa hula na kumfa ne yashewa cewa ƙarshe an rufe shi da wani ɓawon burodi. Idan cutar ne m, duk da sores warkar, amma a rare lokuta, da kamuwa da cuta ke shiga da zurfi cikin ƙusa har ta kin amincewa. Bayan wannan, da kwayoyin watsu a cikin lymphatic da jini.

Surface felon kamata a iya bambanta daga chancre-felon, candidiasis ƙusa ridges da dermatitis Allopo. A chancre na farko syphilis ne mai magana, don haka shi yana da halayyar bayyanar cututtuka: m m-bluish tadawa da wani miki a cibiyar. Bugu da kari, da mãsu haƙuri yana da sauran alamu na syphilis. Candidiasis ƙusa Rolls na bayyana tsari rigakafi raguwa. Kumburi na kyallen takarda thumb a cikin wannan yanayin ne ba ya nan yatsun datti-kasa-kasa da launi, da kuma a cikin fitarwa na yashewa samu namomin kaza.

Posterozivny sifiloid

Ko wani ciwo Sevestra-Jacques. Shi ne ya fi kowa a jarirai na kiba. Saboda manyan yawan folds na iyaye ne ba ko da yaushe zai yiwu ingancin kula da su, don haka akwai yankunan da fata maceration da hangula.

Babban alama da cuta - bayyanar wani kurji a gindi, wanda bayan bude yashewa na reserves, kewaye da kambi na exfoliated fata Kwayoyin. A ci-gaba lokuta phlyctenas za a iya located a kan mayar da ciki cinyoyinsa, ci, forming wani m arched siffar.

Bayan wani lokaci, da wuri na yashewa infiltrated, kuma a cikin wurin bayyana papules. Bayan da ƙuduri na rash, cewa shi ne, da waraka daga ulcers, sau da yawa zama duhu aibobi. Saboda irin wannan mai yawa da morphological abubuwa ne ba ko da yaushe zai yiwu don gane asali da cuta a cikin lokaci.

Bambanci ganewar asali hada papular syphilides da ake dasu eczema. A cikin farko idan akwai wani m Wassermann dauki, da kuma na biyu - a karkashin abubuwa na polymorphic rash ba redness. Bugu da ƙari kuma, papules da vesicles da ake dasu eczema ba ci tare da juna.

magani

Akwai janar ka'idodinta streptococcal far ya taimake ka troubleshoot da strep impetigo. Magani ne da za'ayi tare da antibacterial kwayoyi da kuma Topical disinfectants. Idan rash mutum abubuwa, da suka za a iya bi da aniline dyes: m kore ko fukortsinom. Har ila yau tasiri ne amfani da kwayoyin man shafawa ( "Oksikort", "Dermazolon", "neomycin" da sauransu). Idan kana raba phlyctenas a kan manyan yankunan da fata za a iya bi strep impetigo resorcinol shafa fuska.

Tablet kwayoyin far ya dace a mai tsanani lokuta da kuma m, komowan cutar da cutar. Bugu da ƙari kuma, ƙarin takalmin gyaran kafa wajabta kwayoyi. Shi ya aikata ba ta sha bamban strep impetigo a yara. Jiyya ne guda, amma kafin da ake ji da man ƙanshi wajibi ne su jira maras wata-wata dissection na kumfa kuma don tabbatar da cewa yaro an ba combed fata.

Shawarwari da kuma rigakafin

Kamar yadda m matakan da ya kamata a sanar da kiwon lafiya da al'adu. Yara da kuma manya rika kada su rigar da ya shafa yankin a lokacin da waraka tsari. duk da wadannan matakai dole a lura:

- kauce wa lamba tare da sauran yara.
- yi amfani da raba wanka da na'urorin haɗi da kuma canji kwanciya da tufafi a kai a kai.
- gane da haƙuri kafa na jita-jita.

Idan ka madawwama ta wadannan dokoki, ko dai a cikin iyali, ko a cikin wani rukuni na yara da cutar ba zai yada. Domin ya hana kamuwa da cuta, ba sakaci sirri kiwon lafiya, ko da yaushe a hankali rike scrapes kuma scratches, kuma kada ka yi kokarin tsefe fata a lokacin raunuka. Dawowa strep impetigo - mai wahala da cewa tasowa saboda da rage a cikin jikin ta juriya. Ci gaba da wannan a zuciyarsa da kuma kula da lafiyar ka.