Throat impetigo: Oonobangela and Treatment

Throat impetigo kuyinto ikuyo kubantu abane eluswini ubuncwane and sensitive. Esi sifo ngokuqhelekileyo sisiphumo yococeko amahlwempu, edla ngokwenzeka kubantwana, ingakumbi kwezi nyanga zishushu.

definition

Throat impetigo (ICD-10 L01) - isifo solusu esosulelayo kakhulu ezibangelwa igciwane iqela iStreptococcus. Oku kubonakala fliktenami (luyacolwa ufunga) kunye ukufukuka kunye bomvu. Amaqela Ifunyanwa amaqamza hlanganisa kwaye zikhula, yaye emva iqhuma zenzeke, ngoxa isikhumba kusekho iindawo ezipinki.

obubonakala Cutaneous ziyahlaziywa zonke iintsuku ezintlanu okanye ezintandathu. Gcobisa ngokukhawuleza kwi ariya enempilo, inkqubo iqala kwakhona. unyango engafanelekanga kunye prophylaxis komonakalo kunokubangela indawo enkulu yesikhumba. Le kwasendaweni kakhulu rhoqo: ubuso, izandla, iingalo kunye nezinye yomzimba.

Xa dermatology ezi ntlobo zilandelayo impetigo streptococcal: bullous, thunzi, ezimilise-slot, kunye turniol (ukugula iinzipho nasentshonalanga), intertrigo streptococcal kunye syphilide posterozivny.

Wenza impetigo

-Arhente engundoqo esosulelayo zithathwa streptococci kunye staphylococci. indlela yokudlulisela - qhagamshelana, ngokusebenzisa amdaka ngezandla, izinto zokudlala, iimpahla kunye nezinye izinto zasekhaya. Ukungena iintsholongwane ngokusebenzisa mucosal kunokwenzeka kuphela xa zonakele, ezifana iintanda okanye imikrwelo.

Throat impetigo kubantwana kwenzeka ngokuchasene nentsukaphi atopic dermatitis, nangokhwekhwe, negazi zoqhagamshelwano dermatitis, ekubeni amajoni omzimba sele sengozini. Maceration yesikhumba, hyperhydrosis (ukubila), okanye nokuthimliswa otitis ukubhobhoza lweenkcukacha nayo imiqathango efanelekileyo imbonakalo sifo. Abazali babantwana abasebancinane kuthiwa throat impetigo "amanundu", ngoba abantwana esihlanganyelweyo, lithe laqhenqetha ngesantya emangalisayo.

iimpawu

bonke Iqala ukubonakala eluswini amabala obudaywe encinane. Emva kweeyure ezimbalwa indawo yabo amaqamza kuvela, kodwa ukuxinana akayi naphi - it phlyctenas. Kulo nyathelo, amadlu kunzima, kulwelo ukuba ngaphaya. Kodwa ke uThixo amajukujuku lawo elihlala phezu kwexesha, nibe enamafu ujikajikana imixholo ibe ubofu. Ukusuka kule ndawo kukho nemizekelo emibini kunokwenzeka: ubomvu womisa esikhumba soma ezityheli okanye zibrawuni okanye vesicles ngokuzenzekelayo kuvulwa, ulwelo iqukuqela ubomvu, eshiya izilonda. Emva kokuba bonke impiliso okanye Ixolo emdaka ulusu ixesha elithile kuhlala amabala purple.

impetigo Staphylococcal awutsali unyango (umjikelo omnye phlyctenas) iintsuku ezisixhenxe. Yabangxamayo lidla ibekwe kwiindawo ezivulekileyo umzimba, ubuso, iingalo, esisu kunye umva. Phlyctenas amalungiselelo conglomerates kwaye bayathanda uhlanganise. Ekubeni umntwana phina, ngoko ke uthwele usulelo emzimbeni wakho. Ukuba kukho unyango olwaneleyo sifo kugqitha kule nyanga, kwaye angazishiyi ngasemva nempembelelo izithambiso.

ekuxilongweni

Wesikhumba uyakwazi ukubona yi lwezonyango iimpawu throat impetigo. yesikhumba photo (dermoscopy) kwaye bafunde nomfutho walo ukuqinisekisa kuphela uxilongo. Ukuze sibe ethile umyalezo esi sifo, okubhalwe ezineengqayi bahlwayelweyo kwinkcubeko medium, kwaye xa elo thanga iintsholongwane ikhula - kuqhutywa ngemicroscope yakhe.

Kwimeko ukuba isifo kubuye, iyavakala ukuba avavanywa kwi engokuthintelwa, ukuze miss yanyhashwa. Izifo Cutaneous bacteria - oku kwentsimbi yokuqala, ebonisa isikali le ngxaki.

Oogqirha inkqubo yokuqokelela ulwazi malunga nesifo kuyimfuneko ukuba yokuzohlula folliculitis, sycosis, impetigo nekrwada, ubhubhane pemphigus, herpes simplex, nangokhwekhwe Dyuringa. Ngokwezonyango ziyafana throat impetigo. isikhumba Photo-ezonakeleyo kunye ukukhulisa eliphezulu kunceda ukwahlula esi sifo ukusuka kwenye.

impetigo thunzi

Esi sifo luqala imbonakalo vesicles ezincinane ezimcaba zizaliswe ulwelo sobumnyama. Bakhawuleza ukukhula ububanzi, badlulela kwimimandla usempilweni, kodwa koma kwiziko ukwenza uqweqwe emdaka. Ngoko ke, yi ekupheleni phlyctenas izifo indlela amakhonkco. Kwezinye iimeko, ngokomfanekiso yabangxamayo kufana nesidanga.

Kuzo zonke ezinye iinkalo ifuze sifo ngokuqhelekileyo throat impetigo. Iingcali ezohlula le fomu nge herpes zoster, erythema multiforme, kunye dermatitis Duhring.

impetigo bullous

Iarhente causative yi iStreptococcus, kodwa kwezinye iimeko, izigulane ekuhlwayeleni kunye Staphylococcus. Le ntsholongwane ngenisa emzimbeni ngesikhumba macerated. Oku kwenzeka kakhulu kaninzi ehlotyeni. Le ncwadi ichaza yonke bhubhani esi sifo ebantwini.

Iimpawu ezahlula impetigo bullous kunye throat, oko ikakhulu uhlobo nerhashalala. vesicles enkulu (ukuya neesentimitha ezimbini) zenziwe imilo hemispherical kwaye ezaliswe ulwelo anodaka ugalelwe igazi. kwasendaweni oluthandayo phlyctenas - ngesandla kunye umzantsi womlenze. Ehlabathini ezitshangubeni ewayo saphawula kunye nokudumba kweenqanawa nkovu le. Iimpawu Local ephilayo ehamba indlela jikelele: nangecesina, intloko ebuhlungu, leukocytes eyonyukileyo kunye ESR (neentlenge rate erythrocyte) ekuhlalutyeni egazini jikelele.

Xa kuthelekiswa nezinye izifo ulusu impetigo bullous kwenzeka nzima.

Streptogennaya Zayed

Le impetigo streptococcal, leyo senzeka iimbombo umlomo kunye nokusekwa ngamaqamza ezincinane tyaba, serous ulwelo-ezaliswe kuqala, kulandele ubomvu. Ngenxa ukuze azotywe rhoqo (esidlweni, incoko) phlyctenas livulekile, yaye indawo yazo kukho ukuqhekeka. Ukuba isifo iyasebenza, ngoko ke neentanda kakhulu enzulu buhlungu. Njengoko umntwana perleches badla ziphinde zenzeke. Oku ezinxulumene amaqondo aphantsi ucoceko kunye nokungabikho iivithamini kwiqela B, kwaye kukho izifo ezifana neswekile.

Umahluko perleches ne chancre, ekuqaleni iziphene negcushuwa syndrome Plummer - Vinson. Kuba izifo zokuqala ezimbini uphawuleka HIV iimvavanyo ze-serological ukuba ngegcushuwa kunye ubukho ezinye iimpawu, syndrome Plummer kaThixo - Vinson ikhatshwe anemia hypochromic, dysphagia, glossitis kunye stomatitis, ezingahambelani streptococcal ayikokubambana ngendlela.

Umphezulu felon (turniol)

Esi sifo eyongeziweyo lobeko lwe impetigo bullous kwaye livela roller okolonogtevogo. bembonakalo yayo ukumqumbisa umenzakalo, Isipha, kunye imikrwelo ukuba usulelwe iStreptococcus ithumba. Amaqamza akhe intsimbi yehashe ezingqonge kwipleyiti isikhonkwane phezu izandla neenyawo. Kunokuba kuba ukubandakanyeka eqhelile umnwe omnye yaye abantu abaninzi, nesigubungelo lonke ngesandla.

Amaqamza bekhula ububanzi uzaliswe imixholo serous okanye ubovu. Ukuba isiciko umonakalo kwiqamza na ukhukhuliseko ekugqibeleni wambu uqweqwe. Ukuba isifo buthi, ukuphilisa zonke izilonda, kodwa kwiimeko ezinqabileyo, usulelo ingena nzulu isikhonkwane de azikhabe. Emva koku, le bhaktheriya emithanjeni emithanjeni negazi.

Umphezulu felon kufuneka ahluka ukusuka chancre-felon, nakummango candidiasis isikhonkwane kunye dermatitis Allopo. Le chancre of negcushuwa ephambili kubonisa, ngoko uneempawu yayo iimpawu: enzima ukuphakama sayingqombela-esiluhlaza kunye isilonda elisembindini. Ukongeza, ogulayo ezinye iimpawu negcushuwa. Candidiasis nail imiqulu kubonisa yokunciphisa nezifo lwenkqubo. Ekweneni kwinyama lukabhontsi kule meko nakwiinzipho ndingekho umbala omdaka-mdaka, yaye ukukhutshwa ukhukhuliseko wafumana obude.

Posterozivny sifiloid

Okanye esinye isifo Sevestra-Jacques. Kuyinto eqhelekileyo kakhulu Badle utyebile. Ngenxa yenani elikhulu ezibayeni zempahla abazali akusoloko ukunakekelwa kunokwenzeka kubo, ngoko kukho iindawo maceration ulusu kunye ukuluma.

Uphawu iphambili izifo - ukuvela kwamaqhakuvana ezinqeni, leyo emva kokuvula i-ukhukuliseko loovimba, singqongwe isithsaba iiseli yesikhumba exfoliated. Kwiimeko advanced phlyctenas kungenziwa akhiwe ngasemva namathanga angaphakathi, hlanganisa, ukwakha imilo engaqhelekanga enhle.

Emva kwexesha elithile, indawo ukhukuliseko ngokunyebelezela, kwaye endaweni yazo kuvela papules. Emva kokuba isisombululo yabangxamayo, oko kukuthi, ukuphiliswa izilonda, ngokufuthi kuhlala iindawo ezimnyama. Ngenxa yentabalala izinto morphological akusoloko kusenzeka ukuba ukuhlola sifo kwexesha.

diagnosis umahluko kuquka syphilides papular kunye nerhashalala ngeentsholongwane. Kwimeko yokuqala kukho positive Wassermann reaction, kwaye eyesibini - phantsi kwezakhi yabangxamayo polymorphic akukho bomvu. Ngaphezu koko, papules kunye vesicles kunye nerhashalala ngeentsholongwane ukuhlanganisa kunye nabanye.

unyango

Kukho imigaqo jikelele unyango streptococcal ukukunceda troubleshoot kunye throat impetigo. Unyango lwenziwa iziyobisi antibacterial kunye izibulali mlonyeni. Ukuba ngaba izinto ukujaduka ngabanye, ukuba aphathwe kunye iidayi aniline: oluhlaza okuqaqambileyo okanye fukortsinom. Kwakhona ngempumelelo kukusetyenziswa Amafutha zintsholongwane ( "Oksikort", "Dermazolon", "neomycin" kunye nabanye). Ukuba ukuhambisa phlyctenas kwiindawo ezinkulu isikhumba zinokunyangwa throat impetigo resorcinol yokuthambisa.

YeCwecwe therapy zintsholongwane ilungele kwiimeko kakhulu kunye likakade rhoqo kwesi sifo. Ngaphezu koko, bracing eyongezelelweyo emiselweyo iziyobisi. Ayenzi ngokwesiseko impetigo throat ezahlukeneyo ebantwaneni. Unyango into efanayo, kodwa ngaphambi kokuba isicelo yamafutha kuyimfuneko ukulindela asike yezizwe amaqamza kwaye uqinisekise ukuba umntwana echazwayo isikhumba.

Iingcebiso kunye nokuthintela

Njengoko amanyathelo othintelo kufuneka zifundiswe nesiko lococeko. Abantwana kunye nabantu abadala bayacetyiswa ukuba umanzi kummandla ochaphazelekayo ngethuba lenkqubo impiliso. yonke le manyathelo alandelayo kufuneka iqalwe:

- kuphephe ukudibana nabanye abantwana;
- sebenzisa izincedisi ebhafini ezazinemidla kunye notshintsho zokulala kunye impahla rhoqo;
- ukuchonga isigulana isethi izitya.

Ukuba nina nithe nahlala le mithetho, mhlawumbi phakathi usapho okanye iqela labantwana esi sifo siya asiqhenqethanga. Ukwenzela ukuthintela usuleleko, wenze ngococeko ukukulibala, soloko ukuphatha ngenyameko zihlikihlana kunye imikrwelo, yaye musa ukuzama ahla ulusu ngexesha izilonda. Phindaphinda throat impetigo - kwingxaki ukuvela ngenxa ukuhla ukuxhathisa komzimba. Gcina oku engqondweni kwaye ubukele impilo yakho.