Matenda oopsa

Toxic shock syndrome ndi matenda owopsa omwe amaphatikizapo malungo, mantha, komanso mavuto okhala ndi ziwalo zingapo za thupi.

Matenda oopsa amayamba chifukwa cha poizoni wopangidwa ndi mitundu ina ya mabakiteriya a staphylococcus. Vuto lofananalo, lotchedwa poizoni-ngati syndrome (TSLS), limatha kuyambitsidwa ndi poizoni wochokera ku mabakiteriya a streptococcal. Sikuti matenda onse a staph kapena strep amayambitsa poizoni.

Matenda oyambitsidwa ndi poizoni amakhudza azimayi omwe amagwiritsa ntchito tampons panthawi yomwe akusamba. Komabe, masiku osachepera theka la milandu amalumikizidwa ndi kugwiritsa ntchito tampon. Matenda oopsa amatha kupezeka ndi matenda akhungu, kutentha, komanso pambuyo pa opaleshoni. Vutoli likhoza kukhudzanso ana, amayi omwe atha msambo, komanso abambo.

Zowopsa ndi izi:

• Kubereka kwaposachedwa
• Matenda ndi Staphylococcus aureus (S aureus), omwe amatchedwa matenda a staph
• Matupi akunja kapena mapaketi (monga omwe amagwiritsidwa ntchito poletsa kutuluka magazi) mkati mwa thupi
• Msambo
• Opaleshoni yaposachedwa
• Kugwiritsa ntchito tampon (ndi chiopsezo chachikulu ngati mungasiye imodzi kwa nthawi yayitali)
• Matenda opweteka pambuyo pa opaleshoni

Zizindikiro zake ndi izi:

• Kusokonezeka
• Kutsekula m'mimba
• Kumva kudandaula
• Kupweteka mutu
• Kutentha kwakukulu, nthawi zina kumatsagana ndi kuzizira
• Kuthamanga kwa magazi
• Kupweteka kwa minofu
• Nseru ndi kusanza
• Kulephera kwa thupi (nthawi zambiri impso ndi chiwindi)
• Kufiira kwa maso, mkamwa, mmero
• Kugwidwa
• Kutupa kofiira komwe kumafalikira komwe kumawoneka ngati kotentha ndi khungu - khungu limayamba pakadutsa sabata limodzi kapena awiri zitachitika zotupa, makamaka pazikhatho kapena pansi pa mapazi

Palibe mayeso amodzi omwe angadziwe matenda owopsa.

Wothandizira zaumoyo adzawona izi:

• Malungo
• Kuthamanga kwa magazi
• Zotupa zomwe zimatuluka pakatha milungu 1 mpaka 2
• Mavuto ndi ntchito ya ziwalo zosachepera zitatu

Nthawi zina, zikhalidwe zamagazi zitha kukhala zabwino pakukula kwa S aureus kapenaStreptoccus pyogenes.

Chithandizo chimaphatikizapo:

• Kuchotsa zida, monga tampons, masiponji azimayi, kapena kulongedza m'mphuno
• Ngalande zamatenda opatsirana (monga chilonda cha opaleshoni)

Cholinga cha chithandizo ndikuteteza ntchito zofunika mthupi. Izi zingaphatikizepo:

• Maantibayotiki a matenda aliwonse (atha kuperekedwa kudzera mu IV)
• Dialysis (ngati mavuto a impso alipo)
• Zamadzimadzi kudzera mumtsempha (IV)
• Mankhwala ochepetsa kuthamanga kwa magazi
• Mitsempha ya gamma globulin yoopsa kwambiri
• Kukhala m'chipinda cha odwala mwakayakaya (ICU) powunika

Matenda oopsa akhoza kukhala owopsa mpaka 50% ya milandu. Vutoli limatha kubwerera kwa omwe adzapulumuke.

Zovuta zingaphatikizepo:

• Kuwonongeka kwa thupi kuphatikiza impso, mtima, ndi chiwindi kulephera
• Chodabwitsa
• Imfa

Toxic shock syndrome ndimwadzidzidzi pachipatala. Funsani chithandizo chamankhwala nthawi yomweyo ngati mwayamba kuchita zotupa, kutentha thupi, ndikudwala, makamaka pakusamba ndi kugwiritsa ntchito tampon kapena ngati mwachitidwapo opaleshoni yaposachedwa.

Mutha kuchepetsa chiopsezo chanu chakumapeto kwa msambo pochita izi:

• Kupewa ma tampon oyamwa kwambiri
• Kusintha ma tampon pafupipafupi (osachepera maola 8)
• Kugwiritsa ntchito tampons kamodzi kwakanthawi mukakhala kusamba

Staphylococcal poizoni mantha syndrome; Matenda owopsa ngati mantha; TSLS

• Thupi labwinobwino la chiberekero (gawo lodulidwa)
• Mabakiteriya

Gardella C, Eckert LO, Lentz GM. Matenda opatsirana pogonana: maliseche, nyini, khomo pachibelekeropo, matenda owopsa, endometritis, ndi salpingitis. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: chap 23.

Kroshinsky D. Macular, papular, purpuric, vesiculobullous, ndi matenda am'mimba. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chaputala 410.

Larioza J, Brown RB. Matenda oopsa. Mu: Kellerman RD, Rakel DP, olemba., Eds. Therapy Yamakono ya Conn 2020. Philadelphia, PA: Elsevier 2020: 649-652.

Que YA, Moreillon P. Staphyloccus aureus (kuphatikizapo staphyloccocal toxic shock syndrome) Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 194.