Perianal streptococcal cellulitis
Perianal streptococcal cellulitis ndi matenda a anus ndi rectum. Matendawa amayamba chifukwa cha mabakiteriya a streptococcus.
Perianal streptococcal cellulitis nthawi zambiri imachitika mwa ana. Nthawi zambiri imawoneka mkati kapena pambuyo pa strep throat, nasopharyngitis, kapena matenda a khungu la streptococcal (impetigo).
Khungu lozungulira anus limatha kutenga kachilomboka mwana akamapukuta malowa atagwiritsa ntchito chimbudzi. Matendawa amathanso kubwera chifukwa cholanda malowo ndi zala zomwe zili ndi bakiteriya mkamwa kapena mphuno.
Zizindikiro zimaphatikizapo:
- Malungo
- Kuyabwa, kupweteka, kapena kutuluka magazi ndi matumbo
- Kufiira mozungulira anus
Wothandizira zaumoyo adzawunika mwanayo ndikufunsa za zizindikilozo.
Mayeso omwe angachitike ndi awa:
- Chikhalidwe chosasintha
- Chikhalidwe cha khungu kuchokera kumadera ozungulira
- Chikhalidwe cha pakhosi
Matendawa amachiritsidwa ndi maantibayotiki kwa masiku pafupifupi 10, kutengera momwe akugwirira ntchito komanso mwachangu. Penicillin ndi mankhwala omwe amagwiritsidwa ntchito kwambiri kwa ana.
Mankhwala apakhungu amatha kupakidwa pakhungu ndipo amagwiritsidwa ntchito kwambiri ndi maantibayotiki ena, koma sayenera kukhala mankhwala okhawo. Mupirocin ndi mankhwala wamba omwe amagwiritsidwa ntchito potere.
Ana nthawi zambiri amachira mwachangu atalandira mankhwala. Ndikofunika kulumikizana ndi omwe amakupatsani ngati mwana wanu sachira posachedwa maantibayotiki.
Zovuta ndizosowa, koma zingaphatikizepo:
- Zilonda zam'mimba, fistula, kapena abscess
- Kutuluka magazi, kutulutsa
- Magazi kapena matenda ena a streptococcal (kuphatikiza mtima, olowa, ndi mafupa)
- Matenda a impso (pachimake glomerulonephritis)
- Matenda owopsa pakhungu komanso khungu lofewa (necrotizing fasciitis)
Itanani yemwe amakupatsani mwana wanu ngati mwana wanu akudandaula zowawa m'dera lamankhwala, matumbo opweteka, kapena zizindikilo zina za perianal streptococcal cellulitis.
Ngati mwana wanu amamwa maantibayotiki chifukwa cha vutoli ndipo dera lofiira limakulirakulira, kapena kusapeza bwino kapena malungo akuwonjezeka, itanani omwe akukuthandizani nthawi yomweyo.
Kusamba m'manja mosamala kumathandiza kupewa izi ndi matenda ena obwera chifukwa cha mabakiteriya onyamula mphuno ndi pakhosi.
Pofuna kuti vutoli lisabwerere, onetsetsani kuti mwana wanu amaliza mankhwala onse omwe woperekayo akumupatsirani.
Streptococcal proctitis; Proctitis - streptococcal; Perianal streptococcal dermatitis
Paller AS, Mancini AJ. Bakiteriya, mycobacterial, ndi matenda a protozoal pakhungu. Mu: Paller AS, Mancini AJ, eds. Matenda Ovulaza Achipatala a Hurwitz. 5th ed. Philadelphia, PA: Elsevier; 2016: chap 14.
Shulman ST, Wobwerera CH. Streptococcus gulu A. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: mutu 210.