Matenda akhungu otupa

Scalded skin syndrome (SSS) ndimatenda akhungu omwe amayamba chifukwa cha mabakiteriya a staphylococcus pomwe khungu limawonongeka ndikutuluka.

Matenda akhungu amayamba chifukwa cha matenda amtundu wina wa mabakiteriya a staphylococcus. Mabakiteriya amatulutsa poizoni yemwe amawononga khungu. Kuwonongeka kumayambitsa zotupa, ngati kuti khungu lidayaka. Matuzawa amatha kupezeka kumadera akhungu kutali ndi tsamba loyambalo.

SSS imapezeka kwambiri mwa makanda ndi ana osakwana zaka 5.

Zizindikiro zimatha kuphatikizira izi:

• Matuza
• Malungo
• Madera akulu akhungu kapena khungu (exfoliation kapena desquamation)
• Khungu lopweteka
• Kufiira kwa khungu (erythema), komwe kumafalikira ndikuphimba mbali zambiri za thupi
• Khungu limachoka pang'onopang'ono, ndikusiya madera ofiira (chikwangwani cha Nikolsky)

Wothandizira zaumoyo adzayesa thupi ndikuyang'ana khungu. Mayesowa atha kuwonetsa kuti khungu limazemba likapukutidwa (chizindikiro chabwino cha Nikolsky).

Mayeso atha kuphatikiza:

• Kuwerengera kwathunthu kwa magazi (CBC)
• Zikhalidwe za khungu, mmero ndi mphuno, ndi magazi
• Mayeso a Electrolyte
• Khungu lachikopa (nthawi zambiri)

Maantibayotiki amaperekedwa pakamwa kapena kudzera mumitsempha (kudzera m'mitsempha; IV) yothandizira kulimbana ndi matendawa. Timadzimadzi ta IV timaperekedwanso kuti tipewe kutaya madzi m'thupi. Madzi ambiri amthupi amatayika kudzera pakhungu lotseguka.

Chinyezi chopanikizika pakhungu chimatha kusintha chitonthozo. Mutha kupaka mafuta onunkhira kuti khungu likhale lonyowa. Kuchiritsa kumayamba pafupifupi masiku 10 mutalandira chithandizo.

Kuchira kwathunthu kumayembekezeredwa.

Zovuta zomwe zingakhalepo ndi izi:

• Mlingo wosazolowereka wamadzimadzi mthupi womwe umayambitsa kusowa kwa madzi m'thupi kapena kusalinganizana kwa ma electrolyte
• Kuchepetsa kutentha (kwa makanda achichepere)
• Matenda akulu am'magazi (septicemia)
• Kufalikira kumatenda akuya (cellulitis)

Itanani omwe akukuthandizani kapena pitani kuchipinda chadzidzidzi ngati muli ndi zizindikilo za matendawa.

Matendawa sangakhale otetezedwa. Kuchiza matenda aliwonse a staphylococcus mwachangu kungathandize.

Matenda a Ritter; Staphylococcal scalded khungu matenda; Zamgululi

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.

Pallin DJ. Matenda a khungu. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 129.