Erysipelas: ndi chiyani, zizindikiro ndi zifukwa zazikulu

Zamkati

• Zizindikiro zazikulu
• Zomwe zimayambitsa erysipelas
• Momwe mungatsimikizire matendawa
• Momwe mankhwalawa amachitikira
• Njira yothandizira kunyumba

Erysipelas ndimatenda akhungu lomwe limangoyambitsa mabala ofiira, otupa komanso opweteka, ndipo limayamba makamaka pamiyendo, nkhope kapena mikono, ngakhale limatha kuwoneka paliponse pathupi.

Matendawa amapezeka kwambiri kwa anthu azaka zopitilira 50, onenepa kwambiri kapena odwala matenda ashuga ndipo amayamba chifukwa cha bakiteriya wotchedwa Streptcoccus pyogenes, zomwe zingayambitsenso matenda oopsa kwambiri, otchedwa bullous erysipelas, omwe amayambitsa zilonda zophulika ndi madzi oyera, achikasu kapena abulauni.

Erysipelas imachiritsidwa ngati mankhwala ayambitsidwa mwachangu ndi maantibayotiki motsogozedwa ndi dokotala kapena dermatologist, monga Penicillin, komabe, nthawi zina, matendawa amatha kupezekanso kapena atha kukhala osachiritsika, kukhala kovuta kuthana nawo.

Zizindikiro zazikulu

Zizindikiro za matendawa nthawi zambiri zimawoneka mwadzidzidzi ndipo zimatha kutsagana ndi malungo opitilira 38º komanso kuzizira. Ambiri ndi awa:

• Zilonda zofiira pakhungu, zotupa komanso zopweteka;
• Kumva kutentha m'dera lomwe lakhudzidwa;
• Mawanga ofiira okhala ndi mbali zazitali komanso zosasamba;
• Kuphulika ndi mdima mdera lomwe lakhudzidwa, m'malo ovuta kwambiri, otchedwa bullous erysipelas.

Kuphatikiza apo, ngati chotupacho sichichiritsidwa mwachangu, ndizotheka kuti mabakiteriya amayambitsa mafinya, amayambitsa khungu la necrosis kapena amafika m'magazi, zomwe zimayambitsa matenda opatsirana komanso kufa.

Matendawa akafika pakatikati pa khungu, chotupacho chimadziwika kuti cellulitis. Dziwani zambiri za matendawa m'zizindikiro ndi chithandizo cha cellulitis yopatsirana.

Zomwe zimayambitsa erysipelas

Erysipelas siyopatsirana, chifukwa zimachitika mabakiteriya omwe amalowetsa thupi amalowa pakhungu kudzera panjira ina, nthawi zambiri chilonda, kuluma kwa tizilombo, zilonda zam'mimba, kusamalira misomali kapena chilblains ndi phazi la othamanga, mwachitsanzo, pazifukwa izi , zimakhala zofala kwambiri kuti erysipelas zichitike pamapazi ndi miyendo.

Aliyense atha kutenga matendawa, komabe, omwe ali ndi chitetezo chamthupi chofooka, onenepa kwambiri kapena oyenda movutikira ndi omwe atengeke kwambiri. Chifukwa chake, njira yabwino yopewera kukula kwa matendawa ndikuchiza bwino mabala akhungu ndikuwasunga otetezedwa, kuti asatengeke. Phunzirani momwe kuvala kuyenera kuchitidwira kuti bala lakutetezedwa.

Bakiteriya wamkulu ndi Streptcoccus pyogenes, yemwenso amadziwika kutiBeta-hemolytic streptococcus gulu A, komabe, mabakiteriya ena omwe amakhala pakhungu amathanso kuyambitsa zilondazi, monga Staphylococcus aureus. Mabakiteriyawa amafika pakhungu ndi zotupa zam'mimba, momwe zimavulala komanso kutupa, zomwe zimayambitsa matendawa.

Momwe mungatsimikizire matendawa

Kuzindikira kwa erysipelas kumapangidwa ndi dokotala kapena dermatologist, poona zizindikiro za matendawa, ndipo nthawi zambiri palibe chifukwa choyezetsa zina.

Chifukwa chake, zikangoyamba kuwonekera, ndikofunikira kupita kwa dokotala, kuti matendawa ayambe kudziwika mwachangu ndikuchiritsidwa kuti apewe zovuta monga lymphedema, elephantiasis kapena matenda wamba.

Momwe mankhwalawa amachitikira

Erysipelas amatha kuchiritsidwa kunyumba, ndikulowetsa maantibayotiki, monga Penicillin, Amoxicillin kapena Ciprofloxacino, omwe amayenera kumwa kwa masiku 10 kapena 14, malinga ndi malangizo omwe adokotala apereka.

Maantibayotiki m'mitsempha amatha kuchitidwa pakavulala kwambiri kapena ikafika m'magazi, monga septicemia. Vuto likakhala erysipelas bullosa, kuwonjezera pa kugwiritsa ntchito maantibayotiki, kungathenso kukhala kofunikira kugwiritsa ntchito mafuta kuti adutse khungu lomwe lakhudzidwa ndikuwongolera zizindikilo, zomwe nthawi zambiri zimakhala ndi fusidic acid kapena silver sulfadiazine momwe zimapangidwira.

Pankhani ya anthu omwe ali ndi erysipelas osachiritsika kapena obwerezabwereza, kungakhale kofunikira kugwiritsa ntchito benzathine penicillin, intramuscularly, masiku onse 21, kuti athe kulimbana bwino ndi mabakiteriya omwe amakhala m'derali.

Pakakhala kuvulala kwakukulu, monga necrosis ndi kutuluka kwa utsi, njira yothandizira ingakhale yofunikira, kuchotsa ndikuchotsa madera akulu akhungu ndi mafinya.

Njira yothandizira kunyumba

Kuwongolera kuchira, kuwonjezera pa chithandizo cha maantibayotiki, tikulimbikitsidwa kupumula ndikukweza chiwalo chomwe chakhudzidwa, ngati matendawo angabwere m'miyendo kapena mikono. Kuphatikiza pa chisamaliro ichi, kwa anthu ena omwe ali ndi miyendo yotupa, kugwiritsa ntchito masokosi otsekemera kapena kugwiritsa ntchito ma compress ozizira ozizira pakulowetsedwa kwa mkungudza m'malo omwe akhudzidwa kumatha kuwonetsedwa. Onani momwe mungakonzekerere mankhwala apanyumba omwe ayenera kugwiritsidwa ntchito ndi chidziwitso cha adotolo.