Bullous erysipelas: ndi chiyani, zizindikiro ndi chithandizo
Zamkati
Bullous erysipelas ndi mtundu wowopsa wa erysipelas, womwe umadziwika ndi bala lofiira komanso lalikulu, loyambitsidwa ndi kulowa kwa bakiteriya wotchedwa Gulu A Beta-haemolytic streptococcus kudzera ming'alu yaying'ono pakhungu, yomwe ingakhale kulumidwa ndi udzudzu kapena zipere kumapazi, mwachitsanzo.
Kawirikawiri erysipelas, bala ili limakhala lopanda pake komanso lalikulu, ndipo pankhani ya bully erysipelas, thovu limatha kupanga madzi owonekera kapena achikasu. Chilondacho ndi chozama, ndipo nthawi zina chimatha kuyambitsa mavuto ndikukhudza mafuta osanjikiza komanso minofu.
Ngakhale imatha kuwonekera mwa aliyense, bulry erysipelas imafala kwambiri mwa anthu omwe ali ndi chitetezo chamthupi chofooka, omwe ali ndi khansa yayikulu, omwe ali ndi kachilombo ka HIV kapena omwe ali ndi matenda ashuga. Kuphatikiza pa erysipelas, mtundu wa matenda apakhungu omwe amathanso kutuluka ndi cellulitis yopatsirana, yomwe nthawi zambiri imakhudza mbali yakuya ya khungu. Onani momwe mungadziwire ngati ndi erysipelas kapena cellulitis yopatsirana.
Bullous erysipelas siyopatsirana, ndiye kuti, siyimafalikira kuchokera kwa munthu kupita kwa munthu.
Zizindikiro zazikulu
Zizindikiro za bully erysipelas ndi izi:
- Zowawa pakhungu lofiira, lotupa, lopweteka, pafupifupi 10 cm kutalika, ndi zotupa zomwe zimapereka madzi owonekera, achikasu kapena abulauni;
- Kutuluka "lilime" mu kubuula, pamene bala limakhudza miyendo kapena mapazi;
- Ululu, kufiira, kutupa komanso kutentha kwakomweko;
- Pazovuta kwambiri, pakhoza kukhala malungo.
Matendawa akakulirakulira, makamaka ngati mankhwalawa sanachitike moyenera, ndizotheka kufikira khungu, monga tinthu tating'onoting'ono tomwe timatha kuwononga minofu, monga zimachitikira necrotizing fasciitis.
Kuzindikira kwa bullous erysipelas kumatsimikiziridwa ndikuwunika kwa dokotala kapena dermatologist, yemwe amadziwika mawonekedwe a zotupa ndi zizindikilo zomwe zimaperekedwa ndi munthuyo. Mayeso amwazi atha kulamulidwa kuti awone kuopsa kwa matendawa, ndipo kuyerekezera kwa kujambula monga computed tomography kapena maginito amagetsi kumatha kulamulidwa pakavulala komwe kumafika pakatikati, minofu kapena mafupa.
Phunzirani zambiri za mawonekedwe ndi momwe mungadziwire erysipelas.
Zomwe zimayambitsa bullous erysipelas
Bullous erysipelas siyopatsirana, chifukwa zimachitika pomwe mabakiteriya omwe amakhala kale pakhungu komanso chilengedwe amatha kulowa pakhungu kudzera pachilonda, kulumidwa ndi tizilombo kapena zilonda zamapazi, mwachitsanzo. bakiteriya wamkulu wa causative ndiStreptcoccus pyogenes, ngakhale mabakiteriya ena amathanso kuyambitsa, pafupipafupi.
Anthu omwe ali ndi chitetezo chofooka, monga omwe ali ndi matenda omwe amangodzitchinjiriza okha, matenda ashuga osalamulirika, HIV, komanso anthu onenepa kwambiri komanso anthu omwe amayenda bwino, monga momwe mabakiteriyawa amatha kufalikira mosavuta.
Momwe mankhwalawa amachitikira
Chithandizo cha bulry erysipelas chimapangidwa ndi maantibayotiki operekedwa ndi dokotala. Nthawi zambiri, kusankha koyamba ndi Benzathine Penicillin. Kuphatikiza apo, ndikofunikira kuti muchepetse kutupa potenga tulo tokwanira ndikumakweza miyendo yanu, ndipo kungafunike kumangirira mwendo wanu kuti muchepetse kutupa msanga.
Chithandizo cha bulry erysipelas chitha kufikiridwa pafupifupi masiku 20 kuchokera pomwe mankhwala a antibiotic ayamba. Pankhani ya erysipelas, mankhwala a benzathine Penicillin G amalimbikitsidwa masiku 21 aliwonse, monga njira yopewera matenda atsopano. Onani zambiri za njira zochiritsira ndi maantibayotiki, mafuta odzola komanso pakafunika kukhala mchipatala.
Kuphatikiza apo, pakumwetsa erysipelas, tikulimbikitsidwa kuti namwino azivala zovala, ndikuyeretsa bwino zotupa, kuchotsa zotsekemera ndi minofu yakufa, kuphatikiza kugwiritsa ntchito mafuta omwe amathandiza pakuchiritsa, monga hydrocolloid, hydrogel, papain kapena collagenase, kutengera mawonekedwe a kuvulala kwa munthu aliyense. Onani momwe mungapangire kuvala kwa bala.