Mlembi: John Stephens
Tsiku La Chilengedwe: 2 Jayuwale 2021
Sinthani Tsiku: 24 Novembala 2024
Anonim
Staphylococcal Scalded Skin Syndrome – Dermatology | Lecturio
Kanema: Staphylococcal Scalded Skin Syndrome – Dermatology | Lecturio

Zamkati

Kodi scalded skin syndrome ndi chiyani?

Staphylococcal scalded skin syndrome (SSSS) ndimatenda akhungu omwe amayambitsidwa ndi bakiteriya Staphylococcus aureus. Tizilombo toyambitsa matenda timatulutsa poizoni wambiri womwe umapangitsa kuti zigawo zakunja kwa khungu ziziphulika komanso zimasenda, ngati kuti adathiridwa ndi madzi otentha. SSSS - yotchedwanso matenda a Ritter - ndiyosowa, imakhudza anthu 56 mwa 100,000. Amakonda kwambiri ana osakwana zaka 6.

Zithunzi za SSSS

Zoyambitsa SSSS

Bacteria yomwe imayambitsa SSSS imapezeka mwa anthu athanzi. Malinga ndi Briteni Association of Dermatologists, 40 peresenti ya achikulire amanyamula (nthawi zambiri pakhungu lawo kapena pachimake) popanda zovuta.

Mavuto amabwera pamene mabakiteriya amalowa m'thupi kudzera pakhungu. Poizoni wa bakiteriya amatulutsa mphamvu pakhungu logwirana. Khungu lakumtunda limasweka kuchokera mbali zakuya, ndikupangitsa khungu lodziwika bwino la SSSS.

Poizoniyo amathanso kulowa m'magazi, ndikupangitsa kuti khungu lonse liziyenda. Chifukwa ana ang'ono - makamaka akhanda - ali ndi chitetezo chamthupi ndi impso zomwe sizikukula (kutulutsa poizoni mthupi), ali pachiwopsezo chachikulu. Malinga ndi kafukufuku wofalitsidwa mu nyuzipepala ya Annals of Internal Medicine, 98 peresenti ya milandu imachitika mwa ana osakwana zaka 6. Akuluakulu omwe ali ndi chitetezo chamthupi chofooka kapena impso yosagwira bwino nawonso amatengeka.


Zizindikiro za SSSS

Zizindikiro zoyambirira za SSSS nthawi zambiri zimayamba ndi zizindikiritso za matenda:

  • malungo
  • kupsa mtima
  • kutopa
  • kuzizira
  • kufooka
  • kusowa njala
  • conjunctivitis (kutupa kapena matenda amkati momveka bwino omwe amaphimba gawo loyera la diso)

Muthanso kuzindikira kutuluka kwa zilonda zotumphuka. Chilondacho chimapezeka mdera la thewera kapena kuzungulira chitsa cha umbilical mwa ana obadwa kumene komanso pankhope ya ana. Mwa akuluakulu, amatha kuwonekera kulikonse.

Pamene poizoni akutulutsidwa, mutha kuzindikiranso:

  • khungu lofiira, lofewa, mwina polekezera polowera mabakiteriya kapena ponseponse
  • matuza osweka mosavuta
  • khungu losenda, lomwe limatha kubwera m'mapepala akulu

Kuzindikira kwa SSSS

Kuzindikira kwa SSSS nthawi zambiri kumachitika kudzera pakuwunika kwamankhwala ndikuwona mbiri yanu yazachipatala.

Chifukwa chakuti zisonyezo za SSSS zitha kufanana ndi mavuto ena akhungu monga bullous impetigo ndi mitundu ina ya chikanga, dokotala wanu amatha kupanga khungu kapena kutenga chikhalidwe kuti adziwe bwinobwino. Angathenso kuyitanitsa mayeso amwazi ndi zitsanzo zamatenda zomwe zimatengedwa ndikumasambira mkati pakhosi ndi mphuno.


Chithandizo cha SSSS

Nthawi zambiri, chithandizo chimafunikira kuchipatala. Magulu oyaka nthawi zambiri amakhala ndi zida zokwanira zochizira vutoli.

Chithandizo chimakhala ndi:

  • Maantibayotiki am'kamwa kapena kudzera m'mitsempha yolimbitsa thupi kuti athetse matendawa
  • mankhwala opweteka
  • mafuta onunkhira oteteza khungu lofiira, lowonekera

Ma nonsteroidal anti-inflammatories ndi ma steroids sagwiritsidwa ntchito chifukwa amatha kusokoneza impso ndi chitetezo chamthupi.

Pamene matuza amatuluka ndikutuluka, kuchepa kwa madzi m'thupi kumatha kukhala vuto. Mudzauzidwa kumwa zakumwa zambiri. Kuchiritsa kumayamba patadutsa maola 24 mpaka 48 mankhwala atayamba. Kuchira kwathunthu kumangotsatira masiku asanu kapena asanu ndi awiri pambuyo pake.

Zovuta za SSSS

Anthu ambiri omwe ali ndi SSSS amachira popanda mavuto kapena khungu ngati alandila chithandizo mwachangu.

Komabe, bakiteriya yemweyo yemwe amayambitsa SSSS amathanso kuyambitsa izi:

  • chibayo
  • cellulitis (matenda am'munsi mwa khungu ndi mafuta ndi ziwalo zomwe zili pansi pake)
  • sepsis (matenda am'magazi)

Izi zitha kukhala zowopsa pamoyo, zomwe zimapangitsa kuti chithandizo chofulumira chikhale chofunikira kwambiri.


Maonekedwe a SSSS

SSSS ndiyosowa. Zitha kukhala zazikulu komanso zopweteka, koma nthawi zambiri sizowopsa. Anthu ambiri amachira msanga komanso mwachangu - popanda zovuta zilizonse kapena mabala - ndi chithandizo mwachangu. Onani dokotala wanu kapena dokotala wa mwana wanu posachedwa mukawona zizindikiro za SSSS.

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