: Zizindikiro ndi chithandizo (cha matenda akulu)

Zamkati

• 1. Pharyngitis
• 2. Zilonda zapakhosi
• 3. Impetigo
• 4. Erysipelas
• 5. Rheumatic malungo
• 6.Necrotizing fasciitis
• 7. Toxic Shock Syndrome
• Momwe matenda amapangidwira

Matenda akulu okhudzana ndi Streptococcus pyogenes Ndi zotupa zapakhosi, monga zilonda zapakhosi ndi pharyngitis, zomwe, ngati sizikuchiritsidwa bwino, zitha kuthandiza kufalikira kwa mabakiteriya kumadera ena a thupi, omwe angayambitse matenda owopsa, monga rheumatic fever ndi Mwachitsanzo, mantha owopsa.

Zizindikiro za matendawa zimasiyanasiyana kutengera komwe mabakiteriya amapezeka, makamaka mawonekedwe owoneka ochepera komanso okhudza pakhosi, mwachitsanzo. Kawirikawiri mankhwalawa amachitika pogwiritsa ntchito maantibayotiki ndipo, kutengera momwe zinthu zilili, kungafunike kuti achite opaleshoni yaying'ono, monga zimachitika ndi zilonda zapakhosi chifukwa cha Streptococcus pyogenes.

O Streptococcus pyogenes, kapena S. pyogenes, ndi bakiteriya wama gramu, omwe amatha kupezeka mwachilengedwe mwa anthu, makamaka mkamwa, pakhosi komanso momwe amapumira, osayika zizindikiro. Komabe, chifukwa cha komwe imakhalako, imatha kufalikira mosavuta kuchokera kwa munthu kupita kwa munthu kudzera pagawane zodulira, zotsekemera kapena kupopera ndi kutsokomola, mwachitsanzo, kuti zikhale zosavuta kukhala ndi matenda. Dziwani zambiri za Mzere.

1. Pharyngitis

Bakiteriya pharyngitis ndikutupa kwa pakhosi komwe kumayambitsidwa ndi mabakiteriya amtunduwu Mzere, makamaka Streptococcus pyogenes. Ndikofunika kuti pharyngitis izindikiridwe ndikuchiritsidwa pofuna kupewa zovuta, monga rheumatic fever, mwachitsanzo.

Zizindikiro zazikulu: Zizindikiro zazikulu za bakiteriya pharyngitis ndi zilonda zapakhosi, zilonda zopweteka pakhosi, kuvutika kumeza, kusowa chilakolako komanso kutentha thupi. Dziwani zizindikiro zina za bakiteriya pharyngitis.

Chithandizo: Chithandizo cha bakiteriya pharyngitis chimachitika ndi maantibayotiki kwa masiku pafupifupi 10, monga adalangizira adotolo, kuwonjezera pa mankhwala omwe amathandiza kuchepetsa kutupa ndikuchotsa zizindikilo.

2. Zilonda zapakhosi

Zilonda zapakhosi ndikutupa kwa ma tonsils, omwe ndi ma lymph node omwe amapezeka pansi pakhosi omwe ali ndi udindo woteteza thupi kumatenda, omwe amayamba makamaka ndi mabakiteriya amtunduwu Mzere, mwachizolowezi Streptococcus pyogenes.

Zizindikiro zazikulu: Zilonda zapakhosi by S. pyogenes zimayambitsa zilonda zapakhosi, zovuta kumeza, kusowa kwa njala ndi malungo, kuphatikiza pa kupezeka kwa mawanga oyera pakhosi, zomwe zimawonetsa kutupa ndi mabakiteriya. Umu ndi momwe mungadziwire bakiteriya tonsillitis.

Chithandizo: Ndikulimbikitsidwa kuti mabakiteriya tonsillitis azichiritsidwa ndi maantibayotiki malinga ndi zomwe adokotala akuti, nthawi zambiri kugwiritsa ntchito Penicillin kapena zotumphukira kumawonetsedwa. Kuphatikiza apo, njira imodzi yothanirana ndi mavuto omwe amabwera chifukwa cha zilonda zapakhosi ndikumayamwa ndi madzi amchere, mwachitsanzo.

Opaleshoni yochotsa matani, omwe amatchedwa tonsillectomy, amalimbikitsidwa ndi dokotala ngati atha kutupa pafupipafupi, ndiye kuti, munthuyo akakhala ndi zigawo zingapo za mabakiteriya a chaka chonse.

3. Impetigo

Impetigo ndi matenda akhungu omwe amayamba chifukwa cha mabakiteriya omwe amapezeka mwachilengedwe pakhungu komanso m'mapapo, monga Streptococcus pyogenes, Mwachitsanzo. Matendawa ndi opatsirana kwambiri ndipo amapezeka pafupipafupi mwa ana, chifukwa chake ndikofunikira kuti ngati mwanayo awonetsa chizindikiro chilichonse chokhudza impetigo, asiye sukulu ndikupewa kukhala pagulu la anthu ambiri kuti apewe kuipitsidwa kwa anthu ambiri.

Zizindikiro zazikulu: Zizindikiro za impetigo zimayamba chifukwa cha kuchepa kwa chitetezo cha mthupi, zomwe zimapangitsa kuchuluka kwa mabakiteriya ndikuwonekera kwa matuza ang'onoang'ono, makamaka kumaso, komwe kumatha kuthyola ndikusiya zipsera zofiira pakhungu, kuphatikiza pa mapangidwe a kutumphuka pachilondacho.

Chithandizo: Chithandizo cha impetigo chimachitika monga adanenera dokotala, ndipo nthawi zambiri amawonetsedwa kuti amagwiritsa ntchito mafuta opha maantibayotiki pamalo opunduka katatu mpaka kanayi patsiku. Ndikofunikira kuti mankhwala achitike malinga ndi malangizo a dotolo kuti mabakiteriya asafike m'magazi ndikufikira ziwalo zina, kuphatikiza popewa kuipitsidwa kwa anthu ambiri. Mvetsetsani momwe chithandizo cha impetigo chimachitikira.

4. Erysipelas

Erysipelas ndi matenda opatsirana omwe amayamba chifukwa cha bakiteriya Streptococcus pyogenes omwe amapezeka pafupipafupi kwa anthu opitilira 50, anthu onenepa kwambiri komanso odwala matenda ashuga. Erysipelas imachiritsidwa ngati mankhwala ayambitsidwa mwachangu malinga ndi chitsogozo cha dokotala kapena dermatologist.

Zizindikiro zazikulu: Erysipelas amadziwika ndi mawonekedwe a mabala ofiira pankhope, mikono kapena miyendo yomwe imapweteka kwambiri ndipo, ngati singalandire chithandizo, pakhoza kukhala mafinya ndi kufa kwa minofu, kuphatikiza pakulowa kwa S. pyogenes ndi mabakiteriya ena mthupi.

Chithandizo: Kuchiza erysipelas ndikofunikira kutsatira mankhwala omwe dokotala kapena dermatologist amalimbikitsa, ndipo kugwiritsa ntchito maantibayotiki monga Penicillin nthawi zambiri kumawonetsedwa. Onani zambiri zamankhwala a Erysipelas.

5. Rheumatic malungo

Rheumatic fever ndi matenda omwe amangobwera chifukwa cha matendawa Streptococcus pyogenes. Izi ndichifukwa choti panthawiyi ma antibodies omwe amapangidwa motsutsana ndi mabakiteriya amatha kufikira ziwalo zina ndikupangitsa kutupa m'matumba osiyanasiyana mthupi. Phunzirani momwe mungadziwire rheumatic fever.

Zizindikiro zazikulu: Zizindikiro zazikulu za rheumatic fever ndikumva kupweteka molumikizana mafupa, kufooka kwa minofu, kuyenda kosafunikira komanso kusintha kwa mavavu amtima ndi mtima.

Chithandizo: Ngati munthuyo wadwala pharyngitis kapena tonsillitis chifukwa cha S. pyogenes ndipo sanachite chithandizo choyenera, ndizotheka kuti mabakiteriya amatha kupitilizabe kufalikira ndipo, ngati pali vuto, amakhala ndi rheumatic fever. Chifukwa chake ndikofunikira kuti S. pyogenes amuthandizeni ndi jakisoni wa Benzetacil kuti ateteze kukula kwa matendawa.

Patsimikizidwe kuti pali matenda a rheumatic fever, dokotala kapena cardiologist angalimbikitse kugwiritsa ntchito maantibayotiki ndi mankhwala kuti muchepetse zizindikilo zotupa, monga Ibuprofen ndi Prednisone. Kuphatikiza apo, ndikofunikira kumwa zakumwa zambiri panthawi yamankhwala ndikukhala ndi chakudya chamagulu, kuti athe kuchira mwachangu.

6.Necrotizing fasciitis

Necrotizing fasciitis ndi matenda osowa, ochulukirapo komanso osintha mwachangu, omwe amadziwika ndikulowa kwa mabakiteriya, nthawi zambiri Staphylococcus aureus ndipo Streptococcus pyogenes, mthupi kupyola pa bala, lomwe limafalikira mwachangu ndipo limayambitsa matenda a necrosis.

Zizindikiro zazikulu: Zizindikiro zazikulu za necrotizing fasciitis ndi kutentha thupi, kupweteka kwakanthawi komanso kwakanthawi, kupezeka kwa matuza, kutopa kwambiri komanso kukulira kwa chilonda.

Chithandizo: Ngati munthuyo azindikira kuti kuvulala kumatenga nthawi yayitali kuti achiritse kapena kuti mawonekedwe ake akukulirakulira pakapita nthawi, ndikofunikira kupita kwa dokotala kuti akafufuze chifukwa chake ndikupeza kuti matenda a necrotizing fasciitis angamalizidwe. Nthawi zambiri amalimbikitsidwa ndi adotolo kuti apereke maantibayotiki mwachindunji mu mtsempha, kuti athandizire kuthana ndi mabakiteriya omwe ali ndi vuto motero kupewa mavuto. Nthawi zina, pangafunike kuchititsa opaleshoni maondo omwe akhudzidwa kuti asafalikire kwambiri.

7. Toxic Shock Syndrome

Toxic Shock Syndrome imadziwika ndi kupezeka kwa mabakiteriya m'magazi omwe amatha kupangitsa kuti ziwalo zilephereke. Matendawa nthawi zambiri amakhudzana ndi Staphylococcus aureus, komabe pakhala pali kuwonjezeka kwa milandu ya Toxic Shock Syndrome chifukwa cha Streptococcus pyogenes.

Chitsimikizo cha Toxic Shock Syndrome wolemba S. pyogenes Amapangidwa kuchokera ku kafukufuku wama microbiological, nthawi zambiri chikhalidwe chamagazi, momwe kupezeka kwa bakiteriya m'magazi kumatsimikiziridwa, kuphatikiza pakuwunika kwa zomwe wodwala, monga kuthamanga kwa magazi, kusintha kwa impso, mavuto a magazi , Matenda a chiwindi ndi necrosis ya nsalu, mwachitsanzo.

Zizindikiro zazikulu: Zizindikiro zoyambirira za Toxic Shock Syndrome ndi malungo, zotupa zofiira ndi hypotension. Ngati matendawa sakuchiritsidwa, pakhoza kukhalabe ndi ziwalo zingapo zolephera ndipo, chifukwa chake, imfa.

Chithandizo: Chomwe chikuwonetsedwa kwambiri mu Toxic Shock Syndrome ndikufunafuna upangiri kwa asing'anga kapena matenda opatsirana kuti mankhwala athe kuyambitsidwa mwachangu, chifukwa njira iyi ndikotheka kuthana ndi mabakiteriya ndikupewa kulephera kwa ziwalo.

Momwe matenda amapangidwira

Matendawa amapezeka ndi Streptococcus pyogenes zimachitidwa ndi dokotala molingana ndi zizindikilo ndi zomwe munthuyo wapereka, kuphatikiza pakuyesa kwa labotale. Kufufuza kwakukulu kunachitika kuti adziwe S. pyogenes ndi ASLO, yomwe ndiyeso ya anti-streptolysin O, yomwe cholinga chake ndi kuzindikira ma antibodies omwe thupi limapanga motsutsana ndi bakiteriya uyu.

Mayesowa ndiosavuta ndipo ayenera kuchitika m'mimba yopanda kanthu kwa maola 4 mpaka 8 kutengera malingaliro a dokotala kapena labotale. Mvetsetsani momwe mayeso a ASLO amachitikira.