Kab mob kab mob nyob ib puag ncig peb txhua qhov chaw, tab sis nrog kev tiv thaiv muaj zog, lub cev tiv thaiv lawv sai. Nrog rau lub cev tsis muaj zog, cov kab mob pyogenic nyob rau saum npoo ntawm daim tawv nqaij tau qhib sai sai thiab ua rau muaj kab mob xws li staphylococcal pyoderma. Nws muaj peev xwm tshem tau cov kab mob pathology, tab sis tsuas yog siv txoj hauv kev sib xyaw rau kev kho.
Tus yam ntxwv ntawm tus kab mob
Tus kab mob feem ntau ua rau tus kab mob yog staphylococcus aureus. Cov kab mob no ruaj khov heev, yog li lawv tuaj yeem pom hauv huab cua, ntawm cov khoom siv hauv tsev, tib neeg cov tawv nqaij. Thaum lub cev tsis muaj zog, cov kab mob sai sai ua rau kev loj hlob ntawm tus kab mob.
Muaj ntau yam ua rau muaj tus mob staphylococcal pyoderma:
- Tsis tu ncua kev tu tus kheej.
- Kev raug mob, puas thiab txiav.
- Nkauj kho siabmetabolism.
- Kab mob ntawm lub cev hauv nruab nrog cev.
Yuav luag 30% ntawm cov tib neeg yog cov muaj Staphylococcus aureus. Koj tuaj yeem khaws cov kab mob nyob txhua qhov chaw, txawm tias tus kab mob kis tau rau tus kheej thaum muaj kab mob los ntawm thaj chaw noj qab haus huv ntawm daim tawv nqaij nkag mus rau qhov txhab.
Staphylococcal pyoderma yog tshwm sim nyob rau hauv cov menyuam yaus thiab nws hnyav dua, vim tias cov me nyuam lub cev tiv thaiv kab mob tseem tsis tau tsim tiav.
Txawm li cas los xij, tus kab mob no suav tias yog kis tau thiab yog li yuav tsum tau kho sai.
Ua rau kev loj hlob ntawm pathology
Kab mob Streptococcal nkag mus rau hauv lub cev los ntawm qhov txhab thiab abrasions ntawm daim tawv nqaij, ua rau kev txhim kho ntawm cov txheej txheem inflammatory. Cov kab mob pathogenic nkag mus rau hauv cov qog sebaceous thiab hws, cuam tshuam rau cov hauv paus plaub hau.
Txoj haujlwm ntawm kev tsim tawm ntawm cov kab mob thiab qhov tob ntawm kev nkag mus yog nyob ntawm lub zog ntawm lub cev tiv thaiv kab mob.
Ua kom muaj kev loj hlob ntawm staphylococcal pyoderma tuaj yeem:
- Dental problems.
- YLymphadenitis.
Purulent lesions ntawm lub hauv nruab nrog cev
Yog tias lub cev tiv thaiv kab mob tsis muaj zog, ces cov kab mob kis tau sai thiab sai sai thoob plaws lub cev. Nyob rau hauv cov chav kawm ntawm lawv lub neej ua si, lawv tsim cov tshuaj lom, uas provoke kev loj hlob ntawm tus yam ntxwv tsos mob ntawm intoxication.
Nws yog ib qho tseem ceeb uas yuav tau pib kho thaum thawj cov tsos mob tshwm sim kom txo tau txoj hauv kev muaj teeb meem.
Ntau yam ntawm pathology
Muaj ntau hom staphylococcal pyoderma. Cov kws kho mob paub qhov txawv ntawm cov kab mob hauv qab no:
- Ostiofolliculitis. Pathology yog nyob rau thaj tsam ntawm lub ntsej muag, tej zaum yuav cuam tshuam rau tawv taub hau. Superficial pyoderma feem ntau daws nyob rau hauv ib lub sij hawm luv luv yam tsis tau tso cov cim rau ntawm daim tawv nqaij. Yog tias cov txheej txheem inflammatory nyuaj, ces lwm hom kab mob tuaj yeem txhim kho.
- Staphylococcal folliculitis. Nrog rau hom kab mob no, cov hauv paus plaub hau ua o. Ntawm cov tsos mob, liab liab nyob ib ncig ntawm lub follicle, kev kis tus kab mob mus rau cov ntaub so ntswg nyob sib ze tuaj yeem raug sau tseg. Nrog ib qho teeb meem, ib qho abscess tsim, uas yuav tsum tau qhib. Lub pustule yog hais txog qhov loj ntawm peas nrog ib tug plaub hau nyob rau hauv qhov chaw. Tom qab ob peb hnub, qhov mob tshwm sim, qhov txhab qhuav, thiab qhov tshwm sim sai sai poob tawm.
- Sycosis yog lwm hom kab mob loj heev. Nws feem ntau tsim tawm tsam keeb kwm ntawm ostiofolliculitis. Ntau foci ntawm qhov mob tshwm sim ntau dua ntawm lub ntsej muag, tab sis kuj tuaj yeem cuam tshuam rau ntawm caj npab.
- Folliculitis abscessing. Cov kab mob purulent-inflammatory txheej txheem. Feem ntau feem ntau kuaj pom hauv kev sib deev muaj zog. Pathology yog nrog los ntawm cov tsos ntawm pob txuv, o ntawm tawv taub hau. Yog tias pustules nrog cov ntsiab lus purulent qhib, fistulas yog tsim. Kev kho mob ntawm staphylococcal pyoderma yog qhov nyuaj thiab ntev.
Raws li cov kws tshaj lij, hydradenitis thiab furunculosis yog suav tias yog cov ntaub ntawv nyuaj tshaj plaws ntawm pathology. Cov ntau yam ntawm pyoderma yog nrog los ntawm kev tso tawm ntau cov kua paug. Hauv pathologicalcov txheej txheem koom nrog cov ntaub so ntswg nyob sib ze.
Yog tias muaj hydradenitis, ces muaj hws ntau ntxiv. Feem ntau, daim ntawv no tau kuaj pom hauv cov poj niam cov neeg sawv cev. Furunculosis tuaj yeem txhim kho tom qab mob hnyav heev tiv thaiv keeb kwm ntawm lub cev tsis muaj zog.
Kev tshwm sim ntawm tus kab mob
Txawm li cas los xij, staphylococcal pyoderma qhia cov tsos mob zoo sib xws uas tuaj yeem pom tam sim tom qab cov kab mob nkag mus rau hauv lub cev. Ntawm cov kev tshwm sim tseem ceeb yog cov hauv qab no:
- khaus thiab hlawv cov tawv nqaij.
- Koj hnov qhov tingling nyob rau hauv qhov chaw uas cov pustules tsim.
- Ib ob peb hnub tom qab kis kab mob, ntau pob pob tshwm tuaj.
- Purulent vesicles daim ntawv nrog cov npoo liab.
- Tom qab cov pustules tawg, cov qhov txhab zoo thiab ploj mus.
Yog tias cov kab mob cuam tshuam rau cov txheej txheej ntawm daim tawv nqaij, ces caws pliav tuaj yeem tshwm sim tom qab kho.
Cov tsos mob txawv ntawm staphylococcal pyoderma suav nrog:
- ntau pob khaus.
- Nco ntsoov rov qab los.
Yog tus kab mob no mus ntev, ces qhov mob yuav txo qis. Cov tawv nqaij ua pob, qhov tso tawm ntawm sebum thiab hws nce, uas provokes cov tsos ntawm cov formations tshiab.
Tus kab mob pyoderma yog tus yam ntxwv los ntawm ib txhij muaj qhov kho qhov txhab thiab tsim nrog purulentcov ntsiab lus.
Staphylococcal pyoderma nyob rau hauv cov poj niam laus feem ntau kuaj tau tawm tsam keeb kwm ntawm hormonal ntshawv siab. Pathology tej zaum yuav nrog cov teeb meem gynecological.
Diagnosis
Tsuas kuaj xyuas kom meej ntawm staphylococcal pyoderma yuav qhia qhov xwm txheej ntawm cov kab mob thiab sau ntawv kho kom txaus. Nws suav nrog cov kev txheeb xyuas thiab kev tshawb fawb hauv qab no:
- Kev kuaj ntshav thiab zis.
- Kev txiav txim siab ntawm qhov nkag siab ntawm cov kab mob rau cov tshuaj tua kab mob. Rau qhov no, cov ntsiab lus purulent ntawm pustules raug coj mus kuaj.
- Kev kuaj mob syphilis.
- Yog tias tsim nyog, kev sab laj nrog tus kws kho mob endocrinologist thiab tus kws kho mob hlwb yuav tsum tau.
- Kev tshawb fawb Hormonal txhawm rau kuaj ntshav qab zib.
Txhawm rau kom paub meej qhov kev kuaj mob, nws yog ib qho tseem ceeb uas yuav tau ua qhov kev kuaj mob sib txawv kom paub qhov txawv ntawm furunculosis los ntawm hidradenitis thiab carbuncle. Folliculitis tuaj yeem tsis meej pem nrog lichen planus lossis pob txuv.
Tus kab mob pyoderma yuav tsum sib txawv ntawm bromoderma, thiab sycosis los ntawm trichophytosis, tab sis cov kab mob no tshwm sim nws tus kheej nrog cov tsos mob tshaj tawm.
Pathology hauv menyuam yaus
Purulent-inflammatory ntawm daim tawv nqaij feem ntau tshwm sim hauv cov menyuam mos thaum thawj lub hlis ntawm lub neej, uas cuam tshuam nrog kev ua haujlwm qis ntawm kev tiv thaiv hauv zos. Cov txheej txheem saum toj kawg nkaus ntawm daim tawv nqaij hauv cov menyuam mos muaj qhov chaw alkaline, uas yog qhov zoo rau kev loj hlob ntawm cov kab mob pathogenic microflora.
Cov tawv nqaij ntawm tus menyuam tseem tsis tau hloov pauv qhov kub thiab txias, kev ua haujlwm ntawm cov qog hws tsis zootsim tawm. Tag nrho cov xwm txheej no ua rau muaj kev loj hlob ntawm pathology, tab sis ob peb lub laj thawj ntxiv tuaj yeem txheeb xyuas:
- Tsis muaj cov vitamins hauv leej niam cov zaub mov yog tias tus menyuam pub niam mis lossis sib xyaw.
- Kab mob ntawm lub plab zom mov.
- pob khaus.
- Abrasions, qhov txhab ntawm tus menyuam lub cev.
- kev tu cev tsis zoo.
- Kev tsis haum.
- Metabolic tsis meej.
- Kab mob ntawm lub paj hlwb.
- Kev mob lub cev.
Ntau tus niam txiv tsis xyuam xim rau cov tsos mob ntawm staphylococcal pyoderma. Lawv xa tus me nyuam mus rau hauv chaw zov me nyuam los yog kindergarten yam tsis xav tias tus kab mob no kis tau zoo heev.
Classic kho mob
Staphylococcal pyoderma yuav tsum tau kho nrog tshuaj tua kab mob. Feem ntau, lawv yuav tsum tau siv rau sab nraud rau ntawm daim tawv nqaij, tab sis yog tias muaj cov kab mob nyuaj, tus kws kho mob tau sau tshuaj tua kab mob hauv qhov ncauj.
Yog tus kab mob mob hnyav, ces noj tshuaj rau ib lub lis piam. Thaum cov kab mob kis mus rau hauv daim ntawv mob ntev, kev kho tshuaj tua kab mob kav ntev li 15 hnub. Cov kws kho mob tshwj xeeb nyiam siv cov tshuaj dav dav hauv kev kho mob.
Ntawm cov tshuaj nrov tshaj plaws thiab siv tau zoo yog cov hauv qab no:
Amoxicillin 500 ntsiav tshuaj, cov lus qhia rau kev siv muaj cov ntaub ntawv hais txog kev ua haujlwm ntawm cov tshuaj tiv thaiv kab mob coccal
- "Ampioks". Cov tshuaj tua kab mob zoo, vim yog kev puas tsuajcell phab ntsa ntawm cov kab mob.
- "Cefotaxin", "Cefazolin" yuav pab tiv thaiv kab mob sib xyaw.
- Tetracycline tshuaj kuj raug sau tseg los tawm tsam tus kabmob. Ntawm lawv yog cov ntsiav tshuaj "Doxycycline". Cov lus qhia rau kev siv muaj cov ntaub ntawv tiav txog cov txheej txheem ntawm kev ua ntawm cov tshuaj. Cov tshuaj nquag thaiv cov synthesis ntawm cov protein molecules hauv cov kab mob ntawm tes, ua rau nws tuag.
- Macrolides ua zoo ib yam: Clarithromycin.
- Aminoglycosides tuaj yeem pab tua kab mob: Gentamicin, Amikacin.
Kev kho tus mob staphylococcal pyoderma nrog tshuaj yuav tsum tsuas yog ua raws li kev saib xyuas kho mob xwb.
Kev kho mob sab nraud
Nrog rau kev siv tshuaj tua kab mob sab hauv, txhua tus neeg mob tau txais kev siv tshuaj sab nraud. Siv tau yog:
- Txhawm rau txo qis kev tsim tawm ntawm cov kab mob gram-zoo, cov tawv nqaij tuaj yeem kho nrog "Brilliant Green".
- Salicylic ointment nrog cov nyhuv antibacterial. Tom qab daim ntawv thov, txheej txheej sab saud ntawm cov epidermis softens, cov txheej txheem inflammatory txo.
- Potassium permanganate tov muaj peev xwm neutralize cov teebmeem ntawm qee yam tshuaj lom uas tso tawm los ntawm cov kab mob pathogenic.
- Gel lossis tshuaj ntawm chlorhexidine zoo kawg nkaus inhibits kev ua haujlwm ntawm cov kab mob pyogenic uas nquag plias hauv staphylococcal pyoderma. Cov tshuaj tsis poob nws txoj haujlwm hauv tib neeg cov ntshav thiab hauv cov qhov txhab purulent.
- Cream rau kev siv sab nraud "Triamcinolone". Txo qhov mob ntawm qhov mobtxheej txheem thiab muaj cov nyhuv antiallergic.
- "Fukortsin". Cov cuab yeej no tuaj yeem siv los kho thaj chaw cuam tshuam ntawm daim tawv nqaij kom txo tau qhov kev siv ntawm cov txheej txheem sib kis thiab thaiv cov haujlwm ntawm cov kab mob fungi.
Lub sijhawm kho yog txiav txim los ntawm tus kws kho mob tuaj koom. Yog tias tom qab siv tus neeg sawv cev sab nraud, cov tsos mob tsis txo qis, tab sis cov tsos mob ntawm kev tsis haum tshuaj tshwm sim, ces nws yuav tsum tau ceeb toom rau tus kws kho mob thiab xaiv lwm yam tshuaj.
YImmune Therapy thiab Combination Therapy
txhawm rau ua kom muaj txiaj ntsig ntawm kev kho mob, cov kws kho mob feem ntau nyiam sau tshuaj ua ke rau cov neeg mob, uas ib txhij txo cov txheej txheem inflammatory thiab rhuav tshem cov kab mob. Ntawm qhov zoo, cov tshuaj hauv qab no tau ua pov thawj lawv tus kheej:
- "Lorinden S". Cov tshuaj no yog siv sab nraud. Cov chav kawm ntawm kev kho mob tso cai rau koj kom txo tau qhov kev loj hlob ntawm staphylococci, tshem tawm o thiab muab ib tug anti-allergic nyhuv. Tus neeg sawv cev yuav tsum tau siv rau thaj tsam ntawm daim tawv nqaij, thiab npog nrog ib daim ntaub qhwv rau saum. Yuav tsum hloov 3-4 zaug ib hnub twg.
- Cream "Fucicort" muaj cov nyhuv decongestant thiab antibacterial nyhuv. Siv rau ntawm daim tawv nqaij ob zaug ib hnub twg. Txoj kev kho no kav ntev li 2 lub lis piam.
- Gyoksizon ointment yog zoo meej rau kev txo qis kev tsis haum tshuaj, tshem tawm cov tawv nqaij khaus thiab tiv thaiv kab mob coccal.
Immunostimulating therapy yog qhia kom ua kom rov zoo. Ua li no, tus kws kho mob txhaj tshuaj rau tus neeg mob nrog tshuaj tiv thaiv tshwj xeeb uas txhawb kev tsim cov tshuaj tiv thaiv kab mob los tiv thaiv kab mob.
ImmunostimulatingTxoj kev kho yog qhia nyob rau hauv cov ntaub ntawv uas tus kab mob feem ntau rov tshwm sim. Ntawm cov tshuaj uas muaj cov nyhuv no, lawv sau ntawv:
- Likopid.
- Timoptin.
- Taktivin.
Classic kev kho mob tuaj yeem txhim kho los ntawm kev sau tshuaj helium-neon irradiation. Cov txheej txheem tau muab tshuaj txhua hnub rau ob lub lis piam.
kho mob phais
Yog tias cov txheej txheem pathological pib nrog cov teeb meem thiab muaj cov tsos mob ntawm cov nqaij mos necrosis, ces kev phais yog qhov tseem ceeb. Lub ntsiab lus ntawm kev ua haujlwm yog raws li hauv qab no:
- Tus kws phais neeg qhib qhov abscess.
- Ntawm cov ntsiab lus.
- Ua tshuaj tua kab mob.
- Tshuaj dej.
Tom qab kev kho mob phais, tshuaj tua kab mob tau sau tseg. Cov no tuaj yeem yog Amoxicillin 500 ntsiav tshuaj, cov lus qhia rau kev siv yuav raug muab los ntawm tus kws kho mob.
Kev kho mob pyoderma hauv menyuam yaus
Yog tias cov kab mob ua tiav yam tsis muaj teeb meem, tsis tas yuav mus pw hauv tsev kho mob tus menyuam, kev kho mob tuaj yeem ua rau tus neeg mob sab nraud. Kev xaiv kev kho mob kom zoo yuav pab kom sai sai ntawm cov kab mob pathology. Kev kho mob rau menyuam yaus suav nrog cov kev ntsuas hauv qab no:
- Kev kho sab nrauv ntawm cov tawv nqaij cuam tshuam nrog "Chlorhexidine", boric lossis salicylic cawv.
- Thov "Fukortsin" lossis iodine rau ntawm daim tawv nqaij.
- YKoj tuaj yeem ua tshuaj pleev nrog poov tshuaj permanganate.
- Cov tshuaj tiv thaiv kab mob thiab corticosteroid tsuas yog muab los ntawm kws kho menyuam yaus xwb. Kev xaiv ntawm cov tshuaj yog nyob ntawm qhov hnyav ntawm pathology. Thawj theem, nws raug nquahu kom siv tshuaj pleev raws li leej faj, tar.
- Yog tias qhov ua tau zoo ntawm kev kho mob tsis muaj zog, ces tus kws kho mob sau tshuaj kho nrog cov tshuaj tua kab mob: Levomikol, Lincomycin.
- Thaum mob hnyav, nws yuav tsim nyog tau txhaj tshuaj Prednisolone, Oxycort.
Thaum muaj teeb meem, tus kws kho mob sau cov tshuaj hauv qab no rau tus menyuam:
- Doxycycline ntsiav tshuaj. Cov lus qhia rau kev siv cov tshuaj yuav tsum tau kawm kom ntxaws, kev kho mob yog nqa tawm nruj me ntsis raws li tus kws kho mob cov tswv yim thiab nyob rau hauv cov kev pom zoo npaum li cas.
- Sulfanilamides: Biseptol, Norsulfazol.
- Tshuaj txhawb kev tiv thaiv kab mob: "Amiksin", "Immunal"
- Txhawm rau tiv thaiv kev tsis haum, koj yuav tsum noj tshuaj tiv thaiv kab mob: Zodak, Telfast.
Kev kho kom zoo, nws yog ib qho tseem ceeb rau tus menyuam kom kho cov tawv nqaij raug mob. Thawj cov txheej txheem yog qhov zoo tshaj plaws tso siab rau tus kws kho mob tshwj xeeb thiab nqa tawm hauv tsev kho mob nrog tus kws kho mob dermatologist. Cov tom ntej tuaj yeem nqa tau hauv tsev raws li cov txheej txheem hauv qab no:
- ntxuav tes kom huv.
- Muab cov hnab looj tes pov tseg.
- Kho txhua qhov chaw cuam tshuam sib cais siv paj rwb swab.
- Kho cov tawv nqaij noj qab haus huv nrog tshuaj tua kab mob.
- Tom qab cov epidermis qhuav lawm, siv cov tshuaj pleev los ntawm kws kho mob.
- Muab tus me nyuam ua tib zoo ironed ntawm ob sab.
Cov tawv nqaij ntawm cov menyuam yaus ntawm cov hnub nyoog sib txawv yog ua tiav raws li cov txheej txheem no.
tshuaj ntsuab tawm tsam pyoderma
Yog tias tus kab mob tshwm sim yam tsis muaj teeb meem, koj tuaj yeem siv cov zaub mov txawv ntawm cov kws kho mob pej xeem. Lawv yuav pabtshem tawm cov tawv nqaij khaus, nres qhov kev tsim tawm ntawm pathogenic microflora. Cov zaub mov hauv qab no tau ua pov thawj lawv cov txiaj ntsig hauv kev kho:
Noj 20 g ntawm celandine nplooj thiab ncuav 100 ml ntawm zaub roj. Tso rau ob peb hnub thiab siv los kho qhov chaw cuam tshuam peb zaug hauv ib hnub rau 3 lub lis piam
- 2 tablespoons ntawm dill noob ncuav boiling dej nyob rau hauv tus nqi ntawm 0.5 liv. Tom qab insisting, kho daim tawv nqaij mus txog 5 zaug ib hnub twg.
- Txias kua txiv los ntawm cov qos yaj ywm nyoos, tsau ib daim ntaub so ntswg thiab siv rau ntawm daim tawv nqaij mob rau 2 teev.
- Nws pab kom lub cev muaj zog, ua kom nws tiv thaiv kab mob, decoction ntawm dandelion cag thiab nplooj. Txhawm rau npaj nws, koj yuav tsum ncuav 2 tablespoons raw cov ntaub ntawv nrog ib khob dej thiab boil tshaj qis cua sov rau 10 feeb, ces tawm rau ob peb teev kom infuse. Nws raug nquahu kom haus cov khoom ua ntej noj mov, 100 ml txhua.
Kab mob sib kis
Cia nws mus lossis tus kheej noj tshuaj pyoderma yog qhov txaus ntshai, vim tias pathology tuaj yeem ua rau muaj qhov tshwm sim loj. Cov teeb meem muaj xws li:
- Sepsis.
- Kev tsis haum tshuaj nrog angioedema.
- Gangrene.
- Kab mob ntawm lub cev pob txha thiab cov kab mob hauv nruab nrog cev.
- Kev mob ntawm lub retina.
- thrombosis ntawm cov hlab ntsha hauv hlwb.
- mob khaub thuas meninges.
- Purulent mediastinitis.
tiv thaiv kab mob
Txhua yam kab mobkab mob ntawm daim tawv nqaij yog yooj yim los tiv thaiv tshaj li kho. Tshwj xeeb tshaj yog tias muaj kev nyiam rau pyoderma. Kev tiv thaiv muaj xws li hauv qab no:
- Ua raws li cov cai ntawm kev tu tus kheej.
- Khaub ncaws yuav tsum yog tsim los ntawm cov ntaub ntuj tsim thiab tsis nruj, thiaj li tsis ua rau tawv nqaij.
- Txhua yam kev puas tsuaj, kev txiav yuav tsum tau muab tshuaj tua kab mob kom zoo.
- Siv tshuaj tua kab mob ntawm daim tawv nqaij.
- Saib xyuas qib ntawm hws.
- Ntxuav cov khaub ncaws tsis tu ncua thiab hloov khaub ncaws txhua hnub.
- Txhim tiv thaiv kab mob.
- Ua cov txheej txheem hardening.
- Tshem tawm cov foci ntawm qhov mob raws sijhawm.
- YKho kho cov kab mob ntev: tonsillitis, pyelonephritis, cholecystitis. Kev tiv thaiv muaj xws li cov hauv qab no: Ua raws li cov cai ntawm kev nyiam huv ntawm tus kheej.
- Yog tias daim tawv nqaij ua rau muaj kev mob tshwm sim, ces muaj kev puas tsuaj, kub hnyiab me me yuav tsum tau kho nrog cawv, thiab tom qab ntawd ntxuav nrog hydrogen peroxide. Tom qab kev kho mob, thov hnav khaub ncaws tsis muaj menyuam.
Staphylococcal pyoderma tsis tsuas yog ua rau lub ntsej muag tsis zoo xwb, tab sis kuj tseem txaus ntshai rau nws cov teeb meem loj. Kev kho mob yuav tsum pib sai li sai tau thaum kuaj pom tus kab mob.
