Exfoliative dermatitis (Ritter's dermatitis) yog qhov tshwm sim ntawm kev ua haujlwm tseem ceeb ntawm daim tawv nqaij ntawm Staphylococcus aureus. Tus kab mob no yog tus yam ntxwv los ntawm ib tug hnyav chav kawm thiab manifests ntawm intoxication ntawm lub cev. Ntau ntxiv txog cov kab mob no yuav tau tham tom qab hauv kab lus.
Yuav ua li cas thiaj ua rau cov kab mob dermatitis kis tau
Feem ntau cov menyuam yug tshiab raug kev txom nyem los ntawm Ritter's dermatitis. Qhov no yog vim qhov tsis zoo ntawm lub cev tiv thaiv kab mob hauv cov menyuam yug tshiab thiab cov yam ntxwv ntawm lawv cov tawv nqaij. Cov me nyuam ntxov ntxov los yog cov me nyuam yug los muaj qhov hnyav me me tshwj xeeb tshaj yog raug rau cov kab mob no.
Exfoliative dermatitis hauv cov menyuam mos tuaj yeem tshwm sim ntxov li hnub thib ob tom qab yug los lossis ib mus rau ob lub lis piam tom qab. Los ntawm txoj kev, tus kab mob no tshwm sim ua ntej, qhov hnyav dua.
Kev kis kab mob los ntawm leej niam lossis cov neeg ua haujlwm hauv tsev kho mob thiab nrog rau kev puas tsuaj thiab tsis lees txais cov kab mob epidermis.
theem ntawm dermatitis
Thawj tsos mobdermatitis (erythematous theem) yog redness thiab exfoliation ntawm daim tawv nqaij nyob ib ncig ntawm lub qhov ncauj, plab hnyuv thiab nyob rau hauv tej yam ntuj tso quav (nyob ib ncig ntawm lub qhov quav, qhov chaw mos thiab caj dab). Cov txheej txheem pathological sai heev, tsis pub dhau 6-12 teev, kis mus rau tag nrho lub cev ntawm tus menyuam. Nws dhau los ua hyperemic, edematous, hlwv tshwm rau ntawm daim tawv nqaij, uas muaj cov kua ntshiab. Lub mucous daim nyias nyias ntawm lub qhov ncauj thiab qhov chaw mos ntawm tus menyuam feem ntau cuam tshuam.
Nyob rau theem thib ob, tshwm sim rau hnub thib ob lossis thib peb ntawm qhov pib ntawm tus kab mob, exfoliative dermatitis yog tshwm sim los ntawm qhov qhib ntawm hlwv, nyob rau hauv qhov chaw uas quaj erosions tshwm sim. Thiab nyob ib ncig ntawm lawv, nyob rau hauv seemingly unaffected thaj chaw, daim tawv nqaij yooj yim peels tawm (lub thiaj li hu ua Nikolsky syndrome). Los ntawm txoj kev, txhua yam zoo li kub hnyiab heev.
Tib lub sijhawm, tus menyuam qhov kub tuaj yeem nce mus txog 40 ° C, nws raug kev txom nyem los ntawm kev zom zaub mov thiab lub cev qhuav dej, vim nws nqus tau lub mis tsis zoo. Tus me nyuam pw tsis tsaug zog, poob phaus sai thiab tuaj yeem tuag yam tsis tau kho kom raug.
theem peb ntawm tus kab mob yog rov tsim dua tshiab. Raws li nws lub npe qhia, tus me nyuam maj mam rov zoo: erosions kho, hyperemia thiab o ploj mus, thiab cov xwm txheej ntawm tus menyuam rov zoo li qub.
Txoj kev ntawm cov kab mob dermatitis
Exfoliative dermatitis ntawm cov menyuam yug tshiab yog qhov txaus ntshai tsis yog nws tus kheej xwb. Qhov no yog ib qho kab mob uas, thaum tsis muaj kev kho mob txaus thiab kev saib xyuas rau tus menyuam muaj mob, tuaj yeem ua rau kev loj hlob ntawm purulent foci ntawm kev kis kab mob ntawm qhov chaw yaig, uas, dhau los, yuav ua rau muaj kev cuam tshuam ntawm kev kawm.ua mob. Thiab cov teeb meem ntawm cov kab mob no tuaj yeem ua rau otitis media, mob ntsws, mob meningitis lossis peritonitis.
Hauv cov tshuaj, muaj peb theem ntawm qhov hnyav ntawm qhov piav qhia pathology.
- Mild degree tau pom qhov muag tsis pom kev kho mob thiab cov theem tsis zoo ntawm tus kab mob. Kev rov qab los tau tshwm sim rau hnub 10 txij li pib muaj tus kabmob.
- Nyob rau theem nrab, cov theem ntawm tus kab mob no tau pom meej meej, cov tsos mob tau hais, tab sis tsis muaj teeb meem, thiab tus me nyuam rov zoo li qub.
- Cov chav kawm hnyav qhia txog qhov sib ntxiv ntawm cov kab mob thib ob thiab cov kab mob purulent inflammatory ntawm lwm lub cev. Qee lub sij hawm tus kab mob nkag mus rau hauv cov ntshav thiab tus kab mob no nyuaj los ntawm sepsis. Hmoov zoo, nrog kev kho raws sijhawm thiab tsim nyog, qhov no tsis tshua muaj neeg.
Dab tsi ua rau exfoliative dermatitis hauv cov neeg laus
Hauv cov neeg laus, cov kab mob tau piav qhia tsis tshua muaj ntau dua li cov menyuam yaus (1-2% ntawm cov neeg muaj hnub nyoog 50 xyoo) thiab tsim tawm tsam keeb kwm yav dhau los ntawm cov kab mob loj uas twb muaj lawm uas txo kev tiv thaiv kab mob. Cov no muaj xws li ntshav qab zib mellitus, malignant qog thiab ntau hom kab mob plawv. Muaj tseeb, nws yuav tsum tau qhia meej tias hauv 30% ntawm cov neeg mob, cov kws kho mob tsis tuaj yeem tsim qhov ua rau erythroderma (qhov no tseem hu ua tus kab mob no). Ntxiv mus, qhov sib piv ntawm qhov tshwm sim ntawm cov txheej txheem pathological hauv cov txiv neej thiab poj niam yog 5: 1.
Tsis yog lub luag haujlwm kawg hauv qhov kev pheej hmoo ntawm kev kis kab mob dermatitis yog ua los ntawm kev mob hnyav thiab kab mob hauv lub cev. Hauv qee kiserythroderma tej zaum yuav muaj tshuaj lom rau tej yam tshuaj los yog tshwm sim los ntawm pre-existent psoriasis los yog tshuaj tsis haum tshuaj.
Yuav ua li cas tus neeg laus exfoliative dermatitis nce
Nyob rau hauv cov neeg laus, cov kab mob no feem ntau nyob ntawm lub cev thiab kev noj qab haus huv ntawm tus neeg mob. Feem ntau, pathology yog tshwm sim los ntawm redness thiab tev ntawm daim tawv nqaij. Thiab, tus yam ntxwv, nws tuaj yeem tawm ntawm qhov kov me ntsis, txawm tias zoo li qhov chaw noj qab haus huv.
Tus neeg mob tau khaus khaus heev, hlwv ua rau ntawm daim tawv nqaij thiab, tom qab qhib lawv, yaig. Lymph nodes nce, thiab kub nce. Cov neeg mob feem ntau yws yws ntawm qhov txias, txias.
Exfoliative dermatitis tshwm sim, raws li tau hais, nrog qhov sib txawv. Nrog nws txoj kev loj hlob sai, cov pob zeb tuab ntawm tus neeg mob lub cev, uas tawg, ua rau mob.
Kev kuaj kab mob
Ritter's exfoliative dermatitis tsis yooj yim rau kev kuaj mob, raws li nws cov tsos mob feem ntau hais. Thiab qhov zoo Nikolsky syndrome (kev sib cais me ntsis ntawm txheej sab sauv ntawm cov epidermis nyob ib ncig ntawm kev yaig) muab lwm txoj hauv kev los txiav txim siab tus kab mob kom raug.
Kev tshawb fawb hauv chav kuaj ua kom nws tuaj yeem tshem tawm qhov muaj qhov kub hnyiab thiab txiav txim siab cov kab mob, uas cov ntsiab lus ntawm cov hlwv raug coj mus rau tseb. Kev kuaj mob sib txawv kuj tseem ua tau, sib piv cov kab mob nrog pemphigus, epidermolysis bullosa,cellulitis, ichthyosis thiab hu rau dermatitis.
Txoj cai ntawm kev kho tus kab mob exfoliative dermatitis
Yog xav tias exfoliative dermatitis (daim duab ntawm cov tsos mob uas koj tuaj yeem pom hauv tsab xov xwm), muab chav cais (lub thawv) rau niam thiab tus menyuam mob. Kev kho mob muaj kev txhaj tshuaj ntawm cov tshuaj tua kab mob thiab plasma uas muaj cov tshuaj tiv thaiv staphylococcal gamma globulin.
Txhawm rau kom tsis txhob lub cev qhuav dej, tus menyuam yuav tsum tau txhaj tshuaj (drip) hemodez thiab polyglucin. Thiab thaum kawg ntawm cov tshuaj tua kab mob, probiotics (bifidumbacteria) raug sau.
Tus menyuam daim tawv nqaij tau kho nrog cov tshuaj tsis muaj zog ntawm salicylic cawv lossis furacilin, thiab cov hlwv qhib thiab siv cov roj zinc thiab tshuaj tua kab mob. Exfoliative dermatitis tseem suav nrog kev da dej txhua hnub nrog kev sib ntxiv ntawm cov tshuaj tsis muaj zog ntawm poov tshuaj permanganate rau dej. Nyob rau tib lub sijhawm, tus menyuam mos tsis hnav khaub ncaws kom tsis txhob ua rau mob, thiab cov ntaub qhwv huv huv yog nchuav rau saum nrog kev kho mob talc lossis zinc oxide. Nws kuj raug pom zoo kom hloov tus me nyuam kom tsawg li sai tau kom tsis txhob sib cais thiab desquamation ntawm daim tawv nqaij.
Nyob rau hauv cov xwm txheej hnyav, cov crumbs tau muab tso rau hauv lub tshuab nqus tsev (incubator), qhov twg qhov kub thiab av noo tau tswj xyuas.
Yuav ua li cas kom tsis txhob muaj mob
Exfoliative dermatitis, ib daim duab ntawm qhov tshwm sim uas nyob rau hauv cov menyuam yaus thiab cov neeg laus koj tuaj yeem pom hauv kab lus, tsuas yog tiv thaiv los ntawm kev saib xyuas nruj los ntawm leej niam ntawm tus menyuam mos ntawm cov cai ntawm kev nyiam huv hauv tsev kho mob tom qab yug menyuam thiab hnav ib daim ntaub qhwv.
Los ntawmCov neeg ua haujlwm hauv tsev kho mob poj niam yuav tsum tau ua ntu zus quartz lub tsev kho mob me nyuam mos, ntxuav thiab hloov ntaub pua chaw pw, thiab tsis tu ncua xyuas seb puas muaj Staphylococcus aureus.
Nyob rau hauv cov neeg laus, tus kab mob no tiv thaiv los ntawm kev zam kom tsis txhob ua xua uas tuaj yeem ua rau mob dermatitis, kho raws sijhawm ntawm txhua yam mob lossis khaus ntawm daim tawv nqaij, ua raws li kev noj haus thiab tswj kev tiv thaiv kom zoo.
