Kab mob pathology, uas yog tus cwj pwm los ntawm kev puas tsuaj rau ntawm daim tawv nqaij thiab cov ntaub so ntswg subcutaneous raws li kev nkag mus ntawm tus kab mob streptococcal, hu ua erysipelas. Raws li kev txheeb cais, cov txiv neej thiab cov poj niam laus dua yuav raug kev txom nyem los ntawm nws.
cov ntaub ntawv dav dav
Tus kab mob ua rau tus kab mob nkag mus rau ntawm daim tawv nqaij puas, vim li ntawd, cov txheej txheem inflammatory tshwm sim. Kev tiv thaiv kab mob tom qab tus kab mob tsis tsim, yog li kev rov qab tshwm sim ntau zaus. Tus kws kho mob twg kho erysipelas? Cov lus nug no txhawj xeeb rau cov neeg uas ntsib teeb meem no.
Thaum pom thawj cov tsos mob ntawm tus kab mob no, koj yuav tsum hu rau koj tus kws kho mob hauv zos, yog tias tsim nyog, yuav xa koj mus rau tus kws phais lossis tus kws kho mob tshwj xeeb. Muaj ob peb yam teeb meem ntawm tus kab mob (abscess, thrombophlebitis, elephantiasis, necrotic, phlegmonous, erythematous erysipelas) thiab qee qhov ua rau muaj kev phom sij rau tib neeg lub neej.
History information
kab mob Erysipelas tau paub txij thaum ub. Ntau yam haujlwm ntawm Abu Ali Ibn Sina, Hippocrates thiab lwm tus kws tshawb fawb tau mob siab rau kev kuaj mob thiab kho tus kab mob no. HauvNyob rau hauv lub thib ob ib nrab ntawm lub xyoo pua puas xyoo, cov neeg mob ntawm erysipelas tshwm sim nyob rau hauv cov tsev kho mob poj niam thiab cov tsev kho mob phais tau piav qhia. Lub sijhawm ntawd nws ntseeg tau tias qhov no pathology yog kev sib cuag heev. Thawj zaug, cov kab lis kev cai ntshiab ntawm streptococcus tau txais los ntawm tus kws tshawb fawb Feleizen I. xyoo 1882 los ntawm tus neeg mob erysipelas. Kev kawm ntxiv txog cov txheej txheem pathogenetic thiab cov yam ntxwv ntawm kev kis mob, nrog rau cov txiaj ntsig ntawm kev kho tsis tu ncua nrog sulfonamides thiab tshuaj tua kab mob, hloov lub tswv yim ntawm tus kab mob no. Nyob rau hauv Soviet lub sij hawm, erysipelas kuj nquag kawm.
Lub ntsiab tseem ceeb hauv kev loj hlob ntawm erysipelas
Ua rau erysipelas:
- kev sib cuag nrog cov pa phem lossis tshuaj lom neeg;
- kev tsis haum;
- kab mob dermatological (hu rau dermatitis, neurodermatitis);
- kab mob kis ntawm dermis (herpes);
- daim tawv nqaij puas: tawg, ntau qhov txhab, suav nrog los ntawm kev teeb tsa lub catheter lossis lwm yam khoom siv kho mob, kab tom, qhov txhab ntawm lub plab hauv cov menyuam mos;
- lymphostasis;
- muaj cov kab mob ntev: otitis media, ntshav qab zib mellitus, mob tonsillitis;
- txo qis kev tiv thaiv.
daim duab kho mob ntawm erysipelas
Lub sijhawm incubation ntawm erysipelas (ICD-10: A46) luv luv, o tuaj sai heev.
Thaum pib, cov tsos mob hauv qab no tshwm sim:
- lub cev kub nce mus txog 39 degrees, uas kav ntev txog kaum hnub;
- tshwm sim txias, qaug zog;
- mob pob qij txha thiab pob txha;
- ua tauconvulsions;
- huab cua tsis nco qab (tsis tshua muaj);
- tawm tsam xeev siab lossis ntuav.
Thaum thawj hnub muaj mob, qhov chaw uas muaj qhov txhab thiab caws pliav o, tig liab, muaj qhov kub hnyiab thiab mob. Lymph nodes nyob ze ntawm thaj chaw cuam tshuam loj thiab ua rau mob. Cov pob khaus thiab hemorrhages tuaj yeem tshwm sim hauv thaj tsam qhov txhab.
Tsis tas li ntawd, tus kab mob kis mus, cov tsos mob nce ntxiv. Apathy txhim kho, pw tsaug zog yog cuam tshuam. Qhov chaw cuam tshuam dhau los ua kub, mob, edematous, ntom rau qhov kov nrog cov ciam teb meej nkhaus zoo li nplaim taws. Lymph nodes mob, nyuaj, thiab txwv kev txav mus los. Los ntawm qhov chaw ntawm qhov txhab mus rau cov qog nqaij hlav, ib daim kab xev ntawm daj ntseg liab staining tshwm. Muaj peev xwm nce siab, tachycardia. Tom qab ob peb hnub (kwv yees li xya), qhov kub thiab txias txo, qhov chaw cuam tshuam ua paler, qhov o tuaj, qhov loj ntawm cov qog ntshav qis qis, thiab muaj tev ntawm daim tawv nqaij.
Puas yog erysipelas kis tau los tsis yog? Nws kis tau rau lwm tus thoob plaws lub sijhawm kho.
Different localizations of erysipelas
Erysipelas ntawm lub ntsej muag. Nws tshwm sim ob qho tib si thaum lub sij hawm thawj thiab theem nrab ntawm tus kab mob.
Thaum lub hauv pliaj, lub puab tsaig thiab qhov ntswg raug cuam tshuam tib lub sijhawm, pom kev hloov pauv tseem ceeb, lub ntsej muag yog qhov txawv txav. Puffiness ntawm daim tawv muag thaum lub sij hawm o ua rau ib tug nqaim ntawm palpebral fissures. Qee zaum, tus neeg mob tsis tuaj yeem qhib nws lub qhov muag. Submandibular lymph nodes loj thiab ua mob.
Erysipelas ntawm tawv taub hau. Kev mob hnyav hauv thaj tsam ntawm qhov mob yog sau tseg. Muaj infiltration, redness yog tsawg.
Erysipelas ntawm ceg tawv. Tsis tshua kuaj. Postoperative lymphostasis ntawm caj npab nyob rau hauv cov poj niam tom qab kev phais kom tshem tawm lub mis qog yog ib tug predisposing ua rau erysipelas.
Erysipelas ntawm qhov chaw mos thiab perineum. Muaj ntau qhov o ntawm scrotum thiab noov nyob rau hauv cov txiv neej, labia majora hauv cov poj niam. Erythema yog nyob rau thaj tsam plab thiab pubic, tsis tshua muaj nyob ntawm tus ncej puab thiab pob tw.
Erysipelas ntawm mucous daim nyias nyias. Tsis tshua muaj tshwm sim. Qhov txaus ntshai tshaj plaws yog erysipelas ntawm epiglottis thiab pharynx.
Type of erysipelas
- Kev mus los yog tsiv teb tsaws chaw. Hauv qhov no, tus kab mob kis tau los ntawm cov ntshav qog ntshav. Qhov qis extremities feem ntau cuam tshuam. Lub sijhawm kawm yog mus txog ob peb lub hlis.
- Metastatic. Inflammatory foci yog tsim nyob rau hauv tej thaj chaw deb qhov chaw los ntawm cov thawj localization. Yog vim li cas yog qhov hematogenous kis ntawm tus kab mob streptococcal.
- Lub sijhawm. Txhim kho thaum cev xeeb tub. Muaj kev rov ua dua tsis tu ncua thaum lub cev tsis muaj zog.
- Recurrent. Feem ntau tshwm sim. Localization ntawm o yog pom nyob rau ntawm qhov chaw ntawm qhov chaw thawj qhov txhab. Kev zam txim yuav kav ntev li ob peb lub lis piam mus rau ob xyoos. Txoj kev loj hlob ntawm cov kab mob erysipelas mob ntev tau txhawb nqa los ntawm kev kho tsis raug, cov kab mob ntawm lub dermis ntawm qhov xwm txheej (mycoses), muaj kab mob streptococcal hauv lub cev, nquag hypothermia, microtrauma.
- Raws. Kev kuaj mob ob xyoos tom qab thawj zaug nrog qhov sib txawv hauv zos.
- Erysipelas Vikhrov lossis "gelatinous" rov tshwm sim. Nws tsim tawm tsam keeb kwm yav dhau los ntawm elephantiasis. Erythema yog me me, tsis muaj ciam teb meej ntawm kev noj qab haus huv thiab cuam tshuam dermis.
- Rosenberg-Unna lub kaus mom dawb. Nws raug pom nyob rau hauv cov neeg mob mob ruas, tuberculosis, syphilis thiab lwm yam kab mob. Nws yog manifested los ntawm ib tug ntse o ntawm lub dermis, mob. Erythema tsis tuaj vim yog nyem ntawm cov hlab ntsha thiab khaus exudation nyob rau hauv cov qog nqaij hlav.
Kev kho mob
Tam sim tom qab kuaj mob, kev kho tus kab mob no yuav tsum pib. Ua ntej tshaj plaws, tus kws kho mob muab tshuaj tua kab mob rau erysipelas:
- Amoxicillin.
- YCeftriaxone.
- "Bicillin". Cov tshuaj no kuj siv los tiv thaiv.
Ntxiv rau cov tshuaj tua kab mob, cov kws kho mob tau sau cov tshuaj hauv qab no:
- antipyretic;
- tshuaj tiv thaiv kab mob;
- sulfonamides, thiab yog tias tsis ua rau cov tshuaj tua kab mob, cov no yog cov tshuaj xaiv;
- immunostimulants.
Rau compresses siv:
- YFuracilin.
- "Dimexide".
Y "Enteroseptol".
Ua rau lawv kom txog rau thaum lub qhov txhab ntawm qhov txhab zoo tag nrho txhua hnub.
Cov tshuaj pleev pom zoo rau erysipelas:
- Levomekol. Siv los ua ib qho cuab yeej ywj pheej.
- Nafalan. Siv ua ke nrog physiotherapy.
Sijhawm thiab raugqhov kev xaiv kho mob ua rau kom rov zoo tag nrho. Txoj kev ua neej nrog tus kab mob no tsis txawv ntawm ib txwm muaj. Rau kev tiv thaiv, nws raug nquahu kom ua kom tawv nqaij huv. Yog hais tias abrasions, qhov txhab los yog tawg, kho lawv nrog cov tshuaj tua kab mob.
Txoj kev ua neeg zoo
Kho erysipelas hauv tsev tsuas yog ua tau tom qab kev sab laj nrog koj tus kws kho mob. Kombucha yog suav tias yog cov tshuaj uas nrov tshaj plaws.
Moisten ib daim ntaub qhwv nrog cov tshuaj zoo thiab lim dej thiab so qhov chaw cuam tshuam. Siv cov khoom siv tshuaj ntsuab, piv txwv li, coltsfoot, koj tuaj yeem ua rau compress. Siv nws txhua hnub lossis hloov nrog cov tshuaj "Levomekol". Tsis tas li ntawd, qee tus kws kho mob pom zoo kom siv ntau yam tshuaj homeopathic, ob qho tib si rau kev kho mob ntawm erysipelas thiab nws rov qab los. Txawm li cas los xij, peb yuav tsum nco ntsoov tias kev siv cov txheej txheem saum toj no muab cov txiaj ntsig zoo tsuas yog ua ke nrog kev kho ib txwm muaj.
ntsuas kev tiv thaiv
Cov no suav nrog:
- tus kheej tu cev;
- kho qhov chaw puas ntawm dermis nrog cov tshuaj tua kab mob;
- kho raws sijhawm ntawm cov kab mob fungal ntawm ko taw, rau tes;
- kev tiv thaiv kev tiv thaiv;
- hnav khaub ncaws xoob xoob xoob;
- kev txhawb nqa kev noj qab haus huv;
- cov neeg mob ntshav qab zib, ua raws txhua tus kws kho mob cov lus pom zoo;
Qhov tseem ceeb: qhov yuav tsum tau ua ua ntej rau kev tsim cov kab mob txaus ntshai, uas yog gangrenous erysipelasmob, yog ntshav qab zib.
Thaum tus mob rov tshwm sim, cov kws kho mob pom zoo kom siv tshuaj tua kab mob los tiv thaiv kab mob thib ob. Rau cov hom phiaj no, cov tshuaj "Bicillin" feem ntau yog muab. Lub tswv yim thiab lub sijhawm ntawm nws cov thawj coj yog txiav txim los ntawm tus kws kho mob uas tuaj koom thiab nyob ntawm qhov zaus ntawm kev rov qab los.
Txhua txoj kev ntsuas rau kev tiv thaiv ntawm erysipelas yog txhawm rau tiv thaiv lub cev los ntawm cov kab mob.
Tus me nyuam erysipelas
Raws li kev txheeb cais, cov tub hluas kis tus kab mob ntawm daim tawv nqaij tsawg dua cov ntxhais. Tus kab mob no tshwm sim raws caij nyoog, thiab kev kis kab mob tshwm sim feem ntau nyob rau lub caij nplooj zeeg-caij ntuj sov. Qee qhov kev xaiv xaiv los yog txawm tias muaj kev cuam tshuam rau tus kab mob streptococcal uas cuam tshuam rau cov ntaub so ntswg mos. Hauv qee cov menyuam yaus, tom qab muaj mob, muaj kev tiv thaiv tsis ruaj khov, thiab lawv tuaj yeem mob ntau dua ib zaug. Txoj kev kis tus kab mob erysipelas los yog kis kab mob streptococcus tshwm sim:
- dhau ntawm cov mucous puas los yog dermis;
- thaum siv cov khoom siv kho mob tsis huv lossis hnav khaub ncaws;
- yog tias muaj kab mob streptococcal hauv lub cev.
Lub sijhawm incubation kav los ntawm ob peb teev mus rau tsib hnub. Hauv cov menyuam yaus uas feem ntau raug tus kab mob no, hypothermia thiab kev ntxhov siab yog qhov yuav tsum tau ua ua ntej rau nws txoj kev loj hlob.
Cov tsos mob ntawm cov menyuam yaus
Kab mob Erysipelas pib mob hnyav, kev txhim kho tseem ceeb ntawm kev qaug cawv yog nyob rau theem pib. Cov tsos mob no ua ntej thawj cov tsos mob ntawm tus kab mob los ntawm ob peb teev mus rau hnub. Thaum lub sij hawm no, tus me nyuam tshwm:
- kev tsis txaus siab;
- muscle mob syndrome;
- ntua;
- nausea;
- hypothermia;
- nyob rau hauv cov cheeb tsam ntawm lub dermis, qhov chaw hauv zos tshwm sim ntawm tus kab mob tom qab tshwm sim, mob, kub hnyiab, thiab tawg.
Tus kab mob no sai heev. Cov tshuaj tiv thaiv hauv zos tshwm sim tam sim ntawd tom qab ncav cuag qhov siab tshaj ntawm kub taub hau thiab intoxication ntawm lub cev. Qhov chaw tshaj plaws rau erysipelas yog qhov qis qis. Thaum pib, ib qho me me liab los yog liab qhov chaw yog tsim, uas tom qab ob peb teev yuav siv sij hawm ib tug tshwj xeeb tsos. Lub dermis nyob rau hauv cov cheeb tsam cuam tshuam yog edematous, kub rau kov, mob palpation, cov hlwv uas twb muaj lawm yog ntim nrog kua thiab tej zaum yuav tawg. Hauv lawv qhov chaw, cov cim daj-xim av tseem nyob, uas thaum kawg ploj mus.
Kev kho mob rau menyuam yaus
Nrog rau daim ntawv me me ntawm erysipelas thiab tsis muaj teeb meem, kev kho mob yog ua raws li tus neeg mob sab nraud. Kev mus pw hauv tsev kho mob tau qhia hauv cov xwm txheej hauv qab no:
- me nyuam yaus;
- frequent relapses;
- kev muaj mob hnyav;
- hnyav kawm.
Kev kho mob, cov chav kawm ntawm cov tshuaj tua kab mob raug sau tseg. Hauv erysipelas, ntau pab pawg tau siv: macrolides, fluoroquinolones, tetracyclines, ua ke thiab dav-spectrum tshuaj. Nyob rau hauv cov ntaub ntawv ntawm intolerance, tshuaj tua kab mob yog muab rau kaum hnub. Cov chav kawm "Furazolidone" thiab "Delagil". Hauv tsev kho mob, cov tshuaj ntawm cov pab pawg penicillin, aminoglycosides thiab cephalosporins yog siv. Yog tias tsim nyog, ua kev kho detoxification. Txawm hais tias tus menyuam raug kho qhov twg los xij, raws li kev qhia kho mob, lawv raug sau tseg:
- vitamin complexes;
- tshuaj tiv thaiv kab mob;
- tshuaj tiv thaiv kab mob;
- Ydiuretics;
- tshuaj mob plawv;
- kho lub cev.
ntsuas kev tiv thaiv
Txhawm rau tiv thaiv erysipelas hauv cov menyuam yaus, cov niam txiv yuav tsum ua raws qee cov lus qhia:
- zam kev raug mob thiab puas ntawm sab qis;
- nrog kev rov qab ua haujlwm tsis tu ncua, nqa tawm prophylaxis nrog tshuaj tua kab mob uas tuaj yeem tiv thaiv kev kis tus kabmob hauv tus menyuam lub cev;
- yog tias kuaj pom tus kab mob staphylococcal, kho nws raws sijhawm.
Lub sijhawm tshuaj yog txiav txim los ntawm tus kws kho mob.
Erysipelas hauv cov menyuam yug tshiab
Nyob rau hauv cov menyuam mos, cov kab mob no loj hlob sai heev. Thaum xub thawj, lub plab yog cuam tshuam, tom qab ntawd tus kab mob kis thoob plaws lub cev, ntes cov pob qij txha thiab cov ceg. Intoxication syndrome tshwm sim. Erysipelas nrog qhov txhab ntawm qhov ntswg thiab pob ntseg yog qhov tsawg heev. Nyob rau hauv cov ntaub ntawv no, ib tug teeb meem nyob rau hauv daim ntawv ntawm meningitis yuav luag ib txwm tsim. Tej zaum txoj kev loj hlob ntawm pathology tiv thaiv keeb kwm yav dhau ntawm daim pawm pob. Thaum cev xeeb tub nrog erysipelas, tus menyuam hauv plab yuav kis tus kab mob septic intrauterine.
Erysipelas rauceg
Nws yog tshwm sim los ntawm o ntawm daim tawv nqaij ntawm qis extremities. Feem ntau ntawm tag nrho cov, cov tib neeg uas ua hauj lwm nyob rau hauv tej yam kev mob uas tsis huv, uas nyob nraum zoov rau lub sij hawm ntev, yuav raug rau nws. Yog li ntawd, kev sib cuag nrog cov plua plav thiab av tshwm sim, uas ua rau muaj kev nkag mus ntawm tus kab mob streptococcal rau hauv lub cev.
Qhov chaw uas cov txheej txheem pathological tshwm sim ua kub thiab tig liab. Kev kho mob qeeb yog fraught nrog cov teeb meem loj. Muaj ntau ntau txoj hauv kev nkag mus ntawm staphylococcus, nrog rau cov laj thawj rau kev txhim kho cov kab mob no:
- kev mob nkeeg;
- burns;
- kab tom;
- mob tonsillitis;
- tsis kho kab mob;
- txo qis kev tiv thaiv;
- kuj ko taw txias;
- cov xwm txheej ntxhov siab;
- UV dhau;
- thrombophlebitis lossis varicose leeg ntawm qis qis;
- kab mob ulcerative;
- yuav haus cawv.
Ua rau kab mob
Tom qab lub sijhawm incubation, cov cim pib pib tshwm:
- kev qaug zog;
- kub nce;
- mob taub hau;
- nausea;
- ntua;
- mob plab;
- leeg mob thiab nkees.
Kev tshwm sim hauv zos tshwm sim tam sim lossis tom qab ib hnub.
Cov txheej txheem ntawm cov txheej txheem inflammatory
Muaj ntau hom erysipelas:
- Erythematous. Qhov chaw cuam tshuam tau txais ib qho reddish txawm ntxoov ntxoo, muaj meejciam teb, cov duab ntawm cov npoo ntawm qhov chaw tsis raug.
- Erythematous-bullous. Tsis zoo li daim ntawv dhau los, tom qab ob hnub lub dermis pib exfoliate thiab hlwv daim ntawv, nyob rau hauv uas muaj cov xim tsis muaj kua. Thaum cov npuas tawg, ib qho crust tsim nyob rau hauv nws qhov chaw, uas muaj lub teeb xim av. Yog hais tias tus kab mob no tsis kho, ces cov hlwv, corroding daim tawv nqaij, tsim trophic ulcers.
- Erythematous-hemorrhagic. Daim ntawv no txawv ntawm qhov saum toj no hauv qhov hemorrhages yuav tshwm sim ntawm thaj chaw cuam tshuam.
- Bullous-hemorrhagic. Tsis zoo li erythematous bullous hlwv, lawv puv nrog ntshav.
Kev kho mob ntawm erysipelas ntawm ceg
Thaum thawj qhov kev mob tshwm sim, koj yuav tsum hu rau koj tus kws kho mob hauv zos. Kev noj tshuaj rau tus kheej yog nruj me ntsis txwv tsis pub. Kev kho mob ntawm erysipelas tuaj yeem ua tau nyob rau hauv ob qho tib si hauv tsev kho mob thiab sab nraud. Hauv txhua qhov mob hnyav, tus neeg mob tau mus pw hauv tsev kho mob hauv chav phais mob ntawm lub tsev kho mob. Cov pab pawg tshuaj hauv qab no tau muab rau kev kho:
- tshuaj tua kab mob;
- sulfanilamide;
- Yanti-inflammatory;
- diuretic;
- vascular;
- Vitamin A,B,C;
- Yangioprotectors.
Ntawm cov txheej txheem physiotherapy, qhov zoo tshaj plaws rau erysipelas ntawm ceg yog:
- ultraviolet irradiation;
- laser kho;
- raug rau cov zaus tam sim no.
Alternative Medicine
Nkauj Hmoobzaub mov txawv:
- Nplooj ntawm coltsfoot thiab chamomile paj, coj hauv qhov sib npaug, sib xyaw nrog zib ntab. Kho thaj tsam cuam tshuam nrog qhov tshwm sim muaj pes tsawg leeg. Tsis txhob siv yog ua xua rau muv khoom.
- Npaj ib qho sib tov ntawm qaub cream thiab tws burdock nplooj. Siv rau thaj chaw puas ntawm daim tawv nqaij.
- Npaj ib qho tshuaj ntawm nplooj nplooj, ntxiv zib mu. Kho thaj chaw cuam tshuam nrog kev daws teeb meem.
- Kho thaj chaw muaj mob nrog nqaij npuas rog txhua ob teev yuav pab txo qhov mob.
- Tshuaj cov av nplaum thiab nphoo nws rau ntawm qhov chaw mob ntawm lub dermis, thov compress. Cov txheej txheem yog nqa tawm ua ntej mus pw. Txoj kev no suav hais tias ua tau zoo heev.
In xaus
Txhua yam kab mob tshwm sim los ntawm tus kab mob streptococcal, yog tias tsis kho, tuaj yeem ua rau muaj qhov tshwm sim loj. Tus kab mob ntawm erysipelas nyob rau hauv cov ntaub ntawv no yog tsis muaj kev zam. Cov teeb meem ntawm tus kab mob: ntshav lom, abscesses, phlegmon, thrombophlebitis, elephantiasis. Yog li, tsuas yog cov kev pab kho mob uas tsim nyog tau muab raws sijhawm yuav pab kom daws tau tus kab mob no tau zoo.
