Pom cov pob liab liab ntawm lub cev, ob peb tus neeg tseem ceeb heev. Tib neeg maj mus nrhiav kev pab kho mob yog tias cov pob no loj tuaj sai sai, ua rau kub taub hau, ua rau mob hnyav thiab lwm yam tsos mob tsis zoo. Qhov no yog li cas erysipelas ntawm auricle manifests nws tus kheej, thiab ntawm cov neeg nws tsuas yog pob ntseg erysipelas. Lub npe ntawm tus kab mob no tsis muaj dab tsi cuam tshuam nrog kev siv lo lus "lub ntsej muag". Nws yog muab los ntawm cov lus Polish, hauv kev txhais lus los ntawm nws txhais tau tias liab sawv. Puas yog liab ntawm auricle txaus ntshai rau ib tug neeg? Dab tsi ua rau nws? Kuv puas yuav tsum tau kho erysipelas ntawm pob ntseg? Txhua yam ntawm tus kab mob no tau piav qhia hauv kab lus no.
Pob ntseg tuaj yeem ua xim liab rau ntau yam laj thawj. Nws tsis yog ib txwm muaj kab mob. Txawm hais tias peb lub cev hnov qab dheev pib hlawv thiab khaus, qhov no yuav tsis cuam tshuam nrog tus kab mob. Txawm li cas los xij, cov tsos mob ntawm erysipelas ntawm pob ntseg sab nraud yog cov yam ntxwv uas thaum lawv tshwm sim, koj yuav tsum tsis txhob yig mus ntsib kws kho mob. Erysipelas yog ib yam kab mob loj heev uas tshwm sim los ntawmkab mob streptococci. Ntau yam ntawm cov kab mob no paub. Tag nrho cov ntawm lawv yog pathogenic. Txawm li cas los xij, qee qhov tsis ua rau muaj kev hem thawj rau tib neeg kev noj qab haus huv thiab lub neej, thiab tsis tas yuav tsum tau kho tshwj xeeb.
Erysipelas ntawm pob ntseg thiab lwm qhov ntawm lub cev provokes ib pab pawg neeg ntawm streptococci teej tug mus rau microbes ntawm beta-hemolytic hom, uas yog, cov uas ua kom tag nrho cov qe ntshav liab. Muaj 20 pawg ntawm beta-hemolytic streptococci. Lub ntsej muag yog tshwm sim los ntawm cov neeg sawv cev ntawm pab pawg A, uas suav tias yog qhov txaus ntshai tshaj plaws rau tib neeg. Lawv yog cov kab mob ua npaws liab, tonsillitis, bronchitis, rheumatism, pericarditis thiab myocarditis, pharyngitis, pneumonia, fasciitis. Cov neeg uas muaj mob los ntawm cov kab mob no yog qhov chaw ntawm microbes uas kis tau los ntawm huab cua, tsev neeg, transplacental thiab alimentary txoj kev.
Tsis tas li ntawd, pawg A beta-hemolytic streptococci muaj nyob hauv qee qhov ntawm daim tawv nqaij ntawm peb txhua tus. Tsuav yog peb txoj kev tiv thaiv muaj zog los txwv lawv txoj kev loj hlob, lawv tsis muaj kev phom sij. Cov kab mob no tuaj yeem ua rau muaj kab mob thaum muaj kev raug mob tshwm sim ntawm daim tawv nqaij.
Ib yam ntawm cov kab mob no yog lawv qhov tsis kam tiv thaiv ib puag ncig. Qhov no txhais tau tias lawv tuag sai sai thaum ntxuav cov cuab yeej kho mob thiab ua raws li cov cai ntawm kev tu tus kheej.
Ua rau kab mob
Ua ntej xav txog cov tsos mob thiab kev kho mob ntawm erysipelas, cia peb paub txog qhov ua rau tus kab mob no. Nws yuav yog thawj los yogrov tshwm sim.
Los ntawm cov ntaub ntawv saum toj no, nws pom tseeb tias kev nkag mus ntawm cov kab mob mus rau hauv daim tawv nqaij ntawm auricle lossis ib feem ntawm lub cev uas nyob ze rau nws yog ua tau los ntawm ntau yam tawv nqaij, txawm tias feem ntau me. Lawv tuaj yeem tshwm sim hauv cov xwm txheej hauv qab no:
- pob ntseg.
- Scratch (piv txwv li, nrog ntiv tes).
- Combing (ntau ntau hauv eczema, kab tom).
- Strike.
- Frostbite los yog hlawv.
- Ntxhais pob ntseg nrog cov khoom uas tsis yog npaj rau qhov no.
Txawm li cas los xij, kev ua txhaum ntawm kev ncaj ncees ntawm daim tawv nqaij tsis tas yuav ua rau erysipelas. Txhawm rau ua qhov no, cov kab mob yuav tsum nkag mus rau hauv lub qhov txhab. Lawv kis tau raws li hauv qab no:
- Los ntawm tus neeg uas muaj ib yam kab mob tshwm sim los ntawm pawg A beta-hemolytic streptococci. Feem ntau nws yog tonsillitis, bronchitis, pharyngitis. Cov kab mob kis tau los ntawm tus mob mus rau cov neeg noj qab haus huv los ntawm cov tee dej.
- Los ntawm cov khoom hauv tsev sib koom ntawm cov mob thiab noj qab haus huv.
- Tus neeg uas muaj, piv txwv li, mob caj pas, tuaj yeem kis tau nws lub pob ntseg ntawm nws txhais tes yog tias tus kab mob streptococci tau nkag los ntawm qhov ncauj.
- Thaum siv cov cuab yeej tsis muaj menyuam thaum lub sijhawm ua haujlwm (siv, tho).
Cov no yog txoj hauv kev zoo tshaj plaws ntawm kev kis tus kab mob streptococci. Muaj tsawg zaus, tus kab mob kis tau los ntawm txoj kev hematogenous lossis lymphogenous.
Qhov tshwm sim thawj zaug ntawm erysipelas ntawm pob ntseg feem ntau nyob ntawm lub zogkev tiv thaiv tib neeg. Cov neeg uas nws lub cev tsis muaj zog los ntawm cov kab mob, kev phais, kev noj zaub mov tsis zoo, kev ntxhov siab, kev ua haujlwm ntawm lub cev muaj zog, feem ntau yuav kis tau erysipelas, vim lawv txoj kev tiv thaiv tsis muaj peev xwm tiv taus cov kab mob.
Streptococcal o tuaj yeem pib hauv thaj tsam ntawm auricle, thiab tom qab ntawd kis mus rau lub ntsej muag thiab tawv nqaij hauv qab tawv taub hau. Tab sis lwm txoj kev loj hlob kuj tseem ua tau, thaum pib mob tshwm sim ntawm lub ntsej muag, caj dab, ntawm lub taub hau hauv qab cov plaub hau, thiab tom qab ntawd mus rau pob ntseg.
Kev faib tawm
Erysipelas tuaj yeem yog:
- Pib.
- Repeat.
- Recurrent.
Raws li qhov hnyav ntawm qhov xau, nws qib tau txawv:
- Easy.
- Average.
- Hav.
Los ntawm qhov tshwm sim hauv cheeb tsam, cov ntaub ntawv hauv qab no ntawm erysipelas yog qhov txawv:
- Erythematous. Erythema yog tsim, uas yog, liab thiab o ntawm daim tawv nqaij.
- Erythematous-hemorrhagic. Los ntshav tshwm sim ntawm qhov chaw ntawm erythema vim kev puas tsuaj rau cov hlab ntsha.
- Erythematous-bullous. Cov hlwv uas muaj cov exudate tshwm sim.
- Bullous-hemorrhagic. Nrog rau daim ntawv no, cov hlwv ntim tsis muaj pob tshab, tab sis nrog cov ntshav exudate.
Symptomatics
Nws tsis yooj yim kom tsis paub tam sim cov tsos mob ntawm erysipelas. Kev kho tus kab mob yuav tsum muaj kev tshaj lij thiab ua tiav. Qhov no yog tib txoj kev kom tshem tau tus kab mob no kom tiav. Txwv tsis pub, cov ntaub ntawv rov tshwm sim ntawm erysipelas yog tsim. Cov tsos mob ntawm rov tshwm sim yog hais txog tib yam lithawj kab mob. Lub sijhawm incubation tuaj yeem kav ntev li ob peb teev mus rau tsib hnub. Feem ntau ntawm cov neeg mob muaj peev xwm sau npe tsis yog hnub pib ntawm tus kab mob xwb, tab sis kuj yog teev, vim tias nws thawj cov tsos mob mob hnyav heev:
- Kub kub.
- mob taub hau.
- Nausea.
- kiv taub hau.
- Nyob tsis muaj zog.
- Qee zaum yuav tsis nco qab, delirium.
- Qee tus neeg muaj qhov tsis xis nyob hauv pob ntseg, tab sis cov neeg mob tseem tsis tuaj yeem piav qhia meej. Qee tus neeg xav tias dej nkag mus rau hauv pob ntseg, lwm tus - tias muaj qee yam tawg rau ntawd.
- YMyalgic Syndrome.
Feem ntau, tom qab 10-20 teev los ntawm qhov pib ntawm qhov pib ntawm thawj cov tsos mob ntawm tus kab mob, cov tsos mob hauv zos tshwm sim uas tuaj yeem ntes tau ib feem ntawm auricle (lobe, tragus) lossis tag nrho pob ntseg. Nov yog:
- Ib yam.
- Redness.
- Nco qhov kub thiab txias hauv qhov chaw mob.
- Siab (tsis tau kov).
- Ntau daim tawv nqaij ntawm qhov chaw no pib ci.
- Edema.
- Nyob rau hauv daim ntawv bullous, hlwv tshwm rau ntawm qhov chaw cuam tshuam nrog cov kua ntshiab hauv. Tom qab ntawd, erosion thiab trophic ulcers tsim nyob rau hauv lawv qhov chaw.
Txhua tus neeg mob uas muaj erysipelas raug kuaj pom tias muaj lymphadenitis thiab lymphangitis (mob ntawm cov hlab ntsha thiab cov hlab ntsha).
Ntxiv rau, cov neeg mob yuav ntsib tachycardia, arterial hypotension, lub plawv suabua muted.
Diagnosis
Yog tus neeg mob nrhiav kev pab kho mob ua ntej pib muaj cov tsos mob hauv zos, tus kws kho mob yuav tsum sib txawv erysipelas ntawm pob ntseg sab nraud los ntawm lwm cov kab mob uas muaj cov tsos mob zoo sib xws. Yog tus neeg mob mob hnyav (nws kub taub hau, ntuav, kiv taub hau, delirium), nws mus pw hauv tsev kho mob.
Thaum thawj theem ntawm tus kabmob, tus kws kho mob sau cov tshuaj anamnesis, ua qhov kev tshuaj xyuas dav dav ntawm daim tawv nqaij, mucous membranes ntawm qhov ncauj kab noj hniav, ntsuas qhov siab. Tsis tas li ntawd, cov ntshav tau muab los ntawm tus neeg mob rau kev tshuaj xyuas dav dav kom tau txais daim duab ntawm lub xeev ntawm leukocytes, platelets thiab erythrocytes.
Yog tus neeg mob twb muaj cov tsos mob ntawm o ntawm lub auricle thaum mus rau hauv tsev kho mob, nws yog ib qho tsim nyog yuav tau cais cov erysipelas los ntawm lwm yam kab mob ntawm daim tawv nqaij, xws li phlegmon, abscess, erysipeloid, eczema, dermatitis, otitis media thiab lwm yam.
Kev pab zoo hauv kev kuaj mob yog qhov pib mob sai sai ntawm tus kab mob, uas yog tus yam ntxwv ntawm erysipelas.
Tus kws kho mob yuav tsum kuaj xyuas lub pob ntseg sab nraud. Nrog erysipelas, thaum nias tus ntiv tes rau ntawm thaj chaw hyperemic, qhov liab liab ploj mus. Tsis tas li ntawd, ib qho kev kov rau thaj tsam teeb meem ua rau mob hnyav. Qhov no yog ib qho ntawm qhov sib txawv ntawm erysipelas thiab eczema, nyob rau hauv uas xws li rhiab heev yog tsis pom.
Tom qab ntawd, siv cov cuab yeej tshwj xeeb, tus kws kho mob ua qhov otoscopy ntawm pob ntseg txhawm rau ntsuas nws tus mob.
Ib qho cim tseem ceeb ntawm erysipelas yog tias nrog tus kab mob no muaj qhov tseebciam teb ntawm thaj chaw muaj kev cuam tshuam thiab noj qab haus huv (tsis muaj kev hloov pauv hloov pauv, qhov muag plooj ntawm ciam teb).
Yog tias muaj paug tawm ntawm pob ntseg, cov qauv raug coj mus kuaj.
Txoj kev kho erysipelas ntawm pob ntseg
Kev kho tus kab mob no yuav tsum muaj cov tshuaj tua kab mob. Streptococci ntawm hom hemolytic yog cov rhiab heev rau sulfonamides, tshuaj penicillin, nitrofurans, uas ua rau nws yooj yim rau cov kws kho mob. Hoob no yuav yog:
- Tshuaj xaiv: Erythromycin, Clindamycin, Oleandomycin, Ampicillin trihydrate. Cov neeg mob tau muab cov tshuaj no rau qhov ncauj lossis intramuscularly. Kev kho mob yog nqa tawm 5-7 hnub.
- Tshuaj ntawm ntau pab pawg, tshuaj hauv ib chav kawm, muaj txiaj ntsig, piv txwv li, "Phenoxymethylpenicillin" thiab "Furazolidone".
- "Biseptol" (txais tos 7-10 hnub).
- Antihistamines.
- Vitamins.
- Non-steroidal anti-inflammatory tshuaj.
- Nyob rau hauv cov mob hnyav, tshuaj biostimulants (Levamisole, Methyluracil).
- Thaum tshwj xeeb, placental gamma globulin tau nkag mus rau hauv chav kawm, plasma thiab ntshav tau ua tiav.
Kuj ua kev kho mob hauv zos. Nws muaj nyob rau hauv kev siv tshuaj pleev tshuaj tiv thaiv kab mob (piv txwv li, "Ichthyol"), sprinkling thaj chaw cuam tshuam nrog Enteroseptol hmoov.
Nrog rau kev kho kom zoo li no, hnub tom qab (qee zaum ntawm hnub thib ob lossis thib peb) muaj kev txhim kho tseem ceeb. Tus neeg mob qhov kub thiab txias poob mus rau qhov qub, hyperemia ntawm auricle txo qis, thiab cov xwm txheej zoo tuaj.
Erysipelas ntawm pob ntseg hauv cov menyuam yaus, cov tsos mob thiab kev kho tus kab mob
Hauv cov neeg mob hluas, tus kab mob tshwm sim nws tus kheej ib yam li cov neeg laus. Cov laj thawj rau nws qhov tshwm sim yog tib yam. Qhov no yog kev nkag mus ntawm pab pawg A streptococci nyob rau hauv qhov chaw ntawm kev puas tsuaj rau daim tawv nqaij ntawm auricle. Tus me nyuam yeej yuav tsum tau ua cov txheej txheem tu cev rau pob ntseg.
Cov niam txiv yuav tsum nco ntsoov tias tus menyuam lub cev hnov lus yog qhov muag heev, thiab lawv qhov loj me me dua li cov neeg laus. Yog li ntawd, nws yog ib qho tsim nyog los ntxuav tus menyuam pob ntseg kom zoo, siv cov cuab yeej tsim nyog rau qhov no. Yog li, rau cov menyuam yaus, cov txheej txheem no yog ua los ntawm cov paj rwb pad dov rau hauv lub tourniquet, thiab rau cov menyuam yaus txog li ib xyoos, nrog paj rwb swabs nrog lub limiter thaum kawg. Yog tias koj tsis ua raws li cov cai no, koj tuaj yeem ua rau tsis yog pob ntseg sab nrauv xwb, tab sis kuj tuaj yeem ua rau pob ntseg.
Nws tseem yuav tsum tau ua kom dej tsis nkag mus rau hauv pob ntseg ntawm cov menyuam yaus thaum da dej.
Cov menyuam yaus, los ntawm kev tsis saib xyuas, tuaj yeem raug mob pob ntseg nrog txhua yam khoom (twig, xaum, cwj mem).
Ib txhia kis, lub pob ntseg tuaj yeem ua rau tawv nqaij.
Lub luag haujlwm tseem ceeb hauv kev tiv thaiv erysipelas ntawm pob ntseg yog ua los ntawm lub zog ntawm tus menyuam txoj kev tiv thaiv. Raws li txoj cai, nws tseem tsis muaj zog hauv cov menyuam mos, yog li lawv kis tau txhua yam kab mob sai thiab yooj yim dua li cov neeg laus.
Cov tsos mob ntawm erysipelas hauv cov menyuam yaus txawv me ntsis ntawm cov neeg laus. Cov niam txiv yuav tsum xyuam xim rau qhov tseeb tias tus me nyuam tsis kam noj zaub mov, ua si, tsis zoo. Nws kub nce mus txog 40 degrees Celsius thiab siab dua, ntuav tuaj yeem tshwm sim,delirium, tsis nco qab. Nrog cov tsos mob zoo li no, koj yuav tsum hu rau lub tsheb thauj neeg mob tam sim ntawd. Cov niam txiv yuav tsum nkag siab tias erysipelas hauv cov menyuam yaus (tshwj xeeb tshaj yog nyob rau hauv cov menyuam mos) yog ib qho kab mob tuag taus.
Tsis ntev tom qab qhov tshwm sim ntawm thawj cov tsos mob tshwm sim los ntawm intoxication ntawm lub cev vim kev ua haujlwm ntawm streptococci, cov cim hauv zos tshwm sim - ib qho erythema loj hlob sai uas tshwm sim hauv qhov txhab. Daim tawv nqaij nyob rau hauv qhov chaw no kub, mob heev, glossy, tej zaum nrog ib tug xiav tinge. Ib qho cim qhia ntawm erysipelas yog qhov chaw mob uas muaj ciam teb meej.
Kev kuaj mob hauv cov menyuam yaus yog nyob ntawm kev kuaj pom thiab kuaj ntshav, uas qhia txog erythrocyte sedimentation tus nqi, leukocytosis, neutrophil hloov, neutrophil granularity, eosinophilia.
Vim tias qhov ua rau thiab cov tsos mob ntawm erysipelas zoo ib yam, kev kho tus kab mob no hauv cov menyuam yaus kuj ua raws li cov qauv tib yam rau cov neeg mob ntawm txhua lub hnub nyoog. Tsuas yog qhov ntau npaum ntawm cov tshuaj tuaj yeem sib txawv. Cov menyuam mos tau muab tshuaj tua kab mob "Erythromycin", "Ezithromycin", "Metapiklin", "Penicillin". Feem ntau lawv yog siv los ntawm kev txhaj tshuaj, uas yog ib txoj hauv kev yooj yim dua rau kev zom zaub mov. Yog tias koj noj tshuaj tua kab mob hauv qhov ncauj, lawv sai sai ua rau dysbacteriosis, vim lawv rhuav tshem cov txiaj ntsig microflora ntawm lub plab thiab cov hnyuv.
Tsis tas li, chav kho mob suav nrog "Rutin", ascorbic acid, vitamins ntawm pab pawg B. Nrog bullous erysipelas, corticosteroids raug tshuaj. Hauv zos, cov tshuaj pleev tshuaj tiv thaiv kab mob yog siv rau qhov mob.
Otitis externa
Yog qhov mob tshwm sim hauv pob ntseg,Tsis yog streptococci ntawm pab pawg A nkag mus, tab sis lwm yam kab mob microbes, tus menyuam tuaj yeem tsim otitis externa. Kev mob ntawm pob ntseg sab nraud hauv qhov no yuav zoo li erysipelas nrog nws cov tsos mob. Cov me nyuam muaj:
- Kub nce.
- Nyob tsis muaj zog.
- Tsis muaj zaub mov.
- Kev tsis hnov lus ib nrab (vim pob ntseg pob ntseg o).
- Nyob zoo ib tsoom phooj ywg.
Nrog otitis externa, tsis muaj hyperemia ntawm lub auricle, tab sis ib tug boil feem ntau tsim nyob rau hauv pob ntseg. Ib qho cim qhia ntawm otitis media yog qhov mob tsis txaus ntseeg, uas yog ntse, zoo li dagger, tawg mus rau sab nraub qaum ntawm lub taub hau, puab tsaig thiab lub tuam tsev. Cov me nyuam tsis txhob cia tus kws kho mob tsis tsuas yog kuaj lub auricle, tab sis txawm kov nws.
Thaum lub pob ntseg tawg, qhov mob tshwm sim me ntsis, thiab purulent exudate ntws los ntawm pob ntseg.
Kev kuaj mob otitis media suav nrog:
- Kev kuaj pob ntseg sab nraud.
- Child's hearing test.
- Tympanometry.
- Kab mob kab mob tawm ntawm pob ntseg (kev tshuaj xyuas yog tsim nyog los txiav txim qhov kab mob).
- kuaj ntshav (general thiab qabzib).
Txawm hais tias qhov zoo sib xws ntawm cov tsos mob, txoj kev kho otitis thiab erysipelas muaj qhov sib txawv loj. Nrog otitis media, lub luag haujlwm tseem ceeb ntawm cov kws kho mob yog txhawm rau txo qhov mob. Rau lub hom phiaj no, warming compresses, analgesics yog sau. Kev npaj ("Ofloxacin", "Neomycin") yog instilled rau hauv pob ntseg. Feem ntau lawv hloov nrog tshuaj pleev. Turundas nrog Flucinar, Celestoderm tuaj yeem muab tso rau hauv pob ntseg mob. Ua ntej no, pob ntseg kwj dej yog ntxuav nrog tshuaj tua kab mob.
Qee zaumphais qhib ntawm lub boil yog sau. Thaum cov exudate tas sij hawm, pob ntseg kwj dej yog ntxuav nrog tshuaj Furacilin, thiab thaj chaw cuam tshuam yog kho nrog nyiaj nitrate.
Perichondritis
Yuav kom nkag siab qhov xwm txheej ntawm tus kab mob no, koj yuav tsum hais ob peb lo lus hais txog tus qauv ntawm pob ntseg. Hauv tib neeg, nws muaj lub auricle thiab auditory kwj dej (sab nrauv). Lub dab dej yog ib hom suab catcher. Nws suav nrog lub lobe, tragus (ib pob me me nyob ntawm sab plhu), thiab antitragus (qhov loj curl uas cuam tshuam rau lub pob ntseg). Txhua qhov chaw (tshwj tsis yog lub lobe) yog pob txha mos npog nrog daim tawv nqaij. Nws o yog hu ua perichondritis ntawm lub auricle. Thaum kuaj xyuas, erysipelas yuav tsum sib txawv ntawm tus kab mob no, vim tias cov txheej txheem rau kev kho mob txawv me ntsis.
Txawm li cas los xij, qhov ua rau perichondritis thiab erysipelas muaj ntau txoj hauv kev zoo sib xws. Ob yam kab mob tshwm sim thaum cov kab mob pathogenic nkag mus rau qhov txhab ntawm daim tawv nqaij ntawm pob ntseg, tsuas yog nyob rau hauv cov ntaub ntawv ntawm perichondritis nws tsis yog streptococcus, tab sis lwm yam kab mob (feem ntau Pseudomonas aeruginosa). Lawv yuav tsum tau txais tsis tau tsuas yog nyob rau hauv daim tawv nqaij, tab sis kuj mus rau hauv pob txha mos nws tus kheej.
Cov tsos mob ntawm ob kab mob kuj muaj cov yam ntxwv zoo sib xws. Nrog perichondritis, tus neeg mob muaj:
- Kub kub.
- Nyob tsis muaj zog.
- Nausea.
- Headache.
- Poob qab los.
Cov no yog cov tsos mob tshwm sim ntawm kev qaug cawv nrog cov khoom pov tseg microbial.
Cov cim hauv zos hauv perichondritis thiab erysipelaspob ntseg sab nrauv kuj zoo ib yam. Hauv ob qho tib si kab mob, liab, o thiab mob ntawm thaj chaw cuam tshuam ntawm auricle raug pom. Txawm li cas los xij, perichondritis yeej tsis kis mus rau pob ntseg, ntsej muag, caj dab, thiab lwm qhov chaw ntawm lub cev uas tsis muaj pob txha mos. Tsis tas li ntawd, nrog rau qhov mob no, kev hloov pauv (sau cov kua paug ntawm pob txha mos thiab perichondrium) tuaj yeem pom.
Tshuaj xyuas perichondritis los ntawm kev noj anamnesis, kuaj, palpation, diaphanoscopy.
Cov tshuaj hauv qab no tau muab rau kev kho mob:
- Tshuaj tua kab mob nrog ntau qhov kev ua haujlwm. Cov tshuaj xaiv: Tetracycline, Ampicillin, Erythromycin, Ciprofloxacin, Amikacin, Cephalosporin thiab lwm yam.
- Non-steroidal anti-inflammatory "Diclofenac", "Ibuprofen" (lawv tau muab tshuaj rau qhov mob hnyav).
- compresses. Lawv tau tsim los ntawm cawv, boric acid, Burov cov kua.
- Kev kho hauv zos nrog tshuaj pleev. Siv "Flutsinar", Vishnevsky liniment, "Lorinden". Koj tuaj yeem lubricate qhov chaw mob nrog iodine.
- YPhysiotherapy (UHF, microwave, UV).
Huab cua
Nrog rau kev kho raws sijhawm, erysipelas ntawm pob ntseg hauv cov neeg laus yog kho tau tag nrho. Yog tias tus neeg mob tsis ua raws li kev kho mob, thawj erysipelas kis mus rau hauv daim ntawv rov qab, uas yog qhov nyuaj rau kho. Relapses tuaj yeem tshwm sim tsis yog hauv pob ntseg xwb, tab sis kuj nyob rau lwm qhov hauv lub cev.
Yog tias lawv tshwm sim ntau zaus, cov tsos mob me dua:
- Kub txog 38.5 degrees.
- Erythema tsis edema.
- Tsawg dua ciam teb ntawm qhov mob thiabnoj qab nyob zoo patches.
- Kev mob ntshav siab yog mob me.
Qee cov kab mob ua rau muaj qhov tshwm sim ntawm kev rov qab los (mob ntshav qab zib mellitus, lymphostasis, venous insufficiency), hnub nyoog laus, hypothermia, kev ua haujlwm siab.
Erysipelas ntawm pob ntseg tuaj yeem ua rau muaj teeb meem: rwj, abscess, necrosis, qee zaum sepsis.
Rau cov menyuam mos, qhov kev tshwm sim ntawm erysipelas tsis tshua muaj rosy. Ntawm cov neeg mob pawg no, feem ntau pom tias qhov tshwm sim tuag taus yog tias kev kho mob lig lossis siv tshuaj tsis raug.
Yog tsis muaj kev kho mob, tus kab mob no kis mus rau lwm qhov chaw. Sepsis tej zaum yuav tshwm sim.
Perichondritis ntawm auricle tuaj yeem kho tau yog tias tus kws kho mob cov tshuaj tau ua raws. Yog tsis muaj kev kho mob, pob txha mos raug puas tsuaj, lub auricle deformed.
Otitis externa kuj teb tau zoo rau kev kho mob yog tias tus neeg mob ua tiav cov txheej txheem kho mob. Tsuas yog qee zaus nws ua mob ntev.
Kev Tiv Thaiv
Kev tiv thaiv rau tag nrho peb kab mob yog tib yam. Lawv yog cov hauv qab no:
- Kev tu cev ntawm lub auricle thiab pob ntseg.
- Txhob nkim nkuaj, kub hnyiab, pob ntseg pob.
- Ua txhua yam kev tswj hwm (piv txwv li, tho pob ntseg) tsuas yog nrog lub ntsuas tsis muaj menyuam.
- pob ntseg huv tsuas yog nrog cov khoom npaj rau lub hom phiaj no.
- Txhawb thiab ntxiv dag zog tiv thaiv txhua txoj hauv kev muaj.
- Zam kev sib ze nrog cov neeg muaj kab mob sib kis.
Cov niam txiv yuav tsum saib lawv ua simenyuam. Lawv yuav tsum tsis txhob raug tso cai poob rau hauv lawv txhais tes nrog cov khoom uas lawv tuaj yeem ua rau lawv tus kheej raug mob.
