Erysipelas yog ib yam kab mob uas tau kuaj pom ntau thiab ntau dua nyob rau xyoo tas los no. Tus kab mob no nquag rov qab los, mob. Nws feature yog muaj cov kab mob foci ntawm cov mucous daim nyias nyias thiab thaj chaw ntawm daim tawv nqaij. Class A streptococci provoke tus kab mob, raws li txoj cai, erysipelas yog tus cwj pwm los ntawm lub xeev kub taub hau, feem ntau lom ntawm lub cev. Ntau zaus tshwm sim nyob rau lub caij nplooj zeeg, lub caij ntuj sov. Tus kab mob no feem ntau kuaj pom hauv cov poj niam dua li cov txiv neej. Txog li 60% ntawm cov neeg mob tshaj 40.
qhov teeb meem tuaj qhov twg?
Erysipelas yog ib yam kab mob uas tuaj yeem ua rau tus kab mob streptococci los ntawm chav kawm A. Kev kis kab mob tshwm sim los ntawm kev ua txhaum ntawm kev ncaj ncees ntawm cov mucous daim nyias nyias, lub epidermis. Koj tuaj yeem muaj mob los ntawm kev puas tsuaj los yog kev raug mob ntawm microscopic. Streptococci tuaj yeem nkag mus rau hauv lub cev nyob rau hauv lub xub ntiag ntawm daim ntaub qhwv, kab nrib pleb los yog lwm yam kev ua txhaum ntawm kev ncaj ncees ntawm integument. Koj tuaj yeem kis tau los ntawm kev sib ntsib nrog tus neeg nqa khoom ntawm cov kab mob, nrog rau tus neeg muaj tus kab mob streptococcal. Tus kab mob no tsis muaj teeb meem.
Erysipelas yog tus kab mob kis tau los ntawm aerosol, txawm hais tias kis tau tus kab mob kis tau los kuj paub. Qhov no yog ntau duadegree yog yam ntxwv ntawm cov neeg uas raug yuam kom siv cov cuab yeej uas muaj peev xwm nqa tau cov kab mob tuaj rau hauv kev sib cuag. Koj tuaj yeem kis tau los ntawm kev hnav khaub ncaws.
Risks thiab phom sij
Cov kws kho mob tau pom tias erysipelas yog ib yam kab mob uas tshwm sim ntau dua rau cov neeg tau txais kev kho mob nrog tshuaj steroid. Cov pab pawg muaj kev pheej hmoo suav nrog cov neeg uas muaj kab mob sib kis, thiab muaj qhov sib txawv heev. Nws tuaj yeem yog, piv txwv li, caries, mob ntev hauv lub caj pas, qhov ntswg, larynx. Kev pheej hmoo siab ntawm erysipelas nrog venous insufficiency lossis impaired nqaij trophism.
Streptococcal colony, multiply ntawm daim tawv nqaij, secrete exotoxins. Enzymes ntawm cov kab mob, cov ntsiab lus ntawm cov phab ntsa ntawm tes tuaj yeem nkag mus rau hauv cov kab ke hauv lub cev, vim tias ib qho ntawm cov cim qhia ntawm tus kab mob "erysipelas" dhau los ua cov tshuaj lom neeg, ua rau muaj kev sib kis-tshuaj lom. Ua tau bacteremia. Hauv daim tawv nqaij, kev tsim ntawm lub cev tiv thaiv kab mob yog pom, uas dhau sij hawm ua txhaum kev ncaj ncees ntawm phab ntsa ntawm cov hlab ntsha.
Yuav ceeb toom li cas?
Qhia txog qhov xav tau kev kho mob, cov tsos mob ntawm erysipelas suav nrog kev mob hnyav thiab ua npaws, uas qhov kub nce mus txog 40 degrees. Lub sijhawm incubation rau qee qhov yog ob peb teev, hauv lwm tus nws tuaj yeem ncav cuag tsib hnub. Cov symptomatology tag nrho qhia txog kev lom neeg ntawm lub cev, tus neeg mob tsis muaj zog, nws lub taub hau mob, tshee, xeev siab, mob lub cev. Cov tsos mob ntawm tus kab mob "erysipelas" thaum kawg ntawm thawj hnub lossis pib ntawm hnub thib ob ntawm lub sijhawm mob hnyav dhau losqhia nyob rau hauv ib cheeb tsam ntawm daim tawv nqaij - lub caij uas tus kab mob nkag mus rau hauv lub cev. Thaj chaw no khaus, kub hnyiab, mob. Qee tus neeg mob piav txog qhov kev xav tias muaj puv.
Lub sijhawm dhau mus, ntxiv rau cov tsos mob ntawm tus kab mob tau piav qhia saum toj no, erysipelas provokes erythema, o ntawm thaj chaw cuam tshuam. Qhov no ntawm lub cev yog kub thiab mob thaum kov. Cov ciam teb yog qhov tseeb, tsis sib xws, pom kev zoo ib yam li hluav taws. Muaj ib tug infiltration roller raws ciam teb.
Paj siab
Nias ntawm thaj chaw muaj kab mob ua rau erythema ploj mus ob peb feeb - qhov no yog ib qho ntawm cov tsos mob ntawm tus kab mob. Erysipelas ntawm ceg, ntsej muag, lub cev feem ntau nrog cov txheej txheem inflammatory hauv cov kab mob lymphatic. Qhov no yog manifested los ntawm compaction ntawm lub regional nodes, mob rhiab heev nyob ze lawv, raws li zoo raws li ib tug deterioration nyob rau hauv kev mus los. Yog hais tias tus kab mob no nrog hemorrhagic syndrome, tus neeg mob sau petechiae, bruising. Muaj hemorrhage.
Erysipelas yog kab mob ntawm daim tawv nqaij uas feem ntau tsim raws li qhov xwm txheej erythematous-bullous. Nyob rau hauv cov ntaub ntawv no, hlwv nrog ib tug serous tshuaj npog thaj tsam kab mob ua cim. Yog tias qhov xwm txheej yog bullous-hemorrhagic, cov ntshav koom nrog cov kua dej serous. Thaum lub sij hawm, cov pob khaus qhib, ulcers tshwm nyob rau hauv lawv qhov chaw. Nyob rau hauv tus txheej txheem ntawm rov qab cov chaw no yog faib nrog ib tug pigmentation. Ua tau caws pliav.
Yuav ua li cas kom meej rooj plaub?
Raws li kws kho mob hais, daim duab kho mob ntawm ntau yam kab mob sib kis zoo sib xws. erysipelas ib yam nkausbelongs rau cov chav kawm ntawm pathologies, thiab txhua qhov tshwj xeeb yuav tsum muaj kev qhia meej, txwv tsis pub nws yuav tsis tuaj yeem xaiv qhov kev kho mob txaus. Txhawm rau txiav txim siab cov yam ntxwv thiab tsim cov kev kuaj mob tshwj xeeb, nws yuav tsum tau kuaj xyuas tus neeg mob thiab xa nws mus rau cov kev tshawb fawb tshwj xeeb.
Qhov kev tshuaj ntsuam thawj zaug thiab theem pib yog kev kuaj ntshav rau kev hloov pauv uas ua rau mob hauv lub cev. Lawv kuj muab ntshav rau ib coagulogram. Nrog erysipelas, kev ua tsis tiav ntawm hemostasis thiab impaired fibrinolysis raug kuaj pom. Yuav kom paub meej qhov teeb meem, nws yog ib qho tsim nyog yuav tau ua ib qho kev tshawb fawb serological. Txoj kev siv niaj hnub no feem ntau yog PCR. Cov qauv ntawm cov kua dej organic tau los ntawm tus neeg mob raug kuaj xyuas cov tshuaj antistreptolysin-O titers.
Hom thiab kev faib tawm
Daim duab tiav ntawm tus kab mob tuaj yeem tau txais los ntawm kev kawm cov ntawv kho mob tshwj xeeb, uas tsis tsuas yog piav qhia cov tsos mob thiab cov yam ntxwv ntawm tus kab mob, tab sis kuj muab cov duab. Erysipelas yog ib yam kab mob uas tuaj yeem txhim kho nyob rau hauv ib qho chaw nruj heev los yog tsiv teb tsaws. Qee lub sij hawm ib qho kev hloov pauv dav dav lossis metastases raug kuaj pom.
Cov qauv hauv qab no ntawm erysipelas yog qhov txawv ntawm qhov tshwm sim ntawm qhov txhab:
- localized;
- common (generalized);
- metastatic
Nyob zoo ib tsoom niam txiv kwv tij neej tsa sawv daws.
Raws li qhov xwm txheej ntawm daim tawv nqaij, erysipelas tuaj yeem yog:
- erythematous;
- Yerythematous hemorrhagic;
- erythematous bullous;
Txoj kev ntawm tus kab mob"Erysipelas" ntawm ceg, ntsej muag, lub cev tso cai rau koj faib cov ntaub ntawv raws li thawj, rov ua dua, rov ua dua. Severity - me ntsis, nruab nrab, hnyav.
Yuav ua li cas?
Koj yuav tsum mus ntsib kws kho mob sai li sai tau thaum koj xav tias muaj kab mob. Erysipelas ntawm ceg lossis lwm qhov ntawm lub cev yuav tsum tau kho raws li kev saib xyuas ntawm tus kws kho mob tsim nyog. Thaum muaj cov tsos mob zoo ib yam li cov lus piav qhia, koj yuav tsum siv cov kev pabcuam ntawm tus kws tshaj lij rau kev kuaj mob sib txawv ntawm rooj plaub. Txawm hais tias qhov ua rau tsis nyob rau hauv lub ntsej muag, tsuas yog ib tus kws tshaj lij tuaj yeem txiav txim siab seb txoj kev kho mob twg yog qhov zoo tshaj plaws hauv ib kis.
Tom qab paub meej qhov kev kuaj mob, tus kws kho mob yuav qhia txog kev siv tshuaj. Yuav kho tus kab mob li cas? Erysipelas yog ib qho ntawm cov kab mob sib kis, yog li ntawd, kev kho tshuaj tua kab mob zoo tshaj plaws rau kev tshem tawm. Feem ntau, tus neeg mob tau muab tshuaj raws li penicillins. Tej zaum siv nitrofuran series, sulfonamides. Qee lub sij hawm cov tshuaj uas tsis yog tshuaj hormonal raug tshuaj los tiv thaiv cov txheej txheem inflammatory. Antihistamines yuav siv tau los txo tus mob thiab ua rau lub cev tsis muaj zog autoimmune teb.
Kev Kho Mob: Kev tshwm sim thiab lo lus zais
Enteroseptol hmoov yog siv hauv zos los txo cov tsos mob. Txhawm rau tshem tawm cov tsos mob hauv zos, koj tuaj yeem siv cov tshuaj pleev uas muaj erythromycin. Qee qhov xwm txheej, cov neeg mob tau pom cov tshuaj lom neeg lom. Cov tshuaj nrov yog Levamisole, Methyluracil. Txhawm rau txhawb kev tiv thaiv kab mob thiab txhim kho tus neeg mob lub cev tiv thaiv kab mob, tswj lub cev lub zog hauv kev kho tus kab mob "erysipelas" (ntawm ceg lossis lwm qhov.thaj chaw ntawm localization) tus neeg mob tau muab tshuaj multivitamin complexes. Qee qhov xwm txheej, kev hloov ntshav tau qhia.
Yog tias qhov no tau qhia, tus neeg mob raug xa mus rau kev kho lub cev kom tshem tawm cov tsos mob ntawm tus kab mob. Kev kho mob ntawm erysipelas feem ntau siv nrog cov teeb ci ultraviolet thiab hluav taws xob quartz, UHF thiab siv cov khoom siv laser hauv zos.
Nuances
Yog tias tsis muaj kev kho mob txaus, qhov xwm txheej ntev tuaj yeem ua rau muaj qhov txhab, phlegmon. Txij li thaum tus kab mob cuam tshuam rau qhov zoo ntawm cov phab ntsa vascular, qhov tshwm sim ntawm cov ntshav txhaws hauv cov hlab ntsha nce. Cov npuas tuaj yeem fester, qhov tshwm sim ntawm lymphadenitis nce. Muaj tsawg zaus, tsis muaj kev kho mob txaus, erysipelas provoked ntshav lom, kis mob toxic shock thiab mob plawv tsis ua hauj lwm.
Txhawm rau tiv thaiv erysipelas, bicillin prophylaxis yog qhov tsim nyog. Hoob no yog tus kws kho mob sau tseg tom qab tshem tawm thawj zaug ntawm tus kabmob. Kev tiv thaiv thawj zaug - ua tib zoo tu cev, kho raws sijhawm ntawm kev ua txhaum cai ntawm daim tawv nqaij, mucous membranes.
Tus yam ntxwv ntawm tus kabmob kis
Erysipelas feem ntau tshwm sim nws tus kheej ntawm ob txhais ceg, me ntsis feem ntau nyob ntawm lub ntsej muag, lub cev. Nws yog qhov tshwj xeeb tshaj yog tias tus kab mob streptococcus, tau nkag mus rau ntawm daim tawv nqaij, yuav muaj peev xwm ua kom ntau ntxiv hauv lub cev yog tias lub cev tsis muaj zog, tus neeg muaj kab mob los yog tseem tsis tau zoo los ntawm kev mob hnyav lossis kev kho mob. Feem ntau, erysipelas tawm tsam keeb kwm ntawm lwm yam kab mob.
Thaum muaj mob hnyavCov txheej txheem ntawm erysipelas provokes qhov nce hauv plawv dhia. Yog hais tias tus kab mob hnyav, tus neeg mob yog delusional. Convulsions yog ua tau. Thaum tsis muaj kev kho mob txaus, thaj chaw ntawm daim tawv nqaij uas cov kab mob streptococcal nyob hauv zos pib tev tawm. Ntxoov Ntxawg Yaj.
Cov ntawv thiab lawv cov yam ntxwv
- Erythematous erysipelas yog ib hom kab mob uas qhov chaw cuam tshuam ua rau mob, tig liab, thiab o. Lub cheeb tsam protrudes saum toj no noj qab haus huv nto ntawm daim tawv nqaij, feem ntau muaj meej ciam teb. Zoo li hluav taws.
- bullous daim ntawv ntawm erythema nrog erysipelas nyob rau hnub thib peb los ntawm qhov pib ntawm daim ntawv mob hnyav zuj zus mus rau kev tsim cov vesicles nrog cov ntsiab lus dej. Sij hawm dhau mus, lawv qhuav tawm, kev ncaj ncees ntawm lub npog tawg.
- Qhov xwm txheej erythematous-bullous tsis tshua muaj nrog cov teeb meem hauv daim ntawv ntawm nti ntawm qhov chaw ntawm lub vesicles. Qhov no tshwm sim tsuas yog thaum tus mob nce mus rau qhov pom ntawm qhov txhab.
- Erythematous-hemorrhagic scenario is characterized by hemorrhages in the area of pain.
- Bullous hemorrhagic yog ib qho txawv thaum thaj chaw npog nrog cov hlwv, hauv cov kua dej muaj cov ntshav.
Kev tshwm sim thiab qhov hnyav
- Yog tus kab mob me, qhov kub tsis tshaj 39 degrees. Tus neeg mob xav tias tsis muaj zog. Kev tshwm sim ntawm daim tawv nqaij yog qhov me.
- theem nruab nrab ntawm qhov hnyav yog ib txoj kev sib kis ntev ntev, uas yog tus cwj pwm los ntawm tag nrho cov cim qhia ntawm erysipelas tau piav qhia saum toj no.
- Yog tias cov kab mob tshwm sim raws li qhov xwm txheej hnyav, cov tsos mob hnyav tau nrog kev ua txhaum ntawm kev puas siab puas ntsws.xwm txheej.
Kev rov ua dua tau pom yog tias thawj erysipelas tsis tau raug tshem tawm tag nrho, nrog rau thaum tib neeg lub cev cuam tshuam los ntawm cov yam ntxwv uas ua rau lub ntuj tiv thaiv tsis muaj zog. Cov no muaj xws li inflammatory foci nyob rau hauv lub cev, kab mob nrog pathogenic microbes, fungi. Lawv hais txog qhov rov tshwm sim yog tias qhov rov tshwm sim ntawm erysipelas tau pom nyob rau hauv ob xyoos txij li lub sijhawm ntawm kev tshem tawm ntawm qhov tseem ceeb, thaum thaj tsam ntawm thaj chaw sib koom ua ke.
Lub sijhawm dhau mus, erysipelas tuaj yeem ua rau necrotic foci. Muaj qhov ua tau ntawm periadenitis. Muaj feem yuav muaj teeb meem nrog tus kab mob rov ua dua tshiab.
Tshuaj thiab kev kho mob: qee qhov nuances
Feem ntau, kev kho mob hauv tsev nrog kev mus ntsib kws kho mob tsis tu ncua los saib xyuas qhov kev mob tshwm sim. Yog tias tus kab mob hnyav heev, tuaj yeem mus pw hauv tsev kho mob. Kev kho mob sab nraud yog siv tau yog tias tus neeg mob laus lossis raug mob los ntawm kev noj qab haus huv sib raug zoo, nrog rau yog tias erysipelas nquag nquag rov qab los.
Thaum kub taub hau, yuav tsum haus dej sov kom ntau thiab siv tshuaj tua kab mob. Txhawm rau txhim kho qhov xwm txheej, koj tuaj yeem noj cov vitamins. Cov kab mob ntawm daim tawv nqaij yog tsis tu ncua nrog tshuaj tua kab mob thiab kho nrog ib daim ntaub qhwv. Tshuaj tua kab mob yog lub hauv paus ntawm kev kho mob.
Lub sijhawm kho ntawm erysipelas yam tsis muaj teeb meem yog 7-10 hnub. Siv qhov ncauj "Oletetrin" mus txog rau rau lub sij hawm ib hnub twg rau ib quarter ntawm ib gram. Koj tuaj yeem siv "Metacycline" peb zaug hauv ib hnub rau 0.3 g. Tus kws kho mob yuav pom zoo kom nres ntawm "Oleandomycin" lossis "Erythromycin". Cov noCov tshuaj tua kab mob yog siv rau ib hnub ntawm qhov tsis ntau tshaj 2 g. Qee zaum, nrog erysipelas, nws raug nquahu kom siv Biseptol lossis Sulfaton. Ob qho tshuaj siv ob zaug ib hnub, ob peb ntsiav tshuaj tom qab noj mov.
Kev xaiv thiab txoj hauv kev
Yog tias tus neeg mob tus mob yuam tus neeg mob mus pw hauv tsev kho mob, Benzylpenicillin hauv daim ntawv ntawm cov tshuaj rau kev txhaj tshuaj intramuscular feem ntau yog siv los ua ib feem ntawm kev kho cous. Tsis tas li ntawd, cov neeg mob tau muab tshuaj tsis yog tshuaj hormonal los tiv thaiv kev mob. Txhawm rau tswj lub zog ntawm lub cev, nws raug nquahu kom noj Askorutin. Tus kws kho mob tuaj yeem sau cov tshuaj multivitamin complexes los yog txhais tau tias kom stabilize lub plab hnyuv microflora.
Yog tias erysipelas nyob hauv thaj tsam ntawm ob txhais ceg, koj tuaj yeem xyaum kho hauv zos. Tus kws kho mob txiav cov hlwv los ntawm ntug, kho qhov tsom xam nrog Furacilin. Bandages nrog nws yuav tsum tau hloov txhua hnub ob peb zaug.
Nyob rau theem mob erysipelas, tus neeg mob yuav tsum mus ntsib chav kho mob lub cev rau cov txheej txheem siv ultraviolet, UHF. Thaum tus mob tau dhau mus lawm, cov kab mob tau kho nrog tshuaj pleev, siv cov ntaub qhwv.
Nrog rau erysipelas, kev so mob tau kaw xya hnub tom qab qhov kub thiab txias, rau lwm lub quarter ntawm lub xyoo lawv tau sau npe nrog tus kws kho mob tshwj xeeb. Nyob rau hauv cov ntaub ntawv ntawm relapse, nws yog tsim nyog los siv lwm yam tshuaj uas txawv los ntawm cov siv nyob rau hauv cov ntaub ntawv yav dhau los. Raws li qhov xwm txheej ruaj khov rau lub sijhawm 6-24 lub hlis. Tus neeg mob yuav tau txais "Retarpen" lossis "Bicillin 5" txhua peb lub lis piam.
Tau qhibCov txheej txheem hauv zos rov ua dua tshiab, koj tuaj yeem siv Bepanten, Dermazin tshuaj pleev.
Yuav ua li cas pab koj tus kheej hauv tsev?
Kev siv cov zaub mov txawv rau kev kho mob erysipelas yuav tsum tau pom zoo nrog tus kws kho mob tsim nyog. Thaum qhov mob hnyav pib, nws yog ib qho tsim nyog yuav tsum tau siv tshuaj tua kab mob - nws tsuas yog kho tsis tau erysipelas yam tsis muaj lawv, ntxiv rau, kev pheej hmoo ntawm cov teeb meem yog siab dhau.
txhawm rau txhawm rau khaus thiab hlawv ntawm thaj chaw muaj kab mob, koj tuaj yeem lubricate thaj chaw nrog camphor, kua txiv aloe, plantain. Yog tias daim tawv nqaij mob heev, cov tshuaj novocaine tuaj yeem muab ntxiv rau cov kua txiv hmab txiv ntoo. Cov kua yog tov nyob rau hauv sib npaug proportions. Yog tias erysipelas nrog suppuration, koj tuaj yeem siv cov ntaub qhwv nrog Solcoseryl.
Tus kws kho mob qhia dab tsi?
Nws ntseeg tias Qav caviar tuaj yeem cawm nrog erysipelas. Koj yuav tsum tau sau nws nyob rau hauv lub caij nplooj ntoos hlav nyob rau hauv stagnation dej. Caviar yog kis ntawm gauze nyob rau hauv ib tug nyias txheej thiab qhuav nyob rau hauv lub hnub, khaws cia nyob rau hauv daim ntawv no. Raws li xav tau, cov khoom yog soaked nyob rau hauv pre-boiled dej thiab siv nyob rau hauv lub zos kho mob ntawm tus kab mob. Los ntawm saum toj no, caviar yog them nrog ib tug huv linen ntaub thiab tsau. Nws yog ib qho ua tau kom ua tiav txoj kev kho tiav, raws li cov kws tshaj lij hauv cov tshuaj ib txwm hais, hauv tsib txheej txheem.
Siv tau tawm tsam erysipelas yog tsev cheese. Koj yuav tsum siv cov khoom ua liaj ua teb ntuj, tsis yog lub khw muag khoom. Tsev cheese yog siv rau cov kab mob hauv ib txheej tuab, thiab thaum nws qhuav, nws hloov mus rau tshiab. Thaum lub sijhawm ua haujlwm, koj yuav tsum nyob twj ywm. Tsis tas yuav kho.
Los ntawm tshuaj ntsuab nrog erysipelas feem ntaupom zoo resorting rau plantain. Cov nplooj yog crushed, tov nrog crushed chalk. Cov gruel tiav yog siv rau thaj chaw cuam tshuam ntawm daim tawv nqaij, kho nrog cov ntaub qhwv ntsej muag.
