Exfoliative dermatitis nyob rau hauv cov neeg laus thiab neonates (yees duab)

Exfoliative dermatitis (dermatitis Ritter) - yog ib tug ntawm muaj peev xwm mus nyob ntawm Staphylococcus aureus ntawm daim tawv nqaij saum npoo av. Hu ua tus kab mob yus heev thiab cov tsos mob ntawm intoxication. Nyeem ntxiv txog tus kab mob no yuav tsum tau tham tom qab nyob rau hauv tsab xov xwm.

Yuav ua li cas yog tus kab mob exfoliative dermatitis

Feem ntau cov feem ntau txom nyem los ntawm dermatitis Ritter cov me nyuam mos. Qhov no yog vim lub txhaum ntawm lub cev muaj tsuas tau yug cov me nyuam mos thiab cov yam ntxwv nta ntawm lawv daim tawv nqaij. Tshwj xeeb yog raug rau tus kab mob no los yog ntxov ntxov cov me nyuam mos yug los es muaj menyuam tsis muaj phaus.

Exfoliative dermatitis nyob rau hauv cov me nyuam mos tej zaum yuav tshwm sim nyob rau hauv lub thib ob hnub tom qab yug tus me nyuam los yog tom qab ib los yog ob lub lis piam. Los ntawm txoj kev, lub ntxov tus kab mob no muaj, qhov nyuaj nws yog to.

Kab mob pathogens los ntawm leej niam los yog tus neeg ua hauj lwm ntawm lub tsev kho mob thiab nrog lub yeej thiab rejection ntawm lub epidermis.

dermatitis theem

Tus thawj cov tsos mob ntawm dermatitis (erythematous theem) - yog liab nyob ib ncig ntawm lub qhov ncauj, thiab daim tawv nqaij exfoliation, puj ntaws thiab tej yam ntuj tso folds (nyob ib ncig ntawm lub qhov quav, genitalia thiab lub caj dab). Lub pathological txheej txheem yog heev ceev ceev rau 6-12 teev, kis tau tshaj rau tag nrho cov lub cev tus me nyuam. Nws los ua hyperemic, edematous, npuas tshwm sim ntawm daim tawv nqaij uas muaj ib tug pob tshab kua. Feem ntau cov cov mucosa ntawm lub qhov ncauj thiab genitals yam khoom noj.

Nyob rau hauv lub thib ob theem, tshwm sim nyob rau hauv lub thib ob los yog peb hnub los ntawm qhov pib ntawm tus kab mob, exfoliative dermatitis manifests qhib npuas, uas tshwm sim nyob rau hauv qhov chaw noo erosions. Thiab nyob ib ncig ntawm lawv, nyob rau khees uninvolved chaw, daim tawv nqaij yog yooj yim peeled (t. N. Nikolsky syndrome). Los ntawm txoj kev, thaj tag nrho yog reminiscent ntawm ib tug phem hlawv.

Nyob rau hauv cov ntaub ntawv no, tus me nyuam kub yuav sawv mus rau 40 ° C, nws suffers los ntawm kem plab thiab lub cev qhuav dej li tsis pub niam mis. Tus me nyuam mos yuav pw tsis tsaug zog, poob phaus sai heev thiab kev tuag yuav tshwm sim tsis muaj kev kho mob.

Regenerative - Qhov thib peb theem ntawm tus kab mob. Raws li nws lub npe implies, tus me nyuam maj mam zaug: erosions kho, tawm hauv liab thiab o, thiab kev mob ntawm tus me nyuam yog normalized.

Nta dermatitis txaus

Exfoliative dermatitis cov me nyuam mos yog txaus ntshai tsis tsuas rau nws tus kheej. Tus kab mob no, uas, nyob rau hauv lub qhaj ntawv ntawm txaus kho mob thiab kev kho mob ntawm cov neeg mob tus me nyuam yuav ua tau kom lub taub dej khawb foci ntawm kab mob nyob rau qhov chaw ntawm yaig, uas nyob rau hauv lem, ntxias weighting ntawm tus kab mob. Ib tug mob tus kab mob no yuav ua otitis media, mob ntsws, meningitis thiab peritonitis.

Nyob rau hauv cov tshuaj, nws muaj peb degrees ntawm heev ntawm lub pathology piav.

1. Me me soj ntsuam tej yam tshwm sim yog lubricated thiab tsis zoo distinguishable theem ntawm tus kab mob. Rov qab yog twb nyob rau 10 hnub ntawm qhov pib ntawm tus kab mob.
2. Nyob rau hauv mob pesnrab mob loj heev theem ntawm tus kab mob no kom meej meej distinguishable, cov lus hais cov tsos mob, tab sis muaj tsis muaj teeb meem thiab cov me nyuam yog recovering zoo.
3. Loj mas yuav ib theem kab mob thiab purulent inflammatory kab mob ntawm lwm yam kabmob. Tej zaum tus kab mob twg thiaj li raug mus rau hauv cov ntshav thiab cov kab mob no yog nyuab los ntawm sepsis. Qhov zoo ces, nrog raws sij hawm thiab tsim nyog kev kho mob ntawm xws nws yog tsis tshua muaj tsis tshua muaj.

Uas yog vim li cas muaj ib tug exfoliative dermatitis rau cov neeg laus

Nyob rau hauv neeg laus, nws piav txog tus pathology tshwm sim ntau npaum li cas tsawg heev tshaj nyob rau hauv cov me nyuam (1-2% ntawm cov neeg tshaj 50 xyoo) thiab npaj tiv thaiv lub keeb kwm ntawm twb uas twb muaj lawm loj cov kab mob, lub cev yog zoo heev txo. Cov no muaj xws li ntshav qab zib, mob qog nqaij hlav thiab ntau yam ntaub ntawv ntawm lub plawv tus kab mob. Txawm li cas los, nws yuav tsum tau clarified tias nyob rau hauv 30% ntawm cov neeg, cov kws kho mob tsis tswj kom tsim qhov ua rau ntawm lub erythroderma (kuj hu ua tus kab mob). Thiab txiv neej thiab cov poj niam tus piv ntawm qhov tshwm sim ntawm ib tug pathological txheej txheem yog 5: 1.

Tsis kawg luag hauj lwm nyob rau hauv txoj kev pheej hmoo ntawm tau txais dermatitis exfoliative plays thiab tsev neeg keeb kwm, thiab congenital kab mob. Nyob rau hauv tej rooj plaub tej zaum nws yuav erythroderma lom cov tshuaj tiv thaiv mus rau lub txais tos ntawm ib co tshuaj los yog lub qhov tsim nyog ntawm ib qho uas twb muaj lawm tshuaj tsis haum tshuaj los yog psoriasis.

Yuav ua li cas yog exfoliative dermatitis rau cov neeg laus

Nyob rau hauv cov neeg laus, tshwj xeeb cov yam ntxwv ntawm tus kab mob no yog kev lom zem ntau nyob rau physiological yam thiab kev noj qab haus huv ntawm tus neeg mob. Nyob rau hauv Feem ntau, lub pathology manifested los ntawm liab thiab Zaubqhw ntawm daim tawv nqaij. Thiab, characteristically, nws yuav exfoliate lub slightest kov, txawm nyob rau thaj noj qab nyob zoo chaw.

Tus neeg mob yaam puab paub mob loj heev khaus ntawm daim tawv nqaij nto npuas yog tsim nyob rau thiab, tom qab lawv qhib, yaig. Cov qog ntshav hauv qab thiab qhov kub thiab txias ntawm lub nce. Cov neeg mob feem ntau tsis txaus siab ntawm ib tug kev xav ntawm txias, mob khaub thuas.

exfoliative dermatitis Nws yuav siv sij hawm qhov chaw, raws li twb tau hais, uas txawv siv. Thaum lub sij hawm nws ceev ceev txoj kev loj hlob nyob rau hauv tus neeg mob lub cev tsim tau ib cov tuab kiav txhab uas tawg, delivering mob.

mob ntawm tus kab mob no

Kev tshawb nrhiav exfoliative dermatitis Ritter yog tsis yooj yim, raws li nws cov tsos mob no feem ntau yog qhia. Ib tug zoo Nikolsky (yooj yim sib cais ntawm lub sab sauv txheej ntawm lub epidermis nyob ib ncig ntawm erosions) syndrome muab lwm lub sijhawm los yog txiav txim tus kab mob.

Kuaj cov kev tshawb fawb los kav tawm lub xub ntiag ntawm Burns thiab qhia kom paub txog cov neeg sawv cev, uas yog muab rau kab lis kev cai npuas cov ntsiab lus. Tsis tas li ntawd ua thiab differential mob los ntawm muab piv rau cov tshwm sim ntawm tus kab mob nrog pemphigus, epidermolysis bullosa, phlegmon, ichthyosis thiab hu rau dermatitis.

Principles of kev kho mob ntawm exfoliative dermatitis

Yog hais tias koj xav tias ib tug exfoliative dermatitis (yees duab tsos mob koj yuav saib tau nyob rau hauv tsab xov xwm) niam thiab me nyuam mob yog muab ib tug private chav (boxing). Kev kho mob yog ib qho kev txhaj tshuaj ntawm tshuaj tua kab mob thiab ntshav muaj antistaphylococcal gamma globulin.

Kom tsis txhob qhuav dej tus me nyuam muab los ntawm Txoj kev lis ntshav (Txoj kev lis ntshav) thiab gemodez polyglukin. Ib tug probiotics (bifidumbacteria) muab mus rau thaum xaus ntawm lub chav kawm ntawm daim ntawv thov antibiotkov.

Tus me nyuam daim tawv nqaij yog kho nrog ib tug tsis muaj zog tshuaj ntawm salicyl cawv los yog furatsilina thiab npuas yog qhib thiab roj yog thov zinc thiab antibacterial ointments. Exfoliative dermatitis kuj yuav txhua txhua hnub da dej nrog qhov sib ntxiv ntawm cov dej nyob rau hauv ib tug tsis muaj zog tshuaj ntawm poov tshuaj permanganate. Mos liab tsis muaj khaub ncaws, thiaj li tsis mus ua kev mob, thiab cov nias-phooj ywg tiag nphoo kho mob talc los yog zinc oxide. Nws kuj pom zoo raws li ib tug me me tus me nyuam ua hauj lwm ceev raws li tau kom tsis txhob sib cais thiab daim tawv nqaij desquamation.

Nyob rau hauv loj heev zaum, lub ib qho kuam me me twb muab tso nyob rau hauv ib tug incubator (incubator) nyob rau hauv uas yog khaws cia ib tug tej yam kub thiab humidity.

Yuav ua li cas kom tsis txhob muaj mob

Exfoliative dermatitis, uas qhia txog cov duab ntawm cov me nyuam thiab cov laus koj yuav saib tau nyob rau hauv tsab xov xwm yog tiv thaiv xwb nruj kev ua raws li yooj yim tu leej niam ntawm ib tug me nyuam mos nyob rau hauv lub postpartum department kev cai thiab kev hnav ib gauze ntaub qhwv.

Los ntawm cov tsev kho mob cov neeg ua haujlwm yuav tsum tau kev kvartsevanie Chamber cov me nyuam mos, tu thiab ntaub pua txaj, raws li zoo raws li cov kev tshev rau lub xub ntiag ntawm Staphylococcus aureus.

Nyob rau hauv cov neeg laus, kab mob no yog tiv thaiv los ntawm kev zam qhov muab allergens uas yuav ua rau dermatitis, pab kev kho mob ntawm txhua yam mob los yog voos ntawm cov tawv nqaij, ua raws li kev noj haus thiab kev tswj kev tiv thaiv nyob rau hauv zoo mob.