Kev kho mob ntawm erysipelas ob txhais ceg

Erysipelas - ib tug kab mob kis ntawm cov kab mob daim tawv nqaij los ntawm hemolytic tus kab mob Streptococcus pab pawg neeg A, uas yog nrog mob hnyav qaug cawv thiab o ntawm daim tawv nqaij.

Pathogen (hemolytic tus kab mob Streptococcus) ua rau lwm yam kab mob xws li angina, tab sis tsis yog txhua txhua tus neeg uas tau muaj ib tug mob caj pas, tsim erysipelas. Yog vim li cas tej zaum yuav muab nws txo qis kev tiv thaiv, kev tsis haum tshuaj rau Staphylococcus, ib tug predisposition rau tus kab mob, thiab ntau lwm yam tseem ceeb.

Kab mob nquag tshwm sim los ntawm kev sib cuag, los ntawm me me daim tawv nqaij puas tsuaj, hnav, txij li thaum lub pathogen nyob ntawm daim tawv nqaij nto, tab sis yuav pathogenic zog xwb nyob rau hauv dej siab tej yam kev mob.

Tau kis los ntawm sab nraum ntawm ib tug tsis kho kho seev, raws li zoo raws li muaj lymphogenous txoj kev (nyob rau hauv recurrent erysipelas).

Localization ntsej muag tej zaum yuav sib txawv: lub ntsej muag, caj dab, npog tas ib ce, tiam sis feem ntau feem ntau muaj feem xyuam rau lub sab nqua (plab hlaub).

Erysipelas ob txhais ceg mob.

Lub ncu tus kab mob lub sij hawm yog ib tug ob peb hnub (feem ntau yog 3-4 hnub), txawm hais tias cov tsos mob muaj peev xwm tsim nyob rau hauv ib tug teeb meem ntawm lub sij hawm. Heev qha me ntsis, hauj sim thiab mob lub ntsej muag. Localization: laus, qibsiab thiab cov metastatic. Los ntawm qhov xwm ntawm tus khiav: erythematous, erythematous-bullous, erythematous-hemorrhagic thiab bullous.

Primary erysipelas pib sharply nrog qhov kev nce rau hauv lub cev kub rau 39-40 degrees, cov tsos mob ntawm intoxication (mob taub hau, qaug zog, mob mob). cov tsos mob no tej zaum yuav tshwm sim thaum heev li convulsions, fem, xeev siab, ntuav, thiab lwm yam

Los ntawm kawg ntawm thawj hnub, thiab tej zaum lub hnub tom ntej tuaj koom cov tsos mob ntawm daim tawv nqaij o: liab, hlawv nov ntawm nqaij tawv thiab cov tawv nqaij distention, lub zos kub nce (povtseg kub mus rau lub kov), nrog los ntawm edema.

Yog hais tias tus kab mob no yog laus rau ntawm daim tawv nqaij ntawm lub ntsej muag, lub o thiab liab phem heev disfiguring, ua rau cov kab mob tau txais nws lub npe.

Inflamed cheeb tsam ntawm daim tawv nqaij yog liab, kom meej meej ib ncig ntug nrog elevations (o ntawm tus ncej) nyob rau hauv lub periphery, feem ntau o piv nrog rau cov nplaim taws. Mob erysipelas kav los ntawm tsib mus rau kaum tsib hnub, thiab ces pib zuj zus lawm tso o thiab scaling ntawm daim tawv nqaij zoo nkaus li. Nyob rau hauv qhov chaw ntawm lub lesion yog daim tawv nqaij pigmentation.

Nyob rau hauv loj dua tus kab mob tej zaum yuav delaminate lub epidermis (sab sauv txheej ntawm daim tawv nqaij) thiab sau nrog serous txheem blistering (bullous erythematous-daim ntawv) los yog hemorrhagic cov ntsiab lus (bullous-hemorrhagic daim ntawv no). Tom qab hloov cov ntaub ntawv ntawm o yuav tshwm sim nonhealing trophic ulcers.

Yog hais tias lub rov muaj dua ntawm erysipelas tshwm sim tom qab ib tug mob mob rau ob lub xyoos, ces tham txog recurrent erysipelas.

Yuav ua li cas los kho erysipelas txhais ko taw?

Kev kho mob ntawm erysipelas ob txhais ceg yuav tsum tau pib kom txo lub cev kub ntawm antipyretics. Ntxiv kev kho mob ntawm erysipelas ob txhais ceg nqa tawm tsuas nyob rau hauv lub saib xyuas ntawm ib tug kws kho mob. Txij li thaum mob yog kab mob nyob rau hauv keeb kwm, nws yog kho nrog tshuaj tua kab mob, feem. Therapy yog feem ntau nqa tshuaj penicillins (penicillin, bicillin 5) nrog loj koob tshuaj, ib chav kawm ntawm 7-10 hnub. Yog hais tias feem ntau recurrent erysipelas ntxiv rau tshuaj tua kab mob kev kho mob erysipelas ob txhais ceg nrog kev pab los ntawm cov tshuaj hormones (prednisolone).

Tsis tas li ntawd, kev kho mob ntawm o erysipilatous ob txhais ceg muaj xws li tshuaj pleev kev kho mob nrog ib tug antiseptic tshuaj (tshuaj Frc).