Strep impetigo: Zvinokonzera neMarapirwo

Strep impetigo iri ubiquitous mune vanhu vane akatunhidzwa uye anenge ganda. chirwere ichi kazhinji zvichikonzerwa murombo utsanana, saka zvinowanzoitwa nevana, kunyanya panguva inodziya mwedzi.

tsananguro

Strep impetigo (ICD-10 L01) - zvikuru chinotapukira cheganda anokonzerwa utachiona Streptococcus boka. Kunoratidza pacharo fliktenami (dzakarukwa zvakanaka okuvhurumuka) pamwe kuzvimba uye akatsvuka. Zvayaiva mapoka matema batanidza ichikura uye mushure kwemakomo kutora nzvimbo, apo ganda achiri rwepingi makwapa.

Cutaneous kuratidzwa vari yoku- ose mazuva mashanu kana matanhatu. Kupararira nokukurumidza kune utano nzvimbo, uye muitiro kunotanga zvakare. Usava kurapwa uye prophylaxis kukuvara kungaita hombe nharaunda ganda. Wekumusoro kakawanda localization: chiso, maoko, maoko uye mumwe pachena ganda.

In dermatology ndeizvi akasiyana streptococcal impetigo: bullous, annular, slots-zvakaumbwa, uye turniol (chirwere ezvipikiri anooneka zvikuru nemichinjiziri), streptococcal intertrigo uye posterozivny syphilide.

Inokonzera impetigo

Huru kutapuriranwa yomuchipatara vanoonekwa kuti streptococci uye staphylococci. nzira kuti kutapukirwa - taura, kuburikidza tsvina nemaoko, matoyi, zvipfeko nezvimwewo zvemumba. The kupinda mabhakitiriya kuburikidza mucosal inobvira chete kana vari zvakakuvadza, zvakadai makatsemuka kana anokwenya.

Strep impetigo muvana rinooneka pamusoro yaitwa atopic dermatitis, eczema, sema kuonana dermatitis, sezvo zvirwere chava maturo. Maceration ganda, hyperhydrosis (vangadikitira), kana otitis rhinitis pamwe kunonyengedza zvinoyerera zvakare zvakanaka mamiriro ezvinhu pakuonekwa chirwere. Vabereki vevana vaduku dzinonzi strep impetigo "chitemamachira", nekuti vari vana seboka, kupararira pakuparadzwa nokukurumidza.

zviratidzo

Zvakangotanga inotanga kuonekwa ganda duku yakatsvukuruka mavara. Pashure pemaawa mashomanana panzvimbo yavo matema kuonekwa, asi kuzara haisi kuenda kwese - nayo phlyctenas. In danho iri, ari matema vari kukodzera, Urume kuti vari segirazi. Asi ainge akamonererwa wavo rinopedza pamusoro nguva, uye kuva ramakore uye anochinja zviri kupinda pus. Kubva panguva iyi pane zvinokwanisika nezvezviitiko zviviri: kuti pus unoomesa uye ganda vari yeyero kana shava crusts kana vesicles nomuzvarirwo akazarura, nemvura inoyerera pus, vachisiya maronda. Mushure zvose kupodzwa kana zvisvundu svuura paganda kwenguva yakati kuramba dzepepuru makwapa.

Staphylococcal impetigo chinogara hapana kurapa (imwe kutenderera phlyctenas) kwemazuva manomwe. The mapundu kakawanda munzvimbo rakazaruka nzvimbo muviri: chiso, maoko, dumbu uye musana. Phlyctenas akaronga conglomerates uye muitiro batanidza. Sezvo mwana wacho ndikamumara, ipapo anotakura chirwere pamuviri wako. Kana paine zvakakwana pakurapa chirwere ichipfuura mwedzi, uye haasiyi kuseri zvizorwa kushanda.

Diagnostics

Dermatologist anogona kuona nokuda kurapwa zviratidzo strep impetigo. nedehwe pikicha (dermoscopy) uye kudzidza kwayo acidity chete richasimbiswa chirwere. Kuti tive vamwe etiology kwechirwere chacho, zviri ndiro dzakadyarwa tsika unosvikirwa, uye kana nyuchi utachiona kukura - akabata yake maikorosikopu.

Kuri kuti chirwere kazhinji kuripo, zvine musoro kuti vakaongororwa panguva Immunology, kuti arege kurasikirwa chero zvakakomba kutyorwa. Cutaneous kwemabhakitiriya zvirwere - ndiwo bhero wokutanga, zvichiratidza rapanzvimbo dambudziko.

Doctors mu muitiro achiunganidza ruzivo pamusoro chirwere zvinokosha kusiyanisa kubva folliculitis, sycosis, anonyadzisira impetigo, denda pemphigus, herpes simplex, eczema Dyuringa. Akaora akafanana strep impetigo. Photo-zvakakuvadza ganda dzakakwirira magnification zvinobatsira kusiyanisa chirwere kubva mumwe.

annular impetigo

chirwere ichi inotanga kuonekwa duku sandara vesicles kuti vakazadzwa zvakawanda zvinonyanya kuzivikanwa zvokunwa. Vanokurumidza kukura pahupamhi, kupararira kune hutano zvikamu, asi nokuomesa pakati kuumba mashava goko. Saka, pakazopera hosha phlyctenas vane chimiro maringi. Mune zvimwe zviitiko, yomufananidzo mapundu afanane korona.

Mune zvimwe zvose afanane chirwere kazhinji strep impetigo. Nyanzvi kusiyanisa chimiro ichi pamwe herpes zoster, erythema multiforme, uye dermatitis Duhring.

bullous impetigo

The causative mumiririri ndiyo streptococcus, asi dzimwe nguva, varwere akadyara uye anonzi Staphylococcus. Utachiona kupinda muviri kubudikidza ganda macerated. Izvi zvinoitika kazhinji muzhizha. Mabhuku anotsanangura yose kupararira chirwere nevanhu.

Features kuti kusiyanisa bullous impetigo uye strep, ndiko kunonyanya chimiro mapundu. vesicles guru (kusvika masendimita maviri) vane hemispherical chimiro uye akazadzwa madhaka mvura zvakasanganiswa neropa. Favorite localization pamusoro phlyctenas - ruoko uchingodzikira gumbo. Around ari maronda vakachengeta kuzvimba uye kuzvimba node midziyo. Zviratidzo Local akaperekedza muviri mukuru maitiro: fivha, nomusoro, vakawedzera leukocytes uye ESR (erythrocyte sedimentation mwero) mune vakawanda ropa kuongorora.

Ichienzaniswa nedzimwe hosha ganda bullous impetigo kunoitika kunyange zvakaoma.

Streptogennaya Zayed

Ichi streptococcal impetigo, izvo ikabuda makona muromo nokuumbwa matema duku sandara, serous kutanga Urume yakazara zvichiteverwa pus. Nokuda dzose kunotevera (munguva kudya, kukurukura) phlyctenas kuzarurwa, uye panzvimbo yavo pane makatsemuka. Kana maperembudzi achimhanya, ipapo makatsemuka zvikuru yakadzika uye kurwadza. Somwana perleches kazhinji recur. Izvi chokuita yakaderera kwevari utsanana uye kushaya mavhitaminzi kuti boka B, uye kuvapo kwezvirwere zvakadai cheshuga.

Kusiyanisa perleches pamwe chancre, mangwanani vachiberekwa njovhera chirwere Plummer - Vinson. Nokuti zvirwere maviri okutanga dzinoratidzwa akanaka serological miedzo nokuda njovhera uye kuvapo zvimwe zviratidzo, Plummer kuti chirwere - Vinson dzakaendawo hypochromic kupererwa, dysphagia, glossitis uye stomatitis, izvo kwete streptococcal kubatanidzwa.

Pamusoro felon (turniol)

chirwere uyu musiyano pakati bullous impetigo uye anozviratidza okolonogtevogo chinotenderera. Chitarisiko Its makatsamwisa kukuvara, cheek, uye anokwenya dziri utachiwana streptococcus uye pute. Matema zviri kurongwa nenzira chidhongi wakakomberedza chipikiri hwendefa pamaoko uye netsoka. Zvinogona kuva oga kubatanidzwa mumwe nomumwe uye kwakapararira, kufukidza ruoko yose.

Matema kukura pahupamhi uye akazadzwa serous kana purulent mukati. Kana kuparadza chivharo ari sefuro ndiko kupera kuti pakupedzisira akazadza goko. Kana chirwere akanaka, ose maronda kurapa, asi muna zvisingawanzoitiki kacho, utachiona chinopinda zvakadzika kupinda chipikiri kusvikira kurambwa kwaro. Shure kwaizvozvo, utachiona rakapararira kuburikidza nhengo dzinobudisa uye ropa midziyo.

Pamusoro felon inofanira kusiyaniswa kubva chancre-felon, candidiasis ezvipikiri anooneka zvikuru nemichinjiziri uye dermatitis Allopo. The chancre chinonyanya njovhera kuratidzwa, saka ine yayo unhu zviratidzo: inorema yakatsvukuruka-rinokwanisa kucheneruka pakukwirira ane urikanwi pakati. Mukuwedzera, murwere ane zvimwe zviratidzo njovhera. Candidiasis ezvipikiri mabhanzi chinoratidza systemic kutapata rutapudzo. Kuzvimba munyama thumbs hazvisi vasipo nzara tsvina mashava ruvara, uye okuyerera rikukurwe akawana howa.

Posterozivny sifiloid

Kana mumwe chirwere Sevestra-Jacques. Zviri vakawanda vari vacheche kufuta. Nemhaka yokuwanda mipendero vabereki haisi nguva dzose zvinoita yepamusoro nehanya navo, saka pane nzvimbo ganda maceration uye bundu.

The chikuru chiratidzo hosha - nezve mapundu pamusoro magaro, iyo pashure kuzarura Kuparara reserves, yakapoteredzwa korona exfoliated ganda masero. In mazhinji Muzviitiko phlyctenas inogona iri shure uye yomukati nechiuno, batanidza, pova noshamisa yokufeva chimiro.

Kwapera nguva, nzvimbo kwevhu infiltrated, uye panzvimbo yavo kuonekwa papules. Mushure chisarudzo pamusoro mapundu, kureva, kupodzwa nemaronda, kazhinji vanoramba makwapa matema. Nokuda kwokuwanda kwezvinhu morphological zvinhu haisi nguva zvichiita rokuongorora chirwere nenguva.

Differential chirwere zvinosanganisira papular syphilides uye microbial eczema. Muchiitiko chokutanga pane zvakanaka Wassermann maitiro, uye wechipiri - pasi pezvokuvamba polymorphic mapundu hapana akatsvuka. Uyezve, papules uye vesicles pamwe microbial eczema kwete batanidza pamwe mumwe.

mabatiro

Kune vakawanda Misimboti streptococcal kurapa kukubatsira disposal uye strep impetigo. Treatment rinoitwa zvinodhaka antibacterial uye kukamura uchishandisa mishonga yokuuraya utachiona. Kana chimbi mumwe okunze, vanogona kubatwa ne aniline madhayi: Pazvinhu manyoro kana fukortsinom. Uyewo chinobatsira kushandiswa asingaurayiwi nezvizoro ( "Oksikort", "Dermazolon", "neomycin" uye vamwe). Kana uri kupa phlyctenas pamusoro nzvimbo huru ganda zvinogona kurapwa strep impetigo resorcinol mafuta.

Piritsi inorwisa mabhakitiriya kurapa rakakodzera mune Muzviitiko zvakaipisisa uye kakawanda zvazvo chirwere chacho. Uyezve, mamwe bracing ndishandise zvinodhaka. Harungaregi vangasimudzira zvakasiyana strep impetigo vana. Treatment ndiye, asi vasati kushandisa mafuta kunokosha kumirira vaingoerekana kwetsinga pamusoro matema uye kuti tive nechokwadi chokuti mwana haana combed ganda.

Recommendations uye kudzivirira

Sezvo matanho anofanira kudzidziswa utsanana tsika. Vana nevanhu vakuru vari zano haana kunyorovesa njodzi nzvimbo panguva apore. zvose zvinotevera matanho anofanira kuchengetwa:

- usagunzva nevamwe vana;
- kushandisa takaparadzana kugeza nenhumbi uye kuchinja zvekufuga uye andapeni nguva;
- kuziva murwere wakaiswa pakati ndiro.

Kana mitemo iyi, kana mumhuri kana mukati boka vana chirwere haingasviki kupararira. Kuti hutachiwana, usarega utsanana, nguva dzose kunyatsoongorora kubata scrapes uye anokwenya, uye musaedza kuzora mafuta ganda panguva maronda. Idzokororo strep impetigo - pakava kuti anova nokuda kuderera kurwisa muviri. Rambai ichi mupfungwa uye murinde utano hwako.