I-Perianal streptococcal cellulitis

I-Perianal streptococcal cellulitis yintsholongwane ye-anus kunye ne-rectum. Usulelo lubangelwa yi-streptococcus bacteria.

I-Perianal streptococcal cellulitis ihlala ivela ebantwaneni. Ihlala ibonakala ngexesha okanye emva komqala womqala, nasopharyngitis, okanye usulelo lwesifo se-streptococcal (impetigo).

Ulusu olujikeleze i-anus lunokosuleleka ngelixa umntwana esosula indawo emva kokusebenzisa indlu yangasese. Usulelo lunokubangelwa kukukrwela indawo ngeminwe eneebhaktheriya emlonyeni okanye empumlweni.

Iimpawu zingabandakanya:

• Ifiva
• Ukubamba, iintlungu, okanye ukopha ngokuhamba kwamathumbu
• Ubomvu bujikeleze i-anus

Umboneleli wezempilo uya kumvavanya umntwana abuze malunga neempawu.

Uvavanyo olunokwenziwa lunokubandakanya:

• Inkcubeko ye-swab efihlakeleyo
• Inkcubeko yesikhumba evela kummandla wecala
• Inkcubeko yomqala

Usulelo lunyangwa ngamayeza okubulala iintsholongwane kangangeentsuku ezili-10, kuxhomekeke kwindlela asebenza ngayo ngokukhawuleza nangokukhawuleza. I-penicillin yeyona antibiotic isetyenziswa rhoqo ebantwaneni.

Amayeza angumxholo anokufakwa eluswini kwaye aqhele ukusetyenziswa ngamanye amayeza okubulala iintsholongwane, kodwa ayifanelanga ukuba lunyango kuphela. I-Mupirocin liyeza eliqhelekileyo elisetyenziselwa le meko.

Abantwana bahlala bechacha ngokukhawuleza kunyango lweantibiotic. Kubalulekile ukuba unxibelelane nomboneleli wakho ukuba umntwana wakho akabi bhetele kungekudala kwii-antibiotics.

Iingxaki zinqabile, kodwa zinokubandakanya:

• Ukunqongophala kwe-anal, fistula, okanye ithumba
• Ukopha, ukubhobhoza
• Ukuhamba kwegazi okanye olunye usulelo lwe-streptococcal (kubandakanya intliziyo, ukudibana kunye nethambo)
• Isifo sezintso (acute glomerulonephritis)
• Ulusu olunamandla kunye nosuleleko lwethishu ethambileyo (i-necrotizing fasciitis)

Tsalela umnikezeli womntwana wakho ukuba umntwana wakho ukhalaza ngentlungu kwindawo engamarhe, ukuhamba kwamathumbu okuqaqambayo, okanye ezinye iimpawu ze-perianal streptococcal cellulitis.

Ukuba umntwana wakho uthatha amayeza okubulala iintsholongwane kule meko kwaye indawo yokubomvu iba mandundu, okanye ukungonwabi okanye umkhuhlane uyanda, tsalela umnikezeli wakho ngoko nangoko.

Ukuhlamba izandla ngononophelo kunokunceda ekuthinteleni oku nezinye izifo ezenziwa yintsholongwane ethwelwe ngempumlo nasemqaleni.

Ukuthintela imeko ukuba ingabuyi, qiniseka ukuba umntwana wakho ugqibe onke amayeza amiselweyo ngumboneleli.

IStreptococcal proctitis; Iprctitis - istreptococcal; I-Perianal streptococcal dermatitis

Paller AS, Mancini AJ. Intsholongwane, i-mycobacterial, kunye nosulelo lweprotozoal kulusu. Ku: Paller AS, Mancini AJ, ii-eds. Iklinikhi yezeMpilo yeDermatology yabantwana. Umhla we-5. IPhiladelphia, PA: Elsevier; 2016: isahluko 14.

Shulman ST, Reuter CH. Iqela le-streptococcus. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; I-2020: isahluko 210.