Isifo se-Scalded ulusu

I-Scalded isikhumba sesifo (i-SSS) sisifo solusu esibangelwa ziibhaktiriya ze-staphylococcus apho ulusu lonakele luze luchithe.

Isikhumba se-Scalded syndrome sibangelwa kukosuleleka kwezinye iintlobo zebacteria ye-staphylococcus. Ibhaktheriya ivelisa ityhefu ebangela ukonakala kolusu. Umonakalo udala amadyunguza, ngokungathi ulusu lutshile. Ezi blister zinokwenzeka kwiindawo zolusu kude nendawo yokuqala.

I-SSS ifunyanwa ikakhulu kwiintsana nakubantwana abangaphantsi kweminyaka emi-5.

Iimpawu zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Amadyungudyungu
• Ifiva
• Iindawo ezinkulu zesikhumba okanye ukuwa (ukukhutshwa okanye ukususwa)
• Ulusu olubuhlungu
• Ubomvu besikhumba (erythema), esasazeka ukugubungela uninzi lomzimba
• Ulusu luyatyibilika luxinekile, lishiya iindawo ezibomvu ezimanzi (uphawu lweNikolsky)

Umboneleli wezempilo uya kwenza uvavanyo lomzimba kwaye ajonge ulusu. Uvavanyo lunokubonisa ukuba ulusu luyashibilika xa luthambisiwe (uphawu oluqinisekileyo lweNikolsky).

Uvavanyo lunokubandakanya:

• Gcwalisa ubalo lwegazi (CBC)
• Iinkcubeko zolusu, umqala kunye nempumlo, kunye negazi
• Uvavanyo lwe-Electrolyte
• Ulusu lwe-biopsy (kwiimeko ezinqabileyo)

Amayeza okubulala iintsholongwane anikwa ngomlomo okanye ngomthambo (ngaphakathi), IV) ukunceda ukulwa usulelo. Ulwelo lwe-IV lukwanikezelwa ukuthintela ukomisa. Uninzi lwencindi yomzimba ilahleka kulusu oluvulekileyo.

Ukunyanzelwa kokufuma kolusu kunokuphucula intuthuzelo. Unokufaka amafutha okuthambisa ukugcina ulusu lufumile. Ukuphilisa kuqala malunga neentsuku ezili-10 emva konyango.

Ukuchacha ngokupheleleyo kulindeleke.

Iingxaki ezinokubangela zibandakanya:

• Umgangatho ongaqhelekanga wamanzi emzimbeni obangela ukungabikho komzimba okanye ukungalingani kwe-electrolyte
• Ulawulo lobushushu olubi (kwiintsana ezincinci)
• Usulelo olunamandla lwegazi (septicemia)
• Ukusasazeka kosulelo olunzulu lolusu (i-cellulitis)

Fowunela umnikezeli wakho okanye uye kwigumbi likaxakeka ukuba uneempawu zesi sifo.

Ingxaki ayinakukhusela. Ukunyanga naluphi na usulelo lwe-staphylococcus ngokukhawuleza kunokunceda.

Isifo seRitter; Isifo se-Staphylococcal scalded ulusu; I-SSS

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.

UPallin DJ. Usulelo lolusu. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 129.