Bullous erysipelas: yintoni, iimpawu kunye nonyango
Umxholo
I-erysipelas e-Bullous luhlobo oluqatha lwe-erysipelas, olubonakaliswa sisilonda esibomvu nesibanzi, esibangelwa kukungena kwebacteria ebizwa Iqela A Beta-haemolytic streptococcus ngokusebenzisa iintanda ezincinci kulusu, ezinokuba kukuluma kweengcongconi okanye umbungu weenyawo ezinyaweni, umzekelo.
Kwii-erysipelas eziqhelekileyo, eli nxeba alikho ngaphezulu kwaye libanzi, kwaye kwimeko ye-bulry erysipelas, amaqamza angenza ngolwelo olucacileyo okanye olutyheli. Inxeba linzulu, kwaye kwezinye iimeko kunokubangela iingxaki kwaye kuchaphazele amanqatha amanqatha nkqu nezihlunu.
Nangona inokubonakala nakubani na, ii-bulry erysipelas zixhaphake kakhulu kubantu abanamajoni omzimba abuthathaka, abanomhlaza ophucukileyo, abane-HIV okanye abanesifo seswekile. Ukongeza kwi-erysipelas, uhlobo losulelo lolusu olunokuvela sisifo esosulelayo se-cellulitis, esihlala sichaphazela iindawo ezinzulu zolusu. Jonga ukuba ungazi njani ukuba yi-erysipelas okanye i-cellulitis eyosulelayo.
Bullous erysipelas ayosuleli, oko kukuthi, ayisasazeki isuka emntwini iye emntwini.
Iimpawu eziphambili
Iimpawu ze-bulry erysipelas zezi:
- Ukudakumba kulusu olubomvu, oludumbileyo, olubuhlungu, malunga ne-10 cm ubude, kunye namadyungudyungu abonisa ulwelo olubonakalayo, olutyheli okanye limdaka;
- Ukuvela "kolwimi" kwi-groin, xa inxeba lichaphazela imilenze okanye iinyawo;
- Ubuhlungu, ubomvu, ukudumba kunye nokunyuka kweqondo lobushushu bendawo;
- Kwiimeko ezinzima kakhulu, kunokubakho umkhuhlane.
Xa usulelo luye lubi ngakumbi, ngakumbi xa unyango lungenziwa ngokuchanekileyo, kunokwenzeka ukuba ufikelele kumanqanaba anzulu esikhumba, njengezicwili ezingaphantsi kwaye zinokudala ukutshabalalisa izihlunu, njengoko kusenzeka kwi-necrotizing fasciitis.
Ukuchongwa kwe-erysipelas eneenkomo kuqinisekiswa luvavanyo lwegqirha jikelele okanye ugqirha wesikhumba, ochonga iimpawu zesilonda kunye neempawu ezibonakaliswa ngumntu. Uvavanyo lwegazi lunokuyalelwa ukuba lubeke esweni ubuzaza bosulelo, kwaye iimvavanyo zokucinga ngemifanekiso ezinje nge-computed tomography okanye imaging resonance imaging zinoku-odolwa kwimeko yokonzakala efikelela kumaleko anzulu kakhulu, izihlunu okanye amathambo.
Funda ngakumbi malunga neempawu kunye nendlela yokuchonga ii-erysipelas.
Yintoni ebangela i-bulry erysipelas
I-Bullous erysipelas ayosuleli, njengoko isenzeka xa ibhaktiriya esele iphila eluswini nakwimeko-bume ikwazi ukungena eluswini ngenxeba, ukuluma kwezinambuzane okanye iicilblains ezinyaweni, umzekelo. eyona nto ibangela ibacteria yileIStreptcoccus pyogenes, nangona ezinye iintsholongwane zinokubangela oko, kunqabile.
Abantu abanokungakhuseleki komzimba, njengaleyo inezifo ezizimele zodwa, isifo seswekile esingalawulwayo, i-HIV, nabantu abatyebe kakhulu nabantu abane-circulation engalunganga, njengoko kwezi meko iintsholongwane zinokwanda ngokulula.
Unyango lwenziwa njani
Unyango lwe-bulry erysipelas lwenziwa ngamayeza abulala ugqirha. Ngokubanzi, ukhetho lokuqala yiBenzathine Penicillin. Ukongeza, kubalulekile ukunciphisa ukudumba ngokuthatha ukuphumla ngokupheleleyo imilenze yakho iphakanyisiwe, kwaye kunokuba yimfuneko ukubopha umlenze wakho ukunciphisa ukudumba ngokukhawuleza.
Unyango lwe-erysipelas eneenkomo lunokufikelelwa kwiintsuku ezingama-20 emva kokuqala konyango lwe -antibiotic. Kwimeko ye-erysipelas ephindaphindayo, unyango lwe-benzathine Penicillin G luyacetyiswa rhoqo kwiintsuku ezingama-21, njengendlela yokuthintela izifo ezintsha. Bona ngakumbi malunga neendlela zonyango ngamayeza okubulala iintsholongwane, izinto zokuthambisa kunye naxa kufuneka uhlale esibhedlele.
Ukongeza, ngexesha lonyango lwe-erysipelas, kuyacetyiswa ukuba umongikazi enze iilokhwe, acoce ngokuchanekileyo isilonda, asuse ukhuseleko kunye nezicubu ezifileyo, ukongeza ekusetyenzisweni kweoyile yokuncedisa kwinkqubo yokuphilisa, efana nehydrocolloid, i-hydrogel, i-papain okanye i-collagenase, kuxhomekeke kwiimpawu zokulimala komntu ngamnye. Jonga indlela yokwenza inxeba lokunxiba.