Erysipelas ngezinyawo - ukwelashwa kanye ne-prophylaxis

Ngisho nasezimo zanamuhla, i- erypsipelas, okwelashwa okungenakwenzeka ngaphandle kokuqokwa kwemithi ephumelelayo neyinkimbinkimbi egcwele neyomthetho odingekayo wezidakamizwa eziphikisana nezidakamizwa zesenzo esiningi, isifo esiyingozi kakhulu. Yingakho uma unezimpawu zokuqala, kufanele ufune usizo lwezokwelapha olufanele.

Izimbangela zesifo kanye nezindawo ezijwayelekile zendawo

Isizathu salesi sifo kungeniswa esikhunjeni seqembu le- hemolytic streptococcus A - leyo microorganism, ebangela ukuthuthukiswa kwe-angina ne-rheumatism ne-red fever. Ngisho nangemva kokuphumula kulezi zifo, umzimba awukwazi ukuqeda i-pathogen, kanti ukukhubazeka kwamandla okuzivikela kuholela ekuthuthukiseni i-erysipelas - uma kwenzeka ukulimala ngengozi, imfucuza i-pathogen ingena esikhunjeni, ngokuvamile ukutheleleka kwenzeka ngesikhathi sokuzifihla komzimba futhi kaningi kakhulu ngokuxhumana nosuku zonke . Ngokuyinhloko, ukugxila kokuvuvukala emaphethelweni ahlongozwa kahle kungafakwa endaweni cishe kunoma iyiphi ingxenye yesikhumba, kodwa ngokuqondile nokubukeka okubomvu kokuvuvukala ebusweni noma emigqeni isiguli esitholakala sine-erysipelas. Ukwelashwa kunoma yiluphi uhlobo nokutholakala kwendawo lesi sifo kufanele kukhethe ukuzama ukuzitholela futhi ukudlulisela odokotela abafanelekayo ukuzitholela nokwelashwa kwabechwepheshe "imithi engeyona yendabuko" ngokuvamile kuholela ekwakhiweni kwezinhlobo ezimbi zesifo noma ukuphindaphindiwe kokuphindaphinda.

Uhlelo lwezokwelapha

I-erysipelas yisifo, ukwelashwa okumele kuqale ngemva kokuhlolwa kwe-dermatologist eqeqeshiwe, udokotela ohlinzayo nodokotela ophethwe yizifo ezithathelwanayo. Kwezinye izimo, lesi sifo singase sifane nokubonakaliswa kwemitholampilo ezibonakalweni ze-thrombophlebitis phlegmon, i-eczema, i-atopic dermatitis ngisho ne- anthrax enomuthi . Kuphoqelekile ukuqhuba uhlu olugcwele lwezifundo zokuxilonga; Kubalulekile ukukhumbula ukuthi i-erysipelas emlenzeni, ukwelashwa okumele kunqunywe ngokushesha ngangokunokwenzeka, kungaba nzima ukuthuthukiswa kwe-lymphangitis ne-lymphadenitis, ngakho-ke akunakwenzeka ukusiza isiguli ngaphandle kokusebenzisa imithi elwa namagciwane, izidakamizwa ezilwa nokuvuvukala nezidakamizwa.

Esimeni ngasinye esithile, ukwelashwa kuqokwa ngokucabangela ukutholakala kwamaphilisi okuvuvukala, isimo sesifo kanye nesimo somzimba wesiguli sonke (ukutholakala kwezifo ezihambisana nezifo). Uma kwenzeka ukuthi ukugxila kutholakala emlenzeni - i-erysipelas emlenzeni, ukwelashwa kwesifo kungenziwa ngesifo sengqondo. Ngenkambo encane yalesi sifo, udokotela angakwazi ukumisela ama-antibiotics weqembu le- penicillin noma ama-macrolide ngaphakathi, kanti nge-ererypelas elinganiselayo neyinkimbinkimbi, isiguli kumele sitholwe esibhedlela, emnyango wokuhlinzeka noma osuleleka esibhedlela. Ngaphambi kokubeka ama-antibiotic, kubalulekile ukuhlola ukuhlukumezeka komuntu ngamunye ngezidakamizwa zokulwa namagciwane, ngaphandle kwalokho kukhona ingozi yokuthola izifo eziqeda ukwelashwa esigulini. Esikhathini esibhedlela, ama-antibiotic anikezwa nge-intramuscularly noma, ngokweqile kakhulu, nge-intravenously, kanti isikhathi sokwelashwa sinqunywa isimo sesiguli.

I-erysipelas emlenzeni, ukwelashwa okuletha umphumela ophawulekayo phakathi namahora ambalwa, kumele kubandakanye ukuqokwa kwezinqubo zokwelapha zendawo - okunjalo ukwelashwa kufanele kwenziwe ngendlela efanele yesifo. Kulesi simo, ukwelapha ukwelapha isilonda ngokuvula izibhansela nokusebenzisa amabhandeshi ngezixazululo zokulwa nesifo sofuba. Phakathi nosuku, lezi zokugqoka zingabuyekezwa izikhathi eziningana - isidingo sokugqoka okwejwayelekile ngokuvamile senziwa ngosuku olulandelayo lwezokwelapha ezingu-2-3.

Njengendlela yokwelashwa ephawulekayo yokwelapha i-erysipelas, izidakamizwa ezingekho-steroidal anti-inflammatory kanye namavithamini zingasetshenziselwa ukunciphisa izinga lokushisa nokugcizelela isimo jikelele, izivikeli ze-immunomodulators ukukhuthaza isimiso somzimba sokuzivikela, esingasiza ekuvimbeleni ukuthuthukiswa kokubuyela emuva kanye nezifo eziphindaphindiwe.