Ukungakhulelwa kwendawo ezinganeni kungakabonakali, ngakho-ke bangakwazi ukuthola izifo zesikhumba. I-Impetigo iyisifo esijwayelekile kakhulu se-dermatological in the collective children (izinkulisa, izikole) futhi ingaba isifo sengculazi. Kubalulekile ukuba uqale ukuphulukisa lesi sifo, ngoba kubangela izinkinga eziyingozi.
Izizathu ze-impetigo
Ama-causative agents of the disease okucatshangelwayo yi staphylococci kanye streptococci. Amcasula impetigo enganeni kuphela uma kukhona umonakalo ku-epidermis. Ngisho nezikhwama ezingekho emthethweni, amanxeba amancane nokulunywa kwezinambuzane zegazi kungabangela ukungena kwamagciwane ngaphakathi kwesikhumba nokuqala kwenqubo yokuvuvukala okunzima. Ukusabalalisa okuqhubekayo kwe-impetigo ezinganeni kwenzeka ngenxa yezimo ezilandelayo:
- ukuxubha imfucuza;
- ukuxhumana okuqondile nomntwana onegciwane;
- ukusebenzisa izingubo ezivamile, amathoyizi, izitsha nezinye izinto.
Ukufaka izici zokusabalala kokutheleleka:
- umoya oshisayo nomswakama;
- i-microtrauma esikhumbeni;
- Ukuphazamiseka kwempilo;
- ukuntuleka kwamavithamini emzimbeni;
- ukungahambisani nemithetho yokuhlanzeka nokuhlanzeka;
- i-dermatitis .
Impetigo ezinganeni - izimpawu
Isithombe somtholampilo se-pathology echazwe sihambisana ne-causative agent yokutheleleka kanye nesimo sesilonda sesikhumba. Kubalulekile ukuthi abazali babone zonke izinhlobo ze-impetigo enganeni, isithombe sezinsalela zohlobo ngalunye lokugula sinikezwe ngezansi. Ukutholakala kokuqala kwezibonakaliso zesifo se-bacteria kanye nokusungulwa kwesifo sokuxilongwa esifanele kuqinisekisa ukuphumelela okuqhubekayo kokwelashwa futhi kuvimbele ukucindezeleka okunzima.
Staphylococcal impetigo
Isifanisi salolu hlobo lokutheleleka yi-folliculitis. Lolu hlobo lwe-impetigo enzima ezinganeni lubonakala ngokuvuvukala emlonyeni wezinwele. Kunezinhlobo ezimbili ze-folliculitis, enezokwelapha ezifanele, zombili ziqhubeka kalula. Kubonakala kulula ukucacisa i-staphylococcal impetigo ezinganeni - izithombe ezingezansi zihambisana nencazelo yezinhlobo zalesi sifo:
- Okuyisisekelo. Esikhumbeni kubonakala ezincane (kufika ku-2 mm) ama-vesicle anezinto ezimhlophe kanye ne-pink areola nxazonke, i-epidermis phakathi kwabo ayishintshi. Kungakapheli izinsuku eziyi-9-10 izibhansela ziyancipha noma zivuliwe ekuphelelweni kwepus. Endaweni yabo, kwakhiwa ama-crusts asephuzi, okwenzeka kancane kancane ngaphandle kokulandelana.
- Okujulile. I-Rash ibonakala njengama-nodules amakhulu abomvu kusuka ku-5 mm ububanzi. Isikhumba siphelile, sibomvu futhi siguqukile. Emva kwezinsuku ezingu-5-8, izimpumputhe zixazulula, noma zithole amandla. Ngemuva kwesisombululo nokuphulukiswa kwezidakamizwa ezinjalo, izibazi zihlala zihlala.
I-streptococcal impetigo ezinganeni
Uhlobo oluthiwa lwe-pathology lukhula kaningi kunokutheleleka kwe- staphylococcal , cishe ngamacala angu-10%. I-Impetigo streptococcal yisifo esiyi-multiforme, izimpawu zazo ezixhomeke endaweni yokulimala kesikhumba ngamagciwane. Izinhlobo:
- I-Classic (bubble). Ezingweni zejwabu leso, kancane kancane ezinye izindawo ebusweni, izibhamu ezincane ezisebusweni ezinemibala ebonakalayo, enamafu noma e-pinkish zakhiwa. Zivulekile ngokuzimela futhi zimbozwe ngama-crusts, awela emva kwezinsuku ezingu-6-7. Izindawo ezonakalisiwe ziqala ukuguqulwa kwe-blue-violet.
- Dry pyoderma noma i-lichen elula. Isikhumba sigcwele amabala abomvu nge-dequamation ecacile ebusweni. I-impetigo enjalo ezinganeni ingahambisana nokushaywa okukhulu.
- Zaedy. Emagumbini omlomo bumba ama-bubbles amancane amaningi okuqukethwe okubukeka kahle. Zishesha ngokushesha, zinika indlela yokuguguleka njengokwenyuka. Amanxeba okuhlambalaza amahora angu-2-3 agubungele ukujula okukhulu, okuvame ukuqhuma lapho umlomo uvuleka.
- I-Panaritium. On plate okolonogtevom endaweni yokulimala epidermis (ukugquma, burr) kubonakala fliktena (abscess). Ngemuva kokuvula kwawo, ukuguguleka okukhulu kuvula nokukhululwa kokuqukethwe kwe-streptococcal.
Vulgar impetigo ezinganeni
Uma ama-causative agents of the isifo kokubili i-staphylococci ne-streptococci, ukutheleleka okuxubile kuyaqhubeka. I-Vulgar impetigo ibukeka njengama-bubbles amaningi ane-pus esikhumbeni sobuso. Ngaphansi kancane, kutholakala imisipha emlenzeni nasemthonjeni. Njengokwahlukana nokuphulukiswa, izakhi zokuvuvukala zimbozwa ngama-crusts amakhulu futhi amakhulu. Ngaphandle kokwelashwa okwanele, i-strepto- staphylococcal impetigo isakazeka ngokushesha ezindaweni eziphilile zesikhumba. Ngomonakalo omkhulu, ama-lymph nodes aseduze avuvukala, aqala ukuvuvukala futhi aphume.
Impetigo enemihlobiso
Leli fomu lesi sifo semithi libizwa nge-zircinarnoy. Ngenye yezinhlobo ze-streptococcal impetigo enganeni - isithombe esezansi sibonisa ngokucacile ukuthi ukushona kubonakala kufana. Ukutheleleka kwendandatho kubonakala nge-fusion yama-puricent vesicles kanye nokubunjwa kwe-blisters enkulu. Inkambo yokuphenya impetigo ifana. Ngemva kokuvula izibhamu nokukhipha okuqukethwe kwabo, isikhumba sigqugquzelwa ngama-crusts aphuzi okwephuzi, okushesha ngokushesha futhi aphule.
I-impetigo enesibindi ezinganeni
Olunye uhlobo lwe-streptococcal dermatological ukutheleleka. I-impetigo enezinyosi ezinamandla zinkulu (kusuka ku-2 cm ububanzi) i-globular blisters ene-exudate ye-turbid. Esikhathini sokuthuthukiswa kwesifo, ukushisa komzimba kwengane kungakhula, izitho zomzimba zitholakale, ubuthakathaka kanye nezinwele zizwa. Ngokuvamile impetigo etholakalayo ezinganeni ezincane ngemuva kwe-dermatoses noma i-neurodermatitis. Ngemuva kokuvula izibhansela, isikhumba siboshwe nge-crust encane ewela yedwa ngamasonto amabili.
Impetigo yemikhono ezinganeni
Enye yezinhlobonhlobo zezifo ukuhlukunyezwa. I-Slick impetigo ishukunyiswa yi-streptococci, ngokuvamile ukutheleleka okuqhubekayo kuyathinta amahlombe amajwabu amehlo, izindlebe namaphiko ekhaleni. Kulezi zindawo, ama-puricent vesicles akhiwa, ngemuva kokuvula ukuvulwa kwamanzi. Izilonda ezinjalo ziphulukisa kancane ngaphansi kokwakhiwa kwe-crust eyomile. Ngesinye isikhathi i-impetigo yokuqhaqhaza izingane ihlala isikhathi eside - kubalulekile ukuqala ukwelashwa ngokushesha, ngaphandle kwalokho ukuzitholela ukuhlala njalo. Ngenxa yalokhu, ukutheleleka kusakaze emabhukwini amancane aseduze - emakhaleni, emlonyeni, ehlanganisweni yamehlo.
Indlela yokuphatha impetigo ezinganeni?
Ezimweni eziningi, ukukhubazeka kuyaqhubeka kalula, futhi ukwelashwa kwenziwa ngesineke. Ukuphathwa kahle kwe-impetigo kuhlanganisa imisebenzi ejwayelekile:
- ukunciphisa othintana nesikhumba esonakele ngamanzi;
- ukudla kwe-hypoallergenic;
- ukucebisa ukudla nokuvithamini namaminerali;
- Ukunamathela ngokuqinile ezindinganisweni ezihlanzekile nezokuhlanzeka;
- ukuhlukaniswa.
Impetigo ezinganeni - ukwelashwa, izidakamizwa
Ukwelashwa kwezidakamizwa ngokuvumelana nesilinganiso kuhilela ukusetshenziswa kwezidakamizwa zendawo kuphela. I-staphylococcal noma i-streptococcal impetigo ezinganeni - ukwelashwa:
- Ukwelashwa okuxubile kwe-rashes fresh. Ukuphefumula izikhathi ezingu-2-3 ngosuku kukhishwa nge-camphor noma utshwala obunamafutha a-salicylic.
- Ukwelashwa kwama-antimicrobial. Ngemuva kokungcola, i-antibacterial ointment - erythromycin , i-Kolbiocin, i-tetracycline, i-heliomycin nezinye - isetshenziswa uhlaka oluncane izikhathi ezingu-3-4 ngosuku esikhumbeni esithintekile.
- Ukwelashwa okuvimbelayo. Uma i-vesicles ivuliwe, kubalulekile ukuvimbela ukusakazeka kwesifo. Ukuze wenze lokhu, amanxeba akhulelwe kanye nokukhushulwa ngokushesha kuthathwa nge- antiseptics , isibonelo, i-iodine, i-furacilin, izixazululo eziluhlaza eziluhlaza kanye nezifanayo.
Imithi ehlelekile ixhunyiwe uma i-impetigo ejwayelekile iqhubekela phambili futhi isakazeka, ukwelashwa kwama-antibiotic kwenziwa kuphela ngokusho komuthi kadokotela futhi ngaphansi kokuqondiswa kwakhe. Izidakamizwa ezisetshenziswa:
- I-Oxacillin;
- I-Cephalexin;
- Erythromycin;
- Cefadroxil;
- Kuhlanganiswe nabanye.
Ukwelapha impetigo ngamakhambi abantu
Ngaphandle kokwelashwa kwama-antibiotic wendawo, awukwazi ukusebenzisa ezinye izindlela zokupheka. Ukwelashwa okunjalo kwe-impetigo ezinganeni akusizi ngalutho, kuvunyelwe kuphela ngokuhlanganiswa nezindlela ezizimele. Uma kungenjalo, ukutheleleka kuzosakazeka kumathisini enempilo nokuqhubeka. Uma i-impetigo ezinganeni, ukwelashwa ekhaya kuqukethe ukusetshenziswa kweziphuzo ezivuthiwe eziphilayo (iziphuzo zezithelo, i-compotes, umhluzi wezinhlanzi nezithelo ezomisiwe), ukwelashwa kwesikhumba nge-antiseptic infusions noma i-aple cider uviniga.
Ikhambi lendawo ye-impetigo
Izithako:
- calendula marigold - 1 tbsp. isipuni;
- chamomile izimbali - 2 tbsp. izinkezo;
- i-oak bark - amathisipuni amabili;
- amanzi - 600-700 ml.
Ukulungiselela, uhlelo lokusebenza
- Hlanganisa amakhambi omile ahlambulukile.
- Ziphuze ngamanzi, ubilise imizuzu engu-10 ezitsha zokugcoba.
- Bambelela ihora eli-1 ngaphansi kwesembozo.
- Kuhle ukuphuza imithi.
- Sula isikhumba esithintekile yi-impetigo, nge-swab yekotini efakwe isisombululo esilandelayo.
- Phinda inqubo izikhathi ezingu-3-6 ngosuku.