Erysipelas tawg siab: nws yog dab tsi, cov tsos mob thiab kev kho mob
Zoo Siab
Cov leeg erysipelas yog qhov ntau dua ntawm erysipelas, uas yog tus yam ntxwv liab thiab dav heev, tshwm sim los ntawm kev nkag mus ntawm cov kab mob hu ua Pawg A Beta-haemolytic streptococcus Piv txwv li cov kab nrib pleev me me hauv daim tawv nqaij, uas tuaj yeem yog yoov tshaj cum lossis cov txhab txiag txhab ntawm ko taw, piv txwv li.
Hauv cov erysipelas, cov qhov txhab no ntau dua thiab ntau dua, thiab yog muaj qhov ua tsis zoo ntawm erysipelas, npuas yuav tsim tau nrog kua los yog kua daj. Lub qhov txhab tob tob, thiab qee qhov nws tuaj yeem ua rau cov nyom thiab cuam tshuam rau cov rog txheej thiab txawm tias cov leeg.
Txawm hais tias nws tuaj yeem tshwm sim rau ib tus neeg twg, tus neeg mob ntshav caws pliav (erysipelas) feem ntau tshwm sim rau cov neeg uas lub cev tsis muaj zog tiv thaiv kab mob, nrog rau kev mob qog nqaij hlav cancer, HIV-positive lossis decompensated diabetics. Ntxiv rau erysipelas, ib hom kev kis kab mob ntawm daim tawv nqaij uas tuaj yeem tshwm sim yog kev kis mob cellulitis, uas feem ntau cuam tshuam rau qhov tob tob ntawm daim tawv nqaij. Tshawb xyuas seb yuav ua li cas thiaj paub tias nws yog erysipelas lossis cellulitis mob.
Cov pa roj hmab erysipelas tsis kis tau, yog li, nws kis tsis tau ntawm ib tus neeg mus rau lwm tus.
Cov tsos mob tseem ceeb
Cov tsos mob ntawm tus kab mob siab tawv yog:
- Mob rau ntawm daim tawv nqaij liab, o, mob, ntawm thaj tsam li 10 cm ntev, nrog rau lub hlwv uas nthuav tawm cov kua pob tshab, daj lossis xim av;
- Kev rov tshwm sim ntawm "tus nplaig" hauv qhov puab tais, thaum lub qhov txhab cuam tshuam rau ob txhais ceg lossis txhais ceg;
- Mob, liab, o thiab nce ntawm qhov kub thiab txias;
- Nyob rau hauv feem ntau cov mob loj tshaj plaws, tej zaum yuav muaj kub taub hau.
Thaum kis tau mob hnyav ntxiv, tshwj xeeb tshaj yog thaum kev kho mob tsis ua tiav qhov tseem ceeb, nws muaj peev xwm mus cuag tob txheej ntawm daim tawv nqaij, xws li cov nqaij mos subcutaneous thiab tej zaum tseem ua rau kev puas tsuaj ntawm cov leeg, li tshwm sim hauv necrotizing fasciitis.
Kev kuaj mob ntawm tus kab mob hu ua tua neeg muaj ntshav yog ua pov thawj los ntawm kev ntsuam xyuas ntawm tus kws kho mob tshwj xeeb lossis kws kho nqaij, uas paub txog tus yam ntxwv ntawm qhov mob thiab cov tsos mob tau nthuav tawm los ntawm tus neeg. Kev ntsuam xyuas ntshav yuav raug txiav txim kom saib xyuas qhov sib kis mob hnyav, thiab kev soj ntsuam duab xws li tom tomography lossis lub zog nqus cov duab hluav taws xob tej zaum yuav raug xaj thaum muaj kev raug mob uas tau nkag mus tob heev, nqaij leeg lossis pob txha.
Kawm ntxiv txog cov yam ntxwv thiab yuav ua li cas thiaj li paub cov erysipelas.
Dab tsi ua rau muaj qhov tsis zoo ntawm erysipelas
Piv txwv li cov tawv ntoo ua paug tsis kis, vim tias nws tshwm sim thaum cov kab mob uas twb nyob ntawm daim tawv nqaij thiab thaj chaw ib puag ncig tswj kom nkag mus rau ntawm daim tawv nqaij los ntawm lub qhov txhab, tus kab tom los yog chilblains ntawm tus taw, piv txwv li. cov kab mob tseem ceeb yog qhovStreptcoccus pyogenes, txawm hais tias lwm cov kab mob tseem tuaj yeem ua rau nws, tsis tshua pom tshwm.
Cov neeg uas lub cev tsis muaj zog tiv thaiv kab mob, xws li cov neeg muaj kab mob autoimmune, tiv thaiv tsis tau tus mob ntshav qab zib, tus kab mob HIV, thiab cov neeg rog thiab cov neeg tsis muaj zog txaus, zoo li cov kab mob no yuav kis tau yooj yim dua.
Yuav kho tus mob li cas
Kev kho rau kev mob rau cov nqaij tsis xws luag yog tsim nrog tshuaj tua kab mob los ntawm kws kho mob. Feem ntau, thawj qhov kev xaiv yog Benzathine Penicillin. Ib qho ntxiv, nws yog ib qho tseem ceeb kom txo qhov o tuaj ntawm kev so kom txaus nrog koj txhais ceg kom siab me ntsis, thiab nws yuav tsim nyog los qhwv koj ob sab ceg kom txo qhov nrawm nrawm dua.
Kev kho rau cov tshuaj tua kab mob ntshav phom sij tuaj yeem kwv yees li ntawm 20 hnub tom qab pib siv tshuaj tua kab mob. Thaum muaj kev rov ua mob erysipelas, kev kho mob nrog benzathine Penicillin G raug pom zoo txhua 21 hnub, raws li txoj hauv kev tiv thaiv kev mob tshiab. Saib ntxiv txog cov hauv kev ntawm kev kho mob nrog tshuaj tua kab mob, tshuaj pleev thiab thaum tsim nyog nws yuav tsum tau pw hauv tsev kho mob.
Tsis tas li ntawd, thaum kho erysipelas, nws raug nquahu kom tus kws tu mob ua haujlwm hnav, nrog kev ntxuav kom huv ntawm lub qhov txhab, tshem tawm kev zais thiab cov ntaub so ntswg tuag, ntxiv rau kev siv tshuaj pleev uas pab hauv cov txheej txheem kho, xws li hydrocolloid, hydrogel, papain lossis collagenase, nyob ntawm tus yam ntxwv ntawm txhua tus neeg qhov kev raug mob. Tshawb xyuas yuav ua li cas thiaj ua rau lub qhov txhab hnav khaub ncaws.