Erysipelas chirwere. Clinical kuratidzwa uye kurapwa

Erysipelas - chirwere zvinotapuriranwa etiology kunokanganisa ganda. Zvinowanzoitika muvakadzi 60% nyaya kuva vanhu kwemakore 40. Uyezve, nokuti chirwere ichi dzinoratidzwa seasonality yakajeka - exacerbations kuitika muzhizha uye kwematsutso.

Erysipelas: etiology

Erysipelas chirwere kunoitika kana anwa zvirwere (Streptococcus) exogenous kana kwemabhakitiriya kasvisto mu kuchinjwa kuburikidza nhengo dzinobudisa uye kweropa nehurongwa. Zvinokosha kucherechedza kuti mberi mukurapa ano uye antiseptics vari yakakwirira yakati sandara, saka zvokurwara ichi hariwanikwi.

Development chirwere inobatsira kuti scrapes nemakakuvara, kuvapo venous maronda, thrombophlebitis, varicose mutsinga, erysipelas zvinowanzoitika pashure zvikuru zuva dzokupisa kana hypothermia pavarwere vane maronda kubudikidza notumwe, uyewo kuvapo abnormalities chiropa uye mwoyo. Zvinofanira kucherechedzwa kuti erysipelas chirwere kuitika pakati pavana vanogara murombo magariro uye utsanana.

Causative vaishandira chirwere ichi vari streptococcus, kunyange vakabva kusashanda uye staphylococcal kasvisto, iro achishingaira muzvirongwa pathological muitiro.

Rozsa: Zviratidzo

Prodromal nguva yose kubva akawanda maawa mazuva mashanu. Kazhinji, chirwere kunotanga acutely.

The kwokutanga Nguva akaratidza zviratidzo kudhaka. Papera zvichemo ndeizvi:

• vakawanda simba uye chills;
• nomusoro uye tsandanyama kurwadziwa ;
• muna 30% nyaya svoto uye kurutsa;
• dzinoratidzwa yakakwirira tembiricha (40 ° C);
• muzvinhu sei anozivikanwa anobuda, akapisa marwadzo yakaderera zvikuru.

Mune ramangwana, chirwere kunoratidza nekomichiyakazara noruzhinji ganda maronda. Panova vaaleanpunainen gwapa, izvo kare kuva rudzi erysipelas, pamwe damerau micheto vari vaviri maawa. Ukama ganda rakatsvuka, kuzvimba, mwero dzinorwadza pamusoro palpation. Yakakwirira effusion mapazi anogumbura kuchinja hunokonzera paumbwe matema izvo yakaumbwa pashure pakuvhurwa ronda. Kana matema izvi ikaramba yakasimba, Ndokuzofungisisa kwayo, pova mashava goko.

Zvinofanira kucherechedzwa kuti chiso chirwere dzinoratidzwa-kare kuchinja paganda. Saka, mumwedzi mishomanana vakasiya pigmentation, uye kuzvimba ganda, uyewo gobvu uye yakaoma crusts, izvo akaisa pamusoro nzvimbo matema.

Rozsa: kurapwa

Mabatirwo maronda rinoitwa pamwe kukomba chekubuda. Zvairatidza kuti muchipatara vari: zvakakomba klinichekaya mufananidzo, kakawanda zvazvo, kuvapo pavarwere zvakaoma. comorbidities, vana uye vachembera.

Nzvimbo inokosha pakurapa erysipelas zvinotora inorwisa mabhakitiriya. Uyezve, kushandisa mishonga Anti-anogumbura, mavhitaminzi. Varwere vakaidzwa detoxification uye symptomatic kurapa. It rinokurudzira kutora zvinodhaka zvemwoyo, diuretics, Anti fivha madhiragi, prednisolone.