Matendawa ndi mankhwala a matenda streptococcal

Pustules pa khungu, erysipelas, omphalitis, zilonda zapakhosi, fever, chonunkha, chikasu kumaliseche kwa thirakiti maliseche, otitis, periodontitis, mano, chibayo, kutupa chingwe, peritonitis ... Mukuganiza kumabweretsa matenda amenewa? Iwo chimodzi chifukwa - ndi bakiteriya otchedwa streptococcus.

Kodi streptococci?

Streptococci, tikambirana chiyani m'nkhani ino, ndi mabakiteriya anamaliza mawonekedwe ndi imakonzedwa mu mawonekedwe a maunyolo amayesetsa osiyana. Mwachibadwa, mucous nembanemba wa intestine, ziwalo zoberekera ndi khungu anthu litadzala ndi zosiyanasiyana tizilombo, kuphatikizapo Streptococcus mutans. Malinga mitundu, streptococci amakonda kusamukira ku mbali zosiyanasiyana za thupi la munthu: m'modzi pa khungu, mmodzi wa mucous pa mundawo kupuma, amene pa kumaliseche mucous kapena matumbo. Mbali imeneyi zimathandiza pa matenda a matenda ndi poika azichitira woona.

katundu streptococci

Pakhosi munthu kuchokera 30 mpaka 60% ya majeremusi onse limagwa gawo la streptococcus lapansi. A thupi lathanzi ali wamphamvu chitetezo cha m'thupi, amene akulamulira microflora lonse, kupewa chulutsa kwambiri mabakiteriya aliyense, koma ndi kuchepa chitetezo chokwanira ndi zikamera wa zinthu yabwino kwa kukula kwa mofulumira kwambiri, mofulumira amayamba kubereka izi kapena kuti mtundu wa tizilombo kupondereza zomera wabwinobwino ndi chifukwa yatsoka matenda. tizilomboto amenewa ndi streptococcus zanu. kubalana ake ndi kugawa mu thupi kungayambitse matenda aakulu, kuphatikizapo matenda. Chifukwa cha kuchuluka kwa anthu okhala padziko thupi maselo tizilomboto, chiwerengero cha matenda oyamba ndi iwo, kuti 10-15% ya chiwerengero cha matenda mu nyengo yozizira. Inde wa matenda ndi ukulu wake chifukwa maganizo onse a streptococcus ndi tizilombo kulowa magazi ndi poizoni opangidwa ndi iwo.

Mwamwayi, streptococci osalimba chilengedwe. Kwa iwo, dzuwa zoipa, disinfectants ndi mankhwala. Panthawi yake chithandizo cha matenda streptococcal zimabweretsa zotsatira zabwino, ndi kuthamanga, matenda aakulu kungachititse kuti tsoka.

matenda onse, mwanjira ina kugwirizana ndi strep, m'magulu 2:

- matenda oyamba ndi streptococcus,

- matenda chikwiyire ndi streptococcus.

Tiyeni tione zitsanzo zina za matenda omwe amayamba ndi Streptococcus.

zilonda zapakhosi

Streptococcus amakhudza tonsil minofu, amene mozungulira khosi la mphete. Ngati munthu ali ndi amphamvu chitetezo, ndi angina ndi wofatsa popanda moto, ndi zolengeza ang'onoang'ono tonsils ndi soreness pang'ono pamene Pomeza. Ngati chitetezo cha m'thupi chofooka, angathe aakulu necrotic kutupa tonsils a, limodzi ndi ululu pakhosi, makamaka pamene Pomeza, kufooka, kwambiri malungo, zopweteka mu thupi ndi zizindikiro za poyizoni. Ichi ndi chifukwa mbadwo wa poizoni bakiteriya amene amayambitsa purulent maphatikizidwe wa zimakhala. Kuwonongeka mankhwala mabakiteriya ndi poizoni poizoni m'thupi la munthu.

The chifukwa cha mochedwa wayamba kapena zosayenera chithandizo cha matenda ali motere:

- peritonsillar abscess - ndi pachimake kutukusira kwa zimakhala pansi tonsils ndi,

- otitis TV - kutukusira kwa khutu pakati,

- enaake ophwanya matenda a mtima - ndi kulephera autoimmune mtima,

- enaake ophwanya malungo - autoimmune minofu kuwonongeka kwa malo,

- glomerulonephritis - kutupa mu impso ndi, kumenya zipangizo chachikulu magazi filtatsii ndi mapangidwe mkodzo - impso glomeruli,

- lymphadenitis - kutukusira kukhosi kwa mfundo yapafupi lymph ili pakhosi.

Chithandizo cha streptococcal matenda khosi la mankhwala antibacterial ikuchitika ambiri ndi makonsolo kanthu. Pali mbali pa matenda a akulu ndi ana: chithandizo cha matenda streptococcal mu mmero mu akulu pamodzi ndi rinsing njira mankhwala, decoctions ndi infusions zitsamba ndi ana ang'ono amene adakali sindikudziwa momwe gargle, mosatsata izi chigawo chithandizo. Kwa ana okha oyenera ulimi wothirira tonsils aerosols mankhwala. Kudzera mankhwalawa streptococcal matenda pakhosi, dziwani kuti pambuyo rinsing ndi / kapena ntchito aerosol ndi bwino osati kudya ndi kumwa ola imodzi kuti mankhwala si kusambitsa ndi opareshoni ngati n'zotheka.

caries

The odziwika bwino matenda. Ife sanayembekezere kuti kumachititsanso strep? Izi mabakiteriya m'kamwa kudya zotsalira za chakudya munakhala mu malo interdental. Yochulutsa pali tizilombo ting'onoting'ono anachira asidi lactic mu moyo wake. Pang'onopang'ono amasungunula enamel zovuta, ozikidwa pa calcium. Dzino watha mphamvu, ndipo akuyamba apasuke.

Zovuta pang'ono, koma iwo ali zosasangalatsa:

- pulpitis - kutupa zofunika kwambiri pa, pachimake pa dzino, amene mitsempha ndi mitsempha,

- imfa ya dzino, amagwirizana ndi uwonongedwe.

Palinso matenda a pakamwa - matenda periodontal, amenenso amachititsa matenda strep. Kuliona kuti ndi zofunika, mwinamwake kupewa hassles kugwirizana ndi kutupa, magazi m'kamwa ndi imfa dzino.

streptoderma

Iwo strep zotupa. Infection kumachitika chifukwa malowedwe a nthumwi mwa yaing'ono kuvulala ming'alu, abrasions, mabala. Mu chotupa pamaoneka pinki malo konsekonse m'goli, masentimita 30-40 awiri. Malinga akuya kugonjetsedwa kwa matenda anawagawa mitundu 2:

- strep impetigo, amene amakhala ndi afika posachedwa pa khungu pamwamba yaing'ono mafinya thovu, lomwe m'mene adamtsegulira, mofulumira adzauma ndi kutha popanda sanachite,

- zotukwana ecthyma - zotupa kwambiri khungu. Pambuyo kutsegula kwa thovu anapanga pa mabala khungu, amadwala matenda akukhudzidwira ndi thupi kutentha limatuluka digiri 38.

Ndicho tizilombo toyambitsa matenda yaing'ono kumabweretsa kusintha lakuthwa mu khalidwe la moyo. Chifukwa zotupa ang'ono kukhala streptococcal matenda a pakhungu, chithandizo chimene chimafuna ena khama.

Muzilemekeza streptococcal matenda minofu zofewa Chili ambiri ndi makonsolo njira. Pa zinkakhala m'dera bandeji ndi yankho antiseptic.

Streptococci chifukwa pustules ndi ang'onoang'ono kukula kuposa anthu tafotokozazi. Pali okonda amuna kunyenga kunja tsitsi kuchokera mphuno m'malo yokonza iwo. Choncho m'malo follicles zowonongeka tsitsi anapanga zopweteka kwambiri m'madera chofuna. Nthawi zambiri iwo alibe suppuration, koma mafinya thovu kuwuka mu pakalibe chithandizo. chithandizo mwamsanga matenda streptococcal mu mphuno kusanduka ntchito pa gawo akhudzidwa wa mphuno antiseptic njira, bactericidal mafuta.

Kutukusira kwa mundawo maliseche

Mu 10-30% ya akazi wathanzi maliseche mucosa afesedwa streptococcus. Mwachibadwa, zilibe yokha kudziwa chifukwa m'manja mwa chitetezo cha m'thupi. Ndi kuchepetsa chitetezo chokwanira, ndi milandu matenda streptococcus kudzera mu kugonana akazi pali woyaka zogirigisha, kuyabwa, kupweteka pa pokodza, chikasu mafinya ululu pamimba m'munsi ndi malungo pang'ono.

Popeza mankhwala okwanira kuti kafukufuku ndi zinthu zikuchitika, pali mavuto mu mawonekedwe:

- khomo lachiberekero kukokoloka, pamene epithelium la chiberekero limapezeka pa khosi lake,

- endometritis - kutukusira kwa endometrium, ndi M'kati mwa chiberekero,

- tizilombo ting'onoting'ono pamene kumaliseche mkati kwambiri zambiri akalowa wosanjikiza epithelium.

Matenda a matenda ikuchitika pa phwando kwa matenda zina ntchito seeding njira ndi mtima wa mankhwala osiyanasiyana.

Chithandizo cha matenda streptococcal ku matenda achikazi - chodabwitsa zofala chifukwa kufala lonse la tizilombo toyambitsa matenda a. Chakwanira ming'alu ing'onoing'ono, chilonda ang'onoang'ono pomwepo kudutsa osati mu khungu kapena mucosa, komanso sankangotanthauza. Zinthu zimene zipata zikutseguka matenda, ndithu zambiri: iliyonse kusamba, pobereka poyera mkati chiberekero, amene akukhala yaikulu bala padziko, osanenapo zowonongeka khomo pachibelekeropo, nyini ndi perineum. Ngakhale kugonana akhoza limodzi ndi kuwonongeka kwa Kakhungu mucous ndi khungu.

Matenda amene amakwiya zikamera Streptococcus

Zikuphatikizapo misempha, nyamakazi, zokhudza zonse vasculitis ndi glomerulonephritis.

nyamakazi

Vutolo limachitika chifukwa mapangidwe maofesi m'thupi. Pankhaniyi, iwo waikamo mwa olowa M'mimbamo, chichereŵechereŵe kuwonongeka ndipo salola kuti athe kugwira bwino ntchito zake. Chofuna mfundo maselo secrete michere yomwe zina chimasungunula chichereŵechereŵe, zomwe mapeto kwe wathunthu. Mu ndondomeko pathological nawo makamaka mfundo ka manja, zala ndi zala. Wodwala akumva ndi stiffness kuyenda zimfundo akhudzidwa, makamaka m'mawa.

Zovuta ndi mndandanda wa mafinya mu M'mimbamo wa olowa akhudzidwa ndi kulephera aimpso.

matenda Streptococcal ana

Kuyambira masiku oyambirira a moyo mwamuna wamng'ono matenda atengeke streptococcal. Infection angayambe utero mwa magazi a mayi ukamapita kachilombo ngalande kubadwa bakiteriya izi, komanso maola woyamba ndi masiku extrauterine moyo odwala kapena zonyamulira. Mwana wakhanda chitetezo sangathe kulimbana ndi majeremusi.

Pali matenda aakulu omwe mwana kudwala kwambiri ndipo akhoza kufa.

Streptoderma ndi zolaula ecthyma - zotupa mwana khungu, kusiya mabala akuya pa woonda khungu wosakhwima. Vuto la matenda amenewa angakhale lymphangitis ndi lymphadenitis (purulent kutupa ziwiya lymphatic ndi mfundo, motero).

Sepsis - kufalitsa wambiri streptococcus m'magazi, motero anapanga purulent zotupa ziwalo zonse ndipo zimakhala. Matendawa ndi oopsa kwambiri ndipo ngakhale ndi mankhwala imfa yake alowererepo ukufika 20%.

Meninjaitisi - purulent kutupa meninges zovuta ndi yofewa, imbaenda kusokonezeka kwa ubongo. Imfa ukufika 15%, ndi kulimbikira yaitali zotsatira za kuwonongeka kwa bongo kulankhula kwambiri mu 40% ya ana.

Chibayo - thupi chachikulu cha matenda amene amachititsa oxygenation magazi ndi kuwonongedwa kwa mpweya. Strep amakhudza alveoli a m'mapapo. Iwo amakhala chofuna, kutupa n'kusiya kuchita ntchito kupuma. Ndi chiyambi yake ya mankhwala kuchiza matenda, koma imfa kumachitika apa, kufika 0.5%.

Necrotizing fasciitis - matenda oopsa kwambiri zokhudza connective minofu m'chimake, kuti "kavalidwe" minofu ya mtolo neurovascular ndi ziwalo. Zikuoneka zake chisindikizo mwana zofewa minofu. Mu matenda imfa ukufika 25%.

Izo molimbika akuwonetseredwa matenda streptococcal ana amene chithandizo ayenera anayamba nthawi yomweyo mu mwambo matenda amaganiziridwa ndi streptococcus.

Matenda a matenda streptococcal

Matendawa amayamba ndi gawo Ulendo wa munthu wodwala kwa dokotala.

Pa phwando, Adokotala wodwala, amatenga nkhani pa madandaulo, matenda ndi nthawi ya asayembekezere, amasankha mulingo woyenera njira matenda ndi mankhwala mankhwala.

Laboratory zoimbidwa njira ya matenda a matenda streptococcal

Kumene, dokotala mankhwala kuphunzira MAGAZI ndi mkodzo wamba, koma iwo sangakhoze kuthandiza kulekana kwa matenda streptococcal a wina aliyense, choncho amagwiritsa ntchito tizilombo tating'onoting'ono inoculation sing'anga chikhalidwe ndi kudziwa tilinazo tizilombo opha tizilombo.

Malinga chotupa, kuti atenge kufufuza kumaliseche mabala, nkhani za abscesses, mafupa, ntchofu kwa mphuno, pakhosi, kumaliseche, khomo pachibelekeropo, ndi madzimadzi cerebrospinal - CSF.

Kudziwa kudziwa mankhwala mu mbale zasayansi seeded ndi tizilombo ting'onoting'ono, kuika mawilo yaing'ono, ankawaviika mankhwala osiyana, ndipo pambuyo 8-10 maola kuunikira zotsatirazo. Chifukwa analibe woyendera nthambi kukula kapena ochepa mabakiteriya padziko litayamba ndi kudziwa yowononga streptococcal mankhwala. Njira imeneyi kufufuza kumatenga masiku 2-5.

Chithandizo cha matenda streptococcal

Yodalirika, kudya ndi ogwira mankhwala ndi mankhwala.

Kaya kutanthauzira kwa ndondomeko pathological, iwo kwenikweni m'gulu mankhwala chakudya.

Ngati phwando dokotala mukuganiza kuti kuitana kwa kuchipatala matenda mtima streptococcal, chithandizo wapatsidwa wina wa mankhwala a penicillin kapena cephalosporin. Nthawi zina zimakhala zovuta kusiyanitsa tizilomboto, kuyambira chipatala ofanana zingachititse staphylococcal ndi streptococcal matenda, mankhwala Pankhaniyi akadali mankhwala opha tizilombo mmodzi wa awiriwo zino.

Pambuyo pa kukhazikitsidwa kwa tilinazo bakiteriya kuti mankhwala pamene akupitiriza matenda streptococcal mankhwala opha tizilombo kusintha.

Pali anthu amene m'gulu amakana mankhwala ndipo kokha ntchito mankhwala wowerengeka. Pankhaniyi, chovomerezeka ntchito zitsamba monga mankhwala othandiza, koma osati yaikulu.

Kwambiri sioneka streptococcal matenda, mankhwala azitsamba wowerengeka popanda mankhwala kumabweretsa moyo pachiswe mavuto, olumala ndi imfa.

Chithandizo cha matenda streptococcal si chotero nkhani zovuta. nthawi ofunika kupita kuchipatala, kuti matenda ndi kuyamba chithandizo chabwino.