Ukungakhuselekanga kwendawo yabantwana akukabikwa, ngoko ke banokungenwa yintsholongwane yegciwane. I-Impetigo yinto eqhelekileyo ye-dermatological pathology kubantwana be-collective (i-nursergartens, izikolo) kwaye ingaba yindlala. Kubalulekile ukuba uqalise ukuphatha isifo ngokukhawuleza, kuba kubangelwa iingxaki ezinobungozi.
Izizathu ze-impetigo
Iingxowankulu zokubangela isifo esicatshungulwayo yi staphylococci kunye ne-streptococci. Bavusa impetigo kumntwana kuphela xa kukho umonakalo kwi-epidermis. Ngaphandle kwemiqwenga engaphezulu, amanxeba amancinci kunye nezilwanyana ezinobungozi begazi zingakhokelela ekungeneni kweebhaktheriya esikhumbeni nasekuqaleni kwenkqubo yokuvuvukala. Ukuhanjiswa kwe-impetigo kubantwana kubakho ngenxa yeemeko ezilandelayo:
- ukudibanisa i-rashes;
- uqhagamshelwano ngqo nomntwana ogulayo;
- ukusetyenziswa kweempahla eziqhelekileyo, amathoyizi, izitya kunye nezinye izinto.
Ukukhutshwa kwezinto zokusasazeka kwesifo:
- umoya ofudumalayo nomoya ocolileyo;
- microtrauma elukhumbeni;
- Izifo ezibangelwa ngumzimba;
- ukungabikho kwamavithamini emzimbeni;
- ukungahambisani nemithetho yococeko kunye nococeko;
- dermatitis .
Impetigo kubantwana - iimpawu
Umfanekiso wekliniki we-pathology echazwe ngokuhambelana ne-agent ekhuselekileyo yesifo kunye nesimo sesilonda sesikhumba. Kubalulekile ukuba abazali babone zonke iintlobo ze-impetigo kumntwana, ifoto yesithintelo ngasinye kwisifo ngasinye sichazwe ngezantsi. Ukufumanisa kwangaphambili iimpawu zesifo se-bhakteria kunye nokusekwa kwesifo esilungileyo kukuqinisekisa ukuphumelela okuphezulu kwonyango kwaye kuthintela iingxaki ezinzulu.
Staphylococcal impetigo
Intsingiselo yeli fomu yesifo ngu-folliculitis. Olu hlobo lwe-impetigo olunzulu kubantwana lubonakala ngokuvuvukala emlonyeni weenwele. Kukho iintlobo ezimbini ze-folliculitis, kunye neyeza elifanelekileyo, zombini zihamba ngokulula. Ukubukeka kulula ukucacisa impetigo ye-staphylococcal kubantwana - iifoto ezingezantsi zihambelana nenkcazo yeentlobo zesifo:
- Ngaphezulu. Kwesikhumba kubonakala kubancinci (ukuya kwi-2 mm) i-vesicle enomxholo omhlophe kunye ne-pink areola, i-epidermis phakathi kwabo ayitshintshi. Kwiintsuku ezili-9 ukuya kwe-10 ukuya kweye-10 iintsholongwane ziyancipha okanye zivule ngokuphelelwa kwexesha. Endaweni yabo, i-crusts ephuzi, eyenza yanyamalala kancane ngaphandle kokulandelwa.
- Ephantsi. I-Rash ibonakala njengama-nodules amakhulu obomvu ukusuka ku-5 mm ububanzi. Ikhumba elibi, elibomvu nelithukuthele. Emva kweentsuku ezingama-5-8, iimpumpo ziza kusombulula, okanye zomelele. Emva kwesisombululo kunye nokuphulukiswa kwezilahla ezinjalo, iziqholo zihlala zihlala.
I-streptococcal impetigo kubantwana
Uhlobo oluthile lwe-pathology lukhula ngokungaphantsi kwesifo se-staphylococcal , malunga ne-10% yamatyala. I-Impetigo streptococcal isifo se-multiform, iimpawu zayo zixhomekeke kwindawo yomonakalo wesikhumba ngamabhaktheriya. Iintlobo:
- Classic (bubble). Kwiinkophelo, kaninzi kuninzi kwezinye iinkalo zobuso, iindawo ezincinane zobuncwane bomhlaba obunobumba obubonakalayo, obunamafu okanye obuhlaza. Zivulekile ngokuzimela kwaye zigqutywe ngamagqabi, awela emva kweentsuku ezingama-6-7. Imimandla eyonakaliswe kuqala i-pigmentation ibluish-violet.
- Dry pyoderma okanye i-lichen elula. Ulusu lugubungelwe ngamabala obomvu ngokugqithiswa kwe-ququation kwi-surface. I-impetigo enjalo ebantwini ingahamba kunye nokubetheka okukhulu.
- Zaedy. Kwiinkomfa zomlomo zenze iimbumba ezincinci ezinomxholo obonayo. Baphuthuma ngokukhawuleza, banika indlela yokutshatyalaliswa kwentsha. Amanxeba okuhlamba amahora ama-2-3 agqitywa ngumbumba osikhulu, odla ngezinye izikhathi xa umlomo uvulwa.
- IPararium. Kwi-okolonogtevom platen kwindawo yomonakalo kwi-epidermis (ukugquma, ibra) kubonakala i-fliktena (i-abscess). Emva kokuvula kwayo, ukukhukhula okukhulu kuvula ngokukhutshwa kokuqukethwe kwe-streptococcal.
Vulgar impetigo kubantwana
Ukuba izigulana ezikhuselekileyo zesifo zizo zombini i-staphylococci kunye ne-streptococci, usulelo oluxubileyo luqhubeka. I-Vulgar impetigo ibukeka njengamabhola amaninzi kunye nefuthe elukhumbeni lobuso. Ngaphantsi kaninzi, iifutha zifunyenwe kwizitho nangomthi. Njenge-dissection kunye nokuphilisa, izixhobo ezivuthayo zihlanganiswe ngamagxolo amakhulu kunye nezikhulu. Ngaphandle kwonyango olwaneleyo, i-strepto-staphylococcal impetigo isasazeka kwiindawo eziphilileyo zesikhumba. Ngomonakalo omkhulu, i-lymph nodes esondeleyo iyavutha, iyakhuphazeka kwaye igugu.
Impetigo enemiqhele
Le fomu yesifo kwiyeza kuthiwa yi-zircinarnoy. Ngenye yeentlobo ze-impetigo ye-streptococcal emntwaneni-umfanekiso olapha ngentla ubonisa ngokucacileyo ukuba ukugqithisa kubonakala kufana. Intsholongwane enemihlathi ibonakaliswa ngokuxuba kwe-vesicles ene-purulent kunye nokubunjwa kwe-blisters enkulu. Inkambo yokupakisha impetigo iyafana. Emva kokuvula izibhobho nokususa iziqulatho zazo, ulusu luya kugutyungwa nge-crusts ephuzi-grey, ekhawuleza imile kwaye iwa.
Impetigo ye-Bull kubantwana
Olunye uhlobo lwe-streptococcal dermatological infection. I-impetigo eneenkunzi ezixhamlayo zinkulu (ukusuka kwi-2 cm ububanzi) i-globular blisters ene-turbid exudate. Kwixesha lokuphuhliswa kwezilwanyana, ukushisa komzimba komntwana kunokunyuka, i-lymph nodes ivuke, ubuthathaka kunye neentloko zivakalelwa. Ngokuqhelekileyo impetigo efunyenwe ngabantwana abancinci kwimvelaphi ye-dermatoses okanye i-neurodermatitis. Emva kokuvula i-blisters, ulusu luya kugutyungwa ngekrityu enqamlekileyo eyawa yodwa kwiiveki ezi-1-2.
Impetigo yeSleeve kubantwana
Enye yezinto ezahlukileyo zezifo zithintela. I-Slick impetigo ishukunyiswa yi-streptococci, ngokuthe rhoqo ukusuleleka kwintsholongwane kuphazamisa iintlobo zeentloko, iindlebe kunye namaphiko empumlo. Kule mimandla, i-vesicles e-purulent yenziwe, emva kokuvulwa kwamathuba okuvula. Izilonda ezinjalo zipholisa ngepantsi kwenkqubo yokuma. Ngamanye amaxesha i-impetigo yokutyumba kubantwana ihlala ixesha elide-kubalulekile ukuqala unyango ngokukhawuleza, ngaphandle koko kuyenzeka ukutshatyalaliswa kwentsholongwane. Ngenxa yoko, usuleleko lusasazeka kwiimbumba zamanzi ezikufutshane - kumaconsi, emlonyeni, ekuhlanganyeleni kwamehlo.
Indlela yokuphatha impetigo kubantwana?
Kwiimeko ezininzi, ukukhubazeka kuhamba ngokulula, kwaye unyango luyenziwa kwisithuba sengqesho. Ukunyanga okufanelekileyo kwe-impetigo kuquka nemisebenzi jikelele:
- ukukhawulelana nomnxeba wolusu olonakalisiweyo ngamanzi;
- ukutya kwe-hypoallergenic;
- ukucebisa ukutya kunye namavithamini kunye neemaminerali;
- Ukuthobela ngokungqongqo kwimilinganiselo yobuthakathaka kunye nococeko;
- u ku valelwa.
Impetigo kubantwana - unyango, iziyobisi
Ukusetyenziswa kweziyobisi ngokwemilinganiselo kubandakanya ukusetyenziswa kwezidakamizwa zendawo kuphela. I-Staphylococcal okanye i-streptococcal impetigo kubantwana - unyango:
- Ukunyangwa kwe-Antiseptic ye-rashes entsha. Iipilisi 2-3 izihlandlo ngosuku ziyakucinywa kunye nekamphor okanye utywala obudakayo.
- Unyango lwe-antibiotics. Emva kokungafihlisi, i-antibacterial ointment - erythromycin , Kolbiocin, tetracycline, heliomycin kunye nabanye - isetyenziselwa ugcino oluqhekeza ama-3-4 ngamaxesha kwintsholongwane echaphazelekayo.
- Ukukhusela. Xa ivalicle ivuliwe, kuyimfuneko ukukhusela ukusasazeka kosulelo. Ukwenza oku, amanxeba ayenziwe kunye neentlobo zonyango ziphathwa ngokukhawuleza kunye ne- antiseptics , umzekelo, i-iodine, i-furacilin, izisombululo eziluhlaza kunye nezisombululo ezifanayo.
Amachiza asebenzayo axhunyiwe ukuba impetigo jikelele iqhube phambili kwaye isasazeka, unyango lwe-antibiotics lwenziwa kuphela ngokubhekiselele kwimiyalelo yesigqirha kwaye phantsi kweliso lakhe. Iziyobisi:
- Oxacillin;
- Cephalexin;
- Erythromycin;
- Cefadroxil;
- Iqoqo kunye nabanye.
Ukunyanga impetigo kunye nezilwanyana zomntu
Ngaphandle kweyeza zonyango, awukwazi ukusebenzisa ezinye iindlela zokupheka. Ukuphathwa okunjalo kwe-impetigo kubantwana akusebenzi, kuvunyelwe kuphela ngokudibanisa neendlela ezilondolozayo. Ngaphandle koko, usulelo luya kufakelwa kwizicubu ezinempilo kunye nenkqubela. Xa i-impetigo kubantwana, unyango ekhaya luquka ukusetyenziswa kweziziselo zendalo ezinobuninzi (iziselo zokusela iziqhamo, i-compotes, umhluzi we-dogrose kunye nezithelo ezomileyo), unyango lwesikhumba kunye ne-antiseptic i-herb infusions okanye i-aple cider iviniga.
Ilungelo lommandla we-impetigo
Izithako:
- calendula marigold - 1 tbsp. isipuni;
- i-chamomile izimbali - 2 tbsp. iipuni;
- i-oak bark - 2 ithisipuni;
- amanzi - 600-700 ml.
Ukulungiselela, isicelo
- Hlanganisa izityalo ezomileyo ezixutywe.
- Ukuwuthulula ngamanzi, ubilise imizuzu eyi-10 kwiitya zokukhangela.
- Ukumisela iyure ephantsi kwesiqwenga.
- Kukulungele ukunyanzelisa iyeza.
- Sula ulusu oluchaphazelekayo nge-impetigo, kunye ne-cotton swab ebandakanywe nesisombululo esisiphumo.
- Phinda inqubo 3-6 maxesha ngosuku.