I-Perianal streptococcal cellulitis

I-Perianal streptococcal cellulitis ukutheleleka kwe-anus ne-rectum. Ukutheleleka kubangelwa amagciwane e-streptococcus.

I-Perianal streptococcal cellulitis ivame ukuvela ezinganeni. Kuvame ukuvela phakathi noma ngemuva kwe-strep throat, nasopharyngitis, noma ukutheleleka kwesikhumba se-streptococcal (impetigo).

Isikhumba esizungeze ingquza singatheleleka ngenkathi ingane isula indawo ngemuva kokusebenzisa indlu yangasese. Ukutheleleka futhi kungavela ngokunwaya indawo ngeminwe enamagciwane asemlonyeni noma ekhaleni.

Izimpawu zingafaka:

• Imfiva
• Ukulunywa, ubuhlungu, noma ukopha ngokuhamba kwamathumbu
• Ububomvu obuzungeze ingquza

Umhlinzeki wezokunakekelwa kwempilo uzohlola ingane abuze ngezimpawu zayo.

Ukuhlolwa okungenziwa kufaka phakathi:

• Isiko le-swab eliqondile
• Isiko lesikhumba elivela endaweni engunxande
• Isiko lomqala

Ukutheleleka kulashwa ngama-antibiotic cishe izinsuku eziyi-10, kuya ngokuthi asebenza kahle kangakanani futhi ngokushesha. I-penicillin iyimithi elwa namagciwane esetshenziswa kakhulu ezinganeni.

Umuthi oyisihloko ungasetshenziswa esikhumbeni futhi uvame ukusetshenziswa namanye ama-antibiotic, kepha akufanele kube ukuphela kokwelapha. I-Mupirocin umuthi ojwayelekile owenziwe ngezihloko ezisetshenziselwa lesi simo.

Izingane zivame ukululama ngokushesha ngemithi elwa namagciwane. Kubalulekile ukuxhumana nomhlinzeki wakho uma ingane yakho ingangcoli ngokushesha kuma-antibiotic.

Izinkinga azivamile, kepha zingafaka:

• Isibazi se-anal, i-fistula, noma ithumba
• Ukopha, ukukhipha
• Ukuhamba kwegazi noma ezinye izifo ze-streptococcal (kufaka phakathi inhliziyo, ukuhlangana, nethambo)
• Isifo sezinso (i-acute glomerulonephritis)
• Ukutheleleka okukhulu kwesikhumba nezicubu ezithambile (i-necrotizing fasciitis)

Shayela umhlinzeki wengane yakho uma ingane yakho ikhononda ngobuhlungu endaweni engunxande, ukunyakaza kwamathumbu okubuhlungu, noma ezinye izimpawu ze-perianal streptococcal cellulitis.

Uma ingane yakho ithatha ama-antibiotic kulesi simo futhi indawo yokubomvu iba yimbi kakhulu, noma ukungakhululeki noma umkhuhlane uyanda, shayela umhlinzeki wakho ngokushesha.

Ukugeza izandla ngokucophelela kungasiza ekuvimbeleni lokhu nezinye izifo ezibangelwa amagciwane athwalwa ngamakhala nasemphinjeni.

Ukuvimbela isimo ukuthi singabuyi, qiniseka ukuthi ingane yakho iqeda yonke imithi umhlinzeki ayinike yona.

IStreptococcal proctitis; I-proctitis - i-streptococcal; I-Perianal streptococcal dermatitis

UPaller AS, uMancini AJ. Amagciwane, i-mycobacterial, ne-protozoal izifo zesikhumba. Ku: Paller AS, Mancini AJ, ama-eds. IHurwitz Clinical Pediatric Dermatology. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2016: isahluko 14.

UShulman ST, Reuter CH. I-streptococcus yeqembu A. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 210.