Scalded isikhumba syndrome

I-Scalded skin syndrome (i-SSS) ukutheleleka kwesikhumba okubangelwa amagciwane e-staphylococcus lapho isikhumba sonakala khona bese sichitha.

I-Scalded skin syndrome ibangelwa ukutheleleka ngezinhlobo ezithile zamagciwane e-staphylococcus. Amagciwane akhiqiza ubuthi obudala ukulimala kwesikhumba. Umonakalo udala amabhamuza, kube sengathi isikhumba sishisiwe. La mabhamuza angenzeka ezindaweni zesikhumba kude nendawo yokuqala.

I-SSS itholakala kakhulu ezinganeni nasezinganeni ezingaphansi kweminyaka engu-5.

Izimpawu zingafaka noma yikuphi okulandelayo:

• Amabhamuza
• Imfiva
• Izindawo ezinkulu zesikhumba noma ukuwa (ukukhishwa noma ukuqedwa)
• Isikhumba esibuhlungu
• Ububomvu besikhumba (erythema), obusakazeka ukumboza ingxenye enkulu yomzimba
• Isikhumba sihamba ngengcindezi emnene, sishiya izindawo ezibomvu ezimanzi (uphawu lukaNikolsky)

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba futhi abheke isikhumba. Ukuhlolwa kungakhombisa ukuthi isikhumba siyashibilika lapho sigcotshwa (uphawu oluhle lukaNikolsky).

Ukuhlolwa kungafaka:

• Qedela ukubalwa kwegazi (CBC)
• Amasiko esikhumba, umphimbo nekhala, negazi
• Ukuhlolwa kwe-Electrolyte
• I-biopsy yesikhumba (ezimweni ezingavamile)

Ama-antibiotic anikezwa ngomlomo noma ngomthambo (ngemithambo; IV) ukusiza ukulwa nokutheleleka. Uketshezi lwe-IV luphinde lunikezwe ukuvimbela ukuphelelwa amandla kwamanzi. Uketshezi oluningi lomzimba lulahleka ngesikhumba esivulekile.

Ukucindezela okumanzi esikhunjeni kungathuthukisa induduzo. Ungafaka amafutha okuthambisa ukugcina isikhumba simanzi. Ukwelapha kuqala cishe ezinsukwini eziyishumi ngemuva kokwelashwa.

Kulindeleke ukululama ngokugcwele.

Izinkinga ezingaba nomphumela zifaka:

• Izinga elingajwayelekile loketshezi emzimbeni elibangela ukungabi namanzi emzimbeni noma ukungalingani kwe-electrolyte
• Ukulawulwa okushisa okuncane (ezinganeni ezincane)
• Ukutheleleka okukhulu kwegazi (septicemia)
• Spread ekuthelelekeni kwesikhumba okujulile (cellulitis)

Shayela umhlinzeki wakho noma uye egumbini labezimo eziphuthumayo uma unezimpawu zalesi sifo.

Lesi sifo kungenzeka singavikeleki. Ukwelapha noma yikuphi ukutheleleka kwe-staphylococcus ngokushesha kungasiza.

Isifo se-Ritter; I-Staphylococcal scalded skin syndrome; SSS

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.

Pallin DJ. Ukutheleleka kwesikhumba. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 129.