I-Scalded Skin Syndrome

-Delile

• Izithombe ze-SSSS
• Izimbangela ze-SSSS
• Izimpawu ze-SSSS
• Ukuxilongwa kwe-SSSS
• Ukwelashwa kwe-SSSS
• Izinkinga ze-SSSS
• I-Outlook ye-SSSS

Yini i-scalded skin syndrome?

I-Staphylococcal scalded skin syndrome (i-SSSS) isifo esibi sesikhumba esidalwa yigciwane I-Staphylococcus aureus. Le bhaktheriya ikhiqiza ubuthi obukhipha ubuthi obudala ukuthi izingqimba ezingaphandle zesikhumba zibe namabhamuza zixebuke, kube sengathi zithelwe nguketshezi olushisayo. I-SSSS - ebizwa nangokuthi isifo sikaRitter - ayivamile, ithinta abantu abangafika kwabangu-56 kwabangu-100,000. Kuvame kakhulu ezinganeni ezingaphansi kweminyaka engu-6.

Izithombe ze-SSSS

Izimbangela ze-SSSS

Igciwane elibangela i-SSSS livamile kubantu abaphilile. Ngokusho kweBritish Association of Dermatologists, amaphesenti angama-40 abantu abadala bayayiphatha (imvamisa esikhunjeni noma ezingxenyeni zemifino) ngaphandle kwemiphumela emibi.

Izinkinga zivela lapho amabhaktheriya engena emzimbeni ngokuqhuma kwesikhumba. I-toxin ibhaktheriya ikhiqiza ilimaza ikhono lesikhumba ukubamba ndawonye. Ingqimba engenhla yesikhumba bese iyahlukana nezendlalelo ezijulile, kudale ukugqashuka okuphawuleka kwe-SSSS.

I-toxin nayo ingangena egazini, ikhiqize ukusabela kuso sonke isikhumba. Ngoba izingane ezincane - ikakhulukazi izingane ezisanda kuzalwa - zinamasosha omzimba nezinso ezingathuthukile (ukukhipha ubuthi emzimbeni), zisengozini enkulu. Ngokuya ngocwaningo olushicilelwe ephephabhukwini i-Annals of Internal Medicine, amaphesenti angama-98 amacala atholakala ezinganeni ezineminyaka engaphansi kwengu-6.

Izimpawu ze-SSSS

Izimpawu zokuqala ze-SSSS zivame ukuqala ngezimpawu ezivelele zokutheleleka:

• imfiva
• ukucasuka
• ukukhathala
• Ukugodola
• ubuthakathaka
• ukungabi nesifiso sokudla
• i-conjunctivitis (ukuvuvukala noma ukutheleleka kolwelwesi olucacile oluhlanganisa ingxenye emhlophe yeso leso)

Ungase futhi uqaphele ukuvela kwesilonda esinoqweqwe. Isilonda ngokuvamile sivela esifundeni se-diaper noma ezungeze isiphunzi sentambo yenkaba ezinganeni ezisanda kuzalwa nasebusweni ezinganeni. Kubantu abadala, ingavela noma kuphi.

Njengoba kukhishwa ubuthi, ungaqaphela futhi:

• isikhumba esibomvu, esethenda, esikhawulwe lapho kufakwa khona amabhaktheriya noma sisakazeke yonke indawo
• amabhamuza aphuka kalula
• isikhumba esikhulayo, esingavela ngamashidi amakhulu

Ukuxilongwa kwe-SSSS

Ukuxilongwa kwe-SSSS kuvame ukwenziwa ngokuhlolwa komtholampilo nokubheka umlando wakho wezokwelapha.

Ngoba izimpawu ze-SSSS zingafana nalezo zokunye ukuphazamiseka kwesikhumba okufana ne-bullous impetigo nezinhlobo ezithile ze-eczema, udokotela wakho angenza i-biopsy yesikhumba noma athathe isiko lokwenza ukuxilongwa okucacile. Bangabuye ba-ode ukuhlolwa kwegazi namasampula wezicubu athathwe ngokuswayipha ingaphakathi lomphimbo nekhala.

Ukwelashwa kwe-SSSS

Ezimweni eziningi, ukwelashwa kuzodinga ukulaliswa esibhedlela. Amayunithi wokushisa avame ukuhlonyiselwa ukwelapha lesi simo.

Ukwelashwa ngokuvamile kuqukethe:

• ama-antibiotic omlomo noma afakwa emithanjeni ukuze asule ukutheleleka
• imithi yezinhlungu
• okhilimu ukuvikela isikhumba esiluhlaza, esiveziwe

Ama-nonsteroidal anti-inflammatories nama-steroids awasetshenziswa ngoba angaba nomthelela omubi ezinso nasezivikelweni zomzimba.

Njengoba amabhamuza evuza futhi ephuma, ukuphela kwamanzi emzimbeni kungaba yinkinga. Uzotshelwa ukuthi uphuze uketshezi oluningi. Ukwelapha ngokuvamile kuqala amahora angama-24-48 ngemuva kokuqala ukwelashwa. Ukululama ngokugcwele kulandela izinsuku ezinhlanu kuya kweziyisikhombisa kamuva.

Izinkinga ze-SSSS

Iningi labantu abane-SSSS liyalulama ngaphandle kwezinkinga noma isikhumba uma lithola ukwelashwa ngokushesha.

Kodwa-ke, igciwane elifanayo elibangela i-SSSS nalo lingadala okulandelayo:

• inyumoniya
• i-cellulitis (ukutheleleka kwezingqimba ezijulile zesikhumba kanye namafutha nezicubu ezingaphansi kwaso)
• sepsis (ukutheleleka kwegazi)

Lezi zimo zingasongela impilo, okwenza ukwelashwa ngokushesha kubaluleke kakhulu.

I-Outlook ye-SSSS

I-SSSS ayivamile. Kungaba kubi futhi kube buhlungu, kepha imvamisa akubulali. Iningi labantu lilulama ngokugcwele futhi ngokushesha - ngaphandle kwemiphumela emibi engapheli noma ukushaqeka - ngokwelashwa ngokushesha. Bona udokotela wakho noma udokotela wengane yakho ngokushesha okukhulu uma ubona izimpawu ze-SSSS.