: izimpawu nokwelashwa (kwezifo eziyinhloko)

-Delile

• 1. Pharyngitis
• 2. Isifo samathambo
• 3. Impetigo
• 4. Ama-erysipela
• 5. Umkhuhlane wamathambo
• 6. I-fasciitis ye-Necrotizing
• 7. Isifo Esinobungozi Sokushaqeka
• Ukuxilongwa kwenziwa kanjani

Izifo eziyinhloko ezihlobene ne- IStreptococcus pyogenes ukuvuvukala komphimbo, njenge-tonsillitis ne-pharyngitis, futhi okuthi, lapho kungelashwa kahle, kungavumela ukusakazeka kwamagciwane kwezinye izingxenye zomzimba, okungaholela ekubukekeni kwezifo ezimbi kakhulu, njenge-rheumatic fever kanye Ukushaqeka okunobuthi, isibonelo.

Izimpawu zokutheleleka ziyahlukahluka ngokuya ngendawo lapho amabhaktheriya akhona, ngokubonakaliswa okuyizikhumba futhi okubandakanya umphimbo, isibonelo. Imvamisa ukwelashwa kwenziwa ngokusetshenziswa kwama-antibiotic futhi, ngokuya ngesimo, kungadingeka ukwenza ukuhlinzwa okuncane, njengoba kwenzeka ku-tonsillitis ngenxa IStreptococcus pyogenes.

O IStreptococcus pyogenes, noma S. pyogenes, ibacteria eyi-gram, etholakala ngokwemvelo kubantu, ikakhulukazi emlonyeni, emphinjeni nasesimweni sokuphefumula, kungabangeli zimpawu noma zimpawu. Kodwa-ke, ngenxa yendawo okuyo, ingadluliselwa kalula isuka kumuntu iye komunye umuntu ngokuhlanganyela okusikiwe, uketshezi noma ukuthimula nokukhwehlela, ngokwesibonelo, okwenza kube lula ukuba nesifo. Funda kabanzi mayelana ne- I-Streptococcus.

1. Pharyngitis

I-bacterial pharyngitis ukuvuvukala komphimbo obangelwa amagciwane ohlobo I-Streptococcus, ngokuyinhloko IStreptococcus pyogenes. Kubalulekile ukuthi i-pharyngitis ikhonjwe futhi yelashwe ukuze kuvinjelwe izinkinga, njenge-rheumatic fever, isibonelo.

Izimpawu eziyinhloko: Izimpawu eziyinhloko ze-bacterial pharyngitis yimiphimbo ebuhlungu, izilonda ezibuhlungu entanyeni, ubunzima bokugwinya, ukulahlekelwa isifiso sokudla kanye nomkhuhlane omkhulu. Yazi ezinye izimpawu ze-bacterial pharyngitis.

Ukwelashwa: Ukwelashwa kwe-bacterial pharyngitis kwenziwa ngama-antibiotic cishe izinsuku eziyi-10, njengoba kuyalelwe udokotela, ngaphezu kwemithi esiza ukunciphisa ukuvuvukala nokuqeda izimpawu.

2. Isifo samathambo

I-tonsillitis ukuvuvukala kwamathoni, okungama-lymph node akhona ezansi emphinjeni abhekene nokuvikela umzimba ezifweni, okubangelwa ikakhulu amagciwane ohlobo I-Streptococcus, ngokujwayelekile IStreptococcus pyogenes.

Izimpawu eziyinhloko: Amathumba by S. pyogenes kubangela umphimbo obuhlungu, ubunzima bokugwinya, ukungathandi ukudla nomkhuhlane, ngaphezu kokuba khona kwamabala amhlophe emphinjeni, okukhombisa ukuvuvukala ngamagciwane. Nakhu ukuthi ungawabona kanjani ama-bacterial tonsillitis.

Ukwelashwa: Kunconywa ukuthi i-bacterial tonsillitis yelashwe ngama-antibiotic ngokusho kwesincomo sikadokotela, isikhathi esiningi ukusetshenziswa kwePenicillin noma okuphuma kukho kukhonjisiwe. Ngaphezu kwalokho, enye indlela yokuqeda ukungakhululeki okubangelwa i-tonsillitis ngokugcoba ngamanzi anosawoti, isibonelo.

Ukuhlinzwa ukukhipha amalaka, okuthiwa i-tonsillectomy, kunconywa kuphela ngudokotela uma kwenzeka ukuvuvukala okuphindaphindayo, okungukuthi, lapho umuntu eneziqephu eziningana ze-tonsillitis yebhaktheriya unyaka wonke.

3. Impetigo

I-Impetigo ukutheleleka kwesikhumba okubangelwa amagciwane angatholakala ngokwemvelo esikhunjeni nasendaweni yokuphefumula, njenge IStreptococcus pyogenes, Ngokwesibonelo. Lesi sifo sithelelana kakhulu futhi sijwayele ukwenzeka ezinganeni, ngakho-ke kubalulekile ukuthi uma ingane ikhombisa noma yiluphi uphawu lwe-impetigo, iyeke ukuya esikoleni futhi igweme ukuba sendaweni enabantu abaningi ukugwema ukungcoliswa kwabantu abaningi.

Izimpawu eziyinhlokoIzimpawu ze-Impetigo zivame ukuvela ngenxa yokwehla kwamasosha omzimba, okuholela ekwandeni kwamagciwane kanye nokuvela kwamabhamuza amancane, asendaweni, imvamisa ebusweni, engaphuka futhi ishiye amamaki abomvu esikhunjeni, ngaphezu kwe ukwakheka koqweqwe lwesilonda.

Ukwelashwa: Ukwelashwa kwe-impetigo kwenziwa njengokuyalelwa ngudokotela, futhi kuvame ukukhonjiswa ukufaka umuthi wamafutha wokulwa namagciwane esizeni sesilonda amahlandla ama-3 kuye kwayi-4 ngosuku. Kubalulekile ukuthi ukwelashwa kwenziwe ngokuyalelwa ngudokotela ukuvimbela amagciwane ukuthi angafiki egazini futhi afinyelele kwezinye izitho, ngaphezu kokuvimbela ukungcoliswa kwabantu abaningi. Qonda ukuthi ukwelashwa kwe-impetigo kwenziwa kanjani.

4. Ama-erysipela

I-Erysipelas yisifo esithathelwanayo esibangelwa amagciwane IStreptococcus pyogenes okuvame kakhulu kubantu abangaphezu kwama-50, abantu abakhuluphele ngokweqile nabanesifo sikashukela. I-Erysipelas iyelapheka uma ukwelashwa kuqalwa ngokushesha ngokuya ngokuqondiswa ngudokotela ojwayelekile noma udokotela wesikhumba.

Izimpawu eziyinhloko: I-Erysipelas ibonakala ngokuvela kwamanxeba abomvu ebusweni, ezingalweni noma emilenzeni abuhlungu impela futhi, uma ishiywe ingalashwa, kungahle kube nokuqoqwa kobofu nokufa kwezicubu, ngaphezu kokuvumela ukungena S. pyogenes namanye amabhaktheriya emzimbeni.

Ukwelashwa: Ukwelapha i-erysipelas kubalulekile ukulandela ukwelashwa okunconywe ngudokotela ojwayelekile noma udokotela wesikhumba, futhi ukusetshenziswa kwama-antibiotic anjengePenicillin kuvame ukukhonjiswa. Bona okuningi mayelana nokwelashwa kwe-Erysipelas.

5. Umkhuhlane wamathambo

I-rheumatic fever yisifo esizimele esingenzeka ngenxa yokutheleleka ngo IStreptococcus pyogenes. Lokhu kungenxa yokuthi kulesi simo amasosha omzimba akhiqizwa elwa namagciwane angafinyelela kwezinye izitho futhi abangele ukuvuvukala kwezicubu ezahlukahlukene emzimbeni. Funda ukuthi ungawubona kanjani umkhuhlane wamathambo.

Izimpawu eziyinhloko: Izimpawu eziyinhloko ze-rheumatic fever ubuhlungu obuhlangene, ubuthakathaka bemisipha, ukunyakaza okungazibandakanyi kanye nezinguquko kuma-valve enhliziyo nenhliziyo.

Ukwelashwa: Uma umuntu ephethwe yi-pharyngitis noma i-tonsillitis ebangelwa S. pyogenes futhi ayenzanga ukwelashwa okufanele, kungenzeka ukuthi amabhaktheriya angaqhubeka nokusakazeka futhi, uma kukhona ukuthambekela, ahlaselwe umkhuhlane we-rheumatic fever. Ngakho-ke kubalulekile ukuthi S. pyogenes welashwe ngomjovo weBenzetacil ukuvimbela ukukhula kwalesi sifo.

Ezimweni eziqinisekisiwe ze-rheumatic fever, udokotela ojwayelekile noma udokotela wenhliziyo angancoma ukusetshenziswa kwama-antibiotic nemithi yokuqeda izimpawu zokuvuvukala, njenge-Ibuprofen ne-Prednisone, ngokwesibonelo. Ngaphezu kwalokho, kubalulekile ukuphuza uketshezi oluningi ngesikhathi sokwelashwa futhi ube nokudla okunomsoco, ukuze ukwazi ukusheshe ululame.

6. I-fasciitis ye-Necrotizing

I-necrotizing fasciitis isifo esingajwayelekile, esimbaxa futhi esivela ngokushesha, esaziwa ngokungena kwamagciwane, isikhathi esiningi I-Staphylococcus aureus futhi IStreptococcus pyogenes, emzimbeni ngenxeba, elisakazeka ngokushesha futhi liholele kwi-necrosis yezicubu.

Izimpawu eziyinhloko: Izimpawu eziyinhloko ze-necrotizing fasciitis umkhuhlane omkhulu, ubuhlungu obukhulu nobendawo, ukuba khona kwamabhamuza, ukukhathala ngokweqile nokuwohloka kokuvela kwesilonda.

Ukwelashwa: Uma umuntu ebona ukuthi ukulimala kuthatha isikhathi eside ukwelashwa noma ukuthi ukubukeka kwayo kuya ngokuya kuba kubi ngokuhamba kwesikhathi, kubalulekile ukuya kudokotela ukuze imbangela ingaphenywa futhi kutholakale ukuxilongwa kwe-necrotizing fasciitis. Imvamisa kunconywa udokotela ukufaka ama-antibiotic ngqo emthanjeni, ukusheshisa ukuqedwa kwamagciwane abhekele futhi ngaleyo ndlela kugweme izinkinga. Kwezinye izimo, kungahle kudingeke ukuthi ngokuhlinzwa kuguqulwe izicubu ezithintekile ukuvimbela amabhaktheriya ekusakazekeni ngokuqhubekayo.

7. Isifo Esinobungozi Sokushaqeka

I-Toxic Shock Syndrome ibonakala ngokutholakala kwamagciwane egazini angaqhubeka ngokuholela ekuhlulekeni kwesitho. Lesi sifo ngokuvamile sihlobene ne- I-Staphylococcus aureus, noma kunjalo kube nokwanda ezimeni ze-Toxic Shock Syndrome ngenxa ye- IStreptococcus pyogenes.

Ukuqinisekiswa kwe-Toxic Shock Syndrome ngu S. pyogenes Yenziwe ngokuhlolwa kwe-microbiological, imvamisa isiko legazi, lapho kutholakala khona ubukhona begciwane, ngaphezu kokuhlolwa kwezimpawu ezethulwe yisiguli, ezinjengomfutho wegazi ophansi, ukushintsha kwezinso, izinkinga zokuvala igazi , izinkinga zesibindi necrosis yendwangu, isibonelo.

Izimpawu eziyinhloko: Izimpawu zokuqala ze-Toxic Shock Syndrome umkhuhlane, ukuqubuka okubomvu kanye ne-hypotension. Uma ukutheleleka kungalashwa, kungahle kube nokuhluleka kwezitho eziningi futhi, ngenxa yalokho, kube nokufa.

Ukwelashwa: Okukhonjiswe kakhulu kwi-Toxic Shock Syndrome ukufuna ukuqondiswa ngudokotela ojwayelekile noma isifo esithathelwanayo ukuze ukwelashwa kuqalwe ngokushesha okukhulu, ngoba ngale ndlela kungenzeka ukuqeda amabhaktheriya nokuvikela ukwehluleka komzimba.

Ukuxilongwa kwenziwa kanjani

Ukutholakala kokutheleleka nge IStreptococcus pyogenes kwenziwa ngudokotela ngokusho kwezimpawu nezimpawu ezilethwa ngumuntu, ngaphezu kokuhlolwa kwelabhorethri. Ukuhlolwa okuyinhloko okwenziwe ukukhomba i- S. pyogenes yi-ASLO, okuyisivivinyo se-anti-streptolysin O, ehlose ukukhomba amasosha omzimba akhiqizwa ngumzimba ngaleli gciwane.

Ukuhlolwa kulula futhi kufanele kwenziwe esiswini esingenalutho amahora ama-4 kuya kwangu-8 kuya ngesincomo sikadokotela noma elebhu. Qonda ukuthi ukuhlolwa kwe-ASLO kwenziwa kanjani.