ulaula wela
Hoʻokumu ʻia ka fiva ʻulaʻula e kahi maʻi me nā bacteria i kapa ʻia ʻo A streptococcus. ʻO kēia nā koʻohune like ke kumu o ka ʻāʻī strep.
ʻO ka fiva ʻulaʻula kahi maʻi nui loa i ka wā kamaliʻi, akā i kēia manawa maʻalahi ka mālama ʻana. ʻO ke koʻohune streptococcal ke kumu e hoʻopuka i kahi toxin e hiki ai i ka ʻulaʻula i kapa ʻia ka maʻi.
ʻO ke kumu pilikia nui no ka loaʻa ʻana o ke kuni ʻulaʻula ka maʻi me nā koʻohune e kumu ai i ka ʻāʻī strep. Hiki ke hoʻonui ʻia ka makaʻu o ka maʻi i kahi ahulau o ka ʻāʻī strep a i ʻole ke kuni ʻulaʻula i ke kaiāulu, kaiāulu.
ʻO ka manawa ma waena o ka maʻi a me nā ʻōuli he pōkole ia, ʻo ka pinepine ʻo 1 a 2 mau lā. E hoʻomaka paha ka maʻi me ke kuni a me ka ʻāʻī.
Hōʻike mua ka ʻōpala ma ka ʻāʻī a me ka umauma, a laila hohola ma luna o ke kino. 'Lelo nā poʻe he like me ka pepa one. ʻOi aku ka nui o ke ʻano o ka hū ma mua o ka hiohiona e hōʻoia i ke kuhi. Hiki ke hala i ka hū ma mua o hoʻokahi pule. I ka nalo ʻana o ka wīwī, e ʻili ka ʻili a puni nā manamana lima, nā manamana wāwae, a me nā ʻūlū.
ʻO nā ʻōuli ʻē aʻe e like me:
- Abdominal eha
- ʻO kaʻulaʻulaʻulaʻula i nā lipina o ka underarm a me ke kani
- ʻO Chills
- Fiva
- General discomfort (malaise)
- ʻEha poʻo
- ʻEha ka ʻili
- Eha ka 'ā'ī
- Pehu, alelo ʻulaʻula (alelo strawberry)
- ʻO ka luaʻi
E nānā paha kāu kauka lawelawe i ka maʻi ʻulaʻula ma ka hana ʻana i:
- Ninaninau kino
- ʻO ka moʻomeheu ʻōpū e hōʻike ana i nā koʻohune mai ka hui A streptococcus
- Pākuʻi i ka puʻu e hana i kahi hōʻike i kapa ʻia ka ʻike wikiwiki antigen
Hoʻohana ʻia nā lāʻau antibiotic e pepehi i nā koʻohune i kumu i ka maʻi puʻu. He mea nui kēia e pale aku ai i ke kuni rumatika, kahi pilikia koʻikoʻi o ka ʻāʻī strep a me ka fiva ʻulaʻula.
Me ka lāʻau antibiotic kūpono, pono e hoʻomaikaʻi koke nā ʻōuli o ka ʻulaʻula. Eia nō naʻe, hiki i ka pīpī ke kū mau a hiki i 2 a 3 mau pule ma mua o ka hala loa ʻana.
Kūleʻa ka paʻakikī me ka lapaʻau kūpono, akā hiki ke hoʻopili ʻia:
- ʻO ke kuni rumatika koʻikoʻi, hiki ke hoʻopili i ka puʻuwai, nā hono, ka ʻili, a me ka lolo
- Maʻi maʻi pepeiao
- Poino hakuʻala
- Poino ke ake
- Pulumonia
- Maʻi maʻi Sinus
- Huehue nā pehu lymph a i ʻole abscess
Kāhea i kāu mea hāʻawi inā:
- Hoʻokumu ʻoe i nā ʻōuli o ke kuni ʻulaʻula
- ʻAʻole e haʻalele kāu mau hōʻailona 24 mau hola ma hope o ka hoʻomaka ʻana o ka lāʻau antibiotic
- Hoʻokumu ʻoe i nā ʻōuli hou
Hoʻolahalaha ʻia nā koʻohune ma o ka pili pololei ʻana me ka poʻe i loaʻa i ka maʻi, a i ʻole nā droplets e ʻūlū a hanu paha ke kanaka maʻi Hōʻalo i ka launa ʻana me nā poʻe maʻi.
Scarlatina; Maʻi ʻaʻai Strep - fever fever; Streptococcus - kuni kuni
- Nā hōʻailona o ke kuni ʻulaʻula
ʻO Bryant AE, ʻo Stevens DL. ʻO Streptococcus pyogenes. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 197.
Michaels MG, Williams JV. Nā maʻi maʻi maʻi. I: Zitelli BJ, McIntire SC, Nowalk AJ, eds. ʻO Zitelli lāua ʻo Davis 'Atlas o ka Pediatric Physical Diagnosis. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 13.
Shulman ST, Reuter CH. Pūʻulu A streptococcus. I: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 210.
Stevens DL, Bryant AE, Hagman MM. Nā maʻi nonpneumococcal streptococcal a me ka fiva rumatika. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 274.