ʻO cellulitis streptococcal Perianal

ʻO Perianal streptococcal cellulitis kahi maʻi o ka anus a me ke kolopa. Hoʻokumu ʻia ka maʻi e nā koʻohune streptococcus.

Hana pinepine ʻia ʻo Perianal streptococcal cellulitis i nā keiki. Hōʻike pinepine ʻia ma ka manawa a ma hope paha o ka ʻāʻī strep, nasopharyngitis, a i ʻole maʻi maʻi streptococcal (impetigo).

E maʻi paha ka ʻili a puni ka anus ʻoiai holoi ke keiki i kahi ma hope o ka hoʻohana ʻana i ka lua. Hiki ke hopena i ka maʻi mai ka ʻānai ʻana i ka wahi me nā manamana lima i loaʻa ka bacteria mai ka waha a i ʻole ka ihu.

Pākuʻi ʻia paha nā ʻōuli:

• Fiva
• Ka ʻeha, ʻeha, a ke kahe ʻana o ke kō me ka neʻe ʻana o ka ʻōpū
• ʻUlaʻula a puni ka anus

E nānā ka mea mālama ola i ke keiki a nīnau e pili ana i nā ʻōuli.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Moʻomeheu swab Rectal
• ʻO ka moʻomeheu ʻili mai kahi o ka pololei
• Moʻomeheu Kaha

Mālama ʻia ka maʻi me nā lāʻau antibiotic ma kahi o 10 mau lā, kaukaʻi ʻia i ka maikaʻi a me ka wikiwiki o kā lākou hana ʻana. ʻO Penicillin ka antibiotic hoʻohana pinepine ʻia i nā keiki.

Hiki ke hoʻopili ʻia ka lāʻau lapaʻau kumuhana i ka ʻili a hoʻohana pinepine ʻia me nā lāʻau ʻaloʻalo ʻē aʻe, akā ʻaʻole ia wale nō ka lāʻau. ʻO ka Mupirocin kahi lāʻau lapaʻau kumuhana maʻamau i hoʻohana ʻia no kēia ʻano.

E ola wikiwiki nā keiki me ka lāʻau antibiotic. He mea nui e kāhea aku i kāu mea hāʻawi inā ʻaʻole maikaʻi koke kāu keiki ma nā antibiotic.

Kūleʻa ka paʻakikī, akā hiki ke hoʻopili ʻia:

• ʻO ka scarring anal, fistula, a i ʻole abscess
• Kahe ʻana o ke kahe, hoʻokuʻu
• Kahe koko a i ʻole nā ​​maʻi streptococcal (me ka puʻuwai, ami, a me ka iwi)
• ʻO ka maʻi kīnā (glomerulonephritis huʻi)
• ʻO ka ʻili koʻikoʻi a me nā maʻi maʻi palupalu (necrotizing fasciitis)

Kāhea i ka hāʻawi o kāu keiki inā namunamu kāu keiki i ka ʻeha ma ka ʻaoʻao o ka ʻaoʻao, nā ʻeha o ka ʻōpū ʻeha, a i ʻole nā ​​ʻōuli ʻē aʻe o ka perianal streptococcal cellulitis.

Inā lawe kāu keiki i nā lāʻau ʻaloʻolika no kēia ʻano a ʻoi aku ka maikaʻi o ka ʻula o ka ʻula, a i ʻole ke hoʻonui ʻia nei o ka maʻi a me ke kuni, e kāhea koke aku i kāu mea lawelawe.

Hiki i ka holoi lima lima lima ʻana ke kōkua i ke pale ʻana i kēia a me nā maʻi ʻē aʻe i hoʻokumu ʻia e nā bacteria i hāpai ʻia i ka ihu a me ka puʻu.

I mea e pale ʻole ai i ke ʻano o ka hoʻi ʻana mai, e ʻike pono i ka hoʻopau ʻana o kāu keiki i nā lāʻau a ka mea hāʻawi.

ʻO Streptococcal proctitis; Proctitis - streptococcal; ʻO ka dermatitis streptococcal Perianal

Paller AS, Mancini AJ. ʻO nā maʻi koʻohune, mycobacterial, a me nā protozoal o ka ʻili. I: Paller AS, Mancini AJ, eds. ʻO Hurwitz Clinical Pediatric Dermatology. 5th lā. Piladelapia, PA: Elsevier; 2016: chap 14.

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.