Paʻi ʻili ʻili

ʻO ka maʻi wīwī ʻo Scalded (SSS) kahi maʻi maʻi i hoʻokumu ʻia e ka bacteria staphylococcus kahi e ʻino a lilo ai ka ʻili.

Hoʻokumu ʻia ka maʻi ʻili o ka ʻili me ka maʻi me kekahi ʻano o ka bacteria staphylococcus. Hoʻopuka ka bacteria i kahi toxin i kumu i ka ʻino o ka ʻili. Hoʻokumu ka poino i nā palapū, me he mea lā e wili ʻia ka ʻili. Hiki i kēia mau palapū ke hana ma nā wahi o ka ʻili mai kahi pūnaewele mua.

Loaʻa pinepine ʻo SSS i nā pēpē a me nā keiki ma lalo o ka makahiki 5.

Pākuʻi ʻia paha nā ʻōuli i kekahi o kēia mau mea:

• Pahū
• Fiva
• ʻO nā wahi nui o ka ʻiliʻili a hāʻule paha (exfoliation a desquamation paha)
• ʻIli ʻeha
• ʻUlaʻula o ka ʻili (erythema), ka mea e palahalaha e uhi i ka hapa nui o ke kino
• Paheʻe ka ʻili me ke kaomi haʻahaʻa, e waiho ana i nā wahi ʻulaʻula pulu (hōʻailona Nikolsky)

E hana ka mea mālama ola i kahi hoʻokolohua kino a nānā i ka ʻili. Hōʻike paha ka hōʻike e heʻe ka ʻili ke ʻānai ʻia (hōʻailona Nikolsky maikaʻi).

E komo pū paha nā hoʻāʻo:

• Helu piha koko (CBC)
• Nā moʻomeheu o ka ʻili, ka ʻāʻī a me ka ihu, a me ke koko
• Hōʻike uila
• ʻO ka biopsy ʻili (i nā manawa kakaikahi)

Hāʻawi ʻia nā antibiotic e ka waha a i ʻole ma o ke aa (intravenously; IV) e kōkua i ke kaua ʻana i ka maʻi. Hāʻawi ʻia nā wai IV e pale i ka make wai. ʻO ka hapa nui o ka wai o ke kino e nalowale ma o ka ʻili hāmama.

Hiki ke hoʻomaikaʻi i ka ʻūlū i ka ʻili i ka hōʻoluʻolu. Hiki iā ʻoe ke noi i ka hamo hamo i ka mānoanoa o ka ʻili. Hoʻomaka ka hoola ma kahi o 10 mau lā ma hope o ka mālama ʻana.

Kuhi ʻia kahi hoʻōla piha.

Nā pilikia e hopena paha me:

• ʻO ka pae maʻamau o nā wai i ke kino e hopena ai i ka make wai a i ʻole ke kaulike electrolyte
• Ka maikaʻi ʻole o ka mahana (i nā ʻōpio ʻōpio)
• ʻO ka maʻi maʻi koko nui (septicemia)
• Hoʻolahalaha i ka maʻi ʻili hohonu (cellulitis)

Kāhea i kāu mea lawelawe a hele i ka lumi pilikia inā loaʻa iā ʻoe nā ʻōuli o kēia maʻi.

ʻAʻole hiki ke pale ʻia ka maʻi. ʻO ka mālama ʻana i nā maʻi staphylococcus hiki koke ke kōkua.

Maʻi Ritter; Staphylococcal scalded ʻili maʻi; SSS

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.

ʻO Pallin DJ. Nā maʻi ʻili. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 129.