Mea Kākau: John Stephens
Lā O Ka Hana: 2 Ianuali 2021
HōʻAno Hou I Ka Lā: 22 Nowemapa 2024
Anonim
Staphylococcal Scalded Skin Syndrome – Dermatology | Lecturio
Wikiō: Staphylococcal Scalded Skin Syndrome – Dermatology | Lecturio

Anter

He aha ka maʻi ʻili scalded?

ʻO Staphylococcal scalded skin syndrome (SSSS) kahi maʻi ʻili koʻikoʻi i hoʻokumu ʻia e ka maʻi bacteria Staphylococcus aureus. Hoʻopuka kēia bacteria i kahi toxin exfoliative e kumu i ka uhi o ka ʻili i ka blister a me ka peel, me he mea lā ua hana ʻia me kahi wai wela. ʻO SSSS - i kapa ʻia hoʻi ʻo ka maʻi ʻo Ritter - kākaʻikahi, e hoʻopili ana a hiki i ka 56 poʻe mai 100,000. ʻO ka mea maʻamau i nā keiki ma lalo o 6.

Nā kiʻi o SSSS

Nā kumu o SSSS

ʻO ka bacteria e kumu ai ka SSSS maʻa mau i ka poʻe olakino. Wahi a ka British Association of Dermatologists, 40 pākēneka o nā mākua e hāpai iā ia (maʻa mau i ko lākou ʻili a i ʻole nā ​​membrane mucous) me nā hopena maikaʻi ʻole.

Kū aʻe nā pilikia ke komo ka bacteria i ke kino ma o ka māwae o ka ʻili. Hoʻopuka ka toxin i ka maʻi bacteria i ka hiki o ka ʻili ke hoʻopaʻa pū. A laila hoʻokaʻawale ka papa luna o ka ʻili mai nā papa hohonu, e hoʻoulu ana i ka hiʻona o SSSS.

Hiki i ka toxin ke komo i ke kahe o ke koko, e hana ana i kahi hopena a puni ka ʻili. Ma muli o nā keiki ʻōpio - ʻo ia hoʻi nā keiki hānau hou - ua hoʻomohala i nā ʻōnaehana pale a me nā puʻupaʻa (e hoʻohemo i nā toxins mai ke kino), ʻoi aku ka makaʻu. Wahi a ka noiʻi i paʻi ʻia i loko o ka puke pai Annals of Internal Medicine, 98 pakeneka o nā hihia i loaʻa i nā keiki ma lalo o 6. Hiki ke maʻalahi ʻia nā mākua me nā ʻōnaehana pale nawaliwali a i ʻole nā ​​hana puʻuwai maikaʻi ʻole.


Nā ʻōuli o SSSS

Hoʻomaka ka hoʻomaka o nā hōʻailona o SSSS me nā ʻōuli o ka maʻi.

  • fiva
  • ukiuki
  • luhi
  • haʻalulu
  • nāwaliwali
  • nele i ka makemake ʻole
  • conjunctivitis (kahi mumū a maʻi paha o ka pale aniani e uhi ana i ka ʻāpana keʻokeʻo o ka eyeball)

Hoʻomaopopo paha ʻoe i ka helehelena o kahi ʻeha crusty. ʻIke pinepine ʻia ka ʻeha ma ka ʻāina diaper a i ʻole ke kumu o ka umbilical cord i nā keiki hānau hou a ma ka maka i nā keiki. I nā mākua, hiki ke hōʻike ʻia i kēlā me kēia wahi.

Ke hoʻokuʻu ʻia ka toxin, ʻike paha ʻoe:

  • ʻulaʻula, ʻili palupalu, a i kaupalena ʻia i ke kiko komo o ka bacteria a ākea paha
  • palupalu haki nā palapū
  • ʻili peeling, hiki ke puka i nā pale nunui

Kuhi o SSSS

Hana pinepine ʻia ka diagnostical o SSSS ma o ka hoʻokolohua hoʻokolohua a me ka nānā ʻana i kāu mōʻaukala olakino.

Ma muli o ke ʻano like o nā ʻōuli o SSSS me nā maʻi ʻili ʻē aʻe e like me bullous impetigo a me kekahi ʻano o ka eczema, hiki i kāu kauka ke hana i kahi biopsy o ka ʻili a i ʻole lawe i kahi moʻomeheu e hana i kahi ʻike paʻa loa. Hiki iā lākou ke kauoha i nā hoʻokolohua koko a me nā laʻana kikoʻī i lawe ʻia e ka hamo ʻana i ka ʻāʻī a me ka ihu


Hoʻomaʻo no SSSS

I nā manawa he nui, pono ka mālama ʻana i ka haukapila. Hoʻonohonoho pono maikaʻi ʻia nā anakuhi Burn e mālama i ke ʻano.

ʻO ka mālama ʻana he:

  • nā antibiotic waha a i ʻole intravenous e hoʻomaʻemaʻe i ka maʻi
  • lāʻau lapaʻau ʻeha
  • pale kalima e pale ai i ka ʻili maka

ʻAʻole hoʻohana ʻia nā anti-inflammatories a me nā steroid steroid no ka mea hiki iā lākou ke hopena maikaʻi ʻole i nā puʻupaʻa a me ka ʻōnaehana pale.

E like me ka pau ʻana o ka pā a huʻi, hiki i ka make wai ke lilo i pilikia. E haʻi ʻia ʻoe e inu i nā wai he nui. Hoʻomaka maʻamau ka hoʻōla 24-48 mau hola ma hope o ka hoʻomaka ʻana o ka mālama ʻana. ʻO ke ola piha ma hope o ʻelima a ʻehiku lā wale nō ma hope.

Nā pilikia o SSSS

ʻO ka hapanui o ka poʻe me SSSS e hoʻōla me ka pilikia ʻole a i ʻole ka ʻili ʻana o ka ʻili inā loaʻa iā lākou ka lāʻau wikiwiki.

Eia nō naʻe, hiki i ke koʻohune like ke kumu o SSSS ke kumu i kēia mau mea:

  • pulumonia
  • cellulitis (kahi maʻi o nā papa hohonu o ka ʻili a me nā momona a me nā mea i moe i lalo o ia)
  • sepsis (maʻi o ke kahe koko)

Hiki i kēia mau kūlana ke hoʻoweliweli i ke ola, kahi e mālama ai i ka mālama wikiwiki i nā mea nui a pau.


Outlook no SSSS

Kākaʻikahi ka SSSS. Hiki ke koʻikoʻi a ʻeha hoʻi, akā ʻaʻole ia he mea make. ʻO ka hapanui o ka poʻe e ola hou me ka wikiwiki - me ka ʻole o nā hopena hopena a i ʻole scarring - me ka lapaʻau koke. E ʻike i kāu kauka a i ʻole ke kauka o kāu keiki i ka wā hiki ke ʻike ʻoe i nā ʻōuli o SSSS.

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