Uxilongo kunye nonyango losulelo streptococcal

Pustules kwi eluswini, erysipelas, omphalitis, umqala obuhlungu, ifiva nebomvu, etsho ngevumba, iyinqambi ngobhobhozo bulubhelu ukusuka iphecana angasese, otitis, periodontitis, ukubola kwamazinyo, inyumoniya, ukudumba intambo, peritonitis ... Ucinga ntoni kuzisa ezi zifo? Bathi ebangela - yibhaktheriya ekuthiwa iStreptococcus.

Ziphi na streptococci?

Streptococci, nto leyo eza kuxutyushwa kweli nqaku, kukho iintsholongwane imilo ajikelezayo yaye zicwangciswe ngendlela ngemixokelelwane ezibude. Ngokuqhelekileyo, inwebu kwiinwebu emathunjini, kumalungu obuni kunye ulusu lomntu nelinabemi ezahlukeneyo Cya, kuquka iStreptococcus mutans. Kuxhomekeka kuhlobo, streptococci zidla ukuhlala kwiindawo ezahlukeneyo omzimba womntu: omnye kakhulu eluswini, omnye kwiinwebu phecana yokuphefumla, ngubani kwi eveze yangaphakathi okanye emathunjini. Olu phawu kunceda kwi lokufunyaniswa kwesifo kunye nokuqeshwa izimuncumuncu lokwenyaniso.

iipropati streptococci

Le ndoda uqhoqhoqho ukususela-30 ukuya kuma-60% azo zonke iintsholongwane uwela isabelo iStreptococcus. A umzimba usempilweni inenkqubo mzimba, elawula yonke microflora, sikuphephe ukuphinda ngokugqithisileyo naziphi na iintsholongwane, kodwa ukuncipha okukwazi kunye ukuvela imiqathango efanelekileyo kuphuhliso wokuzila kakhulu, ngokukhawuleza uqalisa lukwavelisa oku okanye hlobo ezincinane ukucinezela iintyatyambo eziqhelekileyo kunye kubangela kwisehlo sezifo. amagciwane iStreptococcus bubobabo banjalo. ukuzala Kwalo nokusasazwa emzimbeni kungabangela izifo eziqatha, kuquka esosulelayo. Ngenxa inani elikhulu labantu abahlala wobuntu iiseli pathogen, inani izifo ezibangelwa ngabo, phezulu ukuya 10-15% yenani lilonke izifo ngexesha abandayo. Ikhosi kwesifo kunye namandla aso ngenxa zombini iimbono iStreptococcus neentsholongwane ukuba ungene egazini kunye izinto eziyityhefu eziveliswa ngabo.

Ngethamsanqa, streptococci oguquguqukayo kokusingqongileyo. Kubo, kwelanga iyingozi, izibulali antibiotics. unyango ngexesha usuleleko streptococcal kukhokelela nemiphumo emihle, kwaye esebenzayo, isifo kakhulu kunokukhokelela kwintlekele.

Zonke izifo, ngendlela enye okanye enye enxulumene ne throat, yahlulwe amaqela 2:

- izifo ezibangelwa iStreptococcus,

- isifo kwabangelwa iStreptococcus.

Makhe sihlolisise ezinye imizekelo zezifo ezo zibangelwa yi iStreptococcus.

umqala obuhlungu

IStreptococcus kuchaphazela idlala izihlunu, leyo zicwangciswe ngeenxa uqhoqhoqho khonkcweni. Ukuba umntu umzimba owomeleleyo, lo angina unomoya ngaphandle ubushushu, kunye nelitye encinane tonsils efakwe okuncinane xa ukuginya. Ukuba amajoni omzimba amandla, ukuze aphuhlise kakhulu necrotic ukudumba tonsils, kunye ziintlungu kakhulu emqaleni, ingakumbi xa yokuginya, ubuthathaka, umkhuhlane omkhulu kakhulu, iba lihlwili wonke umzimba kunye neempawu yityhefu. Oku kungenxa kwisizukulwana ityhefu iintsholongwane ezibangela ubovu fusion izicwili. iimveliso yokubola iintsholongwane nobumdaka wadliswa emzimbeni womntu.

Isiphumo lonyango emva kwexesha uqalile okanye engafanelekanga isifo zimi ngolu hlobo lulandelayo:

- ithumba peritonsillar - kukukrala nokoyika ancedisana phantsi tonsils,

- media otitis - ukudumba zendlebe,

- isifo sentliziyo samathambo - sokusilela intliziyo sokuhlasela,

- samathambo - umonakalo inyama samathambo namalungu,

- glomerulonephritis - ukudumba kwi kidney, ebetha izixhobo ezingundoqo igazi filtatsii kwaye ukuyilwa umchamo - kidney glomeruli,

- lymphadenitis - kukukrala emqaleni ukuya kwiindawo nkovu ekufutshane akhiwe entanyeni.

Unyango losulelo streptococcal emqaleni amachiza antibacterial wenziwe inyathelo jikelele nabeengingqi. Kukho iimpawu kwi unyango abantu abadala kunye nabantwana: unyango losulelo streptococcal emqaleni abadala kudityaniswe ngamanzi izisombululo amayeza, decoctions kunye infusions womfuno kunye nabantwana abancinane abasafuna andikwazi gargle njani, anqunyulwe eli candelo unyango. Kuba kids kuphela tonsils zokunkcenkceshela efanelekileyo ulwelo amayeza. Esebenzisa unyango losulelo streptococcal emqaleni, qaphela ukuba emva ngamanzi kunye / okanye ukusetyenziswa kutshizwe hayi Kucetyiswa ukuba badle, basele iyure enye ubuncinane ogqirha Esingahlanjwanga yaye usetyenziswa elide kangangoko kunokwenzeka.

yidityaniso

Isifo ezaziwayo-kakuhle. Asizange alindele ukuba ebangela nayo throat? Ezi bacterium asemlonyeni zitya kumabhodlo ukutya exabileyo kwizikhewu interdental. Phinda kwamagciwane kukho wachacha lactic acid kule khosi yobomi yayo. Ngokuthe ngcembe eyibhangisa wayesebenzisa nzima, nto leyo esekelwe phezu calcium. Izinyo ithe amandla, kwaye uqalisa iba.

Iingxaki yamluma, kodwa ezingemnandi:

- pulpitis - ukudumba kwiziseko, undoqo izinyo, ezo imithambo yegazi luvo,

- ngokulahleka izinyo, ezinxulumene intshabalalo yayo.

Kukho kwakhona sisifo emlonyeni - isifo periodontal, nto leyo ebangela usuleleko throat. Ukunyanga njengoko kuyimfuneko, kungenjalo ukuphepha Iingxaki ezinxulumene ne nangokurhala, nokopha kunye kwamazinyo.

streptoderma

It kolusu throat. Usulelo lwenzeka ngenxa kwii-arhente ngokusebenzisa ezincinane umenzakalo, iintanda, abrasions, namanxeba. Xa sisilonda esidumbileyoesingaphakathi livela ndawo elipinki elintlangothi obungalinganiyo, 30-40 cm ubukhulu. Kuxhomekeka kwindlela ngokoyiswa sifo zohlulwa ngokwendidi 2:

- throat impetigo, nto leyo luphawulwa kusondele phezu eluswini kumphezulu amaqamza ububomvu encinane, nto leyo, akuba livulekile, ngokukhawuleza koma kwaye shwaka ngaphandle umkhondo,

- inhlamba ecthyma - kolusu enzulu. Emva kokuba kuvulwe amadlu kwakheka kwi amanxeba eluswini, unale impilo jikelele kunye ubushushu bomzimba liphuma ukuya degrees 38.

Yilaa intsholongwane encinane kukhokelela utshintsho elibukhali kwi umgangatho wobomi babantu. Ngenxa izilonda ezincinane ukuphuhlisa usuleleko streptococcal ulusu, unyango leyo kufuna ezinye umgudu.

Ukunyanga izifo streptococcal kwizihlunu ezithambileyo idibanisa iindlela jikelele nabeengingqi. Ngomhla ochaphazelekayo indawo iqhiya kunye isisombululo kubola.

isizathu pustules Streptococci kwaye ubungakanani obuncinane ezichazwe ngasentla. Kukho abathandi amadoda rip phandle, kwaneenwele esuka empumlweni kunokuba lokucheba a kubo. Ngoko endaweni zoboya eyonakeleyo kumiswa iindawo buhlungu kakhulu ebushushwini babo. Amaninzi ke ngaphandle suppuration, kodwa kuvela amaqamza ubofu lungekho unyango. Unyango kwangoko usulelo streptococcal empumlo yancitshiswa kwisicelo kwi kwinxalenye uchaphazelekayo womGaqo-impumlo isisombululo kubola, namafutha bactericidal.

Ukudumba iphecana zangasese

Ngowe-10-30% abasetyhini abasempilweni kunye obuni isifo iStreptococcus ihlwayelwe. Ngokuqhelekileyo, oko asibikho ukubona kuba iphantsi kolawulo kwamajoni omzimba. Ngokunciphisa sifo, kwaye kwiimeko osulelo iStreptococcus olufumaneka ngokwayamana kwabasetyhini kukho yakhawuleza otshisayo, ukurhawuzelela, iintlungu ngexesha ukuchama, ububomvu tyheli, iintlungu ezisezantsi esisu kunye nomkhuhlane okuncinane.

Xa engekho unyango ezaneleyo ukulungiselela isaveyi kunye meko kuxhotyiwe, kukho iingxaki ngohlobo:

- ukhukuliseko wesibeleko, xa epithelium le isibeleko libonakala entanyeni yakhe,

- endometritis - kukukrala endometrium, umaleko engaphakathi wesibeleko,

- polyp xa umthondo zangaphakathi ngokugqithiseleyo esandisa lining inwebu epithelium.

Lokufunyaniswa sifo lwenziwa kwi ulwamkelo moshilongo ngakumbi kusetyenziswa indlela imbewu kunye nokuzimisela njengezinobugcalagcala isibulala-zintsholongwane.

Unyango lwezifo streptococcal kwi zuza - simanga eliqhelekileyo ngenxa ukusasazeka ngokubanzi gciwane. Kuyinto iintanda ngokwaneleyo encinane, inxeba encinane ukungena kwangoko nje kuphela esikhumbeni okanye isifo, kodwa nzulu kakhulu. Iimeko apho emasangweni oluvuleleke usuleleko, bekuthi: zonke sexesheni, ekubelekeni phandle ngaphakathi isibeleko, nto leyo iba inxeba umphezulu omkhulu, singasathethi ke umonakalo wesibeleko, ikuku kunye perineum. Nokuba ucansi kuhambisane ngumonakalo inwebu yangaphakathi kunye nesikhumba.

Izifo apho bekuhleli kokuhluma iStreptococcus

Ezi ziquka rheumatism, isifo samathambo, vasculitis systemic kunye glomerulonephritis.

isifo samathambo

Oku kuvela ngenxa ukuyilwa nezakhiwo omzimba. Kulo mzekelo, ezifakwe entlanganweni kwisisu, umonakalo intlala kwaye musa ukuvumela ukwenza ngokupheleleyo ngaphandle imisebenzi yayo. amalungu asha cell enzayim leyo linyibilike ngakumbi intlala, nto leyo ekugqibeleni kukhokelela intshabalalo yayo epheleleyo. Kwinkqubo zophendlo lwezifo inxaxheba ikakhulu amalungu ezincinane izandla, iminwe neenzwane. Isigulane uvakalelwa kwanokuqi- nentshukumo amalungu achaphazelekayo, ingakumbi kusasa.

Iingxaki yingqokelela ubofu em- welungu abachaphazelekayo, kwaye ukusilela kwezintso.

izifo Streptococcal kubantwana

Ukususela kwimihla yokuqala womntu yobomi encinane usulelo sifo streptococcal. Usulelo ezingakhona Esibelekweni ngalo igazi sikanina njengoko udlula emjelweni ukuzalwa sifo esi silwanyana, kwakunye kwiiyure yokuqala neentsuku yobomi extrauterine zezigulane okanye abathwali. usana inkqubo ubuntwana omzimba akanako ukumelana iintsholongwane.

Kukho inani kwezifo apho usana ngeluchaphazeleke kakhulu kwaye zife.

Streptoderma kunye ecthyma nekrwada - izitshanguba baby eluswini, eshiya amanxeba anzulu ulusu obhityileyo, noxhamla ubuncwane. Kama ezi zifo abe lymphangitis kunye lymphadenitis (ubovu ukudumba iinqanawa emithanjeni kunye iindawo, ngokulandelelana).

Nokudumba - lokuhamba izixa ezikhulu iStreptococcus egazini, oko kwasekwa izilonda ubovu kuzo zonke amalungu kunye namalaphu. Esi sifo elinzima kakhulu kwaye nkqu nokufa yezonyango yokungenelela ngexesha ifikelela-20%.

Meningitis - ukukrala ubovu ze meninges nzima yaye ethambileyo, nto leyo ekhokelela ukuba ukuphazamiseka nokusebenza kwengqondo. Mortality egqitha 15%, kunye neziphumo gqolo ixesha elide ukonakala kwengqondo ukuba kwenzeka ngo-40% abantwana.

Pneumonia - umzimba omkhulu kwesi sifo onoxanduva oxygenation igazi kunye nokuphelisa carbon dioxide. Throat uchaphazela alveoli emiphungeni. Baba asha, idumbile kwaye ayeke ukwenza umsebenzi sokuphefumla. Nge ekuqaleni kwangethuba unyango inokunyanga esi sifo, kodwa ukusweleka kwenzeka apha, lwathi 0.5%.

Necrotizing fasciitis - sisifo esibi kakhulu echaphazela ijwabu esingxotyeni nokuqina, ngaloo "isinxibo" izihlunu, esiqhumeni neurovascular kunye nezibilini. Kubonakala enemithi itywina baby inyama ithambile. Kulo sifo abafa efikelela 25%.

Loo nto kubonakaliswa nzima kangaka usuleleko streptococcal kwi kubantwana unyango kufuneka uqale ngoko nangoko xa kuthe usulelo olukrokrelwayo yi iStreptococcus.

Uxilongo lwe gciwane streptococcal

Uxilongo iqala ngotyelelo isigaba umntu ogulayo kwagqirha.

Enkhubyeni wa vukati, ugqirha wasikhangela isigulane, iqokelele ingcaciso malunga nezikhalazo, iimpawu zesi sifo yaye ubude kwazo, ukhetha eyiyo iindlela isifo kwaye zibeka unyango.

Laboratory zomculo iindlela isifo usuleleko streptococcal

Kakade ke, ugqirha uyakukumisela ukufunda iimvavanyo zegazi kunye nomchamo eqhelekileyo, kodwa abanako ukunceda esekungcoleni kukho usuleleko streptococcal nayiphi na enye, ngoko iindlela zisetyenziswa Ukuchumisa ngeentsholongwane lwenkcubeko esiphakathi kunye nokumisela uvakalelo eziphilayo-antibiotics.

Kuxhomekeka sisilonda esidumbileyoesingaphakathi, ukuba uphando nokukhutshwa amanxeba, okubhalwe mathumba, amalunga, yencindi esuka empumlweni, emqaleni, lobufazi, wesizalo, kunye ulwelo fluid - CSF.

Ukuze ubone uvakalelo antibiotics esityeni elebhu yodaka kunye eziphilayo, wabeka amavili amancinci, zifakwe antibiotics ezahlukeneyo, yaye emva 8-10 kweeyure ivavanye iziphumo. Kukungabikho izowuni lokukhula okanye inani elincinane iintsholongwane ehlabathini disk ukufumanisa nemithi kakhulu buhlungu streptococcal. Le ndlela phando kuthatha iintsuku 2-5.

Unyango lwezifo streptococcal

Unyango inokuthenjwa, ngok nolusebenzayo ukunye antibiotics.

Enoba lizwe yenkqubo lwezidumbu, anomoya zibandakanyiwe irejimeni yonyango.

Ukuba yokwamkela ugqirha ugqiba ukuba ubizo uncedo lonyango usulelo nomonde streptococcal, unyango unikwa omnye amachiza le penicillin okanye cephalosporin. Kwezinye iimeko kunzima ukwahlula pathogen, ekubeni kwikliniki efanayo kunokubangela usuleleko staphylococcal kwaye streptococcal, unyango kulo mzekelo kusekho ukumisela zintsholongwane enye manqaku mabini.

Emva kokuba ukusekwa kwe-ethe-silwanyana ukuba isibulala-zintsholongwane xa liqhubeka usuleleko streptococcal, unyango zintsholongwane ilungiswa.

Kukho abantu ngokucacile bala kunyango zintsholongwane kwaye usebenzise kuphela amayeza womthonyama. Kulo mzekelo, kuvumelekile ukusebenzisa imifuno njengoko nokusebenzisa abancedisayo, kodwa hayi enkulu.

usuleleko eziyingozi kakhulu streptococcal, unyango amayeza intsomi ngaphandle antibiotics ikhokelela ebomini-ukusongela iingxaki, ukukhubazeka kunye nokufa.

Unyango losulelo streptococcal ayikho ityala nzima kangaka. ixesha kubalulekile ukuba sifune uncedo lonyango, ukuba afunyaniswe isifo kwaye uqale unyango ekunene.