Ngaphambi kokuveliswa kweziza-antibiotics, ezininzi izifo ezincinci zazibulala umntwana omncinci. I-Scarlet fever enye yentsholongwane, echaphazela kakhulu abantwana abaneminyaka engama-2 ukuya kwe-16. Ngombulelo kunyango lwangoku, lesi sifo asisona sisongelo esinzulu, kwaye iimpawu zayo zenziwe lula.
I-Scarlet fever ibangela
Usulelo oluchazwe luya emzimbeni kuphela ngaphandle, ukusuka komnye umntu ukuya kwelinye. I-agent causative ye-red fever is hemolytic streptococcus yeqela A lelo hlobo. Kufuneka abe nekhono lokuvelisa into ekhethekileyo ebizwa ngokuthi "erythrotoxin". Esi siqulathi esinetyhefu kwaye sinquma indlela i-red fever eyenzeka ngayo kubantwana - iimpawu kunye nokunyangwa kwesi sifo, ubunzima bayo nobude. Emva kokubuyiselwa kwi-erythrotoxin, i-immune-long-life-life ishicilelwa, ngoko ke kunokwenzeka ukutshintshela i-pathology kuphela.
Ukhutshwa njani ngumkhuhlane obomvu?
Izifo ezithathelwanayo zilula ukusulela, indlela ehamba phambili yomoya. I-Streptococcus ihlala isebenza ngaphandle komzimba womntu, ngoko isasazwa ngezinto eziqhelekileyo (ngaphantsi kweengubo, iithayi, izitya kunye nabanye). I-scarlet fever kumntwana inokuphuhliswa xa edibana nomntu obonakala enempilweni engenayo impawu. Phantse i-15% yabantu abemi behlabathi bayabathwali be-bacteria, ii-microorganism eziphilayo zihlala ngokusisigxina kwi-mucosa yazo ye-nasopharynx kwaye zikhutshelwe kwindawo.
I-Scarlet fever - ixesha lokutshatyalaliswa kwabantwana
Isantya sokubonakala kwimiqondiso yokuqala yekliniki ayisoloko ihlala, yinto eyahlukileyo kumntwana ngamnye. Akukhona nje ukukhuselwa komzimba okuchaphazela indlela ukutshatyalaliswa komfutho obomvu kubonakaliswa kubantwana - iimpawu kunye nonyango kuxhomekeke kubuncedo bokutya komntwana, imeko yakhe yempilo kunye nendlela yakhe yokuphila. Ngendlela ekhuselekileyo yokukhusela, isifo sifumana lula, iimpawu zayo ezibonakalayo zigcinwe emva kweentsuku ezingama-5 emva kokusuleleka. Kubantwana abuthathaka, ifilophu ebomvu ikhupha ngokukhawuleza - ixesha lokuxubusha liintsuku ezi-1-4. Kwiimeko ezinjalo, umonakalo webhaktheriya unzima kakhulu, imiphumo emibi ingenzeka.
Ingakanani imfiva ebomvu?
Umntwana ogula ngokomthetho uthathwa njengengozi kwabanye abantwana kwiiveki ezingama-2-3 ukuqala kweempawu zokuqala. Ngokuqhelekileyo umkhuhlane obomvu usulele kwaye emva kokuphulukana. Kukho imbono yokugqithiswa kwe-streptococcus, xa ii-bhakteria zikhutshwa kwimeko engangeentsuku ezingama-21 kwanokugqithiswa ngokupheleleyo kweempawu zentsholongwane.
Umkhuhlane obomvu ubonakala njani?
I-pathology echazwe ngayo ineempawu ezintathu eziphambili. Ziyabonisa, yingakho boogqirha bezilwanyana nabazali abanolwazi bazi kakuhle ukuba yiyiphi imfiva ebomvu ibonakala ngathi:
- utywala emzimbeni;
- utshintshe umgangatho wolwimi;
- ukuvuvukala kwelarynx.
Ukongeza kwimimiselo ethile, kukho impawu eziqhelekileyo zeklinikhi:
- umkhuhlane;
- buthathaka;
- intloko;
- owomileyo kunye nokukhawulwa kwe-epidermis (ngexesha lokubuya kwakhona);
- i-malaise;
- i-lymph nodes .
Rash ngefowuni ebomvu
Isibambiso esinqununu sokuqala sijika ngokubomvu phantsi kwesenzo se-erythroxin ephezulu egazini. Emva kweeyure ezimbalwa kuyacaca ukuba umntwana unomkhuhlane omfusa - i-rash igubungela umzimba wonke ngeendlela ezincinane kakhulu ezicatshulwa ezimhlophe. Ngokukodwa iindawo ezininzi ezinqamlekileyo emzimbeni emacaleni, kwindawo yezandla kunye neenyawo. Ukugqithisa ngokukodwa kwindwangu ebomvu kubantwana akuchaphazeli kuphela unxantathu ongenanto. Ngokubhekisele kumqolo ongqombelayo obomvu necocekileyo, ukhangelekile.
Ulwimi olunomfutho obomvu
Isinyathelo esilandelayo ekuhloliseni umntwana kukuhlolwa komlomo womlomo. Izibonakaliso ezicacileyo zobomvu obomvu kubantwana ziyabonwa ngolwimi. Kwiintsuku ezimbalwa zokuqala zesi sifo, ihlanganiswe ngengubo emhlophe, ngamanye amaxesha i-gray tinge. Kamva umphezulu ususwe ngokupheleleyo, kwaye iimpawu ezibonakalisiweyo zibonakala, njengomkhuhlane obomvu kubonakala kubantwana ngolwimi:
- umbala obomvu;
- umpapa owandisiweyo;
- granularity.
Intshontsho kunye nomkhuhlane omfusa
Ukuba ukhangele ngokujulile, kulula ukufumana umfanekiso wekliniki wesifo somqala esiswini. Iimpawu zefilovu ebomvu zifana ne-tonsillitis:
- iifoni ezibomvu nezivuyiweyo;
- ukuvuvukala kwesola elithambileyo, udonga oluphezulu lwangaphandle, ulwimi kunye neengqimba ("ukukhanya okukhazimulayo");
- i-plaque emhlophe okanye ephuzi kwiintlanzi.
Kweli nqanaba kubalulekile ukuqiniseka ukuba akuyiyo ingcingo eqhubekayo, kodwa imfucuza ebomvu kubantwana - iimpawu kunye nokunyangwa kwezi zifo zihlukile, kodwa ukubonakaliswa kweklinikhi kufana. Ukujonga, kuyimfuneko ukuhlola kwakhona iimpawu ezithile zokukhululwa kwe-erythrotoxin. Xa ungeke ukwazi ukuzimela ngokuzimeleyo ukukhuselwa kwezilwanyana kumbuzo, kungcono ukuba nangoko uthintane nodokotela wezilwanyana.
Unyango lwe-red fever kubantwana
Ukuqwalasela uhlobo lwe-agent engumnxeba wesifo, uphando olusisiseko luqhutyelwa kuphela ngeziyobisi zokulwa ne-antibacterial. Abantwana banomdla obomvu-unyango oluqhutyelwa ekhaya, ukufelwa kwezibhedlele kuyadingeka kwiimeko ezikhethekileyo, xa ukukhulelwa komntwana kubuthathaka okanye umngcipheko weengxaki ziphezulu. Amanyathelo aqhelekileyo okwelapha ukukhululwa kweempawu kunye nokunciphisa abantwana:
- ICarantine. Ubuncinane ubuncinane iintsuku ezili-10, kufuneka kuthathelwe ingqalelo ekukhutsheni umntwana, ukuba angabandakanyi ukunxibelelana kwakhe nabanye abantu.
- Ukulala ikhefu. Ukuphumla kunconywa ngexesha elibi le sifo, ngokukodwa ukuba umntwana unomkhuhlane ophezulu, kwaye uvakalelwa nge-malaise, intloko. Xa iimeko zempilo ziqhelekileyo, imidlalo kunye nokuhamba kwexesha elifutshane kunokusombulula.
- Isiselo esininzi se-vitaminised. Abantwana bayinxalenye yezityalo zerayisi, iziselo zokusela iziqhamo kunye neempompo zeqondo lokushisa kwegumbi, izifudumala ezifudumayo kunye neeritrus kunye nobusi, i-decoction entle yezithelo ezomileyo.
- Ukutya okunene. Ngenxa yengqala yomlomo, kunzima umntwana ukuba adle ukutya okuqinileyo, ngoko kuyanconywa ukuba abantwana bachitswe, batywe kunye neesitya ezenziwe ngokugqithisileyo, ezityebileyo kwizinto kunye namavithamini. Kuyinto enqwenelekayo ukunciphisa ukusetyenziswa kwamanqatha kunye nokutya okuthosiweyo, ukutya okusemathinini, iimveliso zokubhema, amanzi a-carbonate. Ngokuqhelekileyo abantwana bayacetyiswa ukuba bahambelane nemithetho yetafile inombolo ye-2 ye-Pevzner.
- Unyango oluxhasa. Ezinye iimiphumo ezimbi zihamba kunye nefowuni ebomvu kubantwana - iimpawu kunye nokunyanga ngamayeza antimicrobial ziqulethe ukuvela kweempembelelo eziphikisayo kunye nokuphulwa kwe-microflora kumathumbu. Ukuthintela ezi zinto, ama-probiotics (i-Bifiform), i-antihistamines (i- Suprastin ), i-enterosorbents ( Enterosgel ) ilawulwa.
Amayeza okulwa nomkhuhlane omfusa
Uhlobo lwe-Streptococcus A luyona nto inentsholongwane kwi-penicillins, ngoko izidakamizwa ezinokusetyenziswa kwezilwanyana ezincinci kule nkalo zihlala ziphambili ekuphuhliseni uphando olusisiseko. Ezi ziquka:
- Retarpen;
- Hiconcile;
- Amoxicillin;
- Gracsimol;
- Amoxyl;
- I-Flemoxin Solutab kunye neempawu ezifanayo.
Ukuba umntwana unobungozi okanye awunamonde kwi-penicillins, okanye eso sifo sikhulu, ukukhulelwa komzimba obomvu kuyaphathwa ngama-macrolides kunye ne-cephalosporins:
- Erythromycin;
- Cefazolin;
- Azimed;
- Klabel;
- Cephezole;
- Remora nabanye.
Awukwazi ukuzimela ngokuzimeleyo kwaye uthenge ama-antibiotics, kuphela ugqirha osebenza kulo. Iingcali zikhetha ixesha lekhosi. Kubalulekile ukuba imfiva ebomvu ilungiswe kubantwana - iimpawu zayo kunye nonyango kulula kakhulu ukuba indlela iqhutywe ngokuchanekileyo. Ukufunyanwa kwezilwanyana ezinxamnye ne-antibacterial kufuneka kuthathe ubuncinane iintsuku ezili-10, ukuphazamiseka kokuqala kwekhosi kubangelwa ukuveliswa kwe-streptococcal, ukusabalala kwezinye izitho kunye nokuvela kweengxaki.
Kunokuba ugqoke umkhuhlane obomvu?
Le nkqubo inceda ukucoca iitoni kwi-plaque ye-bacter and ukunciphisa intlungu kwi-pharynx. Indlela efanelekileyo yokuphatha imfiva ebomvu kukuhlambulula rhoqo umqala wakho ngezisombululo zokusombulula i-antiseptic:
- Furacilin;
- Chlorophyllitis;
- Miramistin ;
- Chlorhexidine;
- Stomatidine;
- Yoksom kunye neendlela ezifanayo.
Ekhaya, unako ukulungiselela umthombo wamanzi. Iinqununu, isisombululo se-saline kunye ne-soda, iindwangu zemifuno yeyeza:
- iqhosha;
- eucalyptus;
- calendula;
- i-lime-color;
- sage.
I-Scarlet fever - imiphumela
Iziganeko zihlala zilungile. Ukuba iimpawu zafunyanwa ngexesha, kwaye unyango lukhethwe ngokuchanekileyo, umkhuhlane obomvu uvela ngokukhawuleza kwaye kulula - iingxaki zivela kwiimeko ezikhethekileyo. Xa kwenzeka umsebenzi ongaqinisekiyo wokukhusela okanye ukuphazanyiswa kwekhosi ye-antibiotics, le miphumo elandelayo ye-pathology inokwenzeka:
- i-excurent otitis media;
- lymphadenitis;
- pneumonia;
- synovitis;
- glomerulonephritis;
- arthritis;
- pyelonephritis;
- myocarditis;
- i-rheumatic fever;
- izilonda zesimiso senzwa.
Ukuthintela umkhuhlane obomvu kubantwana
Amanyathelo afanelekileyo okukhusela umntwana ekusulelekeni kwi-streptococcus, okwamanje. Ukuqhotyoshelweyo kwi-red fever ayikwanakucwangciswa ukukhusela usulelo, ootitshala bezilwanyana bayacetyiswa ukuba bahambisane neziphakamiso eziqhelekileyo.
Imithetho ephambili:
- Qaphela ngokucophelela imithetho yokucoceka, uhlambe izandla rhoqo.
- Ukuze ufundise umntwana ukuba angachukumisi ubuso bakhe ngeminwe engcolileyo, musa ukugubha amehlo kwaye ungakhethi ekhaleni.
- Zicoca rhoqo indlu uze uvuselele indawo.
- Gubungela impumlo kunye nomlomo ngexesha lokukrazula nokukhwehlela (zombini kunye nabanye).
- Fundisa umntwana ukuba asebenzise izitya zakhe kuphela, ungaphuzi kwibhotile enye.
Kunzima ukukhusela ukusuleleka, ukuba imfiva ebomvu itholakala kwikomiti lomntwana, ukuthintela kwiimeko ezinjalo kuhloswe ukukhusela isifo esiyingozi:
- Iintsana ezinempilo ezingazange zinyamezele i-pathology echazwe ekhaya zihlala iintsuku ezi-7.
- Abantwana abagulayo bahlala kwindawo yokuhlala kunye nolawulo lwengcali ukuya kwiiveki ezingama-6 (isigqibo sesigqirha).
- Nabani na odibana nomntwana ogulayo, ngexesha leentsuku ezi-5, unkcenkceshe i-pharynx okanye uhlambulule umqala nge-Tomicide (amaxesha amane ngosuku emva kokutya emva koko).
- Indawo iphathwa rhoqo imihla ngemihla nge-0.5% isisombululo seCloramine.
- I-Linen kunye nezitya ziyakuthi zibilise kwaye zitshatile ngesinyithi eshushu.