Scarlet fever. Phepo bakeng sa scarlet fever

Ke eng e khubelu feberu

Scarlet fever ke lefu le tšoaetsanoang le tšoaetsanoang leo ho lona mocheso oa 'mele o phahamang, lekhopho le hlaha letlalong,' me 'metso o qala ho utloa bohloko. Lefu lena le bakoa ke Streptococcus pyogenes, baktheria ea mofuta oa beta-hemolytic streptococcus.

Mefuta ea scarlet fever

Scarlet fever e etsahala:

• Extrapharyngeal. Li-lymph nodes tsa libaka le oropharynx lia ameha, empa lithane li lula li batla li tiile. Ho na le mefuta e 'meli:
  - atypical;
  – e tloaelehileng.
• Pharyngeal:
  - atypical;
  – e tloaelehileng.

Mefuta e tloaelehileng ea lefu lena e ka ba bonolo, e itekanetseng le e matla. Ka feberu e bonolo e tloaelehileng e khubelu, mocheso o nyolohela ho 38.5 ° C, ho na le 'metso o bohloko, lekhopho le bonolo le hlaha' meleng. Mokhoa o itekanetseng o lula o tsamaea le feberu e matla, purulent tonsillitis, matšoao a ho tahoa ka kakaretso 'meleng le lekhopho le leholo. Ka lehlakoreng le leng, feberu e matla ea scarlet fever e arotsoe ka:

• Septic. Necrotic angina e hlaha. Mokhoa oa ho ruruha o ama lisele tse potolohileng, nasopharynx, oropharynx, lymph nodes, palate.
• Chefo. Botahoa bo boleloa (ho ka hlaha tšabo e nang le chefo e tšoaetsanoang). Mocheso o nyolohela ho 41°C. Mokuli a ka 'na a ba le lipono, ho thetsa, ho akheha. Ho otla ha pelo hoa eketseha ( tachycardia ). Ho hlatsa ho ka qala.
• Chefo-septic. E iponahatsa ka matšoao a khethollang mefuta ea septic le chefo.

Atypical scarlet fever e lula e tsoela pele habonolo (ka matšoao a hlakotsoeng). Mokuli a ka 'na a hlahisa lithane tse khubelu hanyenyane feela, ho na le li-rashes tse le' ngoe holim'a kutu.

Lisosa tsa scarlet fever

Sesosa se bakang feberu e khubelu ho bana le ho batho ba baholo ke sehlopha sa A beta-hemolytic streptococcus. Mohloli oa eona ke mojari (motho ha a belaelle hore o na le tšoaetso) kapa motho ea kulang. Bakuli ba tšoaetsanoa ka ho khetheha matsatsing a pele. Kotsi ea ho fetisetsa tšoaetso ho ba bang e nyamela libeke tse tharo feela ka mor'a ho qala ha matšoao.

Ho ea ka lipalo-palo, 15-20% ea baahi ke bajari ba asymptomatic ba scarlet fever. Ka linako tse ling motho e ka ba mohloli oa tšoaetso ka lilemo tse 'maloa.

Streptococcus e fetisoa ke marotholi a moea (mochine oa aerosol) le litsela tsa malapa. Kahoo, mokuli o e lokolla tikolohong ha a khohlela, a thimola, nakong ea moqoqo. Haeba pathogen e kena lijong, tsela ea phepo ea phetiso ea lefu lena e ke ke ea qheleloa ka thoko. Hangata, batho ba nang le kamano e haufi le mohloli oa tšoaetso ba tšoaetsoa.

Re lokela ho hlokomela hore ts'oaetso ea tlhaho ho Streptococcus pyogenes e phahame. Ho itšireletsa mafung ho batho ba seng ba ntse ba e-na le "scarlet fever" ho itšetlehile ka mofuta o itseng. Sena se bolela hore kotsi ea ho tšoaroa ke mefuta e meng ea streptococcus e ntse e le teng.

Hoa hlokomeleha hore tlhōrō ea scarlet fever ho batho ba baholo le bana e hlaha ka hoetla le mariha.

Pathogenesis ea scarlet fever

Tšoaetso e kena 'meleng ka lera la mucous la nasopharynx,' metso kapa litho tsa botona kapa botšehali (haholo ka seoelo). Ka linako tse ling heke e kenang bakeng sa baktheria ea Streptococcus pyogenes ke letlalo le senyehileng.

Sebakeng sa ho kenyelletsoa ha pathogen, ho thehoa ho lebisa tlhokomelo ea tšoaetso ea sebakeng seo. Likokoana-hloko tse ngatafalang ho eona li ntša lintho tse chefo maling. Botahoa bo tšoaetsanoang boa hōla. Ho ba teng ha chefo maling ho lebisa ho atoloseng ha lijana tse nyane lithong tsa ka hare le letlalo. Ho hlaha lekhopho. Ka mor'a moo, tšireletso ea antitoxic e qala ho theha motho ea nang le tšoaetso - ho phatloha, hammoho le matšoao a tahi, ho nyamela.

Haeba baktheria Streptococcus pyogenes ka boeona e kena maling, li-meninges, lymph nodes, lisele tsa sebaka sa nakoana, thuso ea kutlo, joalo-joalo li ameha. Ka lebaka leo, ho ruruha ho matla ha purulent-necrotic ho hlaha.

Lintho tse tlatsetsang ho nts'etsopele ea scarlet fever

Lintho tse tlatsetsang ho nts'etsopele ea lefu lena, lingaka li kenyelletsa:

• nako ea hoetla-mariha;
• fokotswa maloetseng;
• ntaramane, SARS;
• mafu a sa foleng a pharynx le tonsils.

Matšoao a scarlet fever ho batho ba baholo le bana

Nako ea ho kenngoa ha scarlet fever ke ho tloha matsatsing a 1 ho isa ho a 12 (hangata matsatsi a 2-4). Lefu lena le qala ka matla. Mocheso oa 'mele oa phahama, matšoao a botahoa ka kakaretso a hlaha:

• bohloko ba mesifa;
• bofokoli;
• ho otla ha pelo;
• hlooho e opang.

Feberu e ka 'na ea tsamaea le ho otsela le ho hloka thahasello , kapa, ka lehlakoreng le leng, euphoria, ho eketseha ho tsamaea. Ka lebaka la botahoa, batho ba bangata ba tšoaelitsoeng baa hlatsa.

Matšoao a mang a scarlet fever a kenyelletsa:

• Ho opeloa ke 'metso ha u koenya . Lithane, li-arches tsa leleme, mahalapa a bonolo le lebota le ka morao la pharyngeal li fetoha hyperemic. Maemong a mang, follicular-lacunar tonsillitis e etsahala. Ebe mucosa e koahetsoe ke letlapa la tlhaho ea purulent, necrotic kapa fibrous.
• Ho atolosoa ha lymph nodes sebakeng. Li fetoha tse teteaneng haholo, tse bohloko ha li palpation.
• Leleme la krimsone . Ka letsatsi la 4-5 la ho kula, leleme le fumana 'mala o khanyang oa krimsone, letlapa le tsoang holim'a lona le nyamela. Ho na le papillary hypertrophy.
• Ho silafatsa molomo ka 'mala oa krimsone (letšoao la feberu e khubelu ho batho ba baholo, e leng tšobotsi ea mofuta o matla oa lefu lena).
• Lekhopho le lenyenyane . E hlaha ka letsatsi la 1-2 la ho kula. Lintlha tsa moriti o lefifi li thehoa letlalong la sefahleho le 'mele o ka holimo, hamorao holim'a libaka tse pota-potileng matsoho, lirope tse ka hare le mahlakoreng. Ha li ntse li teteana lemenong la letlalo, li etsa metsero e mefubelu e lefifi. Ka linako tse ling lekhopho le kopana ho ba erytherma e le 'ngoe e kholo.
• Ho ba sieo ha li-rashes ka har'a khutlo-tharo ea nasolabial (letšoao la Filatov). Sebakeng sena, letlalo, ho fapana le hoo, le ba lerootho.
• Ho tsoa mali a manyenyane . Li thehoa ka lebaka la fragility ea methapo ea mali, ho penya kapa ho ferekana ha letlalo le amehileng.

Ka letsatsi la 3-5, matšoao a scarlet fever a qala ho kokobela. Lekhopho le fetoha butle butle mme kamora matsatsi a 4-9 le nyamela ka botlalo. Ka mor'a moo, letlalo le nang le letlalo le lenyenyane le sala holim'a letlalo (lekhopho le leholo hangata le fumanoa maotong le liatla).

Ho batho ba baholo, feberu e sekareleta e ka ba asymptomatic (mofuta o hlakotsoeng). Mokuli o hlokomela feela:

• lekhopho le lenyenyane, le lesehla le hlaphohang kapele;
• leqhubu le lenyane la pharynx.

Haeba u e-na le matšoao a tšoanang, ikopanye le ngaka ea hau hang-hang . Ho bonolo ho thibela lefu ho feta ho sebetsana le liphello.

Ho hlahlojoa ha scarlet fever

Setšoantšo se ikhethileng sa kliniki se lumella lingaka ho etsa tlhahlobo e ipapisitseng le tlhahlobo ea 'mele le data ea lipuisano. Tlhahlobo ea laboratori bakeng sa feberu e khubelu e kenyelletsa palo e felletseng ea mali, e netefatsang boteng ba tšoaetso ea baktheria:

• ESR e eketsehileng;
• neutrophilic leukocytosis;
• ho fetoha ha foromo ea leukocyte ka ho le letšehali.

RKA ke mokhoa oa ho hlahloba ka mokhoa o ikhethileng oa scarlet fever ho batho ba baholo le bana.

Haeba mokuli a e-na le mathata a tsoang tsamaisong ea pelo, o fetisetsoa ho buisana le setsebi sa pelo 'me ho kgothaletswa ho etsa ultrasound le ECG ea pelo. Ka matšoao a otitis media, tlhahlobo ea otolaryngologist e bontšoa . Ho hlahloba mosebetsi oa tsamaiso ea urinary, ultrasound ea liphio e etsoa.

Phekolo ea Scarlet fever

Ka mofuta o matla oa tsela ea mokuli ea nang le scarlet fever, ba kenngoa sepetlele. Maemong a mang kaofela, hoa khoneha ho fumana phekolo lapeng. Mokuli o tlameha ho boloka phomolo ea bethe bakeng sa beke e le 'ngoe. Phepo e lokela ho ba e leka-lekaneng. Bakeng sa nako ea matla a matšoao a anginal, khetho e lokela ho fanoa ho lijana tse nang le metsi le tse bonolo.

Ho felisa tšusumetso e mpe 'meleng oa kokoana-hloko, "Penicillin" e sebelisoa hangata, e behiloeng bakeng sa thupelo ea matsatsi a leshome. Cefazolin, Erythromycin, cephalosporins le macrolides tsa moloko oa pele le tsona li ka sebelisoa.

Haeba ho na le li-contraindications ho lithethefatsi tsena tsa antibacterial, lincosamides kapa penicillin ea maiketsetso e laetsoe. Phekolo e rarahaneng e ka boela ea kenyelletsa tsamaiso ea nako e le 'ngoe ea lithibela-mafu tse nang le serum ea antitoxic (litokisetso tsa ho itšireletsa mafung tse entsoeng ka mali a batho ba itšireletsang mafung, liphoofolo).

Phekolo ea lehae ea feberu e sekareleta e kenyelletsa ho roala ka tharollo ea "Furacilin" (e hlapollotsoeng ka karo-karolelano ea 1: 5000) kapa li-decoctions tse lokiselitsoeng ho tsoa litlama tsa meriana (calendula, eucalyptus, chamomile).

Haeba matšoao a botahoa bo akaretsang ba 'mele a bonahala, li-droppers tse nang le tharollo ea tsoekere kapa gemodez lia beoa. Haeba ho na le ho tlōla ha pelo, meriana ea pelo e hlile e sebelisoa, mohlala, Camphor, Ephedrine, Cordamine.

Hape, kalafo ea scarlet fever e kenyelletsa tšebeliso ea:

• Lithethefatsi tsa antihistamine ("Cetrin", "Loratadin") - li thusa ho kenyelletsa nts'etsopele ea mathata a ka 'nang a hlaha ka ho kula.
• Litokisetso tse reretsoeng ho matlafatsa marako a methapo ("Galascorbin", "Ascorutin") - fokotsa litlamorao tse mpe tsa chefo ho li-capillaries tsa mali.
• Antipyretics ("Ibuprofen", "Paracetamol") - ho tloaeleha mocheso oa 'mele, ho felisa hlooho le bohloko ba mesifa.

Ho khothalletsoa ho sebelisa physiotherapy nakong ea kalafo ea "scarlet fever":

• Ho khantša lithane tse nang le mahlaseli a ultraviolet (ho kenya letsoho ho timetseng libaktheria).
• UHF-therapy (e potlakisa pholiso ea letlalo le senyehileng, e na le phello e boletsoeng e khahlanong le ho ruruha).
• Phekolo ea centimeter wave (CMV) ea lithane (li sebelisoa li-microwaves).
• KUV-therapy (e hloekisa lithane le lithane ho tloha letlapeng).
• Magnetic laser therapy (e eketsa ts'ebetso ea lisele tsa 'mele tsa ho itšireletsa mafung, e tloaelehileng ho potoloha ha mali).

Meriana ea batho ea phekolo ea scarlet fever

Li-recipe tsa setso li thusa ho ntlafatsa bophelo bo botle le scarlet fever:

• Hlatsoa motso oa horseradish, o omme ebe o o khaola ka grater. Tšela litara e le 1 ea metsi a belang ebe u tsitlella lihora tse 3. Gargle le sephetho sa 'metso makhetlo a 5 ka letsatsi.
• Kopanya halofo ea khalase ea lero la beetroot e sa tsoa hatisoa le 1 tsp. asene ea apole, 1 tsp mahe a linotši a tlhaho le halofo ea khalase ea metsi a futhumetseng. Sebelisa ho gargle ka mor'a lijo tsohle.
• Halofo ea khalase ea lipalesa tsa calendula tšela 1/2 litha e le nngwe ea metsi a chesang 'me u bosose ka ho hlapa metsi ka halofo ea hora. Kenya gauze ka har'a moro o hlahisoang 'me u sebelise lekhopho.
• 1 tsp sila propolis 'me u tšollele khalase ea lebese. Boloka metsotso e 15 ka bateng ea metsi. Noa pele u robala, ka mor'a ho hlatsoa 'metso.
• Kopanya licorice le phofo ea ginger ka tekanyo e lekanang. 1 tbsp motsoako o hlahisoang o tšela 1 tbsp. metsi a belang. Tlohela ho kenya halofo ea hora. Khafa 'me u noe.
• Hlatsoa 'me u khaole motso oa parsley. Tšela spoonful ea meroho 1 tbsp. metsi a belang. Tsitlella metsotso e 20-25. Hlatsoa ka cheesecloth. Nka 3 tbsp. makhetlo a 4 ka letsatsi.
• 1 tbsp hlapolla citric acid ka khalase ea metsi a futhumetseng. Gargle ka tharollo e hlahisoang makhetlo a 4 ka letsatsi. E boetse e lumelloa ho hlafuna lilae tsa lemon nako le nako.

Hlokomela!

Tsamaiso ha e ikarabelle bakeng sa boiteko bofe kapa bofe ba ho sebelisa tlhaiso-leseling e fanoeng, ebile ha e fane ka tiiso ea hore e ke ke ea u ntša kotsi ka seqo. Lisebelisoa ha li sebelisoe ho fana ka kalafo le ho e hlahloba. Kamehla buisana le ngaka ea hau ea litsebi!