txheem
- Dab tsi yog scarlet fever
- Ua rau ua npaws liab
- Cov tsos mob ntawm scarlet fever nyob rau hauv cov neeg laus thiab cov me nyuam
- Kev kuaj mob ntawm scarlet fever
- Kev kho mob Scarlet fever
- Pab pawg txaus ntshai ua npaws liab
- Kev tiv thaiv kab mob ua npaws liab
- Cov zaub mov muaj txiaj ntsig zoo rau kub taub hau
Dab tsi yog scarlet fever
Scarlet fever yog ib hom kab mob sib kis uas lub cev kub nce, pob khaus tshwm rau ntawm daim tawv nqaij, thiab caj pas pib mob. Tus kab mob no tshwm sim los ntawm Streptococcus pyogenes, ib tug kab mob ntawm genus beta-hemolytic streptococcus.
Daim ntawv ntawm scarlet fever
Scarlet fever tshwm sim:
- Extrapharyngeal. Cov qog ntshav hauv cheeb tsam thiab cov oropharynx raug cuam tshuam, tab sis cov tonsils tseem yuav luag tag. Muaj ob hom:
- atypical;
- qauv. - Pharyngeal:
- atypical;
- qauv.
Cov qauv ntawm tus kab mob tuaj yeem yog mob me, nruab nrab thiab hnyav. Nrog mob me me liab liab kub taub hau, qhov kub nce mus rau 38.5 ° C, muaj mob caj pas, ib qho pob me me tshwm rau ntawm lub cev. Cov chav kawm nruab nrab yog ib txwm ua nrog kub taub hau, purulent tonsillitis, cov tsos mob ntawm kev qaug dab peg ntawm lub cev thiab ua pob liab liab. Tus kab mob npaws loj heev, nyob rau hauv lem, muab faib ua:
- Septic. Necrotic angina tshwm sim. Cov txheej txheem inflammatory cuam tshuam rau cov ntaub so ntswg, nasopharynx, oropharynx, lymph nodes, palate.
- Tshuaj lom. Intoxication yog pronounced (mob kis-tshuaj lom yuav tshwm sim). Qhov kub nce mus txog 41 ° C. Tus neeg mob yuav muaj kev hnov lus, xav tsis thoob, fainting. Lub plawv dhia nce ( tachycardia ). Kev ntuav tuaj yeem pib.
- Toxic-septic. Nws manifests nws tus kheej nrog cov cim qhia ntawm ob qho tib si septic thiab toxic forms.
Atypical scarlet fever ib txwm ua tau yooj yim (nrog cov tsos mob tshem tawm). Tus neeg mob tsuas yog me ntsis redden lub tonsils, muaj ib qho pob liab liab ntawm lub pob tw.
Ua rau ua npaws liab
Tus kab mob ua npaws liab liab hauv cov menyuam yaus thiab cov neeg laus yog pawg A beta-hemolytic streptococcus. Nws qhov chaw yog tus neeg nqa khoom (tus neeg tsis xav tias nws kis tau) lossis tus neeg mob. Cov neeg mob tshwj xeeb yog kis tau thaum ntxov. Qhov kev pheej hmoo ntawm kev kis tus kab mob mus rau lwm tus yuav ploj mus tsuas yog peb lub lis piam tom qab pib cov tsos mob.
Raws li kev txheeb cais, 15-20% ntawm cov pejxeem yog cov neeg mob asymptomatic ua npaws liab. Qee zaum ib tus neeg tuaj yeem ua tus kab mob kis tau ntau xyoo.
Streptococcus kis tau los ntawm huab cua los ntawm huab cua (aerosol mechanism) thiab kev hauv tsev. Yog li, tus neeg mob tso nws mus rau ib puag ncig thaum hnoos, txham, thaum sib tham. Yog hais tias tus kab mob nkag mus rau hauv cov zaub mov, txoj kev alimentary ntawm kis tus kab mob yuav tsis raug cais tawm. Feem ntau, cov neeg uas nyob ze ze ntawm qhov chaw kis tau tus kab mob.
Nws yuav tsum tau muab sau tseg tias ntuj susceptibility rau Streptococcus pyogenes yog siab. Cov kev tiv thaiv kab mob uas tsim muaj nyob rau hauv cov neeg uas twb mob liab liab kub taub hau yog hom tshwj xeeb. Qhov no txhais tau hais tias txoj kev pheej hmoo ntawm kev cog lus rau lwm hom streptococcus tseem nyob.
Nws tau pom tias qhov ncov ntawm qhov ua npaws liab liab hauv cov neeg laus thiab menyuam yaus tshwm sim thaum lub caij nplooj zeeg thiab lub caij ntuj no.
Lub pathogenesis ntawm scarlet fever
Tus kab mob nkag mus rau hauv lub cev los ntawm cov mucous daim nyias nyias ntawm nasopharynx, caj pas los yog qhov chaw mos (tsis tshua muaj heev). Qee zaum lub rooj vag nkag rau cov kab mob Streptococcus pyogenes yog cov tawv nqaij puas.
Nyob rau ntawm qhov chaw qhia txog cov kab mob, ib qho kev tsom mus rau kis kab mob hauv zos tau tsim. Cov kab mob uas muaj ntau hauv nws tso cov tshuaj lom rau hauv cov ntshav. Kab mob intoxication tshwm sim. Lub xub ntiag ntawm cov tshuaj lom nyob rau hauv cov hlab ntsha ua rau kev nthuav dav ntawm cov hlab ntsha me hauv cov kab mob hauv nruab nrog cev thiab daim tawv nqaij. Cov pob liab liab tshwm. Tom qab ntawd, kev tiv thaiv tshuaj tiv thaiv kab mob pib tsim hauv tus neeg mob - cov pob liab liab, nrog rau cov tsos mob ntawm kev qaug cawv, ploj mus.
Yog hais tias tus kab mob Streptococcus pyogenes nws tus kheej nkag mus rau hauv cov hlab ntsha, lub meninges, lymph nodes, cov ntaub so ntswg ntawm lub cev nqaij daim tawv, lub pob ntseg, thiab lwm yam. Yog li ntawd, mob hnyav purulent-necrotic o tshwm sim.
Cov yam tseem ceeb uas ua rau kev loj hlob ntawm scarlet fever
Cov laj thawj uas ua rau muaj tus kab mob, cov kws kho mob suav nrog:
- lub caij nplooj zeeg-lub caij ntuj no;
- txo kev tiv thaiv;
- mob khaub thuas, SARS;
- Cov kab mob ntev ntawm pharynx thiab tonsils.
Cov tsos mob ntawm scarlet fever nyob rau hauv cov neeg laus thiab cov me nyuam
Lub sij hawm incubation ntawm scarlet fever yog los ntawm 1 mus rau 12 hnub (feem ntau 2-4 hnub). Tus kab mob pib mob heev. Lub cev kub nce, cov tsos mob ntawm kev qaug cawv tshwm sim:
- mob nqaij;
- qaug zog;
- palpitations;
- mob taub hau.
Ua npaws tuaj yeem nrog kev qaug zog thiab tsis txaus siab, lossis, hloov pauv, euphoria, nce kev txav mus los. Vim yog qaug dab peg, cov neeg mob feem ntau ntuav.
Lwm cov tsos mob ntawm scarlet fever muaj xws li:
- Mob caj pas thaum nqos. Tonsils, arches ntawm tus nplaig, mos palate thiab posterior pharyngeal phab ntsa ua hyperemic. Qee zaum, follicular-lacunar tonsillitis tshwm sim. Tom qab ntawd lub mucosa yog them nrog cov quav hniav ntawm purulent, necrotic los yog fibrous xwm.
- Kev loj hlob ntawm cov qog ntshav hauv cheeb tsam. Lawv ua heev ntom, mob ntawm palpation.
- Crimson nplaig. Nyob rau hnub 4-5 ntawm kev mob, tus nplaig tau txais cov xim ci ci, cov quav hniav los ntawm nws qhov chaw ploj. Nws muaj papillary hypertrophy.
- Staining ntawm daim di ncauj nyob rau hauv cov xim crimson (ib tug tsos mob ntawm scarlet kub taub hau nyob rau hauv cov neeg laus, yam ntxwv ntawm ib tug loj daim ntawv ntawm tus kab mob).
- Cov pob liab liab me me. tshwm sim ntawm 1-2 hnub ntawm kev mob. Cov ntsiab lus ntawm ib qho ntxoov ntxoo tsaus yog tsim rau ntawm daim tawv nqaij ntawm lub ntsej muag thiab lub cev sab saud, tom qab ntawm lub ntsej muag flexion ntawm caj npab, sab hauv ncej puab, thiab sab. Thickening nyob rau hauv daim tawv nqaij folds, lawv tsim tsaus liab kab txaij. Qee zaum cov pob khaus sib koom ua ib qho loj erytherma.
- Tsis muaj pob khaus hauv daim duab peb sab nasolabial (Filatov cov tsos mob). Hauv qhov no, daim tawv nqaij, ntawm qhov tsis sib xws, ua daj ntseg.
- Me hemorrhages. Lawv yog tsim los ntawm fragility ntawm cov hlab ntsha, squeezing los yog kev sib txhuam ntawm cov tawv nqaij.
Hnub 3-5, cov tsos mob ntawm tus kab mob npaws liab pib qis. Cov pob khaus maj mam tig daj ntseg thiab tom qab 4-9 hnub ploj tag. Tom qab nws, me-scaly peeling tseem nyob ntawm daim tawv nqaij (loj-scaly feem ntau yog kuaj pom ntawm ko taw thiab xib teg).
Hauv cov neeg laus, qhov ua npaws liab liab tuaj yeem yog asymptomatic (tshem tawm daim ntawv). Tus neeg mob tsuas ceeb toom:
- ib qho scanty, daj ntseg pob uas tshem tawm sai sai;
- me ntsis catarrh ntawm lub pharynx.
Yog tias koj muaj cov tsos mob zoo sib xws, hu rau koj tus kws kho mob tam sim ntawd. Nws yooj yim dua los tiv thaiv tus kab mob dua li daws qhov tshwm sim.
Kev kuaj mob ntawm scarlet fever
Daim duab kho mob tshwj xeeb tso cai rau cov kws kho mob ua qhov kev kuaj mob tsuas yog los ntawm kev kuaj lub cev thiab cov ntaub ntawv xam phaj. Kev kuaj mob rau qhov ua npaws liab liab suav nrog cov ntshav suav tag nrho, uas paub meej tias muaj kab mob kis kab mob:
- nce ESR;
- neutrophil leukocytosis;
- hloov ntawm leukocyte mis mus rau sab laug.
RKA yog ib txoj hauv kev tshwj xeeb qhia kev kuaj mob ntawm tus kab mob liab liab hauv cov neeg laus thiab menyuam yaus.
Yog tias tus neeg mob muaj teeb meem los ntawm cov hlab plawv, nws raug xa mus rau kev sab laj nrog kws kho plawv thiab pom zoo kom ua ultrasound thiab ECG ntawm lub plawv. Nrog cov tsos mob ntawm otitis media, kev kuaj mob los ntawm tus kws kho mob otolaryngologist tau qhia. Txhawm rau ntsuas kev ua haujlwm ntawm cov zis, ib qho ultrasound ntawm lub raum yog ua.
Kev kho mob Scarlet fever
Nyob rau hauv ib qho kev mob hnyav ntawm cov neeg mob uas ua npaws liab, lawv tau muab tso rau hauv tsev kho mob. Hauv txhua kis, nws muaj peev xwm mus kho mob tom tsev. Tus neeg mob yuav tsum tau saib xyuas lub txaj so rau ib lub lis piam. Khoom noj khoom haus yuav tsum sib npaug. Rau lub sij hawm ntawm dominance ntawm cov tsos mob anginal, nyiam yuav tsum tau muab rau semi-kua thiab me me tais diav.
Txhawm rau tshem tawm qhov cuam tshuam tsis zoo rau lub cev ntawm cov kab mob, "Penicillin" feem ntau yog siv, uas tau sau tseg rau kaum hnub. Cefazolin, Erythromycin, cephalosporins thiab macrolides ntawm thawj tiam kuj tseem siv tau.
Yog tias muaj contraindications rau cov tshuaj tua kab mob no, lincosamides lossis hluavtaws penicillins raug sau tseg. Kev kho mob nyuaj kuj tseem suav nrog kev tswj hwm ib txhij ntawm cov tshuaj tua kab mob nrog cov tshuaj tiv thaiv kab mob (cov tshuaj tiv thaiv kab mob ua los ntawm cov ntshav ntawm cov neeg tiv thaiv kab mob, tsiaj txhu).
Kev kho mob hauv cheeb tsam ntawm qhov ua npaws liab yog siv gargling nrog kev daws ntawm "Furacilin" (diluted hauv qhov piv ntawm 1: 5000) lossis decoctions npaj los ntawm cov tshuaj ntsuab (calendula, eucalyptus, chamomile).
Yog tias cov tsos mob ntawm kev qaug dab peg ntawm lub cev tau hais tawm, cov tshuaj tua kab mob nrog cov tshuaj qabzib lossis gemodez tau muab tso rau. Nyob rau hauv cov ntaub ntawv ntawm kev ua txhaum ntawm lub plawv, cardiological neeg sawv cev yuav tsum tau siv, piv txwv li, Camphor, Ephedrine, Cordamine.
Tsis tas li ntawd, kev kho mob ntawm scarlet fever suav nrog kev siv:
- Cov tshuaj Antihistamine ("Cetrin", "Loratadin") - pab kom tshem tawm cov teeb meem uas yuav tshwm sim nrog kev ua xua.
- Kev npaj tsom rau kev ntxiv dag zog rau cov phab ntsa vascular ("Galascorbin", "Ascorutin") - txo qhov tsis zoo ntawm cov co toxins ntawm cov ntshav capillaries.
- Antipyretics ("Ibuprofen", "Paracetamol") - normalize lub cev kub, tshem tawm mob taub hau thiab mob nqaij.
Ntawm lub physiotherapy thaum lub sij hawm kev kho mob ntawm scarlet fever yog pom zoo:
- Irradiation ntawm tonsils nrog ultraviolet rays (ua rau kev puas tsuaj ntawm cov kab mob).
- UHF-kev kho mob (ua kom lub cev zoo ntawm daim tawv nqaij puas, muaj cov nyhuv tiv thaiv kab mob).
- Centimeter yoj (CMV) kho cov tonsils (microwaves yog siv).
- KUV-therapy (cleanses the tonsils and tonsils from plaque).
- Sib nqus laser kho (nce kev ua haujlwm ntawm lub cev tiv thaiv kab mob, normalizes ntshav ncig).
Folk kev kho mob ntawm scarlet fever
Folk zaub mov txawv pab txhim kho kev noj qab haus huv nrog scarlet fever:
- Yaug lub hauv paus horseradish, qhuav thiab chop on ib grater. Ncuav 1 liter ntawm boiling dej thiab insist rau 3 teev. Gargle nrog lub caj pas tshwm sim 5 zaug hauv ib hnub.
- Sib tov ib nrab ib khob ntawm freshly squeezed kua txiv beetroot nrog 1 tsp. Kua cider vinegar, 1 tsp ntuj zib mu thiab ib nrab ib khob dej sov. Siv gargle tom qab txhua pluas noj.
- Ib nrab ib khob ntawm calendula paj ncuav 1/2 liter ntawm dej kub thiab simmer nyob rau hauv ib tug da dej rau ib nrab ib teev. Dip gauze rau hauv lub resulting broth thiab siv rau cov pob liab liab.
- 1 tsp grind propolis thiab ncuav ib khob mis nyuj. Khaws hauv dej da dej rau 15 feeb. Haus ua ntej mus pw, tom qab yaug lub caj pas.
- Sib tov licorice thiab Ginger hmoov nyob rau hauv sib npaug proportions. 1 tbsp lub resulting sib tov ncuav 1 tbsp. boiling dej. Tawm mus rau infuse rau ib nrab ib teev. Lim thiab haus.
- Yaug thiab chop lub hauv paus parsley. Ncuav ib diav ntawm zaub ntsuab 1 tbsp. boiling dej. Insist 20-25 feeb. Lim los ntawm cheesecloth. Noj 3 tbsp. 4 zaug ib hnub.
- 1 tablespoon dilute citric acid nyob rau hauv ib khob dej sov. Gargle nrog cov txiaj ntsig daws 4 zaug hauv ib hnub. Nws tseem raug tso cai kom zom cov txiv qaub ib ntus.
Pab pawg txaus ntshai ua npaws liab
Cov neeg mob uas muaj kab mob liab liab ntau tshaj plaws yog:
- immunocompromised cov neeg;
- Cov me nyuam me;
- cov neeg muaj kev tsis haum tshuaj;
- cov neeg mob uas tau nyob rau hauv qhov xwm txheej ntawm kev ntxhov siab ntau ntxiv rau lub sijhawm ntev.
Kev tiv thaiv kab mob ua npaws liab
Tsis muaj kev txhaj tshuaj tiv thaiv kab mob npaws liab, yog li nws tsis tuaj yeem zam kev txhim kho ntawm tus kab mob nrog lawv cov kev pab niaj hnub no. Raws li kev tiv thaiv tsis tshwj xeeb, cov kws kho mob pom zoo:
- cais cov neeg mob;
- ua cov kev ntsuas cais tawm hauv cov menyuam kawm ntawv thiab cov tsev kawm ntawv;
- tso tawm cov neeg mob uas tau kho hauv tsev kho mob, tsis pub dhau 10 hnub txij li hnub mus pw hauv tsev kho mob (tom qab ntawd lawv yuav tsum ua raws li kev tswj hwm hauv tsev rau lwm 12 hnub).
Kab lus no yog muab tso rau lub hom phiaj kev kawm nkaus xwb thiab tsis yog cov ntaub ntawv tshawb fawb lossis cov lus qhia kev kho mob.
Cov zaub mov muaj txiaj ntsig zoo rau kub taub hau
Nrog scarlet kub taub hau, nws yog qhov zoo dua los siv cov zaub mov me me, sov me ntsis mashed zaub mov, steamed los yog boiled, noj tsawg kawg yog rau mus rau xya zaus. Nyob rau theem pib ntawm tus kab mob, kev noj zaub mov 13 yog siv, thiab tom qab ob lub lis piam txij thaum pib ua npaws liab liab, kev noj zaub mov 7 yog siv.
Cov khoom muaj txiaj ntsig muaj xws li:
- zaub (radish, beets, cabbage, horseradish, taub dag) muaj anti-inflammatory thiab antimicrobial zog, tshem tawm toxins los ntawm lub cev;
- txiv hmab txiv ntoo thiab txiv ntoo;
- sov tshuaj yej nrog dub currant los yog txiv qaub (ntxuav lub cev ntawm co toxins uas ua los ntawm hemolytic streptococcus, tsub kom kev tiv thaiv thiab normalizes theem ntawm cov vitamins tseem ceeb);
- si ntawm dogrose;
- txiv hmab txiv ntoo, zaub thiab txiv hmab txiv ntoo kua txiv, compotes;
- ntses los yog nqaij lauj kaub tais diav (meatballs, soufflés, steam cutlets);
- jelly;
- kua porridge, mashed qos yaj ywm;
- fermented mis nyuj cov khoom (kefir, ntuj yogurt, mis nyuj, qab zib, cheese, qaub cream, tsev cheese) tiv thaiv kev loj hlob ntawm dysbiosis, txhim khu kev tiv thaiv thiab txhim kho qab los noj mov;
- zib ntab thiab propolis rov qab kho cov hlab ntsha endothelium thiab poob lub zog ntawm lub cev, ua kom nws tiv thaiv kab mob, txo qhov mob ntawm pharynx thiab tonsils;
- pureed neeg tsis noj nqaij, mis nyuj, los yog txiv hmab txiv ntoo kua zaub;
- cov khoom noj uas muaj vitamin C (rosehips, hiav txwv buckthorn, tswb peppers, kiwi, honeysuckle, viburnum, Brussels sprouts, liab cabbage, cauliflower, broccoli, roob tshauv, strawberries, txiv kab ntxwv);
- dehumidified qhuav npias shivers;
- ntses roj (qhov chaw ntawm cov vitamins D thiab A).
Cov ntawv qhia zaub mov rau ib hnub nrog caws pliav
Noj tshais: semolina mis nyuj porridge, txiv qaub tshuaj yej.
Noj su: ib tug mos-boiled qe thiab rosehip decoction.
noj hmo: mashed zaub kua zaub nyob rau hauv nqaij broth (ib nrab ib feem), steamed nqaij pob, mov porridge (ib nrab ib feem), grated compote.
Noj su txom ncauj: ib ci apple.
noj hmo: boiled ntses, mashed qos yaj ywm (ib nrab ib feem), txiv hmab txiv ntoo kua txiv diluted nrog dej.
Thaum tsaus ntuj: fermented mis nyuj haus (kefir, fermented ci mis nyuj, yogurt).
Folk tshuaj tiv thaiv kab mob npaws
- siv dub radish (grate) raws li ib tug gauze compress ntawm caj pas ob zaug ib hnub twg rau ib lub lim tiam;
- horseradish infusion (ntev tws horseradish hauv paus nrog ib liter ntawm boiled dej sov, tawm rau peb teev, lim) yaug rau lub sij hawm ib hnub twg, me ntsis warming;
- decoction ntawm calendula thiab sage (ib liter dej, ib khob ntawm sage (inflorescences thiab nplooj) thiab ib nrab ib khob ntawm calendula (paj), simmer nyob rau hauv ib tug da dej rau ib nrab ib teev, tawm rau 10 feeb) siv peb zaug. yaug los yog pleev xim rau ntawm qhov chaw ntawm pob khaus;
- mis nyuj nrog propolis (ib teaspoon ntawm tws propolis nyob rau hauv ib khob mis nyuj, khaws cia nyob rau hauv ib tug da dej rau 15 feeb) siv thaum hmo ntuj, tom qab ntxuav lub caj pas;
- beet, txiv qaub thiab kua txiv kab ntxwv;
- mis nyuj nrog taub dag pulp (soak ib txheej nyias ntawm taub dag core nrog mis nyuj) thov rau ib nrab ib teev rau cov tonsils o ob zaug ib hnub twg rau ib lub lim tiam (tsis txhob siv rau cov me nyuam);
- Infusion ntawm qhiav thiab licorice (ib tablespoon ntawm hmoov sib tov rau ib khob ntawm boiling dej, tawm rau nees nkaum feeb), siv nyob rau hauv ib lub sij hawm, pre-strain.
Cov zaub mov txaus ntshai thiab tsim kev puas tsuaj rau qhov ua npaws liab
Koj yuav tsum txwv kev siv cov butter (txog 20 grams tauj ib hnub) thiab ntsev (txog 30 grams).
Cov khoom lag luam hauv qab no yuav tsum tsis suav nrog: cov tsiaj rog rog, cov nqaij rog (mej, nqaij npuas, goose, duck), cov txuj lom kub, cov nqaij haus luam yeeb, qab ntsev, qaub thiab ntsim zaub mov, kib zaub mov, kub txuj lom, concentrated broths, txuj lom, chocolate, cocoa. , kas fes, chocolate candies. Tsis tas li ntawd, cov khoom ua xua: nqaij nruab deg, liab thiab dub caviar; qe; cov mis nyuj tshiab, cov khoom noj mis nyuj tag nrho; sausages, wieners, sausages; cov khoom noj qab zib; industrial canning khoom; txiv hmab txiv ntoo los yog qab zib dej qab zib; flavored unnatural yogurts thiab zom cov pos hniav; dej cawv; khoom noj khoom haus additives (preservatives, emulsifiers, dyes, flavors); cov zaub mov txawv.
Mloog!
Tus thawj coj tsis yog lub luag haujlwm rau kev sim los siv cov ntaub ntawv muab, thiab tsis tuaj yeem lav tias nws yuav tsis ua mob rau koj tus kheej. Cov ntaub ntawv tsis tuaj yeem siv rau sau ntawv kho mob thiab ua kev kuaj mob. Nco ntsoov tham nrog koj tus kws kho mob tshwj xeeb!
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