Ukuxilongwa kanye nokwelashwa ukutheleleka streptococcal

Pustules esikhumbeni, Erysipelas, omphalitis, umphimbo obuhlungu, scarlet fever, nephunga elibi, khulula aphuzi kusukela ipheshana zangasese, otitis, periodontitis, abole amazinyo, i-pneumonia, ukuvuvukala intambo, peritonitis ... Ucabangani kuletha lezi zifo? Banezinhliziyo yimbangela ejwayelekile - igciwane ngokuthi streptococcus.

Baphi streptococci?

Streptococci, okuzoxoxwa ngayo kulesi sihloko, amabhaktheriya esifo ukuma oyindilinga futhi ahlelwe ngendlela amaketanga anobude obungalingani. Ngokuvamile, ulwelwesi lwamafinyila emathunjini, ezithweni zangasese kanye isikhumba womuntu elinezindawo ezihlukahlukene ezincane, kuhlanganise Streptococcus mutans. Kuye zilwane, streptococci bathambekele ukuhlala ezindaweni ezihlukahlukene zomzimba womuntu: eyodwa esikhumbeni, omunye lwamafinyila yaleli pheshana yokuphefumula, obona isimo esimenza umthondo lwamafinyila noma amathumbu. Lesi sici sikusiza e sitholakele isifo nokuqashwa uswidi kweqiniso.

izakhiwo streptococci

Le ndoda emphinjeni kusuka 30 kuya 60% wonke amagciwane uwela isabelo streptococcus. Umzimba onempilo inohlelo sihlale siphilile, olawula lonke microflora, ukugwema ukuphindaphinda ngokweqile yimuphi amagciwane, kodwa ukwehla ukungatheleleki ukuvela izimo ezivuna ukuthuthukiswa fast kakhulu, ngokushesha uqala nekukhicita noma uhlobo nezilwanyana ezincane ukucindezela flora evamile kanye okuholela nesenzakalo izifo. amagciwane anjalo kanye streptococcus fanele. ukukhiqizwa kabusha kwalo nokusatshalaliswa emzimbeni kungabangela izifo ezinzima, kuhlanganise ezithathelwanayo. Ngenxa yenani elikhulu labantu abaphila umzimba womuntu kwamaseli lwegciwane, inani izifo ezibangwa kubo, kuze 10-15% of yengqikithi izifo kule sizini abandayo. Inkambo isifo namandla aso ngenxa kokubili imibono streptococcus namagciwane engene igazi ezinobuthi ezivezwa kubo.

Ngenhlanhla, streptococci engazinzile in imvelo. Kubo, ukukhanya kwelanga eziyingozi, izibulali-magciwane nemithi elwa namagciwane. ukwelashwa esifike ngesikhathi ukutheleleka streptococcal kuholela imiphumela emihle, futhi egijima, ezifweni ezimbi kungaholela enhlekeleleni.

Zonke izifo, ngandlela-thile ezihlobene ne strep, lahlukaniswa laba amaqembu 2:

- izifo ezibangwa streptococcus,

- isifo cuphuluza streptococcus.

Ake sihlole ezinye izibonelo izifo zibangelwa Streptococcus.

umphimbo obuhlungu

Streptococcus kuthinta idlala izicubu, okuyinto ahlelwe emhlabeni uqhoqhoqho iringi. Uma umuntu inohlelo sihlale siphilile, le angina umnene ngaphandle ukushisa, uqwembe oluncane ku amalaka futhi soreness okuncane lapho uvuleka. Uma amasosha omzimba esebuthakathaka, ungase ukuthuthukisa ezinzima necrotic ukuvuvukala amalaka, ephelezelwa ubuhlungu obukhulu emphinjeni, ikakhulukazi lapho uvuleka, ubuthakathaka, imfiva kakhulu, ukuqaqamba wonke umzimba futhi izimpawu ubuthi. Lokhu kungenxa isizukulwane ubuthi webhaktheriya ezibangela ubovu Fusion kwezicubu. imikhiqizo yokubola amagciwane kanye ubuthi ubuthi emzimbeni womuntu.

Umphumela yokwelashwa ngasekupheleni kuqalile noma okungafanele lesi sifo zimi kanje:

- Ithumba peritonsillar - yisishiso okukhulu izicubu ngaphansi amalaka,

- otitis abezindaba - ukuvuvukala maphakathi nendlebe,

- rheumatism isifo senhliziyo - iphutha inhliziyo sokuhlasela kwamasosha omzimba,

- rheumatism imfiva - umonakalo izicubu sokuhlasela kwamasosha omzimba amalunga omzimba,

- glomerulonephritis - ukuvuvukala kule izinso, ukushaya amathuluzi esiyinhloko igazi filtatsii kanye kumiswa umchamo - izinso glomeruli,

- lymphadenitis - yisishiso emphinjeni eseduze lymph node elise entanyeni.

Ukwelashwa ukutheleleka streptococcal emphinjeni izidakamizwa elwa namagciwane eyenziwa isenzo jikelele kanye lendawo. Zikhona izici ekwelapheni abantu abadala nezingane: ukwelashwa ukutheleleka streptococcal emphinjeni e abadala kuhlangene uhlambulule izixazululo nemithi, Iziphungo kanye infusions amakhambi nezingane ezincane ngubani namanje abazi indlela ukuhahaza, zibancishe le ngxenye ukwelashwa. Izingane kuphela ngenkasa amalaka efanelekayo aerosols kwezokwelapha. Ngokusebenzisa ekwelapheni ukutheleleka streptococcal emphinjeni, wazi ukuthi emva uhlambulule kanye / noma ukusetshenziswa aerosol is hhayi Kunconywa ukuba badle futhi baphuze okungenani ibe ihora elilodwa ukuba umuthi hhayi wageza off futhi eziqhutshwa eside ngangokunokwenzeka.

caries

Lesi sifo owaziwa. Sasingalindeli ukuba ukuthi abangela strep? Lezi-bacterium asemlonyeni zidla izinsalela zokudla washaya izikhala interdental. Ukuphindaphinda lapho amagciwane walulama acidosis acid ngokuhamba sokuphila kwayo. Kancane kancane kuyasiqeda koqweqwe lwawo kanzima, ogxile calcium. Izinyo uphelelwa amandla, futhi iqala iba yingxenye yomhlabathi.

Izinkinga alunywe, kodwa ezingemnandi:

- pulpitis - ukuvuvukala izisekelo, umnyombo ngezinyo, okuyizinto imithambo yegazi kanye nezinzwa,

- ukushonelwa ngezinyo, ohambisana nokubhujiswa yayo.

Kukhona isifo emlonyeni - isifo periodontal, okuyinto abangela strep ukutheleleka. Nokuliphatha njengelibalulekile ezidingekayo, ngaphandle kwalokho ugweme ukusebenza kanzima ezihambisana yisihlungu, ukopha izinsini kwamazinyo.

streptoderma

It strep Izilonda. Ukutheleleka kwenzeka ngenxa Ukungena ejenti ngokusebenzisa encane ukulimala uqhekeke, imihuzuko, ukusikeka. Esikhathini lesion livela endaweni pink nge imiphetho engalingani, 30-40 cm ububanzi. Kuye of the kokunqotshwa isifo ukujula zihlukaniswe 2 izinhlobo:

- strep impetigo, esibonakala by ukubukeka okuseduze esikhumbeni ebusweni ubomvu encane Bubbles, okuyinto, njengoba sengike livuliwe, ngokushesha zome futhi zinyamalale benganakwa,

- inhlamba ecthyma - Izilonda ezijulile. Ngemva kuvulwa Bubbles kwakhiwa AMANXEBA isikhumba, unesifo impilo jikelele kanye lokushisa lomzimba antante degrees 38.

Yilokho igciwane elincane kuholela ushintsho elibukhali izinga lokuphila komuntu. Ngenxa izilonda ezincane ukuthuthukisa ukutheleleka streptococcal kwesikhumba, ekwelapheni edinga ezinye umzamo.

Ukwelapha streptococcal ezithambile izicubu izifo ihlanganisa izindlela jikelele kanye lendawo. On endaweni ethintekile ngebhandeshi ngesixazululo isinqandakuvunda.

Streptococci imbangela pustules kanye nosayizi ezincane kunalezo ezichazwe ngenhla. Kukhona abathandi amadoda rip phandle nezinwele kusukela ekhaleni kunokuba ilungiswe a kubo. Ngakho esikhundleni obonakele izinwele follicle akhiwa izindawo kubuhlungu avuvukele. Ngokuvamile abanasibalo suppuration, kodwa kuphakama ubomvu Bubbles ngokungabi bikho kokwelashwa. Ukwelashwa kusenesikhathi izifo streptococcal ku ekhaleni sehliselwe isicelo engxenyeni ethintekile kwekhala isixazululo isinqandakuvunda yokugcoba amagciwane.

Ukuvuvukala pheshana zangasese

Ngo ayi-10-30% abesifazane obuhle zangasese mucosa streptococcus kulinywa. Ngokuvamile, awusebenzi ngokwayo ukubona ngoba ngaphansi kokulawula izivikeli mzimba. Ngokunciphisa amasosha omzimba, futhi ezimeni streptococcus ukutheleleka ngokuhlangana ngokocansi kwabesifazane kukhona umuzwa esivuthayo, ukulunywa, ubuhlungu ngesikhathi ukuchama, ubomvu aphuzi, ubuhlungu esiswini ephansi kanye nemfiva okuncane.

In the ukungabikho ukwelashwa okufanele ngoba inhlolovo kanye isimo sibe sibi nakakhulu, kukhona yezinkinga ifomu:

- ukuguguleka wesibeletho, lapho epithelium kwesibeletho livela ngasentanyeni yakhe,

- endometritis - yisishiso endometrium, ungqimba kwangaphakathi kwesibeletho,

- polyp lapho umthondo yangaphakathi ngokweqile yandisa ulwelwesi ungqimba epithelium.

Sitholakele isifo Kwenziwa edilini lomshado ngoba uphethwe eminye esetshenziswa indlela zokutshala ngokuzimisela yozwela antibiotic.

Ukwelapha izifo streptococcal e zabesifazane - into lalivamile ngenxa ukusabalala wonke we bacterium. Kuyinto imifantu ngokwanele encane, isilonda encane ukuba ngokushesha ukungena hhayi kuphela esikhunjeni noma mucosa, kodwa futhi ijule ngokungaphezulu. Izimo lapho amasango evulekile nesifo, impela eningi: zonke nokuya esikhathini, nokubeletha echayeke ngaphakathi kwesibeletho, okuyinto iba omkhulu isilonda ebusweni, ingasaphathwa ukulimala wesibeletho, esithweni sangasese futhi perineum. Ngisho ubulili kungenziwa ephelezelwa ukulimala ulwelwesi lwamafinyila kanye isikhumba.

Izifo okuyinto kuphakamisa ukuvela Streptococcus

Lezi zihlanganisa rheumatism, i-rheumatoid arthritis, vasculitis letindzala kanye glomerulonephritis.

rheumatoid arthritis

It kuvela ngenxa ukwakheka izakhiwo mzimba. Kulokhu, basuke zibekwe ingaphakathi ngokuhlanganyela, umonakalo uqwanga futhi ungavumeli ukuba ngokugcwele ukufeza imisebenzi yayo. amalunga avuvukele amaseli ama-enzyme elibuye liyancibilika uqwanga, okwagcina iholela ekubhujisweni wako. Ngo inqubo sokugembula abathintekayo ikakhulukazi emalungeni encane izandla, iminwe yakhe nezinzwani zakhe. Isiguli uzizwa ukuqina ukunyakazisa amalunga omzimba ethintekile, ikakhulukazi ekuseni.

Izinkinga iqoqo ubomvu e ngalo ingaphakathi of the joint ethintekile, futhi ukwehluleka kwezinso.

izifo Streptococcal ezinganeni

Kusukela ezinsukwini zokuqala kakhulu zokuphila kancane indoda singangena ukutheleleka streptococcal. Ukutheleleka kungavuka utero ngokusebenzisa egazini likamama lapho sidlula onegciwane lokuzalwa canal lokhu silwanyana, kanye amahora yokuqala kanye nezinsuku ezingu ukuphila extrauterine iziguli noma abathwali. Okuluhlaza usana izivikeli mzimba akakwazi ukumelana amagciwane.

Kunezindlela eziningana izifo ezingathi sína kwababhemayo okuyinto ingane ethintekayo kanzima futhi kungenzeka zife.

Streptoderma futhi ecthyma inhlamba - izilonda ingane lwesikhumba olungabonakali, okushiya izibazi ezijulile phezu mncane isikhumba olubucayi. Inkinga lezi zifo kungenzeka lymphangitis futhi lymphadenitis (ubovu ukuvuvukala kwemigudu ye-lymph kanye isizinda, ngokulandelana).

Sepsis - nokusakazwa eliningi streptococcus egazini, ngaleyo ndlela kwakheka ubovu izilonda zonke kwezitho nezicubu. Lesi sifo kuyingozi enkulu kakhulu ngisho esifike ngesikhathi yezokwelapha kokungenela ngokwempilo yangenyama ifinyelela 20%.

Meningitis - ukuvuvukala ubovu ka meninges onzima ezithambile, okuholela ukuphazamiseka ekusebenzeni kobuchopho. Nokufa ifinyelela 15%, futhi ephikelela eside imiphumela ukulimala kobuchopho lifika ngaphezulu 40% izingane.

Isifo samaphaphu - umzimba omkhulu sifo obangela oxygenation igazi nokuqeda-carbon dioxide. Strep kuthinta alveoli yamaphaphu. Ziba avuvukele, ukuvuvukala phezani ukwenza umsebenzi zokuphefumula. Nge ekuqaleni ngesikhathi esifanele zokwelapha kungase ukwelapha lesi sifo, kodwa namanje abantu abafa ngenxa yesono kwenzeka lapha, ukufinyelela 0.5%.

Necrotizing fasciitis - isifo esiyingozi kakhulu esithinta zezinzwa izicubu emgodleni, ngalolo "ingubo" imisipha, lenqwaba neurovascular kanye izitho zangaphakathi. Kubonakala bok uphawu ingane izicubu zomzimba ezithambile. Kulesi isifo lokufa ifinyelela 25%.

Lokho kunzima kangaka wabonakaliswa ukutheleleka streptococcal ezinganeni zabo ukwelashwa kufanele iqalwe ngokushesha uma kwenzeka ukutheleleka esolwa ngu streptococcus.

Ukuxilongwa ukutheleleka streptococcal

Sifo iqala ukuvakashelwa qophelo umuntu ogulayo kudokotela.

Ngesikhathi reception, udokotela ehlola isiguli, iqoqa imininingwane emayelana nezikhalazo, izimpawu zesifo kanye isikhathi nesenzakalo yabo, ukukhethela elilungile izindlela ukuxilongwa futhi zibeka ukwelashwa.

Laboratory nowezinsimbi izindlela ukuxilongwa ukutheleleka streptococcal

Yiqiniso, udokotela imithi isifundo common ukuhlolwa kwegazi kanye nomchamo, kodwa azikwazi ukusiza e ukwehlukana igciwane streptococcal yanoma yisiphi esinye, ngakho izindlela ezisetshenziswa inoculation microbial medium isiko futhi ekunqumeni nozwela amagciwane anenkani.

Kuye lesion, ukuthatha ucwaningo ukudedelwa izilonda, okuqukethwe abscesses, amalunga, isikhwehlela kusukela ekhaleni, emphinjeni, sangasese, wesibeletho, kanye cerebrospinal fluid - CSF.

Ukuze sithole kuvelana kwamaphilisi isidlo laboratory seeded nge amagciwane, wafaka namasondo amancane, ofakwe imithi elwa namagciwane ahlukahlukene, futhi ngemva 8-10 amahora ukuhlola imiphumela. Ngu engekho zone ukukhula noma inombolo encane amagciwane emhlabeni disk ukucacisa okubuhlungu kakhulu kwemithi elwa namagciwane streptococcal. Le ndlela uphenyo uthatha izinsuku ezingu-2-5.

Ukwelapha izifo streptococcal

Ukwelapha othembeke kunabo bonke, fast and ngempumelelo kuyinto ngemithi elwa namagciwane.

Kungakhathaliseki kwasendaweni yenqubo sokugembula, anomoya kufakwe lwemithi yokwelapha.

Uma reception udokotela enquma ukuthi ucingo bathole usizo lwezempilo nesineke ukutheleleka streptococcal, impatho unikezwa omunye izidakamizwa we-penicillin noma cephalosporin. Kwezinye izimo kunzima ukuhlukanisa pathogen, kusukela umtholampilo efanayo kungabangela ukutheleleka staphylococcal futhi streptococcal, ukwelashwa kulesi simo namanje linqume omunye umuthi olwa namagciwane yochungechunge ezimbili.

Ngemva kokumiswa nozwela silwanyana sikwazi antibiotic lapho uyaqhubeka ukutheleleka streptococcal, ukwelashwa antibiotic kushintshwe.

Kunabantu abangazange sebekubeke senqabe ukwelashwa ngemithi elwa namagciwane futhi zisebenzisa amakhambi abantu kuphela. Kulokhu, kuvunyelwe ukusebenzisa amakhambi njengoba zokwelapha elisizayo, kodwa hhayi ezinkulu.

Too esikhohlisayo ukutheleleka streptococcal, ekwelapheni amakhambi abantu ngaphandle kwemithi elwa namagciwane kuholela ezisongela ukuphila yezinkinga, ukukhubazeka kanye nokufa.

Ukwelashwa ukutheleleka streptococcal akuyona icala elukhuni kanje. isikhathi Okubalulekile ukuba afune usizo lwezokwelapha, lokwenza ukuxilongwa futhi uqale ukwelashwa okufanele.