Chirwere uye vabatwe streptococcal chirwere

Pustules paganda, erysipelas, omphalitis, kwazvo huro, nezvitsvuku nefivha, kuvengwa, yellowish zvinoyerera kubva dzokubereka turakiti, otitis, periodontitis, mazino, mabayo, kuzvimba tambo, peritonitis ... Unofunga kunounza zvirwere izvi? Vane zvakafanana chikonzero - mumwe utachiona inonzi streptococcus.

Apo streptococci vari?

Streptococci, chichakurukurwa munyaya ino, muri utachiona woita chimiro uye akaronga muchimiro ngetani zvakasiyana yakareba. Kazhinji, mucous Kamudzira pamusoro ura, sikarudzi uye ganda kwevanhu iri ine siyana zvigare, kusanganisira Streptococcus mutans. Zvichienderana mhando, streptococci vanowanzotevedzera kugadzirisa munyika dzakasiyana-siyana dzomuviri womunhu: mumwe paganda, mumwe mucous ari kufema turakiti, uyo ari mucous sikarudzi kana neura. Nyaya iyi inobatsira iri nechirwere zvirwere uye kugadzwa kuva vaenzi wechokwadi.

zvivako streptococci

The huro murume kubva 30 kusvika 60% kwoutachiona zvose inowira mugove streptococcus. A kumuviri ane simba rokuzvidzivirira, iyo anodzora microflora yose, tichidzivisa kunyanyisa chokuwanziridza upi utachiona, asi pamwe vasanyanye kutapata uye kwaita mamiriro ezvinhu akanaka pamusoro pokumuka rokutsanya kwazvo, achikurumidza anotanga bereka ichi kana kuti mhando zvigare kudzvinyirira kwomuzvarirwo kasvisto uye zvichiguma panowanikwa zvirwere. tupukanana kwakadaro uye streptococcus ndohwavo. kubereka Its nokuparadzirwa mumuviri zvinogona kukonzera kwazvo zvirwere, kusanganisira chirwere. Nokuda vazhinji vanogara womunhu mutumbi nayo utachiona masero, nhamba zvirwere zvinokonzerwa navo, kusvikira 10-15% of uwandu nezvirwere chando mwaka. Course chirwere wayo nokubata nokuda zvose pfungwa yacho streptococcus uye utachiona achipinda ropa uye zvine chepfu zvinoberekwa navo.

Sezvineiwo, streptococci kusagadzikana mune zvakatipoteredza. Kwavari, anokuvadza chezuva, mishonga yokuuraya utachiona uye mishonga inorwisa mabhakitiriya. Panguva Chaiyo Mabatirwo streptococcal chirwere kunobatsira, uye vakamhanya, zvikuru chirwere kunogona kutungamirira dambudziko.

zvirwere zvose, imwe nzira kana imwe chokuita strep, akakamurwa 2 mapoka:

- zvirwere anokonzerwa streptococcus,

- chirwere kushatiriswa streptococcus.

Ngationgororei mimwe mienzaniso nezvirwere izvo zvinokonzerwa Streptococcus.

kwazvo huro

Streptococcus kunokanganisa ndimbo rinenge izvo achitenderera mitsipa rin'i. Kana munhu ane simba rokuzvidzivirira, kuti angina riri munyoro pasina kupisa, duku Dombo pamusoro tonsils uye zvishomanana soreness kana pakuparadza. Kana rokuzvidzivirira simba, unogona kuva zvakakomba necrotic kuzvimba tonsils, kusanganisira kurwadziwa mukati huro, kunyanya kana pakuparadza, utera, mukuru kwazvo fever, wapedzwa yose muviri uye zviratidzo nomuchetura. Izvi imhaka parudzi kwemabhakitiriya muchetura kuti anokonzera purulent Fusion kuti munyama. Manyowa zvibereko utachiona uye zvinokachidza muchetura dzemuviri.

Mugumisiro vachangobva yatanga kana kukodzera pakurapa chirwere ndeinotevera:

- peritonsillar pute - kusachengeteka kukuru kuzvimba munyama pasi tonsils,

- otitis nhau - kuzvimba pakati nzeve,

- mwoyo rheumatic chirwere - ane autoimmune mwoyo kukundikana,

- rheumatic fivha - autoimmune zvinyama kuzotadzira mapfundo,

- glomerulonephritis - kuzvimba ari itsvo, kurova huru zvishandiso kuti filtatsii ropa uye paumbwe weti - itsvo glomeruli,

- lymphadenitis - ane kuzvimba huro kusvika pedyo node nodes iri mumutsipa.

Mabatirwo streptococcal noutachiona mune mitsipa antibacterial zvinodhaka kunze rwevanhu uye nemakanzuru chiito. Pane zvimwe zvinhu zviri pakurapa vakuru nevana: vabatwe streptococcal noutachiona pahuro mune vakuru pamwe rinsing zvinogadzirisa mishonga, decoctions uye infusions wemiriwo nevana vaduku vachiri handizivi sei kakaridza, kunyimwa ichi chikamu kurapwa. Nokuti vana dzakakodzera chete kudiridza tonsils somushonga aerosols. Kuburikidza pakurapa streptococcal noutachiona ari huro, cherechedza kuti mushure rinsing uye / kana kushandiswa aerosol haana inokurudzirwa kudya nokunwa awa kanenge munhu mushonga hauna kushambidzwa kure uye vakavhura kwenguva yakareba sezvingabvira.

caries

Rinozivikanwa chirwere. Hatina kutarisira kuti uyewo hunokonzera strep? Izvi zvokuudzwa Mabhakitiriya kufura zvisaririra zvokudya rakabayirwa interdental dzezvimwe. Vachiwedzera ipapo tupukanana akapora lactic asidhi mukufamba upenyu hwayo. Zvishoma nezvishoma urwa yakaoma enamel, iyo yakavakirwa karusiyamu. Zino usisavaviri, uye anotanga kuti dziparare.

Matambudziko dzikaruma, asi ivo vari ipa:

- pulpitis - kuzvimba zvinokosha, chinoumba ari zino, vari midziyo ropa uye tsinga,

- kurasikirwa nezino, chokuita nokuparadzwa kwayo.

Panewo chirwere muromo - periodontal chirwere, izvo zvinokonzera strep hweHIV. Vachiona sechinhu zvakakodzera, zvimwe kudzivisa hassles chokuita kuzvimba, ropa matadza uye mavende.

streptoderma

It strep ganda maronda. Chirwere kunoitika nokuda kupinda kuti mutumwa kuburikidza diki kukuvara, makatsemuka, abrasions, unocheka. Muna lesion sokuti vaaleanpunainen gwapa pamwe gogonera micheto, 30-40 masendimita ari dhayamita. Zvichienderana kudzika kukundwa zvirwere akakamurwa 2 mhando:

- strep impetigo, iyo inozivikanwa nokuva kwava kuda kuonekwa pamusoro ganda pamusoro duku pus matema, iyo, akashamisa, nokukurumidza nokuomesa uye inonyangarika pasina zvikasawanirwa,

- nyadzisa ecthyma - yakadzika ganda maronda. Pashure Panovhurwa matema yakaumbwa paganda mavanga, unotambudzika kunopindirana utano netembiricha muviri achisimuka 38 inegumi.

Ndizvo duku microbe zvinotisvitsa unopinza kuchinja mararamiro evanhu. Nokuda maronda duku kuva streptococcal noutachiona ganda, mishonga izvo zvinoda vamwe nesimba.

Vachiona streptococcal nyoro zvinyama zvirwere anosanganisa rwevanhu uye nemakanzuru nzira. On njodzi nzvimbo bhandeji pamwe akambozvishandisa kuuraya utachiona mhinduro.

Streptococci chikonzero pustules uye kukura duku pane vaya vanorondedzerwa pamusoro. Kune vanoda varume uchatumbura kunze bvudzi kubva mhino pane kugera munhu pavo. Saka panzvimbo tagovera bvudzi follicles vari kuumbwa zvinorwadza chaizvo munzvimbo anorwadza. Kakawanda asina suppuration, asi pus matema inomuka pasina kurapwa. Early Mabatirwo streptococcal zvirwere mumhino wakaderedzwa kusvika chikumbiro pamusoro zvakakanganisa mugove mhino akambozvishandisa kuuraya utachiona mhinduro, bactericidal nezvizoro.

Kuzvimba pasikarudzi turakiti

Muna 10-30% yevakadzi hwakanaka yokubereka mucosa yakadyarwa streptococcus. Kazhinji, hazvishandi pacharo wanikidza nokuti pasi kudzora zvirwere. Akaroromesawo kutapata, uye vanenge streptococcus chirwere kuburikidza pabonde kuonana vakadzi pane rinopfuta manyawi, kuvaviwa, marwadzo panguva weti, yellowish pus, kurwadziwa rezasi mudumbu uye zvishomanana fivha.

Pasina zvakakwana kurapwa nokuti kuongorora uye mamiriro ezvinhu ari kuwedzerwa, pane matambudziko ari muchimiro:

- remuromo kukurwa kwevhu, kana epithelium ari dumbu rinowanika pamutsipa wake,

- endometritis - ane kuzvimba endometrium, yomukati rukoko of dumbu,

- polyps kana zvemukati sikarudzi zvakanyanyisa anowedzera lining paiva epithelium.

Chirwere chirwere rinoitwa pamabiko mamwe chirwere akashandisa seeding nzira chete Kutsunga asingaurayiwi nehanya.

Mabatirwo streptococcal noutachiona Gynecology - munhu kumbonyanya inozivikanwa nokuda kwazvo kuparadzirwa microbe. Zvaringana makatsemuka duku, ronda duku kuti pakarepo pinda kwete chete munzvimbo ganda kana mucosa, asi zvikuru zvakadzama. Mamiriro ezvinhu umo masuwo akazaruka utachiona, zvikuru zvizhinji: kumwedzi ose, kuzvara ari pachena mukati muchibereko chemusikana, iyo inova huru ronda pamusoro, tisingatauri kuvadza cervix, nyinyo uye perineum. Kunyange bonde kunogona pamwe kuvadza mucous Kamudzira uye ganda.

Zvirwere iyo chinokurwadzai chidzoke Streptococcus

Izvi zvinosanganisira rheumatism, dzinonzi rheumatoid arthritis, systemic vasculitis uye glomerulonephritis.

dzinonzi rheumatoid arthritis

It unovapo nokuda paumbwe masoja zvivako. Muchiitiko chino, vari iiswe vadyi mhango, kukuvara shwashwa uye usarega kuita zvizere basa mabasa ayo. Zvomoto majoini masero secrete makemikari mamwe inonyunguduka shwashwa, iyo pakupedzisira zvinotungamirira kukuparadzwa rakwo. Mugore pathological muitiro inobatanidzwa vainyanya mapfundo diki maoko, minwe nezvigunwe. Murwere anonzwa kuomarara kufamba pamusoro ane mapfundo, kunyanya mangwanani.

Matambudziko ari dzakaunganidzwa pus ari mhango pakati njodzi muhudyu, uye renal kukundikana.

Streptococcal noutachiona vana

Kubva pamazuva oupenyu shoma murume muvamwe streptococcal chirwere yokutanga chaizvo. Chirwere munogona utero kuburikidza muropa ramai sezvo ichipfuura utachiona pakuzvarwa Canal microorganism ichi, uyewo vokutanga maawa uye mazuva extrauterine upenyu wevarwere kana vatakuri. Saibva mucheche rokuzvidzivirira asingakwanisi kukunda utachiona.

Kune vakawanda zvirwere zvakakomba umo mwana zvikuru nedambudziko uye vangatoona kufa.

Streptoderma uye vanhuwo ecthyma - mwana ganda maronda, kusiya mavanga rakadzika pamusoro dzakaonda kusimba ganda. Kuomesa zvirwere izvi zvingava lymphangitis uye lymphadenitis (purulent kuzvimba nhengo dzinobudisa midziyo uye nodes, ukuwo).

Sepsis - riparadzirwe yakawanda streptococcus muropa, nokudaro kuumbwa purulent maronda mapazi ose uye munyama. The chirwere chakakomba zvikuru uye kunyange nenguva wezvokurapa kupindira kufa rinosvika 20%.

Yomumuzongoza - purulent kuzvimba zvakaoma uye akapfava meninges, iyo inotungamirira nokuvhiringidzirwa muuropi chaitika. Rufu kunosvika 15%, uye kuramba migumisiro yenguva refu kuti uropi kuitika zvakawanda 40% vana.

Nemabayo - huru mutumbi chirwere anokonzera ropa oxygenation uye kubviswa carbon dioxide. Strep kunokanganisa Formação de pakati mumapapu. Vanova zvomoto, kuzvimba uye regai kuita kufema ushande. With nenguva kutanga kurapwa kunogona kurapa chirwere, asi vachiri kufa kunoitika pano, richisvika 0.5%.

Necrotizing fasciitis - chirwere chakakomba zvikuru kuti kunokanganisa connective zvinyama mumuhara, kuti "kupfeka" tsandanyama, iyo neurovascular tsapo uye zvomukati. Rinooneka Woody chisimbiso mwana nyoro tishu. In chirwere ichi vanourayiswa rinosvika 25%.

Izvi ndizvo saka zvakaoma akaratidza streptococcal noutachiona mune vana vane kurapwa vanofanira chatangwa iri huye vakafunga utachiona streptococcus.

Chirwere kubva streptococcal chirwere

Chirwere chinotanga kushanya pavaipfuura munhu anorwara kuti chiremba.

Pamabiko, chiremba anoongorora murwere, anounganidza mashoko zvichemo, zviratidzo chirwere uye ya panowanikwa dzavo, anosarudza Zvakanyanya Kunaka Panguva Yepamuviri nzira nechirwere uye taurira kurapwa.

Laboratory uye richishanda nzira nechirwere ose streptococcal chirwere

Chokwadi, chiremba vanonyorera kudzidza nevakawanda ropa uye weti nemiedzo, asi havagoni kubatsira vari kuparadzana munhu streptococcal chirwere zvimwe, saka nzira dzinoshandiswa microbial inoculation pamusoro tsika svikiro uye kuziva aikanganiswa noutachiona kuti nemishonga.

Zvichienderana lesion, kutora kutsvakurudza okuyerera mavanga, zviri abscesses, mapfundo, madzihwa kubva mhino, huro, nyinyo, cervix, uye cerebrospinal mvura - CSF.

Kuti tizive aikanganiswa nemishonga murabhoritari mundiro seeded pamwe utachiona, akaisa mavhiri diki, akanyatisa mu nemishonga yakasiyana, uye pashure 8-10 maawa vanoongorora nemigumisiro. By pasina kukura mapazi kana vashoma utachiona kupota dhisiki kuona kupfuura kurwadza streptococcal inorwisa mabhakitiriya. nzira iyi kuongorora Zvinotora mazuva 2-5.

Mabatirwo streptococcal zvirwere

Chakavimbika kupfuura, kutsanya uye inobudirira kurapa huri nemishonga.

Pasinei localization ari pathological muitiro, ivo hazvo zvaisanganisira mukurapa zvaiitwa.

Kana kugamuchira chiremba asarudza kuti kukumbirwa kuti rubatsiro murefu streptococcal chirwere, kurapwa anopiwa mumwe zvinodhaka zviri penicillin kana cephalosporin. Mune mamwe mamiriro ezvinhu zvakaoma kusiyanisa nayo utachiona, sezvo yakafanana kiriniki kunogona kukonzera staphylococcal uye streptococcal chirwere, kurapwa muchiitiko ichi vachiri mishonga inorwisa mabhakitiriya mumwe maviri akatevedzana.

Pashure pokugadzwa nehanya kuti microorganism kuti mushonga kana anoramba streptococcal chirwere, asingaurayiwi ARV kugadziridzwa.

Kune vanhu vari categorically kuramba asingaurayiwi kurapwa uye chete kushandisa zvavo mishonga. Muchiitiko chino, bvumidzwa kushandisa miriwo ebetsero kwakajairika, asi kwete zvakakura.

Too achinyengera streptococcal chirwere, Mabatirwo chevarwere mishonga pasina nemishonga kunoita kuti zvinouraya matambudziko, vakaremara uye rufu.

Mabatirwo streptococcal chirwere haisi yakaoma nyaya yakadaro. nguva inokosha kurapwa, kuti chirwere uye kutanga kurapwa.