Inotyisa kuvhunduka syndrome

Toxic shock syndrome chirwere chakakomba chinosanganisira kupisa muviri, kuvhunduka, uye matambudziko nenhengo dzomuviri dzinoverengeka.

Toxic shock syndrome inokonzerwa nehupfu hunogadzirwa nemamwe marudzi estaphylococcus bacteria. Dambudziko rakafanana, rinonzi toxic shock-like syndrome (TSLS), rinogona kukonzerwa nehupfu kubva kubhakitiriya re streptococcal. Haasi ese staph kana strep hutachiona hunokonzera chepfu shock syndrome.

Mhosva dzekutanga dzehuturu hwekuvhunduka syndrome dzakabatanidza vakadzi vaishandisa matamponi panguva yavo yekuenda kumwedzi. Nekudaro, nhasi isingasviki hafu hafu yematambudziko akabatana nekushandisa tampon. Toxic shock syndrome inogona zvakare kuitika nehutachiona hweganda, kupisa, uye mushure mekuvhiyiwa. Mamiriro acho anogona kukanganisa vana, postmenopausal vakadzi, nevarume.

Njodzi zvinhu zvinosanganisira:

• Nguva pfupi yadarika yekuzvara
• Kubatwa ne Staphylococcus aureus (S aureus), inowanzonzi hutachiona hwe staph
• Mitumbi yekune dzimwe nyika kana kurongedza (senge izvo zvinoshandiswa kumisa kubuda kwemhino) mukati memuviri
• Nguva yekuenda kumwedzi
• Kuvhiya kwazvino
• Kushandisa tampon (ine njodzi yakakura kana ukasiya imwe mukati kwenguva yakareba)
• Ronda hutachiona mushure mekuvhiyiwa

Zviratidzo zvinosanganisira:

• Kuvhiringidzika
• Manyoka
• Kazhinji kurwara kunzwa
• Kutemwa nemusoro
• High fever, dzimwe nguva inoperekedzwa nechando
• Kuderera kweropa
• Tsvina inorwadza
• Kusvotwa uye kurutsa
• Kukundikana kwemuviri (kazhinji itsvo nechiropa)
• Kutsvuka kwemaziso, muromo, huro
• Kufenda
• Kupararira kutsvuka kwakatsvuka kunoratidzika kunge kupisa kwezuva - peeling peeling kunoitika 1 kana maviri mavhiki mushure mekuputika, kunyanya pamaoko echanza kana pasi petsoka.

Hapana bvunzo imwe chete inogona kuongorora huturu hwekuvhunduka syndrome.

Anopa hutano anotarisa zvinotevera zvinhu:

• Kupindwa nechando
• Kuderera kweropa
• Rash iyo inosvuura mushure me1 kusvika kumavhiki maviri
• Zvinetso nebasa reanenge matatu mitezo

Mune zvimwe zviitiko, tsika dzeropa dzinogona kuve dzakanaka mukukura kwe S aureus kanaStreptoccus pyogenes.

Kurapa kunosanganisira:

• Kubviswa kwezvinhu, senge matamponi, chipanje chemukadzi, kana kurongedza mumhino
• Kudonha kwenzvimbo dzehutachiona (senge ronda rekuvhiya)

Chinangwa chekurapa ndechekuchengetedza zvakakosha mabasa emuviri. Izvi zvinogona kusanganisira:

• Mishonga inorwisa mabhakitiriya yehutachiona (inogona kupihwa kuburikidza neIV)
• Dialysis (kana zvinetso zvakakomba zveitsvo zviripo)
• Mvura kuburikidza nemutsinga (IV)
• Mishonga yekudzivirira BP
• Inopinza gamma globulin mune zvakakomba zviitiko
• Kugara muchipatara chekuchengetedza zvakanyanya (ICU) yekutarisa

Toxic shock syndrome inogona kuuraya inosvika makumi mashanu muzana ezviitiko. Mamiriro acho anogona kudzoka kune avo vanopona.

Zvinetso zvinogona kusanganisira:

• Kukuvara kwemuviri kusanganisira itsvo, moyo, uye chiropa kutadza
• Shock
• Rufu

Toxic shock syndrome chirwere chekukurumidzira. Tsvaga rubatsiro rwechiremba ipapo ipapo kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge

Unogona kudzikisa njodzi yako yekuenda kumwedzi chepfu yekutyisa chirwere ne:

• Kudzivirira matamponi anonyanya kupinza
• Kuchinja matamponi kazhinji (kanenge maawa masere ese)
• Chete kushandisa matamponi kamwechete muchinguva panguva yekutevera

Staphylococcal chepfu inokatyamadza chirwere; Chepfu inokatyamadza-kunge chirwere; TSLS

• Yakajairwa uterine anatomy (cheka chikamu)
• Hutachiona

Gardella C, Eckert LO, Lentz GM. Zvirwere zvepamuviri zvinotapukira: vulva, nyini, cervix, chepfu inokatyamadza chirwere, endometritis, uye salpingitis. Mune: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Yakakwana Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 23.

Kroshinsky D. Macular, papular, purpuric, vesiculobullous, uye pustular hosha. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 410.

Larioza J, Brown RB. Inotyisa kuvhunduka syndrome. Mune: Kellerman RD, Rakel DP, eds. Conn Yazvino Therapy 2020. Philadelphia, PA: Elsevier 2020: 649-652.

Que YA, Moreillon P. Staphyloccus aureus (kusanganisira staphyloccocal chepfu inokatyamadza chirwere). Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chitsama 194.