Scalded ganda chirwere

Scalded ganda syndrome (SSS) chirwere cheganda chinokonzerwa ne staphylococcus bacteria umo ganda rinokuvara nekuburitsa.

Scalded ganda syndrome inokonzerwa nehutachiona nemamwe maratidziro e staphylococcus bacteria. Hutachiona hunoburitsa muchetura unokonzeresa kukuvara kweganda. Iko kukuvara kunogadzira mablister, sekunge ganda rakapiswa. Aya mablister anogona kuitika munzvimbo dzeganda kure nenzvimbo yekutanga.

SSS inowanikwa kazhinji muvacheche uye vana vari pasi pemakore mashanu.

Zviratidzo zvinogona kusanganisira chero zvinotevera:

• Blisters
• Kupindwa nechando
• Nzvimbo dzakakura dzeganda rinosvuuka kana kudonha (exfoliation kana desquamation)
• Ganda rinorwadza
• Kutsvuka kweganda (erythema), iyo inopararira kuvhara yakawanda yemuviri
• Ganda rinotsvedza zvine hunyoro kumanikidza, richisiya nzvimbo nyoro nyoro (chiratidzo cheNikolsky)

Anopa hutano anoita bvunzo dzepanyama uye otarisa ganda. Bvunzo dzinogona kuratidza kuti ganda rinotsvedza kana rakwizwa (yakanaka Nikolsky chiratidzo).

Miedzo inogona kusanganisira:

• Yakazara kuverenga ropa (CBC)
• Tsika dzeganda, huro nemhino, uye ropa
• Electrolyte bvunzo
• Ganda biopsy (mune zvisingawanzoitika zviitiko)

Mishonga inorwisa mabhakitiriya inopihwa nemuromo kana kuburikidza netsinga (intravenously; IV) kubatsira kurwisa hutachiona. Mvura dzemu IV dzinopihwawo kudzivirira kupera mvura mumuviri. Yakawanda yemvura yemuviri inorasika kuburikidza neganda rakavhurika.

Kunyorovera kumanikidza kune ganda kunogona kusimudzira nyaradzo. Unogona kuisa mafuta ekuzora kuti ganda riome. Kuporesa kunotanga anenge mazuva gumi mushure mekurapwa.

Kudzoreredza kwakazara kunotarisirwa.

Matambudziko anogona kuguma anosanganisira:

• Chikamu chisina kujairika chemvura mumuviri chinokonzeresa kushomeka kwemvura kana kusaenzana kwemagetsi
• Kudzora kwekushisa tembiricha (muvacheche vadiki)
• Utachiona hwakanyanya hweropa (septicemia)
• Kupararira kune yakadzika hutachiona hweganda (cellulitis)

Fonera waunopa kana kuenda kuimba yekukurumidzira kana uine zviratidzo zvechirwere ichi.

Dambudziko racho rinogona kunge risingadziviriki. Kurapa chero hutachiona hwe staphylococcus nekukurumidza kunogona kubatsira.

Ritter chirwere; Staphylococcal scalded ganda chirwere; SSS

Paller AS, Mancini AJ. Hutachiona, mycobacterial, uye protozoal hutachiona hweganda. Mune: Paller AS, Mancini AJ, eds. Hurwitz Clinical Pediatric Dermatology. 5 ed. Philadelphia, PA: Elsevier; 2016: chitsiko 14.

Pallin DJ. Zvirwere zveganda. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 129.