Beshiha gomilki ICD code 10. Erysipelas

Erysipelas is an infectious - allergic disease of a child and a pediatric blood cell, which is hostile to the superficial lymphatic system of a child, which is a victim of hemolytic streptococcus of group A.

Code for the international classification MKH-10 ailment:

Erysipelas is a streptococcal grief, which is characterized by a fever of children from the apparitions of a very intermittent igniter, as well as feverish symptoms and symptoms of extravagant intoxication, and frequent relapses.

Erysipelas: Causes

Riziku factories

Whether it’s a firing process of a child The appearance of scars on a child (surgery, injuries) Lymphostasis Trophical changes of a woman’s immunodeficiency, visnazhennya Sickness to a disease Sensitization of a child’s agony before.

Pathogenesis. As a result, the infusion of streptococci and toxins develop serous or serous - hemorrhagic inflammation in the school, which will accelerate in case of severe interruption of hyperinfiltrated tissue and necrosis. Lymphangitis, arteritis, phlebitis develop. The infusion of streptococci into an organism as a whole manifests itself in intoxicating, toxic lesions of internal organs, and in the form of secondary diseases.

Pathomorphology

Nabryak Vasodilatation, enlargement of lymphatic vascular disease, inflammation of the process of neutrophils, lymphocytes and fiery cells.

Classification of fired homilka

In the photo, the form of beshihi is important

The face will be widened according to the size of the people in a fashionable way. On the basis of the development and development of symptoms, physicians classify ailments on a few pidrozdiliv.

Beyond the degree of severity, the erysipelas buvaє:

• easy, with weakly pronounced signs;
• middle, with evidently swelling symptoms, ale without acceleration;
• important, with strong acceleration and an important interruption of the disease.

Beshih symptoms

Erysipelas on homilkofootny slopes

Erysipelas: Diagnostics

Laboratory dosage

Leukocytosis (specific> 15 109 / L) with a leukocyte formula in the absence of a leukocyte formula, in addition to the SHOE Streptococcus hangs only at the early stages

Differential diagnosis

Erizipeloїdu (Mensch superelevation іntoksikatsіya, Je sverbіzh) Contact dermatitis (vіdsutnє pіdvischennya temperature tіla) Angіonevrotichny nabryak (vіdsutnє pіdvischennya temperature tіla) Scarlet fever (visipannya bіlsh poshirenі not suprovodzhuyutsya nabryakom) GVH (lokalіzatsіya - person, Mensch virazheny pіdyom temperature tіla, nayavnіst Anat) cartilage polychondritis shell Dermatophytes Tuberculoid leprosy Phlegmon.

Erysipelas: Method of treatment

Beshih gomіlki vimagaє trivial and easy-going lіkuvannya. As a rule, the indication for the hospitalization of such ailments is mute.

Dosage, lіkar zdіysnyuvav permanent control over the patient. Lіkuvannya can be carried out using different methods, and in some cases it is possible to carry out complex pіdhіd.

The main method of treatment is the medication method.

Have pershі 10 days at temperature adjustments the drug is a sign of fever-lowering drugs (for example, Paracetamol), you need to take a large amount of ridini (warm tea with raspberries, with lemon).

It is necessary to take care of the post-regime and correct eating(Zbіlshiti implantation of such fruits, like apples, pears, oranges, if there is no allergy, then you can have honey).

In addition, the drug is guilty of antibiotic drug abuse, for which the patient has no allergy (7-10 days). For many vicarious antibiotics, such as penicilin, erithromicin. The antibiotic can be used and mixed, that is, a powder is applied to the urazhene dilyanka, and the tablets are removed with a shrinkage. Burning shkiri is consumed with anti-burning methods.

In addition to muscular dosing with antibiotics, likuvati beshikhov can be infused with such substances, such as an ointment, for example, Erithromycin ointment. Ale in some vypadki such preparations are contraindicated.

Correctly assign the ointment to you if you can use your preferred drug. It is possible to prescribe a course of vitamins (groups A, B, C, E) and biostimulants.

Liku the birth of firing and physiotherapy (ultraviolet optimization, cryotherapy). Growth is fired for obovyazkovy lykuvannyu, in the first place, there is a heavy burden for itself (infection of blood, elephant ailment, necrosis, thrombophlebitis).

lykuvannya

tactics

anti-microbial therapy symptomatic lykuvannya pain and hot syndrome

Desintoxication therapy.
Vibor drugs Phenoxymethylpenicilin 250-500 mg of skin for 6 years (children 25-50 mg / kg / day in 4 doses) for at least 10 days. polyphenia is infused in the first 24-48 years In case of an important and accelerated overdose - preparations of a group of penicilin parenterally for 1 2 million OD of skin 4 6 years

alternative drugs

Erythromicin 250 mg 4 r / dobu (children 30-40 mg / kg / day in 4 doses) Cephalosporin.

Mistseve lіkuvannya imperturbable і erythematous form - vologo - hang dressings with r - rami nitrofuran or ethacridine bullose form - for the primary processing of bully, apply bandages with r - rum of nitrofuran. At the commonplace, dressings with ectericide, Shostakovsky's balm are prescribed.

accelerating

Thrombosi podlyagayut sudin Gangrene of the disease Sepsis Scarlet fever Pneumonia Meningit.

Overbig i forecast

Outside ovulation with adequate treatment Chronic lymphedema (elephantiasis) or scar with chronic recurrent interruption.

vіkovі specialties

Children In children of the first rock of life, an ethological factor can be a group B streptococci, which is characterized by a lack of temperament in the anterior cervical stage. sickness of the heart of the energetic development of the heart failure.

prophylaxis

Likuvannya. Most effective antibiotics of the penicilin series.

In case of first-rate pizza and minor relapses, a penicilin should be prescribed about a dose of 500,000 OD after 6 years for 7-10 days, at the end of the course, additionally, bicilin - 5 (1,500,000 OD IM) should be administered.

In case of significant surplus lesions, for the prevention of recurrences, bicillin - 5 should be injected with a stretch of 4 - 6 m / s (1,500,000 OD in 4 periods). In case of intolerance to penicilin, it is possible to sign erithromycin (0.3 g 5 times a day) or tetracycline (0.3 - 0.4 g 4 times a day), the course is trivial 7-10 days.

With lax and frequent relapses, antibiotics should be combined with corticosteroids (prednisolone 30 mg / dob).

professional come in

Prevention of madness is necessary to prevent recurrences of sickness. Get sick easily.

Prevention includes a number of visits. Direct contact between the sick and the members of the family is necessary without intervening.

Kharchuvannya is good at being versatile and balanced.

Do not let the shkiri shkokojen, respectfully follow the country and see the special service. M_sce urazhennya with a peak is more beautiful not to wet with water. Naymensche poshkodzhennya or infection can provoke relapses and illnesses. Prophylaxis is also a problem in the fact that you are already getting sick and inherited: fungus, eczema, tonsillitis, thrombophlebitis. For the development of an infectious disease - staphylococcus, necessary preparations - antibiotics. Prevention is especially important for people who suffer from varicose veins and red diabetes... Yaksho viyavili at home anxiety symptoms, It is inaccurate to beat up to the fakhivtsya, but in the commonplace it didn’t bring a lot of problems.

In any case, do not indulge in self-indulgence, for that, traces of it may not be transferable. Do not use any drugs or medications (antibiotics, ointment) on their own. Remember, only the car can correctly diagnose and prevent adequate diagnosis.

Post Views: 3 401

RCHRH (Republican Center for Development of Health Protection of the Ministry of Health of the Republic of Kazakhstan)
Version: Clinical protocols of the Ministry of Health of the Republic of Kazakhstan - 2016

Short description

caught
Ob'ednanoi komisієyu for yakistyu medical services
Ministry of Health Protection and Social Development of the Republic of Kazakhstan
from "9" worm 2016 rock
Protocol No. 4

erysipelas(English Еrysipelas) - ailment infection people who suffer from β-hemolytic streptococcus of group A and against in the state (primary) or chronic (recurrent) forms with severe symptoms of intoxication and intermediate serous or serous-hemoorrhea.

Specialized codes for ICD-10 and ICD-9 (if there are more than 5 codes, it will be added to the standard protocol):

to the protocol: Infections, therapies, drugs home practice, Lykary shvidkoi inconvenient help, Paramedics, surgeons, dermatovenerologists, obstetrician-gynecologists, physiotherapists.

Evidence scale:

Classification

CLINIC CLASSIFICATION peaks(Cherkasov V.L., 1986).

By leak rate:
· Pervinna;
· Repeated (in case of repeated incapacitation through two fate or more after the initial incapacitation, either in a larger early term, or in case of the localization process);
· Recurrent (recurrent erysipelas in the period from several days to 2 years with the same localization process. Often recurrent erysipelas - 3 recurrences and more in the case of the same localization process). Early recurrence peaks occur in the first 6 months from the ear of ailments, and in the first 6 months.

For the nature of the muscular manifestations:
· Erythematous;
· Erythematous-bullogenous;
· Erythematous and hemorrhagic;
· Bullose-hemorrhagic.

For localization of the music process:
· Individuals;
· Hairy part of the head;
· Verkhnіkh kіntsіvok (by segments);
· Lower kintzivok (by segments);
· Tuluba;
· Article bodies.

Beyond the degree of gravity:
· Easy (I);
· Moderately severe (II);
· Vazhka (III).

For the broadening of muscular manifestations:
· Localized (the muscle process will populate one anatomical region (for example, a homily or a person));
· Expanded (mіgruyucha) (the muscular process will populate a number of summery anatomical regions);
· It is metastatic from any kind of diagnosis from one specific point of view (e.g., a woman, a person, etc.).

Folding peaks:
Mistsev (abscess, phlegmon, necrosis, phlebitis, periadenitis and in.);
· Zagalny (sepsis, ІTSh, thromboembolism of the leg artery, nephritis, etc.).

Peak beads:
Stiky lymphostasis (lymphatic swelling, lymphedema);
· Secondary elephantiness (fibredema).
In the open-minded clinical diagnosis, it will be necessary to reveal the presence of fellow illnesses.

Apply the diagnosis formula:
Primordial mug of the right half of revealing, erythematous-bully form, middle grade of gravity.
Recurrent erysipelas of livoy homily and feet, bullose-hemorrhagic form, severe degree of severity. Folding: Phlegmon of livoi homilka. Lymphostasis.
Supportive discomfort: epidermophyte of feet.

Diagnostics (outpatient)

DIAGNOSTICS AT THE AMBULATOR RIVNI **

diagnostic criteria

skargi:
· Adjusted temperature up to 38 - 40 ° С;
Chills;
· head b_l;
· Weakness, nezuzhannya;
· Myazovi boli;
• tediousness of blues;
· Paresthesia, especially the diagnosis of pain, low pain, and pain in the area of ​​shkiri.

anamnesis:
· Gostry ear of ailment.

Provoking factors:
· Damage to the integrity of shkirnykh crooks (sadna, podryapini, comb, pricks, scuffs, tricky, etc.);
· Hit;
Rizka temperature change (overcooling, overheating);
· Insolation;
· Emotional stress.

Friendly factors:
Background (supportive) ailment: mycoses of feet, diabetic diabetes, obesity, chronic venous deficiency(Varicose veins ailment), chronic (nubular or inconvenient) lack of lymphatic sudins (lymphostasis), eczema and in.;
Detection of chronic streptococcal infections: tonsillitis, otitis media, sinusitis, caries, periodontal disease, osteomyelitis, thrombophlebitis, trophic infections (often with pizza lower);
· Professionals of education, tied with advanced traumatization, obstruction of shkіrnyh pokrivіv, wear of humus swelling and іn.;
· Chronic somatic illness, in some cases, there is a decrease in anti-infectious immunity (often in the summer).

Physical details:

Erythematous peak shape:
· Erythema (clearly seen for a hyperemic school with uneven boundaries at the viglyadi teeth, a half-word, "geographic picture");
· Infiltration, napruga of shkiri, relief of soreness during palpation (more on the periphery), temperature increase in the area of ​​urine;
· "Peripheral roller" at the edge of the infiltrated and growing edges of the region;
· Nabryak shkiri, which will expand beyond the boundaries of the eritemi;
· Regional lymphadenitis, pain on palpation in the area of ​​regional lymphadenitis, lymphadenitis;
· Overrides the localization of the muscular ignition process on the lower ends and faces;
· The appearance of swelling pains in the head is hot in the calm.

Erythematous-bullogenousthe formpeaks:
· Bulbashki (bully) on aphid beshikhovoy eritemi (div. Vishche).

Erythematous-hemorrhagicthe formpeaks:
· The bloodshed of small petechias to the great angry hemorrhages in the shkira on the beshikhovoy eritemi (div. Vishche).

Bullose-hemorrhagicthe formpeaks:
· Bulbashki (bully) of early growths on aphids of madness, stored with a hemorrhagic or fibrous-hemorrhagic exudate;
· Great bloodshed in the shkіra in the region of eritemi.

criteria of gravity peaks:
· Intensity of symptoms of intoxication;
· The breadth and nature of the muscular process.

Easy (I) form:
· Subfebrile temperature, mild symptoms of intoxication, triviality of a hot period 1-2 days;
· Localization (often erythematous) of the muscle process.

Moderate (II) form:
Increased temperature up to 38 - 40 ° C, triviality of a hot period 3-4 days, along with symptoms of intoxication (headache, chills, muscle pains, tachycardia, hypotonia, some nausea),
· Localization of any expansion of the process, wandering two anatomical areas.

Vazhka (III) form:
Temperature of 40 ° C and more, triviality of a hot period more than 4 days, symptoms of intoxication (adynamia, severe headache, repeated bloating, innocent madness, dullness of fever, heart disease)
· Rotations of the muscle process, frequent enlargements, often with the manifestation of great bullae and hemorrhages, during the daytime, rapid changes in symptoms of intoxication and hyperthermia.

Laboratory dosage :
· Zagalny analysis of blood (OAC): amid leukocytosis with neutrophilic hypoxia of the formulation, as well as increasing the rate of formation of erythrocytes (SHOE);
· Zagalny analysis of the sech (OAM): in important cases - oliguria and protein, in the sediment - erythrocytes, leukocytes, hyalin and granular cylinders.

Instrumental doslіgennya: nonspecific.

Diagnostic algorithm:(Scheme)

Diagnostics (stationary)

DIAGNOSTICS on the stationary РІВНІ **

Diagnostic criteria at the stationary level [ 1,2]

skargi:
Likhomanka (T 38-40 o C);
Chills;
· Weakness;
· Mlyavist;
· Nezduzhannya;
· Head b_l;
• loss of sleep;
· Decreased appetite;
· Lomota in tili;
· Nudota і bloat;
· Destruction of svidomostі;
· Sudomi;
· Paresthesia, feeling a little painful, not intense pain, reason, visibility in the area of ​​shkiri.

anamnesis:
· Gostry ear of ailment.
The presence of provocative officials:
· Damage to the integrity of shkirnykh crooks (sadna, podryapini, wounds, scratches, pricks, scuffs, tricky and іn.);
· Hit;
Rizka temperature change (overcooling, overheating);
· Insolation;
· Exchange therapy;
· Emotional stress.
Identification of factors:
Background (supportive) ailment: mycosis of feet, congestive diabetes, obesity, chronic venous insufficiency (varicose veins ailment), chronic (nubular or vrogena) lack of lymphatic zymphitis (lymphostasis), ta_
Detection of chronic streptococcal infections: tonsillitis, otitis media, sinusitis, caries, periodontal disease, osteomyelitis, thrombophlebitis, trophic infections (often with pizza lower);
· Professionals of education, tied with advanced traumatization, obstruction of shkіrnyh pokrivіv, wear of humus swelling and іn.;
· Chronic somatic illness, in some cases, there is a decrease in anti-infectious immunity (often in the summer).

Physical details:
Mitzsevoy process (in 12-24 years after the ear is caught) - bil, hyperaemia and embryo of ugly dilyanka shkiri (in the area of ​​accusation, tuluba, kintzivok and in okremikh vipadkah - on mucous membranes).

Erythematous form:
· Urazhena dilyanka shkiri is characterized by erithema, bulging and pain. The erythema of іvnomіrnoy yaskravyo zaravlennya with clear cordons with a tendency to peripheral widening, is carried over the іntactnoy school. The edges of the wrong form (in the viglyad "languages ​​of the half", "geographic picture"). In the place where the shkiri peeling can be found on the site.

Erythematous-bulloza form:
· To fix it by itself, as is the matter of the subject. However, in 1-3, at the moment of becoming ill at the time of the disease, it appears that the epidermis is displayed and the growth of the bulb is adopted, which is stored with a gray vmist. Nadal bulbs burst, and on the other mice, a brown pick is formed. Pislya їkh vіdtorgnennya is visible young nіzhna skіra. In the vicinity of the drops on the bulb, there are erosions, which transform into trophies.

Erythematous-hemorrhagic form:
· On the tlі eritemi there are bloodshed in the battle of dіlyanka shkіri.

Bullose-hemorrhagic form:
· The counterpart is similar to the erythematous-bullozy form, however, setting itself up in the process of becoming ill on the spot of the bulbash is not serous, but hemorrhagic exudate.
· Regional lymphadenitis (the increase and the prevalence of regional diseases in relation to the increase in the number of children in schools of lymphatic universities).
· Lymphangitis (late form of the shkiri, which is superfluous to hyperemia, inferiority and ailment).

criteria of gravity peaks:
· Intensity of symptoms of intoxication;
· The breadth and nature of the muscular process.

Easy (I) form:
· Subfebrile temperature, mild symptoms of intoxication, triviality of a hot period 1-2 days;
· Localization (often erythematous) of the muscle process.

Moderate (II) form:
Increased temperature up to 38 - 40 ° C, triviality of a hot period 3-4 days, along with symptoms of intoxication (headache, chills, muscle pains, tachycardia, hypotonia, some nausea);
· Localization of any expansion of the process, wandering two anatomical areas.

Vazhka (III) form:
Temperature of 40 ° C and more, triviality of a hot period more than 4 days, symptoms of intoxication (adynamia, severe headache, repeated bloating, innocent madness, dullness of fever, heart disease)
rotations of the muscle process, infrequently enlargements, often with the manifestation of great bullae and hemorrhages, during the daytime, rapidly increasing symptoms of intoxication and hyperthermia.

Laboratory dosage
UAC: leukocytosis, neutrophilosis with stab malignancies, thrombocytopenia, reduction of SHOE.
OAM: proteinuria, cylindruria, microhematuria (with an important interruption of the disease as a result of toxic lesions of nirok).
· C-reactive block: move in place.
· Biochemistry analysis of blood (as shown): viznennya instead of zalny bottle, albumin, electrolytes (calcium, sodium), glucose, creatine, sechovine, surplus nitrogen).
Coagulogram: in case of lesions in the thrombocytic, procoagulant, fibrinolytic lankas in ailments with important hemorrhagic forms of the peak - the hour of the larynx of blood, active thromboplastinic thromboplastin hour, prothrombinosexin
· Tsukor krovі (after shown);
· Immunogram (shown).

· EKG (behind shown);
· Radiography of the organs of the breast cell (as shown);
Ultrasonic inspection of organs black wastes, Nirok (behind the show).

diagnostic algorithm

Switching of the main diagnostic entries:
· UAC;
· OAM.

Change of additional diagnostic entries:
· Biochemistry analysis of blood: C-reactive block, zagalny block, albumin.
With the development of gosstroi nirkova lack of - calories, sodium, glucose, creatinine, sechovina, excess nitrogen;
In case of damage in the forehead-thrombocytic lance: coagulogram-hour of blood larynx, activation of partial thromboplastin hour, prothrombinovy ​​index, fibrinogen, thrombin hour.
· Tsukor krovі (after shown);
· Immunogram (shown).

instrumental doslіgennya
· EKG (behind shown);
· Radiography of the organs of the breast cell (as shown);
· Ultrasonic inspection of organs of the worms empty, nirok (behind shown).

Differential diagnosis

Differential diagnosis and soil priming

Differential diagnosis in the localization of the peak on the face

Likuvannya beyond the cordon

Take a lykuvannya in Korea, Izrail, Nimechchin, USA

Otrimati the consultation on medturism

lykuvannya

preparations ( diyuchі speeches)

A group of drugs in the absence of ATC, which can become stagnant during drug use

Likuvannya (outpatient clinic)

LIKUVANNYA ON AMBULATORNY RIVNI **

tactics of addiction.
In the outpatient minds, there are mild forms of the peak.

non-drug treatment

Post-mode
dієta: zagalny style (no. 15), ryasne pittya. If there is evidence of a congenital pathology (diabetic diabetic, sickness nirok and іn.)

Drug treatment

Ethiotropic therapy. In case of ailments in the minds of the polyclinic, it should be noted that one of the lower-distribution antibiotics is given:
· 1 000 000 OD x 6 times / dobu, v / m, 7-10 days [UD - A];
abo
· Amoxicilin / clavulanate in a dose of 0.375-0.625 g every 2-3 / times for 7-10 days [UD - A];
abo macrolidi:
· Erythromicin vseredin 250-500 mg 4 times / add 7-10 days [UD - A];
· Azithromycin in the middle - on the 1st day, 0.5 g, at least 4 days - 0.25 g once a day (or 0.5 g for 5 days) [UD - A],
abo
· Spiramycin all-in-the-middle - 3 million MO each twice for dobu (course of treatment 7-10 days) [UD - A]
abo
· Roxithromycin vseredin - 0.15 g twice a day (course of treatment 7-10 days) [UD - A] abo in.
abo fluorohіnoloni:
· Levofloxacin vseredin - 0.5 g (0.25 g) 1-2 times a day (course of treatment 7-10 days) [UD - A].

Pathogenetic therapy:
Non-steroidal antiapaline drugs (contraindications for hemorrhagic peak forms):
· Indomethacin 0.025 g 2-3 times for doba, in the middle, stretching for 10-15 days [UD - V]
abo
· Diclofenac 0.025 g 2-3 times for doba, in the middle, stretching for 5-7 days [UD - V]
abo
· Nimesulid 0.1 g 2-3 times for doba, all-in-the-middle, stretching for 7-10 days [UD - V]
abo
· Ibuprofen 0.2 g, 2-3 times for doba, in the middle for 5-7 days [UD - B].

symptomatic therapywith recklessness,

abo
paracetamol 500 mg, internally [UD - B].

desensitizing therapy:
· Mebgidrolin vseredin 0.1-0.2 g 1 2 times for dobu [UD - C];
abo
· Khifenadin vseredin 0.025 g - 0.05 g 3-4 times for dobu [UD - D];
abo

abo

abo
· Loratadin 0.01 g each in the middle 1 time per doba [UD-B].

Antibacterial therapy:
Benzylpenicilin natrієva sil, Powder for the preparation of razchinu for internal'yazovogo introduction in the bottle 1000000 OD [UD - A];
abo
· Amoxicilin / clavulanate 375mg, 625 mg, internal [UD - A];
abo
· Azіtromіtsіn 250 mg, vseredin [UD - A];
abo
· Erythromicin 250mg, 500 mg, internal [UD - A];
abo
· Spiramycin 3 million MO, in the middle [UD - A];
abo
· Roxithromycin 150mg, vseredin [UD - A];
abo
· Levofloxacin 250 mg, 500 mg, internally [UD - A].

abo

abo
· Nimesulide 100 mg vseredin [UD - B];
abo
· Ibuprofen 200 mg, 400 mg, internally [UD - A];
abo
· Paracetamol 500 mg, internal [UD - A];
abo

abo

abo

abo

abo
· Cetirizine 5-10 mg, vseredin [UD - B].

Table of medicines

· Consultation of an endocrinologist: for adolescent ailments - diabetic, obese;
· Consultation of a rheumatologist: for differential diagnostics from the university;
· Consultation of an obstetrician-gynecologist: at pizza at vagіtny women;
· Consultation of a clinical pharmacologist for the correction and preparation of the treatment;

professional come in:

On PHC: primary prevention:
· Information of the patient for the reduction of microtraumas, troubles, hypothermia, retardation of special hygiene, fungal and gnaynichkov diseases of the shkiri.

Secondary prophylaxis (relapse and acceleration):
· Daily and recurrent etiotropic and pathogenetic therapy of primary illness and relapses;
· Likuvannya swirling overwhelming manifestations - erosions, preserving embryos in the area of ​​the muscular midsection, inherited peaks (strong lymphostasis, elephantiasis);
· Likuvannya trivialo and easily oppose the chronic illnesses of the shkiri, which will lead to the destruction of the trophism and the appearance of external gates for infection;
· Lіkuvannya vognischichnoy streptococcal infections (chronic tonsillitis, sinusitis, otitis and іn.);
· Likuvannya deterioration of lymphatic and blood circulation in the school as a result of primary and secondary lymphostasis and elephantiasis; chronic ailments of peripheral sudins; lіkuvannya obesity, diabetic diabetes (frequent decompensation of which is spontaneous with pizza);
· Bitsilinoprophylaxis.
Prophylactic introduction of Bitsilin-5 is effective in a dose of 1500000 OD 1 time in 3-4 modern convalescents during the recurrent therapy of the peak during the period of illness. Before the introduction of desensitizing drugs, it is recommended to use desensitizing drugs in 15-20 minutes for the reduction of allergic reactions.
Find the advancing methods of bicillin prophylaxis:
· Cyloric (in case of frequent relapses) for 2-3 rockets with an interval of the introduction of the drug 3 times (in the first month, the interval can be up to 2 times);
· Seasonal (lasting 4 months three seasons). The drug should be repaired in a month before the ear for the season of illness;
· One-year course for early relapses in the period of 4-6 months after the postponed illness.

Monitoring the patient: carried out by the doctors of the KIZ / doctors of the out-of-home practice from the doctors of the doctors of the other specialties by the path of the dispensary.

Clinical examinations for:
· 1 group - individuals, in which there are parts, not less than 3 for the last ric, recurring peaks;
· Group 2 - individuals that may bend the seasonal nature of the recurrence;
· 3 group - individuals with prognostically unpleasant overwhelming pests in case of a hospitalization.

For the 1st group:
Regular, not earlier than 1 time in 3 months, likarsky look back at the sick, so that I will be able to quickly develop destructions, the growth of lymphostasis, exacerbation of chronic sufferers ailments of chronic illnesses
· Systematic laboratory monitoring of ailments, including clinical analysis of blood, determination of the level of C-reactive battery. Prophylactic cyclin (without interruption) for 2-3 years of administration to Bitsilin-5, 1.5 million OD 1 time in 3-4 hours, IM (1 year before the introduction of Bicillin - 5 antihistamines are required).
· Repeated physiotherapeutic treatment in the presence of strong lymphostasis.
· Sanitation of chronic ENT infections.
· Lіkuvannya shkіrnoї prypіlostі, mіkozіv and іnshih fellow patients ailments shkіri.
· Lіkuvannya in special treatment facilities of chronic ailments of Sudin, endocrine ailments.
Pracevlashtuvannya ailments at unwelcoming minds robots. Dispensary for the prevention of ailments in a group of groups for 2-3 years (if there are recurrences). The maximum term of caution (3 fatalities) will require ailments with especially tight congenital malformations (trophic malformations, minor defects of the skin, lymphorrhea, malignant spines of the school, if you have suffered from hyperkeratosis, papillomavia)

For the 2nd group:
· Regular lykarskiy look-up is not more than 1 time per 6 months.
· Schorichne laboratory routine before the relapse season (clinical analysis of blood, viznachennya level of C-reactive battery).
· Prophylactic seasonal introduction of Bitsilin-5 (1.5 million OD 1 time per add, i / m (1 year before the introduction of Bicillin - 5 antihistamines are required) for 1 month before the ear of the season of sickness-sickness from 3 stretching 3-4 months, usually 3 seasons.
· In case of obvious indications - sanation of chronic ENT infections, treatment of other chronic diseases of children and in.

For the 3rd group:
· Lykarskiy look-over in 1-4 months if necessary, and in 6 months after the transferred illness.
· Laboratory maintenance for the ear and the end of the dispensary care (clinical analysis of blood, identification of the level of the C-reactive cell).
· Physiotherapeutic treatment is predictive of unpleasant surplus pikes.
· Course pro_lactichne introduction of Bitsilin-5 at intervals of 3 times, stretching for 4-6 months.

Criteria for the effectiveness of dispensary caution and treatment of individuals who have moved the peak:
· Reduction of recurrence of ailments, decrease in the number of cases;
· Kupiruvannya nabryakosyndroma, persistent lymphostasis, other surplus symptoms and inherited ailments.

Likuvannya (shvidka dopoga)

DIAGNOSTICS І LIKUVANNIA AT STAPS SHVIDKOЇ NEVIDKLADNOЇ HELP

The opportunity for outpatient treatment is to transfer the asset to the clinic for a sick person's life.

Hospitalization in the hospital for shows.

Transport a sick person with a car with a help in the position of the bed pain syndrome and sign of intoxication.
For lowering the temperature and relief of pain syndrome, the introduction of 2.0 ml of 50% analgin (it is possible in combination with 1% diphenhydramine 2.0).

Likuvannya (stationary)

LIKUVANNYA on stationary RIVNI **

tactics of addiction

non-drug treatment

Post-mode- to normalization of temperature, in case of severe lower symptoms - by stretching out the period of failure.
Diet №15 - povnotsinna, easily digestible їzha, ryasne pittya. If there is evidence of a congenital pathology (diabetic diabetic, sickness nirok and іn.)

Drug treatment

Ethiotropic therapy

In case of intolerance to antibiotics of the penicillin and cephalosporins, one of the antibiotics of the other classes (macrolide, tetracycline, sulfanilamide and co-trimoxazole, rhymecytosis) is formed.
Preparations for the elimination of important forms of the peak - carbapenemi (imipenem, meropenem), glycopeptides (vancomicin, teicoplanin).

Treatment of recurrent peaks carried out in the minds of the stationary. Obov'yazkova signs of reserve antibiotics, which were not vicarious in the case of early recurrences - cephalosporin:
Cefazolin 1.0 g 3-4 times for doba, 10 days;
abo
Ceftriaxone 1.0 - 2.0 g x 2 times / add., V / m, i / v, 10 days;
abo
Cefuroxime, 0.75-1.5 g each, 3 times per dose, i.m., i.v., 10 days;
abo
· Cefotaxime 1-2 g 2-4 times for doba, i / v, i / m, 10 days.
With frequent recurrent pizza 2 course of treatment:
1 course: cephalosporin (10 days), break 3-5 days,
2nd course: antibiotics bacteriostatic diy (Viboru drug - antibiotics for a number of lincosamides: lincomicin 0.6-1.2 g 1 - 2 times a day internally, or 0.5 g every three days a day), 7 days.

Pathogenetic therapy:

detoxification therapy(The number of children is strictly controlled over the indicators of additional deiuresis, obsyag rіdini, which is introduced at the level of gravity) :
At the middle stage of the severity of the infectious process, we have a problem - a puffiness with a size of 20-40 ml / kg.
At an important stage of the infectious process - parenteral administration of isotonic (0.9% sodium chloride, 400; 0.5% glucose range, 400.0 and іn.) to zalnyy obsyazі 1200-1500 ml stretching 3-5 days.

Non-steroidal antiapalny drugs(One hour with antibiotic therapy with urahuvannyam contraindication, course 7-10 days):
· Indomethacin 0.025 g 2-3 times for doba, all in the middle [UD - B];
abo
· Diclofenac 0.025 g 2-3 times for doba, in the middle, for 5-7 days [UD - V];
abo
· Nimesulid, 0.1 g 2-3 times for doba, vseredinu, stretching for 7-10 days [UD - V];
abo
· Ibuprofen 0.2 g, 2-3 times for doba, in the middle for 5-7 days [UD - B].

Desensitization therapy:
· Mebgidrolin vseredin 0.1-0.2 g 1 2 times for dobu [UD - C];
abo
· Khifenadin vseredin 0.025 g - 0.05 g 3-4 times for dobu [UD - D];
abo
· Chloropyramine is viseredin 0.025 g 3-4 times per doba [UD - C];
abo
· Cetirizine in a dose of 0.005-0.01 g 1 time per dob, 5-7 days [UD-B];
abo
· Loratadin, 0.01 g each, 1 time per doba [UD-B].

glucocorticosteroids It is recognized in case of a relapsing peak, with a development of lymphostasis: prednisolone in the middle, 30 mg each for an additional dose reduction (course dose of 350-400 mg) [UD - V].

For the improvement of microcirculation and rheological powers of blood, with antiaggregant methyu(For urahuvannya indicators of coagulograms):
· Pentoxifylline 2% solution 100 mg / 5 ml, 100 mg in 20-50 ml 0.9% sodium chloride, intravenous course from 10 days to 1 month [UD - B];
abo
· Heparin pidshkirno (through skin 6 years) 50-100 OD / kg / add 5-7 days [UD - A];
abo
· Warfarin 2.5-5 mg / day, in the middle;
abo
Enoxaparin sodium 20-40 mg 1 time / add s / c.

symptomatic therapy

With recklessness:
one of the following drugs:
· Ibuprofen 200 mg, 400 mg, 3-4 times a day [DD - B];
abo
· Diclofenac 75 mg / 2 ml, IM [UD - B];
abo
· Paracetamol 500 mg, internally, with an interval not less than 4 years [UD - B];
abo
· Paracetamol (1 g / 6.7 ml) 1.5 g-3 g for dob on / in [UD - B].

the main lykarsky zasobiv
· Benzylpenicilinu sodium sil, for internal introduction of 1,000,000 units;
Abo ceftriaxone, for internal and external introduction 1g.
Abo ciprofloxacin, for infusion 0.2%, 200 mg / 100 ml; 1% razchin, 10 ml each (concentrate for dilution);
Abo gentamicin sulfate, 4% for ін'єкцій 40 mg / 1 ml in 2 ml ampoules;
Clindamycin, for internal and internal injection of 150 mg / ml, in 2 ml.
Abo cefazolin, for internal and internal introduction, 0.5 g, 1.0 g, 2.0 g.
Abo lincomicin, for internal and internal introduction, 300 mg, 600 mg.
Abo cefuroxime, intravenous and intramuscular injection, 750mg, 1.5g.
Abo cefotaxime, i / v and i / m introduction, 1.0 m

Pereolikh predatkovyh lykarskiy zasobіv
Sodium chloride 0.9% - 100, 200, 400 ml
· Glucose 5% - 400 ml;
Megglumina succinate for infusions 400.0
· Indomethacin 25 mg, vseredin [UD - B];
abo
· Diclofenac 25 mg, 100 mg, vseredin [UD - B];
abo
· Nimesulide 100 mg vseredin [UD - B];
abo
· Ibuprofen 200 mg, 400 mg, internally [UD - B];
abo
· Paracetamol 500 mg, vnutr_shno [UD - B];
· Mebgidrolin, 100 mg, internal [UD-S];
abo
· Khifenadin, 25 mg, vseredin [UD-D];
abo
· Chloropyramine 25 mg, vseredin [UD - C];
abo
· Loratadine 10 mg, vseredin [UD - B];
abo
· Cetirizine 5-10 mg, vseredin [UD - B];
· Prednizolone 5 mg, vseredin [UD - A];
Pentoxifylline 2% solution 100 mg / 5 ml, 100 mg in 20-50 ml 0.9% sodium chloride, ampoules.
Heparin, 1 ml / 5000 OD, 1.0 ml ampoules, 5.0 ml, 5.0 ml each.
abo
· Warfarin 2.5mg, in the middle;
abo
Enoxaparin sodium 20-40 mg, syringe for s / c.

Table of medicines:

Hirurgicne involvement

In the gostromu period with erythematous-bullose forms of rabies:
· Roztin non-shkodzhenikh bulbashak, visible to eksudat, application of a bandage with vivid antiseptics (0.02% furacilin, 0.05% chlorhexidine, 3% vodny peroxide).

With great moistening erosions:
· Mistseve lykuvannya - manganese baths for dazzling, then applying a dressing with a strong antiseptic.

In case of gn_ine-necrotic acceleration of the beshih:
· Hirurgic wound dressing - hanging necrotic tissue, applying a bandage with strong antiseptics.
A categorically contraindicated ointment dressing (ichthyol ointment, Vishnevsky's balm, ointment with antibiotics) in the period of ailment.

Інші vidi lіkuvannya

physiotherapy
Suber darker doses of UFO to the area of ​​ultrasonic frequency firing and to the area of ​​regional lymphatic universities (5-10 procedures);
The method of low-intensity laser therapy with antiapalis, for normalization of microcirculation in the heat, renewal of rheological powers of blood, strengthening of reparative processes from 2 to 12 sessions, with intervals of 1-2 divs

Shown for consulting fahivts:
· Consultation of the surgeon: for differential diagnosis of abscesses, phlegmon; with important forms of rabies (erythematous-bullose, bullose-hemorrhagic), surgical accelerated (phlegmon, necrosis);
· Consultation of angiohirurg: in the development of chronic venous insufficiency, thrombophlebitis, trophic disorders;
· Consultation of a dermatovenerologist: for differential diagnosis of contact dermatitis, mycoses of the feet;
· Consultation of a resuscitator: appointment of an indication for transfer to OARIT;
· Consultation of an endocrinologist: for adolescent ailments - diabetics, obesity.
· Consultation of an otorhinolaryngologist: in case of diseases of ENT organs;
· Consultation of a clinical pharmacologist for the correction and treatment of therapy;
· Consultation of a physiotherapist: for the purpose of physiotherapy;
· Consultation of an allergologist for differential diagnostics with Kvinke.

Indicated for transfer to the form of intensive therapy and reanimation:
When developing, accelerated:
· Infectious-toxic encephalopathy;
· Infectious-toxic shock;
Secondary pneumonia and sepsis (in individuals who suffer from immunodeficiency).

Indicators of efficiency of treatment:

Clinical indicators:

For the first pizza:

· Kupiruvannya misce ignition process;
· Renovation of registration.
For repeated pizza:
· Reduction of general toxic syndrome (normalization of temperature);
· Lіkvіdatsіya abbreviated nabrichesky syndrome, stіyky lymphostasis, іnhh surplus lesions and inherited ailments;
· Change in the number of relapses.

laboratory indicators:
· Normalization of indicators of the UAC.

hospitalization

Shown for planned hospitalization: no.

Shown for emergency hospital(Infectious hospital / check-in or surgical check-up):
- medium-heavy and heavy perebіg peaks directly due to the localization process (especially bullose-hemorrhagic form of the peak);
- the manifestation of important companions' ailments independently of the stage of intoxication, the nature of the microbial process and its localization;
- In case of ailments over 70 years of age, ailment is directly related to the stage of intoxication, the nature of the microbial process and its localization;
- stretching the peaks on the smallest deterioration of lymphocytes and the incarceration of peripheral vascular disease, swelling defects of the skin (cicatrices, cicatrices, etc.), as a result of the stage of the toxicity process;
- parts of recurrence peaks and early recurrences not far from the stage of intoxication, the nature of the microscopic process and their localization;
- Slower peaks.

information

Dzherela and Literature

1. Protocols of the United Committee for the quality of medical services of the Ministry of Health and Social Development of the Republic of Kazakhstan, 2016
   1. 1) Infectious diseases: national health / Ed. N. D. Yushchuk, Yu. Ya. Vengerova. M .: GEOTAR-Media 2009, pp. 441-53. 2) Cherkasov V.L. Erysipelas. Certainty of internal ailments: those infectious ailments / Ed. V.I. Pokrovsky. M., 1996.S. 135-150. 3) Amireev S.A., Bekshin Zh.M., Muminov T.A. that in. standard value vipadkіv and algorithms of entry in case of infectious ailments. Practical posibnik, 2nd additional view. - Almaty, 2014 - 638 p. 4) Erovichenkov A.A. Erysipelas. Streptococcus and streptococosis / Ed. V.I. Pokrovsky, N.I. Brik, L.A. Ряпіс. M., 2006.S. 195-213. 5) Ryapis L.A., Briko N.I., Eshchina A.S., Dmitriyova N.F. Streptococcus: an out-of-the-box characteristic and methods of laboratory diagnostics / Ed. N.I. Brik. M., 2009.196s. 6) Erysipelas, a large retrospective study of aetiology and clinical presentation / Anna Bläckberg, Kristina Trell, and Magnus Rasmussen. BMC Infect Disease. 2015.7) A systematic review of bacteremias in cellulitis and erysipelas / Gunderson CG1, Martinello RA. JournalofInfection 2012 Feb.4. 8) A.A. Glukhov Suchasny pidhid to the complex treatment of the rabid / Fundamental research. -No.10.-2014. 411-415.

information

Fast, as vikoristovyu in the protocol:

List of publications:
1) Kosherova Bakhit Nurgalievna - Doctor of Medical Sciences, Professor, Republican State Enterprise at the RK "Karaganda State Medical University"
2) Kulzhanova Sholpan Adlgazievna - Doctor of Medical Sciences, AT "Medical University Astana", head of the Department of Infectious Diseases and Epidemiology.
3) Kim Antonina Arkadyevna - Candidate of Medical Sciences, RSE at the REM "Karaganda State Medical University", Associate Professor, Head of the Department of Infectious Diseases and Dermatovenerology.
4) Mukovozova Lidiya Oleksiyivna - Doctor of Medical Sciences, Republican State Enterprise on the REM "State Medical University of the City of Simei", Professor of the Department of Neurology and Infectious Diseases.
5) Nurpeisovoy Ayman Zhenayevna - PSE "Polyclinika No. 1" of the Department of health protection of the Kostanay region, which is responsible for the reports, the doctor-infectious, the head post-state infectious diseases of the Kostanay region.
6) Khudaybergenova Mahira Seydualievna - AT "National Science Center of Oncology and Transplantology", licar - clinical pharmacologist.

Conflict of interests:Відсутнє.

List of reviewers: Duysenova Amangul Kuandikovna - Doctor of Medical Sciences, Professor, Republican State Enterprise at the REM “Kazakh National Medical University imeni S.D. Asfendiyarova ", head of the department of infectious and tropical ailments.

Take a look at the protocol: re-examining the protocol through 3 years of writing and publishing it and from the date of joining it, or if new methods are evident with sufficient proof.

Attached files

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erysipelas- Infectious - allergic disease of the child and pediatric blood cells, which is hostile to the superficial lymphatic system of the skin, but it is victorious  - hemolytic streptococcus of group A.

Code for the international classification MKH-10 ailment:

cause

Riziku factories... Be a fiery shkiri process. Detection of scars on the screen (surgery, injuries). Lymphostasis. Trofiches of the homily. Immunodeficiency stays, visnazhennya. Sleepiness to become ill. Sensibilization of shkiri to Ag streptococcus.
Pathogenesis. V As a result of streptococcus infusion and toxins develop serous or serous - hemorrhagic inflammation in the school, so that it becomes slower in case of severe interruption of hypertrophic tissue and necrosis. Lymphangitis, arteritis, phlebitis develop. The infusion of streptococci into an organism as a whole manifests itself in intoxicating, toxic lesions of internal organs, and in the form of secondary diseases.
Pathomorphology... Nabryak. Vasodilatation, enlargement of lymphatic vessels. Infiltration by neutrophils, lymphocytes and other ignition cells. Swelling endotheliu. Revealing gram-positive cocks. Desquamation epidermisu. When the process is progressing, it is pretended to be plump, reminiscent of an eksudat. In important vipadkah - nekrozi shkiri.
Klinichna picture. The incubation period varies from decilkoh years up to 5 dB. Feeling sick with chills, backward weakness, headache, temperature changes up to 39-40 ° C, blues, swollen pains. In the first place, there is an embryo, hyperemia and soreness of an ugly dilyanka, which is very often surrounded by festoons, often in a healthy school. Please accept regional lymphoma and lymphoma. easy form characterized by a short-term (up to 3 dib) albeit low (up to 39 ° C) fever, in addition to toxicity, erythematous lesions of the same anatomical dilyanka. With a moderately heavy pizza, the fever is trivial up to 4-5 dB, the shkiri wear an erythematous - bulging or erythematous - hemorrhagic character. Important damage is caused by a rotational toxicity psychotic, Erythematous - bulloose bullose - hemorrhagic lesions of the great children of the school with frequent gniyno - septic accelerated (abscesses, gangrene, sepsis, infectious - toxic shock). Recurrence can occur through the bite of dib, or to return to the first place, often to reach recurrences, and peaks occur regularly. Chronically relapsing vvazhayut urazhennya, which is found in a stretch of 2 years of the first incidence of this localization (often on the lower pictures). Shkіrnі show up to repent from the sverblyachki and feel the tension of the shkіri, then, after a few years, it appears small in the fire of the world, to finish quickly to grow up in size. In the case of an erythematous form, the erythema is carried over the intact school, a little bit more barbed, read between the lines and tendencies to a peripheral widening. The land of the eritemi is wrongly shaped, it is clearly seen from the great shkiri. In case of erythematous - bullose forms, peaks on the mice of erythem appear as epidermis (chill for 1-3 at the time of illness), and the bulbs of grown-ups are established, stored in a gray vmist. Hemorrhagic crumbs are formed by the bulbs rosette, replacing them with a healthy one. In the last drops on the bulb, there can be established erosions with the transition to trophic curves. Erythematous - the hemorrhagic form of the peaks is analogous to the erythematous, when there are hemorrhages in the disease of the shkiri. Bullose - hemoragic form is developed as erythematous - bullose thymus, but bulbs are not serous, but hemorrhagic exudate. In the peripheral blood during the period of illness, neutrophilic leukocytosis appears from the pyocytic leukocytes, SHOE is improved.

diagnostics

Laboratory dosage... Leukocytosis (variable> 15109 / l) with a leukocyte formula in the absence of a leukocyte formula, increased by SHOE. Streptococcus hangs only in the early stages. Antistreptolizin O, antistreptogyaluronidazi, antistreptokinase. Positive seeding of blood cultures.
Differential diagnosis... Erizipeloidu (the mensh is rotated intoxication, є sverbіzh). Contact dermatitis (during the daytime temperature change). Nabryak Kvinke (daily temperature adjustment). Scarlet fever. VKV (lokalizatsiya - a person, the lesser of bends per temperature, the appearance of ANAT). Polychondritis of the cartilage of the auricle. Dermatophytes. Tuberculoid leprosy. Phlegmon.

lykuvannya

LIKUVANNYA
tactics... Anti-microbial therapy. Symptomatic treatment of pain and hot syndrome. Desintoxication therapy.
Vibor preparations... Phenoxymethylpenicilin 250-500 mg of skin for 6 years (for children 25-50 mg / kg / day in 4 doses) for at least 10 days. polіpshennya zzvychay infusion in pershi 24-48 years. In case of an important and accelerated interruption - parenteral preparations of group penicilin for 1-2 million OD of skin for 4-6 years. In case of chronic recurrent interruption of the disease, it is recommended to prescribe prophylactic antibiotics in small doses before the hour of remission.
alternative drugs... Erythromicin 250 mg 4 r / dobu (for children 30-40 mg / kg / day in 4 doses). Cephalosporini.
mіstseve lіkuvannya... Non-releasing and erythematous form - vologo - hanging bandages with p - rami nitrofuran or ethacridine. Bully form - apply bandages with r - rm nitrkfural or ethacridine for the primordial bully processing. Have a fake priznachayut bandages with an ectericide, Shostakovsky's balm. Phlegmonous - necrotic form is led by yak phlegmon. Mіscevе lіkuvannya із physiotherapeutic procedures (UFO, UHF).
accelerating... Trombosi p_dlyagayut sudin. Gangrene of kintzivka. Sepsis. Scarlet fever. Pneumonia. Meningit.
Overbig i forecast... Outside oduzhannya with adequate treatment. Chronic lymphedema (elephantiasis) or scar with chronic recurrent interruption.
vіkovі specialties ... Children .. In children of the first fate of life, the ethological factor can be group B streptococci, which is characteristic of the development of the anterior cervical stage. Litnі .. The temperature change may not be too fast .. The frequency is slower .. In weakened patients due to the sickness of the heart, the development of heart failure.
Prevention. Preventive courses of antibiotics for chronic recurrent interruption. Patients with a peak on their faces in the most recent period are not guilty of golitis, which is why chronic relapses often occur in people who have been bored for 5 days after the first manifestations of the peak. In chronic cases - the appearance of young chronic daggers of streptococcal infections (infantile migraines, sinuses, caries).
synonyms... The fire of St. Anthony

ICD-10. A46 Erysipelas

Note. For patients who are systematically diagnosed with HA, diagnostics may be complicated due to the erased clinical picture.

Beshiha, or erysipelas, is a tse of infectious disease, as you can relapse. Beshiha - tse zhvoryuvannya shkiri. It is more widespread: in the middle of all infections of erysipelas, it will be on the third month of the disease, intestinal infections and hepatitis. When there are ailments, the ignition process can be repaired not only on the skin, but on the hostility and on the tissue of the body. Beshiha vvazhaetsya to infectious ailments, ale to be transferred from people to people in the country.

day of pathology

Beshikha - tse zhvoryuvannya, as most often winykє in the period of the juvenile, if people have a significant decrease in immunity.

According to the statistics of the number of infectious diseases, close to 0.2% of the world's population suffers. The status of the gradation of madness is growing. Choloviks most often watch from 20 to 40 years, and women - from 40. The price is connected with the minds of pratsi and living. A few more people, who at the moment are sick at the peak, have already crossed the threshold of 40 years.

ARVE Graveyard:

Beshikha - tse the infectious diseases of the shkiri, as it is possible to successfully vilikuvati. It is also characterized by relapses. The stench can wink through the rock of rock for a successful drink. Everyday think about life and practice the risks of turning ill, besides, in the last rock, there have been a number of important trends, peaks and times.

Most often beshikhove burned enemy legs - homily and feet. Not so often visual symptoms occur, which appear on the hands, head and face. Erysipelas is an enemy of the groin and body organs. In some cases, the pockmark and the swelling appear on the mucous membranes.

Beshiha is certainly not only because of its manifestations in organism. It’s a little sick to feel the middle of the people. It’s tied together with the fact that it’s uncomfortable to bring the manifestation of ailments on top of the screen.

I see a few of the views in the course of the beshiha:

1. Erythematous. Vvazhaєtsya most widened. When you get sick, you will grow up to the heart of the schoolchildren and to the rampant problems of the girls.
2. Hemorrhagic. It is characterized by hemorrhages in pediatric tissue and the appearance of a great number of sinews.
3. Bullozne. When the form of a beshih is sick, daddies appear in a sick man's dilyankas.

Ethiology of development of ill health

The main reason for the diagnosis of beshih is linked to streptococci. It is necessary to complete the tenacious bacteria that live everywhere and regularly attack human organisms. Streptococcus live on the mucous membranes of the body, their noses, the skin of the human being on the planet.

With low immunity, the organism cannot stand up to the infection і streaming the growth of ailing microflora, and the bacteria actively reproducing. When streptococci get into the organism, they repair the cells of the tissue and organs. The life of the provocation of the great number of cytokines. Tsi speech є the reason for blaming the blame. Moreover, streptococci are negatively on immune system organism, not allowed to clitin-hunters, ruinuvati bacterias.

Streptococcus infection can be consumed in the body in the following ways:

• by the drip-drip road;
• through zagalny objects and pobutu;
• through other pores, garbage and other injuries of the shkiri.

The factors of riziku when beshikhov are ignited can be:

• fungal disease shkіri і nіgtyovyh plates;
• dystrophy of shkiri;
• the manifestation of ailment heart-vascular system;
• Diabetes mellitus;
• wearing clothes from synthetic fabrics;
• mind the robots as they transfer parts of the microtrauma to the shkiri;
• lowering the immunity of people with trivial ailments or for an hour to avitaminoz.

show characteristic

For a large number of vipadks, they are mad to be repaired, if they want the incubation period to become a few days. There are a number of symptoms of extra toxicity. An ailing old man is sickly rotten, he starts to shake, with the appearance of a chill, the temperature rises. The sick person has weakness, headache and, perhaps, blues.

Mіscevі show up with a stretch of finish, letting in the temperature. There are a lot of different kinds of manifestations at the games of the school, only the perception of the more sophisticated and tightness of the school. Years later, the rate of change is changed to a large, especially visible, as it is madly localized in the center of lymph nodes.

On the last stage, the embankment is formed and visually marked by red beaches. On palpation, one can see to finish a hard and thick dough of shkiri with a high muscular temperature.

In the case of a maddened fire, the internal organisms are in charge. Besides the tediousness and destruction of the etching, the sickness can grow on pains in the area of ​​the heart, tachycardia, and arterial pressure.

With a competent treatment of the persistent symptoms of rabid (temperature і t. D.), the repair passes through a few days. Symptoms become worse. The repair and the repair of the shkiri pass through the second or second period. With a lot of peeling and pigmentation, you can fill it with a stretch for a trivial hour.

Naivazche beshiha is opposed to newborn children and people with fellow chronic ailments. Their temperature can be higher, and the firing temperatures are wider. One of the most troublesome people is sepsis. In the capacity of inheritance and acceleration, there are more frequent and secondary infections, and development of pathology shkіrnyh curves, including lymphostasis and elephantiasis.

methods of therapy

Likuvannya beshihi will not take you an hour. If all minds have been taken care of, the loan will be up to 10 days. In case of an important development, it is recommended to take a trip to the stationary in the minds of the stationary, so that it will be quicker. Aleksei with a light form of ailment is guilty of being in the vicinity of the room, spending time with loved ones, both of whom were born and mother of their own specialties, and the use of such dishes.

Therapy for rabid firing is based on the intake of antibiotics and drugs, which are toxins from the body.

Antibiotics are the basis for the treatment of beshihi. The stench will help the best to find the cause of the illness - streptococcal infection. Before the ear, the reception of antibiotics needs to be taken, so that the bacteria are persistent to the liking, and as long as 3 dB, the sick person does not have positive snakes, the type of antibiotics is necessary. With the appearance of sepsis, secondary infections, and the latter, antibiotics of the penicilin series are rapidly developing, in some vipads - macrolide, levomycetin and tetracycline. In case of a serious interruption, a complex therapy can be used.

Yaksho beshiha widen on legs, can poshkojuvatisya nіgtyovі plates... In such a category, drugs are recognized, as they fight or serve as a prophylaxis against the appearance of nail fungus.

Some of the drugs are considered to be of great concern for the severity of illness, most of them can only be taken if necessary:

1. Preparations with glucocorticoids. Cycles may cause an anti-allergic effect, additionally help fighting with the worm, the sverblyachkoy and the bulky in the field of struggle for children of shkiri. Minus glucocorticoids - in the fact that the stench significantly reduces immunity, it is not recommended to use other drugs for a trivial hour.
2. Nitrofurani. Preparations in a number of ways will trust the life of bacteria, and sometimes, accumulated in the body, knowledge of bacteria.
3. Anti-allergenic non-steroidal drugs.
4. Proteolytic enzymes. Tsі medicaments vikoristovyutsya in the quality of the children іn'ktsіy, as they paint the mill of the school and take out the reduction in infiltration.

From the hour to madness, it means the immune system of the people. When the peaks are highly respected, it is necessary to come up with drugs, as they add to the renewal of the immune system to the organism. One of the acceleration of the madness is chronic infection. Vona appear at the time of the complex treatment.

The trivial use of antibiotics significantly reduced organism. With a maddened fire, it is important to healthy microflora, Shodnya vzhivati fermented milk products, Roslinnі fats, products, and prevention against anemia. For an hour of drinking, alcohol and coffee products are harvested.

Keeping an eye on the shkіroy in case of ailment

Altogether, with taking pills and injections, it is necessary to carry out and local therapy. Vona serve as the best prophylaxis against secondary infections, as it often becomes the cause of severe acceleration and sepsis.

Local processing includes steps:

1. The gauze bandage needs to be folded into a spatula and soaked with Dimexidum. A bandage can be applied to a splinter of quiline in front of a splinter of a quilt, or it can be applied to a splinter of years. Dimexidum is supplemental to the development of the disease, it is known to ignite, as well as to carry out the disinfection.
2. at high risik attaching secondary infections to the area of ​​infection to apply tablets of enteroseptol to the powder.
3. Promivannya urazhenih dilyanok furacilinu abo Mikrotsid. It’s the speech of the building to drive the sick microflora and penetrate into the glib balls of the shkiri.
4. Aerosol treatment Oxycyclosol. The whole drug is vicorized on top of the screen. Aerosol is covered with a special zashisnoy plavkoy, as it does not allow microbes and callous patrons to get on the mad.

When obrobtsi beshikhovyh ignite can be koristuvatisya ointments with strong active elements, for example, іkhtiolovuyu or Vishnevsky's maze.

As ailments are found in lіkuvannі in the home minds, it is necessary to suvoro follow the rules of a special sanctuary. A skin day is required to minimize the normal and natural business. In any case, it is not possible to vikoristovuvat tsyu business for healthy people. Pislya vicorystannya bilizna boil and prasuvati hot prayska.

It’s because of the natural fabrics, the bazhano is from the lion, and it’s the culprit. Synthetic fabrics will destroy the normal turnover and increase the hours of sleep. Mitisya with pizza is a must, but you can’t be victorious in order to dry the shkіra a lot. You cannot rub with a sponge or a washcloth with a towel. To reduce the risk of bacterial or fungal infection, the doughs of the shkiri should be blotted with servet or paper towels. For a gigiєnіchny, I’ll look after the exercises of the dilyankas of the shkіri more beautifully than just water, but rather chamomile or mati-y-machuhi. At the time of renewal, the shkіru will be covered with Kalanchoe juice.

ARVE Graveyard: id and provider shortcodes attributes are mandatory for old shortcodes. It is recommended to switch to new shortcodes that need only url

Інші and інші, hardware-based methods of lіkuvannya beshihi. The smell will help you to improve your immunity and speed up your sleep. In parallel with antibiotic drugs, sessions of the UFO are recognized - ultraviolet optimization to light skin conditions. Wono nadaє bactericidal effect. Magnetic therapy can be found on the very ear of the drug with good health. I will stimulate the robot of the supra-nirkoval zalozi, as they see steroid hormones. Stinks to cope with the worms and rags, and at the same time to bring the development of the immune system of the people. Along with the magnetic therapy, electrophoresis and programming for the additional UHF can be recognized.

For polishing, the fabrics will be stabilized with a laser and special heating compresses with paraffin. In terms of prophylaxis, the course of physical procedures must be repeated every 3 months, stretching out to the rock.

Most often beshikhove zapalennya (yak for splendor is recognized according to ICD-10 yak A46) enemy legs (feet, gomilki), deeper - hands and disguises. Zagvoryuvannya to obey to complete the gostro.

The statement of the beach is a dilyanka of a shkiri of red color with torn, uneven edges at the teeth of the eyes. Shkira is hot, stressed, it appears to see "rozpirannya".

When the patient is coated, the patient is slightly bile. In addition, the mad legs have such signs that the temperature has increased (up to ° C), and there is a lack of strength.

Visoka temperatures can be up to 10 days. Such symptoms, such as headache, pain in the muscles, can also be used for burning. The body can be adjusted from 5 to 5 days.

Years later, the symptoms of intoxication are gradually passed through, while the sandy beach is getting better, there are picks in the middle of the battle.

In more serious cases on the skirts, bulbs are spared, as they are transformed into non-destructive ones. The ailment gets involved in a recurrent one, that is, it can be known again by stretching out two rockets, as the original beshikhov's burned legs did not boil with a proper rank.

The exact reasons for the diagnosis of a madman are unavoidable, so as a person can be a nose of a streptococcus, and at the same time, a new person has some kind of sickness, if there are any symptoms.

• unstable temperature conditions ( small drops temperature);
• the appearance of shkіri shkіri (injuries, undergrowth, bite);
• nedotrimannya rules of special hygienia;
• overwhelmed with darkness (on the sun, in the solarium).

For those who are called bureaucrats, there are reasons for this:

• weakening of immunity;
• ailment (sick diabetics, chronic ailments);
• unhealthy way life (wrong eating, ominous alcohol).

We are very important є і emotsionny factor. Stress and mentally overstrained are the reasons, which are negatively perceived not only in the mood, but also in the health of the whole body.

Likari sturgeon, which cause peaks in the nose at the bagatokh are tied with a professional performance. For example, among the choloviks of 20-30 years, the robot is like the process of permanent transfer of important objects, it is tied to the routine, the vicarious state of the objects, often for those who are diagnosed with ailments.

Shkira is traumatized to get into trouble with awakening smitty, so for streptococcus it is optimal to think - it penetrates and quickly expands.

In females, erysipelas on the nose appears more often than 40 years. The reasons for all the problems are:

• weakening immunity;
• parts of colds or infectious diseases;
• failure of the integrity of the school currents;
• allergic reactions to staphylococcus infection;
• small and small changes in the temperature regime in the primitive or on the robot;
• suffered injuries or strong blows;
• sleepyheads;
• parts of stress, depression, post-psycho-motive re-entanglement;
• Diabetes mellitus;
• obesity;
• trophіchnі virazki;
• foot fungus;
• the malignant alcohol.

Opinions from a dream to find the right and quick treatment, so as the stench can provoke a madman

Khvoroba Darina: a chronic ailment, you can live with it 210502information for reading

Symptoms of a rabid leg without being tied to the sight of an affliction. On the current day, carry out the classification of ailments in the number of cases:

1. Grades of severity of symptoms:

• easy;
• average gravity;
• important.

1. Frequency of manifestations:

• pervinna;
• recurrent;
• second.

1. By area:

• bluky;
• localized;
• expanded.

Be it a sign of intoxication in a medical consultation with a doctor

If erysipelas on the nose in humans appears first, then on the first day, the activation of streptococcus into the body:

1. For no apparent reason, the temperature rises to 40 degrees.
2. The meat and head beats are strong.
3. It is evident that the weakness is strong.
4. In case of severe intoxication, there may be tediousness, bloating, judgment and confusion of evidence.

Through additional symptoms, peaks on the nose can be supplemented with palynia, rozpiranny, pochvoninnymi shkirnykh pokriviv. The shkira in the months of the battle is getting hot, there is a swelling.

At the first signs of the peaks on the nose, it is necessary to turn to surgery or dermatologists

She herself became ill with her name through the manifestations of the name on the school. At the bottom of the picture there is a yaskravo-chervonia color, in a fire similar to a half, a little bit of land.

The gostra phase will change the loan from 5 to 15 days, when the poems are burned, and signs of peeling will appear on the surface of the shkiri.

As soon as the disease protested against an important form, then, when the child was born, it would become serous or hemorrhagic.

If I look at how the disease may be recurrent in nature, then the symptoms and symptoms of the peak on the nose cannot be ignored, but the inheritance may not be detected.

Erysipelas - describe, cause, diagnosis, treatment.

Beshiha stolittya. Gostre іnfіktsіyne a disease of the capital, which develops with іnfіkuvannі b - hemolytic streptococcus, rіdshe - staphylococcus.

Sleepy symptoms for all forms є ailment and swelling of the skin, hyperthermia, weakness. Diagnostics primed on ultrasound dosage ochі, biomіcroscopy, laboratory analyzes (UAC, coagulogram).

drug therapy including the sign of anticoagulants, antiplatelet agents, antibacterial, hormonal agents and detoxification therapy. In case of severe interruption, rostin bull is shown, carried out with dermatomy, applied with rosters.

Erysipelas abo beshikhove zapalennya - serious infectious disease, callous manifestations of such є urazhennya (fiery) shkirny cover of hemorrhagic character, temperature increase and endotoxicosis.

The name zvvoryuvannya resemble the French word rouge, like the change is yak "chervone". Erysipelas є we will broaden even more infectious diseases, for statistics we take the 4th month intestinal infections and infectious hepatitis.

Erysipelas is most often diagnosed in older children of the group. From 20 to 30 years of age they are in the main part of the population, whose professional activity is tied to the frequent micro-traumatization and obstruction of the school, as well as to the sharp changes of temperature.

All the prices are kindly we will feel the urge and the sick feel the kind of psychologic discomfort. The erysipelas is widened throughout.

The infatuation with it in the rural climatic zones of our land becomes 12-20 vypadkiv per 10 thousand. Population in Rik. In the Danish hour, a significant decrease in the number of beshihs of the new people, hoping that earlier the disease was a little worse than a greater lethality.

Erysipelas is an infectious - allergic disease of a child and a pediatric blood cell, which is hostile to the superficial lymphatic system of a child, which is a victim of hemolytic streptococcus of group A.

Erysipelas is a streptococcal grief, which is characterized by a fever of children from the apparitions of a very intermittent igniter, as well as feverish symptoms and symptoms of extravagant intoxication, and frequent relapses.

Approved by the Unified Committee for the Quality of Medical Services of the Ministry of Health Protection and Social Development of the Republic of Kazakhstan from "9" worm 2016 Protocol No. 4 Rozha (eng.

erysipelas) - infectious ailment of people, who suffer from β-hemolytic streptococcus of the group A and the opposite in the first (primary) or chronic (recurrent) form due to the development of symptoms of the antioxidant serous membrane

Date of launch of the protocol: 2016 rіk.

KITF Wistavka 2019: Medical Tourism

name

to describe

Gostre іnfektsіyne ailments of the capital, how to develop with іnfіkuvannі b - hemolytic streptococcus, rіdshe - staphylococcus. Sleepy symptoms for all forms є ailment and swelling of the skin, hyperthermia, weakness. Diagnostics is based on ultrasound monitoring, biomicroscopy, laboratory analyzes (UAC, coagulogram). Drug therapy includes the sign of anticoagulants, antiplatelet agents, antibacterial, hormonal drugs and anti-toxicity therapy. In case of severe interruption, rostin bull is shown, carried out with dermatomy, applied with rosters.

additional facts

Madness of the disease - ophthalmopathology, in case of which there is an intensive growth of illness with an one-hour increase in the frequency of relapses. The broadening of the ailment becomes 1.4-2.2 per 1,000 individuals. According to the statistical data, 20% of patients with gn_septic pathology of the eyes have an infectious disease є hemolytic streptococcus. In the out-of-town structures, the level of storage capacity is close to 6-12%. Deficiency to recurrent interruptions is observed in 16-50% of ailments. Pathology is often found in the middle of specific female statuses of the middle age.

cause

As a madman of a rabid, you must show the b-hemolytic streptococum of the A. Klinichny group, show up with a decrease in humoral and clinical immunity. The main factors of development are:
Metabolic products. Pathology often develops on aphids in carbohydrate imbalance. Patients may suffer from impaired tolerance to glucose or diabetes.
Trophies of wines of the capital. I will change my mind until the disagreement є in the cognitive changes of shkirny crooks at the viglyadi scars with zones of local ischemia.
Destruction of the integrity of the school curvatures. Dilyanki poshkodzhennya on the tables become the entrance gate for infection. When you have any symptoms of rabies, show the intoxication.
Shkіdlivі calls. It has been reported that the diagnosis of pathology is more common in particular, that you live alcoholic drinks, narcotic drugs, as well as quietly, how to burn.
Mycotic stripe. Expansion of pathogens from the tarsal abo-bulbar zone and mucous membrane with fungal conjunctivitis decreases the activity of muscle factors in resistance, as well as the development of a pathological process.

pathogenesis

In the mechanism of development of the rabies, it is not necessary to introduce information with b-hemolytic streptococcus. The first thing to do is spontaneously grow in the edge. As a rule, the ignition process will expand from the suspension of the shkiri of accusation. Most common ailments develop in individuals sensitized to the antigens of the pathogen. The swings of the infectious-toxic syndrome are most often intertwined with the muscular igniter. An important role in the pathogenesis of the disease is the introduction of the destruction of the lymphatic and venous outflow, which is significant for the loss of trophies.
Recognition of the other bacterial pathogens (sygnosis bacillus, pyogenic streptococcus, coagulase-negative staphylococcus) to monoculture of streptococcus to produce generalization of surgical infection of the process of chronic infection. The role of golden staphylococcus in the development of non-destructive forms has been brought to light. In his own devil, hemolytic streptococcus provokes phlegmonous variaanti from high schism to destruction. In the last few years, there is a tendency to the formation of resistant forms to the earlier antibiotics used in the b-lactam group.

Classification

Beshiha - tse nabut pathology. Razrіznyayut first, repeated and recurrent options for overcoming ailments. From the key point of view, the clasification of the classification on the onset of the form:
Erythematous. The reading of the line of the wrong form begins, as it allows differentiation of the health of the tissue in the course of the pathological process. The zone is surrounded by nagaduє "yaziki polum'ya". Shkirni pokrivi nabryakli, hyperemic.
Gangrenous. On the surface of the uzhenoi capital, there are ramps, from which there are ginning masses. The self-respect of the children is very quick.
It is due to the nature of the local manifestations of the author's surroundings that they see erythematous-bloody, erythematous-haemorrhagic, erythematous and bloody-haemorrhagic types of ailments. For the broadening of the mountain changes, they develop the onset of the forms of discomfiture:
Localized. The battle zone is surrounded by crumbling creases. Reactive changes in navkolishnykh tissues are not characteristic.
Expanded. The pathological process extends to the area near the eyes, shkirnі pokrivi face.
Metastatic. Characteristically, the appearance of distant vignes of battle (madness of the lower figures, the hairy part of the head, revealing).

symptoms

Independently of the option, if the patient's ailments go through, it may be due to swelling of the pain syndrome in the area of ​​ochnitsa, weakness, increased temperature up to 38-40 ° С. Often, the development of a clinical picture is before the development of small curves in the orbital region, a maddening localization (individuals, lower characteristics), for the persistence of the pupil in the body. In case of erythematic forms of shkirni, turn the hot ones on the dot, very painful. In the course of this year, there is a lot of wine in the region of the capital. The ailments will grow to change the swelling of the pain syndrome, curling up the eye with a hand or a bandage.

may you expedite

When the pathological process is extended to the orbital conjunctiva, it is often the blinded conjunctivitis. You can get sick with phlegmon of orbit. The duration of the free therapy is leading to thrombosis of intracircular veins. In a number of patients, secondary neuritis of the zorotic nerve is suspected. Expansion of the infection for the boundaries of the school curvatures for the development of panophthalmitis, before the meningitis. Pislya lіkuvannya patsієntіv with gangrenous form іsnu viscous risik formed by scars. When the lymphatic flow is damaged, it is possible to diagnose the lymphatic nodule (lymphedema) of the upper vertex, or of the entire periorbital area. Secondary elephantiness is presented by fibredemi.

diagnostics

The statement of the diagnosis is based on anamnestic data, the results of a physical examination and special methods of conditioning. Visually, the appearance of the skin and the embryo of the shkiri begins about the transition to the palpebral conjunctiva. The complex of instrumental diagnostics includes:
Biomicroscopic eyes. When inspecting the capital and the tarsal part of the conjunctival membrane, the ophthalmologist finds it infiltrated with the ophthalmology of the ophthalmic mass. Vizualizutsya іn'єktsіya sudin bulbar and palpebral conjunctivi.
SPL of the eyes. Ultrasound diagnostics allows assessing the level of tissue loss and widening of the pathological process. The technique also provides the ability to change the reaction of the posterior segment full-time apple.
Laboratory methods of diagnostics are used to select the appropriate tactics for the treatment and control of the effectiveness of the therapy. Patients are shown the following:
Zagalny blood analysis (UAC). A decrease in the number of thrombocytes occurs with normal intercourse of the other forms of blood elements.
Coagulogrami. Rivn for fibrinogen A, prothrombin index for an hour grow on a decrease in the level for antithrombin III. The hour of burning blood is passing fast.
Antibioticograms. Viznachennya sensibility of an ill-tempered person to antibacterial activity will allow to designate the most effective drug of the vuzky spectrum of diy.

Differential diagnosis

Differential diagnosis is carried out with blepharitis of allergic genesis and cob manifestations of operative herpes. Rice allergic blepharitis is susceptible to hyperaemia and bulges. For the additional help of desensitizing desires, there is an increase in the reduction of pathology. In case of versicolor herpetiformis, the visibility is localized along the course of the nerve stovbur.

lykuvannya

The meta of liquor entry is the reduction of the ignition process, the eradication of the originator and the achievement of the stiff remission. Conservative therapy can be isolated with mild to moderate severity of ailments, or in combination with surgical methods with an important or accelerated interruption. Medicines for treatment include:
Antibacterial drugs. Antibiotics of the penicilin series become stagnant, in case of ineffectiveness - macrolide, tetracycline. Preparations reserve є fluorochinoloni. It is shown systemically (internal) and miscellaneous (insertion into the zone of bulbar conjunctivi) introduction.
Disintoxicating therapy. Vikoristovuyutsya with symptoms of extra toxicity to the body. Assigned 10% solution to calcium chloride internally. The average triviality of the course becomes 5-10 days.
Hormonal drugs. Glucocorticosteroids become stagnant for the prevention of relapses. The effectiveness of hormonal therapy was amazed by the fact that in patients with dissociated impairment of the function of measles supra-nirkovykh valleys, which appears to reduce the synthesis of glucocorticoids.
Antiplatelet and anticoagulants. It is used for thrombosis. Likarskі zasobi pour on the activity of the throat of blood. Vikoristovuyutsya before the control of indicators of coagulograms.
Immunomodulator Medicines to improve the immune response of the cells and injections on cell metabolism. Vibor preparations є natural immunostimulants.
Vitaminotherapy. It is recommended to consume vitamins of groups C, PP and B, which may have a neuroprotective and antioxidant effect.
shown before prompt engagement The low efficiency of conservative therapy, the growth of intoxications in manifestations, a high risk of infection of sensitive tissues, is incurred. V during the operational period stagnate hormonal, antibacterial and immunomodulatory. surgical treatment includes:
Decompression contour dermatomy. Stagnate in gnayno-necrotic and bullose-hemorrhagic forms. Install a drainage system in the event of a turn. In the field of necrosis, there is a resection.
Applied rozr_zіv in zapalennya zapalennya. The technique is recommended for circular lesions. Later, or transverse hvile-like growths, are applied in the boundaries of the pathological vognisch on all yogi period. On completion, necrostomy will be carried out.
Roztin bull. To be vicious with erythematous-bullose and bullose-hemorrhagic variants of pathology. Letting the bully roztinu do well to evacuate the pathological masses with a false setting of the drainage.

forecast

Forecast in case of a quick addiction with hospitality. Patients with this pathology need a saw to stitch behind the eyes, unicati overcooling. In the presence of the onset of infectious diseases, systemic antibacterial therapy is indicated. Specific preventive entry do not break up.

prophylaxis

Nonspecific prophylaxis is carried out until bactericidal prescriptions are consumed for a peek at the tables when microtraumas are evident, for example, taking into account the rules of asepsis and antiseptics when robots with information material. We are sick from beshikhov igniting the first localization of the wrist before contact with the eye.

name

Russian name: Dexamethasone.
English name: Dexamethasone.

Latin name

cheery name

Farm Group

Glucocorticosteroids.
Ophthalmologic zasobi.

nosology

A09 Diarrhea and gastroenteritis imovirno infectious disease(Dysentery, dyarrhea bacterial).
A16 Tuberculosis of organisms, not bacteriologically or histologically confirmed.
A17.0 Tuberculous meningitis (G01 *).
A48.3 Toxic shock syndrome
C34 evil new affirmation bronchial and lungs.
C81 Hvoroba Hodzhkin [lymphogranulomatosis].
C82 Follicular [nodular] non-Hodgkin lymphomy.
C83 Diffuse non-Hodgkin lymphoma.
C85 Unspecified type of non-Hodgkin lymphomy.
C91 Lymphocytic leukemia [lymphocytic leukemia].
C92 Myloid leukemia [myloid leukemia].
D59,1 Inshi autoimmune hemolytic anemia.
D60.9 Pridbana is pure red cell aplasia, unspecified.
D61.0 Constitutional aplastic anemia.
D61.9 Aplastic anemia, unspecified.
D69.3 Idiopathic thrombocytopenic purpura.
D69.5 Secondary thrombocytopenia.
D70 Agranulocytosis.
D86.0 Pulmonary sarcoidosis.
E05.5 Thyroid crisis abnormal coma.
E06.1 Pidgostrium thyroiditis.
E27.1 Primary shortage of measles supra-nirkovy.
E27.4 Insha and unspecified lack of measles of supra-nirkovy.
E27.8 Інші clarification of the destruction of supra-nirkovy valleys.
E83.5.0 * Hypercalculus.
E91 * Diagnosis of endocrine system disease.
G35 Rising sclerosis.
G93.6 Numb of the brain.
H01.0 Blepharitis.
H10.1 Gostriy atopic conjunctivitis.
H10.5 blepharocon'unctivit.
H10.9 Conjunctivitis, unspecified.
H15.0 Sclerite.
H15.1 episcleritis
H16.0 Curved arm.
H16.2 Keratoconjunctivitis.
H16.8 Інші form of keratitis.
H20 Iridocyclite.
H30 good retinal firing.
H44.1 Інші endophthalmitis.
H46 Neuritis of the zoral nerve.
H60 Otitis media.
H65 Non-alcoholic otitis media.
I00 Rheumatic fever without a clue about heart disease.
I01 Rheumatic fever due to heart failure.
J18.9 Pneumonia, unspecified.
J30 Vasomotor and allergic rhinitis.
J45 Asthma.
J46 Status asthmatic.
J63.2 Beryllium.
J69.0 Pneumonitis, vyklicanii and vomiting masses
J82 Legeneva eosinophilia, not classified in these headings.
J84.9 Interstitial Legeneva Hvoroba unspecified.
K50 Crohn's ailment [regional enteritis].
K51 Vibrant colitis.
K72,9 Pechinkova lack, unspecified.
K73.9 Chronic hepatitis, unspecified.
L10 Powdery [pemphigus].
L13.9 Bulbous changes, unspecified.
L20 Atopic dermatitis.
L21 Seborrheic dermatitis.
L25.9 Contact dermatitis unspecified, cause unspecified.
L26 Exfoliative dermatitis.
L30.9 Dermatitis, unspecified
L40 Psoriasis.
L40.5 Psoriasis arthropathic (M07.0-M07.3 *, M09.0 *).
L50 Kropiv'yanka.
L51,2 Toxic epidermal necrolysis [Lyella].
L98.8 Інші clarification of ailments of the shkiri and pediatric clitkovini.
M02.3 Khvoroba Reiter.
M06.1 juvenile rheumatoid arthritis, advanced in older adults.
M06.9 Rheumatoid arthritis, unspecified
M08 Juvenile arthritis.
M10.0 Idiopathic gout
M13.0 Polyarthritis, unspecified
M19.9 Osteoarthritis, unspecified
M30.0 University polyarteries.
M32 Systemic chervonia vovchak.
M33.2 Polymyositis.
M34.9 Systemic sclerosis, unspecified
M45 Ankylosing spondylitis.
M65.9 Synovitis and tenosynovitis, unspecified.
M67.9 Dissection of synovial sheath and tendon, unspecified.
M71.9 bursopathy, unspecified.
M75.0 Adhesive capsule of the shoulder.
M77.9 Entezopathy, unspecified
N00 Gostria nephritic syndrome.
N04 Nephrotic syndrome.
R11 Nudota and blues.
R21 Visip and nonspecific education.
R57.0 Cardiogenic shock.
R57,8,0 * Opikovy shock.
S05.0 Injury of the conjunctiva and saddle horns without a clue about alien tilo.
S05.9 Injury of unspecified part of eye and orbit.
T49.
T78.0 Anaphylactic shock, vicious pathological reaction to uzhu.
T78,1 Show pathological reactions to the patient.
T78.2 Anaphylactic shock of unspecified
T78.3 Angioneurotic swelling.
T78.4 Unspecified allergy.
T79.4 Traumatic shock
T80.6 These are the main reactions.
T81,1 Shock per hour or for procedures that are not classified in the same headings.
Y57 Unpleasant reactions in case of therapeutic intake of other and unspecified drugs and medications.
Z94 Revealed organ and tissue transplanted.

CAS code

characteristic of speech

Hormonal intake (glucocorticoid for systemic and muscular intake). Fluorovanium is a homologue of hydrocortisone.
Dexamethasone is odorless or even crystalline powder. Liquidity in water (25 ° C): 10 mg / 100 ml; rozchinniy in acetone, ethanol, chloroform. Molecular weight 392.47.
Dexamethasone sodium phosphate is bilium or slightly crystalline powder. Easily razchinniy at water and even hygroscopic. Molecular weight 516.41.

Pharmacodynamics

Pharmacological diya - protizapalny, protialergic, immunodepressive, protishokov, glucocorticoid.
Vzaєmodin with specific cytoplasmic receptors and set up a complex that penetrates into the cell nucleus; viklikak expressing about mRNA depression, changing the illumination on ribosomes of proteins, including lipocortin, which leads to early clinical efficacy. Lipokortin drives phospholipase A2, drives the liberation of arachidonic acid and drives biosynthesis of endoperexae, PG, leukotrіonіv, which take into account the processes of ignition, allergies, etc .; Pereshkodzhaє vivilnenny of mediators fired from eosinophils and dangerous clitins. Halmu activity of hyaluronidase, collagenase and proteases, normalizing the function of the cartilage matrix knitted fabric... Reduced penetration of capillaries, stabilization of the cell membrane, including lysosomal, induction of cytokines (interleukin 1 and 2, gamma-interferon) from lymphocytes and macrophages. Pouring into all phases of ignition, anti-proliferation effect of galvanizing of monocyte migration into the ignition in the fire and proliferation of fibroblasts. Victory in the development of lymphoid tissue and lymphopenia, which will summarize immunosuppression. In addition to the decrease in the number of T-lymphocytes, the decrease in the amount of T-lymphocytes decreases and the viroblast of immunoglobulins decreases. Injection on the system to the complement of the polyagaє in the reduced illumination and the increased drop in the components. Anti-allergic action є a lot of galvanizing synthesis and secretion of mediators in allergies and changes in the number of basophils. Increase the sensitivity of adrenergic receptors to catecholamines. Accelerating catabolism of blood cells and a decrease in plasma instead of glucose, reducing glucose utilization by peripheral tissues and promoting gluconeogenesis in the liver. Stimulation of the establishment of enzyme proteins in the oven, surfactant, fibrinogen, eritropoietin, lipomodulin. Viclik overgrown fat (increased lipolysis of adipose tissue and tips and added fat in the upper half of the tulub and on the face). Testing of essential fatty acids and triglycerides. Zmenshu vmoktuvannya і zbіlshu vivedennya calcium; I will overtake sodium and water, ACTH secretion. Volodya Protishokovykh dynyu.
When the recipient is in the middle, it quickly and more often gets wet from the intestinal tract, Tmax - 1-2 In the blood (60-70%) it calls itself with a specific protein-carrier - transcortin. It is easy to pass through the histological barriers, including the hematoencephalic and placental barriers. Biotransform in oven (in the main way with glucuronic and hydrochloric acids) to inactive metabolites. T1 / 2 in plasmas - 3-4.5 years, T1 / 2 in tissues - 36-54 It is introduced with nirkami і through the intestines, penetrating into breast milk.
Pislya zapuvannya into the conjunctival mishka kindly penetrates into the epithelium of the horny and conjunctiva, with the development of therapeutic concentration of medicinal products in the general science. When ignited, or ear mucus shells, the speed of penetration grows.

Shown to sucking

Shock (opioid. Anaphylactic. Post-traumatic. Pislyoperative. Toxic. Cardiogenic. Hemotransfusion etc.;); congestion of the brain (including with puffins. Craniocerebral trauma. Neurosurgical involvement in the brain. Encephalitis. Meningit. bronchial asthma. Asthmatic status; systemic congestion with the resulting tissue (including systemic chervonia vovchak. Rheumatoid arthritis. Scleroderma. Voslikovy periarteritis. Dermatomyositis); thyrotoxic crisis; pechinkova coma; cutting off with cauterizing ridges (with the addition of a change in igniting lesions and a reduction in cicatricial lesions); Statements and chronicles fueled by the congestion of the slopes. I have gouty i psoriatic arthritis... Osteoarthritis (including post-traumatic). Polyarthritis. Shoulder-blade periarthritis. Ankylosing spondylitis (Bekhtur's ailment). Juvenile arthritis. Still's syndrome in older adults. Bursitis. Nonspecific tenosynovitis. Synovitis. epicondylitis; rheumatic fever... Gostria rheumatism; State and Chronic Allergic Disorders: Allergic reactions to medicinal products and food products. Syrovatkov's ailment. Kropiv'yanka. Allergic rhinitis. Polyosis. Angioneurotic bulge. Likarska visip; zhvoryuvannya shkіri: puffy. Psoriasis. Dermatitis (contact dermatitis with lesions great surface shkiri. Atopic. Exfoliative. Bullosa herpetiformia. Seborrheic і etc;). Eczema. Toxidermia. Toxic epidermal necrolysis (Lyell's syndrome). Malicious exudative erithema (Stevens-Johnson syndrome); Allergic obsession of the eyes: Allergic inconsistencies of the horn. allergic forms conjunctivitis; fired up eyesight: the ophthalmia is pretty. Important anterior and posterior eyelids. Neuritis of the zoric nerve; the primary or secondary lack of supra-nirkovy vines (in the mt. congenital hyperplasia of supra-nirkoval hallux; becoming ill with autoimmune genesis (including glomerulonephritis). Nephrotic syndrome; pidgostria thyroiditis; disease of blood-forming organs: agranulocytosis. Panmієlopathy. Anemia (including autoimmune hemolytic. Progenia hypoplastic. Erythroblastopenia). Idiopathic thrombocytopenic purpura. Secondary thrombocytopenia in adults. Limfoma (Khodzhkinskaya. Nonkhodzhkinskaya). Leukemia. Lymphocytic leukemia (gostry. Chronic); zhvoryuvannya legends: gostry alveolitis. Fibrosis of legends. Sarcoidosis II-III; tuberculous meningitis. Tuberculosis is a disease. Aspiracy pneumonia (only in case of specific therapy); beryliosis. Leffler's syndrome (resistant to therapy); cancer of the leg (in combination with cytostatics); rosy sclerosis; zhvoryuvannya shlunkovo-intestinal tract (for vivedennya sick from a critical camp): inflated colitis. Crohn's ailment. Local enteritis; hepatitis; prevention of transplant reaction; pukhlinna hyperkaltsієmiya. Nudota and bluing during cytostatic therapy; mієlomna ailment; carrying out a test for differential diagnostics of hyperplasia (hyperfunction) and measles fluff of supra-nirkovy.
For muscular storing.
Intra-angular, periarticular. Rheumatoid arthritis, psoriasis arthritis, ankylosing spondyloarthritis, Reiter's ailment, osteoarthritis (in the presence of severe signs of swelling, synovitis).
Conjunctival. Conjunctivitis (negative and allergic). Keratitis. Keratocon'junctivitis (without writing an epithelium). Irit. Iridocyclitis. Blepharitis Blefarokon'yunktivit. Episklerite. Scleritus. Evidence of a growing genesis. Retinitis. Neuritis of the zoric nerve. Retrobulbar neuritis. Superficial injuries of the horn developmental ethology(Writing a new message). Ignition processes for injuries during on-the-spot operations. Nice ophthalmia.
Have the most recent rumors going. Allergic and inflamed vuha, including otitis media.

Prototype

Obmezhennya to vikoristannya

For systemic zasosuvannya (parenteral and in the middle). Khvoroba Іtsenko - Cushinga, obesity of the III - IV stage, the court of the station, hypoalbuminemia and I will begin to produce until the її vyniknennya; vidkritokutova glaucoma.
For vnutr_shnyosuglobovogo introduction. The important country of the patient, the ineffectiveness or the shortness of the two previous introduction (due to the urgency of the individual authorities, glucocorticoids were stuck).

Stagnation during vaginosis and breastfeeding

Stagnation of corticosteroids for an hour of vaginosity is possible, as well as cleaning, the effect of therapy is changing the potential for the fetus (adequate and strictly controlled dosage was not carried out). The female child of a childbearing viku needs to advance about the potential risk for the fetus (corticosteroids pass through the placenta). It is necessary to spontaneously support neonatal diseases, whose mothers, for an hour of vaginosity, eliminated corticosteroids (a possible development of the deficiency of supra-nasal vaginosis in a newborn fetus).
Dexamethasone has been shown to be teratogenic in mice and rabbits during muscular ophthalmologic applications of bagatorazic therapeutic doses.
In mice, corticosteroids are responsible for the resorption of the fetus and specific damage - the development of pesch in the offspring. In rabbits, corticosteroids suffer from resorption to the fetus and multiple damage, including anomalies in the development of the head, vuh, kintzivok, palate, etc .;
Category of food for the period according to FDA. C.
Year old women are recommended to pinch abo breast year bath, Abo Zasosuvannya LZ, especially in high doses (corticosteroids penetrate into breast milk and may induce growth, viroblast of endogenous corticosteroids and viclicati nezazani efekti in a new-born).
Slide mothers on uvaz, but in case of muscular intake of glucocorticoids, systemic absorption occurs.

Vicious Effects

The frequency of development and the turn of the side effects lie in the form of triviality, the magnitude of the vicious dose and the power of catching the circadian rhythm of the assigned LZ.
System efficiency.
Three sides nervous system and organs are sensitive. Delirіy (entanglement of evidence. Destruction. Uncomfortable). Disorientation. Euphoria. Hallucinations. Maniacal / depressive episode. Depression or paranoia. Induction of the internal cranial vise with congestive nipple syndrome of the healthy nerve (pseudo-swelling of the brain - often in children. ruined sleep. Zamorochennya. Vertigo. Head b_l; rapta vrata zoru (with parenteral introduction in the area of ​​the head. Shia. Nasal concha. Shkiri head). Formation of posterior subcapsular cataract. Pidvischennya internal vise with the mobility of the ears of the zorotic nerve. Glaucoma. Steroid exophthalmos. Development of secondary fungal abo foreign infections eyes.
On the side of the heart-vascular system and blood (blood. Hemostasis): arterial hypertension. Development of chronic heart failure (in sickly patients). Myocardial dystrophy. Hypercoagulation. Thrombosis. EKG-snakes. Characteristics for hypocalypse; with parenteral administration: a surge of blood before exposure.
On the side of the organs in the intestinal tract. Nudota, blues, erosive - virazkovі urazheniya shlunkovo-intestinal tract, pancreatitis, erosive esophagitis, hypochondria, pidvishennya / decreased appetite.
On the side I will exchange the words. Recovery of Na and water (peripheral embryos), hypocalinemia, hypocalcemia, negative balance of nitrogen in connection with catabolism of blood cells, increased weight.
On the side of the endocrine system. Applying the function of measles supranirkovy. Decreased glucose tolerance. Steroid diabetics are abnormalities of latent diabetic diabetics. Isenko-Cushing's syndrome. Hirsutism. Loss of regularity of menstruation. Covering growth in children.
The side is supporting. Rukhovy apparatus - myazova weakness. Steroid myopathy. Decrease of myazovoi masi. Osteoporosis (including spontaneous cyst fractures. Aseptic head necrosis stegnova tassels). Cutting the tendon; b_l in m'yaz or slopes. spin; with vnutr_shnyosuglob introduction: more pain in the slope.
On the side of the curved curves. Steroid vugri, striae, vitonation of shkiri, petechia and ekhimosi, in order to prevent wounds, to improve the appearance.
Allergic reactions. Shkirny visip, kropiv'yanka, denunciations, stridor, or complications of dikhannya, anaphylactic shock.
Інші. Decrease in immunity and activation of infectious diseases, vidmin syndrome (anorexia, nudity, bad health, abdominal weakness, abdominal weakness, etc.).
Miscellaneous reactions with parenteral administration. Pechinnya, oniminnya, bil, paresthesia and infection in the introduction, the establishment of scars in the injection; hyper - abo hypopigmentation; atrophy of school and pediatric cells (with intramuscular injection).
Ochni form. With trivial stasis (more than 3 types), it is possible to move the internal vise and / or the development of glaucoma due to the lesions of the external nerve. Decrease in hospitality at the beginning of the day and in the improvement of the supply at the time. Formation of posterior subcapsular cataract. Vitonishing and perforation of the cornea; more widening of herpetic and bacterial infections; in patients with hyperchial sensitivity to dexamethasone or benzalkonium chloride, conjunctivitis and blepharitis may develop.
Miscellaneous reactions (in case of stagnant and / or abnormal forms). Teasing, scrutiny and writing of shkiri; dermatitis.

vzaєmodiya

Znizhuyut terapevtichnі that toksichnі efekta barbіturati, fenіtoїn, rifampіtsin (priskoryuyut metabolіzm) somatotropіn, antacids (zmenshuyut vsmoktuvannya) pіdsilyuyut - estrogenvmіsnі oralnі contraceptives rizik aritmіy i gіpokalієmії - sertsevі glіkozidi i dіuretiki, ymovіrnіst nabryakіv i arterіalnoї gіpertenzії - NATRІY preparations abo additives important hypochondria, heart failure and osteoporosis - amphotericin In the ingibitorium of carbonic anhydrazi, rhizic erosive lesions and bleeding from the gastrointestinal tract - refinery.
With a one-hour consumption of live anti-virus vaccines and against the background of other types of immunization of infectious diseases. I will weaken the hypoglycemic activity of insulin and oral anti-diabetic diseases, anticoagulant activity - coumarins, diuretic activity - sechogenic ones, and also the structure - vaccination (inhibiting anti-diabetic disorders). Deterioration of tolerance of heart glucosides (calcium deficiency), reducing the concentration of salicylates and praziquantel in the blood.

Overdose

Symptoms. Strengthening the victorious effects.
Likuvannya. With the development of non-essential pests, the therapy is symptomatic, with the Isenko-Cushing syndrome - the sign of aminoglutethymid.

How to store that dosi

All the middle, parenteral, muscle, including Conjunctival.

Zapobizhni come in zasosuvannya

Appreciate in times of inter-competitive infections, tuberculosis, septic plants in front of the front and under one-hour antibacterial therapy.
Neobhіdno vrahovuvati posilennya dії kortikosteroїdіv at gіpotireozі i tsirozі pechіnki, malingering psychotic symptoms i emotsіynoї labіlnostі at їh temple vihіdnomu rіvnі, maskuvannya deyakih simptomіv іnfektsіy, vіrogіdnіst zberezhennya protyagom dekіlkoh months at (to rock) vіdnosnoї nadnirkovoї nedostatnostі pіslya vіdmіni dexamethasone (Especially in razі trivalogo zastosuvannya) ...
In stressful situations, during an hour of adolescent treatment (for example, surgical operation, ailments, trauma), it is necessary to correct the dose of the drug in conjunction with the increased need for glucocorticoids.
With a trivial course, it is worthwhile to support the dynamics of growth and development of children, to systematically carry out ophthalmologic conditioning, to control the state of the hypothalamic-hypophyseal-supra-nirkular system, the level of glucose in the blood.
At the connection with the possibility of diagnosing anaphylactic reactions before an hour of parenteral therapy before the administration of the drug, it is necessary to take all the wrong ones (especially in patients who are mentally ill before allergies on the labels).
Push the therapy only step by step. In case of rapid changes in the development of a trivial development, the syndrome of vision, which manifests itself in changes in temperature, we have pain in the meat and slopes, and the lack of air. Symptoms can occur at times, if the lack of measles supranirkovy is not indicated.
It is recommended to start taking care of any kind of operations, diagnoses of infectious diseases, injuries, unique immunizations, and the inclusion of alcoholic beverages. In children, who have an overdose, the dose is more beautiful than virobly, walking from the surface area. In case of contact with ailments on a child, in case of sickness and other infections, a certain preventive therapy is indicated.
Before stasis of full-time forms of dexamethasone, it is necessary to take a contact line (once you get it, you can get it no earlier than 15 minutes later). It takes an hour to check and control the rolling mill and internal vise.
It’s not a matter of time to stop robotizing the transport forces and people, the profession of which is tied to the increased concentration of respect.

indications of pathology

Falsely due to the folding of the ailment, the swelling of the sick legs, inadvertence to the process of pathology, it lasts for 3 forms:

1. The mild form (I) is characterized by insignificant intoxication, the presence of subfebrile temperature.
2. The middle form (II) of pathology is characterized by a swelling intoxication. At this stage, the patient may suffer from headache, chills, pain in m'yazovyh fabrics, Nudotu, blues, high temperature.
3. An important form (III) of pathology is characterized by severe intoxicating organisms: severe headache, bloating, increased temperature at 40 ° C, cloudy symptoms, manifestation of meningeal symptoms, sudomas. For a person who is sick, an important form can be supravodzhuvatysya heart flaw, great bulbs for a little shkirі.

DETAILS ABOUT: Snake from the spikes on the nose: read it yourself

name

Erythematous erysipelas

Name: Beshiha stolittya.

Russian name: Dexamethasone. English name: Dexamethasone.

Dexamethasonum (Dexamethasoni).

(11beta, 16alpha) -9-Fluoro-11,17,21-trihydroxy-16-methylpregna-1,4-diun-3,20-dion.

Raptose signs of intoxication:

• thinness,
• temperature up to 40 ° C with chills,
• headache pain,
• aches in knots and myases,
• Inodi - boring and bloating.

With a stretch, there are symptoms of madness on a homily: I am grateful for a dilenka, razko nabryaka, fox from a tightness and an old worm. The name "mug" is used as a name for the word "chervoniy" in some European movs.

I will fire a dilenka of changes from a great shkiri with a demarcation roller. Characteristic of this irregular scallop cut along the perimeter of the stripe. Virazhene pochevoninnya shkiri viclikano hemolysis - the process of streptococcus ruin of red blood cells (erythrocytes).

Bіl and clerks make strong citizens of the sick. Fired up in the middle and lining of the lymphatic universities. Right before them, from the zone and the battle from the school, one can see the red-hot swells - lymph judges, developing lymfangitis.

diagnosis of peaks

Most often, the diagnosis is made without analyzes, for the prevalence of extravagant and muscular symptoms.

With those who are ill, often there are a number of religious signs, and only next to them, intoxication appears.

Laboratory analyzes can serve to confirm the presence of β-hemolytic streptococcus.

Zagalnyytoxic symptomatology in front of zagalnye snakes, and itself: chills, fever, headache, weakness, zapamorochen, tediousness, and hourly blues.

The first symptoms are to show ailments in the patient є:

• sverbіzh on the infected area of ​​the epithelium;
• visibility;
• stretching the epithelium;
• swelling, swelling;
• pain symptom;
• change to the color for the urazhen_y area of ​​the food
• insolation;
• hypothermia.

At the same time, on the surface of the food, it is formed by the beaches of the "languages ​​of the half" of the yaskravy barn, nabryaki, and narrowing. As a result of the overwhelming expansion and tone of the epidermis of the skin, it starts to shine, nagaduvati roller.

When there is a quick reaction and the pathology is rapidly progressing, the form of septic acceleration is progressing. Infected mice have crazy legs, a photo of which can be found on the Internet, for recognition, if you will be reminded of a syro-zhovtuvaty birth, to start developing an erymatous-bullozy form of pathology. Obsyagi of such pukhirіv will be significant.

Nayposhirenіshі forma accelerated morbidity є: swelling, necrosis, abscess, phlegmon, lesions of lymphatic formation, pneumonia, sepsis.

When there is a quick reaction and the pathology is rapidly progressing, the form of septic acceleration is progressing. Infected mice have crazy legs, a photo of which can be found on the Internet, for recognition, if you will be reminded of a syro-zhovtuvaya birth, to start developing an erymatous-bulloose form of pathology.

Obsyagi of such puffs will be meaningful.

Erysipelas on homilkofootny slopes

Crazy legs: causes, symptoms and methods of treatment

Pathogenesis. As a result, the infusion of streptococci and toxins develop serous or serous - hemorrhagic inflammation in the school, which will accelerate in case of severe interruption of hyperinfiltrated tissue and necrosis.

Dosage, lіkar zdіysnyuvav permanent control over the patient. Lіkuvannya can be carried out using different methods, and in some cases it is possible to carry out complex pіdhіd.

Liku the birth of firing and physiotherapy (ultraviolet optimization, cryotherapy). Growth is fired for obovyazkovy lykuvannyu, in the first place, there is a heavy burden for itself (infection of blood, elephant ailment, necrosis, thrombophlebitis).

Beshih gomіlki vimagaє trivial and easy-going lіkuvannya. As a rule, the indication for the hospitalization of such ailments is mute.

The main method of treatment is the medication method.

In the first 10 days with an increase in temperature, the drug is indicative of fever-lowering drugs (for example, Paracetamol), you need to take a large amount of ridini (warm tea with raspberries, with lemon).

It is necessary to take care of the post-regime and the correct harvest (to make the implantation of such fruits as apples, pears, oranges, if there is no allergy, then it is possible to have honey).

In addition, the drug is guilty of antibiotic drug abuse, for which the patient has no allergy (7-10 days). For many vicarious antibiotics, such as penicilin, erithromicin.

The antibiotic can be used and mixed, that is, a powder is applied to the urazhene dilyanka, and the tablets are removed with a shrinkage. Burning shkiri is consumed with anti-burning methods.

In addition to muscular dosing with antibiotics, likuvati beshikhov can be infused with such substances, such as an ointment, for example, Erithromycin ointment. Ale in some vypadki such preparations are contraindicated.

Correctly assign the ointment to you if you can use your preferred drug. It is possible to prescribe a course of vitamins (groups A, B, C, E) and biostimulants.

Shkіra is a pricey covering of human organisms with an area of ​​close to 1.6 m2, as well as a visitor to a number of important enterprises: mechanical fabrication and organisms, tactile sensitivity (dotik), thermoregulation, gas exchange and communication

Ale inodі shkіra itself appears to be attacked by microorganisms - so dermatological illnesses develop, among which there are madmen.

In the state period, the peaks traditionally indicate a sub-dark dose of ultraviolet optimization to the area of ​​ignition and injected with ultra-high frequency strings on the area of ​​regional lymphatic universities (5-10 procedures).

Yakscho in perіod rekonvalestsentsії zberіgayutsya іnfіltratsіya shkіri, nabryakly syndrome regіonarniylіmfadenіt, priznachayut aplіkatsії ozokerite abo pov'yazki of pіdіgrіtoyu naftalannoy Mazza (on nizhnі kіntsіvki) aplіkatsії parafіnu (on oblichchya) lіdazi electrophoresis (Especially in Pochatkova stadіyah formuvannya slonovostі) kaltsіyu chloride , radon baths, magnetotherapy.

In the last few years, the temporal efficiency of low-intensity laser therapy was established in the treatment of muscular firing syndrome in case of early clinical peak forms.

Apparently, as a normalization, laser vipromynuvannya to change the indicators of hemostasis in patients with hemorrhagic peak. Take advantage of one procedure for high and low frequency laser treatment.

At the hospital stage of ailment (with a swollen firing blockage, hemorrhages, bullosa elements), a low frequency laser reduction is observed, in the stage of convalescence (to improve reparative processes in the country) - a high frequency laser treatment

If necessary, before the procedure of laser therapy (in the first days of treatment), burn in the burner with a blister of water peroxide for visualization of necrotic tissue.

The course of laser therapy is 5-10 procedures. Correcting with other procedures to carry out laser injection (with victorian infrastructural laser therapy) on the projection of the great arteries, regional lymph nodes.

Bicilinoprophylaxis of recurrence peaks - a warehouse part of the complex treatment of ailments, who suffer from a recurrent form of ailment.

Prophylactic internal introduction of Bitsilin-5 (1.5 million OD) or benzathine benzylpenicylin (2.4 million OD) before recurrence of ailments caused by reinfection with streptococcus.

When sparing endogenous infections, the drugs prevent the reverse of the L-forms of streptococcus in viral bacterial forms, so that there is a delay in relapses.

In case of frequent relapses (not less than three for the last period), a prescriptive method of uninterrupted (cyclonic) bicillin prophylaxis with a duration of one rock and more than a 3-hour interval of administration of the drug (in the first period of time up to 2)

In case of seasonal relapses, the drug should be administered 1 m / s before the cob to the season of sickness in a sick person with a 3-hour interval for 3-4 months at a time. In the presence of significant excess lesions after the transferred peaks, the drug should be injected at an interval of 3 times for a stretch of 4-6 ms.

Before the factors that allow for wider peaks, include:

• complicating the flow of light and load on the nose;
• vein surgery;
• impairment of immunity in diabetics, alcoholism or VIL-infection;
• anomalies of blood-bearing vessels in the lower pictures;
• parallich of the lower picture;
• the ruin of robots nirok, scho supervodzhutsya nabryk;
• vagrant.

Erysipelas should be repaired for drinking infections in the wound on the screen. Tse mozhe buti prick, sadno or podryapin.

In 80% of vipadkah rabies localize on homilk. Most of the time, the winners are with women. The peak of the seizure falls on the age of 60-80 years. The price is tied with chronic chronic illnesses, which ruin blood circulation in the legs or reduce immunity.

Madness of the disease - ophthalmopathology, in case of which there is an intensive growth of illness with an one-hour increase in the frequency of relapses. The broadening of the ailment becomes 1.4-2.2 per 1,000 individuals.

According to the statistical data, 20% of patients with gn_septic pathology of the eyes have an infectious disease є hemolytic streptococcus. In the out-of-town structures, the level of storage capacity is close to 6-12%.

cause

Riziku factories

Whether it’s a firing process of a child The appearance of scars on a child (surgery, injuries) Lymphostasis Trophical changes of a woman’s immunodeficiency, visnazhennya Sickness to a disease Sensitization of a child’s agony before.

Pathomorphology

Nabryak Vasodilatation, enlargement of lymphatic vascular disease, inflammation of the process of neutrophils, lymphocytes and fiery cells.

Beta-hemolytic streptococcus of group A, which can be found in the human body in active and inactive, so called, L-form, is the originator of rabid infection.

The whole species of streptococcus is even stiff up to the middle of the day, however, when heated to 56 With a stretch of pivgodini, which is more significant in antiseptic.

Beta-hemolytic streptococcus is an optional anaerobe, i.e. E Can be found in sour minds, as well as without sour mean.

As far as lyudin is concerned, it’s not just a disease of streptococcal etiology, but simply because it carries a microorganism in its own form, it can become infected with germ.

Behind the statistical data, the streptococcus species is close to 15% of people, with a stench, there are no key signs getting sick.

The main way of the transfer of the teacher is contact-by-butovy. Infection is seen through a pockmarked shkira - with the appearance of podryapin, sadness, scuffs Mensh plays a significant role in the transmission of infection of a droplet-and-droplet transmission (especially when there is an error of madness on the face).

Ailments are not very contagious. The diagnosis of infection with picoya is susceptible to predisposing factors, for example, the deterioration of lymphocytes, the trivial transfer to sleep, chronic venous deficiency, fungal infection of the disease, stress factor.

Summer-autumn season is typical for beshiha. Even more often erysipelas on the other concomitant diseases: foot fungus, diabetes mellitus, alcoholism, obesity, varicose veins, lymphostasis (problems with lymphatic vessels), symptoms of chronic streptococcal infections

Erythematous-hemorrhagic erysipelas of the lower part

As a madman of a rabid, you must show the b-hemolytic streptococum of the A. Klinichny group, show up with a decrease in humoral and clinical immunity.

The main factors for development are: Metabolic products. Pathology often develops on aphids in carbohydrate imbalance. Patients may suffer from impaired tolerance to glucose or diabetes.

Trophies of wines of the capital. I will change my mind until the disagreement є in the cognitive changes of shkirny crooks at the viglyadi scars with zones of local ischemia.

Destruction of the integrity of the school curvatures. Dilyanki poshkodzhennya on the tables become the entrance gate for infection. When you have any symptoms of rabies, show the intoxication.

Shkіdlivі calls. It has been reported that the diagnosis of pathology is more common in particular, that you live alcoholic drinks, narcotic drugs, as well as quietly, how to burn.

Mycotic stripe. Expansion of pathogens from the tarsal abo-bulbar zone and mucous membrane with fungal conjunctivitis decreases the activity of muscle factors in resistance, as well as the development of a pathological process.

Rizik factor Be-firing process of the school The appearance of scars on the school (surgery, injuries) Lymphostasis Trophical changes of the homosexual immunodeficiency stun, viscidness before the disease Sensitization of the prescription

Pathogenesis. As a result, the infusion of streptococci and toxins develop serous or serous - hemorrhagic inflammation in the school, which will accelerate in case of severe interruption of hyperinfiltrated tissue and necrosis.

Lymphangitis, arteritis, phlebitis develop. The infusion of streptococci into an organism as a whole manifests itself in intoxicating, toxic lesions of internal organs, and in the form of secondary diseases.

Patomorfologіya Nabryak Vazodilatatsіya, rozshirennya lіmfatichnih sudin Іnfіltratsіya neutrophils lіmfotsitami i іnshimi ignition klіtinami swelling endotelіyu Viyavlennya grampozitivnihkokіv Deskvamatsіya epіdermіsu When progresuvannі Process, utvoryuyutsya puhirі, napovnenі eksudatom have vazhkih vipadkah - shkіri necrosis.

The incubation period is varied from decilkoh years up to 5 dib To recover from chills, weakness, headache, increased temperature up to 39-40 ° C, blues, swelling pains.

In the first place, there is an embryo, hyperemia and soreness of an ugly dilyanka, which is very often surrounded by festoons, often in a healthy school. Pіznіshe priєdnuyutsya regіonarnі lіmfadenіti i lіmfangoіti easily molded harakterizuєtsya korotkochasnoyu (3 dіb) vіdnosno nevisokoyu (up to 39 ° C) lihomankoyu, pomіrnoyu іntoksikatsієyu, eritematoznim urazhennyam shkіri odnієї anatomіchnoї oblastі When serednotyazhkіy pitsі lihomanka trivaє 4-5 dіb, urazhennya shkіri wearer eritematozno - bulging abnormally - hemorrhagic character Important lesions appear to develop intoxication with psychotic changes, erithematous - bullosing bulloses - hemorrhagic lesions of great diseases of abscesses - in some cases

Recurrence can occur through the bite of dib, or to return to the first place, often to reach recurrences, and peaks occur regularly. Hronіchno recurrent vvazhayut urazhennya scho vinikayut protyagom 2 rokіv pіslya Parvin zahvoryuvannya tієї w lokalіzatsії (chastіshe on nizhnіh kіntsіvkah) Shkіrnі manifest pochinayutsya of sverblyachki i pochuttya napruzhenostі shkіri, potіm through kіlka Godin z'yavlyaєtsya small vognische eritemi, dosit Shvydko zbіlshuєtsya in rozmіrah When eritematoznіy the form of an erythema is carried over an intact school, a little more than a barrage, a tendency towards a peripheral expansion.

The land of the wrong form, it is clearly seen from the healthy school.

Hemorrhagic crumbs are formed by the bulbs rosette, replacing them with a healthy one. In іnshih vipadkah on mіstsі bulbashok mozhut utvoryuvatisya erozії s transition to trofіchnі virazki Eritematozny - gemoragіchna form peaks protіkaє analogіchno eritematoznіy at tsomu on tlі eritemi z'yavlyayutsya krovovilivi in ​​urazhenі dіlyanki shkіri buloznoї - gemoragіchna form vіdrіznyaєtsya od eritematozno - buloznoї tim, scho bulbashki zapovnenі not serous, but hemorrhagic exudate.

Riziku factories

Whether it’s a firing process of a child The appearance of scars on a child (surgery, injuries) Lymphostasis Trophical changes of a woman’s immunodeficiency, visnazhennya Sickness to a disease Sensitization of a child’s agony before.

Pathomorphology

Nabryak Vasodilatation, enlargement of lymphatic vascular disease, inflammation of the process of neutrophils, lymphocytes and fiery cells.

Zbudnik - β-hemolytic streptococcus of group A (Streptococcus pyogenes). β-hemolytic streptococcus of group A is a facultative anaerobe, stiff to the inflow of the factors of the outer middle, slightly sensitive to heating up to 56 ° C for 30 minutes, until the infusion of the main disinfectants and antibiotics.

In the rest of the rock, it is hanging about the fate of the development of the peaks of the world's microorganisms. For example, in case of bullosa-hemorrhagic forms, fibrin is burnt with clear vipotus of the order of β-hemolytic streptococcus of group A from the wound together, Staphylococcus aureus, β-hemolytic bacterial streptococcus, groups B, C, G

Pathomorphology

Show peaks nig, photo 2

The reason for the madness can be caused by other diseases, boils and carbunculi, and gnіynі wounds. Expanded in the shkіrі not safe streptococcus can take a part of the hypothermia nіg or uncomfortably tanning, scho viklikayut microtraumas of the shkіrny cover.

Beshih symptoms

diagnosis of peaks

The incubation period in case of exogenous infection occurs in decile years up to 3-5 days. In the case of a large number of ailments, it means an ear of illness.

Symptoms of intoxication in the cob period occur earlier than the muscular manifestations for a few years - 1-2 dB, which is especially characteristic of the peak, which is localized on the lower symptoms.

There is a headache, weakness, chills, a headache, nausea and bloating (25-30% of ailments). Already in the first year of sickness, the temperature is increased to 38-40 ° C.

On children’s shkіri, sometimes to find out the local problem, people who are ill see paresthesia, feeling a little too early or painful.

Razpal zhvoryuvannya infusion through a cycle of years - 1-2 dib when the first signs appeared. At the same time, general toxic manifestations і fever woman reach her maximum;

there are characteristic symptoms of the peak. Most often, the ignition process is localized on the lower flakes (60-70%), individuals (20-30%) and upper flies (4-7% of the ailments), rarely - on the tulub, in the area of ​​the milky zone, the crotch, the outer organs.

With a quick lіkuvannі and indefatigable interruption of the disease, the triviality of a feverish woman becomes no more than 5 dB. In 10-15% of ailments, the triviality of the disease is 7 dB, which is indicative of the generalization process and ineffectiveness of ethiotropic therapy.

The nighttime hot period is more favorable for bulloza-hemorrhagic pizza. In 70% of ailments, regional lymphoma (with all forms of ailment) appears.

The temperature is normal and toxicity is known earlier, the regression of muscle symptoms is lower. Local signs of ailment sposter up to the 5-8th day, with hemorrhagic forms - up to the 12-18th day or more.

To the surplus of symptoms, peaks, to be able to reach for a long period of time or months, to recognize the pasty and pigmentation of the skin, the delayed hypersensitivity to the syndrome of dryness, dryness

About the uncomfortable prognosis and early relapse to indicate a trivial improvement and pain in lymph universities; іnfіltrativnі shkіri changes in the area of ​​the burned out fire;

trivial subfebrilete; Trivale of sparing lymphostasis, which is a slid to look at the early stage of secondary elephantiasis. Hyperpigmentation of a school of lower symptoms in ailments, who have suffered a bullose-hemorrhagic peak, all life can be taken.

Clinical Classification of Peaks (Cherkasov V.L., 1986)

By the nature of the muscular manifestations: - erythematous; - erythematous-bullogenous; - erythematous-hemorrhagic; - bulloza-hemorrhagic. For the degree of severity: - easy (I);

- medium-weight (II); - important (III). According to the multiplicity of the current: - primary; - repeated (in case of repeated incapacitation through two rocks, incoli localization to the process);

- localized; - expanded (mіgruyucha); - metastatic from one to one spot in one spot. Folded peaks: - muscle (abscess, phlegmon, necrosis, phlebitis, periadenitis and in.);

- zagalny (sepsis, ІTSh, thromboembolism of the leg artery and in.). Peak traces: - stiff lymphostasis (lymphatic swelling, lymphedema); - Secondary elephantiness (fibredema).

Erythematous erysipelas can be an independent clinical form or a cob stage of the other peak forms. On the shkіrі there is a small chervona or rozheva plyama, which, after a few years, will be transformed into a characteristic beshikhov erythema.

Erythema - clearly seen for a hyperemic school with uneven boundaries at the teeth of the eyes, mov. The shkira in the region of the region is stressed, swollen, hot on the dot, it is infiltrated, it is also painful during palpation (more along the periphery of the region).

In a number of vypadki it is possible to form a "peripheral ridge" - to be infiltrated and to be carried by the edge of the erythemi. Characteristics of growth, soreness of stegnous-inguinal lymphatic universities and hyperemia of shkiri over them ("rozhve chmarka").

Erythematous-bullogenous erysipelas of vinikє through the kilka of godin - 2-5 dib for aphid erysipelas. The development of the bulbs with the viclikan moved by the exudation at the head of the store and the transfer of the epidermis by the dermis, which was bought up by the child.

When the surface of the bulbs is pocketed, or if they are mimicked, they end up with an eksudat; there are erosions on the bulb; When the bulbs zalishayutsya tsilimi, the stench step by step shrinks from the apparitions of zhovty or brown crusts.

Erythematous-hemorrhagic erysipelas of winyє on a few erythematous peaks in 1-3 days after the ear is sick: it means the hemorrhage of early growths - from small petechias to great angry ecchymosis.

Bullose-hemorrhagic erysipelas develops from erythematous-bullose abnormal-hemorrhagic form as a result of a large decrease in capillaries and blood vessels of the cystic and papillary balls of the dermis.

Great bloodshed is being brought to the shkira in the region of the city. Bulbous elements are stored with hemorrhagic and fibrinous-hemorrhagic exudate. The stench can be of boozy roses;

May it be darker and darker with the education included in the fibrin. Bulbashki to take revenge on a fibrinous exudate. You can come to the conclusion of the great, powerful ones at the palpation of the consolidation of the bulbs in the way of significant insertion in them to the fibrin.

With the active reparation of the ailments on the mice of the bulbs, there are a lot of picks. In some types of drops, it is possible to accelerate the development, processing of microorganisms at once with clots of fibrinous-hemorrhagic tissue together and depletion of the erosive surface.

Most of the ailments are being treated in a step-by-step manner. With significant bloodshed in the bottom of the michur, I have a shkiri of mossy necrosis (in the case of secondary infections, assertions of virazoks).

It will remain an hour more often to reestablish the hemorrhagic forms of ailments:

Criteria for the severity of the peaks take into account the incidence of toxicity and the broadening of the microbial process.

To an easy (I) form, tolerate vapors with insignificant toxicity, low-grade fever, localized (often erythematous) muscle process.

Medium-heavy (II) forms of power are rotated intoxication. Ailments to scare on the backward weakness, headache, chills, muscle pains, inodi - on boredom, bloating, temperature fluctuations up to 38-40 ° С.

When circumstantial, tachycardia appears; even in half of the ailments - hypotension. The mycelium process can be of localization or expansion (I will get two anatomical areas and more) in nature.

To an important (III) form, there are vapors with severe intoxication: with intense headache, repeated bloating, hyperthermia (at 40 ° C), darkening of symptoms (one), menineal symptoms, vascular disease.

Vyavlyayut significant tachycardia, hypotension; in the case of a kidnapped and old man, when he is getting sick, he has a lot of development of a heart-and-heart failure.

To an important form, it is also possible to carry a wider bullous hemorrhagic peak with great bulbs when there is a rapid increase in toxicity and hyperthermia.

With a growing localization of ailments, the forecast may be of its own. The lower numbers are the most common localization of the peaks (60-75%). Characteristics of the form of ailments with the development of great hemorrhages, great bulbs and given statements of erosions, and those defects in children.

For a given localization, the most common types lymphatic systems in viglyad lymphangitis, periadenitis; chronically recurrent interruption. The peak of an individual (20-30%) should be spared in the first and second forms of ailments. When there is no evidence of a recurrent interruption.

Right now you will be able to get rid of the sickness. Frequently, the peaks of the individual are susceptible to angina, acute respiratory infections, aggravated chronic sinusitis, otitis media, caries.

The erysipelas of the upper flares (5-7%), as a rule, is caused by aphids of lymphoid lymphostasis (elephantiasis) in females operated on to drive the milky bulge.

One of the main features of the peak of streptococcal infection is the tendency to chronically recurrent interruption (25-35% of the infections). Rise of recurrences (through the risk and more time of the foregoing incapacitation from the same localization of the firing process) and seasonal (occasionally long lasting rocky first, most often in the future)

Seasonal and seasonal relapses (the result of reinfection) after a clinical interruption are similar to the type primary peak, but they develop to a slow lymphostasis and other inheritances in the middle of the disease.

Early and part (three or more per ric) recurrences with sharpened chronic diseases. More than 90% of the ailments often have recurrent erysipelas against other children in the case of defective trophies of shkiri, decreased barbaric functions, and muscular immunodeficiency.

In 5-10% of ailments, there is a decrease in muscle growth: abscesses, phlegmon, necrosis of the skin, pustular bullae, phlebitis, thrombophlebitis, lymphangitis, periadenitis. Naybils are often found in ailments with a bulloose-hemorrhagic peak. In case of thrombophlebitis, children may suffer from hypochondria.

Likuvannya of such expeditions should be carried out at the occasion of new surgery.

To the backward acceleration (0.1-0.5% of ailments), there is sepsis, ІTSh, cardiac insufficiency, thromboembolism of the leg artery and іn.

Lethality at pizza becomes 0.1-0.5%.

Before the herd of peaks, there is persistent lymphostasis (lymphedema) and no more elephantiasis (fibredema). Severe lymphostasis and elephantiasis in a large number of cases are due to the only functional deficiencies in the lymphoid problems of the shkiri (congenital, post-traumatic and minor).

Successful anti-recurrence of peaks (including repeated courses of physiotherapy) significantly reduced lymphatic swelling. When a second elephantiasis (fibredema) has already been formulated, it is effectively deprived of any surgical treatment.

pathogenesis

Erysipelas is one of the variants of the genetically determined reaction of HRT. People with a group of blood are most often sick III (B).

At first and second pies, the main route of infection is exogenous. With repeated pizza, the pathogen expands lymphogenically or hematogenously from streptococcal infections into organisms.

· Professionals of education, tied with advanced traumatization, obstruction of shkіrnykh pokrivіv, wear of humus swelling and іn; · Chronic somatic illness, in some cases, there is a decrease in anti-infectious immunity (often in the summer).

The offensive stage is the development of toxinemia, which leads to intoxication (usually the ear of ailment with increased temperature and chills).

In addition, it is possible to form an intermediate chronic streptococcal infection in schools and regional lymphatic universities with the appearance of bacterial and L-forms of streptococcus, which is an old cause of chronic overburden of peaks.

Important features of the pathogenesis of often recurrent peaks are the illumination of the persistent streptococcal infection in the organisms of the sick (L-form);

It is necessary to admit that ailment is lost in particular, as it may be inevitable that it will be strong. Infectious-allergic or immunocomplex mechanism of inflammation in the case of pitting is serous or serous-hemorrhagic in nature.

In case of pizza (especially with hemorrhagic forms), the pathogenetic significance of the swelling of the activation of young lanoks is important to the hemostasis (sudino-thrombocytic, procoagulant, fibrinolysis) and calcareous-kinin system.

The development of the internal vascular sore throat is of the order of a shkidlivaya day, but a more important protective meaning: in the fire, the fire is interchanged with a fiber bar, so that it is overwhelmed by the widening of the infection.

With microscopic microscopy of the midsection, the rabbit is more serous or serous-hemorrhagic (swelling; other inflamed dermis, it is more pronounced around the capillaries).

Exudate to avenge a large number of streptococci, lymphocytes, monocytes and erythrocytes (with hemorrhagic forms). morphological changes The picture of microcapillary arteritis, phlebitis and lymphangitis is dominant.

In case of erythematous-bullose and bullose-hemorrhagic forms, the burning is seen as a result of the epidermis from the statements of the puffs. In hemorrhagic forms, peaks in the muscular midsection mean thrombosis of other blood-bearing vessels, diapedesis of epithelial cells in the middle space, and the appearance of fibrin.

In the period of convalescence, with an unstoppable overrun, the peaks mean large-or small-lamellar peeling in the area of ​​the wood burning.

In case of recurrent peaks in the dermis, the growth of the resulting tissue gradually increases - as a result, lymphatic growth breaks down and a strong lymphostasis develops.

So it was itself seen that erysipelas is the most frequent in people with III (B) blood group. Obviously, genetic strength before pizza appears to be deprived in summer (often in women), at three repeated sensitization to beta-hemolytic streptococcus of the group A and on the other side of the disease, depending on the number of diseases with innovative processes.

Erysipelas is one of the variants of the genetically determined reaction of HRT. People with a group of blood are most often sick III (B).

Obviously, the genetic strength to pizza appears to be deprived in summer (often in women), on the third repeated sensitization to β-hemolytic streptococcus of the group A and in both clinical and post-morbid foods (factors) in mental health with innovative processes.

At first and second pies, the main route of infection is exogenous. With repeated pizza, the pathogen expands lymphogenically or hematogenously from streptococcal infections into organisms.

With frequent relapses, peaks in school and regional lymph nodes are found in the diagnosis of chronic infection (L-form of β-hemolytic streptococcus of group A).

Under the inflow of provocative young officials (overcooling, overheating, injuries, emotional stress), the reverse of L-forms in bacterial forms of streptococcus occurs, as they suffer relapses and relapses.

Up to provocative factors, how to take the development of ailments, to carry out the deterioration of the integrity of the scruffy crooks (sadna, podryapini, comb, pricks, scuffs, trash and іn.

Background (supportive) ailment: foot mycosis, congestive diabetes, obesity, chronic venous insufficiency (varicose veins ailment), chronic (nasal ailment), lack of lymph ulcers (lymphostasis);

Detection of chronic streptococcal infections: tonsillitis, otitis media, sinusitis, caries, periodontal disease, osteomyelitis, thrombophlebitis, trophic infections (often with pizza lower);

· Professionals of education, tied with advanced traumatization, obstruction of shkіrnyh pokrivіv, wear of humus swelling and іn.;

· Chronic somatic illness, in some cases, there is a decrease in anti-infectious immunity (often in the summer).

Thus, the first stage of the pathological process is the introduction of β-hemolytic streptococcus of group A into the disease of the shkiri at the first stage of the erysipelas (primary erysipelas) or the disease of the disease of the disease (recurrent form of the disease).

Reproduction and accumulation of the seed in the lymphatic capillaries of the dermis incubation period getting sick.

Nadalі formuєtsya mіstsevy Oseredok іnfektsіyno alergіchnogo-broken-winded shkіri for participation іmunnih kompleksіv (formuvannya perivascular roztashovanih іmunnih kompleksіv scho mіstyat fraktsіyu complement C3) porushuєtsya kapіlyarny lіmfo i krovoobіg shkіrі of formuvannyam in lymphostasis, osvіtoyu hemorrhages i bulbashok of serous i gemoragіchnim vmіstom.

At the final stage of the process, elimination of bacterial forms of β-hemolytic streptococcus for additional phagocytosis occurs, immune complexes and ailments are established.

In addition, it is possible to form an intermediate chronic streptococcal infection in schools and regional lymphatic universities with the appearance of bacterial and L-forms of streptococcus, which is an old cause of chronic overburden of peaks.

Important features of the pathogenesis of often recurrent peaks are the illumination of the persistent streptococcal infection in the organisms of the sick (L-form);

change of the clerical i humoral immunity; a high level of allergy (hypersensitivity type IV) to β-hemolytic streptococcus of group A and the same to classic and post-mortem products.

Shown before the consultation

Includes: infection, mycobacterium leprae wiclican

Weekly: evidence of leprosy inheritance (B92)

Included: listerioza kharchova infection

Excluded: neonatal (desemination) listeriasis (P37.2)

If it is necessary to provide a septic shock, then a supplementary code (R57.2).

victories:

• in the period of periods (O75.3)
• having sent for:
  • immunization (T88.0)
• neonatal (P36.0-P36.1)
• postprocedural (T81.4)
• pislyarodovy (O85)

If necessary, a request for septic shock prefix code (R57.2).

victories:

• bacteremia NOS (A49.9)
• in the period of periods (O75.3)
• having sent for:
  • abortion, post-abdominal abortion (O03-O07, O08.0)
  • immunization (T88.0)
  • Infusion, transfusion or therapeutic inoculation (T80.2)
• sepsis (viklicaniy) (for obviousness):
  • actinomic (A42.7)
  • sibiliated (A22.7)
  • candidiasis (B37.7)
  • Erysipelothrix (A26.7)
  • extraintestinal hypersensitivity (A28.2)
  • gonocoque (A54.8)
  • herpes virus (B00.7)
  • listerious (A32.7)
  • meningococcal (A39.2-A39.4)
  • neonatal (P36.-)
  • postprocedural (T81.4)
  • pislyarodovy (O85)
  • streptococcal (A40.-)
  • tularemia (A21.7)
• septic (a):
  • melioidosis (A24.1)
  • plague (A20.7)
• toxic shock syndrome (A48.3)

Consultations of a therapist, endocrinologist, otolaryngologist, dermatologist, surgeon, ophthalmologist should be carried out in the presence of supportive illnesses and aggravation, as well as, if necessary, differential diagnostics.

For systemic zasosuvannya (parenteral and in the middle). Shock (opic. Anaphylactic. Post-traumatic. Pislyoperative. Toxic. Cardiogenic.

Hemotransfusion і etc;); congestion of the brain (including with puffins. Craniocerebral trauma. Neurosurgical involvement.

Exchange rate); bronchial asthma. Asthmatic status; systemic impairment with a resultant tissue (including systemic chervonia vovchak. Rheumatoid arthritis. Scleroderma.

Higher education institution. Dermatomyositis); thyrotoxic crisis; pechinkova coma; cutting off with cauterizing ridges (with the addition of a change in igniting lesions and a reduction in cicatricial lesions);

Statements and chronicles fueled by the congestion of the slopes. We have gouty and psoriatic arthritis. Osteoarthritis (including post-traumatic). Polyarthritis.

Shoulder-blade periarthritis. Ankylosing spondylitis (Bekhtur's ailment). Juvenile arthritis. Still's syndrome in older adults. Bursitis. Nonspecific tenosynovitis. Synovitis. epicondylitis;

rheumatic fever. Gostria rheumatism; State and Chronic Allergic Disorders: Allergic reactions to medicinal products and food products. Syrovatkov's ailment. Kropiv'yanka.

Allergic rhinitis. Polyosis. Angioneurotic bulge. Likarska visip; zhvoryuvannya shkіri: puffy. Psoriasis. Dermatitis (contact dermatitis with lesions of the great surface of the skin. Atopic.

Exfoliative. Bullosa herpetiformia. Seborrheic і etc;). Eczema. Toxidermia. Toxic epidermal necrolysis (Lyell's syndrome). Malicious exudative erithema (Stevens-Johnson syndrome);

Allergic obsession of the eyes: Allergic inconsistencies of the horn. Allergic forms of conjunctivitis; fired up eyesight: the ophthalmia is pretty.

Important anterior and posterior eyelids. Neuritis of the zoric nerve; the primary or secondary lack of supra-nirkovy vines (in the mt.

congenital hyperplasia of supra-nirkoval hallux; becoming ill with autoimmune genesis (including glomerulonephritis). Nephrotic syndrome; pidgostria thyroiditis;

disease of blood-forming organs: agranulocytosis. Panmієlopathy. Anemia (including autoimmune hemolytic. Progenia hypoplastic. Erythroblastopenia).

Idiopathic thrombocytopenic purpura. Secondary thrombocytopenia in adults. Limfoma (Khodzhkinskaya. Nonkhodzhkinskaya). Leukemia. Lymphocytic leukemia (gostry. Chronic);

zhvoryuvannya legends: gostry alveolitis. Fibrosis of legends. Sarcoidosis II-III; tuberculous meningitis. Tuberculosis is a disease. Aspiracy pneumonia (only in case of specific therapy); beryliosis.

ulcers colitis. Crohn's ailment. Local enteritis; hepatitis; prevention of transplant reaction; pukhlinna hyperkaltsієmiya. Nudota and bluing during cytostatic therapy;

mієlomna ailment; carrying out a test for differential diagnostics of hyperplasia (hyperfunction) and measles fluff of supra-nirkovy. For muscular storing.

Intra-angular, periarticular. Rheumatoid arthritis, psoriasis arthritis, ankylosing spondyloarthritis, Reiter's ailment, osteoarthritis (in the presence of severe signs of swelling, synovitis).

Conjunctival. Conjunctivitis (negative and allergic). Keratitis. Keratocon'junctivitis (without writing an epithelium). Irit. Iridocyclitis. Blepharitis Blefarokon'yunktivit. Episklerite. Scleritus.

Evidence of a growing genesis. Retinitis. Neuritis of the zoric nerve. Retrobulbar neuritis. Superficial injuries of the hornetting of the developmental ethology

Ignition processes for injuries during on-the-spot operations. Nice ophthalmia. Have the most recent rumors going. Allergic and inflamed vuha, including otitis media.

Hypersensitivity (for a short-hour systemic life-cycle is shown for only one counter-indication). For systemic zasosuvannya (parenteral and in the middle).

Including long-term contact with the ailment). Have herpes simplex. Operative herpes (viremic phase). Vitryana vispa. Cyr. Amebiasis. Strongiloidosis

Active form of tuberculosis; Immunodeficiency diseases (including SNID or VIL-infection). Period up to and including preventive chips (especially anti-tier ones);

systemic osteoporosis. Myastenia gravis; ailment of the shlunkovo-intestinal tract (in the point of a virazkov ailment of a shlunk and two-fingered intestine. Esophagitis. Gastritis.

The anastomosis of the intestine is not a long time ago. Nonspecific swollen colitis due to the threat of perforation or abscess. Diverticulitis); falling ill of the heart-court system.

Have recently had myocardial infarction. Stagnant heart failure. Arterial hypertension; diabetics. Gostra nirkova and / abo pechinkova lack. Psychosis.

For vnutr_shnyosuglobovogo introduction. Unstable slopes. Anterior arthroplasty. Pathologic bleeding (endogenous abo viclican in anticoagulants).

Extra-articular cyst fracture. Іnfіkovanі in the light of the defeat of the slopes. On the middle of the back, soft fabrics and mid-back spaces. Bends of the nasolabial osteoporosis.

Ochni form. Viruses, fungi and tuberculous lesions of the eyes, including keratitis, Herpes simplex viciousness, viral conjunctivitis, gostra gniyna full-time infection (at visibility of antibacterial therapy), glacial disease Vushni form. Perforation of the drum overflow.

Classification of fired homilka

In the photo, the form of beshihi is important

Beyond the degree of severity, the erysipelas buvaє:

• easy, with weakly pronounced signs;
• middle, with evidently swelling symptoms, ale without acceleration;
• important, with strong acceleration and an important interruption of the disease.

Clinical classification of peaks (Cherkasov V.L., 1986).

According to the multiplicity of the current: · primary; · Repeated (in case of repeated incapacitation through two fate or more from the initial incapacitation, either in a larger early term, or in case of the localization process);

By the nature of the muscular manifestations: · erythematous; · Erythematous-bullogenous; · Erythematous-hemorrhagic; Bullosic-hemorrhagic.

For localization of the muscular process: · individuals; · Hairy part of the head; · Top marks (by segments); · Lower kintzivok (by segments); · Tuluba; · Articles of organs.

Beyond the degree of severity: · easy (I); Medium-heavy (II); · Importance (III).

For the broadening of the muscular manifestations: · localized (the muscular process will acquire one anatomical region (for example, a homily or a person)); · Expanded (mіgruyucha) (the muscle process will populate a number of sumy anatomical regions);

Decreased peaks: · micevi (abscess, phlegmon, necrosis, phlebitis, periadenitis and in.); · Zagalny (sepsis, ІTSh, thromboembolism of the leg artery, nephritis, etc.).

Peak traces: · stiff lymphostasis (lymphatic swelling, lymphedema); Secondary elephantiness (fibredema)

Erythematous. The reading of the line of the wrong form begins, as it allows differentiation of the health of the tissue in the course of the pathological process.

The zone is surrounded by nagaduє "yaziki polum'ya". Shkirni pokrivi nabryakli, hyperemic. Gangrenous. On the surface of the uzhenoi capital, there are ramps, from which there are ginning masses.

The self-respect of the children is very quick. It is due to the nature of the local manifestations of the author's surroundings that they see erythematous-bloody, erythematous-haemorrhagic, erythematous and bloody-haemorrhagic types of ailments.

For the broadening of the muscular changes, the development of the onset of the forms of ailment: Localized. The battle zone is surrounded by crumbling creases.

Reactive changes in navkolishnykh tissues are not characteristic. Expanded. The pathological process extends to the area near the eyes, shkirnі pokrivi face.

Erysipelas on nose - symptoms, lіkuvannya, photo of ailments erysipelas

The face will be widened according to the size of the people in a fashionable way. On the basis of the development and development of symptoms, physicians classify ailments on a few pidrozdiliv.

· Repeated (in case of repeated incapacitation through two fate or more after the initial incapacitation, either in a larger early term, or in case of the localization process);

· Recurrent (recurrent erysipelas in the period from several days to 2 years with the same localization process. Often recurrent erysipelas - 3 recurrences and more in the case of the same localization process).

· Hairy part of the head;

· Verkhnіkh kіntsіvok (by segments);

· Lower kintzivok (by segments);

· Localized (the muscle process will populate one anatomical region (for example, a homily or a person));

· Expanded (mіgruyucha) (the muscular process will populate a number of summery anatomical regions);

· It is metastatic from any kind of diagnosis from one specific point of view (e.g., a woman, a person, etc.).

Mistsev (abscess, phlegmon, necrosis, phlebitis, periadenitis and in.);

· Zagalny (sepsis, ІTSh, thromboembolism of the leg artery, nephritis, etc.).

Stiky lymphostasis (lymphatic swelling, lymphedema);

· Secondary elephantiness (fibredema).

In the open-minded clinical diagnosis, it will be necessary to reveal the presence of fellow illnesses.

Primordial mug of the right half of revealing, erythematous-bully form, middle grade of gravity.

Recurrent erysipelas of livoy homily and feet, bullose-hemorrhagic form, severe degree of severity. Folding: Phlegmon of livoi homilka. Lymphostasis.

Supportive discomfort: epidermophyte of feet.

Zrazkovy terms of non-standard

The triviality of inpatient and outpatient treatment becomes 10-12 days for the first, unstable pizza and up to 16-20 days - for important, recurring pizza.

dispensary

Clinical examination should be carried out to patients: · with frequent, not less than three for the last time, recurrence of the peak; · Due to the seasonal nature of relapses; May prognostically unpleasant overwhelming symptoms in case of visualization of diseases

The terms of dispensary examination start individually, even if the stench of guilt becomes at least one fate, the postponed illness is taken from time to time at least once every 3-6 months.

Rehabilitation of ailments, as they underwent a peak (especially in case of recurrent interruption, the presence of background illnesses), including two stages.

· Paraffin and ozokeritol_kuvannya; · Laser therapy (importantly in the infrared range); · Magnetotherapy; · High-frequency and ultra-high-frequency electrotherapy (as shown);

· Miscev darsonvalizatsiyu; · Ultra high frequency therapy; · Electrophoresis with lidase, iodine, calcium chloride, sodium heparin and іn; · Radon baths.

It is necessary to come in for differential treatment, in case of ailments (60-70% of all types are people over 50 years old), the appearance of important fellow somatic ailments.

An important factor, which is necessary to carry out revitalized entries, - the presence of ailments in fungal diseases (in most cases).

Likuvalny come can be carried out on aphids of bicillin prophylaxis.

Another stage is the period of convalescence.

Falling back to the sick, the presence of background illnesses in the whole period can be victorious in the description of a complex of physiotherapeutic procedures.

A46. Erythematous erysipelas of an individual of average severity, primary.

accelerating

The folds are of a muscular character: necrosis of shkiri, abscesses, phlegmon, thrombophlebitis, lymphangitis, periadenitis. With some important illnesses and sooner or later sepsis, infectious-toxic shock may develop.

Thrombosi podlyagayut sudin Gangrene of the disease Sepsis Scarlet fever Pneumonia Meningit.

Beshih can go independently: after two years from the ear of the ear, there is a decline in the decline, a little more growth and pigmentation of the school will begin to fall. Great value of the repeated process.

with insufficient active love erysipelas viclika Especially not safe for ailments of diabetes, allergies, varicose veins and thrombophlebitis, with heart failure and VIL-infirmity.

Є not safe for the development of pneumonia, sepsis and meningitis.

Streptococcus toxins viklikayut rheumatism, myocarditis and glomerulonephritis.

Miscellaneous acceleration - the cure of phlegmon and abscesses, trophism and lymphostasis (elephant)

Elephants develop in 15% of all types of rabies. Vona supervise with such manifestations as papilomy, eczema, lymphorea (vipit lymphoid with pigmented shkiri). All the same, the life of the sick person will be quicker.

When the pathological process is extended to the orbital conjunctiva, it is often the blinded conjunctivitis. You can get sick with phlegmon of orbit.

The duration of the free therapy is leading to thrombosis of intracircular veins. In a number of patients, secondary neuritis of the zorotic nerve is suspected. Expansion of the infection for the boundaries of the school curvatures for the development of panophthalmitis, before the meningitis.

Pislya lіkuvannya patsієntіv with gangrenous form іsnu viscous risik formed by scars. When the lymphatic flow is damaged, it is possible to diagnose the lymphatic nodule (lymphedema) of the upper vertex, or of the entire periorbital area. Secondary elephantiness is presented by fibredemi.

Likuvannya ailments with recurrent lance

Likuvannya tsієї forma zhvoryuvannya to carry out in the minds of the stationary. Obov'yazkovo sign of reserve antibiotics, as they were not vicious in the case of early recurrences.

I mean cephalosporin I generation vnutrishniyazovo 0.5-1 g 3-4 times for doba. Antibacterial therapy course - 10 days. With often recurrent pizza, 2-course treatment.

There are a number of antibiotics that are optimal for bacterial forms and L-forms of streptococcus. In such a rank, for the first course of antibiotic therapy for cephalosporins (10 days), after 2-3 days, interrupt another course of treatment with lincomycin - 0.6 g three times a day internally, or 0.5 g every day ( 7 days).

With repeated pizza, immunocorrective therapy is indicated (methyluracil, sodium nucleinate, prodigiosan, thymus extract, azoxymera bromide and in.). Achievement of the immune status in the dynamism.

Mistsevu therapy should be carried out in case of a bullose form with a localization process at kintsivka. The erythematous form is not vimagaє zasosuvannya mussels(Dressings, ointments), and many of them are contraindicated (іkhtammol, Vishnevsky's ointment, ointments with antibiotics).

Unsuspecting bulbs are carefully worn at one of the regions and when they go out to the eksudate they apply bandages with a 0.1% range of etakridin or 0.02% to furatsilinu, at least once a day.

Tuge bandaging is unacceptable. In case of great moistening erosions, they fix the manganese baths for the pictures and put on bandages for a while.

For the elimination of muscular hemorrhagic syndrome in case of erythematous-hemorrhagic pizza 5-10% butylhydroxytoluene (two times for dob) or 15% water solution for dimephosphon (five times for add) for 10

diagnostics

The statement of the diagnosis is not easy to get sick, so as to show the type of sickness. Miscellaneous symptoms (chills with sharp fringes near the viglyadi eritemi, embarrassment, biting) will come from the backward intoxication (increased temperature, chills, chills in the head).

In the clinical blood analysis, there is a diminished leukocytosis (when the average severity is exceeded) and an increase in the SHOE up to 18-20 mm per year. An important transition to a toxic leukocyte granularity.

Serological analyzes show an increase in the titre of anti-streptococcal antibodies. Bacteriological inoculation of blood for streptococcus brothers is not sufficient, so as a child in most cases does not hang.

For diagnostics of other pathological conditions, it is necessary to consult the onset of faults:

• phlebologist;
• endocrinologist;
• otolaryngologist;
• dentist.

· Hostry ear with swelling symptoms of intoxication; · Overrides the localization of the muscular ignition process on the lower ends and faces; · Development of typical muscular manifestations with a characteristic erythema, possible muscular hemorrhagic syndrome;

In 40-60% of ailments in the peripheral blood, neutrophilic leukocytosis (up to 10-12 × 109 / l) is evident in the same amount of rotations. In okremikh patients with an important break, the peaks prevent hyperleukocytosis, toxic granularity of neutrophils.

No diagnostics may indicate an increase in antistreptolysin titers About the other anti-streptococcal antigens, bacterial antigens in the blood, sleepless ailments, symptoms of bulging elements (RLA, prognosis, especially important)

Differential diagnostics for pizza should be carried out more than 50 surgical, small, infectious and internal disabilities. In the first place, it is necessary to diagnose abscesses, phlegmon, suppuration of hematomas, thrombophlebitis (phlebitis), dermatitis, ekzema, operatic lichen, erysipeloid, Siberian virazku, vuzluvat eritema (tabl. 17-35).

Table 17-35. Differential peak diagnostics

Leukocytosis (specific> 15 109 / L) with a leukocyte formula in the absence of a leukocyte formula, in addition to the SHOE Streptococcus hangs only at the early stages

· Hostry ear with swelling symptoms of intoxication;

· Overrides the localization of the muscular ignition process on the lower ends and faces;

· Development of typical muscular manifestations with a characteristic erythema, possible muscular hemorrhagic syndrome;

· Development of regional lymphadenitis;

· The appearance of swelling pains in the head is hot in the calm.

In 40-60% of ailments in the peripheral blood, neutrophilic leukocytosis (up to 10-12 × 109 / l) is evident in the same amount of rotations. In okremikh patients with an important break, the peaks prevent hyperleukocytosis, toxic granularity of neutrophils.

In the case of a rare appearance of β-hemolytic streptococcus from the blood of the ailments and in the heat of the disease, it is not worthwhile to carry out very bacteriological illnesses.

No diagnostics may indicate an increase in antistreptolysin titers About the other anti-streptococcal antigens, bacterial antigens in the blood, sleepless ailments, symptoms of bulging elements (RLA, prognosis, especially important)

Laboratory pre-development Leukocytosis (develop> 15109 / L) with anti-leukocyte formulation with anti-leukocyte formulas, additional SHOE Streptococcus hangs only at the early stages

Diferentsіalna dіagnostika erizipeloїdu (Mensch superelevation іntoksikatsіya, Je sverbіzh) Contact dermatitis (vіdsutnє pіdvischennya temperature tіla) Angіonevrotichny nabryak (vіdsutnє pіdvischennya temperature tіla) Scarlet fever (visipannya bіlsh poshirenі not suprovodzhuyutsya nabryakom) GVH (lokalіzatsіya - person, Mensch virazheny pіdyom temperature tіla, nayavnіst ANAT) polychondritis of cartilage in the ear shell Dermatophytosis Tuberculoid leprosy Phlegmon.

DIAGNOSTICS AT THE AMBULATOR RIVNI **

· Adjustment of temperature up to ° С;

· Paresthesia, especially the diagnosis of pain, low pain, and pain in the area of ​​shkiri.

· Gostry ear of ailment.

· Damage to the integrity of shkirnykh crooks (sadna, podryapini, comb, pricks, scuffs, tricky, etc.);

Rizka temperature change (overcooling, overheating);

Background (supportive) ailment: mycosis of feet, congestive diabetes, obesity, chronic venous insufficiency (varicose veins ailment), chronic (nubular or vrogena) lack of lymphatic zymphitis (lymphostasis), ta_

· Erythema (clearly seen for a hyperemic school with uneven boundaries at the viglyadi teeth, a half-word, "geographic picture");

· Infiltration, napruga of shkiri, relief of soreness during palpation (more on the periphery), temperature increase in the area of ​​urine;

· "Peripheral roller" at the edge of the infiltrated and growing edges of the region;

· Nabryak shkiri, which will expand beyond the boundaries of the eritemi;

· Regional lymphadenitis, pain on palpation in the area of ​​regional lymphadenitis, lymphadenitis;

· Bulbashki (bully) on aphid beshikhovoy eritemi (div. Vishche).

· The bloodshed of small petechias to the great angry hemorrhages in the shkira on the beshikhovoy eritemi (div. Vishche).

· Bulbashki (bully) of early growths on aphids of madness, stored with a hemorrhagic or fibrous-hemorrhagic exudate;

· Great bloodshed in the shkіra in the region of eritemi.

· Intensity of symptoms of intoxication;

· The breadth and nature of the muscular process.

· Subfebrile temperature, mild symptoms of intoxication, triviality of a hot period 1-2 days;

· Localization (often erythematous) of the muscle process.

Increased temperature up to 38 - 40 ° C, triviality of a hot period 3-4 days, along with symptoms of intoxication (headache, chills, muscle pains, tachycardia, hypotonia, some nausea),

· Localization of any expansion of the process, wandering two anatomical areas.

Temperature of 40 ° C and more, triviality of a hot period more than 4 days, symptoms of intoxication (adynamia, severe headache, repeated bloating, innocent madness, dullness of fever, heart disease)

· Rotations of the muscle process, frequent enlargements, often with the manifestation of great bullae and hemorrhages, during the daytime, rapid changes in symptoms of intoxication and hyperthermia.

· Zagalny analysis of blood (OAC): amid leukocytosis with neutrophilic hypoxia of the formulation, as well as increasing the rate of formation of erythrocytes (SHOE);

· Zagalny analysis of the sech (OAM): in important cases - oliguria and protein, in the sediment - erythrocytes, leukocytes, hyalin and granular cylinders.

DIAGNOSTICS on the stationary РІВНІ **

Likhomanka (Those C);

· Paresthesia, feeling a little painful, not intense pain, reason, visibility in the area of ​​shkiri.

· Damage to the integrity of shkirnykh crooks (sadna, podryapini, wounds, scratches, pricks, scuffs, tricky and іn.);

· Micevial ​​process (in an hour, see an ear of sickness) - bil, hyperemia and embryo of an ugly dilyanka of shkiri (in the area of ​​accusation, tuluba, kintzivok and in some cases - on mucous membranes).

· Urazhena dilyanka shkiri is characterized by erithema, bulging and pain. The erythema of іvnomіrnoy yaskravyo zaravlennya with clear cordons with a tendency to peripheral widening, is carried over the іntactnoy school.

· To fix it by itself, as is the matter of the subject. However, in 1-3, at the moment of becoming ill at the time of the disease, it appears that the epidermis is displayed and the growth of the bulb is adopted, which is stored with a gray vmist.

Nadal bulbs burst, and on the other mice, a brown pick is formed. Pislya їkh vіdtorgnennya is visible young nіzhna skіra. In the vicinity of the drops on the bulb, there are erosions, which transform into trophies.

forecast

Danes become ill with recurrent interruptions. Repeated episodes are found at the moment of weakening of immunity and in the presence of unwelcoming officials.

That is to find a quick and adequate solution to the first fall of the peak, which is not a guarantee of a relapse.

However, the prognosis is out-of-the-box for a given ailment.

The code of beshih is based on the uvazi singing protocol of lіkuvannya, de spelled out the basics of therapeutic visits. So, as the disease is poor, it is usually possible to include antibacterial drugs.

The flexibility to promote physiotherapeutic procedures. Given pathology I don’t have to pay attention to the visceral leaks and procedures, as it’s the stench to pull the skinny curl and deprive you of the need to show rabid infections.

The forecast of a rabid on his feet will lie in the gravity of the disease and immunity of the body.

Recurrent forms often develop when another staphylococcus flora is brought to BGSA.

Through the stuffed lymphostasis, the rate of return can be reduced.

In general, for the life of the patient, the prognosis is hospitable, as far as uniqueness is accelerated.

Forecast in case of a quick addiction with hospitality. Patients with this pathology need a saw to stitch behind the eyes, unicati overcooling.

The prognosis for pizza is easy-going, protest in people with important patients (diabetes, heart-and-heart deficiency), a lethal result.

prophylaxis

Nonspecific prophylaxis is carried out until bactericidal prescriptions are consumed for a peek at the tables when microtraumas are evident, for example, taking into account the rules of asepsis and antiseptics when robots with information material.

There is no specific prophylaxis. To get rid of the rabid, you need to come in before you start.

• enclose contacts with ailments with a pike, letting the contact carry out an antiseptic cleaning of their shkirnykh curves;
• pіkluvatisya about the improvement of immunity by the way of the day, take physical culture, unique stressful situations;
• hourly lіkvіduvati about the middle of chronic streptococcal infections, stitches behind the camp of health;
• give it right healthier eating- Hemolytic streptococcus shvidko proliferate in unrefined life, especially in the middle of meat broths;
• In order to detect recurrences after postponed peaks of cytoplasm, carry out preventive tests of Bitsilin.

• come to your feet more respect - regularly mitigate, unique calluses and scuffs, other pores, overcooling and overheating;
• quilts behind the camp of the venous system and hunt down to fakhivts.

Prophylactic come in as soon as possible to improve the development of non-infectious diseases in the retailer for special hygiene, to prevent injuries and abrasions.

Yaksho is such a trauma of a vinikl, it is shown їkh treatment with antiseptics (for example, 5% alcoholic range of iodine, diamond green range). Timely sanitation of chronic streptococcal infections is necessary.

Prophylaxis of recurrent peaks of transmission of disease is reduced to recurrence of illness (fungal infection of shkiri, lymphovenous deficiency).

In some cases, medication is used to prevent the peak. In case of frequent, overly relapsed relapses, with prophylactic methods, inject bicilin-5 in a dose of 1,500,000 OD for the internal skin 3-5 types.

With a stretch of two or three rocks. In cases of severe seasonality of relapses and with significant excess lesions, it is recommended that Bitsilin-5 be prescribed by prophylactic courses of three or four months.

Yak likuvati beshikhove zapalennya

malimi (localized) and great. Dilyanki urazhennya with symptoms of rabid gomilka grow quickly, flock plaque-like, swell, supravadzhuyuchis dashing.

On the surface of the surface, you can fix the bulbs or floccules. Mensh gostro і more often grows fired up gomіlka around the bends, zazvychay without a hot component.

Erysipelas of the lower ones is the most common variant of localization, you can call the winners in the older age (after 50 years) on the most hypostatic symptoms ( varicose veins veins, lymphostasis and in.).

Possible prodromal appearances (nezduzhannya, head bіl and іn.), Then the temperature rises to 38-40 ° C, in the zone of urazhennya vinnikє vіdchuttya rozpyrannya, pechіnnya, bіl.

On a school of wine, it will take a long time to transform into a yarn of a world with a large and infiltrating school and a child's fatty cells with a clear, unreasonable half-line.

The shkіra with symptoms of rabid gomіlka is stressed, hot on the doty, on the erythema there can be no bulbs, sometimes with hemorrhagic volume, the redness of the sickly severe lymphangitis can go up to the regular lymphomas.

In blood, neutrophilic leukocytosis is indicated due to hypotension, toxic granularity of leukocytes, caused by SHOE. The period of convalescence is to fix up on the 8-15th day of the ailment.

In a number of ailments in school and regional lymphatic universities, they form in the presence of chronic streptococcal infection, which leads to a recurrent increase in the incidence and further development of phybrosis due to hypertension.

With a maddened heat, 90% of the lower flares of the people are affected, as the stench is the most powerful until the venous blood stagnates. First, it is possible to support the fight on the hands and face.

In most cases, there is a risk of suffering from ailments with a high temperature and a manifestation of all the symptoms of severe symptoms.

Diagnostics of a mad woman

"The people" on the cob stage can be diagnosed by their characteristic sverbinnya, if there are pains and swelling, earliness in the zone of battle, unreasonable food, the temperature of a sick person is increased to 39-40 degrees.

In case of a serious interruption, a woman becomes ill in a fight, a serious loss of lymphoid is seen, so that her legs become "elephantized" fierce fire, Often go into gangrene.

It is possible to diagnose madness by primed on a key picture. Most often, with the classic form, the diagnosis can be made without difficulty.

Patients who have a very high temperature, feeling chills and obvious signs of intoxication, undergo bacteriological pretreatment of blood, and often a method of monitoring and confirming the presence of a rabid.

To accelerate, with symptoms of madness, apply the following development:

• necrosis (with bullose-hemorrhagic form),
• abscesses,
• phlegmon,
• phlebitis,
• sepsis,
• otitis media,
• mastoidita.

When carrying out the treatment, the fever burns with antibacterial agents, the fever burns in a maximum of three times, after an ear of alcoholic visits, and so the ignition process itself on the curved curves can change, it can decrease more and more quickly.

I’ll look at those who are maddenedly homosexuals, it’s important to go to the hospital and can go into a larger folding form, and also tend to relapse, which is ailing, most often, to be taken to the hospital. home, folk methods lіkuvannya "peaks" are not іsnu.

Conservative treatment includes the sign of antibiotics and physiotherapy (ultraviolet detection, high frequency ultrasound, weak electrostrum and laser therapy).

Beshikhove became ill and passed a strict post-life regime. Putting in a lick with an increased amount of painful symptoms.

Effectiveness of storing elastic punches in case of beshikhov firing homilies should be made for the preparation of debates and a light massage effect for the diagnosis of lymphonists.

Good luck with the rest of the data, the madness of the homily in the ICD 10 maє code A46, which is not a vimag clarification. The pathology has only one fault: the burning of the canopy, as it is in the first class of the international class of ailments 10 glance.

Madness roztashovuutsya in the class of infectious pathological processes, in the rubric "Infectious nature."

Pikoyu is called a form of urazheniya streptococcus, yak can mati gostry abo chronic interruption.

Infections are characterized by the occurrence of up to the pathological process of the skin cover and more of the mucous membranes. At the point of penetration of bacteria, there is a clear indication of the presence of serous or hemorrhagic space. The zagalny camp will collapse slightly.

Liked by the localization of the infectious agent: stegna, homilka, upper kintzivka and person. Fill in the ICD 10 beshih, followed by differentiation and diagnosis with other similar pathologies. Until such illnesses lie down:

• eczema;
• epiplezoid;
• contact and atopic dermatitis;
• phlegmon;
• thrombophlebitis (especially, as pathology is localized on homily).

Detection of beta-hemolytic streptococcus group A by laboratory tests for direct diagnosis. However, the test is carried out rarely, often primed on the key pictures.

Deyakі can be the nose of streptococcus and at all not ailments. It is possible to become infected only due to the inflow of singing factors: lack of special hygiene, weakening of immunity, allergy.

Most often, women of adulthood are expected to become ill. Lіkuvannya trivale і vimagає complex pіdhodu. It is important for that to know the symptoms and methods of treatment of beshihi nig.

Beshih gomіlki vimagaє trivial and easy-going lіkuvannya. As a rule, the indication for the hospitalization of such ailments is mute. Dosage, lіkar zdіysnyuvav permanent control over the patient.

In the first 10 days with an increase in temperature, the drug is indicative of fever-lowering drugs (for example, Paracetamol), you need to take a large amount of ridini (warm tea with raspberries, with lemon).

It is necessary to take care of the post-regime and the correct harvest (to make the implantation of such fruits as apples, pears, oranges, if there is no allergy, then it is possible to have honey).

In addition, the drug is guilty of antibiotic drug abuse, for which the patient has no allergy (7-10 days). For many vicarious antibiotics, such as penicilin, erithromicin.

The antibiotic can be used for antibiotic treatment, i.e. powder is applied to the dish, and the tablets are removed with a shrinkage. Burning shkiri is consumed with anti-burning methods.

In addition to muscular dosing with antibiotics, likuvati beshikhov can be infused with such substances, such as an ointment, for example, Erithromycin ointment. Ale in some vypadki such preparations are contraindicated.

Beshiha homily, photo 1

Erysipelas - tse gostre pour the hot shkіri (rіdsche - mucous shells) of infectious prodigality, provoke the enemy to denounce any gomіlki.

Beshiha wiklikє beta-hemolytic streptococcus of group A when it is penetrated into your shkiri through other sadness, pores, bite comas, scratching, abrasions.

Erysipelas are often seen among the children of the pre-ceded period and among women over 45 years old. For children in vіtsі until fate, it is a mortal insecurity (photo 3).

The breadth of the disease is great - in the fourth month of the disease, the infection of the intestinal tract and hepatitis.

Beta-hemolytic streptococcus group A

The β-hemolytic streptococcus of group A (BGSA) itself has been evidently recently (150 years ago), albeit from becoming ill, like vin viclikak, people have known for a long time.

Angina, pharyngitis, laryngitis, scarlet fever, rheumatism, important tissue reduction are far from being a reversal of pathological stanes, vicious BHSA.

It should be brought up to intellectually pathogenic microfloria, so it is practical for all people in an empty company to be present, cheerleaders, On shkіrі and zovnіshnіh statutory organs.

BGSA duzhe shvidko spread around the world, through herbal tractі objects, that is why you should be attracted to appearing in the households, children who work together, 57.6% of angins and 30.3% of the State Register of Education wikis.

Streptococcus live when frozen and heated to 70 ° for 2 years, in a dry biomaterial (shelter, gn_y) the stench picks up a lot of contagion on a ball of miscellaneous. Toxin wicks the importance of heart disease and nirok.

For children, it is more characteristic of the presence of a wanderer in the upper dichny paths. With a well-established schoolchildren, the BHSA sees 20-25% of children in the nasopharynx.

• red diabetes;
• varicose veins;
• thrombophlebitis;
• trophic virazok;
• fungal infections;
• alcoholism;
• obesity.

Stressful situations, drastically reduce immunity, and may date before a streptococcus attacks his nose.

Chronic infections in the eyes of sharpened teeth, wiggle blinks 5-6 times increase in risk of diagnostics peaks on any occasion.

Through the tenth day (in the middle), the gostry ear of the child will be sent to the house of the native.

History

Beshikha came to be remembered in the middle of the century, since they called Saint Anthony in the fire. The name is to resemble from the name of the Christian saint, to which they were killed for the sake.

In the eleventh century of France, the Order of St. Anthony was established as a religious organization, as she took care of the ailments of the small children.

Earlier, the madmen often took part in disguises, but for the rest of the hour they appeared on the shkiri homiloks. Beshiha gomilki according to ICD-10 encrypted with the A46 code.

Ї microorganism, which is called streptococcus group A.