Impetigo
☆ ໃນປີ 2022 Stiftung Warentest ຜົນໄດ້ຮັບຈາກເຢຍລະມັນ, ຄວາມພໍໃຈຂອງຜູ້ບໍລິໂພກກັບ ModelDerm ແມ່ນຕໍ່າກວ່າການປຶກສາຫາລືທາງດ້ານການປິ່ນປົວທາງໂທລະສັບເລັກນ້ອຍເທົ່ານັ້ນ.
ກໍລະນີເກີດຂີ້ມູກຢູ່ຄາງ. Impetigo ຄວນຖືກສົງໃສວ່າເດັກຂະຫນາດນ້ອຍບໍ່ມີປະຫວັດການບາດເຈັບ, ແຕ່ບາດແຜຄ້າຍຄືບາດແຜແມ່ນແຜ່ລາມ.
ບໍ່ເຫມືອນກັບພະຍາດຜິວຫນັງ atopic, impetigo ຕ້ອງການການປິ່ນປົວດ້ວຍຢາຕ້ານເຊື້ອແລະອາດຈະຮ້າຍແຮງຂຶ້ນດ້ວຍການໃຊ້ steroids.
References
Impetigo , ການຕິດເຊື້ອແບັກທີເລຍທີ່ພົບເລື້ອຍທີ່ສຸດຕາມຜິວຫນັງໃນເດັກນ້ອຍອາຍຸສອງຫາຫ້າປີ, ຢູ່ໃນສອງປະເພດຕົ້ນຕໍ: nonbullous (70% ຂອງກໍລະນີ) ແລະ bullous (30% ຂອງກໍລະນີ) . Impetigo nonbullous ແມ່ນເກີດມາຈາກປົກກະຕິໂດຍ Staphylococcus aureus ຫຼື Streptococcus pyogenes. ມັນຖືກຮັບຮູ້ໂດຍເປືອກສີນໍ້າເຜິ້ງຢູ່ເທິງໃບຫນ້າແລະແຂນຂາແລະສ່ວນໃຫຍ່ແມ່ນເປົ້າຫມາຍຜິວຫນັງຫຼືສາມາດຕິດເຊື້ອແມງໄມ້ກັດ, eczema, ຫຼືບາດແຜ herpetic. Bullous impetigo, ເກີດມາຈາກ S. Aureus ເທົ່ານັ້ນ, ນໍາໄປສູ່ການ bullae ຂະຫນາດໃຫຍ່, flaccid ແລະມັກຈະມີຜົນກະທົບບໍລິເວນທີ່ຜິວຫນັງ rubs ຮ່ວມກັນ. ທັງສອງຊະນິດປົກກະຕິແລ້ວຈະແຈ້ງຂຶ້ນພາຍໃນສອງຫາສາມອາທິດໂດຍບໍ່ມີຮອຍແປ້ວ, ແລະອາການແຊກຊ້ອນແມ່ນຫາຍາກ, ໂດຍ poststreptococcal glomerulonephritis ແມ່ນຮ້າຍແຮງທີ່ສຸດ. ການປິ່ນປົວແມ່ນກ່ຽວຂ້ອງກັບຢາຕ້ານເຊື້ອ (mupirocin, retapamulin, fusidic acid) . ຢາຕ້ານເຊື້ອທາງປາກອາດຈະເປັນສິ່ງຈໍາເປັນສໍາລັບ impetigo ກັບ bullae ຂະຫນາດໃຫຍ່ຫຼືໃນເວລາທີ່ການປິ່ນປົວສະເພາະແມ່ນເປັນໄປບໍ່ໄດ້. ໃນຂະນະທີ່ຢາຕ້ານເຊື້ອທາງປາກຫຼາຍຊະນິດ (amoxicillin/clavulanate, dicloxacillin, cephalexin, clindamycin, doxycycline, minocycline, trimethoprim/sulfamethoxazole, macrolides) ເປັນທາງເລືອກ, penicillin ບໍ່ມີປະສິດຕິຜົນ. ຢາຂ້າເຊື້ອໃນຢາແມ່ນບໍ່ດີເທົ່າກັບຢາຕ້ານເຊື້ອ ແລະຄວນຫຼີກເວັ້ນ. Fusidic acid, mupirocin, retapamulin ມີຜົນຕໍ່ກັບການຕິດເຊື້ອ methicillin-susceptible S. Aureus ແລະ streptococcal. Methicillin-resistant S. Aureus ເປັນປະໂຫຍດສຳລັບຜູ້ຕິດເຊື້ອທີ່ສົງໃສ Clindamycin. Trimethoprim/sulfamethoxazole ໃຊ້ຕ້ານ methicillin-resistant S. Aureus, ແຕ່ບໍ່ພຽງພໍຕໍ່ການຕິດເຊື້ອ streptococcal.
Impetigo, the most common bacterial skin infection in children aged two to five, comes in two main types: nonbullous (70% of cases) and bullous (30% of cases). Nonbullous impetigo is typically caused by Staphylococcus aureus or Streptococcus pyogenes. It's recognized by honey-colored crusts on the face and limbs and mainly targets the skin or can infect insect bites, eczema, or herpetic lesions. Bullous impetigo, caused solely by S. aureus, leads to large, flaccid bullae and often affects areas where skin rubs together. Both types usually clear up within two to three weeks without scarring, and complications are rare, with poststreptococcal glomerulonephritis being the most severe. Treatment involves topical antibiotics (mupirocin, retapamulin, fusidic acid). Oral antibiotics might be necessary for impetigo with large bullae or when topical treatment isn't feasible. While several oral antibiotics (amoxicillin/clavulanate, dicloxacillin, cephalexin, clindamycin, doxycycline, minocycline, trimethoprim/sulfamethoxazole, macrolides) are options, penicillin isn't effective. Topical disinfectants aren't as good as antibiotics and should be avoided. Fusidic acid, mupirocin, retapamulin are effective against methicillin-susceptible S. aureus and streptococcal infections. Clindamycin is useful for suspected methicillin-resistant S. aureus infections. Trimethoprim/sulfamethoxazole works against methicillin-resistant S. aureus, but isn't enough for streptococcal infection.
Impetigo, the most common bacterial skin infection in children aged two to five, comes in two main types: nonbullous (70% of cases) and bullous (30% of cases). Nonbullous impetigo is typically caused by Staphylococcus aureus or Streptococcus pyogenes. It's recognized by honey-colored crusts on the face and limbs and mainly targets the skin or can infect insect bites, eczema, or herpetic lesions. Bullous impetigo, caused solely by S. aureus, leads to large, flaccid bullae and often affects areas where skin rubs together. Both types usually clear up within two to three weeks without scarring, and complications are rare, with poststreptococcal glomerulonephritis being the most severe. Treatment involves topical antibiotics (mupirocin, retapamulin, fusidic acid). Oral antibiotics might be necessary for impetigo with large bullae or when topical treatment isn't feasible. While several oral antibiotics (amoxicillin/clavulanate, dicloxacillin, cephalexin, clindamycin, doxycycline, minocycline, trimethoprim/sulfamethoxazole, macrolides) are options, penicillin isn't effective. Topical disinfectants aren't as good as antibiotics and should be avoided. Fusidic acid, mupirocin, retapamulin are effective against methicillin-susceptible S. aureus and streptococcal infections. Clindamycin is useful for suspected methicillin-resistant S. aureus infections. Trimethoprim/sulfamethoxazole works against methicillin-resistant S. aureus, but isn't enough for streptococcal infection.
Impetigo ເປັນພະຍາດຜິວໜັງທົ່ວໄປທີ່ເກີດຈາກເຊື້ອແບັກທີເຣັຍບາງຊະນິດ, ແຜ່ລາມໄດ້ງ່າຍດ້ວຍການຕິດຕໍ່. ປົກກະຕິແລ້ວມັນປາກົດເປັນຈຸດສີແດງປົກຄຸມດ້ວຍເປືອກເປືອກສີເຫຼືອງ ແລະສາມາດເຮັດໃຫ້ເກີດອາການຄັນ ຫຼືເຈັບປວດ. ການຕິດເຊື້ອນີ້ແມ່ນພົບເລື້ອຍທີ່ສຸດໃນເດັກນ້ອຍທີ່ອາໄສຢູ່ໃນພື້ນທີ່ອົບອຸ່ນ, ຊຸ່ມຊື່ນ. ມັນສາມາດປາກົດເປັນຕຸ່ມຫຼືບໍ່ມີພວກມັນ. ໃນຂະນະທີ່ມັນມັກຈະມີຜົນກະທົບຕໍ່ໃບຫນ້າ, ມັນສາມາດເກີດຂື້ນໄດ້ທຸກບ່ອນທີ່ມີການພັກຜ່ອນຂອງຜິວຫນັງ. ການວິນິດໄສສ່ວນຫຼາຍແມ່ນຂຶ້ນກັບອາການ ແລະວິທີການເບິ່ງ. ການປິ່ນປົວປົກກະຕິແລ້ວປະກອບມີຢາຕ້ານເຊື້ອ, ທັງຢາປົວພະຍາດທາງປາກແລະທາງປາກ, ຄຽງຄູ່ກັບການຄຸ້ມຄອງອາການ.
Impetigo is a common infection of the superficial layers of the epidermis that is highly contagious and most commonly caused by gram-positive bacteria. It most commonly presents as erythematous plaques with a yellow crust and may be itchy or painful. The lesions are highly contagious and spread easily. Impetigo is a disease of children who reside in hot humid climates. The infection may be bullous or nonbullous. The infection typically affects the face but can also occur in any other part of the body that has an abrasion, laceration, insect bite or other trauma. Diagnosis is typically based on the symptoms and clinical manifestations alone. Treatment involves topical and oral antibiotics and symptomatic care.
Impetigo is a common infection of the superficial layers of the epidermis that is highly contagious and most commonly caused by gram-positive bacteria. It most commonly presents as erythematous plaques with a yellow crust and may be itchy or painful. The lesions are highly contagious and spread easily. Impetigo is a disease of children who reside in hot humid climates. The infection may be bullous or nonbullous. The infection typically affects the face but can also occur in any other part of the body that has an abrasion, laceration, insect bite or other trauma. Diagnosis is typically based on the symptoms and clinical manifestations alone. Treatment involves topical and oral antibiotics and symptomatic care.
Impetigo ປົກກະຕິແລ້ວແມ່ນຍ້ອນ Staphylococcus aureus ຫຼື Streptococcus pyogenes. ດ້ວຍການຕິດຕໍ່, ມັນສາມາດແຜ່ລາມໄປທົ່ວຫຼືລະຫວ່າງຄົນ. ໃນກໍລະນີຂອງເດັກນ້ອຍ, ມັນຕິດເຊື້ອກັບພີ່ນ້ອງຂອງເຂົາເຈົ້າ.
ການປິ່ນປົວໂດຍທົ່ວໄປແມ່ນໃຊ້ຄີມຕ້ານເຊື້ອເຊັ່ນ mupirocin ຫຼືອາຊິດ fusidic. ຢາຕ້ານເຊື້ອທາງປາກ, ເຊັ່ນ cefalexin, ອາດຈະຖືກນໍາໃຊ້ຖ້າພື້ນທີ່ຂະຫນາດໃຫຍ່ໄດ້ຮັບຜົນກະທົບ.
Impetigo ໄດ້ຮັບຜົນກະທົບປະມານ 140 ລ້ານຄົນ (2% ຂອງປະຊາກອນໂລກ) ໃນປີ 2010. ມັນສາມາດເກີດຂຶ້ນໄດ້ທຸກເພດທຸກໄວ, ແຕ່ເປັນສ່ວນໃຫຍ່ໃນເດັກນ້ອຍ. ອາການແຊກຊ້ອນອາດຈະປະກອບມີ cellulitis ຫຼື poststreptococcal glomerulonephritis.
○ ການປິ່ນປົວ - ຢາເສບຕິດ OTC
* ເນື່ອງຈາກວ່າ impetigo ເປັນພະຍາດຕິດຕໍ່, ຢາຂີ້ເຜິ້ງ steroid ບໍ່ຄວນຖືກນໍາໃຊ້. ຖ້າທ່ານມີບັນຫາໃນການຈໍາແນກບາດແຜ impetigo ຈາກ eczemas, ກະລຸນາກິນຢາຕ້ານເຊື້ອ OTC ໂດຍບໍ່ຕ້ອງໃຊ້ຢາຂີ້ເຜິ້ງ steroid.
#OTC antihistamine
* ກະລຸນາໃຊ້ຢາຕ້ານເຊື້ອ OTC ໃສ່ບາດແຜ.
#Bacitracin
#Polysporin