Lefu le tšosang le chefo

Toxic shock syndrome ke lefu le tebileng le amanang le feberu, ho tšoha le mathata a litho tsa 'mele tse' maloa.

Toxic shock syndrome e bakoa ke chefo e hlahisoang ke mefuta e meng ea libaktheria tsa staphylococcus. Bothata bo tšoanang, bo bitsoang toxic shock-like syndrome (TSLS), bo ka bakoa ke chefo e tsoang libaktheria tsa streptococcal. Ha se mafu ohle a staph kapa strep a bakang chefo ea ts'oaetso.

Linyeoe tsa pele tsa ts'oaetso e chefo li ne li ama basali ba neng ba sebelisa li-tampon nakong ea ha ba ilela khoeli. Leha ho le joalo, kajeno linyeoe tse ka tlase ho halofo e le 'ngoe li hokahane le ts'ebeliso ea litampon. Toxic shock syndrome le eona e ka hlaha ka mafu a letlalo, ho chesa, le kamora ho buuoa. Boemo bona bo ka ama le bana, basali le banna ba kamora ho ilela khoeli.

Mabaka a kotsi a kenyelletsa:

• Ho tsoaloa ha morao tjena
• Ho tšoaetsoa ke Staphylococcus aureus (S aureus), eo hangata e bitsoang tšoaetso ea staph
• 'Mele ea kantle ho naha kapa liphutheloana (joalo ka tse sebelisetsoang ho emisa ho tsoa mali ka nosebese) kahare ho mmele
• Nako ea ho ilela khoeli
• Ho buuoa haufinyane
• Tšebeliso ea litlhapi (e nang le kotsi e kholo haeba u ka e tlohela ka nako e telele)
• Tšoaetso ea maqeba kamora ho buuoa

Matšoao a kenyelletsa:

• Pherekano
• Letšollo
• Boikutlo bo bobe ba kakaretso
• Ho tšoaroa ke hlooho
• Feberu e phahameng, ka linako tse ling e tsamaea le ho bata
• Khatello ea mali e tlase
• Bohloko ba mesifa
• Ho nyekeloa le ho hlatsa
• Ho hloleha ha mmele (hangata liphio le sebete)
• Bofubelu ba mahlo, molomo, 'metso
• Ho oa
• Ho phatloha ho khubelu ho atileng ho shebahalang eka ke ho chesoa ke letsatsi - ho ebola letlalo ho hlaha libeke tse 1 kapa tse 2 kamora ho phatloha, haholo liatleng tsa letsoho kapa tlase maotong.

Ha ho na teko e le 'ngoe e ka fumanang ts'oaetso ea chefo.

Mofani oa tlhokomelo ea bophelo o tla sheba lintlha tse latelang:

• Feberu
• Khatello ea mali e tlase
• Moferefere o ebang kamora libeke tse 1 ho isa ho tse 2
• Mathata le ts'ebetso ea bonyane litho tsa 3

Maemong a mang, litso tsa mali li ka ba ntle bakeng sa kholo ea S aureus kapaStreptoccus pyogenes.

Kalafo e kenyelletsa:

• Ho tlosa lisebelisoa, joalo ka li-tampon, liponche tsa ka botšehaling, kapa ho paka linko
• Ho lutla ha libaka tsa tšoaetso (joalo ka leqeba la ho buoa)

Morero oa kalafo ke ho boloka mesebetsi ea bohlokoa ea 'mele. Sena se ka kenyelletsa:

• Lithibela-mafu bakeng sa tšoaetso efe kapa efe (e ka fanoa ka IV)
• Dialysis (haeba mathata a matla a liphio a le teng)
• Maro a tsoang mothapong (IV)
• Meriana ea ho laola khatello ea mali
• Gamma globulin e kenang ka har'a methapo maemong a boima
• Ho lula setsing sa tlhokomelo e matla ea sepetlele (ICU) bakeng sa ho lekola

Toxic shock syndrome e ka ba kotsi ho fihlela ho 50% ea linyeoe. Boemo bo kanna ba khutla ho ba pholohileng.

Mathata a ka kenyelletsa:

• Tšenyo ea 'mele e kenyeletsang ho hloleha ha liphio, pelo le sebete
• Ho tshoha
• Lefu

Toxic shock syndrome ke tšohanyetso ea bongaka. Batla thuso ea bongaka hang-hang haeba u e-ba le lekhopho, feberu 'me u ikutloa u kula, haholo-holo nakong ea ho ilela khoeli le tšebeliso ea litompe kapa haeba u kile ua etsoa opereishene ea morao tjena.

U ka theola menyetla ea hau ea ho ilela khoeli ka chefo ka ho:

• Ho qoba litampone tse monyang haholo
• Ho fetola li-tampon khafetsa (bonyane lihora tse ling le tse ling tse 8)
• Ho sebelisa li-tampon hang ka nakoana nakong ea ho ilela khoeli

Lefu le tšosang la staphylococcal; Lefu le tshosang le tshosang; TSLS

• Sebopeho se tloaelehileng sa popelo (khaola karolo)
• Baktheria

Gardella C, Eckert LO, Lentz GM. Matšoao a tšoaetso ea setho sa botona: botšehali, botshehadi, molomo oa popelo, lefu la ts'oaetso e kotsi, endometritis le salpingitis Ka: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Kakaretso ea mafu a basali. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 23.

Kroshinsky D. Macular, papular, purpuric, vesiculobullous le mafu a pustular. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 410.

Larioza J, Brown RB. Lefu le tšosang le chefo. Ka: Kellerman RD, Rakel DP, eds. Phekolo ea Hajoale ea Conn ea 2020. Philadelphia, PA: Elsevier 2020: 649-652.

Que YA, Moreillon P. Staphyloccus aureus (ho kenyeletsoa staphyloccocal toxic shock syndrome) Ka: Bennett JE, Dolin R, Blaser MJ, bahlophisi. Mandell, Douglas, le Bennett's Principles and Practice of Infectious Diseases. La 9th. Philadelphia, PA: Elsevier; 2020: khaolo ea 194.