Scalded lefu la letlalo

Scalded skin syndrome (SSS) ke tšoaetso ea letlalo e bakoang ke libaktheria tsa staphylococcus moo letlalo le senyehang ebe lea tšoloha.

Scalded skin syndrome e bakoa ke tšoaetso ea mefuta e itseng ea baktheria ea staphylococcus. Libaktheria li hlahisa chefo e bakang tšenyo ea letlalo. Tšenyo e baka machachetsi, joalokaha eka letlalo le tlotsitsoe. Malengelena ana a ka hlaha libakeng tsa letlalo hole le sebaka sa pele.

SSS e fumanoa hangata ho masea le bana ba ka tlase ho lilemo tse 5.

Matšoao a ka kenyelletsa efe kapa efe ea tse latelang:

• Blisters
• Feberu
• Libaka tse kholo tsa letlalo kapa ho oa ha letlalo (exfoliation kapa desquamation)
• Letlalo le bohloko
• Bofubelu ba letlalo (erythema), bo namang ho koahela karolo e kholo ea 'mele
• Letlalo lea thelleha ka khatello e bonolo, le siea libaka tse khubelu tse metsi (letšoao la Nikolsky)

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele mme a shebe letlalo. Tlhahlobo e kanna ea bontša hore letlalo lea thella ha le hohla (letšoao le letle la Nikolsky).

Liteko li ka kenyelletsa:

• Palo e felletseng ea mali (CBC)
• Litso tsa letlalo, 'metso le nko, le mali
• Teko ea Electrolyte
• Biopsy ea letlalo (maemong a sa tloaelehang)

Lithibela-mafu li fanoa ka molomo kapa ka mothapo (ka intravenously; IV) ho thusa ho loants'a tšoaetso. Maro a IV a fuoa hape ho thibela ho felloa ke metsi 'meleng. Metsi a mangata a 'mele a lahleha ka letlalo le bulehileng.

Ho hatella ha mongobo letlalong ho ka ntlafatsa matšeliso. O ka kenya setlolo se nolofatsang letlalo ho boloka letlalo le le mongobo. Pholiso e qala matsatsi a ka bang 10 kamora kalafo.

Pholoso e felletseng e lebelletsoe.

Mathata a ka hlahang a kenyelletsa:

• Boemo bo sa tloaelehang ba maro 'meleng a bakang ho felloa ke metsi' meleng kapa ho se leka-lekane ha electrolyte
• Taolo e mpe ea mocheso (ho masea a manyane)
• Tšoaetso e matla ea mali (septicemia)
• Jala ho tšoaetso e tebileng ea letlalo (cellulitis)

Bitsa mofani oa hau kapa u ee kamoreng ea maemo a tšohanyetso haeba u na le matšoao a lefu lena.

Boloetse bo kanna ba se thibeloe. Ho phekola tšoaetso efe kapa efe ea staphylococcus kapele ho ka thusa.

Lefu la Ritter; Lefu la letlalo la Staphylococcal scalded; SSS

Paller AS, Mancini AJ. Likokoana-hloko, mycobacterial le protozoal tšoaetso ea letlalo. Ka: Paller AS, Mancini AJ, bahlophisi. Dermatology ea Bongaka ea Hurwitz Clinical. La 5th. Philadelphia, PA: Elsevier; 2016: khaolo ea 14.

Pallin DJ. Tšoaetso ea letlalo. Ka: Marako RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Likhopolo le Tloaelo ea Kliniki. La 9th. Philadelphia, PA: Elsevier; 2018: khaolo ea 129.