Kāohi a me ka lāʻau lapaʻau o impetigo
Kāohi
La pale i ka impetigo ma o :
- ʻO ka maʻemaʻe maikaʻi o ka ʻili i kēlā me kēia lā;
- Hoʻokuʻu ʻia mai ke kula hānai a i ʻole ke kula no nā keiki i hoʻopilikia ʻia e pale aku i ka maʻi lele.
Nā lāʻau lapaʻau
Pono ka mālama ʻana i ka impetigo ʻike i ke kauka no ka mea hiki ke hoʻopiʻi i ka hihia o ka mālama kūpono ʻole e like me ka hoʻonui ʻana i nā lesions, abscess, sepsis, etc.2
Ma kekahi hihia, e hoʻomalu i kou kūlana tetanus a hai aku i kana kauka. I ka hihia o ka impetigo, pono ka hoʻomaʻamaʻa hou ʻana inā ʻoi aku ka nui o ka injection hope ma mua o ʻumi makahiki.
He mea nui nā lula o ka maʻemaʻe:
- E hou i nā ʻōhū me ka nila i hoʻomaʻemaʻe ʻia, e hele ana i loko o kahi lapalapa no ka laʻana;
- E hoʻoikaika i ka hāʻule ʻana o nā ʻōpala ma ke kopa ʻana i nā lei i kēlā me kēia lā;
- E ho'āʻo e pale i nā keiki mai ka ʻohi ʻana i nā ʻeha;
- Holoi lima i kekahi mau manawa i ka lā a ʻoki i nā manamana lima o nā keiki i hoʻopilikia ʻia.
ʻO ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka e pili ana i nā antibiotic:
- Antibiotic kūloko
Hoʻohana ʻia lākou i nā ʻeha 2 a 3 mau manawa i ka lā a hiki i ka hoʻōla piha ʻana, ʻo ia ka mea maʻamau i hoʻokahi pule. Hoʻokumu pinepine ʻia nā lāʻau antibiotic kūloko ma ka fusidic acid (Fucidin®) a i ʻole mupirocin (Mupiderm®).
- Nā lāʻau antibiotic waha:
ʻO nā lāʻau lapaʻau e hoʻohana ai aia ma ka manaʻo o ke kauka akā ua hoʻokumu pinepine ʻia i ka penicillin (cloxacillin like Orbenine®), amoxicillin a me clavulanic acid (Augmentin®) a i ʻole macrolides (Josacine®).
Hōʻike ʻia nā lāʻau antibiotic waha i nā hihia penei:
- ʻo ka impetigo nui, hoʻopuehu a pakele paha i ka mālama kūloko;
- ka loaʻa ʻana o nā hōʻailona kūloko a i ʻole maʻamau o ke koʻikoʻi (ke kuni, nā lymph nodes, ke ala o ka lymphangitis (= he kaula ʻulaʻula kēia e piʻi pinepine ana i ka lōʻihi o ka lālā, pili i ka laha ʻana o ka maʻi o ka ʻili ma nā aʻa lymphatic) , etc.);
- nā mea pilikia nui i nā keiki hānau hou a me nā pēpē a i ʻole nā mākua palupalu i ka ʻona, ka maʻi diabetes, immunocompromised, a i ʻole ka pane ʻana i ka lāʻau lapaʻau);
- nā wahi paʻakikī ke mālama ʻia me ka mālama kūloko a i ʻole ka pilikia o nā pilikia, ma lalo o nā diapers, a puni nā lehelehe a i ʻole ma ke poʻo;
- i ka hihia o ka allergy i na antibiotic kūloko.