teri tanosil rasalliklar maruza 4 kurs tibbiy profilaktika fakulteti Piodermiya, qo’tir, bitlash Piodermiyalar-terini yiringli kasalliklari – stafilokokk, streptokokk, boshqa quzgatuvchilar orqali kelib chiqadigan yiringli kasalliklar guruhi – Uza Chuqur I. Stafilodermiyalar 1. 2. 3. 4. 5. Osteofollikulit Uza follikulit Oddiy sikoz Oddiy xusnbuzar Gudaklarni epidemik pursildoq yarasi 1. 2. 3. 4. Chuqur follikulit Furunkul, furunkulez karbunkul gidradenit II. streptodermiyalar . Streptokokkli impetigo А) Streptokokkli bichilish Б) intertriginoz В) bullez Г) xalqasimon Д) zahmga uxshash Г) yuza panariciy 2. Quruq streptodermiya А)yuzdagi oddiy temiratki 1. Cellulit А) utkir streptoqoqqli 2. Vulgar ektima III. Strepto-stafilodermiya 1. Impetigo oddiy (aralash) 1. 2. Susunkali kechuvchi yarali piodermiya Shankriform piodermiya Follikulit – soch follikulasini yiringli yalliglanishi Ajratishadi ostiofollikulit, yuza va chuqur follikulit Oddiy sikoz ko’pincha erkaklarda uchraydigan kasallik Bu jarayenda muylov , soqol va boshqa zonadagi sochlar shikastlanadi Furunkul – chuqur stafilodermiya.Bu kasallikda soch follikulasini yiringli nekrotik shikastlanish kuzatiladi.Jarayon granulaciya to’qimalari hisobiga chegaralanadi Karbunkul -bir nechta soch follikullarning yiringli nekrotik yalliglanishi . Yalliglanuvchi infiltrat paydo bo’ladi, derma , gipodermada joylashadi,kattaligi bolalar kaftiday bo’lishi mumkin Bir nechta yiringli nekrotik yalliglanuvchi tugunlar bo’ladi Gidradenit apokrin bezlarni yiringli yalliglanishi. Stafilokokklar bezlarning yuliga teridagi travmalar orqali ( kupincha soch olinganda kiradin. Chaqaloqlarning epidemik pursildoq yarasi Kupincha bola tugilganda 3-5 kundan keyin paydo buladi - kontagioz yuza stafilodermiya Impetigo – kontagioz kasallik . Nofollikular , qopqogi ilvillagan , atrofida qizil gardishi ,ishida seroz yiringli suyuqligi bor Pufaklar paydo buladi Ektima – terini chuqur streptokokkli shiqastlanishi. Bu chuqur yara chetlari kutarilib turadi, tubi yumshoq yiringli , atrofida ogriqli yalliglanuvchi infiltrat kuzatiladi Surunkali kechuvchi vegetaciyali piodermiya - chuqur piodermiyaning surunkali kechuvchi aralash streptostafilokokkli turi . Shankriform piodermiya – surunkali kechuvchi yarali piodermiya . Zaxmdagi shankrni eslatadi Qutir qutir - teri parazitar kasalligi quzgatuvchisi - qutir kanasi Sarcoptes scabiei hominis( odamning teri ichida joylashadi ) Yuqish yullari : Kontakt - maichiy yuli jinsiy yo’l Klinik manzara Qichishish Qo’tir yullari Klinik alomatlarini harakterli joylashishi Qichishish kechqurun eki kechasi kupayadi qutir tashxisini quyidagiga asoslanadi : # KLINIK MANZARA # EPIDEMIOLOGIK MA’LUMOTLAR # Laboratoriya usullarii Qiesiy tashhis Hayvonlarda uchraydigan qutir Neyrodermit Qichima Davolash benzilbenzoat suv sovunli emulsiya Demyanovich usuli №1 – 60% eritma natriy tiosulfat va №2 – 6% р-р HCL . 20-33% oltin gugurt malhami . Bitlash Bosh pedikulezi Kiyim pedikulezi Chov pedikulezi(ftiriaz) Bosh pedikulezi Bitlar qon so’rganda teri ichra ularning sulagi qoladi . Sulakning tasiri natijasida tishlagan joyida qishidigan zich tugunchalar paydo bo’ladi . Bosh biti rikketsiozlar tarqalishiga sababchi bo’ladi (toshma ,qaytarma tifi va xok ) Qattiq qichishish piodermiya rivojlanishiga olib kelishi mumkin bosh bitni davolash → 10% suvli sovunli kerosinli emulsiya → 0,5% eritva permetrin (nittifor eki Loncid ) → Benzilbenzoat malhami → Shampun «anti-bit » → Losyon «Valiten » → 0,15% karbofosni suvli emulsiyasi (bitlarni hamma bosqichida uldiradi ) > Kiyim bitini davolash > Sovun bilan chumilish , kiyim almashtirish,desincekciya qilish . > Qichiganda terini kuniga 2-3 mahal 4% karbol eki 1% mentol spirti bilan 7-10 kun ichida artadi davolash 0,15% karbofosni suvli emulsiyasi 20% benzilbenzoatni suvli emulsiyasi 5% degtyar eki oltin gugurt malhami. Chov sohasida sochlarni olib tashlab sovun bilan chumilish Ways of contracting scabies: - contact, consumer (direct and indirect); sexual contact. Characteristic space localization itch rash: - in Treatment of specific ant scratches therapy Pediculosis. Parasitizing human lice on the skin, accompanied by changes in the skin, as a result of bites. There are 3 types of lice parasitic on hum The main clinical signs of lice: - finding lice - Finding nits - itching skin; - Excoriation, bites in the form of hemorrhagic spots, blisters, secondary piodermitis elements. Treatment: Specific treatment against pediculosis The subject: “«PYODERMIA; Scabies, pediculosis» Pyoderma, a large group of dermatosis caused festering cocci, mainly staphylococcus and streptococci. Their could association with other microorganisms (Proteus vulgar, mycoplasma, etc.). There pyodermia as a primary skin disease or other complications