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пиодермии в кургане","retina":false,"avatarId":"0","isMacOS":false,"isEmbeddedFuturis":false,"brand":"alice-ru","device":{"isIOS":false,"platform":"desktop"},"expFlags":{"isFootnoteDetails":true,"isFootnoteRedesignDivided":true,"futurisMultiqueryFlag":true}},"dialogStoreProps":{"baseUrl":"","orderedPairUUID":["Question"],"requestResponsePairs":{"data":{"Question":{"userMessage":"Пиодермия: что это?","markdown":"**Пиодермия** — собирательное название для **гнойных заболеваний кожи и подкожной клетчатки**, вызванных болезнетворными бактериями [1](https://gutaclinic.ru/articles/piodermiya/)[5](https://gemotest.ru/info/spravochnik/zabolevaniya/piodermii/). В основном это стафилококки и стрептококки, но иногда обнаруживаются другие бактерии, например, протей или синегнойная палочка [1](https://gutaclinic.ru/articles/piodermiya/)[6](https://www.smclinic-spb.ru/zabolevaniya/piodermiya). \n\n**Симптомы**: покраснение и отёк кожи в поражённой области, гнойные пузырьки или язвы, зуд в поражённых участках [1](https://gutaclinic.ru/articles/piodermiya/). Может сопровождаться повышением температуры и лихорадкой, особенно если инфекция распространяется [1](https://gutaclinic.ru/articles/piodermiya/). При тяжёлых формах — увеличение и болезненность лимфатических узлов [1](https://gutaclinic.ru/articles/piodermiya/). \n\n**К какому врачу обращаться**: дерматологу [6](https://www.smclinic-spb.ru/zabolevaniya/piodermiya).\n\n## Причины\n**Внутренние факторы**: ослабленный иммунитет, хронические заболевания (сахарный диабет, болезни крови и иммунодефицитные состояния) [1](https://gutaclinic.ru/articles/piodermiya/). \n**Внешние причины**: микротравмы (порезы, царапины, укусы насекомых), плохая гигиена, контакт с инфицированными людьми или предметами [1](https://gutaclinic.ru/articles/piodermiya/).\n\n## Виды\n**По глубине поражения** пиодермия может быть [1](https://gutaclinic.ru/articles/piodermiya/): \n* **Поверхностной** — болезнь затрагивает верхние слои кожи [1](https://gutaclinic.ru/articles/piodermiya/). \n* **Глубокой** — поражена дерма и подкожная клетчатка [1](https://gutaclinic.ru/articles/piodermiya/). \n\n**Некоторые формы пиодермии**: \n* **Импетиго** — поверхностная форма, проявляется образованием пузырьков и корок на коже, обычно вокруг рта и носа [1](https://gutaclinic.ru/articles/piodermiya/). \n* **Фолликулит** — воспаление волосяных фолликулов в виде мелких гнойничков вокруг волосков [1](https://gutaclinic.ru/articles/piodermiya/). \n* **Фурункул** — глубокое воспаление волосяного фолликула и окружающих тканей, выглядит как узел с гнойным содержимым [1](https://gutaclinic.ru/articles/piodermiya/). \n* **Карбункул** — более тяжёлая форма фурункула, при которой воспаление затрагивает несколько волосяных фолликулов одновременно и образует крупный гнойный очаг [1](https://gutaclinic.ru/articles/piodermiya/).\n\n## Диагностика\n**Дерматолог осматривает поражённые участки**, оценивает характер высыпаний, их расположение и распространённость [1](https://gutaclinic.ru/articles/piodermiya/). Также могут назначить: \n* **Бактериологическое исследование содержимого гнойников** и определение чувствительности к антибактериальным препаратам [10](https://www.altermed.ru/dermatology/piodermii/). \n* **Анализы крови** (клинический, на уровень глюкозы в крови и другие биохимические показатели) [10](https://www.altermed.ru/dermatology/piodermii/). \n* **Иммунологическое и гистологическое исследование** [10](https://www.altermed.ru/dermatology/piodermii/). \n\n**Самостоятельно вскрывать гнойник** и ускорять отделение гноя запрещено [2](https://tokvkd.ru/interesting-articles/-/asset_publisher/Ysl64flErFIp/content/%25D0%25A7%25D1%2582%25D0%25BE-%25D1%2582%25D0%25B0%25D0%25BA%25D0%25BE%25D0%25B5-%25D0%25BF%25D0%25B8%25D0%25BE%25D0%25B4%25D0%25B5%25D1%2580%25D0%25BC%25D0%25B8%25D1%258F-)[11](https://volgograd.medsi.ru/spravochnik-zabolevaniy/glubokaya-piodermiya/).\n\n## Лечение\n**Лечение пиодермии зависит от степени тяжести поражения, способа инфицирования, клинической картины и других факторов** [4](https://mc21.ru/articles/piodermiya-u-detey/). Некоторые методы терапии: \n* **Наружные антисептики** — наносятся на участки высыпаний [13](https://doct.ru/diseases/piodermiya.html). \n* **Антибактериальные средства для локального применения** — назначаются на 1–2 недели при наличии гнойного отделяемого из элементов сыпи [13](https://doct.ru/diseases/piodermiya.html). \n* **Системные антибиотики** — используются только при генерализованных, глубоких пиодермиях, имеющих хроническое рецидивирующее течение (в особенности на лице) [13](https://doct.ru/diseases/piodermiya.html). \n* **Физиотерапевтическое лечение** (ультравысокочастотная терапия) — используется в случае глубоких форм гнойных процессов [13](https://doct.ru/diseases/piodermiya.html). \n* **Оперативное вмешательство** — оправдано при наличии язв, свищей, абсцессов [13](https://doct.ru/diseases/piodermiya.html). \n\n**Лечить пиодермию необходимо под контролем специалиста**, не использовать народные средства и не заниматься самолечением [10](https://www.altermed.ru/dermatology/piodermii/).","linksData":[{"sourceId":1,"url":"https://gutaclinic.ru/articles/piodermiya/","shownUrl":"https://gutaclinic.ru/articles/piodermiya/","title":"Пиодермия у взрослых: диагностика и лечение","shortUrl":"gutaclinic.ru","isTranslated":false,"description":"","greenUrl":"gutaclinic.ru"},{"sourceId":2,"url":"https://tokvkd.ru/interesting-articles/-/asset_publisher/Ysl64flErFIp/content/%25D0%25A7%25D1%2582%25D0%25BE-%25D1%2582%25D0%25B0%25D0%25BA%25D0%25BE%25D0%25B5-%25D0%25BF%25D0%25B8%25D0%25BE%25D0%25B4%25D0%25B5%25D1%2580%25D0%25BC%25D0%25B8%25D1%258F-","shownUrl":"https://tokvkd.ru/interesting-articles/-/asset_publisher/Ysl64flErFIp/content/%25D0%25A7%25D1%2582%25D0%25BE-%25D1%2582%25D0%25B0%25D0%25BA%25D0%25BE%25D0%25B5-%25D0%25BF%25D0%25B8%25D0%25BE%25D0%25B4%25D0%25B5%25D1%2580%25D0%25BC%25D0%25B8%25D1%258F-","title":"Что такое пиодермия? - ГБУЗ «Тамбовский областной кожно-венерологический клинический диспансер»","shortUrl":"tokvkd.ru","isTranslated":false,"description":"","greenUrl":"tokvkd.ru"},{"sourceId":3,"url":"https://www.medicina.ru/patsientam/zabolevanija/piodermiya/","shownUrl":"https://www.medicina.ru/patsientam/zabolevanija/piodermiya/","title":"Пиодермия у детей и взрослых: симптомы, причины и лечение","shortUrl":"medicina.ru","isTranslated":false,"description":"","greenUrl":"medicina.ru"},{"sourceId":4,"url":"https://mc21.ru/articles/piodermiya-u-detey/","shownUrl":"https://mc21.ru/articles/piodermiya-u-detey/","title":"Пиодермия у детей: причины возникновения, признаки заболевания и современные методы терапии","shortUrl":"mc21.ru","isTranslated":false,"description":"","greenUrl":"mc21.ru"},{"sourceId":5,"url":"https://gemotest.ru/info/spravochnik/zabolevaniya/piodermii/","shownUrl":"https://gemotest.ru/info/spravochnik/zabolevaniya/piodermii/","title":"Пиодермия — что это такое, виды, симптомы, диагностика, лечение","shortUrl":"gemotest.ru","isTranslated":false,"description":"","greenUrl":"gemotest.ru"},{"sourceId":6,"url":"https://www.smclinic-spb.ru/zabolevaniya/piodermiya","shownUrl":"https://www.smclinic-spb.ru/zabolevaniya/piodermiya","title":"Пиодермия (гнойничковые заболевания кожи): что это такое, как выглядит, клинические рекомендации","shortUrl":"smclinic-spb.ru","isTranslated":false,"description":"","greenUrl":"smclinic-spb.ru"},{"sourceId":7,"url":"https://polyclinika.ru/tech/piodermiya-simptomy-i-lechenie/","shownUrl":"https://polyclinika.ru/tech/piodermiya-simptomy-i-lechenie/","title":"Пиодермия - причины, симптомы, признаки, диагностика, лечение, профилактика","shortUrl":"polyclinika.ru","isTranslated":false,"description":"","greenUrl":"polyclinika.ru"},{"sourceId":8,"url":"https://elearning.volgmed.ru/pluginfile.php/778047/mod_resource/content/1/%D0%9C%D0%BE%D0%B4%D1%83%D0%BB%D1%8C%203.1.pdf","shownUrl":"https://elearning.volgmed.ru/pluginfile.php/778047/mod_resource/content/1/%D0%9C%D0%BE%D0%B4%D1%83%D0%BB%D1%8C%203.1.pdf","title":"Пиодермии","shortUrl":"elearning.volgmed.ru","isTranslated":false,"description":"","greenUrl":"elearning.volgmed.ru"},{"sourceId":9,"url":"https://www.invitro.ru/library/bolezni/34343/","shownUrl":"https://www.invitro.ru/library/bolezni/34343/","title":"Пиодермии - причины появления, симптомы заболевания, диагностика и способы лечения","shortUrl":"invitro.ru","isTranslated":false,"description":"","greenUrl":"invitro.ru"},{"sourceId":10,"url":"https://www.altermed.ru/dermatology/piodermii/","shownUrl":"https://www.altermed.ru/dermatology/piodermii/","title":"Пиодермия – симптомы, лечение, причины заболевания","shortUrl":"altermed.ru","isTranslated":false,"description":"","greenUrl":"altermed.ru"},{"sourceId":11,"url":"https://volgograd.medsi.ru/spravochnik-zabolevaniy/glubokaya-piodermiya/","shownUrl":"https://volgograd.medsi.ru/spravochnik-zabolevaniy/glubokaya-piodermiya/","title":"Глубокая пиодермия. 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