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Возбудитель — бета-гемолитический стрептококк группы А (Streptococcus pyogenes) [5](https://BestClinic.ru/diseases/rozhistoe-vospalenie/)[7](https://gemotest.ru/info/spravochnik/zabolevaniya/rozha-rozhistoe-vospalenie/). \n\nЧаще всего рожа развивается на ногах, но может появиться и на лице, руках, туловище [2](https://PhleboCentr.ru/zabolevaniya/rozhistoe-vospalenie/).\n\n\n\n## Причины\n**Основной путь заражения** — проникновение стрептококка через повреждённую кожу (трещины, опрелости, укусы) [5](https://BestClinic.ru/diseases/rozhistoe-vospalenie/). \n\n**Провоцирующие факторы**: \n* заболевания, которые снижают местный или общий иммунитет (хронический варикоз, лимфостаз, грибок стопы, сахарный диабет, ожирение) [2](https://PhleboCentr.ru/zabolevaniya/rozhistoe-vospalenie/); \n* переохлаждение, сильный стресс, простуда, гормональные нарушения [2](https://PhleboCentr.ru/zabolevaniya/rozhistoe-vospalenie/).\n\n## Симптомы\n**Некоторые симптомы рожистого воспаления**: \n* красное пятно с чёткими границами, которое становится горячим, отёчным и болезненным [2](https://PhleboCentr.ru/zabolevaniya/rozhistoe-vospalenie/); \n* жжение, болезненность и зуд в месте поражения [3](https://mc21.ru/articles/rozha-rozhistoe-vospalenie/); \n* при тяжёлом течении — пузырьки, буллы и даже некроз [3](https://mc21.ru/articles/rozha-rozhistoe-vospalenie/); \n* увеличение лимфатических узлов рядом с поражённым участком кожи [3](https://mc21.ru/articles/rozha-rozhistoe-vospalenie/). \n\n**Опасность рожи** — склонность к осложнениям и рецидивам [2](https://PhleboCentr.ru/zabolevaniya/rozhistoe-vospalenie/). Без лечения воспаление может распространиться глубже — на подкожную клетчатку, лимфатическую систему, вызвать абсцессы, некроз или даже заражение крови [2](https://PhleboCentr.ru/zabolevaniya/rozhistoe-vospalenie/).\n\n## Диагностика\n**При первых симптомах рожистого воспаления необходимо обратиться к дерматологу** [1](https://www.expressmed.ru/blog/zabolevaniya/rozhistoe-vospalenie/)[4](https://www.medicina.ru/patsientam/zabolevanija/rozhistoe-vospalenie/). Также дерматолог может назначить дополнительные консультации хирурга, инфекциониста или иммунолога по результатам обследования [1](https://www.expressmed.ru/blog/zabolevaniya/rozhistoe-vospalenie/). \n\n**Диагностика** включает визуальный осмотр, анализы крови на СОЭ, Т-лимфоциты и нейтрофилы, в некоторых случаях — бактериологические пробы [1](https://www.expressmed.ru/blog/zabolevaniya/rozhistoe-vospalenie/).\n\n## Лечение\n**Лечение рожистого воспаления комплексное** [1](https://www.expressmed.ru/blog/zabolevaniya/rozhistoe-vospalenie/). Главная цель — уничтожить стрептококк, снять воспаление и предотвратить осложнения [5](https://BestClinic.ru/diseases/rozhistoe-vospalenie/). \n\n**Некоторые методы лечения**: \n* **Антимикробные препараты** — курс длится 10–14 дней, даже если симптомы исчезли раньше [5](https://BestClinic.ru/diseases/rozhistoe-vospalenie/). \n* **Противовоспалительные препараты** — уменьшают боль и отёк [5](https://BestClinic.ru/diseases/rozhistoe-vospalenie/). \n* **Местное лечение** — применяют при буллёзных и геморрагических формах, используют антисептические повязки [5](https://BestClinic.ru/diseases/rozhistoe-vospalenie/). \n* **Физиотерапия** — подключается после стихания острого процесса: УФО — ультрафиолетовое облучение ускоряет заживление, магнитотерапия — уменьшает лимфостаз [5](https://BestClinic.ru/diseases/rozhistoe-vospalenie/). \n\n**Хирургические методы** — операции требуются при развитии гнойных осложнений или некроза [5](https://BestClinic.ru/diseases/rozhistoe-vospalenie/). \n\n**Самолечение** рожистого воспаления запрещено — оно может быть опасным из-за вероятности тяжёлых осложнений [15](https://polyclin.ru/articles/rozhistoe-vospalenie-kozhi/).","linksData":[{"sourceId":1,"url":"https://www.expressmed.ru/blog/zabolevaniya/rozhistoe-vospalenie/","shownUrl":"https://www.expressmed.ru/blog/zabolevaniya/rozhistoe-vospalenie/","title":"Рожистое воспаление - симптомы, диагностика и лечение.","shortUrl":"expressmed.ru","isTranslated":false,"description":"","greenUrl":"expressmed.ru"},{"sourceId":2,"url":"https://PhleboCentr.ru/zabolevaniya/rozhistoe-vospalenie/","shownUrl":"https://PhleboCentr.ru/zabolevaniya/rozhistoe-vospalenie/","title":"Рожистое воспаление (рожа): что это такое, симптомы, лечение","shortUrl":"PhleboCentr.ru","isTranslated":false,"description":"","greenUrl":"PhleboCentr.ru"},{"sourceId":3,"url":"https://mc21.ru/articles/rozha-rozhistoe-vospalenie/","shownUrl":"https://mc21.ru/articles/rozha-rozhistoe-vospalenie/","title":"Рожа (рожистое воспаление): симптомы, диагностика, лечение, реабилитация","shortUrl":"mc21.ru","isTranslated":false,"description":"","greenUrl":"mc21.ru"},{"sourceId":4,"url":"https://www.medicina.ru/patsientam/zabolevanija/rozhistoe-vospalenie/","shownUrl":"https://www.medicina.ru/patsientam/zabolevanija/rozhistoe-vospalenie/","title":"Рожистое воспаление (рожа): лечение, симптомы и диагностика","shortUrl":"medicina.ru","isTranslated":false,"description":"","greenUrl":"medicina.ru"},{"sourceId":5,"url":"https://BestClinic.ru/diseases/rozhistoe-vospalenie/","shownUrl":"https://BestClinic.ru/diseases/rozhistoe-vospalenie/","title":"Рожистое воспаление: причины, симптомы, диагностика и лечение в Москве | «Бест Клиник»","shortUrl":"BestClinic.ru","isTranslated":false,"description":"","greenUrl":"BestClinic.ru"},{"sourceId":6,"url":"https://www.VIDAL.ru/encyclopedia/infektsionniebolesni/rozha","shownUrl":"https://www.VIDAL.ru/encyclopedia/infektsionniebolesni/rozha","title":"Препараты и лечение рожистого воспаления","shortUrl":"VIDAL.ru","isTranslated":false,"description":"","greenUrl":"VIDAL.ru"},{"sourceId":7,"url":"https://gemotest.ru/info/spravochnik/zabolevaniya/rozha-rozhistoe-vospalenie/","shownUrl":"https://gemotest.ru/info/spravochnik/zabolevaniya/rozha-rozhistoe-vospalenie/","title":"Рожа (рожистое воспаление) - причины, симптомы и лечение","shortUrl":"gemotest.ru","isTranslated":false,"description":"","greenUrl":"gemotest.ru"},{"sourceId":8,"url":"https://www.nrmed.ru/illness/rozhistoe-vospalenie/","shownUrl":"https://www.nrmed.ru/illness/rozhistoe-vospalenie/","title":"Рожистое воспаление - причины, симптомы, диагностика и лечение в Москве, медицинский центр НИАРМЕДИК","shortUrl":"nrmed.ru","isTranslated":false,"description":"","greenUrl":"nrmed.ru"},{"sourceId":9,"url":"https://taurasmed.com/services/hirurg/rozhistoe-vospalenie/","shownUrl":"https://taurasmed.com/services/hirurg/rozhistoe-vospalenie/","title":"Рожистое воспаление (рожа) - цена в СПб","shortUrl":"taurasmed.com","isTranslated":false,"description":"","greenUrl":"taurasmed.com"},{"sourceId":10,"url":"https://volgograd.medsi.ru/spravochnik-zabolevaniy/rozha/","shownUrl":"https://volgograd.medsi.ru/spravochnik-zabolevaniy/rozha/","title":"Рожа. 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