Cellulitis - matenda kuti? Khosi abscess. Zizindikiro ndi Chithandizo

Cellulitis - ndi purulent kutupa minofu adipose. The ndondomeko pathological ndi pachimake ndi nthawi yochepa angafikire madera ozungulira kutupa minofu ndi kufalitsa kwa tendons, minofu, malo ma. M'nkhani ino tikambirana kwambiri za matenda amenewa, adzakhala pansipa zizindikiro, zinthu zomwe ndi mfundo chithandizo cha matenda.

zifukwa

Choyamba, tiyenera bwino kusiyanitsa mfundo "abscess" ndi "cellulitis". Si chinthu chomwecho. Mosiyana abscess, amene ali kutipanikiza kapisozi ku cellulitis palibe malire momveka, kutupa wawatsanulira khalidwe. Phlegmon - ndi matenda amene amakula chifukwa cha kubereka mofulumira tizilombo toyambitsa matenda: Staphylococcus, Streptococcus, Pseudomonas aeruginosa, Clostridium, Escherichia coli, ndi ena.

Kudutsa wamafuta minofu kungakhale zamoyo zoipa m'njira zosiyanasiyana. Izi zimachitika nthawi zambiri chifukwa cha kuswa umphumphu wa khungu pa bala, kuvulala, pambuyo opaleshoni ndi jekeseni. Komanso matenda akhoza kupeza lymph mantha kapena magazi. N'zotheka ndi pini njira ya matenda, ngati cholinga suppurative kwa chiwalo anakhudzidwa adzaswa mu pafupi adipose minofu. A chiopsezo ena yochepa ndi ndondomeko akuthamanga (bacteremia, abscess). Lake zambiri amafuna kuchepetsa kutupa aliyense akufotokozera, n'kupanga kapisozi. Komabe, pamene kutopa, polowetsedwa chitetezo chokwanira, yaitali pathologies aakulu, uchidakwa, monga kapisozi zoteteza si anapanga, ndi purulent ndondomeko bwino chochokera kumayambiriro kwa matenda. Ndiponso, ena tizilombo toyambitsa matenda (mwachitsanzo, si clostridial zomera, Clostridium) amatha kumasula zinthu zapadera zimene kupasuka kwa m'chimake zoteteza, umene ndi mafinya zimathanso kudutsa minofu wathanzi.

Cellulitis: zizindikiro

matendawo amakhala ndi mawonetseredwe mwachilungamo mmene kunja, ofanana ndi zizindikiro za kutupa: redness, khungu kutupa, kutentha khungu pa malo kuvulazidwa, ululu.

Ndi chikhalidwe cha padziko ndi phlegmon malo (minofu kuwonongeka kwa wosanjikiza minofu) ndiponso (minofu wosanjikiza ndi imfa mafuta kwambiri padziko ziwalo). Zachiphamaso abscess akuwonetseredwa ululu m'dera la kutupa, kutupa, induration. Ndi okhudzidwa mu ndondomeko pathological wa khungu akufotokozera redness ndi kuwuka m'deralo kutentha. Posachedwapa, pali wamba zizindikiro za kuledzera: kuzizira, kutentha thupi, ludzu, pakamwa youma, kufooka kwambiri. Ngati inu kukhala abscess kwambiri, zizindikiro ambiri amachuluka pa m'deralo. Thupi kutentha kukwera kwa 40-42 ° C, mutu, kufooka, somnolence, khungu kukhala jaundiced, yafupika magazi, zimachitika - ofooka, kawirikawiri. Posasangalala ntchito kupuma (kupuma akachoka, ndi katundu pang'ono thupi ngakhale zina amapezeka otdyshka) ndi secretory (amachepetsa chiwerengero cha mkodzo, mpaka ake kusapezeka) kachitidwe. Komanso ukuwonjezeka cellulitis kwambiri kukula kapena malo kuti poyerekezera ndi malo wathanzi moyenera.

khosi cellulitis

matenda angathe pa mwamtheradi kulikonse kumene subcutaneous mafuta. Abscess wa khosi - ndi matenda, imene sizimadziwika. Ndipo zotsatira zake zingakhale waukulu ngakhale kufa.

Pamene matendawa amakhudza interfascial khosi ndi danga intercellular. Popeza gawo ili la thupi ali ndi zovuta dongosolo anatomical, abscess mwina ndi kutanthauzira osiyana.

Zizindikiro za cellulitis khosi

Nkofunika matenda mu nthawi. Cellulitis ungadziwike mu njira zambiri, izo zonse zimadalira pa kukula ndi malo. Ngati kutupa kukula yaing'ono ndipo lili kwambiri kupeza zovuta kwambiri. Pankhaniyi, mawonetseredwe aliyense pa khungu ndi kwina, kutentha thupi ndi maonekedwe mkulu sasefukira, zizindikiro za kuledzera ndi wofatsa. Panja kapena yaikulu cellulitis wa khosi zikuoneka monga zachiphamaso cellulitis a m'madera ena a thupi. Palpation kufika fluctuation (madzimadzi kudzikundikira), mavuto a khungu ndi soreness. Wodwala matenda - zolimbitsa mwamphamvu kapena aakulu. Pamene mtundu uwu matenda kungakhale kovuta kumeza. Pamene phlegmon submaxillary amavutika chotsegula pakamwa ndi kutafuna chakudya. Anaigonjetsera nthawi zonse boma theka-lotseguka zambiri anaona fungo. Ndi kupata ndondomeko matenda alili chatsika mofulumira, kukula kuledzera. MAGAZI kusonyeza chithunzi cha kutupa pachimake, ESR chithunzi limatuluka kuti 40-50 mamilimita / ola.

Kodi chimayambitsa cellulitis khosi?

Cellulitis - kutukusira, imene mafinya kufalikira mofulumira kwambiri danga wina ndi mzake, kupanga lalikulu okhetsedwa a chotupa. Makamaka, phlegmon khosi imfayo odwala catarrhal ndi lacunar angina kutsegula peritonsillar ndi retropharyngeal abscess, alveolitis, periodontitis, osteomyelitis a m'munsi nsagwada, otitis, msana chotupa (osteomyelitis occipital fupa kapena vertebrae khomo lachiberekero), matenda a chithokomiro, matenda putrefactive (carious mano ) choipa. Tizilomboto kufalikira mosavuta pa lotayirira interfascial minofu, zimakhudza minofu connective, mitsempha ya magazi, minofu ndi lymph mfundo.

zosokonezeka zotheka

Kusagwiritsa ndipo mwadzidzidzi matenda a matenda ndi zotsatira zoipa kwambiri, kawirikawiri atakwatirana ndi moyo;

• kutupa m'dera apakatikati pa chifuwa - mediastenitu;

• mafinya kwa kukokoloka kwa mpanda chotengera ndi monga Motero, kuti profuse magazi;

• meninjaitisi, sepsis, abscesses ku ziwalo zina;

• asphyxia (chifukwa cha kufinya airway mafinya);

• kuswa kudzera kwa mafinya mu mapapo, m'phuno.

Cellulitis: zochizira matenda

Choyamba, kutsimikiza chikhalidwe matenda a kutupa dokotala ayenera kukhala bwinobwino zimene wodwalayo komanso kufufuza mbiri ya matenda. Phlegmon zambiri inathetsedwa opaleshoni. Ntchito mankhwala opha tizilombo, novocaine blockades kuchititsa mankhwala thupi, utsogoleli wa mankhwala kuti patsogolo chitetezo khamu, mwina pa siteji koyamba za matendawa. Ngati mofulumira ubwino zimachokeradi (ululu sasiya, kutentha thupi anali pa mlingo mkulu, akukhudzidwira umoyo ndi ntchito mayesero magazi musati bwino), ndi zizindikiro za kuledzera chikuwonjezereka, kufunika opaleshoni mwamsanga. Pogwira popanga munthu opaleshoni mu magawo oyambirira a matenda pofuna poyizoni wa thupi ndi kufalitsa a purulent ndondomeko. Pamene mankhwala opaleshoni ayenera kuonedwa kuti cellulitis wa khosi, ku mbali yaikulu, zili podfastsialno, ndi kuti si kuwononga maphunziro ofunika (misempha, ziwiya ndi ena.), Muyenera mosamala kwambiri dissect zigawo minofu.

Komabe, mankhwala izi si zokhazo. Pambuyo phlegmon atachotsedwa, mankhwalawa mu nthawi postoperative adzatenge yogwira achire kanthu. The bere chilonda tikuuzidwa, kuti n'zotheka kwa nthawi yogwira otaya-kudzera kuchapa ndi chiyembekezo cha exudate. M'pofunikanso kuonetsetsa mtima bedi zina ndi kumwa wambiri madzi. Pa mlingo waukulu kutumikiridwa saline, shuga ndi zina zotero. N. Kusonyeza mankhwala analgesics, cardiacs, kuchititsa mankhwala oxygen.

zodzitetezera

Pofuna kupewa matenda amenewa asamagwiritsidwe kupewa mabvuto yaying'ono kunyumba kuntchito, kuti yomweyo kupereka chithandizo kwa kuvulala, mabala, kumayambiriro matupi yachilendo. Njira zoyezera wachibale phlegmon khosi MUKACHULUKIDWE chithandizo yake ya angina ndi kuyendera mano, kuti panthawi yake kudziwa ndi kuchiza matenda a mano ndi m'kamwa.

pomaliza

Cellulitis - ndi lalikulu, moyo pachiswe kutupa. Pamene zizindikiro woyamba wa matenda yomweyo funsani dokotala. Mulimonsemo sanachite kudzipatsa mankhwala oyenera, angakhale ndi zotsatira sizingasinthe.