Purulent nyamakazi: zizindikiro zimayambitsa, matenda ndi mankhwala

Suppurative nyamakazi - kutukusira kwa nyumba olowa chifukwa cha tizilombo toyambitsa matenda. Childs, "ngwazi tsiku" ndi streptococci ndi staphylococci, koma nthawi zina likugwirizana ndi zomera anaerobic. The causative wothandizila amatha kulowa mu olowa kudzera bala, pokha la singano, ndi ndime ya magazi ndi lymph.

tanthauzo

Purulent nyamakazi - okha pachimake kutupa tating'onoting'ono etiology, kukulitsa M'mimbamo olowa. Pa mankhwala zosapsa kapena zabwino kwenikweni zingachititse mavuto aakulu yaitali monga arthrosis ndi contracture. Komanso, kufalikira kwa matenda a malire olowa akhoza kusokoneza zikamera wa abscesses ndi abscesses. Nthawi patsogolo pa septicemia zotheka ndi osteomyelitis.

Chithandizo cha matenda, monga ulamuliro, zikugwira zoopsa opaleshoni. ntchito yaikulu - kutsegula M'mimbamo olowa ndi kukhetsa madzimadzi matenda komanso perekani mankhwala mankhwala okwanira.

etiology

Suppurative nyamakazi angathe mwamtheradi mu olowa aliyense, koma nthawi zambiri zimakhudza phewa, bondo, m'miyendo ndi m'chiuno, ngati iwo ali ambiri atengeke zoopsa ndipo zinthu katundu wolemera. Features ya kapangidwe ka kapisozi pa kupereka yaitali kudzikundikira mafinya popanda zizindikiro zilizonse. Polingalira za mafuta abwino impregnated zimakhala onse olowa, kuphatikizapo chichereŵechereŵe ndi fupa. Izi kenako kumabweretsa mavuto aakulu.

Good magazi ndi lymphatic ngalande zimathandiza kuti kufala kwa kutupa kwa madera ozungulira, amene agonjetsa chitukuko cha sepsis ndi suppurative osteomyelitis m'tsogolo. The culprits wa matenda nthawi zambiri ndi streptococci ndi staphylococci, pang'ono pokha wamba gonococcus, Escherichia coli, nsomba, Klebsiella ndi Proteus.

Zina mwa zinthu chiopsezo tingaone kuipitsidwa kwambiri chifukwa cha ozama kuvulala zimfundo ndi, mbiriyakale ya fractures lotseguka, kuchepetsa chitetezo chokwanira m'deralo ndi ambiri ndipo zikutha m'mayiko m'thupi lonse.

mitundu

Purulent nyamakazi ndi mitundu iwiri malingana zimene anali chifukwa cha yankho yotupa:

1. Non-zoopsa.
2. Mantha.

Komanso, nyamakazi kusiyana ndi nthawi yatsoka:

1. Pulayimale nyamakazi, kumene ndondomeko matenda ndi anayamba mwachindunji kuti patsekeke olowa. Izi zikhoza kukhala chifukwa cha wovulala ndi, dislocation, kuvulala kapena kupwetekedwa mtima.
2. Secondary nyamakazi. N'zotheka kukachitika kuti matenda aloŵa mu olowa kuchokera kumalo ena mu thupi.

Suppurative nyamakazi ya olowa phewa

Omartrit ikutuluka nkhani ya ozama choipa kapena kutenga matenda kapena hematogenous njira lymphogenous. Chizindikiro cha matendawa - ndi ululu pamene kusuntha, ndipo dotragivanii polokachivanii pa olowa.

M'kupita kwa nthawi, purulent nyamakazi phewa amakhala noticeable kwa apoyera, monga madzimadzi amasonkhana mu kapisozi olowa ndi deforms izo. Pansi zala zake dokotala adachira kuika mafinya. Ngati madzimadzi chimamangirira ndithu kwambiri, akhoza kusungunula ndi kuyenderera mu kapisozi milandu minofu, pansi fascia lapansi. Pankhaniyi, izo zikanakhala kuchitira cellulitis phewa ndi khosi.

Anapereka pamaso pa matenda ndi khalidwe kaimidwe a wovulalayo. Iye amateteza nthambi, zimakhala zilibe ntchito, iye anatsitsa phewa lake ndi dzanja lokha anatumizidwa ku mbali ndipo anawerama pa chigongono.

Nyamakazi zimfundo ya nthambi m'munsi

Suppurative nyamakazi ya bondo akufotokozera pambuyo matenda ndi tizilombo mabakiteriya zimakhala. peresenti eyite matenda onse HIV zichitike kudzera vuto la staphylococcus, meningococcus, kapena Pseudomonas aeruginosa. Disease akuyamba bwinobwino, ndi kuwuka kwa kutentha ndi kuledzera kwambiri. Bondo ndi kutupa, kusalaza zamkati zonse zokhudza thupi ndi zolosera, nthawi zina kupangidwa purulent fistulas mu malo kupatulira zimakhala.

Purulent nyamakazi kumwendo zambiri akufotokozera pa maziko a matenda zokhudza zonse yotupa monga lupus, gout ndi ankylosing spondylitis. Pakuti kudwala imeneyi amakhala ndi kuwuka kwa m'deralo ndi ambiri kutentha, olowa kutupa, redness a khungu. Nthawi zina timapepala uonekere. Zikavuta ndi kutupa imafika ku mapazi, ndipo anatulukira anapanga milozo mafinya.

Purulent nyamakazi a m'chiuno limodzi kapena coke, amapezeka matenda autoimmune, matenda kagayidwe kachakudya asidi pano uric mu thupi la aakulu yotupa ndondomeko, ndi chifukwa cha zimamuchulukira olowa. Pa Pachithunzipa kwambiri kuledzera, malungo, kunyansidwa ndi kusanza, ndi ululu kuyenda mu olowa ndipo Asadakumane, ndi redness a khungu pa olowa.

zizindikiro

Pachimake suppurative nyamakazi imayamba mwadzidzidzi. Wathuyo olowa zitunda, amakhala otentha kukhudza, khungu pa iwo hyperemic, yomangika ndi chonyezimira. Pa nthawi yomweyo, wodwala wayamba kubva pamene ukuyenda, amene walimbikitsa ndi kupita kwa nthawi ndi kukhala "kuwombera" m'chilengedwe. kukhudza aliyense amakhala opweteka, munthu sangathe zovala pa nthambi akhudzidwa. Ngati tichita kanthu, ndiye atatha masiku ochepa kutupa adzapatsa pamwamba ndi pansi pa olowa.

Kuwonjezera m'deralo, palinso zizindikiro zofanana. Mwa iwo amene afala kuledzera, malungo, kuzizira, kunyansidwa ndi kusanza. N'zotheka kukomoka, mutu. palpitations pafupipafupi, kupuma kwambiri ndi katundu.

diagnostics

Pakuti matenda kuwonjezera yoyendera ndi anamnesis n'kofunika kuchita mayeso labu. Mu kusanthula ambiri magazi anasonyeza lililonse yotupa chithunzi: kuchuluka erythrocyte sedimentation mlingo, kukameta ubweya leukocyte kuti reticulocytes, ambiri neutrophils. Izo analimbikitsanso kupanga puncture olowa ndi madzi chifukwa kupereka pa kafukufuku microbiological. Mikroskopiruyut mafinya, papezeka utoto aniline ndi afesedwa pa nthaka yachonde. Patapita masiku asanu, dokotala amalandira lipoti, zimene zinasonyeza tizilomboto ndi tcheru chake kwa antibayotikiyo.

maphunziro a malangizo mankhwala X-ray. The chithunzi limasonyeza momveka looneka kutupa zimakhala, malo olowa m'lifupi, pamaso pa erosions ndi kufooka kwa mafupa. Ngati nyamakazi ali anangoyamba, ndi X-ray sizingakhale nkhani. Zikatero, mtima uli anatumiza ultrasound kapena CT jambulani. Kuwonjezera onse pamwamba, m'pofunika kusankha upo nthenda dokotala kuti akatsimikizire matenda zowombetsa mkota.

Purulent nyamakazi: chithandizo

Ngakhale milandu amaganiziridwa suppurative nyamakazi wodwala ayenera kuonetsetsa kuti ndipite ku chipatala. Nthawi yomweyo, popanda kuyembekezera zotsatira za mayesero choyezera, wazotsatira antimicrobial mankhwala akapatsidwa osiyanasiyana zochita kubisa tizilombo toyambitsa matenda n'kotheka. Njira imeneyi amapewa mavuto aakulu.

Poyamba anaitanidwa kuyesa chithandizo ndiwofatsa. Ngati kuchuluka kwa mafinya pang'ono kapena palibe konse, nthambi umagwiritsidwa pulasitala kukonza mu malo amodzi, ndiye kwapakati pa-kutumikiridwa mankhwala.

Ngati pali kapisozi kapena empyema kuwaona ndi maso wamaliseche kuti olowa ali anapeza zambiri madzimadzi, mu nkhani iyi ikusonyeza arthrotomy mwamsanga ndipo staging drainages. Pa chikuonetseratu wodwala ndi ozama mabala ku malo poyambirira zinkachitika chachikulu opaleshoni mankhwala a chigawo kuonongeka, dothi kuchotsa ndi matupi yachilendo, ndi kuzilembanso zotheka matumba milozo onse ndipo patapita kuti chitoliro kuda aikidwa.

kupewa

Monga kukonzekereratu izo tikulimbikitsidwa suppurative nyamakazi m'nthawi yake kuchita opaleshoni chifukwa osteomyelitis, mu nthawi kutsegula abscess ndi cellulitis, zikuchitika m'madera a choipa. Komanso, onetsetsani kuti kutsatira mfundo za chithandizo cha matenda opatsirana ndi Mulimonsemo osati kunyalanyaza kudziona mankhwala. Zimenezi zingachititse kukana tizilombo ndiponso kusokoneza mankhwala.

Ngati inu mungavulale, muyenera kusamba bwinobwino chilonda, kuchitira m'mbali ndi ayodini kapena wobiriwira utoto ndi ntchito bandeji woyera. Kumene mukufuna mbiri yabwino ndi njira iyi kupita kuchipatala. Izi atsogolere ntchito ya dokotala ndi kuthandiza kaye isanayambike kutupa.

zosokonezeka

The Vuto chachikulu kwambiri suppurative nyamakazi imatengedwa ngati sepsis. chikhalidwe ichi, limene kwenikweni likuoneka moyo wa munthu, chifukwa angakhale oopsa. Koma, popanda matenda zowombetsa mkota, pali matenda kugwirizana ndi kudwala izi.

Kudzikundikira mafinya mu kapisozi olowa angachotsedwe limatsogolera ndi mapangidwe abscesses, fistulas ndi milozo yotupa exudate. Komanso, Sungunulani silingakhoze kokha zofewa minofu komanso fupa ndi nyamakazi ndizo zotsatira za mapindikidwe amenewa ndi malekezero defiguratsii. Contractures, amene anapanga chifukwa yokakamiza m'malo malo, mu Zikavuta kwambiri kungachititse kuti imfa ya ntchito ndi olumala.

Choncho, n'kofunika mwamsanga kuchipatala. Musati muyesere kupirira ululu kapena Kudzithandiza okha njira za makolo. Wenewu kukulitsa nkhaniyo. Kaya sizikakutherani mukhoza aona pa kuona munthu ndi singano kapena scalpel, mu nkhani ya yotupa matenda pachimake ndi bwino kuti akuchedwa chithandizo.