Zizindikiro za abscessillar abscess. Chithandizo ndi mankhwala achilendo

Pamene timadwala ndi angina, koma nthawi zonse timakhala ndi mavuto. Ngakhale ngati matendawa amatha kutisokoneza tikamayambitsa hypothermia kapena kudya kwambiri ayisikilimu. Chimodzi mwa zovuta kwambiri zomwe zimagwirizanitsa anthu ndizochotsa chilolezo. Zisonyezo za abscess pamphuno ndi khosi la khosi, kutentha kwambiri kwa thupi komanso thupi lachilendo. Zonsezi zimapezeka ngati angina, choncho zimakhala zovuta kuzindikira matenda ena. Odwala mpaka omalizira amayesedwa kuchipatala, koma atatha kutentha kutentha madigiri 40, pambuyo pake, amafuna thandizo kwa dokotala.

Chofunika kwambiri cha matenda

Kupanda mankhwala kumatchedwa kutupa kwa tinthu tomwefe, kuphatikizapo kupanga pus. Ndipotu, ndi gulu la purulent detritus pansi pa khungu, mucous membrane kapena mkati zamilandu. Ngati ndondomekoyi ikufalikira kudera lalikulu, idakhazikitsidwa kale ngati phlegmon. Zimayambitsa maonekedwe a matendawa ndi kuchulukitsa mabakiteriya kapena bowa.

Ngakhale kuti zizindikiro za abscessillar abscess zimaperekedwa mosavuta ndi munthu, izi ndi matenda omwe angabweretse mavuto. Madzi a kachilomboka amasungunula ziphuphu zomwe zimakhudza, ndipo zimalowa mu ubongo, zimatuluka pamutu, komanso zimalowa m'chifuwa. Izi zidzachititsa kufalikira kwa matenda m'thupi lonse, mantha komanso kufa mofulumira.

Zojambula zakale

Kuti mumvetsetse kuopsa kwa matendawa, mungagwiritse ntchito zitsanzo kuchokera m'mbiri. Ndi bwino kuyamba kuyambira nthawi zakale. M'zaka za m'ma 1200 BC, Shah wa Khorezm, Ala ad-Din Tekesh, adamwalira ndi matendawa. Kuimba mlandu munthu uyu chifukwa cha kusadziwa ndi kunyalanyaza zizindikiro n'kovuta, chifukwa ulamuliro wake unali pa nthawi ya ulamuliro wake.

Pali vesi lomwe linachokera ku abscessillar abscess kuti mtsogoleri wotchuka wa Amwenye a Seminole anamwalira, Osceola. Zinachitika mu 1838, pamene Aaspania anagonjetsa South America. Apanso, mankhwala a anthu awa anali pamwambamwamba, ambiri a ku Ulaya sanamvepo za mankhwala ambiri. Choncho, kunena za kunyalanyaza sikofunikira.

Wolemba ndi wafilosofi wa ku France, Michel Montaigne, Papa Adrian pulofesa wachinayi ndi Scottish, yemwe ndi pulofesa wa maphunziro achipembedzo, Ian McLaren ndi anthu ena olemekezeka anafa mosavuta, poyang'ana matenda.

Mitundu

Popeza zizindikiro za abscessillar abscess nthawi zonse, zimakhala pakati pa otolaryngologists ponena za malo. Pali mitundu inayi ya matendawa.

1. Kutsika. Imeneyi ndiyo njira yowonjezera ya purulent. Izi zimachokera ku maonekedwe a matayoni. Pamwamba pa chiwalocho mumakumana ndi vuto lolimba la bakiteriya, chifukwa choyamba chimadabwa pamene chikuipitsa wothandizira. Zaboleveniya amayamba ndi mawonekedwe ovekedwa achikasu pamphepete mwala.
2. Fomu yam'mbuyo, pamene cholinga chiri pakati pa chigoba cha palatine ndi amygdala. Imeneyi ndi njira yosavuta yowunikira, chifukwa malo otsekemera amaonekera bwino. Matendawa amachititsa kuti wodwalayo asamvetse bwino, amalephera kulankhula, kumeza ndi kutsegula pakamwa pake. Muzovuta zovuta, pangakhale mavuto opuma.
3. Mafomu apansi. Kulephera kumangotenga mbali yokha ya amygdala. Chifukwa cha vutoli, monga lamulo, ndi matenda a mano ndi ching'anga.
4. Maonekedwe akunja. Ndizovuta kwambiri. M'mabuku ena, tingapeze dzina la abscess parathonsillar abscess. Ndiko kumalo komwe kuli kovuta kwambiri kufalitsa matenda kumadera oyandikana nawo.

Nthendayi imayambira kwambiri, matenda aakulu ndi masewera olimbitsa thupi ndipo amapezeka kokha mwa anthu omwe ali osauka omwe safuna chithandizo chamankhwala nthawi yomweyo.

Etiology

Zizindikiro za abscessillar abscess zimaonekera pamene matani m'kati mwake amayamba kutupa, chifukwa cha kuchulukitsa ndi ntchito yofunikira ya mabakiteriya. Staphylococci ndi streptococci nthawi zambiri zimagwiritsidwa ntchito monga wothandizira, koma izi zingakhale bowa, mabakiteriya opatsirana, ndipo nthawi zina ngakhale mavairasi.

Kupuma kwa Paratonzillar si matenda odziimira okhaokha. Monga lamulo, izi ndi zotsatira za mankhwala olakwika kapena ojambula a angina. Odwala amakhulupirira kuti kutupa pammero kumakhala kosavuta komanso kosavuta kupeza, kotero kuti ndi zovuta ngati zimenezi zimamuvutitsa dokotala. Koma kwenikweni, musanyalanyaze thanzi lanu, ndipo ndi bwino kupempha thandizo pachiyambi, kusiyana ndi kukonza zotsatira za zochita zanu zopanda pake.

Chifukwa chachiwiri cha ziphuphu zapachikhalidwe chino ndi matayillitis aakulu. Thupi limakhala likuyamba kuyenda pang'onopang'ono, lomwe limaipitsa munthu, limapangitsa kuti chitetezo chake chifooke. Zonsezi zimabweretsa zovuta ngakhale kuzizira kwambiri.

Nthaŵi zina paratonzillitis amachokera pambuyo pochotsa minofu ya lymphoid kuchokera kumthunzi wa palatine. Izi zikhoza kukhala zotsatira za ntchito yosawerengeka, pamene gawo la matanoni akadalipo ndipo iwo anabwezeretsedwa ku kukula kwake koyambirira. Kapena ngati dokotala atagwiritsa ntchito zipangizozi anawononga kansalu kameneka kameneka.

Malo achinayi mu chiwerengero cha zifukwa, kuchititsa abscess, amatha. Izi ndizingowonjezereka za matenda, zomwe ziyenera kuyesedwa bwino, kuti zisateteze chitetezo cha thupi komanso kuti zisapangitse mabakiteriya kuti "asokonezeke."

Zizindikiro

Kodi abscessillarlar abscess imakhala bwanji? Zizindikiro siziwonekera nthawi yomweyo, koma masiku atatu kapena anayi okha atatha kulandira tizilombo toyambitsa matenda. Kachipatala kowoneka bwino kwambiri imayamba kudziwonetsera okha kuyambira tsiku lachisanu la matenda.

Chizindikiro choyamba chimapweteka. Poyamba zimayambitsa zowawa, koma pakuwonjezeka kwa edema ndi kuwonjezeka kwa pus, zimakhala zovuta kupirira. Kukumva ululu kumakhala komweko kumbali imodzimodzi monga abscess, koma ikhoza kufalikira kumutu, chapamwamba, khosi, maxillary sinuses.

Chizindikiro chachizindikiro cha abscessillar abscess ndi laryngeal edema ndi kukhalapo kwa mucosa pamphuno. Nsalu m'malo muno ndi ofiira, otambasula, otentha. Chifukwa chaichi, "mtanda" umathyoka kumeza, kupuma, ndipo pamapeto pake kumapangitsa kugonjetsedwa kwa mchenga - trismus. Zimakhala zovuta kuti wodwalayo atsegule pakamwa pake.

Chifukwa cha kufalikira kwa matenda m'thupi, submaxillary, occipital ndi chiberekero cha mimba za m'mimba zimakula mwa munthu. Nthawi zina zimakhala zooneka ndi maso. Wodwala ali ndi vuto amatembenuza mutu wake, amagwa khosi, samagona bwino. Ndondomeko yamatsenga imabweretsa fungo losasangalatsa kuchokera pakamwa, ndipo kufalikira kwa kutupa ku khosi la khosi kungayambitse mawu. Pa zizindikiro zambiri, pali kuwonjezeka kwakukulu kwa kutentha, kufooka, ndi kugona tulo.

Kuthamanga kwa Paratonzillar kwa ana

Osati akuluakulu okha, abscessillarlar abscess akhoza kuonedwa ngati vuto. Zizindikiro mwa ana nthawi zambiri sizigwirizana ndi kuledzeretsa, chifukwa chitetezo cha mthupi chawo sichiri ungwiro ndipo nthawi zonse sichimayankha bwino matenda.

Ululu pamphuno sungakhoze kuchotsedwa ndi nyongolotsi iliyonse ndi compresses, mwana sangathe ngakhale kumeza malaya, osati kuti azitenga mankhwala kapena kudya. Kwa makanda, kutupa kwa mmero kumapangitsa kuti munthu azipuma mpaka atasiya. Chizindikiro chachiwiri chochititsa mantha kwa makolo chiyenera kukhala kusintha kwa mawu awo. Amakhala otukumula komanso akugwedeza, ngati kuti mwana wawo amakhala ndi mbatata yotentha m'kamwa mwake.

Ana ena amakhala ndi minofu ya nkhope ndi khosi, ntchentche, kutsekemera kwa ululu m'mutu kapena kumbuyo kwa mutu. Ndi kafukufuku wopindulitsa, reddening sichimangoganiziridwa kokha kumbali ya chotupacho, koma ponseponse pammero.

Zofufuza

Momwe mungayikiritsire matenda a "abscess parilisaillar"? Zizindikiro zake zili zowala kwambiri kuti zikhoza kuchitika pamaziko a chithunzi chimodzi chachipatala. Dokotala amasonkhanitsa an anamnesis, kenaka amamufunsa wodwala kuti atsegule pakamwa pake ndikuyang'ana mu chipanichi cha oropharyx ndi larynx. Spatula kwenikweni imakhudza malo a edema, imachotsa mafilimu pa tonsils.

Kenaka amatumiza wodwala kuchipatala kuti azindikire:

- kuyezetsa magazi;
- kuyezetsa kuchipatala kwa mkodzo;
- mabakiteriya ayesedwe a pharynx;
- Chikhalidwe chamtundu pa bacillus ya diphtheria.

Ngati kuli kotheka, wodwala ayenera kupanga x-ray kapena tomography ya khosi kuti awonetsetse kuti malowa ndi otani.

Chithandizo

Ngati mwapezeka kuti muli ndi "abscessillar abscessillar," mankhwala akunyumba ndi osatsutsika. Ngati wodwalayo sakufuna kupita kuchipatala, ndiye kuti ayenera kukhala m'chipatala tsiku lomwe akuyang'aniridwa ndi ogwira ntchito. Chithandizo cha abscess chingakhale chosasamala, chochita opaleshoni kapena chovuta.

Kodi ndingathe kuchotsa abscess yamapiritsi ndi mapiritsi? Kuchiza ndi maantibayotiki kumagwira ntchito pokhapokha pamene matendawa ayamba, pamene mabakiteriya asanakumane ndi misalayi ndikufalikira mthupi lonse. Koma ngakhale m'milandu yosanyalanyazidwa, madokotala ayenera kulamula antibacterial mawotchi pofuna kupewa kutsekemera ndi kuchepetsa zotsatira za kumwa mowa.

Malo amtundu wopangidwa ndi mafinya (anti-chlorophyllipt), "Furacilin", otentha kwambiri) ndi mafuta opangira ululu ndi kutupa.

Mankhwala a anthu

Kodi n'zotheka kuchiza abscess absent popanda opaleshoni? Mankhwala amtundu amachitidwa ndi kukana mwachangu. Mankhwala apakhomo, njira zokha zogwiritsira ntchito manja zingakhale zoopsa pamoyo ndi thanzi. Koma mbali ina, maphikidwe a agogo aakazi adzakhala nthawi yokha ngati chida chothandizira kutsogolo ndi pakhosi.

Kodi chofunika ndi chiyani kuti muteteze abscessillarlar abscess? Chithandizo ndi mankhwala ochizira amaphatikizapo kugwiritsa ntchito uchi ndi njuchi. Choyamba, izi zimatanthawuza phula, zomwe zimayambitsa matenda ophera tizilombo komanso zomwe zimapangitsa kuti chitetezo chiteteze. Kwa mafinya, tincture a spruce cones ndi Kuwonjezera pa pine mafuta oyenera bwino.

Kutsegula kwa abscess

Simungathe kudziwapo abscessillar absentillar ku chithunzi. Zizindikiro, ndithudi, zimakhala zokongola kwambiri, koma madokotala amakonda "kuyang'ana ndi manja awo," choncho, ndibwino kuti tiyambe kukambirana ndi dokotala ngati odwala ali ndi zizindikiro za matendawa.

Dokotala amamuyesa wodwalayo, amadzipereka ndi kutumiza kusokonezeka kwa abscess. Zonsezi zimachitika polyclinic ndipo zimatenga mphindi 20 kuti zitsirize. Kudyetsa dera lotentha, dokotalayo amachititsa zinthu zambiri kuti asonkhanitse pus yomwe imapezeka mu tray. Kenaka imayambitsa kukhetsa (tubing kapena mphira) kuti tithe kuyambitsa kutuluka kwa madzi. Nthawi zina, pamodzi ndi kutsegula kwa abscess , toni zimachotsedwa.

Zovuta

Kodi chingathetse bwanji abscess ya parathonsillar? Zizindikiro ndi chithandizo cha izo sizimapangitsa anthu wamba kuwonjezera mafunso, chifukwa zonse ziri zomveka ndi zomveka. Koma ngati mukuchotsa mankhwalawa, njira yothetsera vutoli ingathe kukulirakulira ndi kuwonetsa zotsatira zake:

1. Phlegmon wa khosi. Pus amasungunuka minofu yambiri ndipo imatuluka pansi pa khungu la khosi, kutupa kumamera, kumayambitsa zilonda zam'mimba ndi necrosis.
2. Mediastinitis. Ngati wodwalayo asapite kuchipatala akudikirira phlegmon, phula likusunthira ndi kulowa m'chifuwa, kuphatikizapo ziwalo zamkati, kupweteka, mapapo ndi mtima mu zotupa.
3. Sepsis. Kutengera kwa thupi lonse chifukwa cha kufalikira kwa mabakiteriya ndi magazi.

Ndikofunika kukumbukira zoopsa izi ndikuchizira njira yotupa yamatenda nthawi, kulikonse kumene kuli.

Kupewa

Ndibwino kuchenjeza kuposa kuchiritsa. Chowonadi chofala nthawi zonse ndi chowonadi. Choncho, madokotala amalimbikitsa odwala awo kuti azikhalabe otetezeka pamwambamwamba, kuti azikhala achisoni komanso nthawi yopempha thandizo.

Udindo wofunikira umasewedwanso ndi kuthetsa matenda akuluakulu, monga zida zotentha kapena adenoids ndi mano otupa. Ndikofunika kukachezera dokotala ndi dokotala nthawi zonse kuti awone njirayi.