Katundu wa impso: zimayambitsa, zizindikiro, matenda, matenda

Kodi carbuncle wa impso ndi chiyani? Kodi matendawa amasonyeza motani ndipo n'chifukwa chiyani amakula? Mafunso awa ndi ena okhudzana ndi zochitika zapamwambazi tidzayankha mmagulu a nkhaniyi.

Mfundo Zachikulu

Kodi carbuncle ya impso ndi chiyani? Masiku ano, mankhwalawa amagwiritsidwa ntchito poimira ma purulent-necrotic mapangidwe, omwe amapangidwira mu zinthu zamtundu wa organ. Chifukwa chachikulu cha matendawa ndi kulowa mkati mwa impso za tizilombo toyambitsa matenda. Amachokera ku foci yochuluka kwambiri komanso magazi.

Izi ziyenera kudziwika makamaka kuti ngati kutupa kwa impso sikuchiritsidwe panthawi yoyamba ya chitukuko chake, posakhalitsa purulent kusungunuka kwa makoma akunja a mapangidwe apangidwe ndipo, chifukwa chake, kumasulidwa kwazomwe zili mkati mwake kumalowa mkati mwa mapepala, zigawo za impso kapena zapadera Malasilasi. Malinga ndi akatswiri, zovuta zoterezi zimachulukitsa kwambiri matendawa.

Zomwe zimayambitsa chitukuko

Nchifukwa chiyani nkhumba yaikulu ya impso ikuchitika? Matendawa amayamba pamene mabakiteriya ambiri amachokera ku malo akutali kwambiri ku limba lomwe latchulidwa. Monga lamulo, zimachitika mwa njira yamaganizo. Izi zimayambitsa kupanga thrombi m'zombo zazing'ono ndi zazikulu.

Ngati thrombus imapangidwa mu chotengera chimodzi chokha chachikulu, ndiye kuti impso idzakhala imodzi yokhayo yomwe imakhala yochepa. Ngati tizilombo ta tizilombo ta tizilombo toyambitsa matenda timayambitsa ndondomekoyi, ndiye kuti mapulogalamu ambiri amachokera pang'onopang'ono.

Ndiye n'chifukwa chiyani impso carbuncle zimachitika? Zomwe zimayambitsa matenda, zomwe zingayambitse matendawa, ndi izi:

• Osteomyelitis;
• Mastitis;
• Furunculosis;
• Zilonda zakhungu zapakhungu;
• Kupuma kwapakati ;
• Panaritium.

Zikanakhala kuti zifukwa zomwe zimayambira matendawa zimagwirizanitsidwa ndi pyelonephritis (kuphatikizapo kuphulika kwakukulu), lingaliro la purulent lingatheke chifukwa cha kupanikizika kwa ziwiya (zing'onozing'ono kapena zazikulu) ndi kutupa kolowera.

Akatswiri amanena kuti kawirikawiri mapangidwe a carbuncle amaphatikizapo protei, staphylococcus ndi E. coli. Komanso, zotsatira zogwirizana za mabakiteriyawa nthawi zina zimawonedwa.

Zifukwa zina

Ndiyenera kuchita chiyani ngati impso zanga zikukula? Izi zidzakuuzani inu katswiri wa urologist wodziŵa zambiri. Kachipatala ndi akatswiri ake amathandiza wodwala kuti asamangodziwa matendawa, komanso kuti adziwe njira zoyenera zothandizira matendawa.

Ndi zifukwa zina ziti zomwe zimayambitsa matendawa? Nthawi zina, matendawa akugwirizanitsidwa ndi zochitika zomwe zimapangitsa kuti mkodzo utuluke. Zingaphatikizepo maonekedwe abwino ndi owopsya mu ziwalo za mkodzo, zowonjezera mu ureters ndi prostate adenoma.

Izi ziyenera kuzindikiridwa kuti mwayi wa carbuncle kupangidwira pansi pa zochitika za pamwambazi zikuwonjezeka ndi kuchepa chitetezo cha munthu.

Kuwonekera kwa maphunziro

Kodi carbuncle wa impso lakumanzere (kapena kumanja) amawoneka bwanji? Poyang'ana, mawonekedwewa ndi kuwombera kumene kumakhala kozungulira. Panthawi imodzimodziyo, pa gawo lake mukhoza kuwona kuti ili ndi tizilombo tating'onoting'ono timene timakhala ndi tizilombo tochepa.

Kawirikawiri mkati mwa chitukuko carbuncle imadutsa mu parenchyma ya impso. Pogwiritsa ntchito mapangidwe amenewa, zimakhala zogwirizana ndi fibrous membrane.

Munthu sangathe koma kunena kuti kutupa mu impso kungaphatikizepo khungu lawo ndi minofu. Ngati cholinga chili pamtunda wa chiwalochi, kulowa mkati kumatha kupita ku adrenal gland. Panthawi imodzimodziyo, zizindikiro za chitetezo chake chimayamba nthawi zambiri.

Zizindikiro zazikulu za matendawa

Kodi zizindikiro za impso carbuncle ndi ziti? Matendawa akhoza kukhala ndi chithunzi chosiyana kwambiri chachipatala. Nthawi zina, zizindikiro za matendawa zimafotokozedwa bwino. Ngakhale kuti nthawi zambiri zimachitika kuti matendawa sadziwonetsa okha.

Ngati chiwonetsero cha urodynamics chikupezeka pamutu wa purulent necrotic sichiphwanyidwa, zizindikiro za matendawa zimakhala zofanana ndi zomwe zimachitika nthawi zonse . Pankhaniyi, wodwalayo akuti:

• Kutuluka thukuta;
• Chills;
• Tachycardia;
• Kuwonjezeka kutentha (mpaka madigiri 40);
• Nausea;
• Kufulumizitsa kupuma;
• Kuthetsa;
• Flatulence.

Izi ziyenera kudziwika kuti tsiku loyamba la mapangidwe a carbuncle, palibe zizindikiro za matenda a micturition mwa wodwala kwathunthu. Komanso odwala palibe amene amadziwika bwino. Komabe, mwa anthu ena mumakhala zovuta pang'ono mu dera la lumbar. Komabe, pakuyezetsa mkodzo mwa odwalawa kuchuluka kwa lekocyte kumawonekera. Pazigawo zomaliza za matendawa, pyuria (mwachitsanzo, pus mu mkodzo) amapezedwanso.

Zizindikiro zina za matenda

Kodi zimapweteka kuti ngati carbuncle imayamba mu impso? Zizindikiro za matendawa zimadalira mbali yomwe imakhalapo, komanso zomwe zimachitika ndi kutukusira komanso kukhalapo kosasintha.

Sitikunenedwa kuti chithunzi cha carbuncle chimatsimikizirika ndi maonekedwe kapena kusakhala koletsedwa kwathunthu kapena pang'ono pang'onopang'ono.

Nanga matendawa akupweteka kuti? Malingana ndi akatswiri, pamapeto a matendawa, wodwalayo ali ndi ululu m'munsi kumbuyo kwake. Kuwonjezera pamenepo, ndi malo ovuta kwambiri, zimakhala zovuta kupeza kutupa kumbuyo, makamaka kuchokera kumbali ya kuvulaza mwachindunji.

Kufanana kwa zizindikiro

Kulandira kwa urologist, komanso kulankhulana kwake ndi chitukuko cha carbuncle ya impso - njira yovomerezeka. Ichi ndi chifukwa chakuti ngati chithandizochi sichinayambe pa nthawi, ndiye kuti pulogalamu ya purulent ikupita patsogolo pa zizindikiro za appendicitis.

Nthawi zambiri, matendawa ali ndi zizindikiro zofanana ndi zizindikiro za matenda a mtima, chiwindi cha chiwindi ndi matenda a neuropsycho-morphic. Maphunziro a matendawa angathe kutsogoloza mosavuta ndikupeza mankhwala osayenera, motero, kuchipatala cholakwika, chomwe chimapangitsa kuti vutoli likhale lovuta.

Kusakhala ndi zizindikiro

Nthawi zambiri kulandira dokotala wa urologist, komanso kuyerekezera kwathunthu kwa wodwalayo, ndi kofunikanso chifukwa impso carbuncle ikhoza kukhala yokwanira kapena ndi zizindikiro za vuto la chiwindi. Izi zingachititse kuti mankhwala asakonzedwenso panthawi yake, ndipo matenda omwe akutukuka amachititsa thromboembolism ya mitsuko mu mitsempha kapena ubongo.

Njira yobweretsera

Ndani ayenera kudziwa matendawa? Katswiri woteroyo ndi wodokotala. Kachipatala komwe dokotalayo amavomereza angakhale payekha kapena pagulu. Mulimonsemo, njira yozindikirira impso carbuncle imafuna njira yapadera ndi chidziwitso.

Poona kuti matendawa alibe zizindikiro zenizeni, matendawa amatha kokha ngati pali kutupa ndi kupweteka komweko, komanso deta ya dera.

Malingana ndi akatswiri, n'zosavuta kuzindikira carbuncle (zifukwa ndi mankhwala akufotokozedwa m'nkhaniyi) kokha ngati kuphatikizapo kugonjetsedwa kwa calyx-pelvis impso dongosolo. Matendawa amapezeka mu kafukufuku wamkodzo, omwe ambiri amapezeka ndi leukocyte.

Ngati carbuncle imapezeka m'kati mwa mankhwala a impso komanso kuperewera kwa tsamba la mkodzo sikuphwanyidwa, ndiye kuti zimakhala zovuta kuti azindikire matendawa.

Kuchita kafukufuku wa X-ray mu matenda amenewa kumatithandiza kuti tipeze kuthamanga kwa mpweya wochepa. Nthawi zina carbuncle imatha kuoneka ngati chotupa.

Ndi ultrasound ndi computed tomography, matendawa nthawi zambiri amatanthauzidwa ngati kupanga mapangidwe ozungulira kapena ovunda. Ngati carbuncle ndi yayikulu, ndiye kuti kupezeka kwa chiphuphu kumapezeka mu dongosolo la impso la calyx.

Thandizo la Mankhwala

Kukonzekera kwa impso ndi zochitika mwa iwo zimagulitsidwa m'masitolo ambiri. Komabe, muyenera kumwa mankhwalawa monga momwe adalangizidwira ndi dokotala wodziwa zambiri.

Akatswiri ambiri amanena kuti ngakhale atatha kupaleshoni bwino ya impso carbuncle, ikhoza kubwereranso. Monga lamulo, izi zimachitika pakakhala kuti chifukwa chake chachitika sikunathetsedwe.

Ngati carbuncle imapezeka kumayambiriro kwa chitukuko chake, odwala angaperekedwe mankhwala ochizira maantibayotiki, koma mwachidwi pansi pa ulamuliro wa urologist. Tiyenera kukumbukira kuti nthawi zambiri mankhwalawa sapereka zotsatira zoyenera, popeza mapangidwe a purulente amalepheretsa magazi kutuluka mu impso, zomwe zimateteza antibacterial kuti zisalowe m'thupi.

Posachedwapa, matendawa akuchiritsidwa mwatsatanetsatane, osagwiritsa ntchito mankhwala osokoneza bongo okha, komanso mankhwala monga Cryoprecipitate. Yotsirizirayi ndi yowonjezera yosakaniza yomwe imapezeka m'magazi a magazi. Kuchiza ndi mankhwalawa kumathandiza kuchulukitsa kuchuluka kwa fibronectin m'magazi, zomwe zimathandiza kuti kubwezeretsa magazi kukhale ndi impso.

Chithandizo cha opaleshoni

Kawirikawiri atadziwa kuti carbuncle ya impso, odwala amapatsidwa mankhwala opatsirana opaleshoni, omwe amapangidwa ndi lumbotomy. Tiyenera kuzindikira makamaka kuti njira zamatenda zotere zimadalira mkhalidwe wa wodwalayo, mtundu wa ululu wa impso, ndi ubwino wa ziwalo zina.

Ngati matendawa akuwononga malo ambiri a impso, munthuyo amalembedwa kuti asayese. Kawirikawiri njira iyi ya mankhwala imasonyezedwa kwa anthu achikulire.

Ndi ntchito yopulumutsa ziwalo, yomwe inkachitika panthaŵi yake, nthawi yowonjezera ya wodwala imapitirira popanda mavuto. Pachifukwa ichi, odwala amawona kutentha kwa thupi ndi kuchepa kwa zizindikiro zina za matenda.

Mu nthawi yobwezeretsa, wodwalayo angapangidwe mankhwala osokoneza bongo. Mwa njira, zosankha zawo zimadalira kukhudzidwa kwa tizilombo toyambitsa matenda osiyanasiyana. Odwala oterewa amasonyezanso chithandizo cha laser, mankhwala othandizira anthu komanso mankhwala opaleshoni.