Kutsegula kwa abscess: njira, kufotokoza ndi mankhwala. Kuthamangitsidwa kwa abscessillar abscess

Kodi abscess ndi chiyani? Ichi ndi chimanga chodzaza, chomwe chiri minofu kapena minofu yonenepa ya mafuta. Matenda oterewa amayamba ndi mavairasi kapena mabakiteriya. Chifukwa cha kuchuluka kwa pus, dera la chilonda limayamba kuwonjezeka, ndipo pamakhala chiopsezo chokhala ndi chifuwa chophwanyidwa kupyolera mu kutulutsa mpweya wathanzi. Zimenezi zimabweretsa chitukuko chachikulu, chotchedwa phlegmon.

Kuonjezerapo, kutuluka koyambitsa matendawa kumayambitsa neuritis, zomwe zimapangitsa kuti pakhale osteomyelitis. Kodi matendawa amachiritsidwa mosavuta, ngati pali kutsegula kwa pulogalamu yachisomo? Tiyeni tione izi mwatsatanetsatane.

Zifukwa za abscess

Matenda a purulent amapezeka chifukwa cha kufooka kwa matenda a tizilombo, omwe amayamba kuchuluka mofulumira. Zamoyo panthawiyi zimalimbana ndi kutupa ndipo zimachepetsa malo otentha. Chotsatira chake, kapusu ya purulent ikuwonekera.

Matendawa amalowerera m'matenda ofewa chifukwa cha kuphwanya khungu, zomwe zimachitika chifukwa cha kuvulazidwa, kudula, zilonda, mazira, zotentha, zotseguka. Kuchitika kwa abscess kumalimbikitsidwa ndi tizilombo toyambitsa matenda otsatirawa:

• Staphylococci;
• Streptococci;
• Mycobacterium chifuwa chachikulu;
• Pseudomonas aeruginosa ;
• Clostridia;
• E. coli.

Chiphuphu chikhoza kuchitika chifukwa mankhwala omwe ali ndi kachilomboka adayikidwa mu khungu limodzi ndi mankhwala, kapena pakhala mankhwala omwe amapangidwa chifukwa cha jekeseni. Izi zimabweretsa chitukuko cha aseptic necrosis ya mapulosi ndi purulent kutupa kwa mapuloteni ofewa.

Nthawi zina zimakhala zovuta chifukwa cha matenda ambuyomu: pharyngitis, matronillitis, chibayo, osteomyelitis, msomali msomali.

Zotsatira zotheka za chitukuko cha abambo

Kodi chingachitike chiani chitangotuluka? Zotsatira za matenda ngati amenewa ndi awa:

• Kupasuka kunja kapena mkati (m'mimba kapena pamimba);
• Kupyolera mu ziwalo (matumbo, mimba, chikhodzodzo kapena bronchi).

Kapumphu ikangoswa, kukula kwa purulent capsule kumachepa, pambuyo pake chilonda chimayamba kuuma. Koma ngati nthendayi imatuluka kwathunthu, kutupa kawirikawiri kumachitika mobwerezabwereza kapena kumakhala kosatha. Choncho, abscess iyenera kutsegulidwa kuchotsa pus.

Njira zophunzitsira

Kutsegula kwa abscess kuchitidwa mofulumira ngati kuli masiku oposa anai ndipo mutu wa capsule watha kale. Ndondomekoyi ndi yotsatila: poyamba malo otupa amachiritsidwa ndi njira yothetsera matenda a antiseptic komanso amatsitsimula ndi lidocaine. Pogwiritsira ntchito scalpel, dokotala amathyola minofu (osaposa 2 cm) m'dera la mutu wa purulent kapena pamalo otsekula kwambiri.

Pogwiritsira ntchito sirinji ya Hartmann, kutengeka kwake kukuwonjezeka mpaka masentimita 4-5 ndipo madokolo a abscess akuphulika. Yambani kuchotsa pus pogwiritsa ntchito magetsi, kenaka chalacho chikuyang'aniridwa ndi chikhocho kuchotsa zotsalira za ziphuphu ndi zitsamba. Mphepeteyi imatsukidwa ndi tizilombo toyambitsa matenda ndi madzi poika timachubu mu rabilo, zomwe zimatsimikizira kutuluka kwa purudent exudate.

Kuchiza kwa chilonda cha postoperative

Chithandizo pakatha kutsekedwa kwa abscess ikuchitika mothandizidwa ndi maantibayotiki. Kawirikawiri, dokotala amapereka mapangidwe a penicillin ("Amoxicillin", "Cephalexin"), omwe ayenera kutengedwa 4 pa tsiku pa 200 kapena 500 mg. Njira ya mankhwala imatenga masiku khumi. Ngati wodwalayo ali ndi vuto la penicillin, ndiye kuti macrolides amalembedwa ("Erythromycin", "Clarithromycin").

Maantibayotiki omwe amagwiritsidwa ntchito kunja ndi mafuta odzozera "Mafedin", "Levomecol", "Levosin" ndi ena, omwe amapindula nawo chifukwa chakuti zotsatira zake zimangokhala pamalo ovulala, ndipo salowerera m'magazi.

Komanso, chilonda mutatsegula abscess chimafuna chithandizo. Kuonetsetsa kuti m'mphepete mwake simunamangirire pokhapokha mpweyawo utagwedezeka kuchokera ku kuya kwake, swab ndi mafuta a Vishnevsky kapena mafuta odzola amatsalira m'magazi opangidwa. Kusintha kumayenera kukhala masiku awiri aliwonse ndi kuvala. Pamene granulation ikuphuka, tampon imachotsedwa ku kuya. Kuwonjezera pa granulation, pamene akuyesera kuti asakhudze epithelium, kukula pamphepete mwa chilonda. Ngati chilonda chikuwongolera pang'onopang'ono, suture ikuwonetsedwa.

Taganizirani momwe chiphuphu cha gland la Bartholin chikuwonekera mu phokoso.

Ndondomeko yotsegula chisamaliro cha gland Bartholin

Mtundu uwu umatengedwa kuti ndi waukulu kwambiri mwa iwo omwe ali pambali pa umaliseche. Kutupa sikokwanira, ndipo ngati pali kapule ya purulent, iyenera kutsegulidwa. Kodi njirayi ikuchitika bwanji?

Kutsegulidwa kwa kupuma kwa chiberekero cha Bartholin kumayamba ndikuti dokotala amapanga mabala abwino, kutsegula chingwe choyera, ndi kutulutsa madzi omwe amapezeka. Kenaka, gland imatsukidwa ndi yankho la hydrogen peroxide (3%). M'kati mwake muike chubu yapadera (drainage), chomwe chiri chofunikira kuchotsa zotsalira za pus. Chotsani icho patatha masiku asanu kapena asanu ndi limodzi. Chithandizo chikuchitika mothandizidwa ndi maantibayotiki ndi mapulogalamu ndi mafuta odzola.

Njira yothetsera abscess mu pharynx

Kutsegulidwa kwa abscesszillar abscess kumatengedwa kuti ndiyo njira yothetsera matenda a purulent mu pharyngeal region. Opaleshoni yotereyi imalingalira kuti ndi yosavuta ndipo kaŵirikaŵiri imayambitsa mavuto. Zimagwiritsidwa ntchito ndi anesthesia (5% cocaine ndi 2% dicaine solution). Chombocho chimagwiritsidwa ntchito pamtunda waukulu kwambiri wa khoma lamtunduwu ndi kuya kwake sikuyenera kukhala oposa 1.5 masentimita, mwinamwake zingasokoneze mtolo wambiri wa mitsempha ndi zitsulo. Atatulutsa pus, chida chodabwitsa cha dokotala chimaloŵera m'kati kuti chiwononge mkati mwa seveni.

Pambuyo pa kutsekedwa kwa chipatala, phokoso ladzaza ndi mankhwala ophera tizilombo toyambitsa matenda. Atatha kuphulika, nthawi zambiri palibe njira zothetsera magazi. Mankhwala opatsirana pambuyo pake amatenga mankhwala opha tizilombo.

Kutsiliza

Choncho, kutsegula chifuwa ndi njira yowonjezera, popeza ngati simugwira, ikhoza kumabweretsa mavuto osiyanasiyana. Zimaletsedwa kuti zitsegule pandekha, mwinamwake zingalimbikitse kufalikira kwa ziwalo ndi ziphuphu zomwe zili pafupi.