Dab tsi yog abscess? Qhov no yog kab noj hniav uas muaj cov kua qaub, uas yog nyob rau hauv cov leeg nqaij los yog cov ntaub so ntswg subcutaneous. Cov kab mob pathological no tshwm sim los ntawm cov kab mob pathogenic lossis kab mob. Raws li qhov tshwm sim ntawm cov kua paug ntau, thaj chaw cuam tshuam pib nce ntxiv, thiab muaj kev pheej hmoo ntawm kev tawg ntawm abscess nrog tso cov kua paug mus rau hauv cov ntaub so ntswg noj qab haus huv. Qhov no ua rau kev loj hlob ntawm qhov mob hnyav, hu ua phlegmon.
Tsis tas li ntawd, ib qho kev tsis saib xyuas tsis pom zoo ua rau cov kab mob neuritis, uas ua rau muaj qhov tshwm sim ntawm osteomyelitis. Puas yog qhov no pathology kho nyob rau hauv ib txoj kev conservative, yuav ua li cas qhib abscess? Cia peb saib qhov no kom ntev.
Tus kab mob purulent tshwm sim los ntawm cov kab mob pathogenic nkag mus rau hauv lub cev tsis muaj zog lossis puas tsuaj, uas pib sib kis sai. Lub cev ntawm lub sijhawm no nquag tawm tsam kev mob thiab kev txwvqhov chaw mob. Raws li qhov tshwm sim, lub purulent capsule tshwm.
Kab mob nkag mus rau hauv cov ntaub so ntswg los ntawm kev ua txhaum ntawm daim tawv nqaij, uas tshwm sim vim raug mob, txiav, qhov txhab, frostbite, kub hnyiab, qhib pob txha. Cov kab mob hauv qab no ua rau muaj qhov tshwm sim ntawm abscess:
- staphylococci;
- streptococci;
- mycobacterium tuberculosis;
- Pseudomonas aeruginosa;
- clostridia;
- E. coli.
Abscess tuaj yeem tshwm sim vim qhov tseeb tias cov ntsiab lus kis tau raug txhaj rau hauv qab ntawm daim tawv nqaij nrog rau cov tshuaj lossis cov tshuaj txhaj tshuaj uas tau npaj rau kev txhaj tshuaj intramuscular nkaus xwb. Qhov no ua rau kev txhim kho aseptic necrosis ntawm fiber ntau thiab purulent o ntawm cov ntaub so ntswg.
Qee zaum ib qho abscess tuaj yeem tshwm sim los ntawm cov kab mob yav dhau los: pharyngitis, tonsillitis, mob ntsws, osteomyelitis, ingrown rau tes.
Qhov tshwm sim tau ntawm kev txhim kho abscess
Yuav ua li cas tshwm sim tom qab lub purulent kab noj hniav tshwm? Qhov tshwm sim ntawm tus mob no yog raws li nram no:
- tawm sab nraud lossis sab hauv kev tawg (rau hauv plab lossis kab noj hniav);
- nkag mus rau hauv lub cev (txoj hnyuv, plab, zais zis lossis bronchi).
Thaum qhov abscess tawg dhau, qhov loj ntawm cov tshuaj purulent txo qis, tom qab ntawd qhov txhab pib caws pliav. Tab sis yog tias cov kua paug tsis tawm tag nrho, ces qhov mob feem ntau rov tshwm sim los yog tuaj yeem ua tau ntev. Yog li ntawd, lub abscess yuav tsum tau qhib kom tshem tawm cov kua paug.
Technique
Kev qhib qhov txhab yuav tsum tau ua kom sai li sai tau yog tias nws muaj hnub nyoog tshaj li plaub hnub thiab lub taub hau ntawm cov tshuaj ntsiav twb matured. Cov txheej txheem zoo li no yog ua raws li hauv qab no: ua ntej, thaj tsam ntawm qhov mob yog kho nrog tshuaj tua kab mob thiab tshuaj loog nrog lidocaine. Siv lub scalpel, tus kws kho mob ua rau cov ntaub so ntswg incision (tsis ntau tshaj 2 cm) nyob rau hauv qhov chaw ntawm lub taub hau purulent los yog nyob rau hauv qhov chaw ntawm qhov mob loj tshaj plaws.
Siv lub koob txhaj tshuaj Hartmann, qhov kev phais tau nthuav dav mus rau 4-5 cm thiab tib lub sijhawm cov txuas txuas txuas txuas ntxiv tau tawg. Lawv pib tshem tawm cov kua paug nrog hluav taws xob nqus, tom qab ntawd cov kab noj hniav raug tshuaj xyuas nrog tus ntiv tes kom tshem tawm cov seem ntawm cov ntaub so ntswg thiab txuas hniav. Cov kab noj hniav yog ntxuav nrog cov tshuaj tua kab mob thiab cov kua dej yog nqa tawm los ntawm kev ntxig lub raj roj hmab rau hauv nws, uas ua kom cov dej ntws tawm ntawm purulent exudate.
Kev kho mob ntawm qhov txhab tom qab
Kev kho mob tom qab qhib lub qhov txhab yog ua nrog kev pab ntawm cov tshuaj tua kab mob. Yeej, tus kws kho mob tau sau tshuaj penicillin npaj ("Amoxicillin", "Cefalexin"), uas yuav tsum tau noj 4 zaug hauv ib hnub, 200 lossis 500 mg. Cov kev kho mob kav ntev li 10 hnub. Yog tias tus neeg mob ua xua rau penicillin, ces cov tshuaj macrolides ("Erythromycin", "Clarithromycin")
Tshuaj tua kab mob rau kev siv sab nraud yog cov tshuaj pleev "Mafedin", "Levomekol", "Levosin" thiab lwm yam, qhov zoo ntawm qhov yog tias lawv qhov kev txiav txim txuas mus rau thaj tsam cuam tshuam, thiab lawv tsis nqus mus rau hauv cov ntshav.
Ntxiv rau, qhov txhab tom qab qhibabscess xav tau kev kho mob. Yog li ntawd nws cov npoo tsis lo ua ke kom txog rau thaum lub granulation ntawm cov kab noj hniav los ntawm qhov tob tshwm sim, ib tug swab nrog Vishnevsky ointment los yog vaseline roj nyob rau hauv cov ntaub so ntswg ua hauj lwm. Nws yuav tsum tau hloov txhua 2-3 hnub thaum hnav khaub ncaws. Raws li granulation tsim, tampon raug tshem tawm ntawm qhov tob. Ua cauterization ntawm ntau tshaj granulation, thaum sim tsis txhob ua mob rau lub epithelium loj hlob raws ntug ntawm lub qhov txhab. Thaum lub qhov txhab mob maj mam, suturing yog qhia.
Cia peb xav txog yuav ua li cas qhib qhov abscess ntawm Bartholin lub caj pas thiab hauv pharynx.
txheej txheem qhib lub caj pas bartholin abscess
Lub caj pas no suav hais tias yog qhov loj tshaj plaws ntawm cov nyob hauv lub vestibule ntawm qhov chaw mos. Nws ua mob tsis tshua muaj tshwm sim, thiab yog tias lub purulent capsule tau tsim, ces nws yuav tsum tau qhib. Cov txheej txheem no ua li cas?
Qhib Bartholin caj pas abscess pib los ntawm qhov tseeb tias tus kws kho mob ua qhov txiav kom zoo, qhib lub purulent kab noj hniav, thiab tso tawm cov kua dej ntau ntxiv. Tom qab ntawd lub caj pas yog ntxuav nrog kev daws ntawm hydrogen peroxide (3%). Ib lub raj tshwj xeeb (kua dej) yog muab tso rau hauv kab noj hniav, uas yog tsim nyog los tshem tawm cov seem ntawm cov kua qaub. Tshem nws tom qab 5 lossis 6 hnub. Kev kho mob yog siv tshuaj tua kab mob thiab tshuaj pleev.
txheej txheem ntawm kev qhib qhov abscess hauv pharynx
Qhib paratonsillar abscess yog suav tias yog txoj hauv kev tseem ceeb ntawm kev kho cov kab mob ntawm cov kab mob purulent hauv pharynx. Xws li kev ua haujlwm yog suav tias yog qhov yooj yim thiab tsis tshua muaj teeb meem. Nws yog ua los ntawm tshuaj loog hauv zos (kev daws teeb meem ntawm cocaine 5% thiab dikain 2%). Qhov kev txiav yog ua nyob rau hauv thaj tsam ntawm qhov loj tshaj plaws protrusion ntawm phab ntsa pharyngeal thiab nws qhov tob yuav tsum tsis txhob ntau tshaj 1.5 cm, txwv tsis pub cov bundles ntawm qab haus huv thiab cov hlab ntsha nyob ze yuav puas. Tom qab tso cov kua paug tawm, tus kws kho mob nkag mus rau hauv cov kab noj hniav nrog cov cuab yeej blunt kom rhuav tshem cov partitions hauv nws.
Tom qab qhib cov kab mob paratonsillar abscess, cov kab noj hniav tau ntim nrog cov tshuaj tua kab mob. Tom qab nws raug sutured, feem ntau tsis muaj kev ntsuas los txwv cov ntshav. Kev kho mob tom qab phais yog siv tshuaj tua kab mob.
Zoo kawg
Yog li, qhov qhib qhov txhab yog qhov yuav tsum tau ua, vim tias yog tias tsis kho, nws tuaj yeem ua rau muaj ntau yam teeb meem. Nws yog txwv tsis pub qhib nws ntawm koj tus kheej, txwv tsis pub nws yuav ua rau kis tau tus kab mob mus rau hauv nruab nrog cev thiab cov ntaub so ntswg nyob ze.
