Cov chav kawm ntawm qhov mob ntawm cov ntaub so ntswg muaj qhov sib cais nosological ntau yam ntawm etiopathogenesis. Cov txheej txheem pathological tuaj yeem yog qhov sib txawv thiab muaj ntau hom
Daim duab kho mob ntawm cov nqaij mos o, txawm tias muaj ntau hom nosological thiab cov txheej txheem hauv zos, muaj cov tsos mob tshwm sim rau txhua tus. Nws yog ib qho tseem ceeb rau tactics ntawm physiotherapy kev kho mob thiab feem ntau yog vim muaj cov txheej txheem inflammatory. Qhov no yog qhov tsim ntawm qhov mob infiltrate nrog cov nqaij mos edema, hyperemia ntawm daim tawv nqaij tshaj nws (nrog rau qhov tob me ntsis ntawm cov txheej txheem) thiab cov tsos mob ntawm lub zos hyperthermia, nce nyob rau hauv tag nrho lub cev kub. Nyob rau hauv cov ntaub ntawv ntawm purulent-necrotic inflammatory pathologies ntawm cov ntaub so ntswg, ib tug fluctuation tsos mob yog yam ntxwv, nyob rau hauv uas cov tshuaj tiv thaiv dav dav nce nyob rau hauv daim ntawv ntawm intoxication syndrome nrog kub taub hau ntawm purulent-resorptive.keeb kwm.
Kev txhim kho ntawm tus mob no feem ntau yog vim muaj cov kab mob ntawm cov kab mob tshwj xeeb. Lymphadenitis thiab lymphangitis, ua ywj siab nosological ntau yam, feem ntau nyuaj rau txhua yam kev mob hauv cov ntaub so ntswg. Cov txheej txheem o ntawm lub ntsej muag tshwj xeeb yog qhov nyuaj thiab txaus ntshai rau kev noj qab haus huv. Nyob rau tib lub sijhawm, purulent foci qee zaum qhib spontaneously.
Cov tsos mob tseem ceeb
Cov tsos mob tseem ceeb ntawm cov nqaij mos o yog:
- inflammatory;
- kev npam;
- pain;
- lymphostasis;
- trophic thiab metabolic mob.
Ntau yam ntawm cov txheej txheem pathological
Pab pawg ntawm ntau yam kab mob no suav nrog:
Furunculosis yog cov txheej txheem purulent-necrotic inflammatory ntawm ib qho mob, cuam tshuam rau cov plaub hau follicle thiab cov ntaub so ntswg nyob ib puag ncig. Cov kab mob no tuaj yeem ua rau muaj qhov tshwm sim tsis zoo thiab sib txawv ntawm qhov tshwm sim ntawm ntau lub plab ntawm lub cev (ntawm ntau theem ntawm kev loj hlob).
Phlegmon - purulent diffuse o ntawm cellulose cov ntaub so ntswg. Qhov no pathology txawv ntawm ib qho abscess nyob rau hauv uas tsim yog delimited los ntawm cov ntaub so ntswg nyob ze los ntawm ib tug tshwj xeeb pyogenic membrane. Nws muaj ib tug nyiam kis tau los ntawm cell chaw. Muaj o ntawm cov nqaij mos ntawm ob txhais ceg.
Nws yooj yim heev rau hauv lub neej txhua hnub. Ntau yam mob tshwm sim vim tawg hauv caug, abrasions, khawb. Microbes nkag mus rau cov nqaij mos ntawm ob txhais ceg los ntawm:
- daim tawv nqaij khawb;
- kab mob fungal;
- mob ntshav qab zib rwj;
- varicose leeg;
- txhaj tshuaj tsis huv;
- kev raug mob thiab qhov txhab;
- nqhis dej ntawm microflora nrog cov ntshav lossis cov qog ntshav los ntawm thawj qhov mob foci.
Rau tib yam, qhov mob ntawm cov nqaij mos ntawm tes yuav tshwm sim.
Carbuncle yog cov txheej txheem purulent-necrotic inflammatory ntawm daim ntawv mob, cuam tshuam rau ntau lub qog sebaceous thiab cov hauv paus plaub hau thiab kis mus rau ntawm daim tawv nqaij thiab cov ntaub so ntswg subcutaneous.
Bursitis yog ib qho kab mob ntawm cov hnab synovial, uas yog nrog los ntawm kev sib sau ntawm exudate hauv lawv cov kab noj hniav. Mastitis yog ib qho mob ntawm parenchyma thiab interstitium ntawm cov qog mammary. Muaj o ntawm cov nqaij mos ntawm cov pob qij txha.
Abscess - ib qho txwv tsis pub muaj cov kab mob purulent hauv ntau lub cev thiab cov ntaub so ntswg.
Panaritium - mob ntawm cov nqaij mos ntawm tus ntiv tes. Cov pawg no suav nrog yuav luag txhua yam ntawm panaritium, tshwj tsis yog cov pob txha, articular thiab pandactylitis, uas cov ntaub so ntswg ntom ntom thiab cov qauv ntawm tus ntiv tes raug puas tsuaj.
Paraproctitis yog ib qho mob ntawm cov ntaub so ntswg perirectal, uas yog tshwm sim los ntawm qhov muaj cov kab mob ua kom pom tseeb hauv phab ntsa ntawm qhov quav.
Lymphadenitis yog ib qho txheej txheem inflammatory uas tsim nyob rau hauv cov qog nqaij hlav thiab tshwm sim feem ntau thib ob. Nws yog ib qho teeb meem ntawm ntau yam purulent-inflammatory pathologies thiab cov kab mob tshwj xeeb.
YHydradenitis - inflammatoryCov txheej txheem tshwm sim nyob rau hauv apocrine hws qog ntawm ib tug purulent xwm.
Yog vim li cas
Cov kab mob ua rau cov nqaij mos o yog cov kab mob pathogenic, feem ntau - ntau hom staphylococci. Qee lub sij hawm muaj cov kab mob xws li E. coli thiab kab mob anaerobic. Lawv nkag mus rau hauv cov ntaub so ntswg tshwm sim nrog lub qhov txhab raug mob, microtraumas (thaum lub sij hawm khawb, txhaj tshuaj, ua txhaum txoj cai antiseptic). Kev taw qhia ntawm pathogenic microflora los ntawm lymphogenous, hematogenous thiab kev sib cuag los ntawm thawj kis foci yog ua tau. Kev mob tshwm sim los ntawm kev loj hlob thiab hloov pauv-exudative theem nrog cov txiaj ntsig ntawm kev hloov pauv sclerotic thiab rov tsim dua tshiab.
Cov tsos mob ntawm cov txheej txheem pathological ntawm theem sib txawv
Tus kab mob no yog txheej txheem uas tshwm sim hauv peb theem tseem ceeb. Thawj theem ntawm pathological tshwm sim, raws li txoj cai, tshwm sim sai sai thiab asymptomatic.
Thaum pib, qhov mob ua rau hloov pauv - ua txhaum ntawm kev ncig hauv cov hlab ntsha me, uas cuam tshuam nrog kev hloov pauv lossis kev puas tsuaj rau cov ntaub so ntswg. Lub nqaim ntawm capillaries thaum lub sij hawm inflammatory txheej txheem nyob rau hauv cov ntaub so ntswg mos, nyob rau hauv lem, provokes malnutrition, uas yog, weakening thiab ib tug txo nyob rau hauv cov leeg nqaij. Yog hais tias nyob rau theem no, pathological phenomena txuam nrog o tsis raug tshem tawm, nws zoo li txav mus rau qhov thib ob - exudation, uas yog ib qho o, thiab tom qab ntawd - mus rau qhov thib peb.
Nyob rau theem thib ob
Nyob rau theem obinflammatory kab mob nyob rau hauv cov ntaub so ntswg mos, mob tshwm sim. Cov ntaub so ntswg tau tso tawm los ntawm cov kua dej uas sau rau hauv lawv, thiab lawv raug yuam kom qhia qhov no los ntawm kev mob.
Yog li, qhov mob ntawm lub cev thaum lub sijhawm mob yog ua rau cov leeg nqaij puas, thiab los ntawm kev sib txuas neuromuscular cov ntaub ntawv hais txog cov teeb meem no nkag mus rau hauv lub paj hlwb. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tau txhais qhov mob kom txaus es tsis txhob noj cov tshuaj tua kab mob nrog kev txhim kho ntawm cov txheej txheem pathological hauv cov ntaub so ntswg, zoo li tshwm sim hauv feem coob ntawm cov neeg mob. Raws li qhov tshwm sim ntawm txhua yam tshwm sim, cov kev sib txuas ntawm cov neuromuscular yog ruptured, cov leeg tsis xa cov ntaub ntawv hais txog nws qhov kev puas tsuaj rau lub cev muaj zog neuron. Raws li kev cuam tshuam ntawm cov tshuaj tua kab mob, cov leeg nqaij atrophy thiab tendon contracture tsim.
Third stage of inflammatory
theem peb ntawm cov txheej txheem inflammatory hu ua proliferation thiab yog resorption ntawm cov nqaij mos edema. Qhov no tuaj yeem tshwm sim tsis tu ncua, uas tuaj yeem ua kom yooj yim los ntawm kev tawm dag zog tshwj xeeb - tsim cov kua dej ntuj.
Diagnosis
Qhov tshwm sim ntawm cov txheej txheem purulent-inflammatory yog tus cwj pwm los ntawm ntau yam kev kho mob tshwm sim. Raws li kev tshawb fawb kho mob, 40-50% ntawm cov neeg mob raug xa mus rau kev kho mob hauv tsev kho mob.
Kev ua tau zoo ntawm kev kho mob rau cov neeg mob uas muaj kab mob purulent-inflammatory ntawm cov ntaub so ntswg yog nyob ntawm qhov kev kuaj mob raws sij hawm ntawm cov kab mob. Yog lawmKev kuaj mob ua rau nws tuaj yeem ua tiav kev kho mob zoo thiab rov qab mus rau lub neej li qub.
Kev kuaj mob hauv theem pib tuaj yeem nyuaj heev, txij li kev siv cov kev sib txawv nws nyuaj rau txiav txim siab qhov xwm txheej ntawm cov pob txha, qhov twg cov txheej txheem feem ntau kis los ntawm cov mos mos.
keeb kwm yog dab tsi?
Thaum lub sijhawm tshawb nrhiav, tus kws phais lossis tus kws kho mob tau saib xyuas qhov muaj nyob hauv tus neeg mob keeb kwm ntawm kev qhia txog kev txhim kho cov tsos mob tom qab raug mob, qhov txhab lossis txhaj tshuaj. Piv txwv li, ib qho chaw mos cov nqaij mos abscess tau yooj yim txheeb xyuas los ntawm kev ntsuam xyuas ntawm thaj chaw. Cov txheej txheem sib sib zog nqus pathological yuav tsum tau kuaj ultrasound thiab kuaj mob punctures. Tom qab kev sib tsoo, cov khoom siv roj ntsha tau raug mus rau kev tshawb fawb bacteriological los txiav txim siab qhov rhiab ntawm purulent microflora rau cov tshuaj tua kab mob.
Tsis tas li ntawd, cov npe ntawm cov kev kuaj mob yooj yim suav nrog xws li kev kuaj X-ray ntawm thaj chaw cuam tshuam thiab kuaj PCR rau tuberculosis. Cov kab mob keeb kwm yav dhau los ntawm tus neeg mob kuj raug kuaj pom, uas nws yuav tsum tau sab laj nrog lwm tus kws kho mob tshwj xeeb: tus kws kho mob plab, kws kho mob otolaryngologist, kws kho mob endocrinologist.
Kev kho mob ntawm pathology
Nyob rau txhua hom kev mob ntawm cov ntaub so ntswg, cov kev kho mob yog los tiv thaiv kab mob (xws li tshuaj tua kab mob) thiab detoxification. Nws tseem yog ib qho tsim nyog yuav tsum muaj kev kho kom rov zoo li qub raws li keeb kwm ntawm kev ua haujlwmkev kho mob.
Cov tshuaj tua kab mob yog siv rau kev mob ntawm cov nqaij mos, feem ntau yog penicillins ("Amoxicillin", piv txwv li), kev kho mob yog 10 hnub, txog li plaub zaug ib hnub twg, 250-500 mg. Yog tias tus neeg mob tsis haum rau penicillin, macrolides ("Erythromycin", "Clarithromycin") rau 10 hnub, 250-500 mg, tab sis ob zaug ib hnub, yuav tsis muaj txiaj ntsig tsawg dua.
Ntxiv rau, cov tshuaj tua kab mob rau kev siv sab nraud yog siv - tshuaj pleev "Mafenid", "Levomekol", "Levosin". Kev rov qab tuaj yeem tshwm sim hauv 1-2 lub lis piam.
Cov kev kawm ntawm purulent o ntawm cov ntaub so ntswg thiab cov txheej txheem ntawm nws cov kev kho mob tom qab phais lossis qhib qhov ua kom pom tseeb ntawm qhov mob yog inextricably txuas nrog kev kho mob ntawm qhov txhab thiab qhov txhab mob.
kev kho mob
Txoj kev kho mob muaj xws li lub cev txoj kev uas tau ua nyob rau hauv lub xub ntiag ntawm infiltrate los yog ib tug me me ntawm cov kua paug, raws li zoo raws li nyob rau hauv lub tsis muaj ib tug hloov mus rau cov leeg, pob qij txha, cov ntaub so ntswg ntawm lub cev, serous kab noj hniav. Qhov no kuj tseem pom zoo thaum tsis muaj cov tsos mob ntawm intoxication, txij li thaum cov xwm txheej no yuav tsum tau muaj kev phais sai sai, tsis hais txog qib ntawm cov txheej txheem pathological.
Dab tsi yog siv los kho cov nqaij mos o?
Physiotherapy
Nyob rau txhua theem ntawm cov txheej txheem inflammatory hauv cov ntaub so ntswg, lub hom phiaj tseem ceeb ntawm kev kho lub cev yog kev huv huv ntawm cov kab mob kis kab mob (cov kab mob bactericidal), tshem tawm cov kab mob ncaj qha.txheej txheem. Nyob rau theem ntawm infiltration yam tsis muaj cov tsos mob ntawm purulent fusion ntawm cov ntaub so ntswg los yog nrog ib tug me me ntawm cov kua paug (tsis muaj fluctuation, nyob rau hauv tsis muaj ib tug general tshuaj tiv thaiv), lub hom phiaj ntawm physiotherapy yuav rov qab mus rau lub inflammatory txheej txheem nrog resorption ntawm infiltrate. thiab tshem tawm ntawm edema (txoj kev kho mob anti-inflammatory), nyem qhov mob (txoj kev analgesic).
Nyob rau hauv cov ntaub ntawv ntawm ncua kev tsim ntawm ib qho abscess, physiotherapy yog sau nyob rau hauv thiaj li yuav soften lub infiltrate thiab leeb lub tshem tawm ntawm necrotic masses. Physiotherapy kuj tseem siv los txhim kho cov txheej txheem ntawm kev rov tsim kho dua tshiab, nce qib ntawm cov tsis muaj zog tiv thaiv (immunostimulating txoj kev) thiab txo cov ischemia (txoj kev kho mob antihypoxic). Pab kom txo tau qhov mob ntawm cov ntaub so ntswg sai sai.
Methods
Cov hom phiaj no tau pom los ntawm cov hauv qab no ntawm kev kho lub cev:
- bactericidal txoj kev kho - electrophoresis ntawm tshuaj tua kab mob;
- tshuaj tiv thaiv kab mob - electrophoresis (kev daws teeb meem) ntawm calcium chloride, UHF txoj kev kho, kev siv qis CMW, SUV irradiation;
- immunostimulating cov tswv yim: LOC, DUV irradiation, high-frequency magnetotherapy, dav SUV irradiation, heliotherapy, electrophoresis ntawm immunomodulators;
- necrolytic txoj kev: siab siv UHF thiab microwave kho, irradiation.
- kho mob analgesic: SUF - diadynamic thiab amplipulse therapy, electrophoresis nrog tshuaj loog hauv zos, irradiation;
- reparative-regenerativeCov tswv yim: kev kho microwave, kho laser, high-frequency thiab low-frequency magnetotherapy, ozokerite therapy.
- fibromodulating cov tswv yim: phonophoresis nrog cov tshuaj defibrosing, ultrasound kho, pelotherapy.
- vasodilators: electrophoresis nrog vasodilators, infrared irradiation;
- tshuaj tiv thaiv hypoxic - oxygen barotherapy;
- detoxification - AUFOK.
Txhais tau
Qhov tshwm sim ntawm cov txheej txheem pathological no nyob ntawm nws qhov chaw nyob, ncua sij hawm thiab txaus ntawm kev kho mob. Hom kev mob ntawm cov nqaij mos no, xws li abscess ntawm cov ntaub so ntswg subcutaneous, feem ntau xaus rau kev rov zoo. Nrog lub paj hlwb abscess, qhov kev mob tshwm sim loj heev, kev tuag tau pom hauv 10% ntawm cov neeg mob. Lwm yam mob ntawm cov nqaij mos kuj ploj mus nrog kev ploj ntawm tag nrho cov tsos mob, yog tias koj xaiv txoj kev kho kom raug. Furunculosis thiab carbuncles, piv txwv li, raug kho rau lub sijhawm ntev, tshwj xeeb tshaj yog tias cov kab mob tau ua ntev. Txawm li cas los xij, cov kab mob no kuj zoo li kho tau.
Tiv thaiv kab mob
Kev tiv thaiv kev loj hlob ntawm cov kab mob ntawm qhov xwm txheej no yog txhawm rau tiv thaiv kev nkag mus ntawm pathogenic pyogenic microflora rau hauv lub cev thiab suav nrog cov kev ntsuas hauv qab no: kev ua raws li cov tshuaj tua kab mob thaum cov txheej txheem kho mob (piv txwv li, txhaj tshuaj) uas muaj kev puas tsuaj. rau ntawm daim tawv nqaij; raws sij hawm ua raws li kev kho mob thawj zaug ntawm cov neeg raug mobnto; rehabilitation ntawm mob foci ntawm tus kab mob; nce kev tiv thaiv; kev tu cev.
