Qhov ua rau thiab kev kho mob ntawm furunculosis muaj feem cuam tshuam zoo. Kev kho mob yog ua raws li kev saib xyuas kev kho mob. Tab sis tus kab mob no yog dab tsi?
Furuncle yog ib qho kev tsim purulent ntawm tib neeg daim tawv nqaij, uas txhim kho nyob rau hauv kev twb kev txuas nrog swb ntawm sebaceous qog thiab cov hauv paus plaub hau. Nyob rau hauv cheeb tsam tom qab, cov formations no feem ntau tshwm sim vim staphylococcal los yog streptococcal kab mob. Tom ntej no, peb mam li txiav txim siab yuav ua li cas thiaj ua rau mob plab tom qab tus menyuam yaus, txiv neej lossis poj niam.
Yog vim li cas
Txawm li cas los xij, cov kws kho mob dermatologists txheeb xyuas tus lej ntxiv ntawm qhov ua rau mob plab tom qab:
- Kev ua txhaum cai ntawm kev nyiam huv ntawm tus kheej los ntawm cov neeg mob thiab kev siv cov khoom tu tsis zoo (xws li tshuaj zawv plaub hau, gel da dej, thiab lwm yam).
- Kev raug mob ntawm daim tawv nqaij tsis tu ncua (s khawb, abrasions), lawv ua tsis raug thiab tsis raws sijhawm thiab kev kho mob.
- tawm hws ntau dhau.
- Txo kev tiv thaiv.
- Ntau tshaj.
- kev nyuaj siab.
- Overheating lossis hypothermia ntawm tus neeg mob lub cev.
- Hormonal imbalance thaum hluas.
- Kev muaj kab mob ntawm daim tawv nqaij ntawm ntau yam etiologies nyob rau tom qab, nrog rau khaus ntawm lub cev no.
- Kev siv cov npe tshuaj tshwj xeeb, suav nrog Azathioprine, Methotrexate thiab lwm yam.
Yog li, purulent boils nyob rau sab nraub qaum tuaj yeem tshwm sim los ntawm qhov sib txawv kiag li, lawv xav tau kev kho mob tam sim.
Symptoms
thawj qhov cim qhia ntawm qhov npau taws yog qhov mob o ntawm daim tawv nqaij, raws li cov kab mob inflammatory tshwm sim. Cov cheeb tsam cuam tshuam pib cuam tshuam ntau thiab ntau, nws dhau los ua denser, nws yog xim liab. Qhov no yog thawj theem uas cov tsos mob pib zuj zus. Cov theem hauv qab no yog qhov txawv ntawm qhov tseeb tias:
- Tus pas nrig purulent-necrotic yog tsim nyob rau hauv ob peb hnub, protruding saum npoo. Nws yog ib qho me me kab noj hniav uas cov kua paug accumulates. Nyob rau tib lub sij hawm, tag nrho cov cim qhia ntawm intoxication tshwm sim, uas yog, kub nce, noj qab haus huv, qab los noj mov disappears. Mob ntawm qhov chaw ntawm qhov mob nce, qee qhov kev txav yog mob.
- Npaj tawg puv puv puv puv puv nkaus, ces qhib. Cov pas nrig thiab purulent paug tawm mus. Lub qhov txhab ntawm lub cev tseem nyob rau qhov tob ntawm qhov txhab. Cov tsos mob maj mam txo.
- Kho tau tshwm sim, o tuaj, qhov mob ploj mus, cov ntaub so ntswg granulation tshwm rau saum npoo. Lub qhov txhab yog caws pliav, tab sis thaum xub thawj muaj ib tug bluishib qho xim uas tau sib dua, tab sis cov kab tseem nyob.
Stages
Cov kws tshaj lij tau txheeb xyuas peb theem tseem ceeb hauv kev txhim kho tus kab mob no:
- Kev nkag mus. Thawj cov tsos mob yog hyperemia, thiab thickening thiab o nyob ib ncig ntawm cov plaub hau ncej kuj tshwm. Raws li cov kab mob purulent loj tuaj, qhov mob hnyav dua.
- Tsim ib tug pas nrig purulent. Thaum tus kab mob nkag mus rau theem ob, lub furuncle nws tus kheej pib nce rau ntawm daim tawv nqaij. Nyob rau hauv nruab nrab ntawm no tsim, lub taub hau yog qhia meej meej. Tom qab lub ripening theem tau tas, lub hau qhib ntawm nws tus kheej, thiab cov khoom tag nrho tuaj rau saum npoo. Tom qab ntawd, qhov mob mob qis zuj zus.
- Hloov theem. Tom qab qhov kev tsis lees paub ntawm tus pas nrig purulent dhau lawm, lub qhov txhab kab noj hniav tseem nyob, nws maj mam rov tsim dua thiab nruj ntawm cov ntaub so ntswg.
Kev hloov ntawm ib theem mus rau lwm qhov tuaj yeem siv sijhawm txog 10 hnub, yog tias lub cev tiv thaiv kab mob tsis muaj zog heev. Yog tias kev kho mob tsis pib raws sijhawm, qhov no tuaj yeem ua rau muaj teeb meem thiab tsim cov furunculosis lossis carbuncle.
Kev nyuaj siab
Raws li phau ntawv kho mob, furuncle yog qhov txaus ntshai purulent o ntawm cov plaub hau follicle thiab qog sebaceous. Cias muab, ib lub boil zoo li ib txwm pob txuv, tsuas yog nws loj dua, thiab daim tawv nqaij ib ncig ntawm nws yog feem ntau o thiab o.
Txawm li cas los xijme me, lub boil yog txaus ntshai, nws yuav ua rau ib tug xov tooj ntawm cov teeb meem txaus ntshai. Hauv qhov no, peb tab tom tham txog pob ntxau ntawm nraub qaum:
- Kev mob plab yog tshwm sim los ntawm qhov tseeb tias tus neeg mob tsis tuaj yeem nrhiav kev pab hauv lub sijhawm, thiab lub rhaub tsis raug txiav kom tshem tawm cov kua paug. Yog li, cov kua paug nkag mus tob rau hauv cov hlwb subcutaneous, vim nws tsis muaj lwm txoj hauv kev tawm.
- YFurunculosis. Feem ntau, thaum tus kab mob nkag mus rau hauv ib cheeb tsam, cov pob khaus los ntawm ntau lub hnab purulent tuaj yeem tshwm sim.
- Phlegmon. Ntxiv dua thiab, cov kua paug nkag mus rau hauv cov ntaub so ntswg subcutaneous, raws li tus neeg mob tsis nrhiav kev pab.
- Lymphadenitis yog ib qho teeb meem uas tsis saib xyuas tshaj plaws. Kev mob tshwm sim hauv cov qog nqaij hlav, feem ntau txawm mus rau lub raum.
- Sepsis - Staphylococcus aureus tawm ntawm kev tswj hwm, kis thoob plaws lub cev nrog rau cov ntshav, ua rau tag nrho cov kabmob.
Cov teeb meem tuaj yeem tshwm sim txawm tias koj kov lub hau nrog ob txhais tes qias neeg, yog li koj yuav tsum mus ntsib kws kho mob tam sim ntawd.
Diagnosis
Furunculosis yog ib qho mob hnyav ntawm cov kab mob hauv cov plaub hau. Kev tsim ntawm lub hau yog tshwm sim los ntawm kev kis kab mob nrog microbe staphylococcus aureus.
tawm hws ntau dhau, ua paug ntawm daim tawv nqaij, ua rau lub cev tsis muaj zog hauv lub cev thiab lwm yam tsis zoo ua rau cov tsos mob ntawm pathology.
Cov tsos mob ntawm lub plab yog ua tau ntawm txhua qhov ntawm daim tawv nqaij uas muaj cov plaub hau thiab qog sebaceous. Qhov chaw uas muaj ntau tshaj plaws yog thaj chaw nraub qaum thiab caj dab.
Kev kuaj mob ntawm lub plab loj rau sab nraub qaum yog ua raws li cov tsos mob hauv qab no:
- Nyob rau hauv lub cevib qho mob, lub khob zoo li lub pob zeb tshwm.
- Cov xim ntawm daim tawv nqaij ntawm qhov chaw ntawm kev tsim ntawm lub boil yuav reddish.
- Ib qho chaw mos, hu ua "lub taub hau purulent", tshwm nyob rau hauv qhov chaw ntawm qhov induration.
- Tom ntej no, lub rwj tawg, uas yog nrog los ntawm kev tso kua paug.
- Tus pas nrig uas muaj cov ntaub ntawv ntsuab necrotic ntawm qhov chaw ntawm kev tawg.
- Tsis pub dhau ob peb hnub, tus pas nrig, nrog rau cov ntshav thiab cov kua qaub, raug tso tseg.
Thaum thawj cov tsos mob tshwm sim ntawm furunculosis, nrhiav kev pab kho mob uas tsim nyog.
Nws yog categorically tsis pom zoo kom raug mob, txiav lossis nyem tawm qhov mob neoplasm ntawm koj tus kheej. Cov kev ua li no tuaj yeem ua rau muaj qhov tshwm sim loj thiab ua rau muaj teeb meem hauv kev kho mob.
kev kho mob phais
Kev phais mob tsawg heev. Raws li txoj cai, kev kho mob phais yog siv rau thaum lub abscess nrog rau ntawm daim tawv nqaij loj heev o, lub boil matures mob thiab ntev, thiab qia tsis cais. Nyob rau hauv cov ntaub ntawv no, tus kws kho mob qhib lub abscess nrog ib tug scalpel. Tus neeg mob tau txais tshuaj loog hauv zos lossis thaj chaw cuam tshuam yog khov nrog chloroethyl. Nws yog tsis yooj yim sua kom tshem tawm cov necrotic core ntawm boil ntawm koj tus kheej.
Kev kho mob ntawm lub plab yog ua raws li txoj cai dav dav ntawm kev kho cov kab mob dermatological abscesses thiab purulentitis. Cov cheeb tsam cuam tshuam raug txiav tawm nrog cov tshuaj tua kab mob, cov abscess raug txiav, tus pas nrig raug tshem tawm, ntxuav cov kua paug thiab tuag.ntaub. Yog li ntawd, tus neeg mob muaj kev nyuaj siab qhib rau lub cev, nyob rau hauv uas lub abscess matured. Txhawm rau kom lub qhov txhab rov zoo sai dua, ntau yam kev sib txhuam, tshuaj pleev thiab tshuaj tua kab mob.
Thov nco ntsoov: thaum lub furuncle nyob rau sab nraub qaum tsis paub tab, kev phais yog qhov kev xaiv kawg ntawm kev kho. Txhawm rau kom tsis txhob tawm ntawm qhov caws pliav thiab qhov tob tob los ntawm cov pob txha ntawm lub cev, tsis txhob hnov qab saib xyuas kev huv ntawm koj tus kheej lub cev, ua kom lub cev tiv thaiv kab mob siab. raws li qhov no yog qhov lav tias qhov boils yuav tsis tshwm sim.
Kev kho mob
Kev kho tshuaj siv tshuaj uas cuam tshuam rau Staphylococcus aureus MRSA. Cov npe ntawm cov tshuaj uas nquag siv hauv daim ntawv ntsiav tshuaj lossis tshuaj ntsiav muaj txog li kaum lub npe.
Lincomycin
Kev kho cov kab mob nyob rau sab nraub qaum ntawm cov txiv neej thiab poj niam yog ua tau nrog kev pab los ntawm cov tshuaj tua kab mob "Lincomycin". Nws nthuav tawm cov nyhuv bacteriostatic ntawm cov kab mob loj heev, pib tua kab mob 2-4 teev tom qab kev tswj hwm qhov ncauj. Cov tshuaj no yog siv los kho cov kab mob ntawm cov nqaij mos thiab tawv nqaij, nrog rau cov kab mob purulent, abscesses, furunculosis, nrog rau ntau yam kab mob sib kis ntawm pob txha, pob qij txha, ua pa thiab ENT kab mob.
Rau txhua tus neeg mob, koob tshuaj "Lincomycin" raug txiav txim los ntawm tus kws kho mob, thiab cov koob tshuaj ib txwm muaj rau cov neeg laus yog 500 mg peb zaug hauv ib hnub (nrog rautib lub sijhawm ntawm kev siv). Cov tshuaj yuav tsum tau noj peb caug feeb mus rau ib teev ua ntej lossis 2 teev tom qab noj mov nrog dej ntau. Lub sijhawm kho yuav tsum tsis pub tshaj 2 lub lis piam.
Kev siv cov tshuaj no yuav ua rau muaj kev cuam tshuam zoo xws li ntuav, xeev siab, mob taub hau lossis mob hauv hypochondrium, quav quav, tawv nqaij khaus, ua pob khaus, urticaria, nce ntshav siab.
Nrog cov kab mob ntawm daim siab thiab lub raum ua haujlwm, thaum cev xeeb tub thiab lactation, nrog rau cov menyuam yaus hnub nyoog qis dua 6 xyoos, qhov tshuaj no txwv tsis pub.
Cephalexin
Hauv kev kho mob furunculosis nrog tshuaj tua kab mob, cov kws kho mob qhia kom siv Cefalexin. Nws belongs rau semi-synthetic beta-lactam tshuaj ntawm tsev neeg cephalosporin. Cov tshuaj yog tsim nyob rau hauv daim ntawv ntawm capsules, ntsiav tshuaj thiab hmoov rau kev ncua. Cov tshuaj ua bactericidal. Qhov siab tshaj plaws plasma concentration yog mus txog 60-90 feeb tom qab noj.
Qhov nruab nrab txhua hnub ntawm Cefalexin yog 1-4 g (qhov loj tshaj plaws yog 6 g), nws yuav tsum tau noj txhua 6 teev. Cov chav kawm ntawm kev kho mob yog 1-2 lub lis piam. Cov teebmeem thib ob ntawm cov tshuaj no tau tshwm sim hauv daim ntawv ntawm impotence, tshee, kiv taub hau, dyspepsia, raws plab, leukopenia. Kev siv cov tshuaj thaum cev xeeb tub tsuas yog nyob rau hauv kev saib xyuas ntawm kws kho mob.
Levomekol
Ua kom puas cov kab mob thiab ntxuav cov kua paug uas tau sau tseg. Nws xis nyobthov kev kho mob tom tsev. Cov tshuaj pleev tsis tau tsuas yog los tiv thaiv inflammatory zoo, tab sis kuj bactericidal, muaj ib tug kho nyhuv. Cov tshuaj ua haujlwm ntawm lub hauv paus ntawm kev puas tsuaj ntawm cov protein synthesis ntawm cov kab mob lawv tus kheej, uas tuag raws li qhov tshwm sim. Cov tshuaj pab txhawb kom rov qab tau sai ntawm cov ntaub so ntswg vim qhov stimulation ntawm intracellular metabolic dab. Ib daim ntaub qhwv uas tsis muaj menyuam yog impregnated nrog tshuaj pleev thiab siv rau lub boil. Hloov cov ntaub qhwv txhua hnub.
Vishnevsky's ointment
Nws yog dav siv hauv kev kho mob ntawm cov pob khaus, muaj cov khoom tiv thaiv kab mob, nws yooj yim siv hauv tsev. Tsis tas li ntawd, nws muaj cov kab mob bactericidal, zoo txhim kho cov txheej txheem ntawm cov ntaub so ntswg tshiab. Ointment los ntawm boil rau sab nraum qab muaj ib tug zoo heev zoo tshwm sim. Siv nyob rau hauv daim ntawv ntawm lotions, tampons, compresses. Thov nyob rau hauv ib txheej tuab kom pom tseeb ntawm kev kis kab mob thiab kho. Kev ua haujlwm zoo sib xws yog ua 3-4 zaug hauv ib hnub, tshuaj tua kab mob ua ntej txhua zaus. Nyob rau hauv tsis muaj cov ntaub ntawv lawv yuav tsum tau siv thaum lub sij hawm ntawm rupture los yog maturation ntawm lub boil, raws li nws tsis muaj zog cov phab ntsa ntawm abscess, contributes rau qhov kev hem thawj ntawm kev tsim ntawm parenteral abscess - ib tug abscess.
Pine bath
Koob yog qhov hloov pauv ntawm cov nplooj ntoo ntsuab ntsuab. Ntawm lwm yam, cov koob muaj cov hauv qab no: tannins, vitamin C, roj yam tseem ceeb. Folk kev kho mob rau lub plab rov qab raws li cov ntoo thuv koob yog zoo heev.
Yog li ntawd, yog tias koj ua da dej thiab ntxiv cov cones lossis ceg ntoo ntawm cov ntoo thuv, ces da dej zoo li no yuav muaj txiaj ntsig zoo, nws yuav pab tau koj ob leeg.tshem tawm ntawm boils, thiab tshem tawm qhov mob los ntawm lawv maturation. Nws yog ib qho ua tau kom yooj yim yuav cov roj coniferous hauv lub tsev muag tshuaj, tab sis tseem muaj cov tshuaj ntsuab ntawm cov ntoo thuv koob yuav zoo dua.
Yog tias daim tawv nqaij qhuav thiab muaj pob khaus tas li ntawm nws, ces kis nws nrog decoction ntawm kirkazon. Kirkazon yog ib tsob nroj herbaceous, nws tuaj thoob plaws txhua qhov chaw: hauv hav zoov, raws ntug dej, hauv meadows; blooms los ntawm Tsib Hlis mus rau Lub Xya Hli. Cov nroj tsuag no suav nrog kwv yees li tib yam li cov koob: cov roj tseem ceeb, cov vitamins thiab tannins.
Rau cov neeg uas tsis paub yuav ua li cas nrog lub taub hau tom qab, yog tias tsis muaj nyiaj hauv cov khoom siv pab thawj zaug, txoj kev no tau pom zoo. Nws yog ib qho tsim nyog los ua ke thiab do ib lub qe qe, ib tablespoon ntawm butter zoo tib yam, tab sis yeej yaj, ces ntxiv hmoov. Lub khob noom cookie yuav tsum tsis txhob tuab heev, tab sis nws tsis kis.
Kho lub khob noom cookie rau thaj tsam cuam tshuam nrog daim ntaub qhwv. Hloov cov ntaub qhwv 2-3 zaug hauv ib hnub. Koj tuaj yeem txuag qhov loj hauv lub tub yees.
Thaum koj xav tau lub khob noom cookie dua, koj tsuas yog yuav tsum tau nqa tawm ntawm lub tub yees. Raws li txoj cai, txoj kev kho yuav siv sijhawm luv luv, hauv qhov kawg, koj tsuas yog yuav tsum tau tos me ntsis, tab sis tseem tsis pub dhau ob peb hnub.
Kev Tiv Thaiv
Txhawm rau tiv thaiv thiab tiv thaiv qhov tshwm sim ntawm qhov kub, ntau yam kev tiv thaiv yuav tsum tau ua:
- Tsis txhob tso tseg txoj cai ntawm kev tu tus kheej, tshwj xeeb tshaj yog rau cov neeg uas raug kev txom nyem ntawm daim tawv nqaij oily: nws yog ib qho tsim nyog los tiv thaiv kev txhaws ntawm qhov hws thiab qog ntsev.
- Nws tsim nyog zam khaub thuas thiabhypothermia.
- Yuav tsum tso tus cwj pwm phem.
- Thaum muaj kev puas tsuaj rau daim tawv nqaij, kho raws sijhawm kom tiv thaiv kev kis kab mob.
- Yuav tsum tau ua thiab tshem tawm cov kab mob kis tau raws sijhawm.
- Ua raws li kev noj haus: nws yuav tsum sib npaug.
- Txhawm rau tiv thaiv kom tsis txhob muaj qhov tshwm sim ntawm lub nraub qaum thiab ntawm lwm qhov ntawm lub cev, nws yog ib qho tsim nyog yuav tsum tau ua kom muaj zog tiv thaiv kab mob, ua kom muaj kev ua neej zoo.
- Peb yuav tsum tswj lub cev qhov hnyav, rog tuaj yeem ua rau ntuav ntuav.
Yuav tsum tau tiv thaiv tus kab mob no kom tsis txhob muaj teeb meem loj. Kev noj tshuaj rau tus kheej tsis raug pom zoo, vim nws tuaj yeem ua rau qhov xwm txheej hnyav dua, thiab qhov no yuav ua rau muaj teeb meem loj.
Raws li koj tuaj yeem pom, qhov ua rau thiab kev kho mob ntawm furunculosis muaj ntau haiv neeg. Qhov tseem ceeb tshaj plaws yog ua raws li tus kws kho mob cov lus pom zoo, thiab tom qab ntawd kev rov qab sai yuav tuaj.
