Ib qho abscess ntawm daim tawv nqaij (abscess) yog cov txheej txheem inflammatory hauv cov ntaub so ntswg uas tshwm sim vim raug rau pyogenic flora thiab yog tus cwj pwm los ntawm tsub zuj zuj ntawm cov ntsiab lus purulent. Feem ntau, ib qho abscess tau pom nyob rau hauv cov neeg uas txo kev tiv thaiv kab mob, feem ntau yog cov hluas thiab laus.
Nyob rau hauv mob mob, qhov ntim ntawm cov kua paug nce sai heev. Qhov zoo tshaj plaws, nws tuaj yeem qhib lub plhaub nyob ib puag ncig thiab ncav cuag qhov chaw ntawm daim tawv nqaij, uas yuav ua rau kev kho thiab rov zoo. Qhov phem tshaj plaws, nws tuaj yeem ua rau hauv qab ntawm daim tawv nqaij thiab nchuav rau hauv cov ntaub so ntswg, ua rau cov kab mob purulent thiab ntshav lom.
Kev tshwm sim
Qhov laj thawj tseem ceeb ntawm qhov ua rau ntawm daim tawv nqaij yog kev noj cov pyogenic microbes rau hauv tib neeg lub cev thiab lawv cov kev loj hlob ntxiv. Muaj ob yam kab mob uas ua rau mob:
- staph;
- YStreptococcus.
Qee zaum ob yam kab mob muaj nyob hauv tib neeg lub cev thiab ua rau muaj kev mob tshwm sim (cov nroj tsuag sib xyaw). Cov kab mob nkag mus rau ntawm daim tawv nqaij los ntawm microcracks, pores ntawm sebaceous thiab hws qog.
Factors,provoking txoj kev loj hlob ntawm inflammatory dab nyob rau hauv daim tawv nqaij:
- ntiaj teb thiab tshuaj raug mob;
- hypothermia;
- overheat;
- kev ua txhaum cai ntawm kev tu tus kheej;
- kev noj haus tsis txaus;
- immunodeficiency;
- kab mob endocrine tsis meej;
- kab mob (purulent mob caj dab, tonsillitis, mob ntsws).
Lwm tus provocateur yog ntshav qab zib mellitus, nyob rau hauv cov ntaub ntawv ntawm pustular abscesses muaj ntau ntau. Qhov no yog vim muaj kev ua txhaum ntawm permeability ntawm phab ntsa capillary, uas ua rau muaj kev sib kis sai ntawm cov kab mob pathogenic microorganisms thiab qeeb cov tshuaj tiv thaiv kab mob.
Kev faib tawm
Abscesses ntawm daim tawv nqaij raug cais raws li qhov dej ntws:
- mob - mus txog ob lub hlis;
- mob - ntau tshaj ob lub hlis.
Nyob ntawm qhov kev puas tsuaj, lawv paub qhov txawv:
- superficial (hauv subcutaneous rog);
- dub (dub tob hauv cov ntaub so ntswg, kab noj hniav thiab lub cev).
Nyob ntawm txoj kev nkag ntawm tus kab mob:
- exogenous (microbes nkag los ntawm sab nraud - abrasions, txiav);
- endogenous (kev kis tus kab mob los ntawm qhov chaw nyob ze, piv txwv li, nrog tonsillitis).
Views
Cov kab mob Pustular tuaj yeem ua tau ntawm txhua qhov ntawm lub cev. Qee tus mob me thiab ploj mus ntawm lawv tus kheej, thaum lwm tus xav tau kev phais. Cov tsos mob, ua rau, kab mob thiab lawv cov kev kho mob feem ntau zoo sib xws.
- Furuncle (nyob rau hauv cov tib neeg - ib tug boil) yog ib tug mob purulent o ntawm cov plaub hau follicle, npog cov ntaub so ntswg thiab cov qog sebaceous nyob ze. Lawv feem ntau tshwm sim hauv qhov chaw ntawm kev sib txhuam, tawm hws thiab muaj kuab paug: ntawm lub ntsej muag, caj dab, hauv caj dab thiab puab tais, pob tw, hauv siab, lub duav thiab sab nraub qaum. Qhov laj thawj tseem ceeb ntawm cov pob khaus ntawm lub cev yog kab mob los ntawm staphylococcus aureus.
- Carbuncle yog ib yam kab mob nyuaj dua. Ntau cov hauv paus plaub hau, cov qog sebaceous nrog kev puas tsuaj rau ntawm daim tawv nqaij thiab cov ntaub so ntswg subcutaneous ua rau mob ib zaug. Purulent formations feem ntau nyob rau ntawm caj dab, pob tw thiab lub xub pwg hniav. Cov txheej txheem inflammatory tuaj yeem cuam tshuam rau cov txheej txheem sib sib zog nqus ntawm dermis.
- Panaritium yog ib qho mob purulent ntawm cov ntaub so ntswg ntawm cov ntiv tes (tsawg dua ob txhais ceg). Nws feem ntau tshwm sim tom qab qee yam kev raug mob: kev txiav, khawb, prick, me qhov txhab, qee zaum ua teeb meem ntawm tus ntsia thawv ingrown. Feem ntau yuav tsum tau phais. Yog tsis muaj kev kho mob, tus kab mob tuaj yeem xaus rau hauv kev txiav.
- Hydradenitis yog ib qho mob purulent uas cuam tshuam rau cov qog hws hauv caj dab, tsawg zaus hauv puab tais. Provoking yam - nce hws, kev tu cev tsis zoo. Tus kab mob no maj mam. Ua ntej, khaus tshwm sim ntawm qhov chaw ntawm qhov mob, tom qab ntawd ib daim ntawv tuab thiab mob o. Thaum lub sij hawm, lub foob yuav nce, thiab qhov mob hnyav zuj zus. Cov tawv nqaij ntawm qhov chaw ntawm o tuaj ua ntshav-liab. Lub hom phiaj ntawm o softens, opens thiab empties rau saum npoo ntawm daim tawv nqaij. Kev phais mob feem ntau yuav tsum tau, txij li hidradenitis yog nquag mus ntev (tshaj li ob lub lis piam)ntws thiab kev koom tes hauv cov txheej txheem ntawm cov qog hws nyob ze.
Kev kuaj mob thiab kho txhua yam kab mob saum toj no yog ua los ntawm kws phais.
Symptoms
Burns ntawm daim tawv nqaij maj mam. Ua ntej, nyob rau hauv kev cuam tshuam ntawm pyogenic microbes, lub hom phiaj ntawm o yog tsim. Cov tawv nqaij saum nws o thiab tig liab, cov ntaub so ntswg ib puag ncig ua kom sov thiab denser. Thaum lub sij hawm, qhov mob thiab o tuaj. Nyob rau hauv qhov chaw ntawm kev tsom xam, cov ntaub so ntswg softening yog pom, ib tug kab noj hniav uas muaj paug yog tsim.
Thaum thaj chaw nyob hauv cov rog subcutaneous, qhov abscess pom meej meej raws li cov xim dawb-daj. Yog hais tias daim tawv nqaij abscess tob, cov kua paug yuav tsis tshwm los ntawm daim tawv nqaij. Hauv qhov no, koj tuaj yeem hnov cov kab mob mos uas muaj kua.
Yog tias qhov tsom ntawm qhov mob yog demarcated los ntawm cov ntaub so ntswg nyob sib ze, nro, mob thiab siab nce hauv thaj tsam abscess. Qee lub sij hawm qhov mob tau tshaj tawm tias nws tsis tso cai rau koj tsaug zog, nws tuaj yeem ua rau mob lossis throbbing. Nrog rau qhov ua tau zoo, daim tawv nqaij hla qhov kev tsom xam qhib, thiab nws cov ntsiab lus tau nchuav rau saum npoo ntawm daim ntawv ntawm cov kua nplaum dawb-daj, tejzaum nws nrog cov ntshav sib xyaw. Tom qab ntawd, tus neeg zoo li qub, qhov mob ploj mus, qhov txhab zoo thiab kho tau zoo nyob rau ob peb hnub.
Hmoov tsis zoo, muaj qee lub sij hawm uas tib neeg lub cev tsis tuaj yeem tiv nrog tus kab mob abscess. Yog hais tias cov kab mob uas provoked lub abscess muaj ib tug pronounced aggression nyhuv, ces cov kev tsis txaus siab ntawm lub zos cov tsos mob. Pom tauua npaws, mob taub hau, mob pob qij txha thiab cov leeg, tsis muaj zog, tsis qab los noj mov. Cov qog nqaij hlav loj tuaj yeem hnov nyob ze ntawm qhov chaw kis kab mob.
Muaj feem cuam tshuam
Qee zaum ib qho abscess hauv qab ntawm daim tawv nqaij ntawm tus ntiv tes, nraub qaum, ceg, sab nraub qaum kis mus rau cov ntaub so ntswg noj qab haus huv, cov kua paug nkag mus rau hauv cov txheej txheem tob ntawm daim tawv nqaij, nkag mus rau cov leeg, cov hlab ntsha thiab cov hlab ntsha. Feem ntau cov txheej txheem no yog irreversible. Hauv cov xwm txheej nyuaj tshwj xeeb, o cuam tshuam rau cov pob txha cov ntaub so ntswg, ua rau purulent fusion ntawm cov pob txha (osteomyelitis). Tag nrho cov txiaj ntsig no ua rau muaj kev phom sij loj thiab xav tau kev kho mob sai hauv tsev kho mob. Qhov kev pheej hmoo ntawm qhov tshwm sim tsis zoo nce ntxiv nrog:
- qhov chaw ntawm qhov chaw ntawm lub ntsej muag (tshwj xeeb tshaj yog nyob rau hauv daim duab peb sab nasolabial), hauv qab ntawm daim tawv nqaij ntawm tus ntiv tes, hauv pob ntseg, qog mammary, hauv puab tais;
- kev tiv thaiv kev tiv thaiv;
- kev ua haujlwm tshuab (kev sim nyem lossis tho qhov abscess).
Yuav kho li cas?
Kho me me abscesses ntawm daim tawv nqaij, raws li txoj cai, tsis tas yuav tsum tau, lawv tsis tuaj yeem ua rau tsis xis nyob thiab ploj mus ntawm lawv tus kheej. Koj tuaj yeem ncua sijhawm mus ntsib kws kho mob yog tias o me ntsis thiab liab ntawm daim tawv nqaij. Nyob rau theem no, tus neeg mob muaj peev xwm tiv tau ntawm nws tus kheej, tiv thaiv kev loj hlob ntawm purulent theem.
Kab mob hauv thawj theem yog amenable rau kev saib xyuas kev kho mob. Ib txhia muaj nyob hauv tsev. Yog tias koj xav tau los txo qhov mob, siv cov cua sov qhuav rau qhov chaw ntawm qhov tshwm sim (thaum tsis muaj cov paug tawm) (lub tshuab cua sov, cov ntaub plaub tshem tawm ntawm lub roj teeb, ib lub hnab huv nrog cov ntsev los yog xuab zeb).
Nws tsis pom zoo kom siv cov cua sov ntub dej, da dej, mustard plasters. Dej sai sai kis tus kab mob mus rau cov ntaub so ntswg nyob sib ze. Koj tsis tuaj yeem knead thiab zaws qhov chaw mob. Yog hais tias ib qho abscess tau tsim ntawm caj npab lossis ceg, nws yog ib qho tsim nyog los xyuas kom meej qhov chaw so.
Qee lub sijhawm cov chaw mob tau kho nrog tshuaj tua kab mob: kev kho mob cawv, tshuaj tshwj xeeb ntawm 70-95%, ntsuab ci ntsa iab, tshuaj pleev los ntawm abscesses ntawm daim tawv nqaij (betadine), vodka. Lub hauv paus ntawm kev tsom xam tuaj yeem kho nrog iodine. Qhuav compresses soaked nyob rau hauv kev kho mob cawv thiab ntaub qhwv rau thaj tsam cuam tshuam ua ib txoj hauj lwm zoo ntawm theem no.
Raws li kev txiav txim siab ntawm tus kws kho mob, tus neeg mob tuaj yeem tau txais kev kho lub cev: UV, UHF, infrared irradiation thiab lwm cov txheej txheem muaj nyob rau hauv cov chaw kho mob thaj chaw thiab cov chaw kho mob ntiag tug.
Thaum mus ntsib kws kho mob?
Yog tias qhov abscess twb tsim lawm, ces qhov tshwm sim tsuas yog nws cov effusion. Pus tsis tuaj yeem daws tau, thiab kev kho mob ntawm qhov txhab ntawm sab nraub qaum hauv qab ntawm daim tawv nqaij (thiab tsis yog xwb) ib txwm nqis los tshem tawm nws cov ntsiab lus. Tsis txhob tos kom txog thaum lub boil qhib nws tus kheej. Cov txheej txheem no tuaj yeem siv sijhawm ob peb hnub, ua rau mob thiab tsis xis nyob, thiab muaj kev pheej hmoo ntawm cov teeb meem. Txhawm rau zam qhov tshwm sim tsis zoo, sab laj nrog kws kho mob.
Yam uas yuav tsum tau muab tswv yim kho mob sai:
- mob hnyav hauv cheeb tsam cuam tshuam;
- qhov chaw abscess tob hauv qab daim tawv nqaij lossis hauv qhov chaw txaus ntshai;
- deterioration (qaug zog, kub taub hau,lymph nodes o);
- muaj ob peb abscesses ntawm daim tawv nqaij;
- muaj cov kab mob hauv qab (mob ntshav qab zib mellitus, mob plawv, ob lub raum, AIDS, kab mob siab ntev, mob khaub thuas).
Diagnosis
Kev kuaj mob yog nqa tawm nrog kev kuaj xyuas sab nraud thiab palpation ntawm qhov txhab ntawm sab nraub qaum hauv qab daim tawv nqaij lossis lwm qhov chaw cuam tshuam. Muaj tsawg zaus, kev kuaj mob puncture yog ua, vim tias cov khoom ntes tau raug xa mus rau kev kuaj kab mob bacterioscopic.
Kev kho mob
Qhov kev txiav txim siab yuav ua li cas thiab yuav kho cov kab mob abscess hauv qab ntawm daim tawv nqaij yog ua los ntawm tus kws phais. Ntawm qhov chaw txais tos, nws yuav tshuaj xyuas thaj tsam ntawm kev mob plab thiab, tejzaum nws, tam sim ntawd qhib lub abscess. Feem ntau qhov kev ua haujlwm no yog nqa tawm hauv tsev kho mob. Kev mus pw hauv tsev kho mob yog tsim nyog tsuas yog thaum muaj mob hnyav, qhov loj ntawm kev tsom mus rau kev kis tus kab mob, nws qhov chaw sib sib zog nqus lossis muaj kev pheej hmoo siab ntawm cov teeb meem.
Ua ntej ua haujlwm, tus kws kho mob ua tshuaj loog hauv zos. Qhov tshwm sim ntawm kev txiav cov tawv nqaij thiab tshem tawm cov ntsiab lus purulent tsuas yog siv sijhawm 15 feeb xwb. Nrog rau kev sib sib zog nqus hauv cheeb tsam ntawm kev tsom mus rau hauv lub qhov txhab, cov kua dej yog sab laug. Tsis xav tau stitches rau txoj haujlwm no. Lub qhov txhab kho nws tus kheej. Yuav tsum hnav khaub ncaws los tu nws.
Yog tus kws kho mob hais kom mus pw hauv tsev kho mob, ces muaj laj thawj rau qhov ntawd. Qee hom kab mob yog qhov nyuaj rau tshem tawm hauv zos tshuaj loog. Hauv qhov no, cov kws phais neeg siv tshuaj loog. Tsis tas li ntawd, kev kho mob dav dav yog ua nyob rau hauv cov tsev kho mob: tshuaj tua kab mob, tshuaj uas ntxiv dag zog rau lub cev thiab pab tiv thaiv.kab mob.
Kev kho mob nrog pej xeem tshuaj
Lwm yam tshuaj tsuas siv tau rau cov mob me xwb. Yog li ntawd, ua ntej kho qhov txhab ntawm daim tawv nqaij nrog cov tshuaj pej xeem, sab laj nrog tus kws kho mob tshwj xeeb.
- Aloe kua txiv. Cov tshuaj no muaj cov nyhuv antibacterial thiab txhawb kev kho qhov txhab. Porridge los ntawm nplooj los yog gauze soaked nyob rau hauv cov kua txiv hmab txiv ntoo, siv rau qhov chaw mob thaum hmo ntuj thiab ntaub qhwv. Cov txheej txheem tau ua kom txog thaum cov ntsiab lus purulent tso tawm thiab cov ntaub so ntswg zoo.
- Tshuaj cawv, zib ntab thiab Vishnevsky cov tshuaj pleev. Sib tov cov khoom nyob rau hauv sib npaug proportions. Siv cov khoom tiav tiav rau thaj tsam teeb meem thaum hmo ntuj. Cov txheej txheem no yuav ua kom cov resorption ntawm abscess.
- Daj. Ib tug ci dos muab tso rau hauv ib daim ntaub qhwv accelerates lub maturation thiab rejection ntawm abscess.
- Rye bread. Cov khoom steamed yog siv rau thaj tsam puas, npog nrog nplooj nplooj thiab sab laug rau ib hnub.
ntsuas kev tiv thaiv
Kev tiv thaiv muaj nyob rau hauv kev tswj hwm kev noj zaub mov kom raug thiab sib npaug, ua raws li cov cai ntawm kev nyiam huv, kev tu tawv nqaij, thiab muab cov cwj pwm phem. Nws kuj tseem tsim nyog kom tsis txhob kub dhau, hypothermia, microtrauma thiab kho cov kab mob endocrine.
Zoo kawg
Qee lub sij hawm tib neeg, ntshai kev phais lossis txo qis tus kab mob, kho tus kheej los ntawm cov zaub mov txawv, qhib abscesses lawv tus kheej, siv tshuaj pleev thiab compresses yam tsis muaj kws kho mob paub. Tag nrho cov manipulations yog fraught nrog rupture ntawm lub capsule,kev nkag mus ntawm cov kua paug rau hauv cov ntshav thiab kis tau tus kab mob. Tsis txhob rub thiab tiv tauj cov kws kho mob tshwj xeeb hauv thawj theem ntawm tus kab mob. Saib xyuas koj tus kheej thiab saib xyuas koj txoj kev noj qab haus huv!
