Furuncle hauv tus menyuam: kev kho mob, ua rau, cov lus qhia thiab tshuaj xyuas

Cov txheej txheem:

Furuncle hauv tus menyuam: kev kho mob, ua rau, cov lus qhia thiab tshuaj xyuas
Furuncle hauv tus menyuam: kev kho mob, ua rau, cov lus qhia thiab tshuaj xyuas

Video: Furuncle hauv tus menyuam: kev kho mob, ua rau, cov lus qhia thiab tshuaj xyuas

Video: Furuncle hauv tus menyuam: kev kho mob, ua rau, cov lus qhia thiab tshuaj xyuas
Video: Lis Lwm - Lee Lue - Phaj Ej T-28 nyob rau hmoob keeb kwm - Hmong Hero of T-28 in Vietnam war 2024, Lub Xya hli ntuj
Anonim

Nyob rau hauv cov menyuam yaus, tshwj xeeb tshaj yog nyob rau lub sijhawm loj hlob, ntau cov pob khaus pustular feem ntau tshwm sim ntawm ntau qhov chaw ntawm lub cev. Feem ntau, lawv tsis ua rau muaj kev phom sij rau lub cev thiab dhau los ntawm lawv tus kheej yam tsis muaj kev cuam tshuam ntxiv (tom qab txhim kho cov keeb kwm hormonal). Tab sis muaj cov kab mob ntawm daim tawv nqaij hnyav dua uas yuav tsum tau ua kom txoj kev kho mob. Lub furuncle nyob rau hauv tus me nyuam tsis muaj kev kho mob yuav ua rau muaj kev phom sij thiab cuam tshuam kev noj qab haus huv. Suppuration yog ib txwm tsim nyob rau hauv cheeb tsam ntawm cov plaub hau follicle, thiab tom qab ib co sij hawm nws kis mus rau cov ntaub so ntswg nyob ze. Nws yog ib qho tseem ceeb uas yuav tau xav txog cov laj thawj tseem ceeb ntawm kev npau taws hauv cov menyuam yaus thiab kev kho mob.

Dab tsi ua rau kev kawm

Ib qho npauj npaim ntawm tus menyuam lub cev tsis txaus ntshai li ntau cov pob liab liab uas ua rau muaj kev loj hlob ntawm furunculosis. Kev kho mob hauv qhov no yog muab los ntawm tus kws kho mob tshwj xeeb tom qab kuaj pom tus menyuam tus mob. Qee zaum, tus menyuam tau mus pw hauv tsev kho mob.

Yog vim li cas rau qhov tsos
Yog vim li cas rau qhov tsos

Lub plab nrog cov ntsiab lus purulent tuaj yeem tshwm sim hauv plab,rov qab, ntawm caj npab thiab hauv puab tais - ntawm ib feem ntawm lub cev uas cov hauv paus plaub hau nyob. Qhov chaw txaus ntshai tshaj plaws uas cov kab mob tuaj yeem tshwm sim yog lub caj dab thiab lub taub hau.

Yog tias kuaj pom pob ntseg, qhov ntswg, qhov muag lossis daim di ncauj, nws yog ib qho tseem ceeb uas yuav tau pib kho tus kab mob tam sim ntawd, cov teeb meem hauv qhov no tuaj yeem ua rau muaj kev phom sij heev thiab cuam tshuam rau tus menyuam txoj kev noj qab haus huv. Daim duab ntawm kev kho mob ntawm lub qhov ntswg ntawm tus me nyuam yog muaj nyob rau hauv lub rooj sab laj kho mob.

Tus neeg sawv cev ntawm tus kab mob yog suav tias yog cov kab mob kis tau tus kab mob - Staphylococcus aureus kab mob. Lawv tsim cov microflora ntawm tib neeg lub cev thiab niaj hnub tam sim no nyob rau hauv nws, tab sis thaum raug rau qee yam sab nraud, lawv tau qhib thiab nyob rau hauv ib lub sij hawm luv luv nce tus naj npawb, uas provokes cov tsos ntawm suppuration.

Furuncle ntawm qhov ntswg
Furuncle ntawm qhov ntswg

Qhov ua rau kub hnyiab hauv menyuam yaus tuaj yeem sib txawv:

  • raug mob rau ntawm daim tawv nqaij - dhau ntawm lawv cov kab mob nkag mus rau hauv lub cev nws tus kheej;
  • kev tu cev tsis zoo;
  • teeb meem nrog kev ua haujlwm metabolic hauv lub cev;
  • muaj kab mob ntawm endocrine system;
  • kab mob ntev lossis kab mob hnyav dhau los;
  • lub cev hypothermia lossis overheating;
  • siv tsis tau tshuaj steroid;
  • noj tsis raug, khoom noj tsis haum.

Feem ntau, cov menyuam yaus raug cuam tshuam los ntawmmuaj zog khawb ntawm daim tawv nqaij nrog txhais tes qias neeg, tab sis tsis yog tag nrho cov me nyuam loj hlob boils raws li qhov tshwm sim ntawm xws li raug. Txhua yam uas tau piav qhia tuaj yeem ua rau pom kev npau taws tsuas yog hauv cov xwm txheej ntawm kev txo qis hauv kev tiv thaiv kab mob ntawm tus neeg, qhov no, tus neeg mob lub cev tsuas yog tsis tuaj yeem tshem tawm tus kab mob ntawm lub cev thiab txo nws txoj kev loj hlob, uas ua rau zoo li npau taws.

Nws yog qhov zoo dua los tsis kam kho nrog cov tshuaj pej xeem lossis kev tswj hwm tus kheej ntawm cov tshuaj. Thaum thawj cov tsos mob tshwm sim, nws yog ib qho tseem ceeb kom nrhiav kev pab tam sim ntawd los ntawm tus kws kho mob tshwj xeeb uas yuav pab tsim kev kho mob zoo thiab muaj kev kho mob rau tus menyuam yaus.

Symptoms of defeat

Yog koj tsis paub yuav ua li cas npau taws, ces nws tuaj yeem yuam kev yooj yim rau cov pob khaus yooj yim lossis pob ntxau uas tau tshwm sim. Hauv qhov no, tus me nyuam niam txiv tsis xav txog qhov yuav tsum tau pib kho, uas ua rau muaj kev pheej hmoo rau tus menyuam txoj kev noj qab haus huv, vim qhov no tuaj yeem ua rau muaj teeb meem ntau yam.

Koj tuaj yeem txheeb xyuas qhov kub hauv tus menyuam los ntawm cov tsos mob hauv qab no:

  • yav tom ntej boil ib txwm nyob ze ntawm cov hauv paus plaub hau;
  • thaj chaw cuam tshuam ntawm daim tawv nqaij yog pleev xim liab thiab mob thaum kov;
  • thaum palpation, koj tuaj yeem hnov lub pob nruj;
  • tus menyuam lub cev kub tuaj yeem nce siab (txog 38-39 degrees);
  • kab mob ntawm lub cev khaus heev, tingling yog hnov.

Cov no yog tag nrho cov tsos mob tseem ceeb ntawm thawj theem ntawm tus kab mob, tsis txhob mlooguas ua tsis tau. Yog tias tsis tau pib kho raws sijhawm, ces qhov kub dhau mus rau theem thib ob ntawm txoj kev loj hlob - purulent-necrotic pawg tau tsim.

thib ob ntawm tus kabmob

theem no yog cov tsos mob hauv qab no:

  • cov txheej txheem inflammatory txav mus rau cov ntaub so ntswg nyob ze, nrog rau cov qog sebaceous;
  • tus kab mob tuaj yeem nce qhov loj thiab ncav mus txog 5 centimeters;
  • daj-ntsuab pawg pom nyob hauv nruab nrab ntawm qhov abscess;
  • chirya cov ntaub so ntswg pib yaj - fistulous qhov tshwm.

Txoj kev ntawm theem peb ntawm kev txhim kho furuncle

Nyob rau theem peb, lub boil twb npaj rau tus kheej tu. Hauv qhov no, abscess qhib thiab nquag kho, uas ua rau cov tsos mob hauv qab no:

  • daim tawv nqaij nyias ntawm qhov tsim tawg;
  • paug paug tawm los ntawm lub boil;
  • necrotic masses tuaj yeem pom hauv qhov mob qhib (abscess core) - koj yuav tsum tsis txhob sim tshem cov tub ntxhais, vim nws yuav tawm ntawm daim tawv nqaij ntawm nws tus kheej.

Tom qab ntxuav cov kab noj hniav, cov txheej txheem kho kom zoo thiab kho tawv nqaij pib. Thaum xub thawj, cov ntaub so ntswg hloov mus rau xim liab-xiav, tab sis dhau sij hawm lawv pib kho, tawm hauv qhov caws pliav me me.

Los ntawm cov tsos mob thawj zaug ntawm kev puas tsuaj rau qhov qhib ntawm lub qhov txhab hauv tus menyuam yaus (raws li nyob rau hauv ib tug neeg laus) nws yuav siv sij hawm 7 mus rau 10 hnub, qee zaum cov abscess tseem loj dua me ntsis.

Lub boil yuav tsum tau mus txog peb theem ntawm nws txoj kev loj hlob - purulent, infiltrative thiab regenerative txheej txheem. Cov kws tshaj lij txwv tsis pub sim qhib cov formations nrog lawv tus kheej kev siv zog, tshwj xeeb tshaj yog nyob rau hauv rooj plaub thaum lub sij hawm rau nws abscess tsis tuaj. Kev noj tshuaj rau tus kheej tuaj yeem ua rau muaj kev phom sij.

Kev nyuaj siab

Yog tsis muaj kev kho kom raug thiab ua tau zoo, qhov kub hnyiab tuaj yeem ua rau muaj kev phom sij txaus ntshai, tshwj xeeb tshaj yog tias cov abscess nyob hauv thaj tsam ntawm nasolabial daim duab peb sab, caj dab, qhov muag, pob ntseg.

Nrog rau qhov kev npaj no, cov txheej txheem sib kis tuaj yeem nkag mus rau hauv cov hlab ntsha thiab, nrog rau cov hlab ntsha, kis thoob plaws hauv lub cev, nkag mus rau hauv lub hlwb thiab ua rau cov tsos mob ntawm tus mob meningitis, sepsis lossis lwm yam kab mob uas ua rau muaj qhov tshwm sim tuag taus. Yog tias kev ntsuas kho tsis tau pib raws sijhawm lossis raug xaiv tsis raug, tus neeg mob yuav ntsib cov teeb meem hauv qab no: thrombosis, erysipelas, lymphadenitis, pyelonephritis, phlebitis. Nyob rau hauv daim duab, kev kho mob ntawm ib tug boil nyob rau hauv ib tug me nyuam nyob rau hauv pob ntseg.

Furuncle nyob rau hauv pob ntseg
Furuncle nyob rau hauv pob ntseg

Thaum npau taws nyob hauv qhov muag, qhov tshwm sim tuaj yeem ua rau ua tiav lossis ib nrab tsis pom kev. Ib qho abscess nyob hauv pob ntseg tuaj yeem ua rau tus menyuam tsis hnov lus. Tsis tas li ntawd, theem siab ntawm tus kab mob feem ntau hloov mus rau ib daim ntawv ntev nrog kev puas tsuaj rau daim tawv nqaij. Kev kho mob plab hauv menyuam yaus yog ib txoj haujlwm nyuaj, vim tias tus kab mob feem ntau ua rau rov qab thiab ua rau kis tau tus kab mob mus rau lwm yam kabmob.

Txawm kom tsis txhob muaj teeb meem, niam txivyuav tsum nrhiav kev pab los ntawm tus kws kho mob nyob rau lub sij hawm, leej twg yuav ua ib tug qhia paub txog ntawm tus mob thiab sau tshuaj kho kom raug rau ib tug boil nyob rau hauv ib tug me nyuam nyob rau hauv tsev.

ntsuas ntsuas

Feem ntau, tus kws kho mob tsuas yog xav tau ib qho kev kuaj mob xwb los kuaj xyuas tus menyuam, tab sis qee zaum, tus kws kho mob tshwj xeeb tau muab tshuaj ntsuam xyuas thiab ntsuas ntsuas.

Yuav ua li cas txheeb xyuas lub boil
Yuav ua li cas txheeb xyuas lub boil

Thaum tus kab mob nyob rau theem hnyav, tus kws kho mob muab CT lossis MRI. Tsis tas li ntawd, cov kev tshawb fawb hauv qab no tau ua tiav:

  • ultrasound;
  • tshuaj ntsuam biochemical ntawm cov zis thiab ntshav;
  • bakposev cov ntsiab lus ntawm lub rhaub;
  • tshuaj xyuas daim tawv nqaij.

Qee zaum, nws yog ib qho tseem ceeb rau tus menyuam kom ua qhov kev ntsuam xyuas ntau dua los ntawm tus kws kho mob tshwj xeeb ntawm lub ntsej muag nqaim - piv txwv li, thaum lub qhov muag kub hauv qhov muag, nws yog ib qho tseem ceeb uas yuav tau kuaj xyuas los ntawm tus kws kho mob ophthalmologist. Tom qab tau txais cov txiaj ntsig ntawm kev kuaj mob, tus kws kho mob ua kom tiav thiab kho kom raug.

Kev kho mob

Kev kho mob ntawm lub ntsej muag ntawm tus menyuam lub ntsej muag yuav ncaj qha nyob ntawm tus qauv thiab qhov xwm txheej ntawm qhov abscess.

kom ceev cov txheej txheem ntawm kev loj hlob ntawm qhov tsis muaj tseeb thiab tiv thaiv kev mob, nws yog ib qho tseem ceeb uas yuav tau siv cov kev kho mob hauv qab no:

  1. Kho thaj chaw ntawm daim tawv nqaij ze ntawm lub qhov cub nrog boric lossis salicylic acid, hydrogen peroxide thiab xim ntsuab.
  2. Thov ib yam sov rau thaj chaw muaj kev cuam tshuam.
  3. UHF yog ib txoj hauv kev uas siv hluav taws xob ntau zaus rau daim tawv nqaij.
  4. Nyobib qho abscess uas tau tawg los ntawm yuav tsum tau muab tso rau ntawm cov ntaub ntub dej kom qhuav moistened nrog cov tshuaj hypertonic, uas pab kom tshem tawm cov kab mob purulent sai sai thiab tiv thaiv kev txhim kho ntawm cov teeb meem.
  5. Tom qab tso tawm ntawm cov ntaub so ntswg necrotic, gauze nrog tshuaj tua kab mob yog siv rau thaj tsam ntawm lub cev. Cov kws tshaj lij qhia siv "Baneocin", "Tetracycline", "Ihtilovaya", "Heparin" ointment.
  6. Hauv kev kho mob abscesses ntawm lub qhov ntswg ntawm tus menyuam, yuav tsum tau siv tshuaj tua kab mob tshwj xeeb los pab tiv thaiv kev kis tus kabmob staphylococci: Methicillin, Oxacillin, Dicloxacillin, Levofloxacin thiab Vancomycin.
  7. Autohemotherapy - kev taw qhia ntawm tus menyuam yaus intramuscularly lossis hauv qab daim tawv nqaij ntawm nws cov ntshav los ntawm cov leeg.
  8. Laser kev kho mob yog txoj kev kho mob tshaj plaws thiab ua tau zoo, vim nws pab tshem tawm cov abscess hauv ib txoj kev tsis muaj mob thiab caws pliav, thiab tseem tiv thaiv kev rov qab los thiab teeb meem.
  9. Kev cuam tshuam nrog kev tshem tawm ntawm lub npau.
Kev kho mob ntawm ib tug boil nyob rau hauv ib tug me nyuam
Kev kho mob ntawm ib tug boil nyob rau hauv ib tug me nyuam

Koj yuav tsum tsis txhob xaiv cov tshuaj thiab sau lawv cov koob tshuaj thaum kho tus menyuam ntawm koj tus kheej. Nyob rau hauv tib txoj kev, nws yog txwv tsis pub massage ib feem ntawm lub cev, ua kom sov compresses thiab nyem tawm cov kua paug. Txhua yam tshuaj yuav tsum tau muab los ntawm tus kws kho mob tshwj xeeb. Yog tias cov niam txiv xav kho tus menyuam nrog qee yam kev kho pej xeem, ces koj yuav tsum xub mus ntsib kws kho mob. Yees duab kho mobib tug npau taws nyob rau hauv ib tug me nyuam yuav nrhiav tau nyob rau hauv pej xeem domain.

Kev siv tshuaj kho pej xeem

Yuav kom ua tiav kev kho mob ntawm lub pob ntseg ntawm tus menyuam kom raug, koj yuav tsum siv cov tshuaj pej xeem. Cov zaub mov hauv qab no yog cov txiaj ntsig zoo tshaj plaws:

  1. Yog hais tias furuncle tau tsim nyob rau hauv pob ntseg, ces yuav tsum tau tsim ib qho tshuaj pleev tshwj xeeb. Ua li no, ib tablespoon ntawm tws calendula paj yog tov nrog 30 grams ntawm vaseline roj. Lubricate lub abscess ob peb zaug ib hnub twg.
  2. Txoj kev kho yog tsim nyog rau kev kho mob ntawm lub plab hauv tus menyuam ntawm ceg. Ib nplooj ntawm ficus yog scrolled nyob rau hauv ib tug nqaij grinder, lub thib ob yog boiled tshaj tsawg tshav kub. Tom ntej no, lub resulting ficus puree yog nteg tawm nyob rau hauv ib tug kub nplooj thiab thov mus rau qhov chaw mob ntawm lub cev.
  3. Boiled qe uncooled. Xws li kev kho mob zoo rau kev kho mob ntawm lub qhov muag abscess, vim hais tias nyob rau hauv cov ntaub ntawv no nws tsis pom zoo kom siv cov tshuaj yooj yim vim muaj kev pheej hmoo ntawm kev ua xua ntawm cov mucous daim nyias nyias ntawm lub qhov muag thiab kis tau tus kab mob.
  4. Kev kawm nyob ze ntawm qhov muag
    Kev kawm nyob ze ntawm qhov muag
  5. Finely tws hare cabbage nplooj kom txog thaum cov kua txiv muab rho tawm los ntawm lawv. Tom ntej no, qhov chaw cuam tshuam yog moistened nrog kua txiv.
  6. Compresses thiab daim ntawv thov rau boils. Rau lawv cov kev npaj, cov kws txawj pom zoo kom siv taub dag, hiav txwv buckthorn, fir thiab camphor roj.
  7. Thaum kho tus menyuam yaus hauv qab (ntawm qhov chaw tiaj tus), cov dos ua kom zoo nkauj yuav tsum muab khi nrog cov ntaub qhwv rau qhov chaw cuam tshuam thaum hmo ntuj, uas yuav pab tshem tawm cov kua paug sai sai thiab kho cov ntaub so ntswg.
  8. Cov kab mob no tau kho nrog tshuaj ntsuab decoctions ntawm sage, eucalyptus, hlua thiab chamomile.
Kev kho mob ib txwm muaj
Kev kho mob ib txwm muaj

Muaj ntau cov zaub mov txawv pej xeem uas pab kom tshem tawm cov kab mob abscess sai thiab zoo, tab sis lawv txhua tus yuav tsum tau siv kom zoo. Yuav pib nrog, koj yuav tsum sab laj nrog kws kho mob, thiab xyuas kom meej tias tus me nyuam tsis muaj kev fab tshuaj rau cov tshuaj uas siv. Feem ntau, nws yog qhov ua yuam kev no uas cuam tshuam rau tus menyuam tus mob thiab ua rau muaj teeb meem ntau yam.

ntsuas kev tiv thaiv

Txhawm rau tiv thaiv koj tus menyuam los ntawm kev tsim cov pob khaus, nws yog ib qho tseem ceeb uas yuav tsum tau ua cov kev tiv thaiv hauv qab no:

  • ua raws li txoj cai ntawm kev nyiam huv, tsis txhob kis kab mob ntawm daim tawv nqaij;
  • kho tej qhov mob nrog tshuaj tua kab mob;
  • kom noj kom raug;
  • ua kom tus menyuam muaj zog tiv thaiv kab mob (pib noj tshwj xeeb complexes ntawm cov vitamins thiab minerals);
  • tawm mus tsis tu ncua nrog nws;
  • zam dhau qhov kub dhau los lossis hypothermia ntawm lub cev;
  • saib xyuas cov koob tshuaj thiab lub sijhawm ntawm kev noj tshuaj glucocorticosteroid;
  • zam menyuam kev ntxhov siab thiab kev ntxhov siab.

tshuaj xyuas kev kho menyuam yaus

Hauv kev tshuaj xyuas, cov niam txiv qhia lawv txoj hauv kev kho tus menyuam. Ntau tus pom zoo kho qhov mob ntawm lub cev nrog cov tshuaj tua kab mob ntau dua thiab ua kom cov pob txha tshiab nrog iodine lossis ci ntsuab.

Yog tias tus kab mob tau mus txog qhov loj, ces koj yuav tsum nrhiav kev pab los ntawm tus kws phais. Tsis tas li ntawd, ntau tus menyuam tau txais txiaj ntsig los ntawm kev muab ntshav dawb huv thiab kho nrog tshuaj pleev. Tab sis txhawm rau kom tsis txhob muaj teeb meem tshwm sim thiab txhim kho lub cev, txhua tus niam txiv raug qhia kom xaiv tus kws tshaj lij immunologist. Boils hauv cov menyuam yaus, qhov ua rau thiab kev kho mob ntawm tus kab mob yuav tsum muaj kev txawj ntse.

Pom zoo: