Feem ntau, cov niam txiv ntawm cov menyuam yaus muaj kev ntxhov siab vim muaj chiria purulent uas tau tshwm sim ntawm tus menyuam lub cev. Qhov no yog qhov mob hnyav heev thiab tib lub sijhawm mob o, qee zaum yuav tsum tau tso tus menyuam hauv tsev kho mob. Thiab nws tsis muaj teeb meem dab tsi qhov chaw ntawm lub boil yog dab tsi thiab qhov luaj li cas nws tau mus txog. Txawm li cas los xij, rau tus menyuam me, qhov no yog qhov kev hem thawj tam sim rau lub neej, kom tshem tawm qhov uas lawv qee zaum siv rau kev cuam tshuam kev phais.
Qee zaum purulent o ua ntau yam. Cov tsos mob zoo li no qhia txog qhov tshwm sim ntawm tus kab mob loj - furunculosis. Tus kab mob no suav hais tias yog qhov txaus ntshai heev. Tom qab tag nrho, nws muaj peev xwm ua rau mob hnyav rau tus neeg mob.
Furunculosis hauv cov menyuam yaus (ICD-10 code - L 02) yuav tsum muaj kev kho mob tsim nyog rau tus neeg mob me. Txawm li cas los xij, txawm tias ua ntej pib kev kho mob, nws yog ib qho tsim nyog yuav tsum paub qhov ua rau provoked qhov tshwm sim ntawm qhov teeb meem no, thiab tshem tawm nws thawj qhov chaw.tig. Tsuas yog nyob rau hauv cov ntaub ntawv no tus kws kho mob tau sau tseg yuav ua kom tiav thiab raug.
Infiltration
Tus kab mob mus txog qee theem ntawm kev txhim kho. Lub fact tias boils tshwm nyob rau hauv lub cev yog signaled los ntawm unpleasant rhiab heev uas tshwm sim ntawm qhov chaw ntawm localization ntawm lub tsom xam ntawm o. Lawv nrog liab ntawm qhov chaw mob thiab nws o. Cov theem no hu ua "infiltration".
theem tom ntej ntawm cov kab mob pathology yog qhov pom ntawm ib qho taw tes nyias nyob hauv nruab nrab ntawm qhov ua kom pom tseeb ntawm qhov mob. Nyob rau hauv cov ntaub ntawv no, tsuas yog ob peb hnub dhau los ntawm qhov pib ntawm infiltration theem. Tus kab mob nkag mus rau theem ntawm suppuration. Lub ntsiab lus uas tshwm sim tsis muaj dab tsi ntau tshaj li qhov tshwm sim ntawm cov kab mob pathogenic uas tau tshwm sim. Sij hawm dhau mus, nws loj tuaj.
Nyob zoo
Suppuration nce mus ob peb hnub. Nyob rau tib lub sijhawm, cov ntaub so ntswg ua rau mob mus rau qhov loj nyob ib ncig ntawm lub hauv paus ntawm lub hau. Nrog lub maturation ntawm o, ib qho kev tawg ntawm suppuration tshwm sim. Ib qho txheej txheem zoo sib xws yog qhov pib ntawm kev kho kom zoo ntawm kev loj hlob ntawm boil. Kev tso tawm cov kua paug ua rau kev ntxuav ntawm qhov txhab. Txo qhov mob thiab mob ntawm qhov chaw. Txawm li cas los xij, txawm tias tom qab no, rau qee lub sijhawm, cov kua paug tawm mus ntxiv los ntawm kev ua kom pom tseeb ntawm cov txheej txheem pathological, uas suav nrog pom tias muaj xim liab liab tsaus.
Nyob rau theem kawg ntawm pathology, lub hau kub kho. Cov txheej txheem no ua rau kom nruj ntawm lub qhov thiab caws pliav ntawm cov ntaub so ntswg. Cov ntaub so ntswg nyob ib ncig ntawm lub qhov txhab tsis mob, lawv rhiab heev txo. Cov tawv nqaij tone hloov ntawm liab mus raunatural.
Qhov chaw
Furunculosis hauv menyuam yaus (saib daim duab hauv qab no) tuaj yeem tshwm sim qhov twg muaj plaub hau. Cov no yog lub luj tshib, caj dab, hauv pliaj, ceg, caj npab thiab ntsej muag.
Tsis muaj cov txheej txheem inflammatory tsuas yog ntawm xib teg thiab ko taw. Qhov tseeb yog tias abscess yog tsim nyob rau hauv cov plaub hau follicle, cuam tshuam rau cov qog sebaceous thiab cov ntaub so ntswg. Nrog rau cov tsos ntawm ib tug boil, ib tug nce nyob rau hauv lub zes qe menyuam qog kuj tshwm sim. Cov txheej txheem zoo sib xws provokes qhov nce hauv tus menyuam lub cev kub txog 38-39 degrees.
Thaum ua qhov kev kho mob muaj peev xwm, qhov kub hnyiab nyob ntawm lub hauv siab, pope, ob txhais ceg thiab caj npab tsis tso ib qho cim tseg. Cov caws pliav tuaj yeem qhia tau tias lwm qhov chaw tau muaj pustules yav dhau los.
Cov pob khaus uas tau tshwm sim ntawm daim tawv muag qis lossis sab sauv, hauv qhov ntswg lossis pob ntseg, ntawm lub hauv pliaj lossis caj dab muaj kev phom sij rau kev noj qab haus huv, vim lawv qhov chaw nyob tsis deb ntawm lub hlwb thiab cov hlab ntsha. Nyob rau hauv cov ntaub ntawv ntawm kev kho mob tsis tsim nyog thiab kev saib xyuas tsis txaus rau tus neeg mob me, furunculosis nyob rau hauv ib tug me nyuam hem muaj teeb meem loj tshaj plaws, txawm tuag.
Kev txiav txim los ntawm kev tshuaj xyuas ntawm cov niam txiv, cov pob khaus uas tshwm sim ntawm lub hauv caug thiab lub luj tshib ntawm tus menyuam tuaj yeem raug puas tsuaj los ntawm lawv. Hauv qhov no, suppuration ntawm xws li localization yuav tsum tau tiv thaiv los ntawm kev raug mob. Nws yuav tsum tau nco ntsoov hais tias yog lub boil tsis tawm los ntawm nws tus kheej, ces muaj ib tug siab tshwm sim ntawm cov teeb meem nyob rau hauv cov pob qij txha.
Kev faib tawm
Txawm hais tias nws qhov chaw nyob, txhua qhov kub uas tshwm sim ntawm daim tawv nqaij ntawmtus me nyuam, tuaj yeem ua rau qhov tsis zoo siab tshaj plaws. Cov kws kho mob tshwj xeeb tau tsim cov kev faib tawm ntawm cov kab mob xws li mob, uas qhia txog qee yam cim:
- ib leeg, uas tuaj yeem nyob ntawm txhua qhov ntawm lub cev;
- pob txuv uas tshwm sim ntawm lub ntsej muag ntawm cov tub ntxhais hluas thiab ua rau hauv cov txheej txheem sib sib zog nqus ntawm cov dermis;
- pilonidal sinus - boils uas tshwm sim nyob rau hauv qhov chaw intergluteal vim yog cov khaub ncaws ntxhua, tawm hws thiab lub cev tsis ua haujlwm;
- purulent hydradenitis, uas yog ib tug loj tus naj npawb ntawm recurrent boils, lub zos ntawm cov chaw uas muaj zog hws (qhab, puab tais), uas yog tshwm sim los ntawm o ntawm hws qog.
kis kab mob
Dab tsi yog qhov ua rau furunculosis hauv menyuam yaus? Boils tshwm sim vim qhov tseeb tias cov kab mob pathogenic nkag mus rau hauv cov hauv paus plaub hau los ntawm cov kwj dej ntawm cov plaub hau. Nyob rau hauv cov ntaub ntawv no, cov qog yog blocked, tsim ib tug zoo heev ib puag ncig rau cov kab mob mus active reproduce. Yog li ntawd, cov txheej txheem inflammatory pib tsim. Lub cev tiv thaiv kab mob yuav yeej teb rau nws hauv daim ntawv ntawm kev tso tawm ntawm lub cev dawb tshwj xeeb uas nkag mus rau hauv kev sib ntaus sib tua. Nws yog cov txheej txheem no uas ua rau tsim cov kua paug. Nws loj accumulates nyob rau hauv lub epidermis, uas pab mus tshem tawm cov microbes ntawm lub cev.
Muaj ntau ntau yam kab mob kab mob uas ua rau furunculosis hauv tus menyuam. Ntawm lawv yog staphylococci:
- kub;
- epidermal;
- saprophytic;
- beta hemolytic pab pawg A.
Txawm hais tias muaj ntau daim ntawv teev npe, feem ntau yog qhov ua rau kev loj hlob ntawm furunculosis nyob rau hauv tus me nyuam nyob rau hauv tus kab mob nrog Staphylococcus aureus. Cov kab mob pathogenic no, raws li txoj cai, muaj nyob rau hauv tib neeg lub cev, tab sis tsis tshwm sim nws tus kheej nyob rau hauv txhua txoj kev kom txog thaum muaj qee yam tshwm sim. Thiab tsuas yog tom qab raug cuam tshuam los ntawm qhov tshwm sim, Staphylococcus aureus dhau los ua haujlwm, sib npaug thiab ua rau mob.
Txhua qhov ua rau furunculosis hauv menyuam yaus tau muab faib ua ob pawg - sab nraud thiab sab hauv. Cia wb mus saib lawv.
External ua rau
Txhawm rau zam qhov yuav tsum tau kho tus mob furunculosis hauv cov menyuam yaus (saib daim duab thiab cov tsos mob ntawm pustules hauv qab no), nws yog ib qho tseem ceeb rau cov niam txiv kom paub qhov ua rau tus kab mob no thiab ntsuas kev tiv thaiv.
Nws ntseeg tias staphylococci, uas ua rau pom tus kab mob, yuav luag txhua qhov chaw. Ib tug menyuam yaus tuaj yeem ntes lawv hauv tsev kawm qib kindergarten, hauv sandbox, hauv kev thauj mus los hauv pej xeem, ntawm txoj kev, thiab lwm yam. Txawm li cas los xij, txhawm rau kom cov kab mob pathogenic tuaj yeem pib cuam tshuam tsis zoo, xav tau kev tiv thaiv tsis muaj zog.
Sab nraud ua rau muaj kev nkag mus rau cov kab mob hauv lub cev yog cov uas ua rau daim tawv nqaij puas. Ntawm lawv:
- raug mob, txiav thiab khawb;
- tas li rub daim tawv nqaij nrog khau lossis khaub ncaws;
- mob tshwm sim los ntawm khawb los ntawm cov menyuam yaus ntawm kab tom lossis mepob khaus;
- kev tu cev tsis zoo uas ua rau muaj kev sib kis ntawm daim tawv nqaij;
- thaiv ntawm qog sebaceous;
- kab mob ntawm daim tawv nqaij los ntawm kev ua xua.
Internal Causes
Txhua tus niam txiv yeej paub zoo tias cov menyuam feem coob muaj cov tawv nqaij microtraumas. Txawm li cas los xij, lawv tsis tsim furunculosis. Qhov tseeb yog hais tias tus txheej txheem ntawm kev tsim ntawm no pathology yog heev nyuaj. Tom qab tag nrho, kuj muaj qhov ua rau sab hauv ntawm furunculosis. Thiab kev kho mob (cov duab hauv cov menyuam yaus ntawm pustules tau nthuav tawm hauv tsab xov xwm) kuj tseem yuav tsom rau kev tshem tawm lawv. Cov laj thawj sab hauv no suav nrog:
- kev tiv thaiv tsis zoo;
- kab mob hauv plab hnyuv ntawm hom mob ntev, suav nrog dysbacteriosis;
- tsis ua haujlwm hauv cov txheej txheem metabolic;
- ntau yam kab mob endocrine, suav nrog ntshav qab zib;
- kab mob ntawm lub paj hlwb;
- hypovitaminosis;
- ntshav ntshav (anemia);
- lub cev qaug zog los ntawm kev noj zaub mov tsis txaus (kev noj zaub mov tsis zoo hauv cov menyuam yaus, anorexia hauv cov hluas);
- ua haujlwm tsis tu ncua (lawv qee zaum pom hauv cov menyuam kawm ntawv uas koom nrog kev ua kis las ntau dhau);
- nquag hypothermia lossis overheating;
- lub cev tsis muaj zog tom qab tus menyuam muaj mob hnyav.
Kev phom sij ntawm furunculosis
Kev txiav txim los ntawm kev tshuaj xyuas ntawm cov kws kho mob, qhov kub hnyiab hauv thaj tsam ntawm daim tawv muag, ntawm qhov ntswg, ntawm lub plhu, ntawm caj dab lossis ntawm tawv taub hau yuav tsum muaj kev txhawj xeeb tshwj xeeb rau cov niam txiv. Qhov tseeb yog hais tias xws li kev npaj yog nqaKev pheej hmoo ntxiv ntawm kev tsim sepsis lossis kab mob hauv lub hlwb.
Ib qho npauj npaim nyob ntawm ceg, ntawm caj npab thiab ntawm lub cev, tsis deb ntawm cov qog ntshav thiab cov hlab ntsha, kuj ua rau muaj kev phom sij. Tseeb tiag, nyob rau hauv cov ntaub ntawv no, muaj ib tug ntau ntawm cov kua paug nkag mus rau hauv lymphatic los yog cov hlab ntsha, uas ces kis tau sai heev thoob plaws lub cev.
Kev txiav txim los ntawm cov lus tawm tswv yim los ntawm cov niam txiv, ntau tus ntawm lawv tsis nkag siab tias tus kab mob nkag mus rau hauv lub cev li cas. Qhov no tau piav qhia yooj yim heev. Pus los ntawm lub qhov ncauj qhov ncauj tawm los. Yog hais tias lub boil yog tob, ces nws tawg sab hauv, uas yog ib tug prerequisite rau kab mob ntawm lub cev.
Qhov kev mob tshwm sim no ua rau muaj kev phom sij rau cov menyuam mos thiab menyuam mos. Yog li ntawd, cov menyuam yaus no raug kho hauv tsev kho mob. Cov menyuam loj dua raug kho tom tsev.
Cov teeb meem txaus ntshai heev tuaj yeem tshwm sim thaum tsis kho lossis yog tias nws raug sau tseg tsis raug. Tom qab tag nrho, qhov no yog fraught nrog qhov tshwm sim ntawm kev qaug cawv ntawm lub cev thiab ntshav lom, uas tuaj yeem ua rau tus menyuam tuag.
Ntxiv rau, furunculosis tuaj yeem ua rau:
- purulent lesions ntawm lub hauv nruab nrog cev;
- ntshav txhaws tiv thaiv cov qog ntshav qis;
- lwm yam pathologies ntawm lymphatic system.
Qhov tshwm sim ntawm tus poj niam thaum cev xeeb tub yog qhov txaus ntshai tsis yog rau nws xwb, tab sis kuj rau nws tus menyuam hauv plab. Cov kab mob no ua rau txo qis kev tiv thaiv kab mob, uastxhawb txoj kev nkag mus rau hauv lub cev, ua rau:
- abscess;
- sepsis;
- meningitis;
- mastitis tom qab yug me nyuam;
- lymphadenitis.
Muaj feem ntau yuav tshwm sim tsis zoo rau tus menyuam. Furunculosis thaum cev xeeb tub yog tshwj xeeb tshaj yog txaus ntshai nyob rau hauv thawj peb lub hlis twg ntawm kev loj hlob ntawm fetus, thaum lub sij hawm tseem ceeb tshaj plaws thiab lub cev ntawm tus me nyuam pw. Cov txheej txheem inflammatory yog tshwm sim nyob rau hauv kev loj hlob ntawm ib co congenital pathologies nyob rau hauv tus me nyuam. Ntawm lawv:
- mob plawv;
- raum pathology;
- teeb meem nrog lub hauv nruab nrab paj hlwb.
Tom qab ntawd, tus menyuam yuav muaj kev loj hlob ntawm lub hlwb thiab lub cev. Yog hais tias furunculosis tshwm sim nyob rau hauv leej niam nyob rau hauv lub thib ob los yog peb lub hlis twg ntawm lub peb hlis ntuj 3, muaj ib tug siab tshwm sim;
- kev txhim kho ntawm placental insufficiency;
- qhov tshwm sim ntawm hypoxia;
- cev xeeb tub fading;
- preterm yug.
Nws tsis yog qhov txawv rau cov poj niam uas muaj furunculosis thaum cev xeeb tub kom yug me nyuam mos uas muaj mob meningitis thiab mob ntsws.
Kev tshem tawm cov pustules hauv cov menyuam mos
Kev kho mob furunculosis hauv cov menyuam yaus hnub nyoog qis dua ib xyoos yuav tsum tau pib ntawm theem infiltration, tom qab sab laj nrog kws kho mob. Cov niam txiv yuav tsum paub tias cov tshuaj hauv tsev xws li ua kom sov yog qhov txaus ntshai heev rau cov menyuam mos. Cov txheej txheem zoo li no tuaj yeem ua rau cov tshuaj ntsiav qhib, vim tias cov kab mob pathogenic yuav pib kis thoob plaws lub cev. Nws tseem tsis tuaj yeem koom nrog hauv kev nyem tawm purulenttsim. Koj yuav tsum tos kom lawv dhau lawv tus kheej.
Yuav ua li cas kho furunculosis hauv cov menyuam yaus hnub nyoog qis dua ib xyoos? Rau cov me nyuam no, tag nrho cov kev ntsuas kho mob tau sau tseg raws li daim duab kho mob. Nyob rau tib lub sijhawm, tus kws kho mob menyuam yaus yuav siv sij hawm rau hauv tus account theem ntawm kev loj hlob ntawm lub cev thiab cov xwm txheej ntawm tus menyuam.
Txawm hais tias ua rau furunculosis, kev kho cov menyuam yaus thiab cov menyuam yug tshiab yuav tsum pib nrog lawv cais tawm ntawm qhov chaw kis kab mob. Ua ntej sib cuag nrog tus menyuam, cov neeg laus yuav tsum tau ntxuav tes kom huv si, hnav cov khau huv si thiab khaub ncaws hauv tsev. Nws kuj raug pom zoo kom hnav cov ntaub qhwv ntsej muag. Dab tsi yog vim li cas rau kev ceev faj? Qhov tseeb yog tias, txiav txim los ntawm kev tshuaj xyuas ntawm cov kws tshaj lij, ntau tus neeg laus, tsis paub nws, yog cov neeg nqa khoom ntawm Staphylococcus aureus. Tau kawg, nws tsis muaj kev phom sij rau lawv. Tab sis yog tias tus kab mob kis rau tus menyuam muaj mob, nws yuav ua rau nws tus mob hnyav dua.
Tshuaj tua kab mob rau furunculosis hauv cov menyuam yaus yog ib yam uas yuav tsum tau ua hauv kev kho mob. Cov menyuam mos tau txhaj tshuaj. Cov kws kho mob qee zaum sau tshuaj tua kab mob rau lawv cov neeg mob me. Qhov no yuav ua kom puas tag nrho cov kab mob. Tsis tas li ntawd, cov tshuaj uas pab txo cov ntshav ntshav yog pom zoo. Lawv qhov kev ua txhaum ua rau cov ntshav txhaws uas tsim sai heev hauv cov menyuam mos, ua rau muaj kev loj hlob ntawm thrombophlebitis. Qee lub sij hawm, txhawm rau qhib cov pob txha hauv cov menyuam yaus, nws yog ib qho tsim nyog yuav tau ua kev phais. Cov kws kho mob tshem cov qhov txhab los ntawm kev tshem tawm cov ntaub so ntswg uas tau raug puas ntsoog thaum lub sij hawm inflammatory txheej txheem. Hauv qhov mob hnyav tshaj plaws, tus menyuam mosua ntshav.
Kev tshem tawm pustules hauv cov menyuam yaus tshaj ib xyoos
Kev kho mob furunculosis hauv cov menyuam yaus yog ua nrog kev siv tshuaj tua kab mob nkaus xwb thaum pustules tshwm rau ntawm lub ntsej muag lossis ntawm lub taub hau, nrog rau cov txheej txheem mob hnyav. Hauv lwm lo lus, yog tias tus menyuam tsis muaj qhov kub thiab txias, thiab qhov mob tsuas yog tshwm sim hauv cheeb tsam cuam tshuam, ces lawv tsuas yog txwv rau kev kho mob hauv zos ntawm qhov boil.
Kev loj hlob ntawm furunculosis hauv tus menyuam yuav tsum tau nrawm dua. Ua li no, ib daim ntaub ntub dej hauv ichthyol ointment lossis Vishnevsky balm yuav tsum tau siv rau qhov ua kom pom tseeb ntawm qhov mob 2 lossis 3 zaug thaum nruab hnub. Nws yog tsau nrog plaster thiab sab laug rau 2 teev. Ntau tshaj lub sijhawm no, koj tuaj yeem khaws cov ntaub qhwv tsis tau. Nyob rau hauv rooj plaub no, nws yuav ua rau overheating, uas yuav ua rau ib tug rupture ntawm lub capsule nrog purulent txheem.
Cov hnav khaub ncaws zoo li no tau ua kom txog thaum lub ntsej muag dawb-ntsuab, muag rau qhov kov, tshwm rau hauv nruab nrab ntawm qhov ua kom pom tseeb ntawm qhov mob. Ib qho piv txwv qhia txog kev loj hlob ntawm tus pas nrig purulent. Lub boil yuav tsum qhib rau nws tus kheej. Tom qab ntawd, nws lub hauv paus yuav pib tsis lees paub.
