Phlegmon wa phazi mu shuga mellitus: chithunzi ndi chithandizo

Mapangidwe a purcin osakaniza ndi kutupa amatchedwa phlegmon. Kulowerera kumalowa kudzera pakhungu. Matenda oyamba ndi fungus amathanso kuyambitsa matendawa. Kutengera milimo ya wodwala komanso kukana kwa thupi, matenda amafalikira. Kodi ma phlegmon paphazi amakhala ndi mavuto otani, momwe angachitire bwino?

Kutupa kwa adipose minofu chifukwa cha tizilombo tating'ono ndipo popanda malire kumatchedwa phlegmon.

Chomwe chimayambitsa kuwoneka kwa ma phlegmon kumapazi ndi mabala opundula, kukula kwa chimanga, nthawi zambiri kutupa kwa minofu yolowera kumayambitsidwa ndi shin phlegmon. Mosiyana ndi chithupsa, masamba a purulent samadziunjikira malo amodzi, koma amafalikira mpaka minofu yakuya, alibe shaft.

Zizindikiro za matendawa zitha kutchulidwa kapena kufunsa kuti mudziwe zina.

Poyerekeza ndi kumbuyo kwa chifanizo chomwe chilipo, phlegmon wa chala chake nthawi zambiri chimayamba. Popanda zofunikira, matendawa amafalikira kumankhwala oyandikana nawo.

Ndikofunikira. Popeza mwazindikira zizindikiro zoyambirira za kutupa, muyenera kufunsa dokotala kuti mupeze zifukwa zoyambirira ndi kupereka chithandizo china.

Zoyambitsa phazi logon

Choyambitsa chachikulu cha matendawa ndi matenda ashuga ndikuchepa kwa kayendedwe ka shuga m'magazi. Ndi hyperglycemia, pafupifupi zimakhala zonse zamthupi zimavutika, ndipo mitsempha yaying'ono yamitsempha ndi mathero amitsempha am'munsi oyamba kumene. Chifukwa chake, wodwalayo amataya chidwi m'miyendo, amatha kuvala nsapato zomwe sizili kukula kwake komanso nthawi yomweyo osamva bwino.

Kuphatikiza apo, phlegmon imagwirizana kwambiri ndi zodabwitsa monga mphete yam'mimba. Mu pathological mkhalidwe, kuwonongeka kwa arterioles kumachitika, pamakhala kutayika kwa maulalo:

Izi zotupa mwachizolowezi nthawi zambiri kumakhala kuyambika kwa kuperewera kwamatenda a mtima, kumakhudza zomwe zimakhala zimakhala.

Ndi phlegmon ya phazi, ngati ikukula motsutsana ndi maziko a matenda a shuga, minofu imayamba kusokonezedwa ndi michere ndi mpweya, kenako ischemia ndi kufa zimadziwika. Komanso kuopsa kwa kutulutsa kwamphamvu kwa minofu kungakhale zingapo, zimachitika kuti pakubwera gulu lalikulu la minofu kapena zala zingapo nthawi imodzi.

Kuphatikiza apo, kusokonezeka kwa metabolic kumakhala chinthu chodziwikiratu cha atherosulinosis yamitsempha yayikulu, chifukwa chodabwitsa cha kupangidwako kwa mapepala m'mitsempha yamagazi omwe angaletse magazi kulowa. Ndi kukula kwa matendawa, njira ya necrotic imaphatikizapo:

• madera akulu amisempha
• phazi kwathunthu.

Tiyenera kumvetsetsa kuti phlegmon ndi matenda oyipa a etiology yotupa. Amayamba chifukwa cha kuwonongeka kwa minofu yakufa, yomwe ndi malo abwino kwambiri oti mabakiteriya azikhala ambiri.

Popeza phlegmon imawoneka ndendende ndi zotupa zamiyendo zophatikizana ndi magazi osakwanira, kuwonongeka kwa minofu yofewa sikungatchedwe kuti koyambirira. Pafupifupi nthawi zonse, kupulumutsa moyo wa munthu, ndikofunikira kuchotsa minofu yowonongeka, ndipo nthawi zina mkono wonse. Ndi njira iyi yomwe titha kuyimitsa kufalikira kwa kutupa kwa purulent.

Phlegmon sindiwo matenda opatsirana, popeza mavairasi amapezeka mu zigawo zakuya za minofu, matenda amtunduwu amasiyana ndi impetigo, momwe maluwa a pathogenic amapezeka pansi.

Zizindikiro za matendawa

Chizindikiro chachikulu chomwe odwala amalabadira ndicho kupweteka kwambiri m'chiwalo ndi kumva kudzaza kuchokera pansi. Amakulirakulira poyenda ndikukankha.

Kuphatikiza apo, wodwala amadwala:

• Kutupa kwa phazi, pomwe phazi lake limasungunuka, lomwe limawonekera kwambiri poyerekeza ndi mwendo wachiwiri.
• kutentha kuwonjezeka pamalo lesion,
• Khungu labisikiratu, m'malo ena (pafupi ndi zala) khungu limawala.
• kupezeka kwa kusinthasintha chifukwa cha kuchuluka kwa mafinya,
• kutupa kwa zamitsempha pansi pa mawondo ndi kubuula,
• kufooka wamba ndi mphwayi,
• thukuta ndi ludzu.

Kusinthasintha kumadziwika mukamayesa kufinya phazi, pomwepo ndikumverera kuti pali madzi omwe akuyenda.

Izi zimachitika chifukwa cha kusowa kwa kapisolo mu phlegmon, chifukwa chomwe mafinya amadzaza mu minofu. Milandu yokhazikika imakhala ngati malire ake.

Popanga matenda enaake, matendawa amatha kukhala kuti palibe. M'malo mosinthasintha, wolowerera wolimba wosasinthika wamtundu amapezeka kumapazi. Khungu pamwamba pa phlegmon limakhala cyanotic (onani chithunzi).

Njira zoyendera

Kuti adziwitse matenda, dokotala ayenera kutola anamnesis, kuyezetsa wodwalayo ndikupereka njira zodziwira matenda.

Malingaliro akulu amapangidwa pakuyang'ana ndi palpation ya omwe akukhudzidwa, komabe, kuti atsimikizire matendawa, adalembedwa:

1. Kuyesedwa kwa magazi, ngati mulingo wa ESR ukuwonjezeka - izi zimatsimikizira kupezeka kwa njira yotupa.
2. Kusanthula kwa zomwe zili mu phlegmon, kwa iye, kapangidwe kamatengedwa pamapangidwe ndi syringe, zomwe mkati mwake mumayesedwa. Ngati madzi achikasu achikasu ali mu syringe, izi zikuwonetsa kukhalapo kwa mafinya.
3. Kafukufuku wamadzimadzi omwe adayamba kuzindikiritsa tizilombo toyambitsa matenda komanso kusankha mankhwala oyenera.

Pambuyo pozindikira moyenera, chithandizo chamankhwala kapena opaleshoni chimalembedwa.

Chithandizo ndi zotsatira zake

Chithandizo cha kutupa kwa minofu yofewa ya kumapazi ndi njira yayitali komanso yopweteka. Mulinso njira zingapo, zingapo zazikulu zomwe zimachitidwa opareshoni. Kwa odwala matenda a shuga mellitus, kusokonezedwa kulikonse ndi kukhulupirika kwa minofu kumakhala kowopsa, popeza njira yochiritsira ndiyosachedwa komanso yosauka.

Pochita opaleshoni, ndikofunikira kuti muchepetse shuga komanso kuti ikhale yotsika nthawi yonse yochira. Chifukwa cha izi, mapiritsi a insulin apamwamba nthawi zambiri amagwiritsidwa ntchito, kuphatikiza kwa anthu omwe akudwala matenda a shuga.

Opaleshoni palokha imachitika pansi pa opaleshoni yayikulu. Dokotala amapanga minyewa kulowerera pamalo achitetezo cha mafinya, amachichotsa, komanso ndi minofu yakufa. Kenako ikukhazikitsa ngalande popanda suturing.

Chilondacho chimabwezeretseka ndi cholinga chachiwiri.

Kuchita opareshoni ndikovuta, chifukwa pali kuchuluka kwamitsempha yamagazi, mathero amitsempha ndi tendons kumapazi.

Ndikofunikira kuti dokotalayo asamuwononge, koma kuti ayeretse bala.

Pochiritsa, ngalande zimasintha pafupipafupi, ndipo bala limathandizidwa ndi antiseptics ndi maantibayotiki kuti muchepetse chiopsezo cha matenda atsopano ndikuchotsa edema ndi kutupa.

Mwendo, monga lamulo, wakhazikika kwa milungu ingapo, kuti wodwalayo asawononge minofu yomwe idasokonekera, ndipo njira yobwezeretsanso kwawo idapita kumanja.

Mofananamo, mankhwalawa amagwiritsidwa ntchito, kuphatikiza:

1. Maantibayotiki, choyamba amakhala othandizira pazamaleza othandizira kuchepetsa kutupa ndi kupewa matenda atsopano, ndiye kuti mankhwalawa amagwiritsidwa ntchito kwambiri omwe amagwiritsidwa ntchito pamtundu wa microorganism womwe umapangitsa kuti phlegmon.
2. Ma analgesics, amagwiritsidwa ntchito kuchepetsa ululu wa postoperative ndikuchira wodwala mwachangu. Zitha kugwiritsidwa ntchito ngati jakisoni, mafuta ophikira kapena mapiritsi.
3. Mankhwala a antitoxic omwe amapangidwa ngati ma dropers, omwe mkati mwake mumatsuka thupi la zinthu zopanda pake.
4. Olimbikitsa, othandizira, othandizira, othandizira, othandizira, omwe amapanga mphamvu zolimbitsa thupi ndi ma protein a mineral omwe amalimbikitsa kamvekedwe ka thupi.

Kuchira kwathunthu kumatenga miyezi ingapo, pomwe bala limachiritsa ndi minofu yake. Wodwala, monga lamulo, amapatsidwa gawo logona, ndipo mwendo umakhala pamalo okwera kuti madzi owonjezera atuluke.

Kuti muchepetse kuchiritsa kwa mabala, mafuta a methyluracil kapena gelisi ya Troxevasin amagwiritsidwa ntchito. Mafuta a Iruxol ndi zinthu zina zokhala ndi ma enzymes amagwiritsidwa ntchito pochotsa minofu yomwe yamwalira.

Ngati mabala okhazikika bwino ndi zofooka zazikulu, dermoplasty imagwiritsidwa ntchito, pomwe zofooka izi zimabisidwa.

Ngati ndi kotheka, ndalama zitha kugwiritsidwa ntchito pokhalanso ndi mtima wabwino. Kumwa zamadzi zambiri kumalimbikitsidwanso kuti athandizire kuchoka kunja mwachangu.

Pambuyo pa chithandizo, wodwalayo amafunika kuvala nsapato zamadzimadzi, zomwe zingalepheretse kulowereranso kwa kachilomboka.

Pomwe matendawa adapezeka koyambirira, opareshoni sangafunike ngati wolowererayo sanapangike. Kenako wodwalayo adapangidwa kuphatikiza ndi mafuta enaake achikasu a mandimu kapena njira zamafuta.

Ngati sichinapatsidwe, phlegmon ya phazi ingayambitse:

1. Kufalikira kwa matenda mu mtima wamiyendo ndi mapangidwe a phlebitis ndi thrombophlebitis.
2. Kufalikira kwa matenda oyenda ndi magazi mthupi lonse, zomwe zimapangitsa kuti sepsis kapena poizoni ayambe kudwala.
3. Kusintha kwa purulent njira mu fupa minofu, amene ali ndi chopangidwa ndi osteomyelitis.
4. Pakukula kwa purosesa yachilendo komanso yachilendo, imafalikira m'chiwalo chonse ndikuwoneka kuti ndi gangore, kuchotsa komwe kumafuna kudula dzanja.

Ndikosatheka kuchitira matenda ngati phlegmon kunyumba kokha. Izi zimatha kubweretsa kukula kwa matenda komanso kutayika kwathunthu kwa miyendo, komanso m'malo ovuta kwambiri, mpaka kufa.

Kanema kuchokera kwa katswiri:

Malangizo othandiza

Kupewa kwa phlegmon ya phazi kumaphatikizapo njira zosavuta zomwe ziyenera kutsatiridwa ndi onse, makamaka anthu odwala matenda a shuga. Choyamba, ayenera kupewa kuvulala kwamadera osiyanasiyana, ngati abrasions, awachitira ndi mankhwala ophera tizilombo. Ndipo thirani matenda aliwonse opatsirana mpaka mutachira kwathunthu. Gwiritsani ntchito nsapato zomasuka komanso zowoneka bwino zomwe sizimayambitsa chimanga ndi kutikita.

Nthawi yomweyo, ndikofunikira kuwongolera kuchuluka kwa shuga m'magazi ndikupewa mfundo zake zapamwamba. Pa izi, kuyezetsa magazi pafupipafupi kwa shuga ndikutsatira chithandizo chamankhwala kumatenga gawo lalikulu.

Kuti magazi azithamanga m'magawo am'munsi, ndikulimbikitsidwa kuchita masewera olimbitsa thupi, omwe amapangidwira wodwala aliyense payekhapayekha, kutengera kulimba kwa thupi.

Ndikofunikanso kulimbitsa chitetezo cha mthupi mwa kuwona moyo wabwino komanso kumwa mavitamini. Izi zikuthandizira thupi kuthana ndi ma virus okhala ndi mayesero kuyesera kulowa mkati.

Nthawi yoyamba kuwonekera kwa zizindikiro za phlegmon, muyenera kufunsa dokotala yemwe akupatseni mankhwala. Mulimonse momwe mungakhalire musamayeserere.

Zimayambitsa matendawa, matenda

Chiwopsezo chachikulu cha kutukusidwa kwa minofu ndi anthu omwe amatupa pafupipafupi. Awa ndi, monga lamulo, odwala matenda a shuga a m'mellitus, makamaka omwe akuvutika ndi mitundu yake yayikulu, akumatenga Mlingo waukulu wa insulin.

Mawonekedwe owuma kwambiri a phlegmon phazi, amapangika pakokha. Cholinga chakutupa chikhoza kukhala chapamwamba kwambiri kapena chakuya.

Mabakiteriya omwe amalowa mkati mwa minyewa yolumikizira amayamba kuchuluka, amachititsa kutupa. Tizilombo tating'onoting'ono tambiri ndi staphylococcus ndi streptococcus, ocheperako, hemophilic bacillus ndi mabakiteriya ena.

Kwa mawu. Popeza kutupa kumachitika pakatikati kakhungu, phlegmon yotsekeka sichapatsirana.

Zomwe zimayambitsa matendawa:

• kuchepa kwa chitetezo chamthupi (HIV, kugwiritsa ntchito mankhwala ena),
• matenda ashuga
• kutupa kosatha
• kuwonongeka kwa epidermal wosanjikiza ndi zimakhala zofewa.

Mu anthu akuvutika ndi kuphwanya chakudya, kufooka kwa mtima kumachitika, chitetezo chokwanira komanso ntchito yoteteza khungu. Zotsatira zake, kupindika kwa phazi m'magazi a shuga kumatha kungowononga miyendo, komanso kumabweretsa zovuta zina, ngakhale kufa.

Chithandizo cha zotupa pakudwala kwa matenda ashuga ndizovuta, chifukwa amafunika kubwezeretsanso magazi ku minofu

Kumbukirani. Nthawi zina, maonekedwe a phlegmon amakhumudwitsa malowedwe pansi pa khungu osati tizilombo tating'onoting'ono tokha, komanso mankhwala (petulo, turpentine).

Cholinga cha kutupa sikungazunguliridwe ndi kapisozi kakakulu. Ndondomeko ya necrotic, yolowera malo amitundu yosiyanasiyana, imaphimba gawo lalikulu phazi. Nthawi zambiri, gangrene amakula pamalo omwe akhudzidwa ndi vutoli, makamaka ndi matenda ashuga. Kuthandizira bwino kwa phlegmon ya phazi kumaletsa kufalikira kwa matenda.

Kuyendera kowoneka m'dera lomwe lakhudzidwalo kumathandizira dokotalayo kuti azindikire msanga ngati zizindikiro zikuwoneka pansipo. Ngati phlegmon ndi yakuya, kuyesedwa kwa X-ray, ultrasound, MRI, CT kapena kupyoza kwa pathological focus kumafunika.

Njira zochizira

Chithandizo chachikulu cha phlegmon ya phazi ndi opaleshoni.

Popeza tizilombo tomwe timayambitsa matenda tili aukali, kungopita kwa dotolo ndi komwe kungathandize kuti matenda asafalikire.

Ndikofunikira. Popeza kuti kuduladula miyendo ndikuchita pambuyo pake, pamafunika kufunsa kuchipatala msanga momwe njira yotupa yoyipa isanakhudzire ziwalo zozama.

Pa gawo loyambirira la matendawo, mpaka atalowa mkati, mutha kuthana ndi matendawa osayang'ana kumbuyo. Wodwalayo amamuthandiza physiotherapeutic njira ndi mankhwala othandizira omwe amakhala ndi matenda a lipid komanso amathandizira kuchepetsa kupezeka kwamitsempha.

Ma analgesics sayenera kugwiritsidwa ntchito musanapite kwa dokotala, chifukwa kulephera kupweteka kumapangitsa kuti zikhale zovuta kudziwa phlegmon munthawi yake.

Chovuta ndikuchiza matenda a diabetesic phlegmon. Dokotala amawulula zonse zoyipa za purulent foci ndikuwonetsa minofu yakufa. Maantibayotiki amphamvu amaperekedwa kwa wodwala. Zikakhala kuti zikuyenda bwino, njira zina zimachitika ndikulinga magazi. Pambuyo pa opaleshoni ya mtima, ma pulasitiki okonzanso amapangidwa kuti apange phazi.

Kwa mawu. Opaleshoni ya opaleshoni, yomwe kutuluka kwa purulent mkati kumachitika, amachitidwa pansi pa opaleshoni yayikulu.

Autopsy ya phlegmon ya phazi imagwiridwa kuti isawononge ziwiya ndi mathero amitsempha, komanso kuti athe kupeza kutulutsa kwatsopano.

Pambuyo poyeretsa ndi kukoka patimayo, ma compress omwe amakhala ndi maantibayotiki amaikidwa pachilondacho. Kuchiza kwanuko kumayendetsedwa ndi kulimbikitsa chitetezo chokwanira komanso kulimbana ndi matenda opatsirana. Intramuscularally kuperekedwa painkiller, maantivitamini, mavitamini ndi othandizira othandizira. Kuti muchepetse kutentha ndi kupweteka, antipyretic mankhwala ndi analgesics ndi mankhwala. Kubwezeretsa kwa postoperative kumatha miyezi ingapo.

Kuti muchepetse kukanidwa kwa minofu yakufa, mafuta a Iruxol kapena zinthu zina zokhala ndi ma enzymes zimagwiritsidwa ntchito. Mafuta a Methyluracil kapena Troxevasin ali ndi zotsatira zabwino pakuchira kwa mabala.

Popewa kufalikira kwa matenda, kugwiritsa ntchito ma compress ofunda ndi koletsedwa

Pazithandizo zakupambana ndi kuteteza dzanja, wodwalayo atachira amafunika kuvala nsapato zamadzimadzi, zomwe zimachepetsa katundu pachimake cha miyendo, komanso kupewa kupangika kwa chafing, komwe nthawi zambiri kumayamba kutupa ndi kukonzanso kwa phlegmon.

Ndikofunikira. Pofuna kupewa zovuta komanso kusintha kwa matendawa m'njira yayikulu, wodwalayo ayenera kutsatira malangizo onse a katswiri nthawi yonse yomwe akuchira.

Zovuta zotheka

Kutenga, kufalikira ndi magazi ndi zamitsempha zamakono, kumawopseza zovuta zingapo:

• Matenda opatsirana omwe amapezeka m'munsi mwa nthambi pakapita nthawi imaphimba dongosolo lamatumbo ndipo limayambitsa kukhazikitsidwa kwa phlebitis ndi thrombophlebitis,
• Pakakhala njira yoyeretsa kusintha mafupa, mafupa amayamba,
• nthenda yotchuka m'thupi imatsogolera ku sepsis ndi poizoni wazakudya.
• purulent-yotupa ndi necrotic njira, kuwuka, kungayambitse kudulidwa kwa phazi kapena mwendo wonse.

Chimodzi mwamavuto owopsa a phazi la matenda ashuga ndi phlegmon. Kulumikizana ndi nthawi yake kumathandizira kuti phazi lanu lipite.

Ndikofunikira. Kukula kopambana kwa matendawa kumatengera chithandizo cholondola komanso chapanthawi yake.

Njira zopewera

Kuti muchepetse chiwopsezo cha mapangidwe a phlegmon, kumalimbikitsidwa kulimbitsa chitetezo cha mthupi, kuchitira zilonda zamkhungu (zithupsa, ma carbuncle) munthawi yake, kuthetsa matenda oyamba a bakiteriya ndikuyambitsa kagayidwe. Pankhani ya kuvulala kapena abrasion yaying'ono, ndikofunikira kuchitira mosamala malo omwe akhudzidwa ndi antiseptic agents.

Phlegmon wa phazi mu shuga mellitus: chithunzi ndi chithandizo

Ngati phlegmon ikukula m'matenda a shuga, izi zimapangitsa kuti mankhwalawa azidwala. Chotupa choterocho nthawi zambiri chimayambitsa kukula kwa gangren, komwe kumangodulidwa gawo lolumikizidwa.

Phlegmon ndi njira yotupa yoyipa yomwe imakhudza minofu yamafuta. Nthawi zambiri, zotupa zoterezi zam'munsi ndizochulukirapo, mosiyana ndi abscess (mawonekedwe odziwika bwino a purion lesion), phlegmon imakonda kufalikira, ilibe malire.

Kutupa kwa purulent, kukayamba motsutsana ndi maziko a matenda ashuga, kumakhala chifukwa chazomwe zimayambitsa matenda amitsempha yamagazi.

Chovuta chamankhwala ndicho chakuti phlegmon ndi yachilengedwe mwachilengedwe, singathe kuyimitsidwa popanda kubwezeretsa magazi ndi kupangika kwa minofu. Pachifukwa ichi, chithandizo chiyenera kukhala chokwanira.

Zizindikiro za magawo osiyanasiyana

Phlegmon wa phazi ndi matenda ashuga amakula nthawi zambiri mwa akazi azaka zopitilira 30, nthawi yayitali ya matenda amakhala osachepera zaka 6. Matendawa atha kukayikiridwa ndi zizindikiro zosiyanasiyana, choyambirira, wodwala matenda ashuga amawonjezera kuchuluka kwa odwala matenda obwera chifukwa cha kuperewera kwa zakudya m'thupi komanso kusadziletsa m'deralo.

Ngati mawonetseredwe oyamba a matenda atiyamba, timafunika kuchitapo kanthu mwachangu momwe tingathere pochotsa zotupa za phazi, kukonza mkhalidwe wa minofu yofewa.

Pamene matendawa akuipiraipira, ndikuwazindikira matenda a shuga, zizindikiro zimawonedwa: kupweteka kwa kuphatikizana kwa zala, kusinthika kwake, kuziziritsa kwamapazi, hyperemia, kutupa kwa minofu, kutsekeka kwa khungu, kufinya keratinization. Pambuyo pake matendawa, malo omwe phlegmon amapezeka, mawonekedwe a purulent amachoka. Pakulupuka kwa mbali zina za phazi, kupweteka kwambiri kumamveka.

Ndikofunika kudziwa kuti nthawi zambiri, matendawa amakula msanga, kuwonjezera pazizindikiro, odwala matenda ashuga amawona zizindikiro za kuledzera kwa thupi. Kupha poizoni kumachitika chifukwa cha kuwonongeka kwa minyewa ya miyendo ndi tizilombo tating'onoting'ono.

Zina zomwe zimadziwika phlegmon ndi:

• kuchuluka kwamphamvu kwa kutentha mpaka madigiri 40 ndipo kupitilira apo,
• kufooka m'thupi
• mutu
• kulumikizana
• kuzizira
• tachycardia.

Nthawi zina, odwala amawona kuwonjezeka kwa ma lymph node, matenda a matenda ashuga.

Pamene pathological process yophimbidwa ndi chigamba cha khungu, kutupa kwamadzi amkati kumayenda kwambiri mkati mwa minofu, chikhazikitso pamwambapa chimatha kukhala ndi chosilira.

Ngati palibe njira zomwe zimatsatidwa, chipangizocho chimagwira masamba ochulukirachulukira, ndikupangitsa kuledzera kwamphamvu, kuwonongeka msanga muumoyo.

Zosiyanasiyana zamapazi a phhlegmon

Phlegmon ikhoza kukhala yamitundu yosiyanasiyana, phlegmon yapadera kumbuyo, subcutaneous, medial ndi lateral.

Phlegmon wamsana amakula chifukwa cholowerera bacteria wa pathogenic. Izi zimatha kupezeka minofu, zopweteka pakhungu. Pankhaniyi, phlegmon ikhoza kuyambitsa redness, khungu limapeza mawonekedwe osakhala achibadwa komanso osasangalatsa. Mwendo umayamba kukula kwambiri, kutupa kwambiri. Ngati palibe njira zomwe zimatengedwa, purosesa imapita kumatenda amiyendo am'miyendo.

Ndi subhleaneous phlegmon, madera akuluakulu khungu limawonongeka, amachepetsa, kutupa, ndikuwonjezeka ululu. Woopsa milandu:

1. Kutseguka kwamkati mwa chipale chofukizira kumadziwika,
2. Matenda opatsirana minofu yathanzi ndikofunikira.

Mtundu wowopsa wa matenda ndi zamankhwala, nkovuta kuzindikira kuti ndi nthawi yake. Popanda chithandizo, kutupa kwamkaka kumafalikira kumasamba abwinobwino. Mtunduwu ukhoza kusiyanitsidwa ndi zotupa za pamendo; pamenepa, zimatchulidwa. Pokhapokha kukulira ululu, tikulankhula za kufalikira kwa matendawa kuzama zigawo za minofu.

Fomu yotsimikizika ndiyinso yovuta kudziwa, makamaka pa magawo oyamba a chitukuko. Pathology imakhudza mwachangu minofu yathanzi. Zizindikiro zokhala ndi ofananira nawo mawonekedwe ndizofooka, kutupa, kufupika ndi kutupa ndizochepa. Chizindikiro chokha chomwe chingawonetse kuti ndi matenda ndi kupweteka, kukulitsidwa ndi kukakamizidwa, kuyenda.

Ululu wam'mimba ulibe kanthu, popeza miyendo yam'munsi imakutidwa ndi khungu lakuda, m'mbali iyi ya thupi pali mathero ochepa a mitsempha.

Njira zopewera

Kuletsa kukula kwa phlegmon ya phazi ndikosavuta komanso kosavuta kuposa kuchitira mankhwala okwera mtengo. Njira zopewera ndi zosavuta, amabwera kudzacheza ndi dokotala ngati akukayikira mavuto amakhungu omwe ali ndi matenda ashuga.

Chidziwitso china ndikusintha nsapato zikavuta pamene mukuyenda. Vala yatsopano, yapamwamba kwambiri yokhala ndi insole yofewa iyenera kugulidwa, nsapato zoyenera odwala matenda ashuga azipangidwa kuti azilamula, poganizira mawonekedwe a phazi.

Tisaiwale za kuchuluka kwa chitetezo chokwanira, ndikofunikira kudya masamba okwanira ndi zipatso, nthawi zambiri kuyenda mumlengalenga, komanso pang'ono pang'ono.

Kuchepetsa chitetezo chamthupi chitha kugwiritsa ntchito mankhwala osokoneza bongo.

Zotsatira zake, zimakhala zovuta kwambiri kuthana ndi phlegmon, maantibayotiki amangokhala osagwira, matenda atha kupitiliza kupita patsogolo chifukwa cha kukana kwa kukana.

Osati gawo lomaliza lomwe limaperekedwa kuchokera ku ukhondo wam'munsi, miyendo iyenera kusungidwa kuti isakhale yozizira.

Izi zimachepetsa mwayi wowonongeka kwa mafangayi, kulowa kwa microflora ya pathogenic mu minofu kudzera muming'alu ndi abrasions.

Ngati kuwonongeka kotereku kwawonekera, nthawi zina popewa zovuta zaumoyo ndikukwanira kuchitira bala ndi mankhwala osokoneza bongo kapena oledzera.

Monga matenda aliwonse, phlegmon imafuna kudziyang'anira nokha, thanzi lanu, chithandizo choyenera komanso chapanthawi yake. Kupanda kutero, njira yotupa yoyenga ikuyenda bwino, tsiku lililonse limachepetsa mwayi wopulumutsa dzanja ndi moyo.

Phlegmon phazi - kuthekera kwa shuga

Matenda a shuga ndi oopsa osati kokha mwa kuwonetsa mwachindunji momwe angawonongere bwino, komanso chifukwa cha ntchito ya ziwalo zina.

Chifukwa chake, kuwonongeka kwa mtima wam'mapazi m'dera la phazi kumabweretsa kukula kwa gangrene ndi phlegmon.

Zomwe zimachitika

Matenda a shuga ndi matenda ochitika mwadongosolo, ndiye kuti, akukhudza thupi lonse, motero, zomwe zimapangitsa kuti pakhale zovuta za matenda ashuga ndi izi:

• kuwonongeka kwa maginidwe amanjenje amanjongo,
• kuwonongeka kwa bedi lamitsempha lamthupi: kugontha kwamitsempha,
• kuchepa mphamvu yoteteza thupi,
• Kusintha kwa kagayidwe kazigawo minofu: shuga wowonjezera.

Chifukwa chake, potengera zakusintha pamwambapa, zomwe zimayambitsa kupezeka ndi kutukusika kwa phalagmon ya phazi ndi izi:

• matenda a pakhungu
• kudula, kudula, kusenda mabala,
• kuphatikiza mafoni
• microtrauma pamtunda,
• matupi akunja (zopindika),
• ingrown toenail
• mfuti zamapazi zamapazi.

Zina mwazonsezi zimakhala "chitseko" cholowerera mabakiteriya osiyanasiyana ndi kubereka kwawo kwotsatira komanso kusangalatsa kwa kutupa pamalowa. Omwe amagwiritsa ntchito matenda oopsa: staphylococci, streptococci, hemophilic bacillus.

Kukula kwa purulent kutupa motsutsana ndi matenda ashuga kumachitika mwachangu kwambiri ndikudziwonetsa:

• kuwonjezeka kwa kutentha kwa thupi mpaka madigiri 39 kapena kupitirira apo,
• kuyabwa pakhungu pakhungu,
• kufooka koopsa
• thukuta kwambiri
• kupweteka mukamakanikizika pamapazi poyeserera kapena kusuntha,
• kuchuluka kwa phazi,
• Kusintha kwa khungu kukhala kofiyira,
• kutentha kwanyengo: phazi lomwe lili pamalo a chotupa limatentha,
• kumverera kwamadzi kumapazi kukanikizidwa,
• glycemic kusakhazikika: hypo- kapena hyperglycemia, mpaka pa ketoacidosis.

Chiwonetsero chazomwe zimayambitsa kutupa kwakuya kwambiri chikuwonetsedwa mu chithunzi:

Pazizindikiro zoyambirira za matendawa, muyenera kuyendera dokotala mwachangu kuti adziwe njira zoyenera kuchitira mankhwalawo.

Zizindikiro

Kuzindikira kumakhazikitsidwa ndi:

Kwa zaka zambiri ndakhala ndikuphunzira za zovuta za DIABETES. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsa odwala matenda ashuga mellitus. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 100%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipilira mtengo wonse wa mankhwalawo. Ku Russia ndi mayiko a CIS odwala matenda ashuga kale Julayi 6 alandire mankhwala - ZAULERE!

1. Funsani wodwalayo bwino kwambiri.
2. Kuyendera komwe anakhudzidwa ndi phazi.
3. Mayeso owonjezera a labotale:

• kuyezetsa magazi kwaponseponse, momwe mumawonjezeka kuchuluka kwa leukocytes ndipo pali chiwopsezo chowonjezeka cha erythrocyte sedimentation rate (ESR),
• puncture yochokera puritive cholinga: kudzipatula kwa pathogen ndi kutsimikiza kwake chidwi ndi mankhwala.

Chithandizo cha makolo

Njira zochizira pamankhwala azachipatala zimadalira kukula kwa phlegmon, koma nthawi yomweyo, odwala onse ndi omwe amapatsidwa mankhwala a insulin.

Ndi chithandizo choyambirira cha wodwala wokhala ndi vuto la phazi, chithandizo chitha kuperekedwa pokhapokha ngati mukumulamula odana ndi yotupa kukonzekera ("Indomethacin", "Ibuprofen", "Diclofenac sodium", etc.), antibacterial ndalama ("Roxithromycin", "Azithromycin", "Ceftriaxone", "Aztreonam") ndi mankhwala, kusintha magazi (Trental, Dialipon). Mankhwalawa amaphatikizaponso njira zolimbitsa thupi komanso mankhwala akumaloko okhala ndi mafuta. Werengani zambiri za chithandizo cha mabala amiyendo osachiritsa pano.

Ndili ndi zaka 47, ndinapezeka kuti ndili ndi matenda ashuga a 2. M'masabata angapo ndinapeza pafupifupi 15 kg. Kutopa nthawi zonse, kugona, kumva kufooka, kuwona kunayamba kukhala pansi.

Nditakwanitsa zaka 55, ndinali nditadzibaya kale ndi insulin, zonse zinali zoipa kwambiri. Matendawa adapitilirabe, kukomoka kwakanthawi kunayamba, ambulansi imandibwezera kuchokera kudziko lina. Nthawi zonse ndimaganiza kuti nthawi ino ikhala yomaliza.

Chilichonse chinasintha mwana wanga wamkazi atandilola kuti ndiwerenge nkhani imodzi pa intaneti. Simungayerekeze m'mene ndimamuyamikirira. Nkhaniyi inandithandiza kuthana ndi matenda ashuga, omwe amati ndi osachiritsika. Zaka 2 zapitazi ndidayamba kusuntha zowonjezereka, nthawi yamasika ndi chilimwe ndimapita kumayiko tsiku lililonse, ndikumalima tomato ndikugulitsa pamsika. Azakhali anga amadabwa ndimomwe ndimapangira chilichonse, komwe ndimapeza mphamvu zambiri, sakhulupirira kuti ndili ndi zaka 66.

Ndani akufuna kukhala ndi moyo wautali, wamphamvu komanso kuiwalako za matenda oyipawa kwamuyaya, tengani mphindi 5 ndikuwerenga nkhaniyi.

Ndikofunika kwambiri kuti tsiku lililonse kuyembekezera ndi phhlegmon ya phazi kumachepetsa zotsatira zabwino za matendawa.

Ndi chitukuko cha purulent kutupa, chithandizo chamankhwala chokhacho chomwe chimaphatikizidwa ndi njira zochiritsira zamankhwala chitha kupewetsa kuti muchepewe komanso kuchepetsa ngozi ya kufa.

Mutha kuwona kulumikizidwa kwa phlegmon ya phazi mu kanema wopangidwira chidwi chanu:

Zithandizo za anthu

Kulimbana ndi phlegmon ndi maphikidwe a mankhwala achipatala sikupereka mankhwala enieni, chifukwa njira yofunikira komanso yofunika kuchitira matendawa. Chithandizo cha matendawa pogwiritsa ntchito wowerengeka azitsamba chimangothandiza kukonza khungu ndikulimbana ndi matenda.

Propolis-hypericum tincture. 50 g ya phula lodulidwa ndi dothi ndi kuthira 0,3 l ya 40-degree yankho la ethyl mowa, onjezerani 100 g ya odulidwa osadulidwa a St. John, mwamphamvu nkhata ndi chivindikiro. Kuumirira kuyenera kukhala masiku asanu ndi awiri m'malo abwino popanda kupezanso kuwala kwa dzuwa, kudutsa mu fayilo ndikuyika ma compress, omwe 20 g yothetsera imatsitsidwa ndi 1/2 chikho cha madzi owiritsa.

Kulowetsedwa kwa Eucalyptus. Mu thermos, vwitsani supuni ziwiri za masamba a bulugamu m'malita 0,3 a madzi owiritsa, kunena, phatikizani ndi madzi pambuyo maola atatu kapena anayi. Ntchito: 1/3 chikho 4 zina / tsiku pamaso chakudya.

Clove kulowetsedwa. Thirani supuni zitatu za masamba a clove ndi 1 lita imodzi ya madzi otentha, pambuyo pa ola limodzi timatsanulira kudzera cheesecloth. Kugwiritsa: compress pa omwe akhudzidwa kapena 100 ml pakamwa kanayi kapena kasanu patsiku.

Kukolola kwazitsamba. Plantain, calendula, masamba a birch, clover, comfrey, elecampane, muzu wa marshmallow, magazus, galangal wophatikizidwa m'magawo ofanana. 2 supuni za chopereka kutsanulira 0,5 malita a madzi otentha, wiritsani kwa mphindi 10, kunena 2 maola, fyuluta. Mwakusankha, mutha kuwonjezera supuni ya madzi a painain ndi spoonful ya eucalyptus kulowetsedwa. Kugwiritsa: supuni ziwiri patsiku kwa masiku khumi.

Mafuta a Burdock. Pogaya wowotcha tsamba lawuni ndikusakaniza wowawasa zonona muyezo wa 2: 1. Ikani zosakaniza zotsalira kudera lomwe lakhudzidwalo ndikugwiritsa ntchito theka la ola. Kuyeretsa khungu la mafuta kumachitika bwino ndi decoction of burdock: supuni 1 yamkati yamatsikizo imatsanuliridwa mu 100 ml ya madzi, yobweretsedwa ku chithupsa, kusefedwa, kuwilitsidwa, ndikugwiritsira ntchito kupaka mafuta kuchokera pakhungu.

Ufa wa ufa. 3-5 tbsp. l choko pansi chosakanikirana ndi 4 tbsp. l ufa, kuwaza chigamba cha khungu, kuyika bandeji ndi kupita kukatenga nthawi kuti mugone usiku. Mankhwala omwe amawonjezeredwa ndi ufa amawonjezera mphamvu ya mankhwala akumaloko: boric acid - 3 g, oyera streptocid - 8 g, xeroform - 12 g.

Kulowetsedwa kwa birch masamba. Tengani magalamu 10 a birch masamba ndikutsanulira 0,2 L madzi otentha, kubweretsa kwa chithupsa pamoto wochepa, pakatha mphindi 15.kupsyinjika. Kugwiritsa: ngati nkhuku pa zomwe zakhudzidwa kapena 1 tbsp. l mkati 3 r / d.

Ntchafu za Phlegmon, miyendo yotsika, miyendo: Zizindikiro, chithandizo cha matenda ashuga

Phlegmon wa tibia ndi njira yotsukidwa yomwe ilibe malire. Imakonda kufalikira kwa ziwalo zapafupi. Nthawi zambiri, tizilombo toyambitsa matenda ndi staphylococcus, streptococcus, putrefactive ndi anaerobic tizilombo.

Matendawa amatha kuwoneka osati mwendo wotsika, koma, mwachitsanzo, kumapazi, komanso chifukwa cha kutupa kokwanira, pitani gawo ili la nthambi.

Kodi ndi zinthu ziti zomwe zimadzetsa matendawa, ndi ziti zomwe akuonetsa komanso njira zake zochizira - tikambirana munkhaniyi.

Phlegmon amatha kukhala wamkulu komanso ana a amuna kapena akazi. Kutupa kumayambira ngati njira yodziyimira payokha kapena kumakula ngati njira yotsukira purifiyamu: zilonda, zilonda, nyamakazi, osteomyelitis, carbuncle, ndi ena. Kuphatikiza pa zinthu zoyambitsa izi, zifukwa zake zingaphatikizeponso:

• kupweteka kwa minofu
• kuluma kwa kachilombo koyambitsa matenda, nsomba kapena nyama,
• oyambitsa pansi pa khungu la mankhwala (palafini, turpentine, mafuta, mankhwala, etc.),
• kuphwanya aseptic mu nthawi ya opaleshoni.

Phlegmon amatha kuwoneka paliponse m'thupi. Pa minyewa ya nsagwada, matendawa amakhala padera chifukwa osapatsika nthawi yayitali, matenda oopsa a mamiliyoni ambiri, lymphadenitis kapena pulpitis. Thigh phlegmon nthawi zina zimakhala njira zoyambira, koma nthawi zambiri pamakhala matendawa chifukwa cha kumeza kwa mafinya ochokera kumadera oyandikira (m'chiuno molumikizana, cham'mimba).

Mwayi wowoneka mwendo wa phlegmon ukuwonjezeka ndi kuchepa kwa chitetezo chokwanira, zomwe zimachitika ndi matenda a shuga, oncology, kachilombo ka HIV, hypovitaminosis, chifuwa chachikulu, matenda osiyanasiyana amwazi ndi zina. Munthawi imeneyi, matendawa amakula msanga ndipo amakhala ndi mawonekedwe oopsa. Ofufuzawo apeza kuti mapangidwe a phlegmon amathanso kuchitika chifukwa cha mabakiteriya omwe amapereka mwayi.

Pathology nthawi zambiri imawonedwa mwa anthu omwe ali ndi matenda ashuga. Mphamvu zawo zoteteza kumatupi zimachepa, ndipo chifukwa cha izi, ngakhale kuphwanya pakhungu pang'ono kungayambitse kuwonongeka kwambiri kwa minofu. Pathogenic microflora, kulowa bala lotseguka, kumayambitsa kufalikira kwamatenda m'thupi la wodwalayo.

Oopsa kwambiri ndi mabakiteriya omwe amalimbana ndi mankhwala, mwachitsanzo, Staphylococcus aureus. Ngati zimakhudza khungu ndi minofu, ndiye kuti mankhwalawo amakhala ovuta kwambiri.

The microorganism imakhala yowonjezera yotupa ya purulent osati pokhapokha kulowa mkati mwa bala, komanso popanda kuwonongeka pakhungu ndi minofu yamafuta.

Izi zitha kuchitika ma virus atadutsa njira ya m'mimba kapena kudzera m'magazi.

Uchidakwa komanso kugwiritsa ntchito mankhwala osokoneza bongo kumasokoneza ntchito ya ziwalo zonse za anthu ndi machitidwe awo, zomwe zimapangitsa kuti ikhale yolephera kugonjetsedwa ndi tizilombo toyambitsa matenda. Izi zimathandizira kuledzera kwambiri kwa nthawi zonse. Chifukwa chake, anthu oterowo nthawi zambiri amadwala matenda omwe amafunsidwa.

Ma virus enanso amakhumudwitsa phlegmon. Pseudomonas aeruginosa, yemwe amakhala m'madzi ndi nthaka, amalowetsedwa mu minofuyo chifukwa chodula kwambiri kapena zikande. Pasturella multocida amalowa pakhungu la anthu omwe nthawi zambiri amalankhulana ndi agalu ndi amphaka. Matenda a Erysipelothrix rhusiopathiae atha kukhala kuchokera ku nkhanu, nsomba, ndi zolengedwa zina za mumtsinje komanso zolengedwa zam'nyanja.

Matendawa amatha kukhala oyamba (amapezeka chifukwa cha nthenda yachindunji), yachiwiri (pakusintha kwa kutupa kuchokera pafupi ndi minofu yoyandikana), pachimake, ulesi, wowonjezera kapena mkati, wopita patsogolo kapena woperewera.

Malinga ndi mtundu wa chiwonongeko cha minofu, phlegmon imagawidwa m'mitundu yotere:

Mwa njira yachilengedwe, matendawa amagawidwa m'mitundu: subcutaneous, intramuscular, subfascial, retroperitoneal, interorgan, komanso mediastinal cellulitis, phlegmon khosi, kumanzere ndi dzanja lamanja, m'munsi mwendo, ntchafu ndi phazi. Kuthekera kwa matenda, makamaka matenda ndi zovuta za mankhwala amakhalanso chifukwa cha mtundu wa tizilombo tating'onoting'ono.

Ngati kutupa ndi kupangika kwa mafinya kumawoneka pafupi ndi chiwalo china, ndiye kuti kumatchedwa kuchokera ku dzina lachi Latin loti "pre" "prefix", lomwe limatanthawuza "mozungulira" kapena "mozungulira". Mwachitsanzo, kuzungulira impso - paranephritis, pafupi ndi chiberekero - parametritis.

Nthawi yovuta kwambiri, ma phlegmon amasuntha kuchokera ku chiwalo chimodzi kupita ku china. Kuyambira chala chimatha kufikira minofu ya ng'ombe, kenako mpaka ntchafu.

Zizindikiro zodziwika bwino za phlegmon zidzakhala kutupa, kutupa ndi thanzi labwino. M'dera lomwe lakhudzidwalo, redness pakhungu ndi kutupa chifukwa cha kudzikundikira kwa mafinya kumawonetsedwa bwino. Kutupa kwa ma lymph node kumawonedwa. Phlegmon mu mawonekedwe pachimake amadziwika ndi kutentha kwakukulu mpaka 38-40º komanso kukwera, kuledzera kwathunthu, ludzu, ulesi, kuzizira ndi mutu.

Malo owonda ndi otentha kukhudza, khungu pakhungu limanyezimira. Pus imatha kusungunuka kwamtundu wakuya wa minofu, chifukwa cha ichi gawo la mapangidwe limakulirapo. Ndi kukula kwa phlegmon, zizindikiro zonse zimayamba kutchulidwa.

Ululu umakhalapo nthawi zonse, kuwonjezeka, usiku. Kuphatikiza apo, ma manambala akunja amatha kuwonongeka, ndipo zamkati za purulent zimatuluka. Wodwala amakhala ndi kufupika komanso kutentha thupi.

Mimbayo ndi kuthamanga kwa magazi kumachepa, mkodzo pang'ono umatulutsidwa, mutu umapweteka kwambiri ndipo kupindika kumawonekera pakhungu.

Ngati mukukayikira kuti pali phlegmon wa ntchafu, ndiye kuti katswiri yemwe amayang'ana gawo ili la mbali yakumanzere, amatenga magazi kuti awunikidwe, komanso mafinya omwe amamasulidwa ku bala. Kafukufuku woyamba azindikira kutukusira kwa minyewa ya wodwalayo, ndipo wachiwiri azindikiritsa mtundu wa tizilombo toyambitsa matenda omwe adayambitsa matendawa.

Ngakhale phlegmon ndi matenda opatsirana, sikuti opatsirana. Nthawi zambiri amakula pansi pa khungu, ndipo makulidwe am'mimba sayilola kupita kunja ndi kufalikira. Izi zimasiyanitsa ndi matenda ofanana - impetigo, omwe amadziwika pakhungu pakhungu ndipo amapatsirana kwambiri.

Popanda opaleshoni, phlegmon wa ntchafu ndi ziwalo zina zam'munsi zitha kuchiritsidwa pokhapokha, ngati palibe mafinya pansi pa khungu.

Wodwalayo amalangizidwa mwamphamvu kuti apumule pakama popanda kugonja kwa bondo ndi malo olumikizirana mafupa.

Wodwalayo amatchulidwa mankhwala a intramuscularly kapena mtundu wa maantibayotiki omwe ali ndi corticosteroids, komanso physiotherapy (UHF) ndi kutentha kwa malo owawa. Mowa umalimbikitsidwanso kuti muchotse mankhwalawa m'thupi posachedwa.

Milandu ngati imeneyi siikhala yambiri, nthawi zambiri amatembenukira kwa dokotala kale pa nthawi ngati pakufunika opaleshoni yomweyo. Amachita izi:

• Chitetezo chimachitidwa pansi pa opaleshoni wamba. Pakutulutsa kwa mafinya, nthambi zapamwamba komanso zakuya za mwendo wotsika zimayatsidwa.
• Lambulani bwino chotupa ndikuthira mankhwala.
• Ngati ndi kotheka, ngalande imayikidwa mchilondacho.
• Pamapeto pa opareshoni, kuvala wosalala ndi mafuta onunkhira a antibayotiki woyikidwa (Levomekol, Levosin).
• Poizoni yemwe akupezeka m'thupi la wodwalayo amathandizidwa ndi kuperekera mayankho a hemodez, reopoliglukin kudzera m'mitsempha.

Ndi chotupa chachikulu, njira yamakono yothandizira imalimbikitsidwa - dermatoplasty.

Ngati pali phlegmon wamafuta ochulukirapo, mankhwalawa amatha kutalika. Pa gawo la machiritso, mafuta odzola omwe amagwiritsidwa ntchito ndi mafuta amagwiritsidwa ntchito (Vishnevsky liniment, Tetracycline, mafuta a Synthomycin).

Chithandizo chotere chidzachitika pamene ngalande zichotsedwa. Kuchulukitsa kamvekedwe ka mtima, wodwalayo amapakidwa ndi calcium chloride.

Nthawi zina mankhwala amagwiritsidwa ntchito kuti ntchito ya mtima ikhale yachilendo, ma immunostimulants komanso mavitamini ambiri.

Pofuna kuthamangitsa kukanidwa kwa minofu ya necrotic, ma protein a enzymes (Terrilitin, Chymotrypsin) ndi omwe amapatsidwa. Kukopa kwa kukonza minofu kumachitika pogwiritsa ntchito mafuta a Methyluracil ndi Troxevasin.

Atatuluka m'chipatala, Troxevasin gel, mafuta a sea buckthorn kapena mafuta a rosehip amagwiritsidwa ntchito kupweteketsa bala. Kuchira wodwala mwachangu, madokotala nthawi zambiri amamulembera hirudotherapy (chithandizo ndi leeches).

Enzyme yomwe imabisa chinsinsi chamadzi iyi imasintha magazi m'magazi owonongeka, imathandizira kutupa ndi kutupa, komanso imathandizira kusinthika kwa maselo.

Njira zoperekera mankhwala olimbitsa thupi komanso njira zolimbitsa thupi zimaperekanso zotsatira zabwino.

Mwachangu mankhwala a phlegmon amayamba, amachepetsa mwayi wokhala ndi mavuto. Matenda opatsirana omwe amafalikira m'magazi ndi ma lymphatic system angayambitse matenda oyipa monga:

Palibe chifukwa chomwe muyenera kuchedwetsera kupita kwa adotolo ndikuyesera kuthandizidwa ndi njira zina. Ngati phlegmon sazindikira mu nthawi yake, ndiye kuti matenda omwe ali pamwambawa atha kupezeka, ndipo pazochitika zapamwamba, poyizoni wa magazi.

Kulimbitsa chitetezo chokwanira, chithandizo cholondola komanso chapanthawi yake cha njira zotupa komanso zotayidwa mthupi zimathandizira kuchepetsa chiopsezo chokhala ndi phlegmon. Ndikofunikira kukhazikitsa metabolism yabwino ndikuchotsa zonse zovuta za bacteria bacteri.

Popewa khungu la ntchafu ndi mwendo wotsika, ndikofunikira kuti musawononge khungu la miyendo, makamaka m'malo omwe kuli chiwopsezo chachikulu cha matenda (nkhalango, mitsinje, nyanja, nyama).

Ngati mwavulala mwendo wanu mwadzidzidzi, chotsani mwachangu zinthu zakunja zomwe zitha kulowa bala.

Pambuyo pake, gwiritsani ntchito malo odwala ndi antiseptic (mowa, vodika, zelenka, ayodini), womata ndi pulasitala kapena chivundikiro ndi bandeji yosalala (nsalu).

Kupewa kungaphatikizeponso kukafika kwa dokotala kapena opaleshoni yamagazi. Kuzindikira komwe kumachitika nthawi yake kumapewetsa kutupa kwambiri kwamankhwala ndikuthandizira phlegmon pogwiritsa ntchito njira zochizira. Tsatirani njira zosavuta zotetezera komanso muchepetse chiopsezo chotenga matenda pang'ono.

Phlegmon wa phazi mu matenda a shuga: Zizindikiro ndi mankhwala, chizolowezi chala

Mapangidwe a purcin osakaniza ndi kutupa amatchedwa phlegmon. Kulowerera kumalowa kudzera pakhungu. Matenda oyamba ndi fungus amathanso kuyambitsa matendawa. Kutengera milimo ya wodwala komanso kukana kwa thupi, matenda amafalikira. Kodi ma phlegmon paphazi amakhala ndi mavuto otani, momwe angachitire bwino?

Kutupa kwa adipose minofu chifukwa cha tizilombo tating'ono ndipo popanda malire kumatchedwa phlegmon.

Chomwe chimayambitsa kuwoneka kwa ma phlegmon kumapazi ndi mabala opundula, kukula kwa chimanga, nthawi zambiri kutupa kwa minofu yolowera kumayambitsidwa ndi shin phlegmon. Mosiyana ndi chithupsa, masamba a purulent samadziunjikira malo amodzi, koma amafalikira mpaka minofu yakuya, alibe shaft.

Zizindikiro za matendawa zitha kutchulidwa kapena kufunsa kuti mudziwe zina.

Poyerekeza ndi kumbuyo kwa chifanizo chomwe chilipo, phlegmon wa chala chake nthawi zambiri chimayamba. Popanda zofunikira, matendawa amafalikira kumankhwala oyandikana nawo.

Matenda a diabetesic phlegmon: zimayambitsa ndi njira zamankhwala

Phlegmon wa phazi ndi njira yowuma, yotupa yopaka mkati mwa minyewa yolumikizira thupi. Phlegmon wa phazi nthawi zambiri amakhala ndi odwala matenda ashuga. Malinga ndi ziwerengero kuchokera kwa azaumoyo, phalagmon mu shuga ndi omwe amachititsa kuti amalidwenso mwapadera.

Matenda a shuga ndi matenda ochitika mwadongosolo, ndiye kuti, akukhudza thupi lonse, motero, zomwe zimapangitsa kuti pakhale zovuta za matenda ashuga ndi izi:

• kuwonongeka kwa maginidwe amanjenje amanjongo,
• kuwonongeka kwa bedi lamitsempha lamthupi: kugontha kwamitsempha,
• kuchepa mphamvu yoteteza thupi,
• Kusintha kwa kagayidwe kazigawo minofu: shuga wowonjezera.

Chifukwa chake, potengera zakusintha pamwambapa, zomwe zimayambitsa kupezeka ndi kutukusika kwa phalagmon ya phazi ndi izi:

• matenda a pakhungu
• kudula, kudula, kusenda mabala,
• kuphatikiza mafoni
• microtrauma pamtunda,
• matupi akunja (zopindika),
• ingrown toenail
• mfuti zamapazi zamapazi.

Zina mwazonsezi zimakhala "chitseko" cholowerera mabakiteriya osiyanasiyana ndi kubereka kwawo kwotsatira komanso kusangalatsa kwa kutupa pamalowa. Omwe amagwiritsa ntchito matenda oopsa: staphylococci, streptococci, hemophilic bacillus.

Kukula kwa purulent kutupa motsutsana ndi matenda ashuga kumachitika mwachangu kwambiri ndikudziwonetsa:

• kuwonjezeka kwa kutentha kwa thupi mpaka madigiri 39 kapena kupitirira apo,
• kuyabwa pakhungu pakhungu,
• kufooka koopsa
• thukuta kwambiri
• kupweteka mukamakanikizika pamapazi poyeserera kapena kusuntha,
• kuchuluka kwa phazi,
• Kusintha kwa khungu kukhala kofiyira,
• kutentha kwanyengo: phazi lomwe lili pamalo a chotupa limatentha,
• kumverera kwamadzi kumapazi kukanikizidwa,
• glycemic kusakhazikika: hypo- kapena hyperglycemia, mpaka pa ketoacidosis.

Chiwonetsero chazomwe zimayambitsa kutupa kwakuya kwambiri chikuwonetsedwa mu chithunzi:

Ntchafu za Phlegmon

Phlegmon ndi njira yotsukidwa yomwe imapezeka m'mafuta amafuta. Matendawa amawoneka pafupipafupi chifukwa cha tizilombo tating'onoting'ono tomwe timayambitsa matenda. Kukula kwa matendawa kumachitika m'chigawo chilichonse cha thupi la munthu. Nthawi zambiri, kutukusira kwa minofu ya adipose kumachitika pazinthu zotsatirazi za thupi: khoma lam'mimba lakutsogolo, chifuwa, kumbuyo, matako, m'chiuno, khosi, nkhope.

Matendawa amapezeka chifukwa cha kuchulukana kwa tizilombo tating'onoting'ono monga streptococcus, staphylococcus, clostidia, Pseudomonas aeruginosa ndi ma bacteria ena a pathogenic.

Ma Microbes amalowa m'matumbo amafuta m'njira zosiyanasiyana, koma njira yosavuta ndiyotsegula bala lomwe limayambitsidwa chifukwa cha opareshoni, kuvulala kapena jakisoni.

Bacteria amathanso kulowa mthupi mwa kuthiridwa ndimitsempha kapena magazi. Pali mwayi wotenga matenda kudzera pakukhudzana - ngati mafinya ochokera ku chiwalo chomwe chakhudzidwacho aphulika ndikugwira minyewa ya adipose yomwe ili pafupi. Kufalikira kwa majeremusi kungakhalenso kofinya kapena katemera.

Muubwana, phlegmon imatha kupangidwa ndi bacterium ya hemophilic. Malovu amphaka ndi agalu ali ndi bakiteriya a Pasturella multocida, omwe amaperekedwa kwa anthu panthawi yakuluma kwa maola 4-24. Ngati vutoli likuchokera ku ma mollusks, nsomba zam'madzi, nkhuku, kapena nkhumba, Erysipelothrix rhusiopathiae angayambitse phlegmon.

Ndizachilengedwe kuti thupi liyesetse kuthetsa kutulutsa lokha. Amachita izi ndikupanga kapisozi kuzungulira gawo lomwe lakhudzidwa. Ngati chitetezo chachepa kapena munthu akudwala matenda osachiritsika, ndiye kuti thupi limaleka kulimbana ndi matendawa, ndipo pali mwayi woti mafinya amafalikira kudzera mu minofu ya adipose.

Tiyeneranso kudziwa kuti tizilombo tating'onoting'ono tambiri timatulutsa chinthu chomwe chimasungunula kapukusi yoteteza, yomwe imayambitsa kuchulukitsa kwa matendawa. Pali zochitika zingapo pomwe phlegmon yachitika chifukwa cha mankhwala. Itha kukhala mafuta, turpentine, palafini ndi zinthu zina zomwe zimagwera pansi pa khungu.

Ndi kuchepa kwa chitetezo chokwanira, chiopsezo chokhala ndi phlegmon chikuwonjezeka. Ngati thupi latha, lili ndi matenda osachiritsika kapena muli ndi matenda opatsirana pogonana, pali mwayi wina wotupa. Ngati thupi likulephera kupirira matendawa, fulugi ya ntchafu imachulukira mwachangu.

Mtundu wa mabakiteriya ofanana ndi matendawa umatengera momwe matendawa amathandizira komanso momwe mankhwalawa amathandizira.Phlegmon wa m'munsi mwendo chifukwa cha anaerobic tizilombo amadziwika kwambiri.

Kunja kwa purhlemon yowoneka bwino pazinthu zilizonse za thupi. Misonkhano ikhoza kugawidwa m'magulu awiri:

• Zapamwamba - minyewa imakhudzidwa ndi minyewa yokha,
• Zakuya - zimafalikira pamizimba yonse yomwe ilipo mthupi, mpaka minofu ya adipose.

Ndi phlegmon wapamwamba, zotupa, zotupa ndi magwiridwe amthupi lomwe lakhudzidwalo limachitika. Madera otupa amakhala ndi ululu wopweteka nthawi zonse.

Khungu la gawo loyatsidwa ndi thupi limakhala ndi mtundu wofiyira komanso kutentha thupi. Malo okhala pafupi ndi lymph node amakulitsa ndikuyamba kupweteketsa.

Pakapita kanthawi, kutentha kwa thupi lonse kumakwera mpaka madigiri 38 mpaka 40, kufooka kwathunthu, kuzizira, ludzu komanso pakamwa lowuma.

Ndi phlegmon yakuya, kutentha kwa thupi kumatha kukwera mpaka madigiri 40-42. Mtima wamitsempha umayamba kuvutika, kupuma kumasokonezeka, nseru kapena kusanza kumawonekera. Kuchuluka kwa mkodzo wothilitsidwa kumachepetsedwa kwambiri. Phlegmon yozama imawonetsedwa ndi kuwonjezeka kwa malo omwe akhudzidwa ndi thupi. Mukamverera, kupweteka kumachitika.

Organs yomwe ili pafupi ndi phlegmon amathanso kuvutika. Mwachitsanzo, ndi phlegmon ya minofu ya iliopsoas, pakukweza mwendo, ntchafu imatha kuzungulira kunjaku. Ngati ziwalo zamkati zimakhudzidwa, Zizindikiro zakunja zitha kufanana ndi poyizoni popanda mawonekedwe owonekera akunja.

Pali mitundu ingapo ya phlegmon. Tiyeni tiwalingalire mwatsatanetsatane.

Njira yopangira phlegmon

Serous - madzi amadzimadzi amadzadza mu minofu, pomwe zizindikiro zake sizingawonekere kunja.

Putrid - kapangidwe ka minofuyo kamawonongeka, ndipo mipweya imapangidwa, chifukwa chomwe cholinga cha kutulutsa kumakhala ndi fungo losavomerezeka. Dera lowuma la thupi limapeza mthunzi wakuda. Kapangidwe ka zowola mthupi kumabweretsa kuledzera.

Purulent - mafinya amafalikira mozungulira zomwe akhudzidwa. Zotsatira zake, zilonda kapena fistulas mawonekedwe pafupi ndi kutupa. Pamene matendawa amafalikira, ziwalo zonse zopezeka pafupi ndi malo owazirazo zimadzaza ndi mafinya.

Anaerobic - kutupa kumagwira madera akuluakulu amthupi, zomwe zimayambitsa kupangika kwa necrotic foci komanso kutulutsa mpweya. Minofu yomwe imakhudzidwa ndi phlegmon imakhala ndi imvi yakuda ndi fungo la fetid. Ngati mungakhudze gawo loyaka la thupi, mudzamva kukuwa komwe kumawonekera chifukwa cha kuchuluka kwa mpweya. Kunja, ma phlegmon ali ngati nyama yophika.

Necrotic - pakhungu lomwe limakhudzidwa ndi phlegmon, pakhungu lakufa limatuluka, ndipo m'malo mwake mumakhala mabala omwe magazi amatha kutuluka. Chithandizo cha phlegmon chimachitika pochita opaleshoni.

Mavuto

Matendawa amayamba kufalikira mthupi lonse, kuphatikiza m'mimba ndi magazi, zomwe zimayambitsa kuledzera. Palinso kuthekera kwa lymphadenitis kapena sepsis.

Phlegmon, wopangidwa kumaso, nthawi zambiri amatsogolera ku chakuti matendawa amapita ku ubongo. Ndipo izi zimatha kukhala chitukuko cha menipitis ya purulent.

Khosi la phlegmon nthawi zambiri limatsogolera pakukula. Ngati mitsempha kapena khoma lamitsempha lakhudzidwa, ndiye kuti kutulutsa magazi ochepa kumachitika posachedwa, komwe kumayambitsa imfa.

Kodi phlegmon amathandizidwa bwanji mu shuga?

Pakayamba phalagmon, chithandizo cha matenda ashuga chimakhala chovuta kwambiri, nthawi zambiri chotupa chotere chimapangitsa kuti pakhale pang'onopang'ono, ndikumadula dzanja.

Phlegmon ndi njira yotupa yoyipa yomwe imakhudza minofu yamafuta, ndipo nthawi zambiri, zotupa zoterezi ndizambiri.

Mosiyana ndi mawonekedwe ochulukirapo a purulent lesion of abscess, phlegmon alibe mizere yodziwika bwino ndipo amakonda kufalitsa mwachangu.

Phlegmon, akupanga motsutsana ndi maziko a matenda osokoneza bongo, ndi chotsatira cha njira ya matenda yomwe ikukhudza mtima ndi mantha.

Kuvuta kwa mankhwalawa chifukwa cha chotupa choyipa choterechi kumachitika chifukwa chakuti zotupa zimapangika mwachilengedwe, kotero sizingatheke kuyimitsa popanda kubwezeretsa malo okhala ndi magazi.

Chifukwa chake, mankhwalawa a phlegmon, omwe amapangidwa pamaziko a matenda osokoneza bongo a shuga, amafunikira njira yophatikizira.

Zomwe zimayambitsa kukula kwa phlegmon ya phazi kwa odwala omwe ali ndi matenda osokoneza bongo ndi kuchepa kwa kayendetsedwe ka odwala omwe ali ndi kuchuluka kwa shuga m'magazi.

Kuchulukana kwa glucose m'magazi kumakhudza minofu yonse, koma kuwonongeka kwa mitsempha ndi mitsempha yaying'ono ya magazi ndizowopsa kwambiri.

Chifukwa chake, choyambirira, munthu amataya zomverera mu mitsempha yam'mphepete yam'munsi, komanso kwambiri kotero kuti amatha kuvala nsapato zazing'ono zazing'ono zazing'ono kuposa zofunikira komanso osamva vuto lililonse.

Kuphatikiza apo, kamangidwe kakapangidwe ka phlegmon kumapazi kumagwirizana kwambiri ndi chinthu monga "mitsempha" yozungulira. Izi ndizotsatira zakugonjetseka kwa nthambi zazing'ono - arterioles, zomwe zimayendera limodzi ndi kuchepa kwa mgwirizano ndi mgwirizano pakati pawo. Kusintha kwadongosolo kotereku nthawi zambiri kumayambitsa kusowa kwamphamvu kwa mtima, komwe kumakhudzanso minofu ina.

Pankhani ya ma phlegmons omwe akupanga motsutsana ndi maziko a matenda osokoneza bongo, kuphwanya kwamphamvu kwa minofu ya okosijeni ndi zinthu zofunika kumachitika, zomwe zimapangitsa kuti ischemia ndi imfa. Kuphwanya kwamtunduwu kwa zakudya zama minofu kumatha kukhala ndi magawo osiyanasiyana komanso kumatha kufika pandendeko m'dera lalikulu la minofu kapena zala zingapo.

Kuphatikiza apo, matenda a shuga amellitus ndi chinthu chodziwikiratu pakukula kwa atherosulinosis yamitsempha yayikulu, chifukwa imakulitsa chiopsezo cha zolembera zomwe zimatseketsa magazi kulowa m'makoma a ziwiya zowonongeka. Ndi mitundu yotukuka iyi, madera ambiri a minofu ngakhale phazi lonse atha kutenga nawo mbali.

Komabe, munthu ayenera kumvetsetsa kuti phlegmon ndi njira yotsukidwa ya kutupira.

Phlegmon amakula chifukwa chakuti minofu yakufa imayamba kuwola, womwe ndi malo abwino kwambiri osungira mabakiteriya ambiri. Chifukwa chake, phlegmon imayamba kulimbana ndendende ndi zotupa zamatenda a shuga zomwe zimayambika chifukwa cha kuperewera kwa magazi, komanso kuwonongeka kwa microflora ya pathogenic ya zimakhala.

Popeza kuwonongeka kwa ziwiya pamenepa sikukula, komanso phlegmon ikupanga odwala matenda ashuga, ndikupitilizabe kuchepa kwa minyewa komanso kupita patsogolo kwa njira yotupa yoyipa.

Nthawi zambiri, kuti munthu apulumutse munthu, kuchotsedwa kwa minofu yowonongeka kapena dzanja lonse lathunthu ndikofunikira kuti aletse kufalikira kwa purifayiti.

Miyendo ya Phlegmon (miyendo, miyendo yotsika, minofu yofewa): ndi chiyani, zizindikiro ndi chithandizo

Phlegmon ndi chikhalidwe chamunthu chodziwika ndi mawonekedwe a purosesa yothiridwa m'matumbo a adipose. Chomwe chimasiyanitsa ndi chakuti kutupa sikumakhala ndi malire omveka.

Popanda chithandizo chomwe akufuna, mafinya amasungunuka mwachangu. Chifukwa chake, phlegmon imatha kukula msanga m'derali, kukulira mwakuya ndi m'lifupi. M'tsogolomu, njira yotsukidwa imatha kufalikira ku minyewa, minofu ngakhale mafupa.

Madokotala amadziwa kale kuti phlegmon ndi ngozi yake ndi yotani.

Matenda amtunduwu amatha kukhala matenda odziimira pawokha komanso kupindika kwa sepsis, carbuncle, abscess ndi zina zomwe zimachitika mthupi la munthu.

Ndi mapangidwe a phlegmon pa miyendo popanda zovuta mankhwala, chiwopsezo chokhala ndi zovuta zazikulu komanso gangrene ndizambiri. Izi zimachitika pafupipafupi mwa ana akhanda, komanso anthu azaka za 17 mpaka 35.

Nthawi zambiri, maphunziro ngati awa amapezeka kwa odwala Edzi.

Mapangidwe otere amatha kukhala oyambira komanso apamwamba. Zimatengera momwe nthendayo imalowera zigawo za subcutaneous. Ndi phlegmon yoyamba, kulumikizana mwachindunji ndi microflora ya pathogenic kumawonedwa pansi pa khungu, zomwe zimachitika kawirikawiri ndi jakisoni. Mwanjira yachiwiri ya mapangidwe, kusintha kwa njira yotupa kuchokera kuzinthu zoyandikana kumawonedwa.

Kuphatikiza apo, phlegmon imatha kukhala yovuta komanso yopweteka. Kutengera ndi kuchuluka kwa magawidwe, maphunziro oterewa akhoza kukhala opita patsogolo kapena ochepa. Nthawi zochepa, ndizapamwamba. Muzovuta kwambiri, zowonongeka zimakhala zakuya. Kutengera mtundu wa kuwonongeka kwa minofu, mitundu yotsatirayi ya phlegmon imasiyanitsidwa:

Popeza kufalikira kwa zotupa zomwe zilipo, mapangidwe otere amatha kubwezeretsanso, makulidwe, kupindika, kupindika, phokoso la phazi, mkono ndi khosi ndizofala. Ndi njira yosasangalatsa, mapangidwewo amatha kupitilira gawo la anatomical, zomwe zingayambitse kufalikira kwa njirayi kwa ziwalo zoyandikana.

Pakadali pano, ndikudziwika momwe ma tizilombo angalowere mu minofu yakuya. Ngakhale tizilombo tating'onoting'ono tomwe timayambitsa matenda amatha kupangitsa kuti phlegmon apangidwe. Amatha kulowa mu zigawo zakuya kudzera mabala aliwonse, abrasions, ducts ndi mitsempha yamagazi.

Nthawi zambiri maonekedwe a maphunziro oterewa amawonekera motsutsana ndi kuluma kwa amphaka ndi agalu. Kuphatikiza apo, zodabwitsazi zimakonda kukhala mwa anthu omwe amakumana ndi ziweto zosiyanasiyana, kuphatikizapo nkhumba, ma mollusks, nsomba ndi mbalame.

Nthawi zambiri zimayambitsa kukula kwa phlegmon:

• Proteus
• streptococci, awo
• pneumococci,
• zopanda spore kupanga anaerobes,
• E. coli.

Chomwe chimapangitsa kukula kwa izi ndi ntchito ya tizilombo tomwe tili kale. Makamaka owopsa ndi mabakiteriya omwe amalimbana ndi mankhwala osokoneza bongo. Chitsanzo chochititsa chidwi ndi Staphylococcus aureus, chotupa chofewa chomwe chimakhala chovuta kwambiri kuchiza.

Nthawi zambiri, tizilombo tating'onoting'ono tomwe timalowa m'magawo ozama kudzera m'malo owonongeka a khungu ndi mucous nembanemba. Kuphatikiza apo, matendawa nthawi zambiri amafalikira ndi njira ya zam'mimba kapena kudzera m'mitsempha yamagazi, mwachitsanzo, ndi furunculosis, tonsillitis, caries, etc.

Nthawi zina, kukula kwa phlegmon kungayambitse osati chifukwa cha microflora ya pathogenic, koma ndi mankhwala. Izi zimadziwika kwambiri kwa osokoneza bongo omwe amadzibaya ndi mankhwala omwe amapangidwa kunyumba kuchokera kuzakumwa zingapo zoopsa, koma osalowa m'mitsempha.

Pankhaniyi, zinthu zapoizoni zimakonza matumba ofewa, omwe amapangitsa kuti pakhale microflora yabwino kwambiri ya pathogenic.

Pali zinthu zingapo zolosera zamtsogolo zomwe zimapangitsa kuti kukula kwa phlegmon kukula komanso kubereka kwa microflora ya pathogenic. Chifukwa chake, ikafika pamaphunziro monga phlegmon, zomwe zimayambitsa zimatha kuzika mizu mosiyanasiyana komanso mosiyanasiyana.

Mokulira komanso mochulukira, matenda amtunduwu amapezeka mwa anthu ofooka chitetezo chathupi komanso otopa. Kuphatikiza apo, purulent phlegmon wa tibia nthawi zambiri amakula motsutsana ndi maziko a kachilombo ka HIV, komanso kwa iwo omwe ali ndi chifuwa chachikulu ndi matenda amkati a magazi.

Uchidakwa komanso kugwiritsa ntchito mankhwala osokoneza bongo kumayambitsa kusokonezeka kwa machitidwe onse a mthupi, zomwe zimapangitsa kuti munthu yemwe ali ndi zizolowezi zotere asamakhudzidwe ndi microflora ya pathogenic. Phlegmon ya phazi nthawi zambiri imayamba ngati shuga.

Kugonjetsedwa kwa minyewa yofewa ndi tizilombo toyambitsa matenda kumakhala kovuta kwambiri ngati munthu ali ndi vuto la magazi.

Mawonetsero azizindikiro

Nthawi zambiri, kukula kwa mapangidwe awa kumayambira kwambiri. Kutentha kwa thupi kumakwera kwambiri mpaka 39-41 ° C. Kuphatikiza apo, zizindikiro za kuledzera kwa anthu ambiri zikukula msanga. Odwala amadandaula za:

• ludzu lalikulu
• kuzizira
• mutu
• kufooka kwambiri.

Khungu lakumwamba lomwe limakhudzidwa limatenga thunzi lofiirira ndipo limatupa. Ngati pali phlegmon phazi, nthambi imakulanso kwambiri. Kufikira, malo owonongeka amayamba kutentha kuposa malo oyandikira. Khungu limayamba kuwala. Malire omveka bwino ogawa ma phlegmon sangadziwike.

Zomwe zimapangidwa ndi purulent zimatha kusungunuka kwambiri, kenako zimakulitsa mapangidwewo. Phlegmon yozama ikamakula, zizindikiro zimayamba kuonekera kwambiri.

Kuphatikiza apo, khungu pamwamba pa mapangidwe limasungunuka nthawi zambiri, lomwe limatsatana ndi kutulutsidwa kwamtundu wazinthu zambiri za purulent.

Odwala amatha kupuma movutikira, kutsika kwa mtima komanso kuthamanga kwa magazi, kuchepa kukodza, kupweteka mutu komanso khungu.

Mankhwala othandizira

Popeza kuti matenda amtunduwu amayamba kwambiri, chithandizo chikuchitika kuchipatala. Choyamba, mafinya amachotsedwa pamtunda womwe ulipo. Nthawi zina, opareshoni amachitidwa kuti apeze zomwe zili. Pambuyo pakukhetsa, chilondacho chimathandizidwa bwino ndi mankhwala ophera tizilombo.

Pazinthu zochepa chabe, pamene minofu ikulowedwa osawonedwa ndikupanga maphunziridwe koyambirira, chithandizo cha phlegmon chitha kuchitidwa ndi njira zosungira. Ma compress ofunda ndi mapiritsi otenthetsera amayikidwa kumalo omwe akhudzidwa. Kuphatikiza apo, njira za UHF ndi kavalidwe kake ndi mafuta a Mercury zitha kugwiritsidwa ntchito.

Pamaso pa kutentha kwambiri kwa thupi komanso kuphatikizidwa, opaleshoni ndiyofunikira. Pa nthawi ya opareshoni, makoma olondera amayeretsedwa bwino. Chithandizo chotere cha phlegmon chimatha kusintha trophism mu zimakhala zabwino, kuchepetsa nkhawa komanso kuchepetsa ngozi.

Nthawi zambiri, kuchitapo kanthu kumachitidwa pansi pa opaleshoni yotupa. Ndi patsekeke lakuya, ngalande zitha kukhazikitsidwa. Zovala zokhala ndi mafuta osungunuka ndi madzi kapena njira yayikulu yokhala ndi mlingo waukulu wa antibayotiki umagwiritsidwa ntchito pachilonda chomwe chilipo.

Ndi phlegmon yochulukirapo, chithandizo chitha kutenga nthawi yayitali.

Ngati chilondacho chikupitirirabe, opaleshoni yobwereza komanso dermatoplasty imatha kuchitika. Nthawi zambiri, chithandizo chamankhwala chamankhwala chofunikira chimafunikira. Kuphatikiza apo, kusakanikirana kwa poizoni womwe umapezeka m'thupi kumachitika ndi kukhazikitsidwa kwa yankho la Urotropin.

Kuchulukitsa kamvekedwe ka mtima, calcium chloride imatha kuperekedwa kwa wodwala. Ndi kupweteka kwakukulu, makonzedwe a mankhwala a ululu angafunike.

Nthawi zina, kugwiritsa ntchito mankhwala kukhazikika mtima, ma immunomodulators ndi mavitamini ofunikira amafunikira.

Kodi phlegmon ndi chiyani? Gulu

Pali mitundu ingapo yamatendawa:

1. Phlegmon kumbuyo. Bacteria amalowa mthupi kudzera pakhungu lowonongeka kapena kudzera minofu ngati minyewa yotupa ya purulent ikupezekamo. Ndi phlegmon ya phazi, kufooka kwamphamvu kwa khungu kumachitika kumbuyo, imapeza kuwala kosasangalatsa. Mwendo umayamba kutupa ndikukula kukula. Pakakhala chithandizo choyenera, mafinya amatha kufalikira kumankhwala olimbitsa thupi.
2. Wosinjirira Mtunduwu umayamba chifukwa cha kuwonongeka kwa malo akulu pakhungu.Mukukula kwa matendawa, khungu lakelo limasanduka lofiira ndikutupa, kumva zowawa kumawoneka ngati zikuwonjezereka ngati matendawa sanalandire. Mitundu iyi ndiyosavuta kusiyanitsa ndi mitundu ina. Muzochitika zotsogola, kutseguka kwa zokha kwamkati wamatumbo amchere kumachitika. Matenda ochokera kudera lino ndi osowa kwambiri m'thupi lathu.
3. Zamankhwala. Ichi ndi chimodzi mwamitundu yomwe ndizovuta kudziwa. Nthawi zambiri, pakakhala kuti palibe chithandizo choyenera, matendawa amafalikira kudera lalikulu la matupi athanzi. Mutha kusiyanitsa phlegmon iyi kuchokera kwa ena mwa kutupa pamapazi. Ndi medali, imatchulidwa. Ngati ululu wamatendawa udayamba kukulira, izi zitha kuwonetsa kuti mafinya ndi matenda adayamba kufalikira ndikulowa m'magawo ozama a zimakhala.
4. Pambuyo pake. Kuzindikira mtunduwu ndikovuta kwambiri, makamaka pamagawo oyamba a chitukuko chake. Matendawa amakhudza kwambiri minofu yathanzi. Ndikosavuta kupeza matenda, chifukwa ndi phlegmon zotere ndizosowa kwambiri. Ndi iyo, mwendo sukutupa, edema ndi redness sikukula. Ululu m'dera lomwe lakhudzidwa, lomwe limakulitsidwa ndi kukakamizidwa kapena kuyenda, nthawi zambiri ndi chizindikiro chokhacho cha matendawa. Zomverera zowawa nthawi zambiri sizimatchulidwa kwambiri, chifukwa miyendo ya munthu imakutidwa ndi khungu lakuda, ndipo palibe mathero amitsempha ambiri m'mbali iyi ya thupi.

Phlegmon: mankhwala

Popanda opaleshoni, ma phlegmon amatha kuchiritsidwa pokhapokha atapezeka m'masiku oyambirira a chitukuko mpaka wodwalayo atadwala malungo ndi mafinya pansi pa khungu. Wodwalayo akuwonetsedwa kukhathamiritsa kwa miyendo, mkhalidwe wa kuzungulira thupi, physiotherapy ndi chithandizo cha phlegmon ndi maantibayotiki kapena maantibayotiki omwe ali ndi corticosteroids.

Koma chithandizo chotere chimalembedwa kawirikawiri - kawirikawiri madokotala amafunsidwa pamene opaleshoni singafunikenso.

Kuchiza nthawi zambiri kumachitika ndi njira ya opaleshoni, yomwe imaphatikizidwa ndi ntchito ya antibacterial. Pa magawo oyamba, ndikofunikira kuti muchepetse kupweteka ndikuchotsa poizoni m'thupi.

Kuchita opareshoni kumachitika pansi pa mankhwala oletsa ululu. Munthawi ya dokotala, adokotala amapanga phokoso mkati mwa phazi ndikuchotsa zomwe zili mkati.

Pambuyo pa opaleshoniyo, madziwo ayenera kuyikidwira kumalo komwe mafinya amapezeka.