Uma i-phlegmon ikhula kwisifo sikashukela mellitus, lokhu kuyinkimbinkimbi kakhulu yokwelashwa, kwandisa isimo sesiguli. Isilonda esinjalo kwesinye isikhathi sibangela ukukhula kwe-gangrene, okukuyo kuthiwe kuphela ukunqunyulwa kwesitho esishisiwe.
I-Phlegmon inqubo yokuvuvukala okuhlanzekile ethinta izicubu ezinamafutha. Imvamisa, i-lesion enjalo yemikhawulo engezansi yande, ngokungafani ne-abscess (uhlobo oluvame kakhulu lesion purreat), i-phlegmon ithambekele ekusakazekeni okusebenzayo, ayinayo imingcele ecacile.
Ukuvuvukala kwe-purulent, lapho kukhula ngemuva kwesifo sikashukela, kuba ngumphumela wenqubo ye-pathological ejwayelekile, kumboza uhlelo lwezinzwa nolwemithambo yegazi.
Ubulukhuni obuthile bokwelashwa ukuthi i-phlegmon ihlelekile ngokwemvelo, ayinakuvinjwa ngaphandle kokubuyisa ukuhanjiswa kwegazi nokufakwa kwezicubu kwezitho. Ngalesi sizathu, ukwelashwa kumele kube okuphelele.
Izimbangela ze-phlegmon yonyawo
Imbangela eyinhloko yalesi sifo kubantu abanesifo sikashukela ukwehla kokulawulwa koshukela egazini. Nge-hyperglycemia, cishe zonke izicubu zomzimba ziyahlupheka, nemithambo yegazi emincane nemiphetho yezinzwa yemikhawulo ephansi kwasekuqaleni. Ngakho-ke, isiguli siphulukana nokuzwela emilenzeni, singakwazi ukugqoka izicathulo ezingewona usayizi waso futhi ngasikhathi sinye singazwakali.
Ngaphezu kwalokho, i-phlegmon ihlotshaniswa kakhulu nento efana nemithambo ye-ring. Kwisimo se-pathological, ukulimala kwe-arterioles kwenzeka, kukhona ukulahleka kokuxhuma:
- okokuxhumana;
- ubumbano.
Lezi zilonda ezihlelekile ngokuvamile ziwukuqala kokunganeleki kwemithambo, kuthinta isimo sezicubu ezisele.
Nge-phlegmon yonyawo, uma ikhula ngokungafani nesizinda sikashukela i-mellitus, ukondleka kwezicubu ezinezinto eziwusizo nomoya-mpilo kuqala kuphazamisekile, bese kubhekwa i-ischemia nokufa. Ngaphezu kwalokho, ubukhulu bezicubu zamandla okuphuma kwezicubu zingaba ziningana, kwenzeka ukuthi kufika ebhuqwini lendawo enkulu yezicubu noma iminwe eminingana ngasikhathi sinye.
Ngaphezu kwalokho, ukuphazamiseka kwe-metabolic kuba yinto ebangelwa ukwanda kwe-atherosulinosis yemithambo emikhulu yemithambo, ngoba amathuba okuba kwakheke izindwani emithanjeni yegazi angavimba ukwanda kokuhamba kwegazi. Ngalesi ukuthuthukiswa kwalesi sifo, inqubo ye-necrotic ifaka:
- izindawo ezinkulu zezicubu;
- unyawo ngokuphelele.
Kufanele kuqondwe ukuthi i-phlegmon yisifo se-purulent of etiology sokuvuvukala. Ikhula njengomphumela wokubola kwezicubu ezifile, okuyindawo ekahle yamagciwane amaningi.
Njengoba i-phlegmon ivela ngokuqondile ngemisipha ye-necrotic yemilenze ehambisana nokugeleza kwegazi okunganele, ukulimala kwezicubu ezithambile akunakubizwa ngokuthi yi-primary. Cishe njalo, ukusindisa impilo yomuntu, kuyadingeka ukususa izicubu ezonakele, futhi kwesinye isikhathi nalo lonke ilunga. Kungale ndlela kuphela lapho singamisa ukwanda okuqhubekayo kokuvuvukala kwe-purulent.
I-Phlegmon ayisona isifo esithathelwanayo, ngoba amagciwane atholakala kuphela ezingxenyeni ezijulile zezicubu, le ndlela yokugula ihlukile kune-impetigo, lapho kuhlala khona imbaza emhlabeni.
Izimpawu zezigaba ezahlukahlukene
I-Phlegmon yonyawo enesifo sikashukela ikhula kakhulu kubantu besifazane abaneminyaka engaphezu kwengama-30 ubudala, ubude besifo ngokwesilinganiso buba okungenani iminyaka eyi-6. Lesi sifo singasolwa ngezimpawu ezahlukahlukene, okokuqala, isifo sikashukela siphawula ukwanda kwenani lamacala wokungondleki kwezicubu nokungatheleleki kwendawo.
Uma ukubonakaliswa kokuqala kwe-pathology kuqala, kuyadingeka ukuthatha izinyathelo ngokushesha ngangokunokwenzeka okuhlose ukuqeda izilonda zesikhunta sonyawo, ngcono isimo sezicubu ezithambile.
Njengoba lesi sifo siba sibi kakhulu ngokuxilongwa kwesifo sikashukela, kubonwa izimpawu: izinhlungu emalungeni ezinzwane, ukuguquguquka kwazo, ukupholisa kwezinyawo, i-hyperemia, ukuvuvukala kwezicubu, ukuqina kwesikhumba, ukushesha keratinization. Emazingeni akamuva alesi sifo, kuvela indawo yokuqhuma kwe-phlegmon, okuqukethwe kwe-purulent kukhishwe. E-palpation yezingxenye ezithile zonyawo, kuzwakala ubuhlungu obukhulu.
Kubalulekile ukuqaphela ukuthi ngobuningi bamacala, lesi sifo sikhula ngokushesha, ngaphezu kwezimpawu ezijwayelekile, abanye abanesifo sikashukela baphawula izimpawu zokudakwa komzimba. Ubuthi kwenzeka ngenxa yomonakalo kwezicubu zomlenze ngama-microorganisms we-pathogenic.
Ezinye izibonakaliso ezijwayelekile ze-phlegmon yilezi:
- ukukhuphuka okusheshayo kwezinga lokushisa kuya kuma-40 degrees nangaphezulu;
- ubuthakathaka emzimbeni;
- ikhanda
- ukuphefumula kwenhliziyo;
- amakhaza;
- tachycardia.
Kwezinye izimo, iziguli ziphawula ukwanda kwama-lymph node wesifunda, ukuhlaselwa yisifo sikashukela.
Lapho inqubo ye-pathological ihlala imbozwe isichibi sesikhumba, ukuvuvukala kwe-purulent kuhamba ngokujulile ezicutshini, i-integument engenhla kwale ndawo ingathola i-luster enobuntu.
Uma kungekho zinyathelo ezithathwayo, i-pathology ibamba amasayithi amasha kakhulu, okudala ukudakwa okunamandla, ukuwohloka okusheshayo kwenhlala-kahle.
Izinhlobonhlobo zonyawo lwe-phlegmon
I-Phlegmon ingaba yizinhlobo ezahlukahlukene, i-phlegmon ecashile yecala elingemuva, elithambekele, elinezindondo nelizayo.
I-Phlegmon yemuva iyakhula ngenxa yokungena kwamagciwane we-pathogenic. Lokhu kungenzeka ngemisipha, ukulimala kwesikhumba. Kulokhu, i-phlegmon ingadala ubomvu, isikhumba sithola ukukhanya okungeyona okwemvelo futhi okungenampilo. Umlenze uqala ukwanda ngosayizi, ukuvuvukala kakhulu. Uma kungekho zinyathelo ezithathwayo, inqubo ye-purulent idlulela ezicutshini ezinempilo zomlenze.
Ngama-phlegmon angaphansi kwesikhumba, izindawo ezinkulu zesikhumba zilimele, zibomvu, ziyavuvukala, bese kuvela izinhlungu ezikhulayo. Ezimweni ezinzima:
- ukuvulwa okuzenzakalelayo kwelesi elikhanyayo kuyaphawulwa;
- ukutheleleka kwezicubu ezinempilo akuvamile.
Uhlobo oluyingozi kakhulu lwe-pathology yi-medial, kunzima ukuyithola ngesikhathi. Ngaphandle kokwelashwa, ukuvuvukala kwe-purulent kusakazekela kumasayithi wezicubu ezinempilo. Lolu hlobo lungahlukaniswa ngokuhlangana kwezimpawu emlenzeni; kulokhu, kuthiwa. Ngokuya kokuqina kobuhlungu, sikhuluma ngokusabalala kwalesi sifo emasendweni ajulile wezicubu.
Ifomu le-lateral nalo linzima ukulixilonga, ikakhulukazi emazingeni okuqala entuthuko. I-Pathology ithinta ngokushesha izicubu ezinempilo. Izimpawu ezinefomu le-lateral alinciphile, ukuvuvukala, ubomvu nokuvuvukala akunalutho. Ukuphela kwesibonakaliso esingakhombisa ukuthi kukhona i-pathology kubuhlungu, kukhuphuka yingcindezi, ukuhamba.
Isifo sezinhlungu asibalulekanga, ngoba izitho ezingezansi zimbozwe ngesikhumba esinyene, kunokumbalwa kokuphela kwezinzwa kule ngxenye yomzimba.
Izindlela zokwelapha i-phlegmon kushukela
Ukwelashwa kwe-phlegmon kuhlinzekelwe ngendlela eyinkimbinkimbi, ikakhulukazi efanelekile kwisifo sikashukela sohlobo lokuqala nolwesibili.
Okokuqala, i-autopsy yokugxila kokuvuvukala yenziwa ngokuhlinzwa, khona-ke indawo ethintekile ilashwa ngemithi ekhethekile ye-antiseptic.
Ngaphezu kwalokho, kuthathwa izinyathelo zokuthuthukisa ukulethwa kwegazi kwizicubu zomlenze ezifakwayo, esimweni lapho udokotela encoma ukuthi kusho okulandelayo:
- antispasmodics;
- ama-angioprotectors;
- Imithi yokwenza ngcono isimo segazi.
Kuboniswa futhi ukusebenzisa imishanguzo ukwenza i-lipid metabolism yenze ngokwejwayelekile, inciphise ukuqina kwemisipha, ikhiqize i-cholesterol, isuse izimpawu, kufaka phakathi umkhuhlane ophakeme, ukudakwa.
Cishe zonke izidakamizwa ziphathwa kahle ngaphakathi, lokhu kukuvumela ukuthi ukhuphule ijubane lemiphumela yabo ezuzisayo emikhunjini.
Ukwelashwa okuhlinzwa kufanele kwenziwe ngokucophelela, ngoba kulokhu noma yikuphi ukulimala kungavusa ukwanda kwalesi sifo. Uma ukwelashwa ngezidakamizwa ezithambile kungalethi umphumela ofanele, udokotela anganquma ukukhipha unyawo:
- ubuncane;
- ngokwengxenye.
Kwenzeka ukuthi ukunciphisa amathuba okufa kwesiguli, ukunqunywa komlenze kwenziwa ezingeni lomlenze ophansi.
Kuyadingeka ukufuna usizo lwezokwelashwa ngokushesha, ngoba ukunqunywa kwenziwa ezigabeni zakamuva zesifo, lapho inqubo yokuvuvukala ifaka izicubu ezijulile, kukhona ingozi ye-sepsis. Ukwelashwa okuqala okwanele nge-phlegmon, ungagcina umlenze othintekile, kepha isiguli kuyofanele sigqoke izicathulo ezikhethekile zamathambo impilo yakhe yonke. Izicathulo ezifanele zisiza ukwehlisa umthwalo kumajoyini abuhlungu, ukuqina kwamathambo. Izicucu zamathambo zizokwehlisa ukuqagela kokuqala kokuqala koshing, okungakhula kube inqubo yokuvuvukala, eba imbangela yokutheleleka kabusha.
Izinkinga ezingaba khona, usizo lokuqala
Izinkinga nge-phlegmon ziba kuphela lapho kungekho makhambi wesifo sikashukela, lapho onesifo sikashukela efuna nje odokotela. Kodwa-ke, kungenzeka ukuthi udokotela isikhathi eside akakwazanga ukuxilonga ngokunembile, lesi sifo saqhubeka nokuthuthuka. I-complication eyingozi kakhulu ye-phlegmon ubuthi begazi.
Uma kutholakala izimpawu zokuqala, kuyadingeka ukuthi uyeke imishanguzo yokuzikhethela, ukusetshenziswa kwezinye izindlela zokwelashwa. Le ndlela yandisa inkinga, iletha ukufa. Ngemuva kokuhlolwa, udokotela uzothumela isiguli esibhedlela sokuhlinzwa.
Lapho kunenxeba, ukulimala okuye kwangena ngakho ngaphakathi kwezicubu, kufanele kumbozwe ngebhandeshi. Uma kunenxeba lokuhlanjululwa, ukugcokwa kumunyisiwe:
- isixazululo se-hypertonic;
- umenzeli we-antiseptic.
Futhi-ke kuphela umuntu onesifo sikashukela olaliswa esibhedlela.
Izindlela zokuvimbela
Ukuvimbela ukukhula kwe-phlegmon yonyawo kulula kakhulu futhi kulula kunokufeza ukwelashwa okubizayo. Izindlela zokuvimbela zilula, behlela ukuvakashela udokotela uma kukhona izinsolo zezinkinga ngesikhumba esinesifo sikashukela.
Okunye ukutusa ukushintsha izicathulo lapho zingakhululeki ngenkathi uhamba. I-jozi entsha, esezingeni eliphakeme ene-insole ethambile kufanele ithengwe, izicathulo ezinesifo sikashukela kufanele zenziwe uku-oda, kucatshangelwa izici zezinyawo zonyawo.
Akumele sikhohlwe ngokwanda kokungatheleleki komzimba, kubalulekile ukusebenzisa isilinganiso esanele semifino nezithelo, kuvame ukuhamba emoyeni omusha, futhi kancane kancane ukufutheka. Ukunciphisa ukungatheleleki kungasebenzisa ukusetshenziswa okungagunyaziwe kwemithi elwa namagciwane. Ngenxa yalokhu, kuzoba nzima kakhulu ukubekezelela i-phlegmon, ama-antibiotics angavele angasebenzi, i-pathology ingaqhubeka ithuthuke ngenxa yokuthuthuka kokumelana.
Akuyona indima yokugcina enikezwe ukuhlanzeka kwemikhawulo engezansi, imilenze kumele igcinwe ifudumele, hhayi ukuthi ibande. Lokhu kuzonciphisa amathuba wokulimala kwesikhunta, ukungena kwe-microflora ye-pathogenic emathanjeni ngokusebenzisa imifantu nokuhlukumezeka. Uma umonakalo onjalo uvele, kwesinye isikhathi ukuvimba izinkinga zempilo kwanele ukwelapha isilonda ngomuthi obulala izidakamizwa noma onotshwala.
Njenganoma yisiphi isifo, i-phlegmon idinga ukunakwa ngokwakho, impilo yakho, ukwelashwa okwanele futhi okufika ngesikhathi. Ngaphandle kwalokho, inqubo yokuvuvukala ye-purulent izothuthuka, nsuku zonke inciphisa ithuba lokusindisa umlenze nokuphila okuthintekile.
Izinkinga zesifo sikashukela zichazwe kuvidiyo kule ndatshana.
