I-Phlegmon yonyawo - ubunzima obunokwenzeka beshukela

Isifo sikashukela i-mellitus siyingozi hhayi ngokubonakaliswa okuqondile ngesimo sokuwohloka kwenhlala-kahle, kodwa nangomthelela emsebenzini wezinye izitho zomzimba.

Ngakho-ke, ukulimala kohlelo lwe-vascular endaweni yonyawo kuholela ekuthuthukisweni kwe-gangrene ne-phlegmon.

Izimbangela zonyawo phlegmon kushukela

I-Phlegmon ukuvuvukala okunamandla kwezicubu ezikhula ngenxa yokufakelwa kwama-microorganisms we-pathogenic kuwo.

I-pathogen ingaba yile:

• izifo zokukhunta;
• I-Pseudomonas aeruginosa, amathumbu, i-paratyphoid noma i-hemophilic bacillus;
• clostridia;
• streptococci, peptostreptococci, staphylococci nabanye.

I-phlegmon yesifo sikashukela ivela ikakhulu kungqimba lweseli eliphakathi lonyawo lwesobunxele noma ngakwesobunxele futhi inamandla. Noma kunjalo, i-lesion ingathinta noma iyiphi ingxenye yomlenze bese ibonakala ngezindlela ezahlukahlukene (bheka isithombe).

Ngokwemvelo yenkambo, lesi sifo sihlukaniswa sibe yimihelo futhi siyingozi.

Ngokujula kokungena: subcutaneous and subaponeurotic.

Endaweni okwenziwa kuyo okwasendaweni:

• ezinzwaneni;
• endaweni yesithende;
• yedwa;
• emhlane wonyawo.

Njengoba bekushiwo, imbangela yalesi sifo ukungena kwezifo ezincanyana. Lokhu kujwayelekile ezigulini ezinesifo sikashukela i-mellitus, ngoba ukugeleza kwegazi lazo emaphethelweni kulinyazwa futhi nokungasebenzi komzimba kuncishisiwe, okuvumela amagciwane ukuba akhule ezimweni ezinhle.

Amagciwane athela izicubu ezithambile ngenxa ye:

• ukulimala kwezinyawo ngezicubu ezingakhululekile nezicinene;
• ukubukeka emilenzeni yokuhlatshwa, amabele, ukuhlukunyezwa noma ukulunywa yizilwane;
• ukugwazwa, ukusikwa kanye nokunye ukulimala;
• Ukuqedwa okungafanele kwezinye izilonda zonyawo oluhlanzekile;
• ukufakwa kwezinto ezingaphandle ezicutshini zonyawo, njengama-splinters.

Zonke lezi zinqubo ziholela ekwephuleni ubuqotho bezicubu, ezivumela ama-microorganisms ukuthi angene futhi athuthuke. Umthombo owengeziwe wamagciwane ungasebenza njengomthombo wokutheleleka okungapheli emzimbeni, okuthi ngokugeleza kwegazi noma i-lymph ifinyelele endaweni "engenamandla", lapho ibumba khona i-phlegmon.

Izimpawu zesifo

Isibonakaliso esiyinhloko iziguli asinakayo sibuhlungu obukhulu emalungeni nomuzwa wokugcwala okuvela ngaphakathi. Ayaqina ngenkathi ehamba futhi ecindezela.

Ngaphezu kwalokho, isiguli sihlupheka:

• ukuvuvukala konyawo, ngenkathi i-arch yayo iseluliwe, okuphawuleka kakhulu ngokuqhathaniswa nomlenze wesibili;
• ukwanda kokushisa endaweni ye-lesion;
• ubomvu besikhumba, kwezinye izindawo (eduze kweminwe) kuqhuma iblue;
• ukwenzeka kokushintshashintsha komzimba njengomphumela wokuqongelela ubomvu;
• ukuvuvukala kwama-lymph node ngaphansi kwamadolo ne-groin;
• ubuthakathaka jikelele nokunganaki;
• ukujuluka nokoma.

Ukushintshashintsha kwesimo kuyabonakala lapho kuzanywa ukugoqa unyawo, kuyilapho kunomuzwa wokuthi kukhona uketshezi osusondele.

Lokhu kungenxa yokungabi bikho kwekhompiyutha ku-phlegmon, ngenxa yalokho i-pus iqongelela kwezicubu. Amacala amabi asebenza njengomkhawulo wawo kuphela.

Ngokwakheka kwesifo esingelapheki lesi sifo, izimpawu zingacishe zingabikho ngokuphelele. Esikhundleni sokushintshashintsha kwezimpawu, okufakelwa okuhambisana nokuqina kwesihlahla okuqinile kutholakala onyaweni. Isikhumba ngaphezulu kwe-phlegmon iba yi-cyanotic (bheka isithombe).

Izinqubo zokuxilonga

Ukwenza ukuxilongwa, udokotela kufanele aqoqe ama-anamnesis, ahlole isiguli futhi anikeze izinqubo zokuxilonga.

Iziphetho ezinkulu zenziwa ngesikhathi sokuhlolwa nokubukwa kwendawo ethintekile, noma kunjalo, ukuqinisekisa ukutholwa, kubekiwe:

1. Ukuhlolwa kwegazi, uma izinga le-ESR lenyuswa kulo - lokhu kufakazela ukuba khona kwenqubo yokuvuvukala.
2. Ukuhlaziywa kokuqukethwe kwe-phlegmon, ngayo, kuthathwa ukubhoboza okuvela ekubunjweni ngesirinji, nokuqukethwe okuzobe sekuhlolwa. Uma uketshezi oluningi oluphuzi lisesipayipini, lokhu kukhombisa ubukhona bokudumba.
3. Ukutadisha koketshezi okuholela ekuboneni i-pathogen kanye nokuqokwa kwezidakamizwa ezifanele.

Ngemuva kokuxilongwa okuyikho, kunikezwa umuthi noma ukuhlinzwa.

Ukwelashwa kanye nemiphumela engaba khona

Ukwelashwa kokuvuvukala kwezicubu ezithambile zonyawo kuyinqubo ende futhi ebuhlungu. Kubandakanya iqoqo lezindlela, phakathi kwazo okuyinhloko ukuhlinzwa. Ezigulini ezinesifo sikashukela i-mellitus, noma yikuphi ukuphazamiseka ngobuqotho bezicubu kuyingozi, ngoba inqubo yokuphulukisa ihamba kancane futhi imbi.

Ukuze kusebenze, kubalulekile ukwehlisa izinga likashukela futhi uligcine liphansi phakathi nesikhathi sokululama. Kulokhu, imithamo ephezulu ye-insulin ivame ukusetshenziswa, kufaka phakathi abantu abahlushwa uhlobo lwesibili sikashukela.

Ukuhlinzwa uqobo kwenzeka ngaphansi kwe-anesthesia ejwayelekile. Udokotela wenza ukuvela kwezicubu endaweni ye-pus kwasendaweni, kuyisuse, kanye nezicubu ezifile. Ngemuva kwalokho ukufakwa kokudonsa ngaphandle kokuthungwa.

Isilonda sibuyiselwa ngenhloso yesibili.

Ukuhlinzwa kunzima, ngoba kunenqwaba yemithambo yegazi, imiphetho yezinzwa nemisipha onyaweni.

Kubalulekile ukuthi udokotela ohlinzayo angabalimazi, kodwa ahlanze ngokuphelele inxeba.

Ngenqubo yokupholisa, ukugeleza kwamanzi kuguquka njalo, bese isilonda siphathwa nge-antiseptics kanye nemithi elwa namagciwane ukuze sinciphise ingozi yokutheleleka okusha futhi siqede i-edema nokuvuvukala.

Umlenze, njengomthetho, umiselwe amasonto ambalwa, ukuze isiguli singalimazi izicubu ezifakwayo, futhi inqubo yokubuyiselwa kwabo yahamba ngqo.

Ngokufana, kusetshenziswa umuthi, kubandakanya ukuphathwa:

1. Ama-antibiotic, okokuqala angama-ejenti we-wide-spectrum okuhloswe ngawo ukudambisa ukuvuvukala nokuvimbela ukutheleleka okusha, bese kusetshenziswa izidakamizwa ezihlosiwe kakhulu ezisebenza ohlotsheni oluthile lwe-microorganism olucasule i-phlegmon.
2. Ama-analgesics, asetshenziselwa ukunciphisa ubuhlungu be-postoperative kanye nokululama ngokushesha kwesiguli. Zingasetshenziswa ngendlela yemijovo, imithambo yokugcoba noma yamathebulethi.
3. Izidakamizwa ze-antitoxic ezibekiwe ngohlobo lwama-droppers, okuqukethwe okuhlanza umzimba wemikhiqizo yokulahla imfucumfucu.
4. Ama-ejenti aqinisayo, kulo mthamo kukhona izidakamizwa ezivusayo kanye nama-vitamin-mineral complexes akhulisa ithoni yomzimba wonke.

Ukululama ngokuphelele kuthatha izinyanga ezimbalwa, lapho amanxeba elapha kanye nezicubu ziphilisa. Isiguli, njengomthetho, sinqunyelwe ukuphumula kombhede, nangokomlenze isikhundla esiphakeme ukuze kuphume uketshezi oluningi luphume.

Ukusheshisa ukuphulukiswa kwenxeba, kusetshenziswa i-methyluracil ointment noma i-Troxevasin gel. Amafutha e-Iruxol neminye imikhiqizo efana nama-enzyme asetshenziselwa ukukhipha izicubu eziphelelwe yisikhathi.

Uma kwenzeka ukuqina kokulimala kokulimala nokuhluleka okukhulu, kusetshenziswa i-dermoplasty, ngosizo loku kufihlwa lokhu kusilela.

Uma kunesidingo, imali engasetshenziswa ukugcina uhlelo olujwayelekile lwenhliziyo. Ukuphuza uketshezi oluningi kuyanconywa futhi ukusiza ukusiza ukukhipha amandla ngokushesha.

Ngemuva kokwelashwa, isiguli kufanele sigqoke izicathulo zamathambo, ezizovimba ukungena kabusha kokutheleleka izicubu.

Esimweni lapho isifo sitholakale khona ekuqaleni, ukuhlinzwa kungenzeka kungadingeki uma umuntu owangenile engakhi. Ngemuva kwalokho isiguli sinqunyelwe i-compress nge-oalm ephuzi e-mercury noma izinqubo zokushisa.

Uma ingalashwa, i-phlegmon yonyawo ingaholela ku:

1. Ekusakazweni kokutheleleka kulo lonke uhlelo lwemithambo yemilenze nokwenziwa kwe-phlebitis ne-thrombophlebitis.
2. Ekusakazweni kokutheleleka ngokugeleza kwegazi emzimbeni wonke, okuphumela ekuthusheni kwe-sepsis noma i-toxic toxic.
3. Ekuguqukweni kwezinqubo ze-purulent zingene ezicutshini zamathambo, ezigcwele ukuthuthukiswa kwe-osteomyelitis.
4. Ekukhuleni kwenqubo ye-purulent and necrotic, ukusabalala kwayo kuwo wonke umlenze nokubonakala kwe-gangrene, ukuqedwa kwayo kudinga ukunqunywa kwesitho.

Akunakwenzeka ukwelapha isifo esinjenge-phlegmon ekhaya wedwa. Lokhu kungaholela ekwandeni kokutheleleka nokulahleka ngokuphelele kwesilungu, futhi ezimweni ezinzima, nasekufeni.

Ividiyo evela kusazi:

Izincomo zokuvimbela

Ukuvimbela ukukhula kwe-phlegmon yonyawo kubandakanya izindlela ezilula okumele zilandelwe yibo bonke, ikakhulukazi abantu abanesifo sikashukela. Okokuqala, kufanele bagweme ukulimala okuhlukahlukene kwezinto eziphelele, uma kwenzeka kukhona abrasions, zibaphathe ngama-disinfectants. Futhi phatha noma yisiphi isifo esithathelwanayo kuze kululame ngokuphelele. Sebenzisa izicathulo ezikhululekile nezisebenzayo ezingadali amabele nokuhlikihla.

Kubalulekile ukulawula izinga likashukela egazini futhi uvikele amanani alo aphakeme. Kulokhu, ukuhlolwa kwegazi okuvamile koshukela nokunamathela ekwelashweni kokudla kudlala indima ebalulekile.

Ukwenza ukujikeleza kwegazi kube ngokwezifiso emaphethelweni aphansi, kunconyelwa ukwenza iqoqo lokuzivocavoca, elakhelwa isiguli ngasinye ngamunye, ngokuya ngokwazi kwakhe ngokomzimba.

Kubalulekile futhi ukuqinisa amasosha omzimba ngokulandela indlela yokuphila enempilo nangokulungiselela amavithamini. Lokhu kuzosiza umzimba ukwazi ukubhekana namagciwane azama ukungena ngaphakathi.

Ekubukeni kokuqala kwezimpawu ze-phlegmon, kufanele uthintane nodokotela ngokushesha ozokunikeza ukwelashwa. Akunjalo, musa ukuzindla.