I-Phlegmon - yintoni isifo? Phlegmon entanyeni. Iimpawu neNyango

I-Phlegmon iyisibhakabhaka esinamafutha aso. Inkqubo ye-pathological iyenzeka ngokukhawuleza kwaye ngexesha elifutshane likwazi ukumboza indawo ejikelezayo yokuvuvukala kwezicubu kunye nokusabalala kwiitone, izihlunu, izithuba zamaselula. Kule nqaku, siza kuthetha ngakumbi ngale sifo, ngezantsi kuza kuchaza iimpawu, izizathu kunye nemigaqo yokonyango kwesi sifo.

Izizathu

Okokuqala, iingcamango ze "abscess" kunye ne "phlegmon" kufuneka zichazwe ngokucacileyo. Oku akuyinto efanayo. Ngokuphambene ne-abscess, ene-capsule enomkhawulo, i-phlegmon ayikho imida ecacileyo, ngoko inkqubo yokuvuvukala yendalo. I-Phlegmon izifo eziphuhliswayo ngenxa yokuphindaphinda ngokukhawuleza kwee-microorganisms ze-pathogenic: staphylococcus, streptococcus, Pseudomonas aeruginosa, clostridia, Escherichia coli, njl.

Ukungena kwi-cellulose enamafutha, izidalwa ezinobungozi zinokusetyenziswa ngeendlela ezahlukeneyo. Ngokuqhelekileyo oku kubakho ngenxa yokuphulwa kwengqibelelo yesikhumba ngexesha lokulimala, ukuxhwaleka, emva kokuhlinzwa kunye neenjini. Kwakhona, usulelo luyakwazi ukufumana i-lymph okanye igazi. Inokwenzeka kwaye umzila wokuthintela usulelo, ukuba ugxininiso olusisigxina kwiqela elichaphazelekayo luya kwiifama ezikufuphi eziseduze. Ingozi ethile nayo ibandakanywa nenkqubo encinane (carbuncle, abscess). Umzimba, njengomthetho, ufuna ukukhawulela nayiphi na ukukhupha, ukudala i-capsule. Nangona kunjalo, ngokukhathala, ukuncipha kwe-immunity, ixesha elide lokugula, ukutywala utywala, injalo i-capsule ekhuselayo ayifani, kwaye inkqubo ye-purulent isasazeka ingenasiphelo ukusuka ekuqaleni kwesi sifo. Ukongezelela, ezinye izifo-mzimba (umzekelo, i-flstridial flora, clostridia) iyakwazi ukukhulula izinto eziza kutshabalalisa umlenze wokukhusela, okubangela ukuba i-pus ikwazi ukungena kumathambo aphilileyo.

I-Phlegmon: iimpawu zesifo

Esi sifo sibonakala ngokubonakaliswa kwangaphandle, kufana neempawu zenkqubo yokuvuvukala: ubomvu, ukuvuvukala kwesikhumba, ukufudumala kwesikhumba kwindawo yokulimala, ukuvakalelwa koluhlungu.

Ngokwemeko yendawo ye-phlegmon yinto engathandabuzekiyo (umonakalo wesikhumba kumgca we-muscle) kunye nobunzulu (umonakalo kumgca we-muscle kunye nezicubu ezinamafutha ezungeze izitho zangaphakathi). I-phlegmon engaphezulu ibonakaliswa yintlungu eninzi kwindawo yokuvuvukala, ukuvuvukala nokuqina. Xa ulusu lubandakanyeka kwinkqubo ye-pathological, ubomvu bukhula kunye nobushushu bendawo bubanda. Ngokukhawuleza, kukho iimpawu eziqhelekileyo zokuxhatshazwa komzimba: ukukhuza, ukukhulelwa komkhuhlane, ukoma, umlomo owomileyo, ubonisa ubuthakathaka obukhulu. Ukuba i-phlegmon ejulile ikhula, iimpawu zendalo jikelele ziyabonakala phezu kwazo. Ubushushu bomzimba bunokuphakama ukuya kwi-40-42 ° C, ikhanda, utywala, ukulala, isikhumba sibe yinto ecacileyo, uxinzelelo lwegazi luyancipha, i-pulse-inobuthathaka, rhoqo. Umsebenzi wokuphefumula uphazamiseka (ukuphefumula kulahlekile, kunye nokunyanzelisa umzimba okanye ukuphumla, ukuphefumula okuphefumulayo kubonakala) kunye ne-excretory (umlinganiselo we-urine wehla, ukuya ekupheleni kwayo). Kwakhona, xa i-phlegmon ejulile ikhula ngobukhulu, le ndawo okanye loo ndawo ngokuthelekiswa nesayithi elilinganayo.

Neck phlegmon

Esi sifo singahlakulela nakanjani nasiphi na isayithi apho kunamafutha angaphantsi. I-phlegmon entanyeni isifo, inkambo leyo engayiqali. Yaye imiphumo ibe nzima kwaye ibe yingozi nobomi.

Xa eso sifo sichaphazela iindawo eziphakathi komhlaba kunye neendawo eziphakathi kweentamo. Ekubeni le nxalenye yomzimba inesakhiwo esiyinkimbinkimbi se-anatomiki, i-phlegmon inokuthi ikwazi ukuhlukahluka.

Iimpawu zentsimbi yentamo

Kubalulekile ukuxilonga isifo ngexesha. I-Phlegmon ikwazi ukuzibonakalisa ngokwahlukileyo, konke kuxhomekeke ekujuleni kwezinto ezenzekayo nakwiindawo zendawo. Ukuba ukuvuvukala kukuncinci kwaye kunzulu, kunzima ukubona. Kule meko, akukho zibonakaliso kwesikhumba, ukushisa komzimba akuphakamisi kwiimpawu eziphezulu, izibonakaliso zokuxilisa zichazwe kakuhle. I-phlegmon yangaphandle okanye ephakamileyo yentamo ibonakaliswe ngendlela efanayo ne-phlegmon engaphandle kwezinye iindawo zomzimba. Ngeloliso, kuya kubakho ukuguquka (ukuqokelela kwamanzi), ukuxhatshazwa kwesikhumba kunye nokuxhalaba okukhulu. Isigulane sesigulane sinobukhulu obukhulu okanye obunzima. Ngolu hlobo lwesifo, ukugwinya kunokuba nzima. Nge-submaxillary phlegmon, ubunzima buvela ngokuvula umlomo nokuhlafuna ukutya. Umlomo uhlala kwindawo evulekileyo, kwaye umvumba ongathandeki unokubakho rhoqo. Ngenxa yenkqubo yokuqhubela phambili yokugula, imeko yesigulane iyancipha ngokukhawuleza, kwaye utywala luyaqhubeka. Iimvavanyo zegazi zibonisa umfanekiso wokuvuvukala okukhulu, iiparitha ze-ESR zanda kwi-40-50 mm / iyure.

Yintoni eyenza i-phlegmon entanyeni?

I-Phlegmon ukuvuvukala, apho ukugqithisa ngokukhawuleza kusasazeka ukusuka kwenye indawo ukuya kwenye, kwakha imida emininzi yomonakalo. Ngokukodwa, i-phlegmon entanyeni ingashukunyiswa yinkambo eyinkimbinkimbi ye-catarrhal ne- lacunar angina, ukuvulwa kwe-peritonsillar kunye ne-zaggot i- abscesses, i- alveolitis, i-periodontitis, i-osteomyelitis yomnxeba ongaphantsi, u-otitis, umlenze ongaphantsi komzimba (u-osteomyelitis wesifo se-occipital okanye i-vertebrae yomlomo wesibeleko), isifo se-thyroid, ), I-Trauma. I-agent ekhuselekileyo yesifo isasazeka ngokulula kwi-fiber ephathekayo yomhlaba, ichaphazela izicubu, iinqanawa, izihlunu kunye ne-lymph nodes.

Iingxaki ezinokwenzeka

Ukungaxilanga nokungaxilwanga kwesi sifo kungakhokelela kwimiphumo emibi, kaninzi engahambelani nobomi:

• Ukuvuvukala kwesithuba somlambo wesifuba - mediastenitis;

• Ukuqhayisa iindonga zeempahla kwaye, ngenxa yoko, ukuphuma kwegazi;

• Ukwenzela i-meningitis, i-sepsis, i-abscess kwezinye izitho;

• Ukuxhatshazwa kwe-asphyxiation (ngenxa yokutyumba umzila wokuphefumula);

• Ukubhoboza ukuphosa emiphakeni, i-larynx.

I-Phlegmon: unyango lwesifo

Okokuqala, ukuze kuqinisekiswe uhlobo olusulelayo lokuvuvukala, ugqirha kufuneka enze uvavanyo olupheleleyo lwegulane kwaye afunde imbali yonyango. I-Phlegmon, njengomthetho, isuswa ngumsebenzi wokuhlinzwa. Ukusetyenziswa kweyeza-antibiotics, i- novocain blockades, unyango lwangokwenyama, ukufakwa kwamachiza anokomeleza ukukhuselwa komzimba kunokwenzeka kuphela kwisigaba sokuqala sesi sifo. Ukuba isiphumo esiphumelelayo asifikeli (intlungu ayigcini, ukushisa komzimba kugcina kumgangatho ophakamileyo, iimeko eziqhelekileyo zokuphila kunye neeparitha zokuhlolwa kwegazi aziphuculanga), kwaye iimpawu zokuxhatshaza zikhula ngokukhawuleza, ukungenelela kokungxamisekileyo kuyimfuneko. Ukuqhuba ukutyunjwa kwezigulane kwiimigangatho zokuqala zesifo kunokukhusela utyhefu lomzimba kunye nokusasazeka kwenkqubo epheleleyo. Ngonyango olunyango, kufuneka likhunjulwe ukuba iingcingo zentamo, inxalenye enkulu, ziphantsi komhlaba, kwaye ukuze zingonakali izakhiwo ezibalulekileyo (iimbasa, iinqanawa, njl.

Nangona kunjalo, lo unyango alupheli apho. Emva kokuba i-phlegmon isuswe, unyango kwixesha elilandelelweyo lucacisa izenzo ezithintekayo zokwelapha. Imijelo ifakwe kwisilonda ukuze ivumele ukuhlamba kwexesha elide kunye nesifiso esichukumisayo se-exudate. Kwakhona, isigulane sidinga ukubonelela ukulala nokulala. Kwimilinganiselo emikhulu, isisombululo se-saline, i- glucose, njl njl. Njl.

Amanyathelo okukhusela

Ukuthintela eso sifo esiyingozi, kubalulekile ukukhusela i-micro-traumas ebomini bemihla ngemihla nasemsebenzini, ukubonelela ngokukhawuleza unyango malunga nokulimala, ukulimala kunye nokufakwa kwamalungu angaphandle. Amanyathelo okuqhelana neprophylactic malunga ne-phlegmon entanyeni iquka unyango olufanelekileyo ngexesha lokutyelela i-angina kunye nokutyelela rhoqo kwiizinyo zamazinyo ngexesha lokufumanisa nokuphatha izifo zamazinyo kunye namagciwane.

Ekugqibeleni

I-Phlegmon - le yinto ebunzima kakhulu, isifo esongela ubomi. Ekuboniseni kokuqala kwe-pathology, kha wuleza uthintane nodokotela. Musa ukuzigulisa, ungakhokelela kwimiphumo engapheliyo.