Cellulitis - chirwere kuti? Neck pute. Zviratidzo neMarapirwo

Cellulitis - a purulent kuzvimba pamusoro adipose tishu. The pathological kwacho kuri chakasimba uye munguva pfupi anogona kusvika dzakapoteredza nzvimbo zvinyama kuzvimba uye kupararira nemarunda, tsandanyama, cellular dzezvimwe. Munyaya ino tichataura zvakawanda nezvechirwere ichi, zvichange kurondedzerwa pazasi zviratidzo, zvinokonzera uye nenheyo pakurapa chirwere.

zvikonzero

Chokutanga, tinofanira zvakajeka musiyano pfungwa "pute" uye "cellulitis". Haisi zvimwechete. Kusiyana pute, ine zvinhu Kamudzira kubva cellulitis havasi miganhu zvakajeka, saka chokutsva wakadurura hunhu. Phlegmon - hurwere izvo kuva somugumisiro nokukurumidza kubereka vana pathogenic tusingaoneki: anonzi Staphylococcus, Streptococcus, Pseudomonas aeruginosa, Clostridium, Escherichia coli coli, uye vamwe.

Dawo zvakakora rinenge kungava kunokuvadza zvinenge nenzira dzakasiyana. Izvi zvinoitika kazhinji zvichikonzerwa kutyora kuvimbika ganda panguva ronda, kukuvara, pashure oparesheni uye majekiseni. Uyewo, utachiona vanogona kuwana kuvhunduka node kana ropa. Possible uye mbambo nzira chirwere, kana suppurative pfungwa kune kwakakanganisa nhengo achaputsa kupinda pedyo adipose tishu. Mumwe mukana ishoma uye kumhanya muitiro (bacteremia, pute). Kazhinji Nhengo anotsvaka kushomeka chero kuzvimba zvikamuka, pova Kamudzira. Zvisinei, kana kuneta, vazodzikisa kutapata, kwenguva refu chisingaperi pathologies, udhakwa, Kamudzira wokudzivirira kwakadaro hakuna kuumbwa, uye purulent muitiro zvakanaka kunosvika kubva pakatanga chirwere. Uyezve, vamwe utachiona (semuenzaniso, dzisiri clostridial kasvisto, Clostridium) anokwanisa kusunungura zvimwe zvinhu kuti kuiparadza unodzivirira mumuhara, mauri pus kunogonawo zvinopfuura utano tishu.

Cellulitis: Zviratidzo

The chirwere ari dzinoratidzwa kumbonyanya nezvekumwe zvokunze kuratidzwa, rakafanana zviratidzo kuzvimba: akatsvuka, ganda kuzvimba, achidziya ganda iri nzvimbo kukuvara, marwadzo.

By yezvakaita pamusoro vari phlegmon (kukuvara rinenge kune tsandanyama rukoko) nzvimbo uye rakadzika (tsandanyama rukoko namafuta kurasikirwa rakamiswa kumativi zvomukati). Zvachero pute akaratidza kurwadziwa kwazvo munzvimbo kuzvimba, kuzvimba, induration. With kubatanidzwa mune pathological muitiro ganda hwapedyo akatsvuka uye nemakanzuru tembiricha kuwedzera. Nokukurumidza, pane dzinowanzotaurwa zviratidzo kudhaka: chills, fivha, nyota, muromo yakaoma, yakanyanya utera. Kana kuva dzakadzama pute, mukuru zviratidzo vakawanda pamusoro dzomunharaunda. tembiricha muviri anogona kumuka 40-42 ° C, kutemwa nomusoro, utera, somnolence, ganda kuva jaundiced, akaderedza BP, kupomba - simba, kakawanda. Akanetseka kufema basa (kufema ainge arasika, pamwe shoma mumuviri mutoro kana kunyange zororo sokuti otdyshka) uye secretory (zvinoderedza uwandu weti, kusvikira rakwo vasipo) hurongwa. Uyewo pakadzika cellulitis kunowedzera ukuru kana kuti nharaunda tichienzanisa hwakanaka pakati nepakati nzvimbo.

mutsipa cellulitis

chirwere ichi chinogona kuva pamusoro zvachose chero nzvimbo apo pane subcutaneous mafuta. Pute kwemitsipa - chirwere, umo nezvimwewo. Uye migumisiro zvinogona kwazvo uye kunyange upenyu pangozi.

Kana chirwere chinobata interfascial mutsipa uye intercellular nzvimbo. Sezvo chikamu ichi muviri une kunzwisisa anatomical chimiro, pute angava akasiyana localization.

Zviratidzo cellulitis mutsipa

Zvakakosha kuziva chirwere nenguva. Cellulitis kungaratidzwa nenzira dzakawanda, zvose zvinoenderana kudzama uye nzvimbo. Kana kuzvimba duku kukura uye riri zvakadzama kuzvinzwisisa zvakaoma. Muchiitiko chino, chero zvinozonzi paganda hatisi, muviri tembiricha refu ukoshi rukasafashukira, zviratidzo kudhaka manyoro. Outdoor kana zvakadzama cellulitis kwemitsipa rinowanika sezvo zvachero cellulitis vamwe nzvimbo muviri. Palpation hakutombonzwiki kusiyana-siyana (Urume kuwanda), makakatanwa ganda uye soreness. Murwere nemamiriro - mwero nekuomarara kana zvakakura. Apo chirwere chakadai inogona kunetsa kumedza. Kana submaxillary phlegmon vachinetseka kuvhura muromo uye kutsenga zvokudya. Roth anogara ari hafu-rakavhurika mamiriro anogona kazhinji kuitwa kwakanaka. Mberi chirwere rikurumidze murwere nemamiriro iri kuipa nokukurumidza, kukura kudhaka. miedzo ropa kuratidza mufananidzo rikwanise kuzvimba, ESR nhamba achisimuka 40-50 mm / awa.

Chii chinokonzera cellulitis mutsipa?

Cellulitis - imwe kuzvimba, umo pus rinopararira nokukurumidza kubva imwe nzvimbo vachienda kune imwe, pova yakakura wakateura ari lesion. Zvikurukuru, phlegmon mutsipa anogona kutsamwisa hwevanhu vanorwara catarrhal uye lacunar angina peritonsillar yokutanga uye retropharyngeal pute, alveolitis, periodontitis, osteomyelitis repasi shaya, otitis, musana lesion (osteomyelitis occipital pfupa kana remuromo vertebrae), thyroid chirwere, putrefactive chirwere (carious mazino ) gumo. Nayo utachiona rinopararira nyore chaizvo pane unzenza interfascial zvinyama, kunokanganisa connective zvinyama, tsinga, tsandanyama uye node nodes.

zvinogoneka yematambudziko

Usava uye kukurumidza chirwere chirwere kungaita kuti migumisiro, kazhinji haawirirani upenyu:

• kuzvimba muMedhia akapiwa nzvimbo pechipfuva - mediastenitu;

• pus kuti Kuparara ngarava masvingo uye sezvo zvakaguma kuti kunonyengedza ropa;

• yomumuzongoza, sepsis, abscesses mune dzimwe nhengo;

• asphyxia (somugumisiro kudzvinya yemweya pus);

• anoputsa kusvika pus ari zvemapapu, dokeriro.

Cellulitis: pakurapa chirwere

Chokutanga, kusimbisa kutapuriranwa hunhu kuzvimba chiremba anofanira kuitisa kwazvo kuzviongorora murwere uye kuongorora nhoroondo chirwere. Phlegmon kazhinji chapedzwa surgically. Kushanda inorwisa mabhakitiriya kurapa, novocaine blockades kuitisa panyama kurapa, kwokubatsira mishonga kuti tiwedzere hondo dzakadzivirirwa zvichida chete panguva kutanga pavaipfuura chirwere. Kana kukurumidza kunobatsirawo hakuitiki (marwadzo haagumiri, tembiricha muviri wakachengetwa yakakwirira yakati sandara, kunopindirana utano uye chokupika nemiedzo ropa regai kuvandudza), uye zviratidzo kudhaka iri kuwedzera nokukurumidza, kudiwa kwokukurumidzira kuvhiyiwa. Patinoita maoparesheni mukutanga nzendo chirwere kudzivisa chepfu mumuviri uye vakapararira pakati purulent kwacho. Kana kuvhiya kurapwa dzinofanira kuzokurukurwa kuti cellulitis kwemitsipa, kazhinji kacho, dziri podfastsialno, uye kuti varege kuparadza rinokosha dzidzo (tsinga, midziyo uye vamwe.), Unofanira vanyatsohuongorora dissect kuti tishu akaturikidzana.

Zvisinei, kurapa izvi hazvirevi kuguma ikoko. Mushure phlegmon yabviswa, mishonga iri postoperative nguva achipfeka kushingaira kuchirapa chiito. The ndakakuvadza drains the nezvevanakomana, kuti zvibvire kuti refu rinoita aibuda-kuburikidza kugeza uye chido kuti exudate. Zvinokoshawo kuti pave mubhedha murwere zororo uye kunwa zvinwiwa zvakawanda. In huru mishonga raitongwa sesaline, shuga uye zvakafanana. N. Kuratidza nemishonga, analgesics, cardiacs, kuitisa okisijeni kurapa.

matanho

Kuti adzivise chirwere chakadaro ngozi vanofanira kudzivisa micro traumas pamba uye kubasa, kuti pakarepo kupa mishonga mukukuvara, maronda, okusuma kwemiviri yokumwe. Matanho hama phlegmon mutsipa ine mu nenguva Mabatirwo angina uye Kugara uchishanyira wamazino, kuti nenguva zvikavengwa kurapa zvirwere kwemeno uye mazino.

In mhedziso

Cellulitis - chokunyevera, chinouraya kuzvimba. Kana zviratidzo chirwere rokutanga pakarepo kutaura chiremba. Chero zvazvingava asina kuita kuzvidzora kurapwa kunogona kutungamirira kusingarapiki nemigumisiro.