Cellulitis - isifo ukuthi? Intamo ithumba. Izimpawu kanye Ukwelashwa

Cellulitis - a ukuvuvukala ubovu kwezicubu adipose. Inqubo sokugembula sibi futhi ngesikhathi esifushane ngifinyelele ezizungezile kwezicubu ukuvuvukala futhi lasakazekela imisipha, nemisipha, izikhala yeselula. Kulesi sihloko sizoxoxa kabanzi ngalesi sifo, uzobe kuchazwe ngezansi izimpawu, izimbangela kanye nezimiso ekwelapheni lesi sifo.

izizathu

Okokuqala, kufanele ukuhlukanisa ngokucacile phakathi welithi "ithumba" futhi "cellulitis". Akuyona into efanayo. Ngokungafani ithumba, esesikhundleni capsule eqine kusukela cellulitis Awekho imingcele ecacile, ngakho yisishiso uthululele uhlamvu. Phlegmon - kukhona izifo ezikhula ngenxa ukukhiqizwa kabusha okusheshayo nezilwanyana ezincane pathogenic: Staphylococcus, Streptococcus, Pseudomonas aeruginosa, Clostridium, Escherichia coli, nabanye.

Ukuze zingene izicubu okunamafutha kungenzeka ayingozi ngezindlela ezahlukene. Lokhu kwenzeka ngokuvamile kakhulu ngenxa yokwephula ubuqotho isikhumba ngesikhathi isilonda, ukulimala, ngemuva kokuhlinzwa kanye imijovo. Futhi, lesi sifo ungathola lymph ukushaqeka noma igazi. umzila Okungenzeka futhi pin ukutheleleka, uma gxila suppurative ohlakeni abathintekayo uyosabalala ku eduze adipose izicubu. A kunobungozi lilinganiselwe futhi inqubo ukugijima (bacteremia, ithumba). Umzimba ngokuvamile sifuna nomkhawulo noma iyiphi ukuvuvukala eba, ukwakha capsule. Nokho, lapho ukukhathala, kwehlisa amasosha omzimba, isikhathi eside pathologies okungamahlalakhona, ukuba umlutha wotshwala, ezifana capsule zokuzivikela akusilo owabunjwa, inqubo ubovu ngokushelela elisukela ekuqaleni kwalesi sifo. Ngaphezu kwalokho, ezinye Amagciwane (isb, flora-non-clostridial, Clostridium) bayakwazi ukukhulula izinto eziqondile chaza emgodleni zokuzivikela, lapho ubomvu ingangena izicubu enempilo.

Cellulitis: izimpawu

Ukugula elinesimo ukubonakaliswa sasivumela ejwayelekile zangaphandle, efana izibonakaliso ukuvuvukala: ububomvu, isikhumba ukuvuvukala, ukufudumala isikhumba endaweni ukulimala, ubuhlungu.

Ngu uhlobo ebusweni kukhona phlegmon indawo (izicubu ukulimala ungqimba kwemisipha) futhi ijulile (imisipha ungqimba kanye nokulahlekelwa amafutha elitholakala emhlabeni izitho zangaphakathi). Ithumba okukha phezulu wabonakaliswa ubuhlungu obukhulu endaweni ukuvuvukala, ukuvuvukala, induration. Nge ukuhileleka inqubo sokugembula kwesikhumba eba ububomvu kanye lendawo lokushisa kuyanda. Maduze, kukhona ezivamile izimpawu zokudakwa: Ukugodola, imfiva, ukoma, nomlomo owomile, ubuthakathaka ezinzima. Uma ukuthuthukisa ithumba ezijulile, izimpawu jikelele yibona phezu wendawo. lokushisa umzimba ongama kuya 40-42 ° C, ubuhlungu bekhanda, ubuthakathaka, somnolence, isikhumba babe jaundice, encishisiwe blood pressure, ishayela - ababuthakathaka, njalo. Siyabhubha umsebenzi zokuphefumula (ukuphefumula strays, nge umthwalo kancane emzimbeni noma ngisho uphumule livela otdyshka) kanye secretory (kunciphisa inani umchamo, kuze ukungabi wako) izinhlelo. Futhi e ezijulile cellulitis inyuka ngobukhulu noma kuleyo ndawo uma ziqhathaniswa isayithi okunempilo olinganiselayo.

intamo cellulitis

Lesi sifo ingaqala ku ngokuphelele kunoma iyiphi indawo lapho kukhona fat ongama. Ithumba entanyeni - yisifo, phakathi kwesikhathi lapho ezingalindelekile. Futhi imiphumela ingaba ngisho ezisongela ukuphila futhi esinzima.

Lapho lesi sifo sihlasela entanyeni interfascial nesikhala intercellular. Njengoba lokhu ingxenye yomzimba has a isakhiwo eziyinkimbinkimbi yokwakheka, ithumba ungase ube kwasendaweni ezahlukene.

Izimpawu cellulitis entanyeni

Kubalulekile ukuxilonga izifo ngesikhathi. Cellulitis kungenziwa ebonakaliswa ngezindlela eziningi, konke kuncike ukujula nendawo. Uma ukuvuvukala usayizi amancane itholakala esijulile bakuthola kunzima ngempela. Kulokhu, iyiphi ukubonakaliswa esikhumbeni bengekho, izinga lokushisa emzimbeni ukuze ubazisa aliphumi, izimpawu zokudakwa zikahle. cellulitis Outdoor noma olubanzi entanyeni livela cellulitis nje njengoba olukha phezulu kwezinye izindawo emzimbeni. ukuguquguquka Palpation kuthintwe (inqwaba uketshezi), isimo esishubile isikhumba soreness. isimo wesiguli - kobukhulu emaphakathi noma sina. Lapho lolu hlobo isifo kungaba nzima ukugwinya. Lapho phlegmon submaxillary ube nobunzima ukuvula umlomo ukuhlafuna ukudla. Roth uhlale e isimo isigamu-evulekile zingaqhubekela iphunga uyalandelwa. Nge okuqhubekayo inqubo isifo isimo lesiguli uwohloka ngokushesha, ezikhulayo ukudakwa. Ukuhlolwa kwegazi ukukhombisa isithombe ukuvuvukala acute, ESR sibalo antante 40-50 mm / ihora.

Yini ebangela cellulitis intamo?

Cellulitis - yisishiso, lapho ubomvu asakazeka ngokushesha esuka isikhala eyodwa kuya kwenye, ukwakha elikhulu ezichithekile le lesion. Ikakhulukazi, phlegmon entanyeni angase avuse abagulela ukufa catarrhal futhi lacunar angina ukuvulwa peritonsillar futhi ithumba retropharyngeal, alveolitis, periodontitis, osteomyelitis we ephansi emhlathini, otitis, lesion umgogodla (osteomyelitis occipital ithambo noma amathambo wesibeletho), abanale nkinga, ukutheleleka putrefactive (amazinyo carious ) ukulimala. I lwegciwane zibhebhetheka kalula ku izicubu interfascial okuxekethile, kuthinta ezicutshini, imithambo yegazi, nemisipha futhi zamanzi.

yezinkinga kungenzeka

Imiphumela yaloku kuhlola okungenhla esingalungile futhi zife lesi sifo kungaholela emiphumeleni engathí sina, ngokuvamile aluhambisani nawo ekuphileni:

• ukuvuvukala endaweni imidiyeni esifubeni - mediastenitu;

• ubomvu ukuze Ukuwohloka izindonga isitsha kanti ngenxa yalokho, ukuze kakhulu ukopha;

• meningitis, sepsis, abscesses kwezinye izitho;

• asphyxia (ngenxa ecindezela umgudu ubomvu);

• breaking kuya ubomvu e iphaphu, amalaka.

Cellulitis: ekwelapheni lesi sifo

Okokuqala, ukuqinisekisa ubunjalo esithathelanayo ukuvuvukala udokotela kufanele ukuqhuba ukuxilongwa okujuli- isiguli kanye ukuhlola umlando lesi sifo. Phlegmon ngokuvamile iqedwe surgically. Isicelo yokwelapha ngemithi elwa namagciwane, novocaine blockades kokuqhuba elashwe ngokomzimba, ukuphatha imithi ezithuthukisa aphethe izivikelo, mhlawumbe uwububi nje kuphela lapho besanda kuqala lesi sifo. Uma kuba nomphumela omuhle esheshayo ingekho (ubuhlungu akagcini, izinga lokushisa emzimbeni kugcinwa ezingeni eliphezulu, ezempilo jikelele nokusebenza kwegazi musa ngcono), kanye nezimpawu lokudakwa kuyanda, isidingo ukuhlinzwa esiphuthumayo. Kuphethe izinqubo kuhlinzwa kusaqalwa lesi sifo ukuvimbela ubuthi emzimbeni futhi basakaza yenqubo ubovu. Lapho ukwelashwa kuhlinzwa kufanele kubhekwe ukuthi cellulitis entanyeni, esikhathini esiningi, zitholakala podfastsialno, futhi ukuze ilimaze imfundo ebalulekile (imizwa, izitsha kanye nabanye.), Kumele enqamula kakhulu ngokucophelela izingqimba izicubu.

Nokho, lokhu yokwelapha akugcini lapho. Ngemva phlegmon isuswe, ukuphathwa esikhathini postoperative eqala isinyathelo asebenzayo zokwelapha. I namadreni nilimaza yethulwe, ukuze enze kube nokwenzeka ukuba eside asebenzayo tetinkhombamagama ngokusebenzisa ukuwasha kanye nenshisekelo ka exudate. Kuyadingeka ukuqinisekisa nesineke embhedeni ukuphumula futhi ephuza nangokuphuza uketshezi oluningi. Ngemithamo ezinkulu iqondiswa nosawoti, glucose kanye nokunye okufana nalokho. N. Ukubonisa antibiotic, analgesics, cardiacs, eqhuba yokwelapha i-oksijini.

izinyathelo

Ukuvimbela ezifana isifo esiyingozi kufanele ugweme ezibuhlungu micro ekhaya nasemsebenzini, ukuze ngokushesha ukunakekela okuhle kwezokwelapha ngenxa yokulimala, izilonda, isingeniso zemizimba angaphandle. Izinyathelo isihlobo phlegmon entanyeni aqukethe ekwelashweni esifike angina nokuvakasha njalo udokotela wamazinyo, ukuba ngesikhathi esifanele ukuhlonza nokwelapha izifo amazinyo nezinsini zakho.

Ekuphetheni

Cellulitis - a ebuhlungu, ukuvuvukala, okuyisimo esisongela ukuphila. Lapho izimpawu zokuqala isifo ngokushesha uxhumane udokotela. Kunoma ikuphi engakathenjiswa umshado azethembe ukwelashwa, kungaba nemiphumela emibi engelapheki.