Nelaktatsionny ubovu mastitis: Izimpawu kanye Ukwelashwa

Ubovu mastitis - okunzima kakhulu futhi ebuhlungu isifo zabesifazane. Okubi amafomu yayo - nelaktatsionnomu ubovu mastitis - sizobe unake okukhethekile namuhla, ngoba impilo yabesifazane - isimo esiyinhloko impilo nokuchuma isizwe.

Umlando zocwaningo

Kusukela ezikhathini zasendulo owesifazane ezingavamile wadlula ulwazi okushiwo sifo, endulo ngokuthi mastitis, futhi kamuva eyaziwa ngokuthi mastitis. Futhi akumangalisi, zokugula kusukela wathi, okuyinto okukhulu ukuvuvukala ezithathelwanayo ebeleni, kodwa namanje elusa ekwandeni asebenzayo, ngokuvamile kuphumela ubovu lesion empeleni yezindlala umzimba webele kanye nezicubu eziseduze, bese sepsis kusukela -Lokhu nje okungaqondile yenqubo ezithathelwanayo.

ubuqili izibalo

Ngo mastitis yesimanje zingahlukaniswa zibe lactation, lapho indlala mammary kuyinto ekukhiqizeni ubisi (avame ubovu mastitis ibele), kanye nelaktatsionny, okuyinto sithanda ukukhuluma mayelana namuhla. Njengoba izibalo zamashumi eminyaka owedlule, ngesikhathi umlandeli 90-95% lamacala abikiwe mastitis bakhula esikhathini kwangemva kokubeletha, nelaktatsionnym njengoba mastitis, okuyinto ongakaphathelani nenkathi yokukhulelwa nokubeletha, ephathwa ngendlela isilinganiso mayelana 5% abesifazane.

isigaba seminyaka yobudala

Ngokuvamile ukuthuthukiswa nelaktatsionnogo mastitis kuthinta abesifazane-15 nengu-60 ubudala. Kulezi imikhawulo yobudala lolu hlobo mastitis, kunokusebenza lactation, kubonakala hhayi ngamandla, kanye nezinkinga ukonakala cishe ziphinde zenzeke. Ngokungafani nabesifazane, abagulayo esikhathini ubudala wathi, kufanele sifunde ukuba ahlalisane nama mastitis iminyaka eminingi, ngoba ngokuvamile iba relapsing ifomu ezingamahlalakhona. Nokho mastitis nelaktatsionny kungathinta hhayi kuphela abesifazane kodwa futhi amadoda, futhi izingane zabo bobubili ubulili.

omsakazo

Nelaktatsionny ubovu mastitis engahlobene nesenzakalo lactation, kwenzeka kuqhathaniswa akuvamile futhi ngokuvamile kubangelwa ngesiphazamiso esizindeni hormone nokuncipha okuzivikela ukuba izinto ezithwala izifo. Ngokuvamile uzwakalise single- noma kabili emaceleni ukuvuvukala kancane kancane nezindlala mammary.

elinemininingwane izizathu

Manje-ke kwenzeka ukuthi iningi nelaktatsionny ubovu mastitis eba lapho umzimba female iphazamisekile hormone noma kwanciphisa amasosha omzimba ukuba izinto ezithwala izifo. Ngokuvamile, lobo zimi kanje:

1. Massive enciphile estrogen ezingeni, kuyilapho ngesikhathi esifanayo ukucindezelwa enkulu ukuzivikela komzimba, kubonakala isikhathi postklimakterii.

2. Ukuthomba ingane nge ezingeni lakhe engazinzile hormone nakho abe ukucindezeleka enamandla okwakha umzimba, okuyinto kwakha evundile okungamila ukuthuthukiswa izifo ezifana engadingeki. Ngaphezu kwalokho, kuyafaneleka ukuthi mastitis nelaktatsionny kuthinta amantombazane nje kuphela kodwa futhi abafana phakathi nokuthomba.

3. Kumele izimo emva kokutheleleka amanxeba ukwenziwa webele imisebenzi, isibonelo, ngemva kokuhlela ukususwa nolwelwesi noma neziqu fibrocystic, ukuhlukumezeka webele, ephelezelwa kokucindezelwa kwezicubu yayo kuphawulwe.

4. Ngisho engabonakali kakhulu uhlukunyezwe iso isikhumba webele noma ingono kungaba lula Ukungena ukutheleleka kanye nokuthuthukiswa mastitis nelaktatsionnogo.

izinhlobo isifo

esisanda kuxoxa ngazo lesi sifo ngokuvamile livela ngezindlela ezimbili - oyingozi futhi ezingalapheki. Acute nelaktatsionny mastitis ngaphandle ukwelashwa esifike ngesikhathi esibhedlela kanye nezinhlelo zokwelashwa ngama ezanele Bluetongue ifomu (infiltrative) ngempela ngokushesha futhi kuqhathaniswa buthule owesifazane kungenziwa uguqulwe ube mastitis ubovu nelaktatsionny nge ogulisa ngokwedlulele uma kungekho esibhedlela ukwenza engasakwazi, futhi kuze kube nje okungaqondile yenqubo it uhlala ngezinsuku ezimbalwa noma ngisho amahora.

pathogenesis

Uma kwenzeka nelaktatsionnogo mastitis Amagciwane ngokuvamile zingene indlala mammary nge umonakalo ekhona isikhumba, okuyinto zibangelwa noma ukulimala ngengozi, noma ezishisayo ezilimaza, isib, usebenzisa heater noma ukusha nolwazi, futhi ngezinye izikhathi ngenxa webele pustules encane ekhona esikhumbeni . Khona-ke ama-bacterium umonakalo lokuqala ongama amafutha ungqimba namafutha capsule kwebele, bese kungukuhlasela kwesibili le izicubu yezindlala.

Lapho abesifazane kancane kufanele ubhekane ezingamahlalakhona nelaktatsionnym mastitis, ngokuvamile eba lapho mastitis acute kwesokunxele undertreated, ukuthola izimpawu zokuqala ngcono ukucabanga ngokuba ukuqedwa udokotela ebekiwe izidakamizwa nezinqubo. Ezimweni ezinjalo, ukuphinda mastitis iba ihlupha abesifazane, Kubonakala ngesikhathi ukwehluleka kancane hormone, ngemva hypothermia, ukucindezeleka, noma lapho buthakathaka jikelele umzimba ozivikela.

Nelaktatsionny ubovu mastitis. izimpawu

Ekuqaleni acute nelaktatsionnogo mastitis - e esiteji serous, lapho le ndwangu abathintekayo thoracic indlala ngokulandelana afuthwe ngesibulali uketshezi serous, futhi limatasa faka amangqamuzana amhlophe egazi - owesifazane kumaka ukuvela ngesikhathi ubuhlungu ebeleni, okungase palpated umhlaba ohlangene ne imingcele ecacile eyodwa noma ukwabelana okuningi. lokushisa umzimba lakhuphuka lafika ku-37-38 oz., futhi kwezinye izimo kuze kube 39. Ngaphezu kwalokho, kule nkathi, owesifazane angase akhathazeke uzwakalise ubuthakathaka jikelele. Ezimweni ezingavamile kakhulu, kwenzeka okuphambene serous yentuthuko esiteji nokuqala yokutakula nokuguqulwa, kodwa futhi kakhulu maningi amathuba ukuthuthukisa ngemuva serous kokuziphatha esiteji.

Isinyathelo infiltrative ku ethintekile mammary indlala uphawu kwakhiwa ubuhlungu ngaphandle kwemingcele ecacile okubhekiselwe INGENA ISINYENYELA. Kulokhu, isikhumba phezu INGENA ISINYENYELA avuvukele akubukeki, edema kule ndawo engekho, futhi izinga lokushisa lendawo uhlala ngaphakathi uhla evamile. lokushisa umzimba luyanda, ngenxa imikhiqizo esebenzayo webhaktheriya bengena igazi obonakele foci lactostasis ngokusebenzisa Amapayipi kwebele. Kubaluleke kakhulu ukuthi owesifazane wafuna usizo lwezokwelapha ngenxa mamologist, udokotela wezifo zabesifazane noma udokotela ohlinzayo nge ukubonakala izimpawu zokuqala, ngaphandle kokulinda ukuba intuthuko yabo kanye shintsho ifomu ubovu. I mastitis catarrhal esiteji iphathwa kahle kakhulu futhi akusho kuhilelani yezinkinga ezinzima, njengoba kwaba njalo endabeni nelaktatsionnogo ubovu mastitis.

Endabeni yokuntuleka ukwelashwa okufanele izinsuku 5 emva kokuziphatha isinyathelo uya uzoshiya ekubhujisweni, isb ukubhujiswa. Ukuvuvukala iba ubovu, futhi indlala mammary iba ngokugcwele isipanji ukufana, ofakwe ngokusebenzisa kuvuze ubomvu.

Isinyathelo elimazayo, okuyinto yaziwa nangokuthi acute ubovu mastitis, abesifazane jikelele liwohloka ngoba ubuthi focus purulent ukuvuvukala njalo bondliwa lingene egazini. izinga lokushisa emzimbeni liyaqhubeka landa futhi ngokuvamile esikhathini 38-40 oz., futhi nalo ukhule futhi izimpawu ezivamile zokudakwa. Usindwa mammary inyuka indlala ngobukhulu, kuba esishubile. Isikhumba phezu kwendawo ekubhujisweni iba bomvu, emithanjeni ongama uvuleke. Njengoba kwanda ubuhlungu isakazekela ikhwapha, kanye lesifunda lymph node kunalokho ngokushesha abahilelekile ezithathelwanayo. Isiguli iba yini ukulala nokudla.

izinhlobo

Nelaktatsionny ubovu mastitis, izithombe zazo kungabonwa kuzinkomba yezokwelapha, kudinga indlela nabanekhono uphethwe.

Izinhlobonhlobo elandelayo ke:

1. Mastitis abscessed, esibonakala e ukuthi abathintekayo indlala mammary abscesses semali - of izimbotshana ukuthi zigcwele ubomvu. Ngokuvamile lapho endaweni kokuziphatha kungenziwa palpated ukuthambisa noma uzizwa ngaphansi iminwe ekhanya ne kumba uketshezi - omuhle uphawu iyehla iyenyuka (e 99% amacala).

2. Mastitis infiltrative abscessed. Lakhe okwedlula nakwesandulele. INGENA ISINYENYELA Okuwugqinsi siqukethe abscesses eziningi ezincane osayizi ezahlukene kakhulu nomumo, unjalo omuhle uphawu ekushintshashintsheni% 5 kuphela eziguli. kokuziphatha okunjalo kuthatha ngokuvamile hhayi quadrant engaphezu kwemibili webele.

3. Mastitis ithumba. Kulokhu, isifuba ukhamisile futhi wabonisa ngokuphelele evuvukele. Isikhumba kwebele ethintekile abomvu kakhulu (futhi ngezinye izikhathi bluish-abomvu), esishubile, nge izingono okuhlanekezelwe. Palpation we wendlala yabesilisa kakhulu iyehla iyenyuka ubuhlungu uphawu omuhle. Ngo ngaphezulu kwengxenye lesion iziguli ubovu ubabonisa quadrant okungenani ezintathu.

4. mastitis gangrenous ngokuvamile kuhambisana lesion imithambo yegazi kanye thrombosis asebenzayo. Njengoba liningi igazi evamile webele kusuka kube nzima kakhulu, ukuthuthukisa necrosis. Ngakho insimbi kakhulu anda, ku ubuso bayo, ziningi izicubu necrosis, Bubbles zazo zigcwele sanies isikhumba kuba bluish-purple. Ukuvuvukala ihlanganisa lonke ibele. Phakathi nale nkathi, isimo iziguli sinzima kakhulu, ingqondo kuba udidekile tachycardia inyuka ngaphansi kwesimo ukwehlisa wegazi. Igazi kwakheka isithombe esicacile sepsis. Yiqiniso, kulesi sigaba ingozi empilweni isiguli kuba enkulu kakhulu.

ukwelashwa op

Uma kutholakala ukuthi uphethwe yini "nelaktatsionny ubovu mastitis", nokwelashwa kwayo kungaba kokubili op futhi olandelanayo.

inkomba okuqondile lokungenela kuhlinzwa kukhona zonke izinhlobo okubhubhisa inqubo ezithathelwanayo ukuvuvukala, ubovu-catarrhal mastitis, izimpawu eyayibonakala kuchaziwe ngenhla.

Esimweni lapho imithi izinsuku ezimbili kungekho ngcono okukhulu ngokuvamile bahlulelwe khona inqubo ubovu ebeleni, okuyinto inkomba eqondile kakhulu kokungenela kuhlinzwa, okuyinto kuveza kuphela endaweni esibhedlela, ngokuvamile ngaphansi jikelele izinzwa ngomjovo.

ubuqili imisebenzi

Phakathi ukusebenza ithumba ivulekile ngokucophelela ukuhlanza zonke izicubu-non-iphila is excised futhi zisuswe. Ngakho iqedwe ngokuphelele mastitis suppurative. Ukusebenza ngokuvamile ibekezelelwe kalula abesifazane. Ngemva ukungenela indlala mammary liyadingeka ukufaka namadreni iconsa ukugeza isilonda hhayi ukunikeza amagciwane ngisho ithuba amancane ukuze kusebenze. Ukuvuza lavage nilimaza wenziwa 5 kuya 12 izinsuku, okuhambelana izuze jikelele isimo nesineke ezinhle futhi ukunyamalala amanzi ukugeza fibrin, ubomvu nezinhlayiyana necrotic.

Ukwelashwa emva kokuhlinzwa

Futhi emva kokuhlinzwa Kwenziwa yokwelapha izidakamizwa okuyinto luhlose ukuqinisekisa ukuthi ngokushesha ngangokunokwenzeka futhi ngokuphelele ukuba ukhiphe ubuthi futhi ulungise ukwephulwa eziye asethuthukile ku isizinda inqubo ubovu. imithi elwa namagciwane adingekayo babelwa (intramuscularly noma ngemithambo yegazi). Ngokuvamile lokhu cephalosporin amalungiselelo I, II, noma esimweni ngokujoyina igciwane yesibili - III-IV isizukulwane.

Nelaktatsionny mastitis suppurative: kokwelapha ngaphandle ukuhlinzwa.

ukwelashwa okulondoloza engavumelekile itholakala kuphela uma isimo jikelele isiguli uhlala kuqhathaniswa eyanelisayo, lesi sifo ihlala hhayi ningi than izinsuku ezintathu, izinga lokushisa emzimbeni ingeqi 37.5 g., izimpawu zendawo purulent ukuvuvukala kungekho ubuhlungu projection we kokuziphatha ngokulinganisela, kokuziphatha akuyona detectable in ezingaphezu kweyodwa quadrant kwebele, futhi ukuhlaziywa jikelele kwegazi akuwenzi wakha isithombe ukuvuvukala ezithuthukayo.

Ngokuvamile abesifazane ufune usizo lwabezokwelapha emabangeni kokuqala mastitis - serous noma infiltrative, lapho kungenzeka khona, futhi ukwelashwa impela olandelanayo. Kwasekuqaleni, usikisela inhlinzeko lonke webele ethintekile, okuyiwona abesifazane bayakhuthazwa ukuhambisa kancane esebenzayo, ukugqoka okuxekethile indwangu ubhodisi noma ngebhandeshi, ngawo ungakwazi nokuqalisa usekelo esifubeni nesineke, kodwa akusho cindezela, ukuze ngingasebenzisi ukuyithukuthelisa ukuqhubeka inqubo. Ngenjongo ukuchayeka ezithwala izifo ezidingwayo imithi elwa namagciwane babelwe ( "Cephalexin" "Cefixime" "Levofloxacin") ngokuvamile esizosingathwa intramuscularly ngemithamo esingeqile sredneterapevticheskih. Ngaphezu imithi elwa namagciwane, ukunciphisa ukuvuvukala nokuvuvukala, ebulala yomzimba Kwenziwa antihistamine izizukulwane zokugcina, abangele ukozela e isiguli futhi ukunciphisa imithelela emibi.

Ngaphezu "wezikhali esindayo" ukuze sikhuthaze umzimba ozivikela ukhombe B amavithamini no-vithamini C. Esimeni ukuthi ukuhlehla we ukuvuvukala ayenzi esizayo, usuku wanezela yokwelapha ultrasound futhi UHF, okuyinto sithuthukisa izwi lesinqumo okusheshayo ka kokuziphatha kanye nokubuyiselwa yemvelo izinqubo e indlala mammary.

Zinakekele, qaphela lesi sifo esikhohlisayo like nelaktatsionny ubovu mastitis. Ukwelashwa kungaba neze nzima, uma uqala-ke ngesikhathi izigaba zokuqala. Ngifisa sengathi ngabe impilo!