Mwamwayi, vuto lachilendo la kuyamwitsa, chiphuphu cha m'mawere chikhoza kuchitika chifukwa cha mastitis osachiritsika kapena osachiritsidwa bwino. Pamafunika kasamalidwe mofulumira kuphatikiza mankhwala mankhwala ndi ngalande a abscess.

Chiphuphu cha m'mawere ndi mapangidwe a purulent kusonkhanitsa (kuchuluka kwa mafinya) mu mammary gland kapena periglandular minofu. Matendawa nthawi zambiri amayamba chifukwa cha matenda a Staphylococcus aureus. Matendawa amatha kutsata zovuta zosiyanasiyana zoyamwitsa:

• pafupipafupi, kusamalidwa bwino kapena kusamalidwa bwino kwa matenda opatsirana a mastitis (kukhetsa madzi m'mawere osakwanira, maantibayotiki osayenera kapena kufupikitsa chithandizo);
• mpata wokhala ndi tizilombo toyambitsa matenda, womwe umapereka malo olowera tizilombo toyambitsa matenda. 

Chifukwa cha chisamaliro chabwino cha mastitis, chiphuphu cha m'mawere mwamwayi chimakhalabe chosowa, chomwe chimakhudza 0,1% yokha ya amayi oyamwitsa.

Ziphuphu za m'mawere zimawonekera ndi zizindikiro zenizeni:

• kukhalapo pachifuwa cha misa yolimba, yodziwika bwino, yofunda;
• kupweteka kwambiri kwa mtundu wa throbbing, kuwonjezeka pa palpation;
• bere lotupa lomwe lili lothina ndipo lili ndi mtundu wofiira pamalo okhudzidwa, nthawi zina ndi malo otuwa pakati. Chonyezimira poyamba, khungu likhoza kusenda kapena kusweka, kulola mafinya kuda;
• malungo.

Poyang'anizana ndi zizindikirozi, ndikofunika kukaonana mwamsanga.

Kuphatikiza pakuwunika kwachipatala, ultrasound nthawi zambiri imachitidwa kuti atsimikizire matenda a abscess, kuyeza abscess ndikutchula malo ake. Zinthu izi ndizofunikira pakusankha chithandizo.

Chiphuphu cha m'mawere sichingathetsedwe pachokha, kapena ndi mankhwala "achilengedwe". Ndi ngozi yachipatala yomwe imafuna chithandizo chachangu kuti tipewe sepsis, vuto lalikulu. Mankhwalawa ndi angapo:

Chithandizo cha anti-inflammatory analgesic

Chithandizo cha anti-inflammatory analgesic chogwirizana ndi kuyamwitsa, kuti muchepetse ululu.

Chithandizo chamankhwala

Chithandizo cha maantibayotiki (kuphatikiza amoxicillin / clavulanic acid, erythromycin kapena clindamycin) mwa njira wamba kwa masiku osachepera 14 kuti athetse kachilomboka. Mankhwalawa amatha kusinthidwa malinga ndi zotsatira za kusanthula kwa bakiteriya wamadzimadzi a puncture.

Puncture - chilakolako cha mafinya

Puncture-aspiration of the mafinya ntchito singano kukhetsa abscess. Njirayi imachitika pansi pa anesthesia wamba komanso pansi pa ultrasound. Mafinyawo akatha, kuthirira kwa isotonic solution (wosabala saline solution) kumapangidwa kuti ayeretse chiphuphu, ndiyeno bandeji imayikidwa kuti itenge mafinya.

Nthawi zambiri ndikofunikira kubwereza puncture iyi kangapo (2 mpaka 3 pafupipafupi) kuti mukwaniritse kuyamwa kwathunthu kwa abscess. Zosasokoneza (ndipo motero sizingawononge chilonda cha mammary), sichimayambitsa chilonda chosawoneka bwino ndipo sichifuna kugonekedwa m'chipatala (choncho palibe kupatukana kwa mayi ndi mwana), ultrasound-guided puncture-aspiration ndiyo chithandizo choyamba. cholinga cha abscess m'mawere. 

Kuyika kwa ngalande

Pamaso pa abscess yoposa 3 cm m'mimba mwake, kukhetsa kwa percutaneous kumatha kuyikidwa pansi pa ultrasound, kuti muzitsuka tsiku lililonse.

Opaleshoni ngalande

Pakachitika kulephera kwa ultrasound-kutsogoleredwa puncture-aspiration (mafinya viscous kwambiri, partitioned abscess, ambiri punctures, kupweteka kwambiri, ndi zina zotero), lalikulu kapena lakuya abscess kapena mobwerezabwereza kapena aakulu abscess, opaleshoni ngalande ndi zofunika. .

Pambuyo podulidwa pakhungu pansi pa anesthesia wamba kapena wamba, dokotalayo amakwapula chipolopolo cha abscess ndi chala chake kuti achotse ma cubicles ambiri (zotupa zazing'ono zomwe zili pozungulira). Ndiye kuthirira m'dera ndi njira antiseptic pamaso kuika ngalande chipangizo (yopyapyala chingwe kapena kusintha pulasitiki tsamba) kuti asamuke zosiyanasiyana zamadzimadzi (mafinya, magazi) pa machiritso ndondomeko, komanso kusunga lotseguka abscess.

Izi ndizofunikira kuti mupeze machiritso opita patsogolo, kuchokera mkati mpaka kunja, ndikupewa kubwereza. Chisamaliro cha m'deralo chidzaperekedwa tsiku ndi tsiku, ndipo ma analgesics amaperekedwa.

Popeza kuti maantibayotiki omwe amaperekedwa ndi ogwirizana ndi kuyamwitsa, mayi angapitirize kuyamwitsa ndi bere losakhudzidwa. Pa bwanji bere, anapitiriza kuyamwitsa n`zotheka ngati abscess si periareolar, m`mawu ena ngati m`kamwa mwa mwana si pafupi kwambiri ndi puncture malo. Mkaka wa m'mawere nthawi zambiri ulibe tizilombo toyambitsa matenda.

Mayi amangoonetsetsa kuti asambe m'manja asanadye kapena atatha kudyetsa, ndikuyika makina otsekemera pa malo oboolapo panthawi yoyamwitsa kuti mwanayo asakhudze mafinya. Ngati chakudyacho chikupweteka kwambiri, mayi amatha kugwiritsa ntchito pampu ya m'mawere pamene mabere amachira kuti ateteze kuphulika komwe kungayambitse chiphuphucho.