Kutsegula abscess: zizindikiro, njira, kufotokoza

Njira yayikulu yochizira abscess ya paratonsillar kapena retropharyngeal yomwe imapezeka mu pharynx ndikutsegula mapangidwe a purulent ndi opaleshoni. Amasonyezedwa kwa odwala a msinkhu uliwonse, poganizira contraindications. The luso alowererepo opaleshoni akuonetsa kuchita opareshoni 4-5 patatha masiku isanayambike abscess mapangidwe. Kulephera kutsatira malangizowa kungachititse kuti opareshoni ikuchitika mofulumira kwambiri, pamene abscess patsekeke sichinapangidwe. Pankhaniyi, tizilombo toyambitsa matenda tayamba kale kuzungulira tonsil, koma gawo la kusungunuka kwa minofu ya adenoid silinayambe. Kuti afotokoze siteji ya kutupa purulent, matenda puncture ikuchitika.

Njira yodziwira kukonzekera kwa abscess kuti atsegule ndi kuboola pamwamba pa minofu yotupa pafupi ndi tonsil yomwe yakhudzidwa. Ndi zofunika kuchita puncture pansi pa ulamuliro wa roentgenoscope kapena ultrasound. Pambuyo kubowola abscess m`dera, dokotala amakoka nkhani zake mu syringe wosabala.

Zosankha:

• Kukhalapo kwa mafinya mu mbiya ya syringe ndi chizindikiro cha chiphuphu chomwe chapanga, chizindikiro cha opaleshoni.

• Kukhalapo kwa chisakanizo cha lymph ndi magazi ndi mafinya mu syringe ndi chizindikiro cha chiphuphu chosasinthika, pamene chithandizo chokwanira cha maantibayotiki chingalepheretse opaleshoni.

Zizindikiro zotsegula abscess

Zizindikiro za matenda a abscess ndi puncture:

• Chizindikiro chodziwika chowawa, chowonjezereka mwa kutembenuza mutu, kumeza, kuyesera kulankhula;

• hyperthermia pamwamba pa 39 ° C;

• angina nthawi yayitali kuposa masiku 5;

• Hypertrophy ya tonsil imodzi (kawirikawiri awiri);

• Kukula kwa lymph nodes imodzi kapena zingapo;

• Zizindikiro za kuledzera - kupweteka kwa minofu, kutopa, kufooka, mutu;

• Tachycardia, palpitations.

Ngati matenda puncture ikuchitika pansi pa ultrasound kapena X-ray chitsogozo, ambiri mafinya akhoza kuchotsedwa pa ndondomeko. Komabe, izi sizingathetse vutoli kwathunthu, muyenera kuchotsa abscess.

Zifukwa za opaleshoni:

• Pambuyo kuyeretsa abscess patsekeke, zinthu kufalikira mafinya kutha;

• Pa opaleshoni, patsekeke amathandizidwa ndi antiseptics, zomwe sizingachitike panthawi yopumira;

• Ngati abscess ndi yaying'ono, amachotsedwa pamodzi ndi kapisozi popanda kutsegula;

• Pambuyo pochotsa mafinya, chikhalidwe chimayenda bwino, kupweteka kumatha, zizindikiro za kuledzera zimatha, kutentha kumachepa;

• Popeza tizilombo tating'onoting'ono timene timayambitsa kutupa kwa purulent pafupifupi kuchotsedwa kwathunthu, chiopsezo chobwereza ndi chochepa;

• Nthawi zina, pamodzi ndi kutsegula kwa abscess cavity, tonsils amachotsedwa, zomwe zimathandiza kuthetsa cholinga cha kutupa ndi kuchepetsa chiopsezo cha kubwereza kwa matendawa.

Opaleshoni kuchotsa abscess pakhosi ikuchitika pa outpatient maziko. Iyi ndi njira yokhazikitsidwa bwino yomwe simayambitsa zovuta. Pambuyo pa opaleshoni yotsegula abscess, wodwalayo amatumizidwa kuti akatsatire chithandizo kunyumba, amabwera kuti akafufuze pambuyo pa masiku 4-5.

Zizindikiro za chithandizo cham'chipatala cha abscess paratonsillar:

• Zaka za ana (ana asukulu amagonekedwa m'chipatala ndi makolo awo);

• Amayi oyembekezera;

• Odwala ndi somatic matenda kapena kuchepetsa chitetezo chokwanira;

• Odwala omwe ali ndi chiopsezo chachikulu cha zovuta za postoperative (sepsis, phlegmon);

• Odwala ndi unformed abscess kulamulira mapangidwe ake.

Pamaso anakonza ntchito, kufooketsa tizilombo tizilombo toyambitsa matenda ndi kupewa kufalikira, wodwalayo mankhwala mankhwala. Kuchita opaleshoni kumachitidwa pansi pa anesthesia wamba. Ngati mlanduwo ndi wofulumira, amaloledwa kutsegula abscess popanda opaleshoni.

Magawo otsegula abscess

1. Kudulidwa kumapangidwa ndi kuya kosaposa 1-1,5 masentimita pamwamba pa mapangidwe a purulent, popeza ndipamene minofu yopyapyala imakhalapo, ndipo chiphuphu chili pafupi kwambiri pamwamba. Kuzama kwa kudulidwako kumatsimikiziridwa ndi chiopsezo cha kuwonongeka kwa mitsempha yapafupi ndi mitsempha ya magazi.

2. Mafinya amatuluka pabowo.

3. Dokotalayo, pogwiritsa ntchito chida chosawoneka bwino, amawononga zigawo zomwe zingatheke mkati mwa bowo kuti apititse patsogolo kutuluka kwa mafinya ndikuletsa kusayenda kwake.

4. Chithandizo cha abscess patsekeke ndi antiseptic njira yothetsera disinfection.

5. Kutupa mabala.

Kuti mupewe kuyambiranso, njira ya maantibayotiki imayikidwa. Mukatsegula abscess, zitha kupezeka kuti mafinya mulibe kapisozi, amafalikira pakati pa minofu ya khosi. Ngati vutoli limayamba chifukwa cha tizilombo toyambitsa matenda ta anaerobic tomwe timapanga popanda mpweya wa okosijeni, ngalande imapangidwa kudzera muzowonjezera zapakhosi kuti zibweretse mpweya ndikuchotsa mafinya. Ngati chiwopsezo cha kubwereza chikuchotsedwa, zotengera za ngalande zimadulidwa.

Malamulo amakhalidwe pambuyo opaleshoni kutsegula abscesses:

• Pofuna kupewa kutupa ndi kuchepetsa kusinthika, kumaletsedwa kutenthetsa khosi;

• Kuchepetsa chiopsezo cha vasoconstriction kapena dilation, amaloledwa kumwa zakumwa pokhapokha kutentha;

• Kugwiritsa ntchito chakudya chamadzimadzi kumalimbikitsidwa;

• Kuloledwa kutsatira kuletsa mowa ndi kusuta;

• Kuti mupewe kuyambiranso, ndikofunikira kulandira chithandizo chamankhwala ndi antibacterial ndi anti-yotupa, kugwiritsa ntchito vitamini ndi mineral complexes;

• 4-5 patatha masiku opareshoni, dokotala amawunika wodwalayo, kuwunika kuopsa kwa zovuta zomwe zingatheke, kusinthika.

Nthawi zambiri, kubwereza kwa postoperative kumakhala kosowa kwambiri. Pambuyo pa sabata loperekedwa kwa nthawi yokonzanso, wodwalayo akhoza kulangizidwa mwachizolowezi.