Hmoov zoo, tsis tshua muaj teeb meem ntawm kev pub niam mis, lub mis abscess tuaj yeem tshwm sim los ntawm kev kho tsis tau lossis kho tsis zoo ntawm tus kab mob mastitis. Nws yuav tsum tau tswj ceev ceev combining kho cov tshuaj tua kab mob thiab kua dej abscess.

Breast abscess yog tsim los ntawm purulent sau (ib qho kev sib txuam ntawm cov kua paug) hauv cov qog mammary lossis cov ntaub so ntswg periglandular. Cov abscess feem ntau tshwm sim los ntawm tus kab mob nrog Staphylococcus aureus. Tus kab mob no tuaj yeem ua raws ntau yam teeb meem ntawm kev pub niam mis:

• Feem ntau, kho tsis tau lossis kho tsis zoo rau tus kab mob mastitis (ua kom lub mis tsis tiav, tsis siv tshuaj tua kab mob lossis kho kom luv);
• ib qho superinfected crevice, uas nthuav tawm qhov nkag mus rau cov kab mob pathogenic. 

Ua tsaug rau kev tswj kom zoo ntawm mastitis, lub mis abscess hmoov zoo tseem yog ib qho tsis tshua muaj kab mob, cuam tshuam rau 0,1% ntawm cov niam mis.

Breast abscess manifests nws tus kheej los ntawm cov tsos mob tshwj xeeb:

• lub xub ntiag nyob rau hauv lub mis ntawm ib tug nyuaj, zoo-txhais, sov huab hwm coj;
• mob hnyav ntawm ib hom throbbing, nce palpation;
• lub mis o uas nruj thiab muaj xim liab rau ntawm qhov chaw cuam tshuam, qee zaum nrog ib qho chaw hauv nruab nrab. Ci thaum xub thawj, daim tawv nqaij yuav tev los yog tawg, cia cov kua paug tawm;
• ua npaws.

Thaum ntsib cov tsos mob no, nws yog ib qho tseem ceeb uas yuav tau sab laj kom sai li sai tau.

Ntxiv nrog rau kev kuaj mob, ib qho ultrasound feem ntau ua kom paub meej tias qhov kev kuaj mob ntawm lub mis abscess, ntsuas qhov abscess thiab qhia nws qhov chaw. Cov ntsiab lus no tseem ceeb rau kev xaiv kev kho mob.

Lub mis abscess tsis tuaj yeem daws nws tus kheej, lossis nrog kev kho "natural". Nws yog kev kho mob xwm txheej ceev uas yuav tsum tau kho sai kom tsis txhob muaj tus kab mob sepsis, ib qho teeb meem loj. Txoj kev kho no muaj ntau yam:

Kev kho mob anti-inflammatory analgesic

Kev kho mob los tiv thaiv kev mob analgesic sib xws nrog kev pub niam mis, txhawm rau txo qhov mob.

Tshuaj tua kab mob

Kev kho tshuaj tua kab mob (kev sib xyaw amoxicillin / clavulanic acid, erythromycin lossis clindamycin) los ntawm txoj kev dav dav rau tsawg kawg 14 hnub txhawm rau txhawm rau tshem tawm cov kab mob hauv nqe lus nug. Qhov kev kho no tuaj yeem hloov kho nyob ntawm qhov txiaj ntsig ntawm kev txheeb xyuas kab mob ntawm cov kua dej puncture.

Ib qho puncture-aspiration ntawm cov kua qaub

Ib tug puncture-aspiration ntawm cov kua paug siv ib rab koob los ntws abscess. Cov txheej txheem yuav siv sij hawm qhov chaw nyob rau hauv lub zos tshuaj loog thiab nyob rau hauv ultrasound tswj. Thaum cov kua dej ntws tawm tag, kev tso dej ntawm cov tshuaj isotonic (cov kua qaub tsis muaj kuab lom) ua kom huv si, tom qab ntawd cov ntaub qhwv yog siv los nqus cov kua paug.

Nws yog ib qho tsim nyog yuav tsum rov ua qhov no ntau zaus (2 mus rau 3 zaug ntawm qhov nruab nrab) thiaj li ua tiav tag nrho cov nqus ntawm abscess. Tsis-invasive (thiab yog li tsis tshua muaj kev puas tsuaj rau lub caj pas mammary), tsis ua rau muaj qhov caws pliav tsis pom thiab tsis tas yuav mus pw hauv tsev kho mob (thiab yog li tsis muaj leej niam-me nyuam sib cais), ultrasound-guided puncture-aspiration yog thawj txoj kev kho mob. kev xav ntawm lub mis abscess. 

Lub installation ntawm lub qhov dej

Nyob rau hauv lub xub ntiag ntawm ib tug abscess ntawm ntau tshaj 3 cm nyob rau hauv lub cheeb, ib tug percutaneous ntws yuav muab tso rau hauv ultrasound, thiaj li yuav ua txhua hnub yaug.

Kev phais dej

Nyob rau hauv cov kev tshwm sim ntawm tsis ua hauj lwm ntawm lub ultrasound-guided puncture-aspiration (ntau viscous pus, partitioned abscess, ntau punctures, mob heev, thiab lwm yam), ib tug loj los yog tob abscess los yog ib tug rov tshwm sim los yog mob abscess, kev phais yog tsim nyog. .

Tom qab kev phais ntawm daim tawv nqaij nyob rau hauv lub zos los yog kev siv tshuaj loog, tus kws phais tau khawb lub plhaub ntawm lub abscess nrog nws tus ntiv tes txhawm rau tshem tawm feem ntau ntawm cov cubicles (cov micro-abscesses nyob ib ncig ntawm). Tom qab ntawd nws tso dej rau thaj chaw nrog cov tshuaj tua kab mob ua ntej muab tso rau hauv qhov chaw tso dej (gauze wick lossis hloov tau yooj yim yas hniav) txhawm rau kom tshem tawm ntau yam kua (pas, ntshav) thaum lub sijhawm kho, tab sis kuj kom qhib abscess.

Qhov no yog qhov tseem ceeb kom tau txais kev kho mob zoo, los ntawm sab hauv mus rau sab nraud, thiab kom tsis txhob rov tshwm sim dua. Kev saib xyuas hauv zos yuav raug muab txhua hnub, thiab cov tshuaj analgesics tau sau tseg.

Txij li cov tshuaj tua kab mob tau sau tseg tau sib haum nrog kev pub niam mis, leej niam tuaj yeem pub niam mis ntxiv nrog lub mis tsis muaj kev cuam tshuam. Ntawm lub mis uas cuam tshuam, kev pub niam mis txuas ntxiv tuaj yeem ua tau yog tias qhov abscess tsis yog periareolar, hauv lwm lo lus yog tias tus menyuam lub qhov ncauj tsis ze rau qhov chaw puncture. Cov kua mis feem ntau yog dawb los ntawm cov kab mob.

Tus niam tsuas yog xyuas kom ntxuav nws txhais tes kom zoo ua ntej thiab tom qab pub mis, thiab muab tso rau ntawm qhov chaw tsis muaj menyuam thaum lub sijhawm pub mis kom tus menyuam tsis txhob kis cov kua paug. Yog tias cov khoom noj mob hnyav dhau lawm, tus niam tuaj yeem siv lub tshuab nqus mis thaum lub mis kho kom tsis txhob muaj kev sib koom tes uas tuaj yeem ua rau muaj qhov mob ntxiv.