Daim tawv nqaij abscesses

Ib qho abscess ntawm daim tawv nqaij yog ib qho mob ntawm daim tawv nqaij, uas yog nrog los ntawm kev tsim cov kab noj hniav purulent hauv cov ntaub so ntswg nrog kev puas tsuaj rau cov ntaub so ntswg subcutaneous. Ib qho abscess tuaj yeem tshwm sim ntawm nws tus kheej nyob rau hauv daim ntawv ntawm ib tug boil, los yog tsim raws li ib tug teeb meem tom qab tonsillitis, mob ntsws, thiab ntau yam kev raug mob. Abscesses tshwm sim ntau dua li qhov teeb meem tom qab thawj qhov mob. Koj yuav tsum paub dab tsi txog qhov abscess, yuav ua li cas paub thiab kho lawv?

Cov yam ntxwv ntawm tus kab mob

Abscess yog ib qho mob ntawm cov ntaub so ntswg uas tshwm sim tawm tsam keeb kwm ntawm tus kab mob los yog ib qho kab mob ywj pheej. Cov kab mob ua rau yog staphylococci, tsawg dua - Escherichia coli, streptococci thiab lwm tus neeg sawv cev ntawm microflora. Sai li qhov mob tshwm sim hauv cov ntaub so ntswg, kev tiv thaiv ntawm lub cev tau tshwm sim. Cov tshuaj ntsiav ua ib ncig ntawm lub ntsej muag inflammatory, uas tiv thaiv cov ntaub so ntswg los ntawm kev noj qab haus huv thiab tiv thaiv kev sib kis ntawm cov kab mob.

Pathogenic microflora tuaj yeem nkag mus los ntawm cov tawv nqaij puas / mucous membranes lossis los ntawm cov ntshav / lymphatic hlab ntsha (yog tias cov kab mob twb muaj nyob hauv lub cev lawm).

Dab tsi yog qhov ua rau kis kab mob?

Ib qho abscess tuaj yeem tshwm sim hauv txhua qhov ntawm lub cev, los ntawm cov pob ntawm cov ntiv tes mus rau lub hlwb. Txawm tias ib qho tawg me me tuaj yeem ua rau kis kab mob thiab dhau los ua qhov laj thawj loj mus ntsib kws kho mob. Qhov no ua tau li cas? Cov kab mob nkag mus rau hauv qhov chaw puas los ntawm qhov chaw nyob ib puag ncig. Lawv pib nce zuj zus, uas ua rau mob, tsim cov kua paug thiab lwm yam tsis kaj siab.

Txoj kev loj hlob ntawm ib qho abscess tuaj yeem tshwm sim los ntawm kev sib npaug ntawm cov kab mob atypical microbes lossis kab mob txaus ntshai hauv lub cev. Thaum lub cev tiv thaiv kab mob pom cov kab mob, nws tam sim ntawd pib tsim cov qe ntshav tiv thaiv. Los ntawm cov ntshav, lawv nkag mus rau lub hom phiaj ntawm o thiab rhuav tshem cov neeg sawv cev txawv teb chaws. Raws li qhov tshwm sim ntawm "kev tawm tsam", qee yam khoom tsim los ntawm microbial loj, cov ntaub so ntswg nyob ib puag ncig, fibrin, cov kua dej sib txuas, thiab cov qe ntshav molten. Kev sib xyaw ua ke ntawm tag nrho cov khoom sib xyaw thiab tsim cov abscess.

kho mob daim duab

Cov tsos mob ncaj qha nyob ntawm qhov etiology ntawm tus kab mob thiab kev tiv thaiv kev tiv thaiv ntawm lub cev. Qhov kev siv ntawm kev tshwm sim kuj nyob ntawm qhov chaw ntawm qhov mob thiab nws qhov loj. Feem ntau, cov neeg mob ntsib ib qho abscess nyob rau hauv cov ntaub so ntswg superficial. Nws tshwm sim tom qab txhua yam kev raug mob thiab kab mob ntawm daim tawv nqaij. Cov kws kho mob paub qhov txawv 5 cov tsos mob tseem ceeb ntawm kev mob:

  • liab;
  • o tuaj;
  • mob;
  • dhia ntse hauv lub cev kub;
  • kev ua haujlwm tsis zoo ntawm thaj chaw cuam tshuam.

Tus neeg mob txoj kev noj qab haus huv kuj qhia rau koj paub txog kev cuam tshuam sab hauv. Ib tug neeg xav tias tsis muaj zog, kev nyuaj siab, apathy, mob taub hau thiab tsis qab los noj mov. Laboratory manifestations tshwm sim nyob rau hauv ib tug dhia nyob rau hauv cov theem ntawm leukocytes thiab ib tug siab erythrocyte sedimentation tus nqi. Cov tsos mob tshwj xeeb yog txiav txim los ntawm hom thiab cov yam ntxwv ntawm tus kab mob abscess. Piv txwv li, ib qho abscess hauv lub hlwb ua rau muaj kev puas siab puas ntsws, thiab mob hauv caj pas yog mob thaum nqos, qhov ntswg, thiab ua pa tsis ua haujlwm.

Ntau yam ntawm abscess

Hom abscesslocalizationCov tsos mobfeature
Khaub thuasPurulent masses sau nyob rau hauv me me qhov chaw thoob plaws hauv lub cevTsis muaj cov tsos mob ntawm tus mob o (mob, liab, kub dhia)Nws tshwm sim hauv qee theem ntawm osteoarticular tuberculosis lossis actinomycosis
ParatonsillarMob mob tshwm sim nyob ze ntawm cov tonsilsUa rau mob caj pas, ua daus no, kub taub hau, intoxication, o lymph nodes, ua tsis taus pa, trismusTsim los ua ib qho teeb meem ntawm angina. Pathology feem ntau raug rau cov pab pawg hluas ntawm cov neeg mob (los ntawm cov menyuam yaus mus rau cov tub hluas)
SubdiaphragmaticTxhim kho nyob rau hauv lub diaphragm (mob plab), uas tuaj yeem ua rau cov kua paug sib xyaw nrog rojGeneral kho cov tsos mob yam ntxwv ntawm cov txheej txheem inflammatoryFeem ntau nws tsim muaj teeb meem tom qab mob inflammatory kab mob los yog raug mob ntawm lub plab kab noj hniav.
retropharyngealNws yog tsim nyob rau sab nraum qab ntawm lub pharynx vim suppuration ntawm cov qog nqaij hlav thiab fiber ntawm lub pharyngeal qhov chaw.Nyuaj mob thaum zom thiab nqos, qhov ntswg, qhov ntswg ua pa, ua pa luv, lub cev kubtshwm sim ntawm nws tus kheej nrog qhov txhab ntawm lub pharyngeal mucosa los yog ib qho teeb meem tom qab mob khaub thuas, qhua pias, caws pliav kub taub hau.
npluaIb qho chaw sau cov kua paug hauv ib cheeb tsam ntawm lub cev cuam tshuam los ntawm tuberculosisTsis nrog rau qhov mob inflammatory tshwm sim, tsis muaj cov tsos mob tshwm simNws tshwm sim nrog osteoarticular tuberculosis. Cov chav kawm ntawm tus kab mob yog heev latent thiab qeeb, tuaj yeem kav ntev li ob peb lub hlis.
kab mob peripharyngealTxwv purulent o ntawm cov ntaub so ntswg ntawm qhov chaw peripharyngealMob caj pas mob hnyav, nqos nyuaj, trismus, tsis xis nyob thaum txav lub taub hau, lub cev kub siab (txog 41 ° C), protrusion ntawm phab ntsa ntawm lub pharynxtshwm sim raws li ib qho teeb meem ntawm o los yog raug mob nyob rau hauv lub pharynx, nruab nrab pob ntseg, qhov ncauj kab noj hniav
Kev txhaj tshuaj tom qabTxhim kho ntawm qhov chaw txhaj tshuajLiab, o, kub taub hau, mob thiab tsis xis nyob thaum kov cov abscessTsim los ntawm kev tsis ua raws li cov cai ntawm kev txhaj tshuaj
Paum ncigTsim ntawm cov pos hniavkiv taub hau, poob qab los noj mov, mob, kub taub hautshwm sim tom qab txhua yam raug mob ntawm qhov ncauj kab noj hniav, inflammatory txheej txheem, tsis zoo prosthetics los yog lwm yam kev pab kho hniav

Muaj teeb meem tshwm sim

Yog tias pom muaj abscess nyob rau saum npoo ntawm daim tawv nqaij, tsis muaj teeb meem tsis txhob tshem tawm koj tus kheej. Qhov qhib ntawm abscess ua rau caws pliav ntawm cov ntaub so ntswg thiab kab mob ntxiv.

Cov teeb meem tshwm sim tsuas yog thaum tsis muaj sij hawm mus ntsib tus kws kho mob tshwj xeeb. Feem ntau, cov neeg mob qhib qhov abscess ntawm lawv tus kheej, ua yuam kev rau pob txuv, tab sis qhov no yog txwv tsis pub. Piv txwv li, kev puas tsuaj rau lub purulent capsule ntawm cov hniav tuaj yeem tawm qhov caws pliav ntawm sab plhu thiab cuam tshuam rau qhov zoo nkauj ntawm daim tawv nqaij. Tab sis caws pliav tsis yog qhov teeb meem phem tshaj plaws. Ntau qhov hnyav dua yog rov kis kab mob thiab hloov mus rau cov ntaub so ntswg tshiab.

Yog hais tias ib qho abscess tsim nyob rau hauv cov kab noj hniav (pob txha, cov leeg, cov plab hnyuv siab raum), qhov kev pheej hmoo ntawm cov teeb meem tshwm sim. Kev puas tsuaj ntawm ib qho abscess hem nrog kev ua tsis taus pa, kev loj hlob ntawm cov ntshav, kev kis kab mob ntawm cov ntshav thiab tag nrho cov kab mob. Qhov no puas tuaj yeem zam tau? Yog lawm. Rau txhua yam kab mob pathogenic uas koj tswj tsis tau, sab laj nrog kws kho mob.

Yuav kuaj mob li cas?

Sai li sai tau thaum koj hnov ​​​​qhov kev puas tsuaj los yog pom qhov txawv txav ntawm daim tawv nqaij, hu rau koj tus kws kho mob tam sim ntawd. Yog tias qhov abscess nyob rau ntawm qhov chaw, qhov kev kuaj mob yuav tsis ua rau muaj teeb meem. Tab sis, kom paub tseeb tias qhov tseeb ntawm qhov kev kuaj mob, tus kws kho mob yuav tsum tau sau ntawv tshuaj ntsuam xyuas ntxiv. Tus kws kho mob tshwj xeeb sau cov anamnesis, kawm txog tus neeg mob txoj kev noj qab haus huv thiab teeb meem kev xa mus rau kev kuaj mob dav dav.

Yog tias xav tias muaj cov txheej txheem inflammatory hauv lub ntsws los yog lub paj hlwb, suav tomography raug sau tseg. Ultrasound feem ntau yog muab tshuaj los kuaj xyuas qhov abscess ntawm lub plab zom mov. Tsis tas li ntawd, tus kws kho mob yuav xav tau ib qho puncture (diagnostic puncture) ua raws li cov kua dej mus kuaj.

Cov yam ntxwv ntawm kev kho thiab kev tiv thaiv

Abscesses raug cais raws li cov kab mob phais, yog li feem ntau lawv raug tshem tawm thaum phais. Txoj kev kho yog ua raws li kev qhib qhov chaw mob nyob rau hauv lub zos / general tshuaj loog, tshem tawm purulent masses thiab antiseptic kho ntawm kab noj hniav. Tsis tas li ntawd, tus kws kho mob nruab ib lub qhov dej uas tshem tawm cov seem ntawm purulent masses.

Ntxiv nrog rau kev kho mob phais, cov kws kho mob tuaj yeem siv txoj hauv kev zoo. Tom qab kev kuaj mob thiab kev kuaj mob tiav, tus kws kho mob tshwj xeeb xaiv cov tshuaj tsim nyog, nws qhov ntau npaum li cas thiab saib xyuas lub cev cov tshuaj tiv thaiv rau cov khoom tuaj. Feem ntau, cov tshuaj anti-inflammatory thiab antipyretic tshuaj yog muab. Nws yuav tsum nkag siab tias cov npe tshuaj raug xaiv rau txhua kis tshwj xeeb. Qee tus neeg mob yuav zoo nrog cov tshuaj paracetamol tsis tu ncua, thaum lwm tus yuav xav tau kev kho tshuaj hormonal ntxiv. Ua ntej kev kuaj mob, tus neeg mob yuav tsum tau kuaj xyuas. Nws suav nrog kev sim kuaj thiab ntau hom kev tshawb fawb (ultrasound, X-ray, xam tomography).

Raws li kev kho mob hauv zos, kev sib xyaw ua ke ntawm kev tu cev thiab kev kho mob yog siv. Cov plaub hau yog ua tib zoo tshem tawm ntawm qhov chaw cuam tshuam (feem ntau shaved tawm) thiab kho txhua hnub nrog cov tshuaj tua kab mob / cov tshuaj tiv thaiv kab mob. Thaum kawg ntawm kev kho mob, tus kws kho mob yuav sau ib chav kawm ntawm cov vitamins los yog immunomodulators kom ceev lub cev rov qab. Tsis tas li ntawd, cov neeg mob raug qhia kom ua lub cev kho lub cev, tiv thaiv lawv tus kheej los ntawm kev ntxhov siab, thiab siv sijhawm ntau hauv huab cua ntshiab.

Puas muaj peev xwm tiv thaiv kev txhim kho ntawm cov kab mob abscess? Nws yog tsis yooj yim sua kom kwv yees qhov mob. Nws tsim tuaj yeem tshwm sim los ntawm ntau pua yam uas tsis nyob ntawm tus neeg mob nws tus kheej. Txhawm rau txo qhov kev pheej hmoo ntawm kev kis kab mob - ua tib zoo saib xyuas kev nyiam huv, mus saib tsuas yog cov chaw kho mob thiab tshuaj pleev ib ce, saib xyuas kev tsis muaj menyuam ntawm cov cuab yeej siv los ntawm tus kws kho mob. Ua raws li cov cai banal yuav pab tswj thiab ntxiv dag zog rau kev tiv thaiv lub cev. Tsis txhob quav ntsej lawv thiab noj qab nyob zoo.

Qhov chaw ntawm
  1. Gostishchev VK Kab mob hauv kev phais. – M.: GEOTAR-Media, 2014. – 768 p.
  2. Pods VI Guide to purulent phais. – M.: Tshuaj, 1984. – 512 p.
  3. Qhov chaw ntawm lub chaw kho mob caj ces "Genomed". - Cov kab mob ntawm daim tawv nqaij.

Sau ntawv cia Ncua