Cellulitis - a ọrịa na-maka? N'olu etuto. Mgbaàmà na Ọgwụgwọ

Cellulitis - a purulent mbufụt nke adipose anụ ahụ. The enweghị nchịkwa usoro bụ nnukwu na a obere oge nwere ike iru gbara ya gburugburu ebe nke anụ ahụ mbufụt na igbasa akwara, mọzụlụ, cellular oghere. N'isiokwu a anyị ga-ekwu ihe banyere ọrịa a, a ga-kọwara n'okpuru ebe mgbaàmà, na-akpata na ọgwụgwọ usoro nke ọrịa.

ihe

Mbụ niile, anyị kwesịrị n'ụzọ doro anya ọdịiche dị n'etiti echiche nke "etuto" na "cellulitis". Ọ bụghị otu ihe ahụ. N'adịghị ka etuto, nke nwere restrictive Capsule si cellulitis ọ bụla doro anya ókè, otú ahụ mbufụt wụpụwo agwa. Phlegmon - na ọrịa nke ịzụlite dị ka a n'ihi nke ngwangwa mmeputakwa nke pathogenic microorganisms: Staphylococcus, streptococcus, pseudomonas aeruginosa, Clostridium, Escherichia coli, na ndị ọzọ.

Iji banye n'ime abụba anụ ahụ nwere ike ịbụ na-emerụ ntule ụzọ dị iche iche. Na nke a emee Ọtụtụ dị ka a N'ihi nke na-emebi ike n'ezi ihe nke ahụ na-ọnya, ihe ọjọọ, mgbe ịwa ahụ na injections. Ọzọkwa, ọrịa nwere ike nweta a ujo Lymph ma ọ bụ ọbara. Ekwe Omume na pin ụzọ nke ọrịa, ma ọ bụrụ na suppurative na-elekwasị anya na-emetụta ngwa ga-agbaji n'ime n'akụkụ adipose anụ ahụ. A ụfọdụ n'ihe ize ndụ bụ mmachi na-agba ọsọ usoro (bacteremia, etuto). The organism na-emekarị na-achọ na-amachi ọ bụla mbufụt amalite, akpụ a Capsule. Otú ọ dị, mgbe ike ọgwụgwụ, zie ọgụ, ruo ogologo oge na-adịghị ala pathologies, aṅụrụma, ndị dị otú ahụ na-echebe Capsule na-adịghị kpụrụ, na purulent usoro were were gbatịrị site ná mmalite nke ọrịa. Ọzọkwa, ahụ ụfọdụ pathogens (e.g., na-abụghị clostridial osisi, Clostridium) na-enwe ike hapụ kpọmkwem bekee igbari echebe n'ọbọ, adịru abu nwekwara ike banye ike anụ ahụ.

Cellulitis: mgbaàmà

The ọrịa e ji a pụtara ahụkarị mpụga ngosipụta, yiri ihe ịrịba ama nke mbufụt: nācha ọbara-ọbara, anụ ọzịza, Okpomoku akpụkpọ na saịtị nke ọjọọ, ihe mgbu.

Site na ọdịdị nke elu bụ phlegmon ebe (anụ ahụ mmebi nke muscular oyi akwa) miri emi (muscle oyi akwa na abụba ọnwụ nsogbu gburugburu esịtidem akụkụ). Na -edozi etuto gosipụtara ufiop mgbu na ebe nke mbufụt, ọzịza, induration. Na itinye aka na-enweghị nchịkwa na usoro nke anụ amalite nācha ọbara-ọbara na obodo okpomọkụ ịrị elu. Nnọọ anya, e nwere ndị nkịtị mgbaàmà nke igbu egbu: akpata oyi, fever, akpịrị ịkpọ nkụ, akọrọ ọnụ, oké ike. Ọ bụrụ na ị na-azụlite a miri emi etuto, n'ozuzu mgbaàmà ebukarịghị n'elu obodo. Ahu okpomọkụ nwere ike ebili ka 40-42 ° C, isi ọwụwa, ike ọgwụgwụ, somnolence, anụ-aghọ jaundiced, belata na ọbara mgbali, usu - adịghị ike, ugboro ugboro. Nsogbu n'obi akụkụ okuku ume na-arụ ọrụ (na-eku ume strays, na obere anụ ahụ ibu ma ọ bụ ọbụna na-ezu ike na-egosi otdyshka) na secretory (mbelata ego nke mmamịrị, ruo ya zuru enweghị) usoro. Ọzọkwa ke miri cellulitis abawanye na size ma ọ bụ na ebe ha tụnyere ndị a ike ziri ezi na saịtị.

n'olu cellulitis

Nke a na ọrịa nwere ike ịzụlite na nnọọ ihe ọ bụla ọnọdụ ebe subcutaneous abụba. Etuto nke n'olu - bụ a ọrịa, n'oge nke na-ejighị n'aka. Na ndị na-esi pụrụ isi ike na ọbụna-eyi ndụ egwu.

Mgbe ọrịa na-emetụta interfascial n'olu ma intercellular ohere. Ebe ọ bụ na akụkụ a nke ahụ nwere a mgbagwoju anatomical Ọdịdị, etuto nwere a dị iche iche orunótu.

Mgbaàmà nke cellulitis n'olu

Ọ dị mkpa ka ịchọpụta ọrịa na oge. Cellulitis na-egosipụta na ọtụtụ ụzọ, ya niile na-adabere na omimi na ọnọdụ. Ọ bụrụ na mbufụt nke obere size na-emi odude miri emi na-ahụ ya nnọọ ike. Na nke a, ọ bụla ngosipụta na akpụkpọ bụ abiaghi, ndị ahu okpomọkụ ka a elu uru asọbaghị, ihe ịrịba ama nke igbu egbu dị nwayọọ. N'èzí ma ọ bụ ọtụtụ cellulitis nke n'olu-egosi nnọọ ka elu elu cellulitis nke ọzọ ebe nke ahu. Palpation ike obi mmajijiji (ọmụmụ ìgwè), erughị ala nke anụ ahụ na soreness. Ọrịa na-arịa - agafeghị oke ogo ma ọ bụ oké njọ. Mgbe a ụdị ọrịa nwere ike isi ike ilo. Mgbe submaxillary phlegmon nwere ike na-emeghe ọnụ na ịta nri. N'Ashterọt bụ mgbe niile na ọkara oghe ala pụrụ mgbe mgbe ga-hụrụ ísì ụtọ. Na-aga n'ihu na ọrịa usoro ọrịa na-arịa na-akawanye njọ n'ike n'ike, na-eto igbu egbu. Blood ule egosi a picture nke nnukwu mbufụt, ESR ọgụgụ adahade 40-50 mm / hour.

Gịnị na-akpata cellulitis n'olu ya?

Cellulitis - ihe mbufụt, na nke abu na-agbasa ngwa ngwa site na otu ohere ọzọ, akpụ a sara kwafuru na lesion. Karịsịa, phlegmon n'olu ike akpasu morbidity catarrhal na lacunar rịaworo oghere peritonsillar na retropharyngeal etuto, alveolitis, periodontitis, osteomyelitis nke ala agha, otitis, spinal lesion (osteomyelitis occipital ọkpụkpụ ma ọ bụ cervical vertebrae), thyroid ọrịa, putrefactive ọrịa (carious ezé ) ọjọọ. Nje na-agbasa n'ụzọ dị mfe na omume rụrụ interfascial anụ ahụ, na-emetụta ndị connective anụ ahụ, ọbara arịa, mọzụlụ na Lymph.

kwere omume nsogbu

Ezighị ezi na nnwụchu nchoputa nke ọrịa nwere ike ime ka akwa ya pụta, mgbe mgbe, ọ na-emegide ndụ:

• mbufụt nke etiti nke ebe obi - mediastenitu;

• abu na ozize nke arịa mgbidi na dị ka a na ya pụta, na profuse agba ọbara;

• meningitis, sepsis, ahụ etuto na ndị ọzọ na akụkụ;

• asphyxia (dị ka a N'ihi nke na-apịpụta airway abu);

• agbasa site na abu na akpa ume, nkọlọ.

Cellulitis: ọgwụgwọ nke ọrịa

Mbụ, iji gosi na ndị na-efe efe ọdịdị nke mbufụt dibịa ga-eduzi a nyochaa nke ndidi na-amụ akụkọ ihe mere eme nke ọrịa. Phlegmon abụkarị tutu amama surgically. Ngwa nke ọgwụ nje ọrịa, novocaine blockades eduzi ọgwụgwọ anụ ahụ, ochichi nke ọgwụ na-eme ka usu chebe onwe, ikekwe naanị na mbụ ogbo nke ọrịa. Ọ bụrụ na a ngwa ngwa enwe mmetụta dị mma adịghị ime (mgbu na-adịghị akwụsị, na ahu okpomọkụ na-nọ na a elu larịị, n'ozuzu ike na arụmọrụ nke ọbara ule adịghị mma), na mgbaàmà nke mmenaanya na-ngwa ngwa na-amụba, ọ dị mkpa ka ngwa ngwa ịwa. Arụ usoro ịwa ahụ ná mmalite nkebi nke ọrịa iji gbochie nsi nke ahụ ahụ na-agbasa nke purulent usoro. Mgbe ịwa ahụ ọgwụgwọ a ga-atụle na cellulitis nke n'olu, n'ihi na ọtụtụ akụkụ, na-emi odude podfastsialno, na ka e wee ghara imebi mkpa agụmakwụkwọ (irighiri akwara, arịa ndị ọzọ.), Ị ga-nnọọ nlezianya dissect anụ ahụ n'ígwé.

Otú ọ dị, nke a ọgwụ anaghị akwụsị ebe ahụ. Mgbe phlegmon wepụrụ, ọgwụgwọ na postoperative oge na-eburu ifịk ọgwụgwọ ihe. The emerụ uzo na-ẹkenam, iji mee ka o kwe a ogologo ifịk eruba-ebe ịsa na ọchịchọ nke exudate. Ọ dịkwa mkpa iji hụ na ndidi bed fọduru, na-aṅụ ọtụtụ mmiri. Na nnukwu doses ndinọ saline, glucose na dị ka. N. Igosipụta ọgwụ nje, analgesics, cardiacs, na-eduzi oxygen ọgwụ.

mgbochi

Iji gbochie ụdị ize ndụ ọrịa kwesịrị izere Micro mkpasasị uche n'ebe obibi na-arụ ọrụ, na ozugbo-enye nlekọta ahụ ike maka unan, ọnyá, iwebata mba ozu. Mgbochi ikwu phlegmon n'olu iso na-adọ ọgwụgwọ nke rịaworo na eleta ha mgbe nile ka dọkịta ezé, na-adọ ịchọpụta na-emeso ọrịa na nke ezé na-agazu n'agbụ.

Ná mmechi

Cellulitis - a juru,-eyi ndụ egwu mbufụt. Mgbe mbụ ihe ịrịba ama nke ọrịa ozigbo a dọkịta. Na nke ọ bụla na-aku onwe-ọgwụgwọ, ọ nwere ike bute irreversible pụta.