Neraki, dambudziko risingawanzoitiki rekuyamwisa, kuputika kwezamu kunogona kubva kune isina kurapwa kana kusabatwa zvakanaka inotapukira mastitis. Zvinoda kukurumidza kutonga kusanganisa kurapwa kwemishonga inorwisa mabhakitiriya uye kubuda kweabscess.

Breast abscess ndiko kuumbwa kwepurulent collection (kuunganidza pus) muzamu rezamu kana periglandular tissue. Iyo abscess kazhinji inokonzerwa nehutachiona hweStaphylococcus aureus. Ichi chirwere chinogona kutevera matambudziko akasiyana-siyana ekuyamwisa:

• kazhinji, isina kurapwa kana kubatwa zvisina kunaka inotapukira mastitis (isina kukwana mazamu emvura, mishonga inorwisa mabhakitiriya isina kukodzera kana kurapwa kupfupikiswa);
• mukaha une utachiona, unopa nzvimbo yekupinda yeutachiona hwepathogenic. 

Nekuda kwekutonga kwakanaka kwemastitis, mazamu ane rombo rakanaka abscess inoramba iri isingawanzo pathology, inobata chete 0,1% yevanaamai vanoyamwisa.

Breast abscess inozviratidza nezviratidzo chaizvo:

• kuvapo muchipfuva chekuoma kwakaoma, kwakanyatsotsanangurwa, kunodziya;
• kurwadziwa kwakanyanya kwerudzi rwekurova, kunowedzera palpation;
• zamu rakazvimba rakasimba uye rine ruvara rutsvuku panzvimbo yakabatwa, dzimwe nguva ine paler pakati penzvimbo. Rinopenya pakutanga, ganda rinogona kubva rasvuuka kana kutotsemuka, richirega urwa huchibuda;
• kupindwa nechando.

Kutarisana nezviratidzo izvi, zvakakosha kubvunza nekukurumidza sezvinobvira.

Pamusoro pekuongororwa kwekiriniki, ultrasound inowanzoitwa kuti isimbise kuongororwa kwemazamu abscess, kuyera abscess uye kutsanangura nzvimbo yayo. Zvinhu izvi zvakakosha pakusarudza kurapwa.

Abscess yezamu haigoni kugadziriswa pachayo, kana ne "natural" kurapwa. Injodzi yekurapa inoda kurapwa nekukurumidza kuitira kudzivirira sepsis, dambudziko rakakomba. Kurapa uku kwakawanda:

An anti-inflammatory analgesic treatment

An anti-inflammatory analgesic treatment inoenderana nekuyamwisa, kubvisa marwadzo.

Mishonga inorwisa mabhakitiriya

Mishonga inorwisa mabhakitiriya (musanganiswa amoxicillin / clavulanic acid, erythromycin kana clindamycin) nenzira yakajairika kwemazuva angangoita gumi nemana kuitira kupedza utachiona huri mubvunzo. Mushonga uyu unogona kugadziridzwa zvichienderana nemhedzisiro yekuongorora kwebhakitiriya kweiyo puncture fluid.

Kupinza-kuchiva kwepus

Kuboora-kupinzwa kweurwa uchishandisa tsono kubvisa buri. Iyo nzira inoitika pasi peanesthesia yemunharaunda uye pasi pekutonga kwe ultrasound. Kana pus ichinge yapera zvachose, kudiridza kwe isotonic solution (inonzi sterile saline solution) inoitwa kuti ichenese abscess, ipapo bhandi rinoshandiswa kuti ribate pus.

Zvinowanzodikanwa kudzokorora ichi puncture kakawanda (2 kusvika 3 nguva paavhareji) kuitira kuti uwane kubatwa kwakazara kweabscess. Zvisina-invasive (uye naizvozvo zvishoma zvingakanganisa mammary gland), hazviiti kuti vangani risingatarisirwi uye haridi kuchengetwa muchipatara (uye naizvozvo hapana kuparadzaniswa kwaamai-mucheche), ultrasound-inotungamirirwa puncture-aspiration ndiyo yekutanga kurapwa. chinangwa chezamu. 

Kuiswa kwedrain

Muhupo hweabscess inopfuura 3 cm muhupamhi, percutaneous drain inogona kuiswa pasi pe ultrasound, kuitira kuti iite zuva nezuva.

Kuvhiya kwemvura

Muchiitiko chekukundikana kweiyo ultrasound-inotungamirirwa puncture-aspiration (yakanyanya viscous pus, partitioned abscess, nhamba huru yepunctures, kurwadziwa kwakanyanya, etc.), abscess yakakura kana yakadzika kana abscess inowanzoitika kana isingagumi, kuvhiyiwa kwemvura kunodiwa. .

Mushure mekuchekwa kweganda pasi penzvimbo kana general anesthesia, chiremba anovhiya anokwenya goko reabscess nemunwe wake kuti abvise ruzhinji rwema cubicles (micro-abscesses iri kutenderedza). Anobva adiridza nzvimbo yacho nemishonga inorwisa mabhakitiriya asati aisa chigadziro chemvura (gauze wick kana flexible plastic blade) kuitira kuti abvise zvinwiwa zvakasiyana-siyana (pus, ropa) panguva yekuporesa, asiwo kuchengetedza abscess yakazaruka.

Izvi zvakakosha kuitira kuti uwane kupora kunofambira mberi, kubva mukati kusvika kunze, uye kudzivirira kudzokorora. Kutarisirwa kwemunharaunda kuchapihwa zuva nezuva, uye analgesics inorayirwa.

Sezvo mishonga inorwisa mabhakitiriya yakanyorwa ichienderana nekuyamwisa, amai vanogona kuramba vachiyamwisa nezamu risina kukanganisa. Pazamu rakakanganiswa, kuenderera mberi kuyamwisa kunokwanisika kana abscess isiri periareolar, nemamwe mazwi kana muromo wemwana usina kunyanya kuswedera pedyo nenzvimbo yekubaya. Mukaka wezamu kazhinji hauna utachiona.

Amai vanongoita chokwadi chekugeza maoko avo zvakanaka vasati vadya uye mushure mekudya, uye kuisa sterile compress panzvimbo yepuncture panguva yekudyisa kuitira kuti mwana asasangana nepus. Kana kudya kwacho kuchirwadza, amai vanogona kushandisa pombi yemazamu uku mazamu achipora kudzivirira kubuda kunoita kuti buri rirambe riripo.