Kuvhura abscess: zviratidzo, unyanzvi, tsananguro

Nzira huru yekurapa paratonsillar kana retropharyngeal abscess inowanikwa mu pharynx ndiko kuzarura purulent formation nekuvhiyiwa. Inoratidzirwa kune varwere vezera ripi zvaro, vachifunga nezve contraindications. Iyo tekinoroji yekupindira kwekuvhiya inokurudzira kuita oparesheni 4-5 mazuva mushure mekutanga kwekuumbwa kweabscess. Kutadza kutevedzera kurudziro iyi kunogona kutungamirira kune chokwadi chekuti kuvhiyiwa kunoitwa kare kare, kana abscess cavity isati yaumbwa. Muchiitiko ichi, pathogenic microorganisms yakatove yakakomberedza tonsil, asi nhanho yekunyunguduka kweadenoid tissue haisati yatanga. Kuti ujekese danho rekuputika kwepurulent, chirwere chekuongorora chinoitwa.

Nzira yekuongorora kugadzirira kweabscess yekuvhurwa inosanganisira kuboora pamusoro pezvimba zvakazvimba pedyo netonsil yakabatwa. Izvo zvinodikanwa kuita puncture pasi pekutonga kwe roentgenoscope kana ultrasound. Mushure mekubaya nzvimbo yeabscess, chiremba anokwevera zviri mukati maro mujekiseni isina utachiona.

Zvimwe zvingasarudzwa:

• Kuvapo kwepus mubhodhoro resirinji chiratidzo cheabscess yakaumbwa, chiratidzo chekushanda.

• Kuvapo kwemusanganiswa we lymph neropa rine pus musirinji chiratidzo cheabscess isina kuumbwa, apo yakakwana yemishonga inorwisa mabhakitiriya inogona kudzivirira kuvhiyiwa.

Zviratidzo zvekuvhura abscess

Zviratidzo zvekuonekwa kweabscess ne puncture:

• Chiratidzo chinorwadza chinotaridzirwa, chinowedzera nekushandura musoro, kumedza, kuedza kutaura;

• Hyperthermia inopfuura 39 ° c;

• Angina inogara kwenguva refu kupfuura mazuva mashanu;

• Hypertrophy yeimwe tonsil (kazhinji kaviri);

• Kuwedzera kweimwe kana kupfuura lymph nodes;

• Zviratidzo zvekudhakwa - tsandanyama aches, kuneta, kushaya simba, musoro;

• Tachycardia, palpitations.

Kana diagnostic puncture inoitwa pasi pe ultrasound kana X-ray kutungamira, yakawanda yepus inogona kubviswa panguva yekuita. Nekudaro, izvi hazvigadzirise dambudziko zvachose, iwe uchiri kufanira kubvisa abscess.

Zvikonzero zvekuvhiya:

• Mushure mekuchenesa mhango yeabscess, mamiriro ekupararira kwepus anopera;

• Panguva yekuvhiyiwa, mhango inobatwa nemishonga inorwisa mabhakitiriya, iyo isingagoni kuitwa panguva yekuputika;

• Kana abscess iri duku, inobviswa pamwe chete ne capsule pasina kuivhura;

• Mushure mokubviswa kwepus, mamiriro ezvinhu ose anovandudza, kurwadziwa kunopera, zviratidzo zvekudhakwa zvinopera, kutonhora kunoderera;

• Sezvo ma microorganisms anokonzera purulent kuzvimba anenge akabviswa zvachose, njodzi yekudzokorora ishoma;

• Mune zvimwe zviitiko, pamwe nekuvhurwa kweabscess cavity, tonsils inobviswa, iyo inobatsira kubvisa kutarisa kwekuputika uye kuderedza dambudziko rekudzoka kwechirwere.

Kuvhiya kubvisa abscess pahuro inoitwa pa outpatient hwaro. Iyi inzira yakanyatsogadziriswa isingakonzeri matambudziko. Mushure mekuvhiyiwa kuvhurwa kweabscess, murwere anotumirwa kune yekutevera kuchengetwa kumba, anouya kuzoongororwa kwekutevera mushure memazuva 4-5.

Zviratidzo zvekurapwa kweparatonsillar abscess:

• Zera revana (preschoolers vari muchipatara nevabereki vavo);

• Vakadzi vane pamuviri;

• Varwere vane zvirwere zve somatic kana kuderedzwa kwekudzivirira;

• Varwere vane ngozi yakawanda yezvinetso zvepashure (sepsis, phlegmon);

• Varwere vane unformed abscess kudzora maitiro ayo.

Pamberi pekushanda kwakarongwa, kuderedza pathogenic microorganisms uye kudzivirira kupararira kwavo, murwere anorayirwa antibiotics. Kupindira kwekuvhiya kunoitwa pasi peanesthesia yemunharaunda. Kana nyaya yacho ichikurumidzira, inobvumirwa kuzarura abscess pasina anesthesia.

Matanho ekuvhura abscess

1. Kuchekwa kunoitwa nehupamhi husingapfuuri 1-1,5 cm panzvimbo yakakwirira yepurulent formation, sezvo iripo iyo iyo thinnest layer yetishu inowanikwa, uye abscess iri pedyo nechepamusoro. Hudzamu hwekuchekwa kunotariswa nenjodzi yekukuvadzwa kwetsinga dziri pedyo netsinga dzeropa.

2. Pus inoburitswa kubva mugomba.

3. Chiremba, achishandisa chiridzwa chisina kujeka, anoparadza zvinogona kuparadzanisa mukati megomba kuti avandudze kubuda kwepus uye kudzivirira kumira kwayo.

4. Kurapa kwe abscess cavity neine antiseptic solution ye disinfection.

5. Kuburwa ronda.

Kuti udzivise kudzoka zvakare, nzira yemishonga inorwisa mabhakitiriya inorayirwa. Paunenge uchivhura abscess, inogona kuwanikwa kuti pus haisi mu capsule, yakapararira pakati pemasumbu emutsipa. Kana dambudziko iri richikonzerwa neanaerobic microbes inokura pasina kuwana oxygen, mvura inoitwa kuburikidza nekuwedzera kuchekwa pamusoro pemutsipa kuunza mweya uye kubvisa pus. Kana njodzi yekudzokazve yakabviswa, mitsetse yemvura yakasvibiswa inoshongedzwa.

Mitemo yekuzvibata mushure mekuvhiyiwa kuvhura ma abscesses:

• Kuti udzivise kuzvimba uye kunonoka kuberekwa patsva, zvinorambidzwa kudziya mutsipa;

• Kuti kuderedze njodzi yevasoconstriction kana dilation, inobvumirwa kunwa zvinwiwa chete pakupisa kwekamuri;

• Kushandiswa kwekudya kwemvura kunokurudzirwa;

• Zvinosungirwa kutevedzera kurambidzwa doro uye kusvuta;

• Kuti udzivise kudzokazve, zvakakosha kuti upinde munzira yekurapa nemishonga inorwisa mabhakitiriya uye anti-inflammatory, shandisa vhitamini uye mineral complexes;

• Mazuva 4-5 mushure mekuvhiyiwa, chiremba anoongorora murwere, achiongorora njodzi yezvinetso zvinogona kuitika, nzira yekuzvarwa patsva.

Muzviitiko zvakawanda, postoperative recurrences ishoma zvikuru. Mushure mevhiki yakagoverwa kwenguva yekudzorera, murwere anogona kukurudzirwa chirongwa chenguva dzose.