Ithumba Autopsy: izinto, incazelo kanye nokwelashwa. Autopsy ithumba peritonsillar

Kuyini ithumba? Lokhu isikhoxe esigcwele ubomvu-, esemgwaqweni imisipha noma fat ongama. Isifo sokugembula amagciwane abangela izifo noma amagciwane. Ngenxa ekuqongeleleni semali ubomvu indawo ethintekayo uqala ukwandisa, futhi kukhona ingozi breaking ubomvu ithumba ne ukufinyelela izicubu eseduze enempilo. Lokhu kuholela ukuthuthukiswa ukuvuvukala olubanzi, ngokuthi cellulitis.

Ngaphezu kwalokho, egijima ithumba avuse neuritis, okuyinto enomthelela ukuvela osteomyelitis. Kungakhathaliseki iphathwa conservatively yilo zokugula, njengoba kukhona ithumba kwesidumbu? Ake sihlole ngokuningiliziwe ngalokhu.

Izimbangela ithumba

isifo ubovu kwenzeka ngenxa ukuxhumana obuthaka noma ilimele isitho ukutheleleka pathogenic ukuthi uqala ande ngokushesha. Umzimba ngalesi sikhathi ngenkuthalo elwisana ukuvuvukala kuletse indawo obukhulu. Lokhu kuphumela ubovu capsule.

Ukutheleleka ingena phakathi kwezicubu ezithambile ngenxa ukwephulwa isikhumba, okwenzeka ngenxa yokulimala, ukusikeka, izilonda, frostbite, ukusha, waphuka evulekile. Nikela ukuvela ithumba elandelayo Amagciwane:

• staphylococci;
• streptococci;
• sofuba Mycobacterium;
• Pseudomonas aeruginosa ;
• clostridia;
• E. coli.

Ithumba ezingavela ngenxa yokuthi ngaphansi kwesikhumba ne izidakamizwa laqanjwa okuqukethwe onegciwane noma kwenzeka ukumnika izidakamizwa ukuthi kuphela senzelwe ujove esicutshini. Lokhu kuholela ukuthuthukiswa of necrosis aseptic ka kwezicubu ubovu ukuvuvukala kwezicubu ezithambile.

Ngezinye izikhathi ithumba kungenzeka ngenxa isifo olwase lukhona: pharyngitis, namathansela, inyumoniya, osteomyelitis, nail ingrown.

imiphumela olungenzeka ithumba

Yini engenzeka ngemva ezibona lokhu ingaphakathi ubovu? Waba yini umphumela walesi sifo simiswe ngalendlela lelandzelako:

• ukuphumelela olubonakalayo noma ngaphakathi (phakathi komgodi ongaphakathi kwamathumbu noma articular);
• ukuphumelela kwezitho (amathumbu, isisu, kwesinye futhi bronchus).

Uma ithumba luyoqala, ke kunciphisa ubukhulu purulent capsule ke iqala isilonda sesibazi. Kodwa uma ubomvu waphuma hhayi ngokuphelele, ukuvuvukala kuphinde kubuye futhi bangaba ezingamahlalakhona. Ngakho-ke, ithumba kufanele livulwe ukususa ubomvu zanqwabelana.

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Ithumba Autopsy lufanele lwenteke kulamazinga lalandzelako ngokushesha ngangokunokwenzeka, uma unalo izinsuku ezingaphezu kwezingu-amane, futhi inhloko capsule kakade wavuthwa. Le nqubo ibizwa eyenziwa kanje: esifundeni lokuqala ukuvuvukala iphathwa nge isixazululo isinqandakuvunda futhi lidocaine analgesic. Nge udokotela nommese ukhiqiza izicubu kwesigaba (hhayi ngaphezulu kuka-2 cm) engxenyeni ikhanda purulent noma ukuvuvukala endaweni enkulu.

Ukusebenzisa isipetu Hartmann imbobo landiswa 4-5 cm futhi lapho igebe Kwenziwa amabhuloho yokuxhuma ithumba. Qala ukususa ubomvu ukuncela kagesi, bese bahlola ingaphakathi umunwe ukuze ususe noma ikuphi izicubu residual Jumpers. I ingaphakathi sagezwa nge isinqandakuvunda futhi ukukhuthaza amanzi, ethula kuwo ngamapayipi zenjoloba esinikeza outflow ka exudate.

isilonda postoperative

Le nqubo yokwelapha yenziwa emva kokuvula ukusika ithumba ngemithi elwa namagciwane. Empeleni, udokotela ekunika imithi penicillin akuzange kusize ( "amoxicillin", "Cephalexin") okumele zithathwe izikhathi 4 ngosuku nge 200 noma 500 mg. Inkambo yokwelapha ithatha izinsuku ezingu-10. Uma i-penicillin yokungezwani komzimba ngendlela isiguli, macrolides enqunyiwe ( "Erythromycin", "Clarithromycin").

Imithi elwa namagciwane ukusetshenziswa ngezihloko ezihlukene - mafutha "Mafedin", "Levomekol", "Levosin" kanye nabanye, inzuzo okuyinto ukuthi zisebenza kuphela endaweni ethintekile, bese kungukuthi angena egazini.

Ngaphezu kwalokho, isilonda ngemva kokuvula ukusika ithumba zidinga ukwelashwa. Lokho imiphetho yayo musa banamathelane nje kwakukhona ekamelweni granulation kusuka phansi, emisipheni eziqhutshwa ushiye Tampon nge Vishnevsky amafutha, noma upharafini liquid. Ishintshe kufanele kube njalo ezinsukwini ezingu-2-3 ne kusaladi. Njengoba granulation wenziwa kusuka phansi nokususwa Tampon. Cauterization ka granulation ekhiqizwa izinsalela, ngesikhathi esifanayo iqaphele ukuba uthinte epithelium elimila emaphethelweni isilonda. Ngezinye overgrowth kancane suture isilonda kuboniswa.

Cabanga indlela kuvulwa ithumba Bartholin indlala futhi emphinjeni.

Inqubo ithumba Bartholin indlala asike izidumbu zabantu

Le ndlala kubhekwa elikhulu labo zitholakala egumeni. Eshiswa kungokuhluke ezingavamile, futhi uma sekube kumiswa ubovu capsule, khona-ke kufanele livulwe. inqubo kanjani?

Autopsy ithumba Bartholin indlala iqala neqiniso ukuthi udokotela yenza imbobo wekugcina, eneka iqhubeka umgodi futhi ukukhishwa uketshezi zanqwabelana. Khona-ke, indlala siwasebenzise isixazululo-hydrogen peroxide (3%). I ingaphakathi ufake tube (amanzi), okuyilona elidingekayo ukuze ususe izinsalela ubomvu. It isuswe emva kwezinsuku 5 noma 6. Ukwelashwa Kwenziwa ngosizo kwamaphilisi kanye yokugcoba izicelo.

Inqubo sokuvula ithumba emphinjeni

Autopsy ithumba peritonsillar kubhekwa ekwelapheni esiyinhloko izifo ubovu ku pharynx. eyohlinzwa okunjalo kubhekwa elula futhi ayivamile ukubangela izinkinga. Isilawuli Samandla kwenziwa ngaphansi izinzwa wendawo (isixazululo-cocaine 5% no 2% tetracaine). I imbobo wenziwa esifundeni esiphezulu protrusion pharyngeal odongeni nokujula yayo akufanele bube ngaphezu kuka-1.5 cm, kungase kulimaze inqwaba eduze of izinzwa futhi imithambo yegazi. Ngu ukhulula ubomvu, udokotela nge ithuluzi blunt lingena singene ingaphakathi ukubhubhisa ngodonga ngaphakathi kwalo.

Ngemva kokuthi i-kwesidumbu okwenziwe peritonsillar ithumba ingaphakathi ligcwele isixazululo magciwane. Ngemva suturing wakhe ngokuvamile akukho izinyathelo zokunqanda ukopha akuthathi. ukuphathwa postoperative kuhilela antibiotic.

isiphetho

Ngakho, ekuvuleni ithumba Kuphoqelekile, ngoba uma iyekwa ingelashwa, ingaholela yezinkinga ezihlukahlukene. Vula siqu sakhe akuvunyelwe nakancane, njengoba lokhu kungase kube nomthelela ukusabalala ukutheleleka emisipheni eziyishumi nemitshingo eduze.