Kuaj lub cev uas tau tuag rwj: ntawm cov khoom siv, kev piav qhia thiab kev kho mob. Kuaj lub cev uas tau tuag peritonsillar rwj

Yuav ua li cas yog ib tug rwj? Qhov no paug kab noj hniav, uas yog nyob rau hauv cov nqaij los yog subcutaneous rog. Ua ib tug pathological mob pathogenic cov kab mob los yog kab mob. Raws li ib tug tshwm sim ntawm tsub zuj zuj ntawm ib tug loj npaum li cas ntawm kua paug Cuam tshuam cheeb tsam pib nce, thiab yog ib tug uas muaj feem yuav tawg lub rwj kua paug nrog kev nkag mus rau cov nyob ze noj nqaij. Qhov no ua rau txoj kev loj hlob uas nws kim heev o, hu ua cellulitis.

Nyob rau hauv tas li ntawd, ib tug khiav rwj ntxias neuritis, uas muaj txhawb mus rau lub rov tshwm sim ntawm osteomyelitis. Seb kho conservatively los ntawm no pathology, raws li muaj ib tug kuaj lub cev uas tau tuag rwj? Cia peb kawm no nyob rau hauv ntau yam.

Cov ua rau lub rwj

Purulent kab mob tshwm sim raws li ib tug tshwm sim ntawm kev sib cuag nrog ib tug tsis muaj zog los yog puas hloov khoom nruab nrog pathogenic kab mob uas pib mus muab sai heev. Lub cev ntawm lub sij hawm no nquag fights o thiab txwv cov mob nqaij ntawd. Qhov no los tau nyob rau hauv purulent capsule.

Kab mob penetrates mus rau hauv cov nqaij mos mos raws li ib tug tshwm sim ntawm kev ua txhaum ntawm daim tawv nqaij, uas tshwm sim vim hais tias ntawm kev raug mob, nqaij ntuag, wounds, frostbite, kub nyhiab, qhib pob txha lov. Pab mus rau lub rov tshwm sim ntawm ib tug rwj nram qab no pathogens:

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

Ib tug rwj yuav tshwm sim vim lub fact tias nyob rau hauv daim tawv nqaij nrog cov tshuaj twb qhia tus kab mob cov ntsiab lus los yog tshwm sim Txoj kev lis ntshav yeeb siv tshuaj uas tsuas npaj rau intramuscular txhaj tshuaj. Qhov no ua rau txoj kev loj hlob ntawm aseptic necrosis ntawm cov ntaub so ntswg thiab purulent o ntawm nqaij mos mos.

Tej zaum rwj zaum yuav tshwm sim raws li ib tug tshwm sim ntawm ntsuj kab mob: pharyngitis, tonsillitis, mob ntsws, osteomyelitis, ingrown ntsia hlau.

Tau tshwm sim ntawm lub rwj

Yuav ua li cas yuav tshwm sim tom qab muaj qhov no purulent kab noj hniav? Lub sij hawm ntawm tus kab mob no yog raws li nram no:

• Txhob outwardly los yog inwardly (mus rau hauv lub plab kab noj hniav los yog articular);
• Txhob nyob rau hauv lub nruab nrog cev (hnyuv, mob plab, zais zis thiab bronchus).

Thaum rwj yuav tawg, nws decreases qhov luaj li cas ntawm purulent capsule ces pib lub rwj caws pliav. Tiam sis yog tias kua paug tawm los tsis tau kiag li, lub o feem ntau recurs thiab yuav ua mob. Yog li ntawd, lub rwj yuav tsum tau qhib kom tshem tawm cov sau kua paug.

cov txheej txheem ntawm

Kuaj lub cev uas tau tuag rwj yuav tsum muab los siv raws li sai li sai tau, yog hais tias nws muaj ntau tshaj li plaub hnub, thiab lub tshuaj ntsiav lub taub hau twb matured. Qhov no txoj kev yog nqa tawm raws li nram no: ua ntej cheeb tsam ntawm o yog kho nrog ib tug antiseptic tshuaj thiab analgesic lidocaine. Nrog ib tug riam phais neeg tus kws kho mob ua cov ntaub so ntswg seem (tsis ntau tshaj 2 cm) nyob rau hauv lub taub hau ntawm purulent los yog o ntawm qhov chaw ntawm loj tshaj.

Siv ib tug syringe Hartmann incision txhab mus 4-5 cm thiab nyob rau cov kis yog nqa tawm txuas choj rwj. Pib tshem tawm cov kua paug hluav taws xob xuas, thiab ces nais maum kuaj tus ntiv tes kab noj hniav rau tshem tawm tej residual cov ntaub so ntswg thiab jumpers. Cov kab noj hniav twb ntxuav nrog antiseptic thiab txhawb kua, qhia rau nws ib tug roj hmab raj uas muab ib tug outflow ntawm exudate.

postoperative lub qhov txhab

Cov kev kho mob yog nqa tawm tom qab qhib lub rwj nrog tshuaj tua kab mob. Yeej, tus kws kho mob prescribes tshuaj penicillin ( "amoxicillin", "Cephalexin") yuav tsum tau noj 4 zaug ib hnub twg nrog rau 200 los yog 500 mg. Hoob no ntawm kev kho mob kav rau 10 hnub. Yog hais tias penicillin kev tsis haum tshuaj nyob rau hauv ib tug neeg mob, tus kws kho qhov macrolides ( "Erythromycin", "clarithromycin").

Tshuaj tua kab mob rau cov tshuaj pleev siv - qhov no tshuaj pleev "Mafedin", "Levomekol", "Levosin" thiab lwm tus neeg, lub zoo dua ntawm uas yog hais tias lawv thov tsuas mus rau cov cheeb tsam, thiab lawv tsis absorbed rau hauv cov hlab ntsha.

Tsis tas li ntawd, lub qhov txhab tom qab qhib rwj yuav tsum tau kev kho mob. Hais tias cov npoo tsis lo ua ke raws li ntev raws li muaj ib tug Granulation chamber los ntawm lub hauv qab, nyob rau hauv lub ua ntaub so ntswg tawm hauv ib lub tampon nrog Vishnevsky tshuaj pleev, los yog kua paraffin. Hloov nws yuav tsum yuav txhua txhua 2-3 hnub nrog cov ntaub qhwv. Raws li cov Granulation yog nqa tawm los ntawm lub hauv qab ntawm lub tampon tshem tawm. Cauterization ntawm Granulation ua surpluses, thaum ua zoo tsis txhob kov epithelium uas hlob zoo nyob rau hauv lub sawv ntawm lub qhov txhab. Thaum qeeb overgrowth ntawm lub qhov txhab suture yog muaj.

Xav txog yuav ua li cas lub qhib ntawm lub rwj Bartholin caj pas thiab nyob rau hauv lub caj pas.

Txheej txheem rwj Bartholin caj pas phais

Qhov no caj pas yog suav tias yog qhov loj tshaj plaws ntawm cov neeg nyob rau hauv lub vestibule. Inflamed nws yog heev tsawg, thiab yog hais tias muaj tau tus tsim ntawm purulent capsule, ces nws yuav tsum tau qhib. Yuav ua li cas yog cov txheej txheem?

Kuaj lub cev uas tau tuag rwj Bartholin caj pas pib nrog lub fact tias tus kws kho mob ua ib tug zoo huv si incision, raug lead lom festering kab noj hniav thiab kev faib tawm sau kua. Ces, ib tug caj pas kais tshuaj ntawm hydrogen peroxide (3%). Cov kab noj hniav ntxig rau ib tug raj (kua), uas yog tsim nyog los tshem tawm cov remnants ntawm kua paug. Nws twb muab tshem tawm tom qab 5 los yog 6 hnub. Kev kho mob yog nqa tawm nrog kev pab los ntawm tshuaj tua kab mob thiab tshuaj pleev daim ntaub ntawv.

Tus txheej txheem ntawm qhib ib lub rwj nyob rau hauv lub caj pas

Kuaj lub cev uas tau tuag peritonsillar rwj suav hais tias yog thawj kev kho mob rau purulent kab mob nyob rau hauv lub caj pas. Xws li ib tug lag luam yog suav tias yog ib tug yooj yooj yim thiab tsis tshua muaj ua rau mob. Calibration yog ua li cas nyob rau hauv lub zos tshuaj loog (yeeb tshuaj 5% thiab 2% tetracaine). Lub incision yog ua nyob rau hauv lub cheeb tsam ntawm lub siab tshaj plaws protrusion pharyngeal phab ntsa thiab nws tob yuav tsum tsis txhob yuav ntau tshaj li 1.5 cm, tej zaum nws yuav puas nyob ib sab bundles ntawm qab haus huv thiab cov hlab ntsha. Los ntawm tso lub kua paug, ib tug kws kho mob nrog ib tug blunt ntsuas penetrates mus rau hauv cov kab noj hniav ua kom puas partitions hauv nws.

Tom qab ib tug kuaj lub cev uas tau tuag twb ua peritonsillar rwj kab noj hniav uas muaj cov tshuaj tua kab. Tom qab nws suturing feem ntau tsis muaj kev ntsuas kom txhob los ntshav tsis noj. Postoperative kev kho mob yuav tshuaj tua kab mob.

xaus

Yog li, qhib lub rwj yog yuav tsum tau, vim hais tias yog hais tias nws yog tias tsis kho, nws yuav ua tau rau ntau yam teeb meem. Qhib nws tus kheej yog txwv tsis pub, raws li qhov no tej zaum yuav pab mus rau kis ntawm tus mob no nyob rau hauv cov ntaub so ntswg thiab kabmob uas nyob ib sab.