Carbuncle yog ib qho purulent necrotic o ntawm cov epidermis los yog cov ntaub so ntswg subcutaneous. Tus kab mob no cuam tshuam rau cov hauv paus plaub hau thiab sebaceous qog, thiab nws cov neeg sawv cev ntawm causative yog tus kab mob ntawm staphylococcus . Cov neeg uas tsis muaj feem xyuam nrog cov tshuaj, tuaj yeem cuam tshuam qhov teeb meem no nrog abscess lossis boil.
Carbuncle - ua rau
Tus mob pib nrog ib tug abscess, uas yog bordered los ntawm ib tug muaj zog reddening ntawm daim tawv nqaij. Kev kis kab mob thiab kev qaug ntawm lub cev yog qhov txaus ntshai ntawm tus kab mob, xws li carbuncle, vim li cas nws tshwm sim kuj yuav txawv. Lawv muaj feem xyuam nrog:
- nrog kev cuam tshuam ntawm lub nruab nrog cev (lub siab lossis lub raum) thiab lub cev tsis muaj zog;
- nrog avitaminosis;
- nrog kev tsim txom cawv, haus luam yeeb, ntsim noj;
- nrog hnyav ntau heev;
- mob nyav heev;
- nrog rau cov kab mob ntawm biliary ib ntsuj av thiab mob plab hnyuv.
Carbuncle tuaj yeem ua rau:
- mob plawv ;
- E. coli;
- Proteus bacteria;
- enterococci thiab hais txog.
Lwm purulent o li tuaj tom qab:
- extrusion ntawm pob txuv ;
- tom kab;
- tsis ua raws li kev nyiam huv;
- tawv nqaij sib kis, thiab lwm yam.
Carbuncle - Cov tsos mob
Tus kab mob no pib nrog cov tsos ntawm cov ntom sab hauv, uas maj mam sib tshuam ua ke thiab tsim tau ib cov duab globular. Qhov loj me tuaj yeem ua tau ntau tshaj tus menyuam lub xib teg. Carbuncle tau txais xim xim daj, ua rau kub, thiab tawv nqaij ib ncig ntawm swells. Cov txheej txheem cuam tshuam qhov tob txheej ntawm cov ntaub so ntswg thiab ua rau:
- blueing ntawm cov kab mob npauj npaim;
- mob heev;
- hnyav heev;
- kev kawm txuj ci.
Yog tias ib tug neeg muaj cov anthrax carbuncle, qhov mob no yuav cuam tshuam tag nrho cov chaw ntawm daim tawv nqaij uas tsis npog cov khaub ncaws. Nws cov yeeb yam txawv yog cov tsos mob nram no:
- ib qho chaw me me loj hlob sai thiab dhau mus ua ib qho tsaus ntuj nti qis, voj voog, tom qab tsim muaj qhov rwj;
- nyob rau hauv qhov chaw ntawm ulcer tsim dub necrosis, uas yog nrog los ntawm o thiab o;
- o ntawm cov qog nqaij hlav tsis muaj mob thiab mob;
- Qhov chaw ntawm necrosis yog nrog hlawv.
Cas carbuncle zoo li cas?
Ntau tus neeg xav paub txog cov ntaub ntawv tus kheej, duab, seb qhov chaw siab li cas zoo li cas thiab seb yuav ua li cas nrog nws. Kwv yees li ntawm ib lub lim tiam tom qab pib qhov mob, qhov tseem ceeb yog qhov mob swells thiab ua mob ntau dua. Nyob rau hnub 12, cov pustules dawb ua rau pom zoo li cork. Tom qab qhib, necrotic pawg nrog cov pus ntawm cov xim sib txawv thiab kev pleev xim rau ntawm cov ntshav tawm. Ntxiv ulcers nrog qhib sawv thiab ib tug grey qab yog tsim.
Qhov saum npoo ntawm necrosis tsa nws cov ntaub so suab, thiab tom qab ntawd nws muaj peev xwm blacken. Tuag los ntawm cov epidermis mus tob rau hauv lub hlwb hauv lub cev thiab mus txog nws cov leeg mob. Txij lub sij hawm, kab noj hniav ntawm daim tawv nqaij yuav tau sau nrog cov ntaub so ntswg, thiab ib qho coarse caws pliav tshwm rau ntawm qhov chaw ntawm lub rwj, uas khov kho "cov tawv nqaij" cov ntaub so ntswg ntawm lawv tus kheej.
Carbuncle - kev kho mob hauv tsev
Kev kho mob ntawm carbuncle ntawm infiltration theem yuav ua tau tiav ntawm nws tus kheej tom tsev, tab sis tom qab mus ntsib tus kws kho mob thiab nws cov lus pom zoo. Yog tias tus kab mob no tsis muaj kev puas tsuaj ntxiv, ces tus neeg mob tau sau ib qho kev kho mob ntawm cov tshuaj:
- tshuaj tua kab mob;
- tshuaj tua kab mob ( Biseptol , Furagin);
- cov tshuaj uas muaj analgesic (Analgin, Tsis-shpa) thiab cov tshuaj los tiv thaiv (Ibuprofen, Paracetomol).
Nyob rau hauv cov ntaub ntawv ntawm cov nyom ntawm xws li o li carbuncle, kev kho mob muab rau:
- antiplatelet cov neeg ua haujlwm uas tiv thaiv cov qe ntshav ntawm clumping rau hauv cov ntshav txhaws (Pentoxifylline, Kev Kuaj Tsheb);
- UV irradiation;
- Npaj rau kev tshem tawm cov co toxins ntawm staphylococci (Zorex, Polysorb);
- vitamin complex.
Thaum lub sij hawm kev kho mob ntawm lub pob zeb, qhov saum npoo ntawm daim tawv nqaij mob yog kho nrog:
- tshuaj tua kab mob (ethyl alcohol);
- lawv raug kho nrog tshuaj tua kab mob;
- siv cov khoom siv tshwj xeeb sab nraud (cream thiab ointments).
Kev kho mob ntawm carbuncle nrog tshuaj tua kab mob
Teb cov lus nug txog cov tshuaj tua kab mob hauv kev kho mob ntawm carbuncle, nws yuav tsum tau hais tias koj yuav tsum xaiv cov kev npaj ua ke. Cov cim tseem ceeb rau lawv lub sij hawm yog txo kev tiv thaiv, thaum lub koob tshuaj pom zoo kom loj. Cov tshuaj nrov tshaj yog:
- Diclosacillin - nws haus li 10 hnub rau 4 hnub hauv ib hnub twg;
- Cefalexin - zoo li qub;
- Amoxicillin - cov tshuaj yuav tsum tau noj tom qab 8 teev hauv lub lis piam;
- Azithromycin - haus 1 ntsiav tshuaj ib hnub twg li ntawm 7 hnub;
- Vancomycin - cov tshuaj tau sau rau hauv cov mob hnyav thiab txhaj cov tshuaj tua kab mob intravenously.
Carbuncle - kev kho, tshuaj pleev
Thaum siv tshuaj kho nws tseem ceeb heev kom paub cov tshuaj tsw qab los ntawm cov pob txha yuav pab kom yooj yim rau tus kab mob. Nws yog siv rau qhov chaw ntawm cov tawv nqaij kom txog thaum tiav kho. Cov tshuaj siv yuav tsum tsim kho kev thim cov tuag thiab tsis muaj kab mob. Qhov zoo tshaj plaws yog:
- Malawi;
- Baneosin;
- Vinylin;
- Levomekol;
- Ointment ntawm Vishnevsky;
- Methyluracil, lwm yam zoo li
Carbuncle - pej xeem tshuaj
Kev siv tshuaj kho tus kheej hauv tsev yuav ua tau thaum tus kab mob muaj ib daim ntawv yooj yim, thiab thaj tsam ntawm thaj tsam ntawd tsis ua mob hnyav. Carbuncle rau ntawm lub ntsej muag tuaj yeem ua rau muaj kev ntxhov siab ntau, yog li kom txo tau qhov teeb meem thiab txo kev mob, siv ntau hom kev kho neeg:
- Nplooj ntawm mallow, qab zib clover thiab chamomile paj ncuav boiling dej thiab cia nws brew rau 15-20 feeb. Tom qab ntawd, curative tshuaj ntsuab qhwv hauv gauze thiab muab rau carbuncle rau ib nrab ib teev.
- Cov qij nyom yuav pab kom tsis txhob muaj cov pob zeb loj hlob tuaj - txoj kev kho mob yuav ua kom sai dua. Dhau lub qej los ntawm cov xovxwm, thiab tom qab ntawd los ntawm cov xim kom zoo, ua kom ceev ceev li ntawm ib teev.
- Tshiab nplooj ntawm plantain los yog aloe (xaiv) yuav tsum tau crushed thiab qhwv hauv gauze. Yuav kom compress lub compress on lub cheeb tsam cuam tshuam rau ob peb teev.
- Nyob rau hauv 1 liter ntawm dej sov ntxiv ib diav ntsev ntawm ntsev. Ncau qhov bandage hauv kev daws thiab thov nws mus rau thaj tsam.
Carbuncle tshem tawm
Yog hais tias qhov txheej txheem inflammatory tau dhau mus rau theem ntawm necrosis, ces nws yuav tsum nrog kws kho mob tham. Phais kho ntawm carbuncle yuav ua haujlwm me me, uas yog ua tiav raws li hauv qab anesthesia.
- Qhov chaw tiv thaiv thaj tsam yog qhib qhov crosswise, nqa mus rau hauv txhua lub khaubncaws sab nraud povtseg ntawm cov ntaub so ntswg impregnated nrog pus thiab qhov txhab nrog tuag hlwb. Hauv qhov no, txoj kev qaug tshuaj yog tshem tawm, cov roj ntsha metabolism yog txum tim rov qab, thiab lub qhov txhab yuav kho sai dua.
- Tus txheej txheem yog ua tiav los ntawm kev qhia txog cov kua fwj, uas yog impregnated nrog proteolytic enzymes thiab hypertonic tov. Qhov no yog ua rau kev tawm ntawm purulent masses thiab qhov kawg tuag ntawm necrosis.
Cov ris tsho muaj nyob hauv ib lub tsev kho mob 2 zaug hauv ib hnub. Tom qab lub qhov txhab pib ceev, nws kho nrog antiseptic thiab emollients. Cov tshuaj pleev kom pab txhawm rau txhawm rau caws pliav nqaij (Zeraderm, Kelofibraz). Tseem nyob rau lub hearth, silicone thaj ua rau thaj yog siv rau kom cov kev kho mob. Thaum twg tus carbuncle ntawm ib tug neeg tau kuaj pom lub caij nyoog, txoj kev kho tsuas tuaj yeem mob dav xwb, tsis muaj kev phais mob.
Carbuncle - teeb meem
Yog tias muaj kab mob xws li carbuncle tshwm sim, kev kho mob yuav tsum ua kom sai li sai tau. Cwj pwm tsis zoo rau qhov mob feem ntau muaj kev tu siab. Hauv cov neeg tsis hnov lus, ib tug neeg tuaj yeem:
- hnov qhov xeev siab;
- mus rhuav;
- nws kub nce siab;
- muaj kev poob siab;
Yog tias muaj kev qaug ntawm lub cev, cov kua paug nkag mus rau cov pob txha, cov hlab ntsha thiab cov leeg ntawm lub cev, nrog rau hauv lub hlwb. Hauv cov no, cov neeg mob tuaj yeem tsim cov kab mob uas ua rau tuag taus:
- abscess ntawm cov nqaij mos;
- phlebitis;
- lymphadenitis;
- sepsis;
- osteomyelitis;
- meningitis thiab lwm yam.
Thaum twg muaj ib tug carbuncle hauv lub qhov ntswg, kev kho mob hauv tsev yog ua tau tsuas yog nyob rau theem pib. Rau qhov koj xav tau:
- muab tshuaj pleev los ntawm tshuaj ntsuab decoctions;
- haus dej haus tshuaj;
- kho mob nrog cov tshuaj antiseptic.