Autopsy ƙurji: na kayan, description da kuma magani. Autopsy peritonsillar ƙurji

Mene ne wani ƙurji? Wannan ruɓaɓɓen jini-cika rami, wanda aka located a cikin tsoka ko subcutaneous mai. Sa a pathological yanayin pathogenic ƙwayoyin cuta, ko kwayoyin. A sakamakon jari na babban adadin ruɓaɓɓen jini shafi yanki fara ƙara, kuma akwai wani hadarin keta ƙurji ruɓaɓɓen jini tare da samun damar zuwa nan kusa da lafiya nama. Wannan take kaiwa zuwa cin gaban m kumburi, da ake kira cellulitis.

Bugu da kari, wani yanã gudãna ƙurji tsokane neuritis, wanda na taimaka wa fitowan osteomyelitis. Ko bi conservatively da wannan Pathology, kamar yadda akwai wani autopsy ƙurji? Bari mu bincika wannan a more daki-daki.

A Sanadin da ƙurji

Surkin jini cuta na faruwa a sakamakon lamba tare da wani raunana ko lalace Gabar pathogenic kamuwa da cuta da cewa zai fara zuwa ninka hanzari. The jiki a wannan lokaci na rayayye yãki kumburi da kuma takaita ciwon tabo. Wannan results a surkin jini kwantena.

Kamuwa da ke shiga cikin taushi tsokoki a sakamakon keta da fata, wanda ya faru saboda raunin da ya faru, cuts, da raunuka, frostbite, konewa, bude samu karaya. Taimakawa zuwa fitowan da wani ƙurji wadannan pathogens:

• staphylococci.
• streptococci.
• Mycobacterium da tarin fuka.
• Pseudomonas aeruginosa .
• clostridia.
• E. coli.

An ƙurji iya bayyana saboda gaskiyar cewa a karkashin fata da miyagun ƙwayoyi da aka gabatar kamuwa da abun ciki ko abun ya faru jiko kwayoyi da aka kawai wanda akayi nufi don intramuscular allura. Wannan take kaiwa ga ci gaban da aseptic necrosis na nama da kuma surkin jini kumburi taushi tsokoki.

Wani lokaci ƙurji na iya faruwa a sakamakon preexisting cuta: pharyngitis, tonsillitis, ciwon huhu, osteomyelitis, ingrown ƙusa.

Zai yiwu sakamakon da ƙurji

Abin da zai iya faruwa bayan fuskantar wannan surkin jini rami? A sakamakon wannan cuta ne kamar haka:

• nasara zahiri ko baxini (a cikin kogon ciki ko articular).
• nasara a cikin gabobin (hanji, ciki, mafitsara da kuma bronchus).

Da zarar ƙurji zai karya, shi rage-rage girman surkin jini kwantena sa'an nan farawa miki tabo. Amma idan ruɓaɓɓen jini ya fito ba gaba daya, da kumburi sau da yawa koma dawowa kuma iya zama na kullum. Saboda haka, da ƙurji ya kamata a bude a cire tara mugunya.

dabara na

Autopsy ƙurji kamata a aiwatar da sauri, idan ya na da fiye da kwanaki hudu, da kwantena shugaban riga balaga. Wannan tsari ne da za'ayi kamar haka: na farko yankin na kumburi da aka bi da wani antiseptic bayani da kuma analgesic lidocaine. Tare da wani wukar yin aikin tiyata likita samar nama sashe (ba fiye da 2 cm) a kan sashi na surkin jini ko kumburi a wurin mafi girma.

Amfani da wani sirinji Hartmann incision fadada 4-5 cm, kuma a cikinta da rata ne da za'ayi a haɗa gadoji ƙurji. Fara cire ruɓaɓɓen jini lantarki tsotsa, sa'an nan yayi nazari da yatsa rami don cire duk wani saura nama da kuma jumpers. A rami da aka wanke da antiseptic da kuma inganta magudanun ruwa, gabatar a cikin shi wata roba tube cewa samar da wani outflow na exudate.

postoperative ciwo

A magani ne da za'ayi bayan bude da ƙurji da maganin rigakafi. Amma, likita ya furta magani penicillin ( "amoxicillin", "Cephalexin") da za a dauka sau 4 a rana tare da 200 ko 500, MG. A hanya na lura yana for 10 days. Idan penicillin alerji a wani haƙuri, da wajabta macrolides ( "Erythromycin", "Clarithromycin").

Maganin rigakafi ga Topical amfani - wannan maganin shafawa "Mafedin", "Levomekol", "Levosin" da sauransu, da amfani da wanda yake shi ne cewa su amfani ne kawai ga ya shafa yankin, kuma sũ, bã tunawa a cikin jini.

Bugu da ƙari, cikin rauni bayan bude ƙurji bukatar magani. Wannan ta gefuna ba tsaya tare muddin akwai wani granulation jam'iyya daga kasa, a sarrafa kyallen takarda bar wani tampon da Vishnevsky maganin shafawa, ko ruwa paraffin. Canza Ya kamata a kowace kwanaki 2-3 da dressings. Kamar yadda granulation ne da za'ayi daga kasa da tampon kau. Cauterization na granulation samar surpluses, yayin da hankali kada a taba epithelium cewa tsiro a kan gefuna da rauni. A jinkirin overgrowth na ciwo dinki da aka nuna.

Ka yi la'akari da yadda bude da ƙurji Bartholin gland shine yake da a makogwaro.

Tsari ƙurji Bartholin gland shine yake dissection

Wannan gland shine yake an dauki mafi girma daga waɗanda ake located a cikin shirayin. Inflamed shi ne quite rare, kuma idan akwai ya kasance da samuwar surkin jini kwantena, to, shi ya kamata a bude. Ta yaya ne hanya?

Autopsy ƙurji Bartholin gland shine yake fara da cewa likita da ke sa wani m incision, fallasa festering kogo da kuma sake tara ruwa. Sa'an nan, a gland shine yake flushing bayani na hydrogen peroxide (3%). A rami saka a tube (magudanun ruwa), wanda wajibi ne a cire saurã daga ruɓaɓɓen jini. An cire bayan 5 ko 6 days. Jiyya ne da za'ayi tare da taimakon maganin rigakafi da kuma man shafawa aikace-aikace.

Kan aiwatar da bude wani ƙurji a makogwaro

Autopsy peritonsillar ƙurji dauke da farko jiyya ga surkin jini cututtuka a pharynx. Irin wannan aiki yana dauke da wani sauki, kuma da wuya ya haddasa rikitarwa. K aka yi a karkashin maganin sa barci (hodar Iblis bayani 5% da kuma 2% tetracaine). A incision aka yi a yankin na matsakaicin protrusion pharyngeal bango da zurfin kada ta kasance fiye da 1.5 cm, shi zai iya lalata m daure na jijiyoyi da jini. By sakewa da ruɓaɓɓen jini, wani likita da wani m kayan aiki shiga a cikin rami don ya hallaka partitions ciki da shi.

Bayan wani autopsy da aka yi peritonsillar ƙurji rami da aka cika da disinfectant bayani. Bayan ta suturing yawanci ba matakan dakatar da zub da jini ba ya dauki. Postoperative magani ya shafi maganin rigakafi.

ƙarshe

Saboda haka, bude da ƙurji ne m, saboda idan aka bar untreated, zai iya kai wa ga m rikitarwa. Bude nasa ne tsananin haramta, kamar yadda wannan na iya taimakawa wajen yaduwar cutar a cikin tsokoki da kuma gabobin m.