I-carbuncle i-purulent necrotic inflammation ye-epidermis noma izicubu ezingaphansi. Lesi sifo sithinta izinwele zezinwele nezinhlanzi ezinomsoco, kanti i-causative agent yayo isifo se- staphylococcus . Abantu abangahlotshaniswa nemithi, bangaphazamisa le nkinga nge-abscess noma ngamathumba.
I-Carbuncle - izimbangela
Ukuvuvukala kuqala nge-abscess, ehlanganiswa nokugqama okukhulu kesikhumba. Ukusabalala kokutheleleka nokudakwa komzimba kungengozi enkulu yesifo, njenge-carbuncle, izizathu zalokho okwenzekayo zingase zihluke. Zihlobene:
- ngokuphazanyiswa kwezitho zangaphakathi (isibindi noma izinso) kanye nesistimu yomzimba;
- nge-avitaminosis;
- nokuhlukumeza utshwala, ukubhema, ukudla okunezicucu;
- ngesisindo esiningi;
- isimo eside sokucindezeleka;
- ezinezifo ze-biliary tract kanye namathumbu emathumbu.
I-carbuncle ingabangela:
- streptococcus ;
- E. coli;
- Ama-bacterium a-proteus;
- enterococci njalonjalo.
Esinye ukuvuvukala okuphuthumayo kuvela ngemuva:
- extrusion of induna ;
- ukuluma kwezinambuzane;
- ukungahambisani nokuhlanzeka;
- ukungcola isikhumba esinzima, njll.
I-Carbuncle - Izimpawu
Lesi sifo siqala ngokubonakala kwama-nodules angaphakathi aminyene, okuyinto kancane kancane ahlangane ndawonye futhi enze isimo globular. Ubukhulu bayo bungaphezu kwesandla somntwana. I-Carbuncle ithola umbala obomvu, iyashisa, futhi isikhumba sizungeze. Le nqubo ithinta izingqimba ezijulile zezicubu nezimbangela:
- ukwesibhakabhaka kwe-epidermis;
- izinzwa ezibuhlungu;
- ukushaya okukhulu;
- imfundo yokungazi.
Uma umuntu ene-anthrax carbuncle, izilonda zizophazamisa zonke izindawo zesikhumba ezingafihla izingubo. Isici sayo esihlukanisayo yizibonakaliso ezilandelayo:
- indawo encane ikhula ngokushesha futhi iphenduke ibe yi-crimson vesicle emnyama, iqhuma emva kokubunjwa kwesilonda;
- maphakathi nesilonda sakha i-black necrosis, ehambisana nokuvuvukala nokuvuvukala;
- ukuvuvukala kwama-lymph nodes ngaphandle kokuxhaswa nobuhlungu;
- Indawo ye-necrosis iyahambisana nokushisa.
Ibukeka kanjani i-carbuncle?
Abantu abaningi banesithakazelo kumbuzo mayelana ne-carbuncle ngokwayo, isithombe, ukuthi indawo evulekile ibheka kanjani nokuthi yenzeni nayo. Cishe ngesonto elilodwa emva kokuqala kwesifo, kugxila kakhulu futhi kugula kakhulu. Ngosuku lweshumi nambili, ama-pistules amhlophe avela sengathi abukeka njenge-cork. Ngemuva kokuvula, inqwaba ye-necrotic ene-pus yemibala ehlukene futhi ikhishwe i-mix mix of blood. Izilonda ezengeziwe ezinemiphetho evulekile kanye ne-grey bottom zakhiwa.
Ubuso be-necrosis bufana nezifomu zayo zesihlungo, bese-ke kungenza kube mnyama. Izinhlayiya ezifile ze-epidermis ziyangena ngokujulile emangqamuzaneni angaphakathi omzimba futhi zifinyelele umcabisho wesisipha. Ngokuhamba kwesikhathi, isikhumba esikhumbeni sizogcwala izicubu ze-granulation, futhi uhlamvu olubomvu lubonakala esakhiweni sesilonda, esiqine "ukuhlunga" izicubu ezizungezile phakathi kwazo.
Carbuncle - ukwelashwa ekhaya
Ukwelashwa kwe-carbuncle esigabeni sokungena kungenziwa ngokuzimela ekhaya, kodwa emva kokuvakashela udokotela nezincomo zakhe. Uma lesi sifo siqhubeka ngaphandle kokulimala, khona-ke isiguli sishiwo inkambo ejwayelekile yokwelashwa kwemithi:
- ama-antibiotics;
- izidakamizwa zokulwa ne-antibacterial ( Biseptol , Furagin);
- imithi ene-analgesic (Analgin, No-shpa) nemiphumela elwa nokuvuvukala (Ibuprofen, Paracetomol).
Uma kunenkinga yokuvuvukala okunjalo njenge-carbuncle, ukwelashwa kunikeza:
- ama-antiplatelet amanxusa avimbela amangqamuzana egazi ukuba angene emagodini egazi (Pentoxifylline, Trental);
- UV irradiation;
- Amalungiselelo okuqedwa kwe-toxin ye-staphylococci (i-Zorex, i-Polysorb);
- vitamin eziyinkimbinkimbi.
Ngesikhathi ukwelashwa kwe-carbuncle, ubuso bekhanda elivuliwe liphathwa nge:
- i-disinfectant (i-ethyl alcohol);
- baphathwa ngama-antibiotics;
- sebenzisa izindlela zangaphandle ezikhethekile (ukhilimu namafutha okugcoba).
Ukwelashwa kwe-carbuncle nge-antibiotics
Ukuphendula umbuzo mayelana nokuthi yiziphi antibiotics ekwelapheni kwe-carbuncle okufanele zisetshenziswe, kufanele kuthiwe udinga ukukhetha amalungiselelo ahlangene. Izinkomba eziyinhloko zokuqokwa kwazo zinciphisa ukuzivikela, kuyilapho umthamo uphakanyiswa kakhulu. Imithi ethandwa kakhulu yilezi:
- I-Diclosacillin - idakiwe kuze kube yizinsuku eziyi-10 ngamaphilisi amane ngosuku;
- Cefalexin - efanayo;
- Amoxicillin - lesi sidakamizwa kufanele sithathwe emva kwamahora angu-8 phakathi nesonto;
- I-Azithromycin - uphuze ithebhulethi elilodwa ngosuku ngezinsuku ezingu-7;
- I-Vancomycin - lesi sidakamizwa sinqunywe ezimweni ezinzima futhi sijojowe ngaphakathi.
Carbuncle - ukwelashwa, amafutha
Ngesikhathi sokwelapha kubalulekile ukwazi ukuthi yimaphi amafutha asebenzayo avela ku-carbuncle azosiza ekunciphiseni inkinga yesifo. Isetshenziswa ezindaweni ezithintekile zesikhumba kuze kufike ukuphulukiswa okuphelele. Izidakamizwa kufanele zivuselele ukulahlwa kwamaseli afile futhi angenakusebenza. Izindlela ezinhle kakhulu:
- IMalawi;
- I-Baneocin;
- I-Vinylin;
- Levomekol;
- Amafutha kaVishnevsky;
- Methyluracil, njll.
I-Carbuncle - amakhambi abantu
Ukuzivocavoca ekhaya kungenziwa uma lesi sifo sinendlela elula, kanti indawo ethintekile ayibanga ubuhlungu obukhulu. I-carbuncle ebusweni ingabangela ukuphazamiseka okuningi, ngakho ukunciphisa i-edema nokukhulula ukuvuvukala, sebenzisa izikhambi ezihlukahlukene zabantu:
- Amaqabunga ama-mallow, clover sweet kanye nezimbali ze-chamomile athululela amanzi abilayo bese evumela ukuba aphuze imizuzu engu-15-20. Ngemuva kwalokho, imifino yokugulisa ihlanganiswe nge-gauze futhi ibambelele ku-carbuncle isigamu sehora.
- I-compress ye-garlic izosiza ukumisa i-carbuncle ethuthukayo - ukwelashwa kuzosheshisa. Dlula i-garlic ngokusebenzisa umshini we-press, bese usuka ku-gruel yenza i-compress, edingeka igcinwe cishe ihora.
- Amaqabunga amasha we-plantain noma i-aloe (okumele akhethe) kumele achotshozwe futhi ahlanganiswe nge-gauze. Ukucindezela i-compress endaweni ethintekile amahora amaningana.
- Etafuleni elilodwa lamanzi afudumele faka isipuni sikasawoti. Nciphisa ibhandlela esixazululweni futhi uyisebenzise endaweni ethintekile.
Ukususwa kwe-carbuncle
Uma inqubo yokuvuvukala isidlulile esiteji se-necrosis, kuzodingeka ukuthi uxoxe nodokotela. Ukwelashwa kokuhlinzwa kwe-carbuncle kuhilela ukusebenza okuncane, okwenziwa ngaphansi kwe-anesthesia yendawo.
- Indawo ethintekile ivuliwe ngapha nangapha, kucatshangelwa zonke izingxenye zamathambo afakwa ngamapulisi namanxeba ngamaseli afile. Kulesi simo, ukudakwa ngokweqile kukhishwa, imetabolism ibuyiselwe, futhi isilonda siphulukisa ngokushesha.
- Le nqubo igcwaliswe ngokusungulwa kwamathoni okuhambisa amanzi, ahlanganiswe ne-proteolytic enzyme nesisombululo se-hypertonic. Lokhu kwenziwa ekuphumeni kwezixuku ezihlanzekile nokufa kokugcina kwe-necrosis.
Ukugqoka kungenziwa nge-polyclinic izikhathi ezimbili ngosuku. Ngemuva kokuthi isilonda siqala ukuqinisa, siphathwa nge-antiseptic kanye ne-emollients. Amafutha anquma ukuxazulula izicubu ezinzima (iZeraderm, Kelofibraz). Noma kunjalo emgodini, ama-silicone patches asetshenziselwa ukusheshisa ukuphulukiswa. Uma i-carbuncle yomuntu itholakele ngesikhathi esifanele, ukwelashwa kungaba kuphela jikelele, ngaphandle kokungenelela okuhlinzayo.
I-Carbuncle - izinkinga
Uma isifo esifana ne-carbuncle senzeke, ukwelashwa kufanele kwenziwe ngokushesha. Isimo sengqondo sokungabi nalutho ukuvuvukala ngokuvamile sinemiphumela ebuhlungu. Ezimweni ezinganakiwe, umuntu angakwazi:
- uzizwa unesizungu;
- ukudiliza;
- ukushisa kwakhe kuphakama;
- kukhona ukulahlekelwa kolwazi;
Uma kukhona ukudakwa komzimba, i-pus ingena emathanjeni, emithanjeni nasemithanjeni yomzimba, kanye nasebuchosheni. Kulezi zimo, iziguli zingahlakulela izifo eziholela ekufeni:
- i-abscess yezicubu ezithambile;
- i-phlebitis;
- i-lymphadenitis;
- i-sepsis;
- i-osteomyelitis;
- i-meningitis njalonjalo.
Uma kwakukhona i-carbuncle ekhaleni, ukwelashwa ekhaya kungenzeka kuphela ezinyathelweni zokuqala. Ngalokhu udinga:
- yenza lotions kusuka decoctions herbal;
- baphuze inkambo yemithi;
- uphathe ukuvuvukala ngezidakamizwa zokulwa nesifo sofuba.