Ngati phlegmon ikukula m'matenda a shuga, izi zimathandizira kwambiri mankhwalawa, zimawonjezera zovuta za wodwalayo. Chotupa choterocho nthawi zambiri chimayambitsa kukula kwa gangren, komwe kumangodulidwa gawo lamanja lodzala.
Phlegmon ndi njira yotupa yoyipa yomwe imakhudza minofu yamafuta. Nthawi zambiri, zotupa zoterezi zam'munsi ndizochulukirapo, mosiyana ndi abscess (mawonekedwe ofala kwambiri a purulent lesion), phlegmon imakonda kufalikira, ilibe malire.
Kutupa kwa purulent, kukayamba motsutsana ndi maziko a matenda ashuga, kumakhala chifukwa chazomwe zimayambitsa matenda amitsempha yamagazi.
Chovuta chamankhwala ndicho chakuti phlegmon ndi yachilengedwe mwachilengedwe, singathe kuyimitsidwa popanda kubwezeretsa magazi ndi kupangika kwa minofu. Pachifukwa ichi, chithandizo chiyenera kukhala chokwanira.
Zimayambitsa phhlegmon phazi
Choyambitsa chachikulu cha matendawa ndi matenda ashuga ndikuchepa kwa kayendedwe ka shuga m'magazi. Ndi hyperglycemia, pafupifupi zimakhala zonse zamthupi zimavutika, ndipo mitsempha yaying'ono yamitsempha ndi mathero amitsempha am'munsi oyamba kumene. Chifukwa chake, wodwalayo amataya chidwi m'miyendo, amatha kuvala nsapato zomwe sizili kukula kwake komanso nthawi yomweyo osamva bwino.
Kuphatikiza apo, phlegmon imalumikizana kwambiri ndi zochitika monga mitsempha yam'mbali. Mu pathological mkhalidwe, kuwonongeka kwa arterioles kumachitika, kumakhala kutayika kwa maulalo:
- chokomera;
- mgwirizano.
Izi zotupa mwachizolowezi nthawi zambiri kumakhala koyamba kwa kuperewera kwa mtima, kumakhudza mkhalidwe wa minofu yotsalira.
Ndi phlegmon ya phazi, ngati ikukula motsutsana ndi maziko a matenda osokoneza bongo, kulimbitsa minofu yokhala ndi zinthu zofunikira komanso mpweya woyamba kumasokonezedwa, kenako ischemia ndi imfa zimadziwika. Komanso kuopsa kwa kutulutsa kwamphamvu kwa minofu kungakhale zingapo, zimachitika kuti pakubwera gulu lalikulu la minofu kapena zala zingapo nthawi imodzi.
Kuphatikiza apo, kusokonezeka kwa metabolic kumakhala chinthu chodziwikiratu cha atherosulinosis yamitsempha yayikulu, chifukwa chodabwitsa cha kupangidwako kwa mapepala pamitsempha yamagazi omwe angaletse magazi kulowa. Ndi kukula kwa matendawa, njira ya necrotic imaphatikizapo:
- madera akulu amisempha;
- phazi kwathunthu.
Tiyenera kumvetsetsa kuti phlegmon ndi matenda oyipa a etiology yotupa. Amayamba chifukwa cha kuwonongeka kwa minofu yakufa, yomwe ndi malo abwino kwambiri oti mabakiteriya azikhala ambiri.
Popeza phlegmon imawoneka ndendende ndi zotupa zamiyendo zophatikizana ndi magazi osakwanira, kuwonongeka kwa minofu yofewa sikungatchedwe kuti koyambirira. Pafupifupi nthawi zonse, kupulumutsa moyo wa munthu, ndikofunikira kuchotsa minofu yowonongeka, ndipo nthawi zina mkono wonse. Ndi njira iyi pomwe titha kuyimitsa kufalikira kwa kutukusira kwa purulent.
Phlegmon sindiwo matenda opatsirana, popeza mavairasi amapezeka mu zigawo zakuya za minofu, matenda amtunduwu amasiyana ndi impetigo, momwe mbewu ya pathogenic ili padziko.
Zizindikiro za magawo osiyanasiyana
Phlegmon wa phazi ndi matenda ashuga amakula nthawi zambiri mwa akazi azaka zopitilira 30, nthawi yayitali ya matenda amakhala osachepera zaka 6. Matendawa atha kukayikiridwa ndi zizindikiro zosiyanasiyana, choyambirira, odwala matenda ashuga akuwonjezera kuchuluka kwa odwala matenda operewera kwa minofu ndikusatetezeka kwina.
Ngati mawonetseredwe oyamba a matenda atiyamba, timafunika kuchitapo kanthu mwachangu momwe tingathere pochotsa zotupa za phazi, kukonza mkhalidwe wa minofu yofewa.
Pamene matendawa akuipiraipira, ndikuwunika kwa matenda a shuga, zizindikiro zimayang'aniridwa: kupweteka kwa kuphatikiza kwa zala, kusinthika kwake, kuziziritsa kwamapazi, hyperemia, kutupa kwa minofu, kutsekeka kwa khungu, kufinya keratinization. Pambuyo pake matendawa, malo omwe phlegmon amapezeka, mawonekedwe a purulent amachoka. Pa palpation mbali zina phazi, kupweteka kwambiri kumamveka.
Ndikofunika kudziwa kuti nthawi zambiri, matendawa amakula msanga, kuwonjezera pazizindikiro, odwala matenda ashuga amawona zizindikiro za kuledzera kwa thupi. Kupha poizoni kumachitika chifukwa cha kuwonongeka kwa minyewa ya miyendo ndi tizilombo tating'onoting'ono.
Zina zomwe zimadziwika phlegmon ndi:
- kukwera msanga kwa kutentha mpaka madigiri 40 ndi kupitilira apo;
- kufooka m'thupi;
- mutu
- kulumikizana;
- kuzizira;
- tachycardia.
Nthawi zina, odwala amawona kuwonjezeka kwa ma lymph node, matenda a shuga.
Pamene pathological process yophimbidwa ndi chigamba cha khungu, kutupa kwamadzi amkati kumayenda kwambiri mkati mwa minofu, chikhazikitso pamwambapa chimatha kukhala ndi chosilira.
Ngati palibe njira zomwe zimatsatidwa, chipangizocho chimagwira masamba ochulukirachulukira, ndikupangitsa kuledzera kwamphamvu, kuwonongeka msanga muumoyo.
Mitundu ya phhlegmon phazi
Phlegmon ikhoza kukhala yamitundu yosiyanasiyana, phlegmon yapadera kumbuyo, subcutaneous, medial ndi lateral.
Phlegmon wamsana amakula chifukwa cha kulowerera kwa bakiteriya wa pathogenic. Izi zitha kuchitika kudzera minofu, zopweteka pakhungu. Pankhaniyi, phlegmon ikhoza kuyambitsa redness, khungu limapeza mawonekedwe osakhala achibadwa komanso osasangalatsa. Mwendo umayamba kuchuluka, ukutupa kwambiri. Ngati palibe njira zomwe zimatengedwa, purosesa imapita kumatenda amiyendo am'miyendo.
Ndi subhleaneous phlegmon, madera akuluakulu khungu limawonongeka, amachepetsa, kutupa, ndikuwonjezeka ululu. Woopsa milandu:
- kutseguka mosalekeza kwamkati wopepuka kumadziwika;
- Matenda opatsirana minofu yathanzi ndizosowa.
Mtundu wowopsa wa matenda ndi zamankhwala, nkovuta kuzindikira kuti ndi nthawi yake. Popanda chithandizo, kutupa kwamkaka kumafalikira kumasamba amoyo wathanzi. Mtunduwu umatha kusiyanitsidwa ndi zotupa zamtumbo pa mwendo; pamenepa, zimatchulidwa. Pokhapokha kukulira ululu, tikulankhula za kufalikira kwa matendawa kuzama zigawo za minofu.
Fomu yotsimikizika ndiyinso yovuta kudziwa, makamaka pa magawo oyamba a chitukuko. Pathology imakhudza mwachangu minofu yathanzi. Zizindikiro zokhala ndi ofananira nawo mawonekedwe ndizofooka, kutupa, kufupika ndi kutupa ndizochepa. Chizindikiro chokha chomwe chingawonetse matenda ndi zilonda, zowonjezeredwa ndi kukakamizidwa, kuyenda.
Ululu wam'mimba ulibe kanthu, popeza miyendo yam'munsi imakutidwa ndi khungu lakuda, pali mathero ochepa a mitsempha m'mbali iyi ya thupi.
Njira zochizira phlegmon mu shuga
Chithandizo cha phlegmon chimaperekedwa movuta, makamaka kwa matenda a shuga a mtundu woyamba ndi wachiwiri.
Choyamba, kuyang'ana kwakumaso kwa chotupa kumachitika ndi opaleshoni, ndiye kuti dera lomwe lakhudzidwalo limathandizidwa ndi mankhwala apadera a antiseptic.
Kuphatikiza apo, akuchitapo kanthu kuti magazi azitha kulowa mumiyendo yolowedwa ndi phazi, pomwe adotolo akuvomereza kuti:
- antispasmodics;
- angioprotectors;
- mankhwala kusintha rheological katundu wamagazi.
Amawonetsedwanso kugwiritsa ntchito mankhwala kukonza matenda a lipid, kuchepetsa kukhathamira, kutulutsa cholesterol, kuthetsa zizindikiro, kuphatikizapo kutentha thupi, kuledzera.
Pafupifupi mankhwala onse amaperekedwa kudzera m'mitsempha, izi zimakuthandizani kuti muwonjezere kuthamanga kwa zotsatira zawo zabwino pazotengera.
Mankhwala othandizira opaleshoni amayenera kuchitika mosamala, chifukwa pamenepa kuvulala kulikonse kungayambitse matenda. Ngati mankhwala omwe ali ndi mankhwala ochepetsa mtima sawabweretsa zotsatira zoyenera, dokotala angaganize kuti azidula phazi:
- chapansipansi;
- tsankho.
Zimachitika kuti kuchepetsa mwayi wa kufa kwa wodwalayo, kuduladula mwendo kumachitika pamlingo wakumunsi.
Ndikofunikira kufunafuna chithandizo chamankhwala posachedwa, chifukwa kudula kumachitika pang'onopang'ono matendawa, pamene chotupa chimazungulira minofu yayikulu, pamakhala chiopsezo cha sepsis. Ndi chithandizo choyambirira choyambirira ndi phlegmon, mutha kupulumutsa mwendo womwe wakhudzidwa, koma wodwala amayenera kuvala nsapato zapadera m'moyo wake wonse. Nsapato zoyenera zimathandizira kuchepetsa katundu pazolumikizana, mafupa. Nsapato zamadzimadzi zimachepetsa kulosera kumayambiriro kwa chafing, komwe kumayamba kusandulika, komwe kumayambitsa matenda.
Mavuto omwe angakhalepo, thandizo loyamba
Mavuto a phlegmon amapezeka pokhapokha ngati munthu akalandira chithandizo cha matenda ashuga, pomwe wodwala matenda ashuga safuna thandizo la madokotala. Komabe, ndizotheka kuti dokotala kwa nthawi yayitali sakanatha kuzindikira moyenera, matendawa anapitilizabe kupita patsogolo. Vuto lowopsa kwambiri la phlegmon ndi poyizoni wamagazi.
Ngati zizindikiro zoyambirira zapezeka, pakufunika kusiya njira yodzichitira nokha, kugwiritsa ntchito njira zina zochiritsira. Njira imeneyi imachulukitsa zovuta, imabweretsa imfa. Pambuyo pakufufuza, adotolo atumiza wodwala ku chipatala cha opaleshoni.
Pakakhala chilonda, kuwonongeka komwe ma virus adalowa mu minofu, kuyenera kuphimbidwa ndi bandeji. Ngati pali chilonda choyipa, chovalacho chimakhala chothinitsidwa:
- hypertonic yankho;
- antiseptic wothandizira.
Ndipo odwala matenda ashuga okha ndiwo amagonekedwa.
Njira zopewera
Kuletsa kukula kwa phlegmon ya phazi ndikosavuta komanso kosavuta kuposa kuchitira mankhwala okwera mtengo. Njira zopewera ndi zosavuta, amabwera kudzacheza ndi dokotala ngati akukayikira mavuto amakhungu omwe ali ndi matenda ashuga.
Chidziwitso china ndikusintha nsapato zikavuta pamene mukuyenda. Vala yatsopano, yapamwamba kwambiri yokhala ndi insole yofewa iyenera kugulidwa, nsapato zoyenera odwala matenda ashuga azipangidwa kuti azilamula, poganizira mawonekedwe a phazi.
Tisaiwale za kuchuluka kwa chitetezo chokwanira, ndikofunikira kudya masamba okwanira ndi zipatso, nthawi zambiri kuyenda mumlengalenga, komanso pang'ono pang'ono. Kuchepetsa chitetezo chamthupi chitha kugwiritsa ntchito mankhwala osokoneza bongo. Zotsatira zake, zimakhala zovuta kwambiri kuthana ndi phlegmon, maantibayotiki amangokhala osagwira, matenda atha kupitilizabe kupita patsogolo chifukwa chopanga kukana.
Osati gawo lomaliza lomwe limaperekedwa kuchokera ku ukhondo wam'munsi, miyendo iyenera kusungidwa kuti isakhale yozizira. Izi zimachepetsa mwayi wowonongeka kwa mafangayi, kulowa kwa microflora ya pathogenic mu minofu kudzera muming'alu ndi abrasions. Ngati kuwonongeka kumeneku kwawonekera, nthawi zina popewa zovuta zaumoyo ndikukwanira kuchitira bala ndi mankhwala osokoneza bongo kapena oledzera.
Monga matenda aliwonse, phlegmon imafuna kudziyang'anira nokha, thanzi lanu, chithandizo choyenera komanso chapanthawi yake. Kupanda kutero, njira yotupa yoyenga imayendera, tsiku lililonse limachepetsa mwayi wopulumutsa dzanja ndi moyo.
Mavuto a shuga akufotokozedwa mu kanema mu nkhaniyi.
