Ukuvula ithumba: izinkomba, amasu, incazelo

Ukuvula ithumba: izinkomba, amasu, incazelo

Indlela eyinhloko yokwelapha i-paratonsillar noma i-abscess retropharyngeal eyenzeka ku-pharynx ukuvulwa kokwakheka kwe-purulent ngokuhlinzwa. Kuboniswa iziguli zanoma yimuphi ubudala, kucatshangelwa contraindications. Ubuchwepheshe bokungenelela kokuhlinzwa buncoma ukwenza umsebenzi ezinsukwini ezingu-4-5 ngemva kokuqala kokubunjwa kwethumba. Ukwehluleka ukulandela lesi sincomo kungaholela eqinisweni lokuthi ukuhlinzwa kwenziwa kusenesikhathi, lapho ithumba lethumba lingakakheki. Kulesi simo, ama-microorganisms e-pathogenic asevele egxile eduze kwe-tonsil, kodwa isigaba sokuncibilika kwezicubu ze-adenoid asikaqali. Ukucacisa isigaba sokuvuvukala kwe-purulent, i-puncture yokuxilonga yenziwa.

Indlela yokuxilonga ukulungela kwethumba ukuze livuleke ihlanganisa ukubhoboza indawo ephezulu yezicubu ezivuvukele eduze kwethonsi ethintekile. Kuyinto efiselekayo ukwenza ukubhoboza ngaphansi kokulawulwa kwe-roentgenoscope noma i-ultrasound. Ngemva kokubhoboza indawo enethumba, udokotela udonsa elikuqukethe kusisirinji oyinyumba.

Izinketho ezingenzeka:

  • Ukuba khona kobomvu emgqonyeni wesirinji kuwuphawu lwethumba elakhekile, isignali yokuhlinzwa.

  • Ukuba khona kwengxube ye-lymph negazi nge-pus kusirinji kuwuphawu lwethumba elingashintshiwe, lapho ukwelashwa okwanele kwama-antibiotic kungavimbela ukuhlinzwa.

Izinkomba zokuvula ithumba

Ukuvula ithumba: izinkomba, amasu, incazelo

Izinkomba zokuxilongwa kwethumba ngokubhoboza:

  • Isibonakaliso sobuhlungu esibiziwe, esithuthukisiwe ngokuphendula ikhanda, ukugwinya, ukuzama ukukhuluma;

  • I-hyperthermia engaphezu kuka-39 ° c;

  • I-angina ihlala isikhathi esingaphezu kwezinsuku ezi-5;

  • I-Hypertrophy ye-tonsil eyodwa (akuvamile amabili);

  • Ukwandiswa kwe-lymph nodes eyodwa noma ngaphezulu;

  • Izimpawu zokudakwa - ubuhlungu bemisipha, ukukhathala, ubuthakathaka, ikhanda;

  • I-Tachycardia, i-palpitations.

Uma ukubhoboza kokuxilonga kwenziwa ngaphansi kokuqondiswa kwe-ultrasound noma i-X-ray, ubomvu obuningi bungakhishwa phakathi nenqubo. Kodwa-ke, lokhu ngeke kuyixazulule inkinga ngokuphelele, kusamele ulikhiphe ithumba.

Izizathu zokuhlinzwa:

  • Ngemuva kokuhlanza i-abscess cavity, izimo zokusabalala kobomvu ziyanyamalala;

  • Ngesikhathi sokuhlinzwa, i-cavity iphathwa nge-antiseptics, engeke yenziwe ngesikhathi sokubhoboza;

  • Uma ithumba lincane, liyasuswa kanye ne-capsule ngaphandle kokulivula;

  • Ngemva kokususwa kobovu, isimo esivamile siyathuthuka, ubuhlungu buyanyamalala, izimpawu zokudakwa ziyanyamalala, izinga lokushisa liyehla;

  • Njengoba ama-microorganisms abangela ukuvuvukala kwe-purulent cishe asuswe ngokuphelele, ingozi yokuphindaphinda incane;

  • Kwezinye izimo, kanye nokuvulwa kwe-abscess cavity, amathoni asusiwe, okusiza ukuqeda ukugxila kokuvuvukala nokunciphisa ingozi yokuphindaphinda lesi sifo.

Ukuhlinzwa ukuze kukhishwe ithumba emphinjeni kwenziwa ngesisekelo se-outpatient. Lena inqubo esungulwe kahle engabangeli izinkinga. Ngemuva kokuvulwa kokuhlinzwa kwe-abscess, isiguli sithunyelwa ukunakekelwa kokulandelela ekhaya, siza ukuhlolwa kokulandelela ngemva kwezinsuku ezingu-4-5.

Izinkomba zokwelashwa kwe-paratonsillar abscess:

  • Iminyaka yezingane (izingane zasenkulisa zilaliswa esibhedlela nabazali bazo);

  • Abesifazane abakhulelwe;

  • Iziguli ezinezifo ze-somatic noma ukuzivikela okuncishisiwe;

  • Iziguli ezinengozi enkulu yezinkinga ze-postoperative (sepsis, phlegmon);

  • Iziguli ezinethumba elingashintshiwe ukuze zilawule ukwakheka kwalo.

Ngaphambi kokuhlinzwa okuhleliwe, ukwenza buthaka ama-microorganisms we-pathogenic futhi uvimbele ukusakazeka kwawo, isiguli sinqunywe ama-antibiotics. Ukungenelela kokuhlinzwa kwenziwa ngaphansi kwe-anesthesia yendawo. Uma icala liphuthumayo, kuvunyelwe ukuvula ithumba ngaphandle kwe-anesthesia.

Izigaba zokuvula ithumba

Ukuvula ithumba: izinkomba, amasu, incazelo

  1. Ukusika kwenziwa ngokujula okungengaphezu kuka-1-1,5 cm endaweni ephakeme kakhulu yokwakheka kwe-purulent, ngoba kulapho ungqimba oluncane lwezicubu lutholakala, futhi ithumba liseduze kakhulu nangaphezulu. Ukujula kokusika kunqunywa ingozi yokulimala kwemizwa eseduze nemithambo yegazi.

  2. Ubovu buphuma emgodini.

  3. Udokotela ohlinzayo, esebenzisa ithuluzi elibuthuntu, ucekela phansi izingxenye ezingaba khona ngaphakathi komgodi ukuze athuthukise ukuphuma kobovu futhi avimbele ukuma kwawo.

  4. Ukwelashwa kwe-abscess cavity ngesisombululo se-antiseptic sokubulala amagciwane.

  5. Ukuthunga isilonda.

Ukuvimbela ukuphindaphinda, inkambo yokwelashwa ngama-antibiotic inqunyelwe. Uma uvula ithumba, kungase kutholakale ukuthi ubomvu abukho ku-capsule, busakaze phakathi kwezicubu zentamo. Uma le nkinga ibangelwa amagciwane e-anaerobic akhula ngaphandle kokuthola umoya-mpilo, ukugeleza kwamanzi kwenziwa ngokusebenzisa izimbobo ezengeziwe ebusweni bentamo ukuletha umoya nokukhipha ubomvu. Uma ingozi yokuphindaphinda iqedwa, i-drainage incisions i-sutured.

Imithetho yokuziphatha ngemva kokuhlinzwa ukuze uvule amathumba:

Ukuvula ithumba: izinkomba, amasu, incazelo

  • Ukuze ugweme ukuvuvukala nokunciphisa ukuvuselelwa, kuvinjelwe ukufudumala intamo;

  • Ukuze unciphise ingozi ye-vasoconstriction noma i-dilation, kuvunyelwe ukuphuza iziphuzo kuphela ekamelweni lokushisa;

  • Kunconywa ukusetshenziswa kokudla okuwuketshezi;

  • Okuphoqelekile ukuhambisana nokuvinjelwa kotshwala nokubhema;

  • Ukuze uvimbele ukuphindeka, kubalulekile ukwenza inkambo yokwelashwa ngemithi elwa namagciwane kanye ne-anti-inflammatory, sebenzisa amavithamini namaminerali complexes;

  • Ezinsukwini ezingu-4-5 ngemva kokuhlinzwa, udokotela uhlola isiguli, ehlola ingozi yezinkinga ezingenzeka, inqubo yokuvuselela.

Ezimweni eziningi, ukuphindaphinda kwangemva kokuhlinzwa kuyivelakancane kakhulu. Ngemva kwesonto elabelwe isikhathi sokuvuselela, isiguli singase sinconywe uhlobo olujwayelekile.

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