Chilonda

Chotupa ndichotulutsa mafinya m'mbali iliyonse ya thupi. Nthawi zambiri, malo ozungulira abscess amatupa ndikutupa.

Zilonda zimayamba pamene dera la minofu yatenga kachilombo ndipo chitetezo cha mthupi chimayesetsa kulimbana nacho. Maselo oyera a magazi (WBCs) amayenda kudzera pamakoma amitsempha yamagazi kupita kumalo a kachilomboka ndikusonkhanitsa minofu yowonongeka. Munthawi imeneyi, mafinya amapangika. Mafinya ndi kuchuluka kwa maselo oyera amwazi, amoyo ndi akufa, magazi akufa, mabakiteriya kapena zinthu zina zakunja.

Ziphuphu zimatha kupanga pafupifupi gawo lililonse la thupi. Khungu, pansi pa khungu, ndi mano ndi malo omwe amapezeka kwambiri. Ziphuphu zimatha kuyambitsidwa ndi mabakiteriya, majeremusi, ndi zinthu zakunja.

Ziphuphu pakhungu zimawoneka mosavuta. Ndi ofiira, okwezedwa, komanso opweteka. Ziphuphu m'malo ena amthupi sizimawoneka, koma zimatha kuwononga ziwalo.

Mitundu ndi malo otupa amaphatikizapo:

• Kutupa m'mimba
• Amebic chiwindi abscess
• Kutupa kosadziwika
• Bartholin chotupa
• Kutupa kwa ubongo
• Epidural abscess
• Kuphulika kwa peritonsillar
• Pyogenic chiwindi abscess
• Msana wa abscess
• Subcutaneous (khungu) abscess
• Kutulutsa mano

Wopereka chithandizo chamankhwala amayeza thupi lake, moyang'ana kuzizindikiro za abscess.

Kuyesa kuti mupeze chotupacho ndi monga:

• Ultrasound
• Kujambula kwa CT
• Kujambula kwa MRI

Nthawi zambiri, madzi amadzimadzi amatengedwa kuchokera ku chotupacho ndikuyesedwa kuti awone mtundu wa majeremusi omwe akuyambitsa vutoli.

Chithandizo chimasiyanasiyana, koma nthawi zambiri opaleshoni imafunika kuti muchepetse abscess. Maantibayotiki amathanso kugwiritsidwa ntchito.

Itanani omwe akukuthandizani ngati mukuganiza kuti muli ndi mtundu uliwonse wa abscess.

Kupewa zotupa kumatengera komwe amakulira. Mwachitsanzo, ukhondo wabwino ungathandize kupewa zotupa pakhungu. Ukhondo wamano ndi chisamaliro chokhazikika zimapewa zotupa za mano.

• Amebic abscess ubongo
• Pyogenic abscess
• Kutulutsa mano
• Kuphulika kwapakati pamimba - CT scan

Ambrose G, Berlin D. Kuchepetsa ndi ngalande. Mu: Roberts JR, Custalow CB, Thomsen TW, olemba., Eds. Ndondomeko Zachipatala za Roberts & Hedges mu Emergency Medicine ndi Acute Care. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: mutu 37.

De Prisco G, Celinski S, Spak CW. Zilonda m'mimba ndi fistula m'mimba. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 11th ed. Philadelphia, PA: Elsevier; 2021: chaputala 29.

Gea-Banacloche JC, Tunkel AR. Kutupa kwa ubongo. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 90.