Kodi Phlegmon ndi chiyani?

Zamkati

• Chidule
• Phlegmon vs. abscess
• Nchiyani chimayambitsa phlegmon?
• Zizindikiro zake ndi ziti?
• Khungu la khungu
• Phlegmon ndi ziwalo zamkati
• Matenda am'mimba
• Zowonjezera
• Diso
• Pakamwa pakamwa (phlegmon apa amatchedwanso angina a Ludwig)
• Miphalaphala
• Tonsils
• Kodi phlegmon amapezeka bwanji?
• Kodi izi zimathandizidwa bwanji?
• Maganizo ake ndi otani?

Chidule

Phlegmon ndi mawu azachipatala ofotokoza kutupa kwa minofu yofewa yomwe imafalikira pansi pa khungu kapena mkati mwa thupi. Nthawi zambiri zimayambitsidwa ndi matenda ndipo zimatulutsa mafinya. Dzinalo phlegmon limachokera ku liwu lachi Greek mfulo, kutanthauza kutupa kapena kutupa.

Phlegmon imatha kukhudza ziwalo zamkati monga matani anu kapena zowonjezera, kapena mutha kukhala pansi pa khungu lanu, kulikonse kuyambira zala zanu mpaka kumapazi anu. Fhlegmon imatha kufalikira mwachangu. Nthawi zina, phlegmon imatha kupha moyo.

Phlegmon vs. abscess

Kusiyanitsa pakati pa phlegmon ndi abscess ndi motere:

• Phlegmon ilibe malire ndipo imatha kupitilira kufalikira pamitundu yolumikizira ndi minofu.
• Chotupa chimamangiriridwa ndikukhazikika m'dera la matenda.

Kuperewera ndi phlegmon kumakhala kovuta kusiyanitsa nthawi zina. Nthawi zina, chimfine chimatuluka ngati zinthu zomwe zili ndi chotupa mkati mwa chotupa zimatuluka ndikudzifalikira.

Kawirikawiri, chotupa chimatha kutulutsa madzi ake omwe ali ndi kachilomboka. Chifuwa sichitha mosavuta.

Nchiyani chimayambitsa phlegmon?

Phlegmon nthawi zambiri imayambitsidwa ndi mabakiteriya, nthawi zambiri gulu A chochita kapena Staphylococcus aureus.

• Mabakiteriya amatha kulowa pansi, kulumidwa ndi tizilombo, kapena kuvulala kuti apange phlegmon pansi pa khungu pa chala kapena mapazi.
• Mabakiteriya mkamwa mwanu amatha kuyambitsa phlegmon kapena abscess, makamaka atachita opaleshoni yamano.
• Mabakiteriya amathanso kulumikizana ndi khoma la chiwalo chamkati monga khoma la m'mimba kapena zowonjezera ndikupanga phlegmon

Anthu omwe ali ndi chitetezo chokwanira cha chitetezo cha mthupi amatha kukhala pachiwopsezo cha mapangidwe a phlegmon.

Zizindikiro zake ndi ziti?

Zizindikiro za phlegmon zimasiyana, kutengera komwe kuli matenda komanso kuopsa kwa matendawa. Ngati sanalandire chithandizo, kachilomboka kangafalikire kumatenda akuya ndikulepheretsa chiwalo kapena malo omwe akukhudzidwa.

Khungu la khungu

Phlegmon ya khungu itha kukhala:

• chofiira
• Zowawa
• kutupa
• zopweteka

Mwinanso mungakhale ndi zizindikiro za matenda a bakiteriya, monga:

• zotupa zamatenda zotupa
• kutopa
• malungo
• mutu

Phlegmon ndi ziwalo zamkati

Phlegmon imatha kukhudza ziwalo zilizonse zamkati. Zizindikiro zimasiyanasiyana ndi chiwalo chomwe chimakhudzidwa komanso mabakiteriya ena.

Zizindikiro zazikulu ndi izi:

• ululu
• kusokonezeka kwa ziwalo

Zizindikiro zina zakomwe mungakhale nazo ndi monga:

Matenda am'mimba

• kupweteka m'mimba
• malungo
• nseru
• kusanza

Zowonjezera

• ululu
• malungo
• kusanza
• kutsegula m'mimba
• kutsekeka m'mimba

Diso

• ululu
• zoyandama
• kusokoneza masomphenya
• zizindikiro ngati chimfine

Pakamwa pakamwa (phlegmon apa amatchedwanso angina a Ludwig)

• kupweteka kwa mano
• kutopa
• khutu kupweteka
• chisokonezo
• kutupa kwa lilime ndi khosi
• kuvuta kupuma

Miphalaphala

• malungo
• kuwonjezeka kwa maselo oyera a magazi (leukocytosis)
• kuchuluka kwa magazi amylase (enzyme ya pancreatic)
• kupweteka kwambiri m'mimba
• nseru ndi kusanza

Tonsils

• malungo
• chikhure
• kuvuta kuyankhula
• ukali

Kodi phlegmon amapezeka bwanji?

Dokotala wanu akufunsani za zizindikilo zanu, pomwe adayamba, komanso kuti mwakhala nazo nthawi yayitali bwanji. Atenga mbiri yakuchipatala ndikufunsani zamatenda aliwonse omwe mungakhale nawo kapena mankhwala omwe mumamwa. Adzakupatsaninso mayeso.

Phlegmon ya khungu imawonekera. Ma phlegmons amkati ndi ovuta kwambiri kuwazindikira. Dokotala wanu amamverera chifukwa cha ziphuphu kapena kukoma mtima m'dera la ululu. Ayeneranso kuyitanitsa mayeso, omwe atha kukhala:

• kugwedeza magazi
• kusanthula mkodzo
• akupanga
• X-ray
• MRI
• Kujambula kwa CT

Pofuna kusiyanitsa pakati pa cellulitis, abscess, ndi phlegmon, dokotala wanu atha kugwiritsa ntchito gadolinium kudzera mu MRI kuti awonetse chithunzi cha "khoma" lotupa motsutsana ndi phlegmon.

Ultrasound yolimbikitsidwa kwambiri itha kugwiritsidwa ntchito kuzindikira phlegmon m'mimba.

Kodi izi zimathandizidwa bwanji?

Chithandizo cha phlegmon chimadalira malo komanso kukula kwa matendawa. Mwambiri, chithandizo chimaphatikizapo maantibayotiki ndi opaleshoni.

Phlegmon ya khungu, ngati yaying'ono, imatha kuthandizidwa ndi maantibayotiki am'kamwa. Koma pamafunika kuchitidwa opareshoni kuti kuyeretsa minofu yakufa m'derali ndikuletsa kuti matenda asafalikire.

Phlegmon yamlomo imatha kufalikira mwachangu ndipo imatha kupha moyo. Kugwiritsa ntchito maantibayotiki koyambirira kumalimbikitsidwa limodzi ndi ma intubation (kuyika kwa chubu chopumira mu trachea). Kuchita opaleshoni mwachangu kwambiri kuti athetse malowo ndikuletsa kufalikira kwa matendawa kulimbikitsidwanso.

Asanapange maantibayotiki, 50 peresenti ya anthu omwe ali ndi phlegmon mkamwa amwalira.

Maganizo ake ndi otani?

Maganizo a phlegmon amadalira kuopsa kwa matendawa ndi dera lomwe lakhudzidwa. Kufulumira kuchipatala kumakhala kofunikira nthawi zonse.

Maantibayotiki nthawi zambiri amafunika kupha matendawa. Kuchita opaleshoni kumafunika nthawi zambiri, koma nthawi zina kuyang'anira mosamala kumatha kukhala kokwanira kuthetsa vutoli. Kambiranani ndi dokotala ngati chithandizo chopanda chithandizo chingakuthandizeni inu kapena mwana wanu.

Ndi chithandizo chamankhwala, malingaliro amtundu wa phlegmon ndiabwino.