Kumvetsetsa Zomwe Mumapanga Ndiponso Kupanga Opaleshoni
Ngati dokotala wanu akulangizani njira yowakakamiza ndi yosakaniza kuti mupeze chithandizo chomwe mungakhale nacho mukudabwa kuti ndondomekoyi ndi yani. Zimagwira ntchito bwanji, ndizosasangalatsa, ndipo chikuchitika chiani?
Mavitamini (Zithupsa) Zitha Kupezeka Ponseponse
Chiphuphu ndi matenda opweteka omwe amatha kuyendetsa anthu ambiri kuchipinda chodzidzimutsa. Zotsatira zake zimakhala zovuta kuti mafuta opangira mafuta kapena thukuta asokonezeke, ndipo mabakiteriya atsekedwa.
Izi zimayambitsa matenda ndi kutupa limodzi ndi kupweteka ndi kuphulika.
Amadzimadzi amatha kupanga paliponse pamthupi. Kawirikawiri, amapezeka m'makutu, m'mapiri, m'munsi mwa msana, kuzungulira dzino, kapena kuzungulira tsitsi , pamene abscess imadziwika ngati chithupsa .
Pamene mawonekedwe a abscess, kupweteka, ndi kutupa zingakuchititseni kuti mufunse ndikuyesa kuti muyese nokha. Komabe, madokotala amatichenjeza kwambiri pamene izi zimapangitsa kuti matendawa akhale ovuta ndipo angayambitse mavuto aakulu monga matenda a magazi ( sepsis ) ndi scarring.
M'malo mwake, pitani kuchipatala chanu chochezeka kuti mukhale ndi njira yosavuta komanso yowonjezera yotchedwa incision ndi drainage, kapena I & D. Chiphuphu sichidzachiritsa kawirikawiri kapena ngakhale ndi maantibayotiki , ndipo pus nthawi zambiri amafunika kuthiridwa kuti apititse kuchiritsa. I & D, kawirikawiri imachitidwa bwino ku ofesi ya dokotala, ikhoza kukwaniritsa izi mosamala ndi bwino.
Kodi I & D Imakhudza Chiyani?
Pogwiritsa ntchito mankhwala operekera mankhwala (monga lidocaine) kuti asokoneze malo ozungulira abscess kotero kuti usamve ululu, dokotala ndiye amaika scalpel kapena singano pakhungu pamwamba pa pus ndi pus. Ziphuphu zina zili ndi mfuti imodzi yomwe imayenera kupasuka kuti ikamasulidwe.
Pusiti itatha, balala liyeretsedwe ndi kutsukidwa ndi mankhwala a saline.
Ngati si lalikulu kapena lakuya, chilondacho chingakhale chodzaza ndi maola 24 mpaka 48 kuti atenge pus kapena phokoso lirilonse limene likupitiriza kukhetsa. Ngati chifuwa chachikulu chimakhala chachikulu kapena chakuya, chimbudzi chikhoza kuikidwa pa bala loyeretsedwa kuti likhale lotseguka ndikulola kuti lipitirize kuthira ngati likuchiritsa.
Njira yonseyi imatenga nthawi yosachepera ola limodzi, ndipo anthu ochepa amakhala ndi mavuto. Anthu omwe amasuta kapena omwe ali ndi chizolowezi chofooketsa chitetezo cha m'thupi amakhala ovuta kwambiri. Pamene mavuto amapezeka, nthawi zambiri amakhala ofatsa ndipo angaphatikizepo:
- Ululu
- Kusuta
- Kutaya
Ndondomekoyi itatha
Pambuyo pa I & D itatha ndipo mutatumizidwa kunyumba, muyenera kutsatira mosamala malangizo a dokotala wanu okhudza kusintha mabanki ndi kuyeretsa bala. Mukhozanso kupatsidwa mankhwala opha tizilombo ndikuuzidwa kutenga mankhwala opweteka ngati mukufunikira. Ngati muwona zizindikiro zilizonse za matenda, monga kupweteka koopsa, redness, kutupa, magazi, kapena malungo, muyenera kutchula dokotala mwamsanga.
Mavuto Amodzi
Kawirikawiri abscess ndi chinthu chimodzi chomwe chingathetsedwe ndi I & D. Kwa anthu ena, vuto lotchedwa hidradenitis suppurative limaphatikizapo ziphuphu zomwe zimapezeka m'madera monga monga kubuula, zipsera, pansi pa bere.
Kuphatikiza pa kuchiza munthu aliyense payekha ndi I & D, mankhwala ena monga Accutane (isotretinoin) ndi jekeseni ya steroid angafunike kuthetsa matendawa.
MRSA
Pambuyo pa I & D wanu dokotala wanu kapena namwino adzakufunsani ngati muli ndi MRSA. MRSA imayimira matenda a staphylococcus omwe sagonjetsedwa ndi methicillin. Matenda ambiri a khungu amayamba ndi mabakiteriya otchedwa Staphylococcus aureus . Mwa mabakiteriyawa, ena amatha kusintha kusintha komwe kumawapangitsa kukhala ofanana ndi ma antibiotic ambiri omwe tiri nawo. Chifukwa cha kuthekera kwawo kuthetsa mabakiteriya athu ambiri, mabakiteriyawa amatchulidwanso "superbugs".
Matenda ndi MRSA amatha kukhala ndi matenda ochepa kwambiri a khungu (monga abambo ochepa) ku matenda opatsirana. Ku US kuli matenda opitirira 75,000 a MRSA chaka chilichonse, ngakhale ambiri amapezeka mwa anthu omwe ali kuchipatala. Izi zinati, pafupifupi 15 peresenti ya matendawa amapezeka mderalo ndipo amatchulidwa kuti anthu omwe amapezeka ndi methicillin St resist aureus .
Ngati mutanyamula MRSA n'kofunika kugawana izi ndi dokotala pa zifukwa ziwiri: kotero mankhwala omwewa ndi oyenerera amawasankhidwa ngati mukuwafuna, kotero kuti zitha kuthandizidwa kuti zithandize kuchepetsa kufalikira kwa mabakiteriya.
Zotsatira:
Habif, Tomasi. "Matenda a Bakiteriya." Dermatology Clinic, Edition 6. Mkonzi. Thomas Habif, MD. New York: Mosby, 2015.