Chifukwa m'michombo moknet munthu wamkulu?

Ngati munthu wamkulu anali zosasangalatsa chonunkha kumaliseche kwa Mchombo wa - zikutanthauza chiyani ndi chochita? Madokotala amanena zifukwa ziwiri azikwera yonyowa m'michombo wamkulu - izo omphalitis ndi umbilical fistula. Powona machenjezo, muyenera yomweyo kukaonana ndi dokotala mankhwala yake.

Omphalitis - kutupa kwa khungu ndi subcutaneous minofu padziko Mchombo wa, yodziwika ndi kutupa, redness a khungu umbilical m'dera ndi wosiyana mphamvu ya secretions kuchokera m'michombo lapansi. Kawirikawiri matenda chimakwirira ziwiya umbilical, imbaenda phlebitis kapena arteritis ziwiya. Matendawa akhoza kukhala mafangasi toyambitsa chiyambi. Nthawi zambiri omphalitis tizilomboto Staphylococcus aureus. Inapeza abscess ndi necrotic matenda yosavuta, imene m'mimba afika yamvula wamkulu.

Nthawi zambiri anawona akuluakulu omphalitis yosavuta. Pankhaniyi, wodwala akumva zambiri bwino, poona okha yonyowa m'michombo ndi zovuta zokhudzana. Childs, kudzipatula ndi serous-serous kapena purulent madzimadzi kuti uphwetsa kutumphuka padziko umbilicus lapansi. Chifukwa masankhidwe awa - toyambitsa matenda a mafangasi matenda kugwirizana ndi peculiarities wa kapangidwe ka m'michombo lapansi. Choncho, pamene retracted, ndi njira yopapatiza ya Mchombo nthambi ya maselo akufa khungu ndi mankhwala a zopangitsa za sebaceous ndi zovuta, tingayambe matenda ndi ukhondo osauka munthu. Ena madokotala ndikukhulupirira chimodzi mwa zifukwa kuboola chitukuko omphalitis. Ngati Mchombo ukuyenda, m'pofunika dokotala. Mu losavuta omphalitis anagwira outpatient chithandizo, chomwe pochiza lonyowa m'michombo kapena cauterizing njira antiseptic, kutsatira antimicrobial kapena antifungal zodzola, malinga ndi chikhalidwe cha kutupa kwa, kupatsa mankhwala thupi. Pamene losavuta mawonekedwe a matenda madokotala ananena zawo zambiri zabwino.

Zambiri zokayikitsa zimachitika akulu abscess ndi necrotic omphalitis.

Pamene abscess mawonekedwe kuvutika minofu padziko m'michombo, pali redness, induration Mwachitsanzo, mafinya kuchokera m'michombo, ndi kuwuka mu kutentha thupi. Angathe m'mimba khoma abscess.

Necrotizing (gangrenous) omphalitis akufotokozera kawirikawiri ndi vuto mitundu abscess. Mu mawonekedwe a matenda likulowerera zonse m'mimba kumachitika necrosis ndi exfoliation minofu akufa. Necrotizing omphalitis oopsa umbilical sepsis, peritonitis, osteomyelitis.

Pamene phlegmonous ndi gangrenous omphalitis imachitika machitidwe chithandizo mwakayakaya. Childs, kumwa mankhwala a m'dera akhudzidwa ndi antiseptic, kuvala ndi bala machiritso ndi zodzola antibacterial, mankhwala intramuscularly, physiotherapy. Nthawi zina opaleshoni chofunika - kutsegula zilonda. Pamene necrotic mawonekedwe a jekeseni anachita Popanga madzi a gamma globulin, vitamini mankhwala magazi.

Chifukwa china chimene chinyowe m'michombo wamkulu - umbilical fistula. kudwala Izi nthawi zambiri ndipo amakhala ndi kobadwa nako mkodzo nezaroschennym kapena vitellointestinal ritsa. Pamene nezaroschennom mkodzo ritsa anapanga vesicoumbilical fistula kudzera amene mkodzo ndi excreted. Ngati nezaroschen yolk ritsa, zikuoneka ndi umbilical enteric fistula ndi secretions ku intestine lapansi. Pamene kutupa zikachitika, kumaliseche amakhala purulent.

Nthawi zina pali anapeza fistulas, amene anapanga mpanda kutsogolo kwa kutupa peritoneum ndi zilonda kutsegula kudzera umbilicus lapansi.

Nthawi zambiri, chithandizo ndi excision wa fistula ndi stitching mabowo mpanda wa matumbo chikhodzodzo. chithandizo Nonsurgical ndi Zimatheka ngati palibe kumaliseche kwa m'michombo lapansi.

Ngati Mchombo chinyowe mu wamkulu, ndiye Mulimonsemo sikutheka kudziletsa medicate, zimenezi zingawachititse yekha zotsatira pang'ono zosakhalitsa.