Nelaktatsionny surkin jini mastitis: Bayyanar cututtuka da kuma Jiyya

Surkin jini mastitis - mafi wuya da kuma m ga mata ta cutar. Mummunan na siffofin - nelaktatsionnomu surkin jini mastitis - za mu biya kulawa ta musamman a yau, saboda mata kiwon lafiya - babban sharadin da kiwon lafiya da kuma ci gaba na al'umma.

Tarihi na gudanar da bincike

Tun zamanin da rare mace wuce sanin jigon da cutar, wanda anciently kira mastitis, kuma daga baya ya zama da aka sani da mastitis. Kuma ba mamaki, tunda ya ce Pathology, wanda shi ne mai kauri dauke da kwayar cutar kumburi a cikin ƙirjinka, amma har yanzu jinyar zuwa aiki yaduwa, sau da yawa sa a surkin jini rauni a zahiri glandular jiki nono da kuma kewaye nama, sa'an nan kuma zuwa sepsis daga -this hakan na dauke da kwayar cutar tsari.

tausasãwa statistics

A zamani mastitis za a iya raba lactation, a lokacin da mammary gland shine yake shi ne samar da madara (mafi sau da yawa surkin jini mastitis nono), da kuma nelaktatsionny, wanda za mu son magana game da yau. Kamar yadda statistics na karshe shekarun da suka gabata, a 90-95% na lokuta ya ruwaito daga mastitis shi ci gaba a cikin zubar lokaci, nelaktatsionnym kamar yadda mastitis, wanda ba a hade da juna biyu da kuma haihuwa, sha wani talakawan of about 5% na mata.

shekaru Categories

Kullum ci gaba nelaktatsionnogo mastitis rinjayar mata tsakanin 15 da 60 shekara. A cikin wadannan shekaru iyaka wannan nau'i na mastitis, kamar yadda tsayayya wa lactation, bayyana kanta ba violently, kuma kwamin na tara rikitarwa kusan taba faruwa. A bambanci ga mata, da marasa lafiya a ce shekaru lokaci, dole mu yi koyi ga cu] anya da mastitis shekaru da yawa, saboda yana da sau da yawa zama na kullum relapsing form. Duk da haka nelaktatsionny mastitis iya shafar ba mata kawai ba, amma har maza, kuma jariran da biyu mata da maza.

etiology

Nelaktatsionny surkin jini mastitis yana da wani dangane da lactation, na faruwa gwada da wuya kuma sau da yawa ya sa da hargitsi a hormonal bango da kuma rage na rigakafi da martani ga cututtuka jamiái. Yawancin lokaci bayyana aya, ko biyu-gefe m kumburi da mammary gland.

bayanawa da dalilai

Yana kawai don haka ya faru da cewa mafi nelaktatsionny surkin jini mastitis tasowa a lokacin da mace jiki zai lalace hormonal ko rage rigakafi mayar da martani ga cututtuka jamiái. Yawanci, irin wannan lokaci ne kamar haka:

1. M rage yawan estrogen matakin, yayin da a lokaci guda wani gagarumin danniya na rigakafi da tsaro, bayyana kanta postklimakterii lokaci.

2. mafarki saurayi, tare da m hormonal matakin ne kuma ya zama mai iko da danniya domin kafa jiki, wanda halitta wani m asa ga ci gaban irin wannan maras so cututtuka. Bugu da kari, shi ne ya kamata a lura da cewa nelaktatsionny mastitis rinjayar ba kawai 'yan mata amma kuma boys a lokacin balaga.

3. Ya kamata a lura lokuta bayan kamuwa da cuta raunuka yi a kan nono ayyukan, misali, bayan da kafa da implant kau ko fibrocystic growths, rauni da nono, tare da matsawa ta kyallen takarda.

4. Ko da ya fi ganuwa zuwa ido fata rauni na nono ko nono iya sauƙaƙe shigar azzakari cikin farji daga kamuwa da cuta da kuma ci gaban nelaktatsionnogo mastitis.

siffofin da cutar

mun dauke da cutar yakan auku a biyu siffofin - m kuma na kullum. M nelaktatsionny mastitis ba tare dace magani a asibiti da kuma na isasshen far na bluetongue (infiltrative) form quite da sauri da kuma gwada da zare jiki ga mace za a iya canza kama zuwa wani surkin jini nelaktatsionny mastitis da musamman mai tsanani a lokacin da babu arin yi ba zai yiwu, da kuma zuwa ga hakan na aiwatar Ya zauna kan wani al'amari na kwanaki ko ma hours.

pathogenesis

A hali nelaktatsionnogo mastitis pathogens yawanci shiga cikin mammary gland shine yake via data kasance lalacewar da fata, wanda ake sa ta ko dai mai haɗari rauni, ko thermal injures, msl, ta amfani da heaters ko inadvertent konewa, da kuma wani lokacin saboda nono kananan pustules data kasance a kan fata . Sa'an nan da kwayoyin farko lalacewar subcutaneous mai Layer da kitsen kwantena na nono, sa'an nan na biyu hari da glandular nama.

Inda kasa mata da za a magance kullum nelaktatsionnym mastitis, wanda yawanci tasowa a lokacin da m mastitis bar undertreated, gano da farko alamun kyautata a cikin tattaunawa domin an daina likita wajabta kwayoyi da kuma hanyoyin. A irin haka ne, da komawa da mastitis zama m abokin mata, bayyana kansa a wata 'yar alamar hormonal gazawar, bayan hypothermia, danniya, ko kuma a karkashin general weakening na jiki ta defenses.

Nelaktatsionny surkin jini mastitis. cututtuka

A farkon m nelaktatsionnogo mastitis - a serous mataki, a lokacin da masana'anta da aka shafa thoracic gland shine yake sequentially impregnated da serous ruwa, kuma shi ne rayayye shigar da farin jini Kwayoyin - da mace kiwon fitowan a da jin zafi a cikin ƙirjinka, wanda za a iya palpated compacted ƙasar da hujjõji iyakoki a daya ko fiye da hannun jari. Jiki zafin jiki ya karu zuwa 37-38 ozoji., Da kuma a wasu lokuta har zuwa 39. Bugu da kari, a cikin wannan lokaci, wata mace na iya zama damuwa bayyana janar rauni. A musamman rare lokuta, da m auku serous ci gaba mataki da farko na maras wata-wata dawo, amma har muhimmanci mafi kusantar wajen samar da baya da serous infiltration mataki.

A infiltrative mataki a cikin shafa mammary gland shine yake hatimi kafa m ba tare da bayyana iyakokin ake magana a infiltrate. A wannan yanayin, da fata a kan inflamed infiltrate ba ya duba, edema a wannan yankin ba yanzu, da kuma gida da yawan zafin jiki ya zauna a cikin al'ada kewayo. Jiki zafin jiki ne ya karu, saboda aiki kwayan kayayyakin shiga jini daga lalace foci lactostasis ta hanyar ducts na nono. Shi ne ya zama wajibi da mace nemi magani domin mamologist, likitan mata ko likita da bayyanar da farko bayyanar cututtuka, ba tare da jiran su ci gaba da mika mulki a cikin surkin jini form. A catarrhal mataki mastitis aka bi musamman ma, kuma ba ya kunsa mai tsanani da rikitarwa, kamar yadda a cikin al'amarin nelaktatsionnogo surkin jini mastitis.

A cikin hali na rashin isasshen magani domin 5 kwanaki bayan infiltration mataki ke taka halaka, Ina nufin halaka su. Kumburi zama surkin jini, da kuma mammary gland shine yake zama cikakken kama soso, sharkaf ta hanyar da ruɓaɓɓen jini.

A hallakaswa mataki, wanda kuma aka sani da m surkin jini mastitis, janar mata tabarbarewa.Idan saboda gubobi daga mayar da hankali na surkin jini kumburi ci gaba da ciyar da a cikin jini. jiki zafin jiki ya ci gaba da kara da kuma shi ne yawanci a cikin tsawon 38-40 ozoji., kuma da shi girma da kuma kowa bayyanar cututtuka na maye. Buga da mammary gland shine yake ƙaruwa a size, shi ya zama siga. A fata a kan yankin na halaka zama ja, subcutaneous jijiyoyinmu dilate. Tare da kara zafi shi shimfidawa da hamata, kazalika da yankin Lymph nodes wajen sauri da hannu a cikin cututtuka tsari. A haƙuri zama ba barci da kuma abinci.

iri

Nelaktatsionny surkin jini mastitis, photos na wanda za a iya gani a likitanci kundayen, na bukatar m m, a ganewar asali.

Wadannan irin shi:

1. abscessed Mastitis, wanda aka halin a cewa a cikin shafa mammary gland shine yake abscesses babban adadin - na cavities cewa suna cike da ruɓaɓɓen jini. Yawancin lokaci yayin da a cikin infiltration yanki za a iya palpated softening ko jin karkashin yatsun da kyalkyali da probing ruwa - kyau alama hawa da sauka (a 99% na lokuta).

2. Mastitis infiltrative abscessed. Shi ne da tsanani, fiye da gabanin daya. M infiltrate kunshi yawa kananan abscesses sosai daban-daban masu girma dabam da kuma siffofi, don haka ne tabbatacce alama hawa da sauka a kawai 5% da marasa lafiya. Irin wannan infiltration daukan yawanci ba fiye da biyu nono quadrants.

3. Mastitis ƙurji. A wannan yanayin, da ƙirjin da aka kara girman da kuma bayyana kaucewa kumbura. Fata na shafa nono sosai ja (kuma lokaci-lokaci bluish-ja), siga, tare da inverted nonna. Palpation na prostate ne musamman m hawa da sauka m alama. A fiye da rabi daga cikin marasa lafiya surkin jini rauni kara akalla uku quadrants.

4. gangrenous mastitis ne yawanci tare da wani rauni na jini da kuma aiki thrombosis. Tun da al'ada jinin samar da nono zama ba zai yiwu ba, ci gaba necrosis. Kamar wancan baƙin ƙarfe ne da yawa ƙãra, a kan bãyan tẽkun, akwai kuri'a na nama necrosis, kumfa wanda suna cike sanies fata ya zama bluish-purple. Kumburi maida hankali ne akan dukan nono. A wannan lokacin, da yanayin marasa lafiya ne musamman nauyi, da hankali ta wãyi rikita, tachycardia ƙaruwa a kan backdrop da ragewan jini. A jini kafa bayyananne hoto na sepsis. Hakika, a wannan mataki na hadarin da rai na haƙuri zama musamman manyan.

gudanar far

Idan kamu "nelaktatsionny surkin jini mastitis", da magani na iya zama duka gudanar da kuma ra'ayin mazan jiya.

Direct nuni ga m baki ne duk hallakaswa siffofin dauke da kwayar cutar-kumburi tsari, surkin jini-catarrhal mastitis, ãyõyin wanda aka bayyana a sama.

A cikin akwati inda magani na kwana biyu babu gagarumin ci gaba ne yawanci hukunci a kan gaban surkin jini tsari a cikin ƙirjinka, wanda shi ne mafi kai tsaye nuni ga m baki, wanda aka samar kawai a wani asibiti yanayi, yawanci a karkashin janar igiyar jini maganin sa barci.

tausasãwa na ayyukan

A lokacin aiki da ƙurji da aka bude a hankali tsabtace daga dukkan abin da ba mai yiwuwa nama yana excised da kuma cire. Kamar wancan ne gaba daya shafe suppurative mastitis. The aiki ne yawanci sauƙi jure da mata. Bayan da baki na mammary gland shine yake ake bukata ka shigar drains to drip wanke rauni, kuma kada su bayar da kwayoyin cuta ko wani kankanin damar kunna. Drip rauni lavage aka yi 5 to 12 kwana, wanda yayi dace da cimma mai kyau overall haƙuri matsayi da kuma bacewar wash ruwa fibrin, ruɓaɓɓen jini da kuma necrotic barbashi.

Far bayan tiyata

Har ila yau, bayan da aiki ne da za'ayi miyagun ƙwayoyi far da nufin tabbatar da cewa maza maza da sosai kawar da gubobi da kuma gyara keta cewa sun ci gaba a kan bango na surkin jini tsari. Ake bukata maganin rigakafi an sanya (intramuscularly ko intravenously). Yawanci wannan cephalosporin shirye-shirye na, II, ko a yanayin saukan shiga wata sakandare kamuwa da cuta - III-IV tsara.

Nelaktatsionny suppurative mastitis: magani ba tare da tiyata.

Conservative magani mai yiwuwa ne kawai a lokacin da janar yanayin da marasa lafiya ya zauna mun gwada m, cuta yana ba fiye da kwanaki uku, da yanayin jiki bai wuce 37.5 g., Local bayyanar cututtuka na surkin jini kumburi ne ba ciwo a cikin tsinkaya daga matsakaiciya infiltration, infiltration ba detectable a fiye da daya quadrant na nono, da kuma a cikin general bincike na jini ba gina wani hoto na m kumburi.

Mafi sau da yawa mata nemi taimakon likita a cikin matakin farko na mastitis - serous ko infiltrative, inda zai yiwu, da kuma quite tasiri ra'ayin mazan jiya magani. A farko wuri, yakan haifar da wani arziki daga cikin sauran shafa nono, ga abin da mata suna karfafa su matsa kasa aiki, sa sako-sako da zane rigar mama ko bandeji, da wanda ba za ka iya yi da goyon baya ga mãsu haƙuri kirji, amma ba ya damfara da shi, don haka kamar yadda ba su tsokane da ci gaban da aiwatar. Domin manufar daukan hotuna zuwa dauke da kwayar cutar jamiái ake bukata an sanya maganin rigakafi ( "Cephalexin" "Cefixime" "Levofloxacin") zai kullum a gudanar intramuscularly a allurai ba wucewa sredneterapevticheskih. Bugu da kari maganin rigakafi, don rage kumburi da kuma kumburi, desensitization na jiki ne da za'ayi tare da antihistamines karshe a zamaninsu, ba su haifar da sleepiness a wani haƙuri, kuma ga rage illa.

Bugu da kari ga "nauyi manyan bindigogi" a ta jiki ta defenses sanya B bitamin da kuma bitamin C. A cikin taron cewa komawa da baya daga cikin kumburi tsari ba sa zuwa, wani yini kara zuwa duban dan tayi far da UHF, wanda kuma ya inganta a speedy ƙuduri na infiltration da kuma maido da na halitta matakai a cikin mammary gland shine yake.

Ka kula da kanka, sani na wannan insidious cuta kamar nelaktatsionny surkin jini mastitis. Jiyya na iya zama ba yana nufin wuya, idan ka fara da shi a farko, saukarwa. Ina so ku kiwon lafiya!