Nelaktatsionny purulent mastitis: Symptoms a me ka iapaau ana

Purulent mastitis - i ka loa a me ka paʻakikī kaʻawaʻawa loa no ka wahine i ka maʻi. I kaʻino o kona 'ano apau loa - nelaktatsionnomu purulent mastitis - mākou e uku kuikawa noonoo i keia la, no ka mea, na wahine ka ola - ka papa kuhikuhiE ana no ke ola a me ka pomaikai o ka lahui.

Mōʻaukala o ka noiʻi

No kahiko hala ka pohihihi keia wahine i ka ike ana o ka pā o ka maʻi, i anciently kapa mastitis, a ma hope, uaʻikeʻia me mastitis. A ole ia he mea hihiu, mai olelo mai pathology, i mea he nunui infectious li nui i loko o ka umauma, akā nō hoʻolaha i kaʻeleu ka hoʻonuiʻana, pinepine kūpono ma ka purulent lesion nae glandular kino umauma a me ka puni'aʻaʻa, a laila, i ka sepsis mai -this generalization o infectious kaʻina.

subtleties 'ikepili helu

Ma kēia mastitis hiki ke maheleia i lactation, i ka wa a ka mammary gland mea? Iecaianoaaiiuo o ka waiu (loa pinepine purulent mastitis breastfeeding), a me ka nelaktatsionny, a mākou makemake i ka olelo e pili ana i keia la. E like me nā 'ikepili helu o na makahiki hope, i loko o 90-95% o ka hoike hihia o ka mastitis e hoʻomohala i loko o ka postpartum au, nelaktatsionnym like mastitis, i ua ole pili me ka hāpai keiki, a hānau, e ae mai oe i ka awelika o kahi o 5% o na wahine.

makahiki waeʻano

Maʻamau ulu nelaktatsionnogo mastitis e loli ai na wahine ma waena o 15 a me 60 makahiki o ka makahiki. I kēia mau makahiki mokuna i kēiaʻano o ka mastitis, i kū'ē i ka lactation, hoike mai ai ia ia iho i lawe wale, a me ka septic complications aneane loa ana. Akä naÿe, e na wahine, i ka poe mai ma ka la makahiki au, mākou i ke aʻo i coexist me ka mastitis no na makahiki, no ka mea, he maʻi relapsing palapala ia pinepine lilo. Eia naʻe nelaktatsionny mastitis mea e loli i nā wāhine,ʻaʻole wale nō akā, i na kanaka, a me nā keiki o nā sexes.

etiology

Nelaktatsionny purulent mastitis mea i pili me ka lactation, ia lŘlŘ kŘpa a kākaʻikahi a pinepine, kena ae la ka haunaele ma hormonal kāʻei kua a me ka emi ana o ka'ōnaehana paleʻea pane i infectious konohiki. Ana kāheaʻia single- a papalua-mńlualua e holumua ai li nui o ka mammary glands.

ka pae'āina i ke kumu

Ua pono no laila i hiki mai ai i ka hapanui nelaktatsionny purulent mastitis e hoʻomōhala ana i ka wā o ka wahine kino ua o Nyos hormonal paha hoemi'ōnaehana paleʻea pane i infectious konohiki. Nō kāu, i na manawa e like penei:

1. nunui ho'ēmi i kā estrogen pae, oiai ma ka ia manawa he nui suppression o ka'ōnaehana paleʻea iho, hoike mai ai ia ia iho postklimakterii wā.

2. Puberty teenager me kona poe lolelua ka hormonalʻilikai ua no hoi e lilo ai kekahi stress ikaika no ka ho okumu i ke kino, i hana i ka momona lepo no ka hooulu ana i ia mau hua'ōlelo i makemake illnesses. Eia hou, e pono ke kūʻai 'ana i kumumanaʻo i nelaktatsionny mastitis e loli ai kaikamahine,ʻaʻole wale nō akā, i nā keikikāne i puberty.

3. Ua E e kaulana hihia ma hope maʻiʻaʻai eha hana ma ka umauma ana, no ka laʻana, ma hope o ka holo ana o ka e kanu pūʻia pōpilikia 'ana a me ka ulu o ke fibrocystic, trauma umauma, pu ma ka mīkini'opihia o kona nā'aʻaʻa.

4. O ka loaʻike makaʻole i ka maka ili trauma o ka umauma a me ka nipple ke kōkua i ka anal o ka maʻiʻaʻai a me ka hooulu ana o nelaktatsionnogo mastitis.

ano o ka maʻi

mākou i noʻonoʻo i ka maʻi ana ia lŘlŘ i loko o nā 'ano apau loa - huʻi a me ka maʻi. Huʻi nelaktatsionny mastitis me ka 'eleu lapaau i loko o ka haukapila, a no e pono Inc o bluetongue (infiltrative) palapalaʻano koke a kŘpa a mālie no i kekahi wahine ke ke iho i loko o ka purulent nelaktatsionny mastitis me ka loa loa ka wā hiki ole hospitalization hana hou, a me ka generalization o ke kaʻina Ua koe i ka mea o ka lā a hiki hola.

pathogenesis

I Ina nelaktatsionnogo mastitis pathogens nō kāu komo iloko o ka mammary gland Via na poho o kaʻili, a i ke kumu e kekahi accidental poino, a thermal iki, e laʻa me, ka hoʻohana 'ana heaters a inadvertent'ā, a me kekahi manawa, ma muli o ka umaumaʻuʻuku pustules na ma luna o ka ili . A laila, i ka koʻohune mua poino subcutaneous momona, ahu iho a me ka momona mea hōʻikeʻikeʻuʻuku o ka umauma, a laila, i ka lua o ka hoouka i ke glandular'aʻaʻa.

Where emi na wahine i ka hana me ka maʻi nelaktatsionnym mastitis, a IeAUPIIe, IAa IO e hoʻomōhala ana i ka wā huʻi mastitis haʻalele undertreated, loaa ka hoailona mua o ka hana i loko o ka hoopaapaa ana no ka discontinuation kauka i hoakaka ia ai 'a me nā kaʻina hana. Ma na hihia a pau, i ka recurrence o mastitis i kekahi mau hoa o ka wahine, hoike ana 'ku ia ia iho ma ka mea iki hormonal ole, ma hope o hypothermia, stress, a me ka wā o ka nui i mea hoʻonāwaliwali maoli o ke kino i ka pale aku ia lakou.

Nelaktatsionny purulent mastitis. symptoms

I ka hoʻomaka o ka huʻi nelaktatsionnogo mastitis - ma serous ke kahua, ka wā o ka lole ua loli thoracic gland sequentially impregnated me serous loli, a me ka mea, ua 'Imi komo i ke keʻokeʻo koko keena - ka wahine hoailona o ka muli i ka eha ma ka umauma, a hiki ke palpated kana olelo hoopomaikai aina me ka hala ole palena ma kekahi a oi puu. Kino mahana mahuahua i 37-38 E hoaahu iho oz., A ma kekahi manawa i ka 39. Eia kekahi, i loko o kēia wā, he wahine paha e pili ana i hoike mau nawaliwali. I loa pohihihi keia hihia, ke ku pono ia lŘlŘ serous kūpono 'ana ke kahua, a me ka hoouka kaua o ka noho'na makaainana i ulu ke ola, akā, no hoi me ka nui loa aku paha i ka hoʻomōhala ma hope o ka serous infiltration ke kahua.

Ke infiltrative mua i loko o ka loli ana o mammary gland o ka wepa i hana eha me ka hala ole palena haawiia infiltrate. Ma keia hihia, i kaʻili ma luna o ka wela ai infiltrate aʻole e nana, edema i loko o kēia māhele 'āina mea i ike, a me ka kūloko ana wela koe i loko o ka maʻamau laulā. Kino wela ua mahuahua, ma muli o kaʻeleu mea koʻohune huahana komo i loko o ke koko mai ka pōʻino, ua make foci lactostasis ma ducts o ka umauma. He mau Kuleana i ka wahine imi 'inikua noonoo no ka mamologist, gynecologist a surgeon me ke ano o na symptoms mua, me ke kali ana no kā lākou holomua a me ka hoʻololi i loko o ka purulent palapala. Ke catarrhal ke kahua mastitis ua hana loa maikaʻi, a 'aʻole i entail loa complications, e like me ia ma ka hihia nelaktatsionnogo purulent mastitis.

Ma ka hihia o ka nele o ka pono lapaʻau no 5 mau lā ma hope o infiltration anu u hele e pani ka make, a laila i ka lukuia'na. Li nui i purulent, a me mammary gland lilo loa similarity huahuakai,ʻona nō ma me ka pus.

Ka luku mua, a ua iʻikeʻia me huʻi purulent mastitis, mau wahine deteriorates no ka mea, toxins mai ka pulakaumaka o purulent li nui noke hanai aku i loko o ke koko. i ke kino mahana mau e hoonui a me ka mea i hookuu ia ma ke au o 38-40 oz., a me ka mea ulu a me na symptoms o intoxication. Luku aku la ma ka mammary gland, piʻi pū me ka nui, e lilo ia Makamae. Ka ili ma luna o ka wahi o ka make i ulaula, subcutaneous aa koko dilate. Me ka hoʻouluʻeha e hohola i ka armpit, like hoʻi me nā 'āina' lymph aka wahi aho koke 'ole i loko o ka infectious kaʻina. Ke hoomanawanui i ole i ka hiamoe a me ka ai.

ano

Nelaktatsionny purulent mastitis, kiʻi o ka i hiki ke ike i ka 'inikua nā palapala kuhikuhi, pono kupono hoʻokokoke ma kaʻike,.

ʻO kēiaʻano likeʻole o ka mea:

1. abscessed Mastitis, a ua wehewehe aku i loko o ia i loko o ka loli ana o mammary gland abscesses he nui nui - o cavities mea i piha me ka pus. I hookuu ana i loko o ka infiltration āpana hiki ke palpated i hoopalupaluia, a haha aku ma lalo o ka manamana sparkling me probing loli - maikaʻi symptom fluctuations (i loko o 99% o ka hihia).

2. Mastitis infiltrative abscessed. His Ua oi loa ma mua o ka māhele ma mua o kekahi. Anuanu infiltrate ninoieo o na mea he nui uuku abscesses loa okoa nui like 'ole a me nā kinona, pela mea maikaʻi symptom fluctuations ma wale 5% o nā mea maʻi. Oia infiltration i IeAUPIIe, IAa IO i oi aku mamua o elua umauma quadrants.

3. Mastitis abscess. Ma keia hihia, o ka umauma ua ho'ākeaʻia, a kāheaʻia ihola ia pehu. I ka ili o ka loli ana o umauma loa ulaula (a me kēlā wā i kēia wā bluish-ula), Makamae, me ka Kuapo nipples. Palpation o ka prostate ka loa ola fluctuations maikaʻi symptom. Ma oi ma mua o ka hapalua o ka hoʻomanawanui iki mai purulent lesion kŰlń ao ma ka liʻiliʻi loa ekolu quadrants.

4. gangrenous mastitis ua ana pu ma ka lesion o na moku ke koko a me kaʻeleu thrombosis. No ka mea maʻamau koko lako i ka umauma i hiki ole, hoʻomōhala necrosis. Pela hao ua nunui, a mahuahua nui, ma kona ili honua, he mau puu o ka'aʻaʻa necrosis, Oe i i piha sanies ili i bluish-poni. Aat i uhi i ka umauma holoʻokoʻa. I loko o kēia wā, i keʻano o nā mea maʻi i loa kaumaha, ka naʻau lilo pioloke, tachycardia, piʻi pū e kū'ē i ka backdrop o hookuu iho ke koko. I ke koko i hana i ka maopopo kiʻi o ka sepsis. O ka holo ana, ma keia kahua o ka pilikia a hiki i ke ola ana o ka hoʻomanawanui i'āina nui.

operative Inc

Inā diagnosed "nelaktatsionny purulent mastitis", kona lapaʻau hiki e nā operative a me ka makeʻe kulana.

Direct PAaIEN no kaʻoki lāʻau lapaʻau 'uao mea a pau luku ano o infectious-hoʻoʻino kaʻina, purulent-catarrhal mastitis, na hoailona o ka i i ho'ākāka' ia ma luna.

Ma ka hihia ma ka lapaʻauʻia no nā lāʻaʻohe nui hou ana ua ana ua hookolokoloia mai nei ma luna o ke alo o ka purulent kaʻina hana i loko o ka umauma, i mea ka loa pololei PAaIEN noʻoki lāʻau lapaʻau 'uao, a ua hua mai la wale nō i loko o ka haukapila papa, IeAUPIIe, IAa IO lalo mau intravenous anesthesia.

subtleties o ana

Iloko o ka hana o ka abscess ua wehe akahele hoʻomaʻemaʻeʻana mai ua excised pau ole-viable'aʻaʻa, a wehe. Pela loa eliminated suppurative mastitis. Ke hana ua IeAUPIIe, IAa IO hikiwawe tolerated e na wahine. Ma hope o ka piʻiʻana o ka mammary gland ua koi 'ia e hoʻouka auwai e drip, e holoi i ka eha a me ka ole, e haawi koʻohune a hiki i ka moku pomaikai e haʻalele. Drip'ōwili lavage ua hana 5 i 12 mau lā, a hoʻopili like i ka hoʻokō 'ana aku i ka pono nohona ma ahonui kūlana haʻahaʻa a me ka nalowale o ka holoi wai fibrin, pus a me necrotic (particles).

Inc ma hope oʻoki kino

Nō hoʻi ma hope o ua lawe mai i ka hana lāʻau Inc i AIM e hōʻoia i ka hikiwawe e loaa ana a me ka loa hoʻopau toxins, a hooponopono i ka 'aʻe' ana i hoʻomohala ma luna o ke kāʻei kua o ka purulent kaʻina. Koi antibiotics i ia (intramuscularly paha intravenously). IeAUPIIe, IAa IO keia cephalosporin hoomakaukau au, II, a ma ka hihia o ka hui ana i kekahi haumāna maʻiʻaʻai - III-IV hanauna.

Nelaktatsionny suppurative mastitis: lapaʻau meʻoki kino.

Makeʻe kulana lapaʻau Ua hiki wale i ka wa a ke hoʻomanawanui i ka mau ana koe kŘpa a kupono, i ka maʻi mau i oi aku i na la ekolu, i ke kino mahana, aole ia i oi aku mamua o 37,5 g., Local symptoms o ka purulent li nui mea i eha ma ka wānana o ka lōpū infiltration, infiltration mea i detectable ma ka oi ma mua o kekahi quadrant o ka umauma, a ma ka nui ka Ikepili o ke koko, aole ia e kūkulu i kekahi kiʻi o ka holumua ai li nui.

Loa pinepine na wahine imi 'inikua kōkua ma nā kahua o ka hoʻonaʻauao loiloi mua o ka mastitis - serous paha infiltrative, kahi e hiki, a pau loa ka hoʻokō makeʻe kulana lapaau. Ma ka wahi mua, ka mea hoʻohuʻu heʻai o ka koena o ka loli ana o umauma, no ka a na wahine i hooluoluia mai ai e hoʻoneʻe emiʻeleu, kapa moe kolohe lole Lei paha lole wili, me ka i oe ke hoʻokō i kākoʻo no ka mea hoʻomanawanui pahu, akā, 'aʻole e oOeEIAOO ia, no laila, i ole, e hoʻonāukiuki aku i ka Holomua o ke kaʻina. No ka mea o ka waiū i infectious Luna koi 'ia e ia antibiotics ( "Cephalexin" "Cefixime" "Levofloxacin") e ano laulā, e lawelawe intramuscularly i loko o nā māhele i oi aku sredneterapevticheskih. Ma waho aʻeo ia antibiotics, e ho'ēmi i li nui a me ka nani, ua lawe mai desensitization o ke kino me ka antihistamines hope hanauna,ʻaʻole i ka i sleepiness ma ke ahonui, a me kńʻaoʻao loa.

Ma waho aʻeo ia ka "kaumaha mea kaua" e hoʻoulu i ke kino i ka pale aku ia lakou koho B nā wikamina a me ka wikamina C. I ka hanana i ka regression o ka hoʻoʻino kaʻina, aole ia e ole e hele mai ana, i ka lā i hoʻohuiʻia i ka ultrasound Inc a me ka UHF, a i ka paipai 'ana i ka māmā olelo hooholo o ka infiltration a me ka hoihoi hou ia ana o maoli keʻano o ka hanaʻana i loko o ka mammary gland.

E malama ana oe ia oe iho, e ike no keia insidious maʻi e like nelaktatsionny purulent mastitis. Lapaʻau hiki ia ma ka ole o ia hoʻi, wahi pilikia, ina e hoʻomaka ia i ka wā kahua o ka hoʻonaʻauao. I makemake oe ola!