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🏥kliniki*

Hidradenitis (“bitch udder”): causes, treatment and when surgery is needed

Boshqa nomlari: Гидраденит, сучье вымя, воспаление потовой железы под мышкой, гнойный гидраденит, инверсные акне, болит шишка под мышкой, хронический гидраденит

Hidradenitis is a purulent inflammation in the area of ​​apocrine sweat glands - in the armpits, groin, perineum, under the breasts. Popularly, the acute form is called “bitch udder”: a painful, dense nodule forms under the skin, which turns red, softens and can burst open with the release of pus. In addition to acute hidradenitis associated with bacterial infection, there is chronic hidradenitis suppurativa, or acne inversions. This is an immunoinflammatory disease of the hair follicles with recurring nodules, fistulas and scars, exacerbations of which are provoked by smoking, excess weight and friction. The acute process usually heals quickly, but the chronic form requires long-term observation by a dermatologist and sometimes surgical treatment.

🧾 XKT-10: L73.2 🏥 Qayerda davolanadi: 6 Armpits, groin, crotchDo not heat or squeezeSurunkali shakl faqat infektsiya emas
👨‍⚕️ Qaysi shifokor
Dermatologist, surgeon
🔬 Diagnostika
Examination, culture of pus, blood glucose, ultrasound of soft tissues as indicated
💊 Davolash
Antibiotiklar, xo'ppozni ochish; in the chronic form - long-term therapy and excision of lesions
📈 Prognoz
O'tkir shakl davolanadi; chronic occurs with exacerbations, but can be controlled
⚠️ Xavf guruhi
Smoking, overweight, diabetes, friction, sweating, shaving underarms
⏱ Qachon murojaat
Urgent for abscess; surunkali kurs uchun rejalashtirilgan

🚨 Shoshilinch shifokorga murojaat qiling

Quyidagi belgilarda kutib turmang — bu holat shoshilinch yordam talab qiladi.

  • Температура выше 38 °C, озноб
  • Быстро растущий очень болезненный узел
  • Покраснение, распространяющееся на окружающую кожу
  • Красная полоса от очага и болезненные лимфоузлы
  • Узлы постоянно возвращаются в одних и тех же местах
  • Свищи с постоянным выделением гноя

O'tkir va surunkali hidradenit

Acute hidradenitis develops when bacteria, most often Staphylococcus aureus, enters the ducts of the sweat glands through microtrauma. The process is usually single and does not return after treatment. Chronic hidradenitis suppurativa is structured differently: it begins with a blockage of the hair follicle and inflammation, in which the immune system plays a major role, and bacteria are added secondarily. This form often appears after puberty, lasts for years with exacerbations and leads to the formation of passages under the skin and scars.

  • O'tkir hidradenit suppurativa - bitta xo'ppoz
  • Chronic hidradenitis suppurativa (acne inversions)
  • Oson bosqich - fistulasiz individual tugunlar
  • O'rtacha - oqma bilan takrorlanuvchi xo'ppozlar
  • Og'ir - birlashuvchi jarohatlar va chandiqlar

Sabablari va xavf omillari

Sweating, friction from clothing, cuts from shaving, deodorants that irritate the skin, and reduced immunity predispose to acute inflammation. The chronic form is associated with hereditary predisposition, hormonal influences, smoking and obesity. Excess weight increases friction and moisture in the folds, and smoking increases follicle blockage. The disease is not associated with uncleanliness and is not transmitted from person to person, although patients are often embarrassed by this and consult a doctor late.

  • Chekish
  • Ortiqcha tana vazni
  • Qandli diabet
  • Qo'ltiqlarni soqol olish va epilasyon
  • Tight synthetic clothing
  • Heredity

Semptomlar

First, a dense, painful nodule under the skin appears in the armpit or groin, which itches and interferes with movement. Over the course of a few days, it enlarges, the skin above it turns red and acquires a bluish tint, and the node fuses with it and resembles an udder. Then softening appears in the center, and the abscess can open with the release of thick pus. In the chronic form, the nodes reappear, passages are formed connecting the lesions, paired black dots and retracted scars.

  • Katlamada og'riqli qattiq tugun
  • Terining qizarishi va shishishi
  • Yiringni yumshatish va chiqarish
  • Qo'l harakatining cheklanishi
  • Xo'ppoz bilan birga haroratning oshishi
  • Surunkali oqmalar va chandiqlar

Diagnostika

Tashxis tugunlarning xarakterli joylashuvi va turiga qarab tekshiruvdan so'ng amalga oshiriladi. Shifokor qancha kuchayganligini, oqma va chandiqlar bor-yo'qligini, bemor chekadimi yoki diabet bor-yo'qligini aniqlaydi. Yiringni madaniyati kurs barqaror bo'lsa, antibiotikni tanlashga yordam beradi. Yumshoq to'qimalarning ultratovush tekshiruvi xo'ppoz va teri osti yo'llarining hajmini ko'rsatadi, bu operatsiyadan oldin muhimdir. Hidradenitni qaynoq, yallig'langan ateroma, limfadenit va perineumning shikastlanishi bilan Kron kasalligidan ajratish kerak.

  • Dermatolog yoki jarroh tomonidan tekshiruv
  • Mikroflora va sezuvchanlik uchun tushirish madaniyati
  • To'liq qon ro'yxati va glyukoza
  • Yumshoq to'qimalarning ultratovush tekshiruvi
  • Surunkali jarayonning bosqichini baholash

Davolash va oldini olish

O'tkir hidradenitning dastlabki bosqichida shifokor antibiotiklar va mahalliy antiseptiklarni buyuradi. Yetuk xo'ppoz jarroh tomonidan ochiladi va drenajlanadi; Siz tugunni o'zingiz siqib chiqara olmaysiz yoki teshib bo'lmaysiz, shuningdek retseptisiz iliq kompresslarni qo'llay olmaysiz. Surunkali shakl uzoq vaqt davomida davolanadi: yallig'lanishga qarshi antibiotiklar kurslari, mahalliy vositalar va og'ir holatlarda - genetik muhandislik preparatlari bilan. Fistulalar bilan takrorlanuvchi jarohatlar jarrohlik yo'li bilan kesiladi. Chekishni tashlash va vazn yo'qotish kursni sezilarli darajada yaxshilaydi.

  • Tugunlarni siqmang yoki teshmang
  • Chekishni to'xtating
  • Agar siz ortiqcha vaznga ega bo'lsangiz, vazn yo'qoting
  • Keng paxta kiyimlarini kiying
  • Sochni ehtiyotkorlik bilan olib tashlang yoki soqolni vaqtincha to'xtating
  • Qandli diabetda shakar darajasini nazorat qilish

Tegishli xizmatlar va narxlar

Klinikalarning rasmiy prays-varaqlaridan. Aniq narx ko'rikdan keyin belgilanadi.

💊 Davolash

Ko'p beriladigan savollar: Hidradenit ("kaltak yelin")

Hidradenitni jarrohlik qilmasdan davolash mumkinmi?+
Dastlabki bosqichda o'tkir hidradenit ko'pincha antibiotiklar va mahalliy vositalar bilan davolanadi. Agar yiringli xo'ppoz allaqachon shakllangan bo'lsa, jarrohlik ochilishi kerak - odatda kichik ambulatoriya muolajasi. Surunkali shaklda doimiy oqma va chandiqlar uchun jarrohlik talab etiladi.
Nima uchun hidradenit qaytib keladi?+
Xuddi shu joylarda takroriy tugunlar surunkali hidradenit suppurativa uchun xarakterlidir, bu nafaqat infektsiya, balki soch follikulalarining yallig'lanishi bilan bog'liq. Kasallikning kuchayishi chekish, ortiqcha vazn, ishqalanish va terlash bilan qo'llab-quvvatlanadi. Ushbu kurs dermatolog tomonidan uzoq muddatli davolanishni talab qiladi.
"Kichikning elini" ni isitish mumkinmi?+
Yallig'langan tugunni o'zingiz isitish tavsiya etilmaydi: agar yiring hosil bo'lsa, issiqlik infektsiyaning tarqalishiga yordam beradi. Har qanday muolajalar, shu jumladan fizika terapiyasi, tekshiruvdan so'ng shifokor tomonidan belgilanadi. Siz ham tugunni siqib chiqara olmaysiz.
Hidradenit yuqumlimi?+
Yo'q Surunkali hidradenit suppurativa boshqa odamlarga o'tmaydi va o'tkir shakl ko'p odamlarning terisida yashaydigan bakteriyalar bilan bog'liq. Biroq, agar yiring bo'shatilsa, siz alohida sochiqni ishlatishingiz va qo'lingizni yaxshilab yuvishingiz kerak.
Qo'ltiq ostidagi shish uchun qaysi shifokorga murojaat qilishim kerak?+
Og'riqli pishgan tugun bilan - agar kerak bo'lsa, xo'ppozni ochadigan jarrohga murojaat qiling. Takroriy yallig'lanishlar uchun dermatologga murojaat qiling. Qizarishsiz og'riqsiz shish ham shifokorga ko'rsatilishi kerak, chunki bu kattalashgan limfa tugunlari bo'lishi mumkin.

Materialda keltirilgan ma'lumot ma'lumot xarakteriga ega va shifokor maslahatini almashtirmaydi. Tashxis va davolash usulini faqat malakali shifokor ko'rikdan keyin belgilaydi.

Hidradenit ("kaltak yelin"): Toshkentda qayerda davolanadi

При созревшем абсцессе нужен хирург, а при повторяющихся узлах — дерматолог, который подберёт длительное лечение. Klinikalar Ташкента с дерматологами:

Toshkent sh., Mirobod tumani, ko'ch. Oybek, 34d
M Toshkent 🚶 550 m
M Oybek 🚶 850 m
M Kosmonavtlar 🚶 1.3 km
🚌 Yaqin bekat 🚶 150 m · avtobuslar: 22
Toshkent sh., Shayxontour tumani, 10d. Belgisi: Labzak
M Minor 🚶 900 m
M Bodomzor 🚶 1.0 km
M Abdulla Qodiriy 🚶 1.3 km
🚌 Yaqin bekat 🚶 320 m · avtobuslar: 35
Пн–Пт:09:00–17:00
Hozir yopiq
Toshkent, Olmazor Tumani, Kichik xalqa yo'li 5 "A" y
M Beruniy 🚶 500 m
M Tinchlik 🚶 1.1 km
M Chorsu 🚶 2.9 km
🚌 Yaqin bekat 🚶 190 m · avtobuslar: 31, 34
Пн–Пт:08:30–17:00
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Zulfiyaxonim ko'chasi, 18-uy
M Alisher Navoiy 🚶 1.1 km
M G'afur G'ulom 🚶 1.3 km
M Abdulla Qodiriy 🚶 1.7 km
🚌 Yaqin bekat 🚶 90 m · avtobuslar: 35
Пн–Сб:00:00–24:00
Hozir ochiq
Toshkent shahri, Mirzo-Ulug'bek tumani, Buyuk Ipak yo'li, 131A uy. Diqqatga sazovor joylar...
M Buyuk Ipak Yo'li 🚶 200 m
M Pushkin 🚶 1.8 km
M Hamid Olimjon 🚶 2.8 km
🚌 Yaqin bekat 🚶 70 m · avtobuslar: 1, 24
Пн–Пт:09:00–17:00
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Toshkent sh., Mirobod tumani, ko'ch. Nukusskiy, 14d
M Choshtepa 🚶 2.8 km
M O'zgarish 🚶 3.2 km
M Oybek 🚶 3.6 km
🚌 Yaqin bekat 🚶 280 m · avtobuslar: 9Т, 12
Пн–Пт:09:00–17:00
Hozir yopiq

XKT-10 (MKB-10) kodi

Xalqaro tasnifdagi rasmiy kodlar — tibbiy hujjatlar va statistikada shu kod yoziladi.

Boshqa kasalliklar: Dermatologiya

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