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Чаще всего возбудителем выступает стафилококк, реже — кишечная палочка и стрептококк [2](https://ProBolezny.ru/abscess-yagodicy/). \n\nАбсцесс может быть как острым, так и хроническим, в зависимости от продолжительности воспалительного процесса [3](https://Uniclinic.ru/tsentr-hirurgii/gnoynaya-khirurgiya/abstsess-myagkih-tkaney/).\n\n\n\n## Причины\n**Основная причина** — бактериальная инфекция, которая проникает в ткани через повреждённую кожу и воспалённые волосяные фолликулы [2](https://ProBolezny.ru/abscess-yagodicy/). Иногда патоген попадает в ткани ягодицы через кровоток или лимфатическую систему, распространяясь из очагов инфекции в других органах [2](https://ProBolezny.ru/abscess-yagodicy/). \n\n**Факторы риска**: \n* медицинские манипуляции — нарушение техники и правил стерильности при проведении инъекции, блокады или пункции [2](https://ProBolezny.ru/abscess-yagodicy/); \n* инородные тела мягких тканей — занозы, осколки стекла и другие предметы, попавшие в ягодицу, являются источниками патогенных бактерий [2](https://ProBolezny.ru/abscess-yagodicy/); \n* различные заболевания — например, сахарный диабет, онкологические патологии, болезни крови [2](https://ProBolezny.ru/abscess-yagodicy/).\n\n## Симптомы\n**Некоторые симптомы абсцесса ягодицы**: \n* боль, припухлость, уплотнение [2](https://ProBolezny.ru/abscess-yagodicy/); \n* покраснение и повышение температуры в месте воспаления [2](https://ProBolezny.ru/abscess-yagodicy/); \n* нарушение функции поражённой области — например, дискомфорт при сидении [8](https://mriyalife.ru/about/blog/abtsess/). \n\n**При больших абсцессах** продукты разложения тканей и фрагменты бактерий могут попадать в кровоток, вызывая интоксикационный синдром — повышение температуры тела, озноб, общую слабость, головную боль [8](https://mriyalife.ru/about/blog/abtsess/).\n\n## Диагностика\n**При подозрении на абсцесс ягодицы необходимо обратиться к хирургу** [4](https://marino-medicina.ru/poleznaya-informaciya/hirurgiya/abscess-yagodicy/)[11](https://www.zdorovo365.ru/abscess-kozhi-i-myagkih-tkanej-simptomy-diagnostika-lechenie-prichiny.html). Некоторые методы диагностики: \n* **Осмотр** — выявление характерных признаков (гиперемия, флюктуация) [5](https://BestClinic.ru/diseases/postinektsionnyy-abstsess/). \n* **УЗИ мягких тканей** — определяет размеры гнойной полости, глубину поражения [5](https://BestClinic.ru/diseases/postinektsionnyy-abstsess/). \n* **Общий анализ крови** — лейкоцитоз и повышенное СОЭ подтверждают воспаление [5](https://BestClinic.ru/diseases/postinektsionnyy-abstsess/). \n* **Бактериологический посев отделяемого** — для определения возбудителя инфекции и его чувствительности к антибиотикам [11](https://www.zdorovo365.ru/abscess-kozhi-i-myagkih-tkanej-simptomy-diagnostika-lechenie-prichiny.html).\n\n## Лечение\n**Лечение абсцесса ягодицы заключается в удалении содержимого гноя и устранении инфекции** [2](https://ProBolezny.ru/abscess-yagodicy/). **Чаще всего** — хирургическое вскрытие и при необходимости — дренирование гнойника [11](https://www.zdorovo365.ru/abscess-kozhi-i-myagkih-tkanej-simptomy-diagnostika-lechenie-prichiny.html). \n\n**При небольших абсцессах**, которые расположены близко к поверхности кожи, обычно проводят амбулаторное лечение [2](https://ProBolezny.ru/abscess-yagodicy/). 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