holo ʻaʻa ke ake

He aha ke akepaʻa abscess

ʻO ka ʻōpū o ke akepaʻa he cyst piha i ka pus. Hiki ke loaʻa ka abscess o ke ake i kekahi. ʻO ia iho,ʻaʻole ia he mea weliweli i ke ola, no ka mea, ua hoʻopiliʻia ka pus a hoʻokaʻawaleʻia mai nāʻiʻo a pau. Akā hiki ke lilo i mea pōʻino inā wehe ka capsule a kahe ka mea i waho. Hiki ke hiki koke mai, no laila pono ʻoe e nānā mau me kāu kauka.

Inā ʻike mua ʻia ka ʻōpū o ka ate, hiki ke mālama ʻia. Me ka mālama ʻole ʻana, hiki iā ia ke poha a hoʻolaha i ka maʻi, e alakaʻi ana i ka sepsis, kahi maʻi koko bacteria e hoʻoweliweli i ke ola.

Nā kumu o ke akepaʻa abscess i nā mākua

ʻElua kumu nui e hiki ai ke hoʻonāukiuki i ka abscess ate.

Maʻi maʻi:

• ka maʻi bacteria ma ka ʻāpana biliary;
• nā maʻi bacteria o ka ʻōpū o ka ʻōpū e pili ana me ka appendicitis, diverticulitis, a i ʻole ka perforation o ka ʻōpū;
• nā maʻi koko;
• ʻO ka maʻi Entamoeba histolytica (he mea ola e hoʻoulu ai i ka amoebic dysentery - hiki ke hoʻoili ʻia ma o ka wai a i ʻole ka pilina kanaka-a-kanaka).

ʻehaʻeha:

• endoscopy o ka bile ducts a me nā ducts;
• nā pā, nā pōʻino;
• haule o ke ola.

Aia kekahi mau kumu e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i kahi abscess ate:

• Maʻi ʻo Crohn;
• maʻi diabet;
• ʻelemakule makahiki;
• ʻalekohola;
• impaired immune system ma muli o nā kūlana e like me HIV a i ʻole AIDS, a me nā immunodeficiencies ʻē aʻe, ka hoʻohana ʻana i ka corticosteroid, ka hoʻololi ʻana o ke kino, a i ʻole ka mālama ʻana i ka maʻi kanesa;
• ʻai maikaʻi ʻole;
• huakaʻi i nā ʻāina i maʻamau ka maʻi amoebic.

Nā hōʻailona o ka ʻōpū o ka ate ma nā mākua

ʻO nā hōʻailona koʻikoʻi o ka abscess o ka ate a me nā hoʻopiʻi me ia he ʻokoʻa, akā ʻo ka hapa pinepine ka hui pū ʻana o nā hōʻailona:

• ʻeha o ka ʻōpū (ʻoi loa ma ka ʻōpū ʻākau a ma lalo o nā iwi ʻaoʻao);
• ʻeleʻele a ʻeleʻele paha, ʻeleʻele nā ​​feces;
• mimi ʻeleʻele;
• ka melemele o ka ʻili a me ke keʻokeʻo o nā maka (jaundice);
• pāhoehoe;
• ke kunu a i ʻole ke anuanu;
• ʻeha pū;
• nausea me ka luaʻi ʻole ʻana;
• lilo o ka makemake ʻole;
• ka wehewehe kaumaha i wehewehe ʻole ʻia;
• malaise a lethargy paha;
• kelehu.

I kekahi mau hihia, hiki i ka abscess ate ke lilo i mea weliweli loa i ke ola. E kāhea koke iā XNUMX inā loaʻa i ka mea maʻi kekahi o kēia mau hōʻailona:

• hoʻololi koke i ka ʻano, e like me ka huikau, delirium, lethargy, hallucinations, a me ka māmā;
• kiʻekiʻe wela (ma luna o 38 ° C);
• ka hoʻoulu ʻana a i ʻole ka lethargy;
• ka puʻuwai wikiwiki (tachycardia);
• nā pilikia hanu e like me ka pōkole o ka hanu, ka pilikia a i ʻole ka hiki ʻole ke hanu, ke kani ʻana a i ʻole ke ʻoki ʻana;
• ʻeha ikaika;
• utuka.

Lapaʻau ʻana i ka ʻōpū o ke akepaʻa i nā mākua

Hoʻopaʻa ʻia ka maʻi inā he cystic a paʻakikī paha i loko o ke ake, kahi e hoʻokuʻu ʻia ai ka wai purulent me nā moʻomeheu maikaʻi ke lawe ʻia nā mea. He mea nui e kiʻi koke i kēia mau hoʻokolohua a hoʻomaka i ka mālama ʻana ma muli o ke kiʻekiʻe o nā pilikia.

lapaʻau '

Ma hope o ka nānā ʻana a me ka hōʻiliʻili ʻana i kahi anamnesis e pili ana i ka maʻi ʻana o ka mea maʻi, pono e hana ʻia kekahi mau hoʻokolohua. ʻO ka mea mua, he hōʻike koko maʻamau kēia - nā enzyme serum e hōʻike ana i ka hana ate (alkaline phosphatase, ALT, AST), nā moʻomeheu koko, ka manawa prothrombin a me ka manawa o ka thromboplastin ʻāpana, kahi hōʻike serum no nā antibodies i Entamoeba histolytica,

Eia kekahi, e lawe ʻia ka ʻimi ʻana o ka ʻili no ka antigen Entamoeba histolytica a e hoʻāʻo ʻia ka antigen a i ʻole polymerase chain reaction (PCR) o ka wai abscess aspirated.

Hana pū lākou i ka ultrasound ate a me ka computed tomography.

Nā lāʻau lapaʻau hou

Hana ʻia ka ʻōpū o ka ate me nā lāʻau lapaʻau a me ke ʻoki.

Nā Antibiotics. Hoʻohana ʻia nā ʻano lāʻau ʻokoʻa no ka mālama ʻana i ka abscess ate. ʻO kā lākou koho e pili ana i ke ʻano o ka maʻi. Nā lāʻau nui:

• nā aminoglycosides e like me amikacin (Amikin) a i ʻole gentamicin (Garamycin);
• clindamycin (Cleocin);
• piperacillin-tazobactam hui (Zosin);
• metronidazole (Flagyl).

Inā he amoebic abscess, ma hope o ka ho'ōla ʻia ʻana o ka maʻi, e kuhikuhi ʻia ka mea maʻi i kekahi lāʻau e pepehi ai i ka amoeba i loko o ka ʻōpū i mea e pale ai i ka hoʻi hou ʻana o ka maʻi.

ʻano hana ʻokiʻoki. He ʻokoʻa lākou, a ʻo ke koho e pili ana i ke ʻano o ka pōʻino o ka ate a me ka paʻakikī o ke ʻano o ka mea maʻi:

• ka manaʻo - i kēia hihia, hoʻopuka ʻia ka pus me ka nila ma ka ʻōpū o ka ʻōpū, e hana pinepine ia (no ka abscesses ma lalo o 5 cm ke anawaena);
• hoʻokahe wai - pono ia e hoʻokomo i kahi catheter e hoʻokahe i ka pus (no ka abscess ʻoi aku ma mua o 5 knm ke anawaena).

ʻO kēia mau kaʻina hana ʻelua he laparoscopic, hana ʻia ma o nā ʻoki liʻiliʻi. Akā i kekahi manawa, pono ke ʻoki wehe ʻia no ka peritonitis, nā ʻōpū mānoanoa o ka paia, nā ʻōpū ʻāhaʻi, nā ʻōpū nui he nui, a me nā kaʻina hana hoʻokahe wai.

Ka pale ʻana i ka abscess ate i nā pākeke ma ka home

ʻAʻole hiki i nā manawa a pau ke pale i ka abscess ate. Eia nō naʻe, i nā manawa he nui, hiki iā ʻoe ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i ka pathology ma ka pale ʻana i ka ʻai ʻana i ka meaʻai a i ʻole ka wai i hoʻohaumia ʻia, ka palena ʻana i ka huakaʻi i nā wahi i maʻamau ka maʻi amoebic.

Nā nīnau a me nā pane kaulana

Ua pane i kā mākou mau nīnau e pili ana i ka abscess o ke ake ʻO ka gastroenterologist, hepatologist, meaʻai meaʻai Natalya Zavarzina.