Loaʻa ʻole - ʻōpū a pelvis paha

ʻO ka abscess ʻōpū kahi ʻeke o ka wai i loaʻa a maʻi a me ka pus ma loko o ka ʻōpū (ʻōpū ʻōpū). Hiki ke loaʻa kēia ʻano abscess ma kahi kokoke a i ʻole ma loko o ke ake, pancreas, nā puʻupaʻa a i ʻole nā ​​mea ʻē aʻe. Hiki i hoʻokahi a ʻoi paha abscesses.

Hiki iā ʻoe ke loaʻa nā ʻōpū ʻōpū no ka mea loaʻa iā ʻoe:

• Pākuʻi naha
• He ʻōpū pūpū a i ʻole pū kekahi
• ʻO ka ovary haki
• Maʻi maʻi ʻōpū
• ʻO ka maʻi i kāu gallbladder, pancreas, ovary a i ʻole nā ​​mea ʻē aʻe
• Maʻi maʻi pelvic
• Maʻi maʻi Parasite

ʻOi aku ka makaʻu no kahi ʻōpū ʻōpū inā loaʻa iā ʻoe:

• Trauma
• Maʻi ulcer perforated
• ʻO kahi hana ma kāu wahi ʻōpū
• ʻŌnaehana pale nawaliwali

Hele paha ʻo germ i loko o kou koko i kahi hui i loko o kou ʻōpū. I kekahi manawa, ʻaʻohe kumu i loaʻa no kahi abscess.

ʻO ka ʻeha a ʻoluʻolu ʻole i loko o ka ʻōpū e hele ʻole aku kahi hōʻailona maʻamau. ʻO kēia ʻeha:

• Loaʻa wale nō i kahi o kou ʻōpū a i ʻole ka hapa nui o kou ʻōpū
• Maliʻa a palaka paha
• E lilo i mea ʻino ma mua o ka manawa

Ke kaukaʻi ʻia nei kahi o ka abscess, loaʻa iā ʻoe:

• ʻEha ma kou kua
• E hōʻeha i kou umauma a i ʻole ʻūhā

ʻO nā ʻōuli ʻē aʻe o kahi abscess ʻōpū e like paha me nā hōʻailona o ka loaʻa ʻana o ka maʻi flu. Loaʻa iā ʻoe:

• ʻŌpū ʻōhū
• Pohā
• Fiva a i ʻole haʻalulu
• Ka nele o ka makemake a me ka pohō kaumaha
• Nausea a i ʻole ka luaʻi
• Nawaliwali
• Cough

Hiki i kāu mau hōʻailona ke hōʻailona o nā pilikia like ʻole. E hana kāu mea mālama ola i kekahi mau hoʻokolohua e kōkua ai e hoʻoholo inā loaʻa iā ʻoe kahi maʻi ʻōpū. Pākuʻi ʻia kēia mau mea i kēia mau hōʻike:

• Heluhelu piha i ke koko - Kahi helu keʻokeʻo koko keʻokeʻo kiʻekiʻe kahi hōʻailona hiki ke loaʻa i kahi abscess o nā maʻi ʻē aʻe.
• Panela metabolic kikoʻī - E hōʻike kēia i nā pilikia o ke ake, nā konāhua a me nā koko.

Nā hōʻike ʻē aʻe e pono e hōʻike i nā ʻōpū ʻōpū:

• Hihi x ʻōpū
• Ultrasound o ka ʻōpū a me ka pelvis
• CT scan o ka ʻōpū a me ka pelvis
• MRI o ka ʻōpū a me ka pelvis

E hoʻāʻo kāu kime mālama ola e hoʻomaopopo a mālama i ke kumu o ka hala ʻana. E mālama ʻia kāu abscess me nā antibiotic, ka hoʻokahe ʻana o ka pā, a i ʻole ʻelua paha. I ka manawa mua, e mālama ʻia paha ʻoe i ka haukapila.

ANTIBIOTICS

Hāʻawi ʻia iā ʻoe nā lāʻau antibiotic e mālama ai i ka abscess. Lawe ʻoe iā lākou a hiki i 4 a 6 mau pule.

• E hoʻomaka ʻoe ma nā lāʻau antibiotic IV i ka haukapila a loaʻa paha iā ʻoe nā lāʻau antibiotic IV ma ka home.
• Hiki iā ʻoe ke hoʻololi i nā huaale. E lawe pono i kāu mau lāʻau āpau āpau, ʻoiai inā ʻoe e ʻoi aku ka maikaʻi.

KANAWAI

Pono e hoʻopau ʻia kāu abscess o ka pā. ʻO kāu mea hāʻawi a hoʻoholo ʻoe i ke ala ʻoi loa e hana ai i kēia.

Ke hoʻohana nei i kahi nila a ninini - Hoʻokomo kāu mea hāʻawi i kahi nila i loko o ka ʻili a i loko o ka abscess. ʻO ka maʻamau, hana ʻia kēia me ke kōkua o nā kukuna x e ʻike pono e hoʻokomo ʻia ka nila i loko o ka abscess.

E hāʻawi aku kāu mea hāʻawi iā ʻoe i ka lāʻau e hiamoe ai ʻoe, a me ka lāʻau e pūpō ai ka ʻili ma mua o ka hoʻokomo ʻia ʻana o ka nila i loko o ka ʻili.

E hoʻouna ʻia kahi laʻana o ka abscess i ka lab. Kōkua kēia i kāu mea lawelawe e koho i nā antibiotic e hoʻohana.

Waiho ʻia kahi kahawai i ka abscess i hiki ai i ka pā ke kahe aku.ʻO ka maʻamau, mālama ʻia ke kahawai i loko o nā lā a i ʻole mau pule a hiki i ka hoʻomaikaʻi ʻana o ka abscess.

Ke ʻoki ʻana - I kekahi manawa, hana kahi ʻokiʻoki e hoʻomaʻemaʻe i ka abscess. E kau ʻia ʻoe ma lalo o ka anesthesia āpau i hiamoe ʻoe no ke ʻoki. Pono paha ke ʻoki kino inā:

• ʻAʻole hiki ke loaʻa palekana i kāu abscess me ka hoʻohana ʻana i ka nila kuʻi ma ka ʻili
• Ua haki kāu kōpili, nā ʻōpū, a i ʻole nā ​​meaola ʻē aʻe

E ʻokiʻoki ke kaukōpō i loko o ka ʻōpū. Pili ʻo Laparotomy i kahi ʻoki nui. Hoʻohana ʻo Laparoscopy i kahi ʻoki liʻiliʻi loa a me kahi laparoscope (kahi pahu paʻi wikiō liʻiliʻi). ʻO ke kaukōlani e:

• E hoʻomaʻemaʻe a hoʻokahe i ka abscess.
• E hoʻokomo i kahi kahe i loko o ka abscess. Noho ka auwai a hiki i ka wā e maikaʻi ai ka abscess.

Pehea kāu pane maikaʻi ʻana i ka mālama ʻana i ke kumu o ka abscess a me ka maikaʻi ʻole o ka maʻi. Aia nō ia i kāu olakino holoʻokoʻa. ʻO ka maʻamau, mālama nā lāʻau ʻaloʻalo a me ke kahe i nā abscesses ʻōpū i palahalaha ʻole.

Pono paha ʻoe ma mua o hoʻokahi hana. I kekahi manawa, e hoʻi hou kahi abscess.

Komo pū nā pilikia:

• ʻAʻole hiki ke ninini piha ka abscess.
• E hoʻi paha ka abscess (recur).
• Hiki i ka abscess ke hana i nā maʻi ʻino a me ka maʻi o ke koko.
• Hiki ke pālahalaha ka maʻi.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• ʻEha ʻeha loa
• Nā ʻūnana
• Nusea
• ʻO ka luaʻi
• Hoʻololi i ka ʻōpū

Loaʻa ʻole - intra-ʻōpū; Holo ke pelvic

• Holo ka intra-ʻōpū - CT scan
• Meckel divertikulum

ʻO De Prisco G, Celinski S, Spak CW. ʻO nā abscesses ʻōpū a me nā fistula gastrointestinal. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 28.

Shapiro NI, Jones AE. Nā syndrome Sepsis. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 130.

Nā Squires R, Carter SN, Postier RG. ʻŌpū huehue. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 45.