Holo ka lolo

ʻO ka abscess o ka lolo kahi hōʻiliʻili o ka pus, nā hunaola immune, a me nā mea ʻē aʻe i ka lolo, i hoʻokumu ʻia e kahi maʻi bacteria a fungal paha.

Kū pinepine nā abscesses lolo ke hoʻopili ka bacteria a fungi paha i ka ʻāpana o ka lolo. A ʻo kahi hopena, ulu ka ʻōhū a me ka huhū (mumū).ʻIke ʻia nā hunaola lolo, nā keʻokeʻo o ke koko, nā bacteria ola a make paha a i ʻole fungi e hōʻiliʻili i kahi o ka lolo. Hana nā kuhi a puni kēia wahi a hana i kahi nui a i ʻole abscess.

Hiki i nā ʻōpala ke kumu o ke komo ʻana o ka lolo ke hiki i ka lolo ma o ke koko. A i ʻole, komo pololei lākou i ka lolo, e like me ke kaʻina o ka lolo. I kekahi mau hihia, ulu ka abscess o ka lolo mai kahi maʻi i nā sinus.

ʻAʻole ʻike pinepine ʻia ke kumu o ka maʻi. Eia nō naʻe, ʻo kahi kumu i ʻike nui ʻia he maʻi lolo. Emi pinepine, he maʻi puʻuwai ke kumu.

ʻO ka mea aʻe e hāpai i kou manawa o ka hoʻomohala ʻana i kahi lolo abscess:

• ʻO kahi ʻōnaehana pale nāwaliwali (e like me ka poʻe me ka maʻi HIV / AIDS)
• Maʻi maʻi, e like me ka maʻi ʻaʻai
• Nā lāʻau e kāpae i ka ʻōnaehana pale (corticosteroids a chemotherapy)
• Maʻi maʻi ʻōpū

E ulu lohi paha nā ʻōuli, ma kahi o kekahi mau pule, a i ʻole hiki ke ulu koke. Pākuʻi ʻia lākou:

• ʻO nā hoʻololi i ke kūlana noʻonoʻo, e like me ka huikau, ka pane lohi a i ʻole ka noʻonoʻo ʻana, hiki ʻole ke hoʻokau, a me ka hiamoe
• Hoʻoemi i ka hiki ke ʻike i ka naʻau
• Fiva a me nā anuanu
• ʻEha poʻo, ka hopu ʻana a i ʻole ʻāʻī ʻoʻoleʻa
• Nā pilikia ʻōlelo
• ʻO ka nalowale o ka hana muscle, maʻamau ma kekahi ʻaoʻao
• Hoʻololi ka hihiʻo
• ʻO ka luaʻi
• Nawaliwali

E hōʻike maʻamau ka lolo a me ka ʻōnaehana ʻōnaehana (neurological) i nā hōʻailona o ka hoʻonui ʻia o ke kaomi i loko o ka iwi poʻo a me nā pilikia me ka hana o ka lolo.

Hiki i nā hoʻokolohua ke kuhikuhi i kahi abscess o ka lolo ke komo pū:

• Nā moʻomeheu koko
• Pākuʻi x-ray
• Helu piha koko (CBC)
• Poʻomanaʻo CT poʻo
• Electroencephalogram (EEG)
• MRI o ke poʻo
• ʻO ka hoʻāʻo ʻana no ke kū ʻana o nā mea pale i kekahi mau mikrob

Hana ʻia kahi biopsy nila e ʻike ʻia ke kumu o ka maʻi.

ʻO ka abscess o ka lolo kahi pilikia olakino. Hiki i ke kaomi i loko o ka iwi poʻo ke kiʻekiʻe ke lilo i mea hoʻoweliweli i ke ola. Pono ʻoe e noho i ka haukapila a kūpaʻa ke ʻano. Pono paha kekahi poʻe i ke ola.

Paipai ʻia ka lāʻau lapaʻau, ʻaʻole ke ʻoki kino inā loaʻa iā ʻoe:

• ʻO kahi abscess liʻiliʻi (ma lalo o 2 cm)
• ʻO kahi abscess hohonu i ka lolo
• He abscess a me ka meningitis
• Mau abscesses (laha ')
• Shunts i ka lolo no ka hydrocephalus (i kekahi mau hihia, pono e hemo i ka shunt no ka manawa pōkole a i ʻole hoʻololi ʻia)
• ʻO kahi maʻi i kapa ʻia he toxoplasmosis i loko o ke kanaka me ka maʻi HIV / AIDS

Kau ʻia ʻoe i kekahi mau ʻano antibiotic e ʻike pono i ka mālama ʻana.

Hiki ke kuhikuhi ʻia nā lāʻau lapaʻau Antifungal inā paha he maʻi ka maʻi ka maʻi.

Pono ke ʻoki kino inā:

• Hoʻonui a piʻi a ʻoi paha ka piʻi o ka piʻi o ka lolo i ka lolo
• ʻAʻole emi iki ka abscess o ka lolo ma hope o ka lāʻau
• Loaʻa ka lolo i ka abscess o ka lolo (hana ʻia e kekahi ʻano bacteria)
• E haki paha ka lolo abscess (haki)
• Nui ka abscess o ka lolo (ʻoi aku ma mua o 2 cm)

ʻO ke kaha ʻana he wehe i ka iwi poʻo, e hōʻike ana i ka lolo, a hoʻokahe i ka abscess. Hana pinepine ʻia nā hoʻokolohua Laboratory e nānā i ka wai. Kōkua kēia i ke kumu o ka maʻi, i hiki ai ke kuhikuhi ʻia nā lāʻau antibiotic kūpono a i ʻole lāʻau antifungal.

Pono paha ka makemake o ka nila e alakaʻi ʻia e CT a i ʻole MRI scan no kahi abscess hohonu. I kēia kaʻina hana, hiki ke kuhi pololei ʻia nā lāʻau i loko o ka nuipa.

Hiki ke hoʻohana ʻia kekahi mau diuretics (nā lāʻau e hōʻemi i ka wai i ke kino, i kapa ʻia hoʻi nā pila wai) a me nā steroid e hoʻēmi ai i ka pehu o ka lolo.

Inā mālama ʻole ʻia, aneane make ka lolo i kahi manawa ʻole. Me ka mālama ʻana, ma kahi o 10% a 30% ka helu make. Loaʻa ka lāʻau ma mua, ʻoi aku ka maikaʻi.

Loaʻa paha i kekahi poʻe nā pilikia ʻōnaehana lōʻihi lōʻihi ma hope o ke kaha ʻana.

Komo pū nā pilikia:

• Poino lolo
• Meningitis ka mea koʻikoʻi a hoʻoweliweli ola
• Hoʻi (recurrence) o ka maʻi
• Ka hopu ʻana i nā maʻi

E hele i kahi lumi pilikia o ka haukapila a kāhea paha i ka helu kūloko kūloko (e like me 911) inā loaʻa nā ʻōuli o ka lolo.

Hiki iā ʻoe ke hōʻemi i ka makaʻu o ka hoʻomohala ʻana i kahi lolo abscess ma o ka mālama ʻana no nā maʻi a i ʻole nā ​​pilikia olakino e hiki ai iā lākou.

Hiki i kekahi poʻe, me nā poʻe me nā maʻi puʻuwai, ke loaʻa nā lāʻau ʻalopiko ma mua o nā niho a i ʻole nā ​​kaʻina hana ʻē aʻe e kōkua ai i ka hōʻemi ʻana i ka maʻi.

Loaʻa ʻole - lolo; Abscess Cerebral; Ua hala ʻo CNS

• ʻOki kino o ka lolo - hoʻokuʻu

• Holo ka lolo Amebic
• Lolo

ʻO Gea-Banacloche JC, Tunkel AR. Holo ka lolo. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 90.

Nath A, Berger JR. Abscess lolo a me nā maʻi āpau. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 385.