Abscess Perirenal

ʻO Perirenal abscess kahi ʻeke o ka pus a puni hoʻokahi a ʻelua pūpū paha. Hoʻokumu ʻia ia e ka maʻi maʻi.

Hoʻokumu ʻia ka hapa nui o nā abscesses perirenal e nā maʻi maʻi urinary e hoʻomaka i loko o ka puhā. Hoʻolahalaha lākou i ka puʻupaʻa, a i nā wahi e pili ana i ka puʻupaʻa. ʻO ke kahakaha ʻana i ka mimi urinary a i ʻole ka reproductive ʻōnaehana a i ʻole ke kahe o ke kahe e hiki ke alakaʻi i kahi abscess perirenal.

ʻO ka mea nui weliweli no ka abscess perirenal nā pōhaku hakuʻala, ma ka paʻa ʻana o ke kahe mimi. Hāʻawi kēia i kahi no ka maʻi e ulu ai. Pili pono nā koʻohune i nā pōhaku a ʻaʻole hiki i nā antibiotic ke pepehi i nā koʻohune ma aneʻi.

Loaʻa nā pōhaku ma 20% a 60% o ka poʻe me ka abscess perirenal. ʻO nā kumu pilikia ʻē aʻe no ka abscess perirenal me:

• Diabetes
• Loaʻa i kahi maʻi urinary maʻamau
• Trauma
• Hoʻohana lāʻau IV

Nā ʻōuli o ke alo abscess perirenal:

• ʻO Chills
• Fiva
• ʻO ka ʻeha ma ka ʻaoʻao (ʻaoʻao o ka ʻōpū) a i ʻole ka ʻōpū, hiki ke hoʻonui i ka ʻūlū a i ʻole ka wāwae
• Hoʻoulu

E nānā ka mea mālama ola iā ʻoe. Loaʻa iā ʻoe ke palupalu i ka hope a i ʻole ka ʻōpū.

Loaʻa i nā hoʻāʻo:

• Moʻomeheu Koko
• CT scan o ka ʻōpū
• Ultrasound o ka ʻōpū
• Urinalysis
• Moʻomeheu mimi

No ka mālama ʻana i ka abscess perirenal, hiki ke ninini ʻia ka pūpū ma o kahi catheter i kau ʻia ma o ka ʻili a i ʻole me ke ʻoki kino. Pono e hāʻawi ʻia nā antibiotic, i ka mua ma o ka aa (IV), a laila hiki ke hoʻololi i nā pila ke hoʻomaka ka hoʻomaikaʻi ʻana o ka maʻi.

Ma ka laulaha, ʻike wikiwiki a me ka mālama ʻana i ka abscess perirenal e alakaʻi i kahi hopena maikaʻi. Pono e mālama ʻia nā pōhaku hakuʻala e hōʻalo i nā maʻi hou aku.

I nā hihia kakaikahi, hiki i ka maʻi ke pāhola ma ʻō aku o ka ʻāʻī a i loko o ke kahe o ke koko. Hiki ke make kēia.

Inā he mau pōhaku kou, ʻaʻole e hele ka maʻi.

Pono paha ʻoe e hoʻopau i ka maʻi.

Hiki paha iā ʻoe ke hemo i ka puʻupaʻa inā ʻaʻole hiki ke hoʻomaʻemaʻe a hoʻi hou paha ka maʻi. Kākaʻikahi kēia.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe ka mōʻaukala o nā pōhaku hakuʻala a hoʻomōhala:

• Abdominal eha
• Puhi me ka urination
• ʻO Chills
• Fiva
• Maʻi ʻaʻai Urinary

Inā loaʻa iā ʻoe nā pōhaku hakuʻala, e nīnau i kāu mea hoʻolako e pili ana i ke ala maikaʻi loa e mālama ai iā lākou e pale i kahi abscess perirenal. Inā hele ʻoe i kahi ʻoki urologic, e mālama i ka wahi ʻoki e like me ka maʻemaʻe ke hiki.

Pau ʻole ka perinephric

• Anatomia hakuʻala
• ʻO Kidney - ke kahe o ke koko a me ka mimi

Keena HF. Nā maʻi Staphylococcal. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 288.

Nicolle LE. ʻO ka maʻi urinary tract i nā mākua. I: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. ʻO Brenner a me Rector's The Kidney. 10 o ka lā. Piladelapia, PA: Elsevier; 2016: chap 37.

ʻO Schaeffer AJ, Matulewicz RS, Klumpp DJ. Nā maʻi o ka maʻi urinary. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 12.