Abscess Anorectal

ʻO kahi abscess anorectal kahi hōʻiliʻili o ka pus ma kahi o ka anus a me ka pololei.

ʻO nā kumu maʻamau o abscess anorectal nā:

• ʻO nā gland i ālai ʻia i ka wahi anal
• ʻO ka maʻi o ka fissure anal
• ʻO ka maʻi i lawe ʻia i ka moekolohe (STD)
• Trauma

Hoʻokumu ʻia nā abscesses rectal hohonu e nā maʻi ʻōpū e like me ka maʻi Crohn a i ʻole diverticulitis.

Hoʻonui ka mea aʻe i ka makaʻala no kahi abscess anorectal:

• Moekolohe anal
• Nā lāʻau Chemotherapy i hoʻohana e mālama i ka maʻi ʻaʻai
• Diabetes
• ʻO ka maʻi maʻi ʻōpū (Crohn disease and ulcerative colitis)
• Hoʻohana o nā lāʻau corticosteroid
• Nāwaliwali o nā pale (e like me mai HIV / AIDS)

Hoʻopilikia ke ʻano i nā kāne ma mua o nā wahine. Kū paha ke ʻano i nā pēpē a me nā kamaliʻi e noho mau ana i nā diapers a me ka moʻaukala o nā māwae anal.

ʻO nā ʻōuli maʻamau ka pehu a puni ka anus a me ka hoʻomau ʻana, ʻeha ana ka ʻeha me ka pehu. ʻEhaʻeha paha ka ʻeha me nā ʻōpū o ka ʻōpū, kahe ʻana a me ka noho ʻana.

Hiki i nā ʻōuli ʻē aʻe ke:

• Konipōpō
• Hoʻokuʻu i ka pā mai ka polū
• Ka luhi, ka fiva, ka hou o ka pō, a me ka haʻalulu
• ʻO kaʻulaʻula, ʻehaʻeha a paʻakikī hoʻi i nā wahi o ka anus
• Malimali

I nā pēpē, ʻike pinepine ʻia ka abscess ma ke ʻano he pehu, ʻulaʻula, puʻupuʻu palupalu ma ka lihi o ke anus. Hiki i ka pēpē ke fussy a hoʻonāukiuki hoʻi mai ka hōʻoluʻolu ʻole. ʻAʻohe maʻamau nā hōʻailona ʻē aʻe.

Hiki i kahi hoʻokolokolo hoʻokolokolo ke hōʻoia i kahi abscess anorectal. Hana ʻia paha kahi proctosigmoidoscopy e kāpae i nā maʻi ʻē aʻe.

I kekahi mau hihia, pono ʻia kahi CT scan, MRI, a i ʻole ultrasound e kōkua i ka ʻimi ʻana i ka hōʻiliʻili o ka pus.

ʻAʻole hele iki ka pilikia ma kāna iho. ʻAʻole hiki i nā Antibiotics wale nō ke mālama i kahi abscess.

Hoʻopili ka hana i ka ʻoki ʻana e wehe a hoʻokahe i ka abscess.

• Hana pinepine ʻia ke kaha me nā lāʻau numbing kūloko, me ka lāʻau e hiamoe ai ʻoe. I kekahi manawa, hoʻohana ʻia ka anesthesia spinal or general.
• ʻO ka hana ʻokiʻoki pinepine ʻia kahi kaʻina hana maʻi ma waho, ʻo ia hoʻi e hoʻi ʻoe i ka home i ka lā like. Hoʻokiʻoki ka mea lapaʻau i ka abscess a hoʻokahe i ka pā. I kekahi manawa hoʻokomo ʻia kahi kahe e mālama i ka ʻoki ākea a hoʻokahe, a i kekahi manawa piha ka lua abscess me ka gauze.
• Inā hohonu ka hōʻiliʻili o ka nū, pono ʻoe e noho lōʻihi i ka haukapila no ka mālama ʻeha a me ka mālama hānai ʻana o ka pūnaewele hoʻoheheʻe ʻia o abscess.
• Ma hope o ke kahakaha ʻana, pono ʻoe i nā ʻauʻau sitz mehana (e noho ana i loko o kahi pahu wai mehana). Mālama kēia i ka ʻeha a hoʻemi i ka pehu.

Hoʻomaʻamaʻa mau ʻia nā abscesses i hoʻoheheʻe ʻia a ʻaʻohe mea e pono ai.

Hiki i ke kauka ke kuhikuhi i nā mea ʻeha a me nā lāʻau ʻaloʻalo.

ʻO ka pale ʻana i ka paʻa paʻa e kōkua i ka hōʻemi ʻana i ka ʻeha. Pono ʻoe e palupalu i ka pahu. Hiki ke kōkua pū i ka inu ʻana i nā wai a me ka ʻai ʻana i nā meaʻai me nā olonā he nui.

Me ka mālama koke, hana maikaʻi nā poʻe me kēia ʻano. Ola hou nā kamaliʻi a me nā kamaliʻi.

Hiki i nā pilikia ke hana ke lohi ka lāʻau.

Komo paha nā pilikia o ka abscess anorectal:

• Anal fistula (pili pono ʻole ma waena o ka anus a me kekahi hanana)
• ʻO ka maʻi e palahalaha i ke koko (sepsis)
• ʻEha mau
• Ke hoʻi nei ka pilikia (recurrence)

Kāhea i kāu kahu mālama ola inā ʻoe:

• Hoʻomaopopo i ka hoʻokuʻu pololei ʻana, ʻeha, a i ʻole nā ​​ʻōuli ʻē aʻe o ke anorectal abscess
• Loaʻa i ke kuni, ke anu, a i ʻole nā ​​hōʻailona hou aʻe ma hope o ka mālama ʻia ʻana no kēia ʻano
• He diabetic a lilo i kāu glucose glucose i paʻakikī e kāohi

Kāohi a pale koke paha i nā STD e pale i kahi abscess anorectal mai ka hoʻokumu ʻana. E hoʻohana i ka condom i ka manawa o ka moekolohe, me anal sex, e pale aku i kēlā ʻano maʻi.

I nā pēpē a me nā kamaliʻi, nā hoʻololi diaper pinepine a me ka hoʻomaʻemaʻe kūpono i ka wā o nā loli diaper hiki ke pale i nā ʻāpana anal a me nā abscesses.

Abscess anal; Holo kaʻae; Holo kaʻahele pololei ʻole; Abscess Perianal; Abscess Gland; Loaʻa ʻole - anorectal

• Rectum

ʻO Coates WC. Nā kaʻina hana Anorectal. I: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency a me ka Care Acute. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 45.

Merchea A, Larson DW. Anus. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 52.