He aha ka abscess ate

Anter

• He aha nā hōʻailona a me nā hōʻailona
• Nā kumu kūpono
• Holo ka ate Amoebic
• He aha ke kuhi
• Pehea e hana ai i ka lāʻau

ʻO ke akepaʻa ka mea maʻalahi i ka hoʻokumu ʻia ʻana o nā abscesses, kahi hiki ke noho mehameha a lehulehu paha, a hiki ke ala aʻe ma muli o ka hoʻolaha ʻana o nā koʻohune ma o ke koko a i ʻole ka hoʻolaha ʻana o nā wahi maʻi i nā lua peritoneal, kokoke i ke ake, e like me ka hihia. hihia o ka appendicitis, nā maʻi e pili ana i ka biliary tract a i ʻole pileflebitis, e laʻa me.

Eia kekahi, ʻo ke abscess o ke akepaʻa he pathology ia i hiki ke kumu ʻia e ka protozoa, i ʻike ʻia me ka abscess ate amoebic.

Pili ka lāʻau i ka meaola o ke kumu o ka maʻi, akā ʻo ka maʻa mau o ka lawelawe ʻana i nā lāʻau ʻalopika, ka hoʻokahe ʻana o ka abscess a i ʻole nā ​​hihia ʻoi aku ka paʻakikī, e noi ʻia e hele i kahi ʻoki.

He aha nā hōʻailona a me nā hōʻailona

ʻO nā ʻōuli a me nā ʻōuli e hana mau ʻia i ka poʻe i loaʻa ka hū o ke akepaʻa he kuni ia a i kekahi poʻe, ʻo ka mea hoʻi me nā maʻi e pili pū ana me ka biliary tract, e hōʻike paha i nā hōʻailona a me nā ʻōuli i loaʻa i ka quadrant ʻākau ma luna, e like me ka ʻeha o ka ʻōpū.

Hoʻohui ʻia, haʻalulu, anorexia, hoʻoliʻiliʻi, kaumaha a me ka luaʻi.

Eia naʻe, ʻo ka hapalua wale nō o ka poʻe me nā abscesses o ke ake i hoʻonui i ka ake, ʻeha ma ka palpation o ka quadrant luna pono, a i ʻole ka jaundice, ʻo ia hoʻi, ʻaʻohe o nā kānaka he mau ʻōuli e kuhikuhi pono i ka ake. ʻO ke kuni o kahi kumu huna ʻole ka hōʻike wale ʻia o ka hū ʻana o ke ake, keu hoʻi i ka ʻelemakule.

Nā kumu kūpono

Hiki ke hoʻokumu ʻia nā abscesses o ke akepaʻa e nā microorganism like ʻole, e like me ka bacteria a i ʻole nā ​​fungi, i hiki ke kū aʻe ma muli o ka hoʻolaha ʻana o nā koʻohune i loko o ke koko a i ʻole ka laha kūloko o nā wahi maʻi i ka lua peritoneal, kokoke i ke ake, e like me ka hihia o ka appendicitis ., nā maʻi e pili ana i ka biliary tract a i ʻole pileflebitis, no ka laʻana. E aʻo hou aʻe e pili ana i ka appendicitis a pehea e ʻike ai iā ia.

Eia hou, hiki i nā abscesses o ke ake ke lilo i amebic:

Holo ka ate Amoebic

ʻO Amoebic ate ​​abscess kahi maʻi o ke ake e protozoa. Hoʻomaka ka maʻi ke hele a protozoaE. histolytica komo i loko o ka mucosa ʻōpū, e hele i ke kaola puka a hiki i ke ake. ʻO ka hapa nui o nā mea maʻi me kēia maʻi ʻaʻole hōʻike i nā hōʻailona a me nā ʻōuli a i ʻole ke kū ʻana o ka protozoan i loko o ka pahu.

Hiki ke ʻike ʻia ka maʻi mai nā mahina a i kekahi mau makahiki ma hope o kahi huakaʻi a wahi noho paha ma kahi wahi endemik, no laila he mea nui e ʻike i ka mōʻaukala akahele o ka huakaʻi e hana ai i ka hōʻailona. ʻO nā ʻōuli maʻamau ka ʻeha ma ka quadrant ʻākau i luna, ke kuni, a me ka palupalu o ke ake.

ʻO ka ʻikepili keʻena hoʻokolohua maʻamau ka leukositosis, ka alkaline phosphatase kiʻekiʻe, anemia akahai a me ka helu sedimentation erythrocyte kiʻekiʻe.

He aha ke kuhi

ʻO ka loaʻa wale ʻana o kahi ʻike loea ʻoi loa ka hoʻonui ʻia o ka hoʻoliʻiliʻi serum o ka alkaline phosphatase, kahi kiʻekiʻe i nā poʻe me ka hū o ke ake. Hiki paha ke hoʻonui i ka bilirubin a me ka aspartate aminotransferase i loko o ke koko, leukositosis, anemia a me hypoalbuminemia ma kahi o ka hapalua o nā hihia.

ʻO nā hoʻokolohua kiʻi ka mea ʻoiaʻiʻo loa i ka hōʻoia o kēia maʻi, e like me ultrasound, compute tomography, scintigraphy me nā leukosit i kaha ʻia me ka indium a i ʻole me ka gallium a me ka resonance ʻume mākenēki. Lawe pū ʻia kahi kukui X pahu.

Hoʻokumu ʻia ke kuhi o ko amoebic ate ​​abscess i ka ʻike ʻia e ka ultrasound a i ʻole ka tomography i helu ʻia, o hoʻokahi a ʻoi paha mau leona, kahi e noho ai i ke akepaʻa a me kahi hoʻokolohua serological maikaʻi no nā mea ʻino i nā antigens oE. histolytica.

Pehea e hana ai i ka lāʻau

Hiki ke hana i ka lāʻau ma o ke kahe o ke perkutaneul, me kahi catheter me nā puka pili i mālama ʻia ma kahi. Hoʻohui ʻia, hiki ke hoʻohana ʻia nā lāʻau antibiotic kikoʻī no ka microorganism kuleana no ka maʻi ma hope o ka lawe ʻana i kahi hāpana o ka abscess. I nā hihia inā loaʻa kahi kahe o ka abscess, koi ʻia ka manawa hoʻomaʻamaʻa antibiotic hou aku.

Inā candida ka maʻi, ʻo ka mālama ʻana i amphotericin, me ka mālama hou me fluconazole. I kekahi mau hihia, hiki ke hoʻohana wale ʻia me ka fluconazole, ʻo ia hoʻi i nā poʻe kūleʻa i ka maʻi, nona ka microorganism kaʻawale e hiki ai i kēia lāʻau.

No ka mālama ʻana i ka abscess ate amoebic, hiki ke hoʻohana ʻia i nā lāʻau e like me nitroimidazole, tinidazole a me metronidazole. I kēia manawa, ʻaʻole i hōʻike kēia protzoan i ka pale i kekahi o kēia mau lāʻau. ʻAʻohe pono pono ke kahe o nā ʻami amoebic abscesses.