Abcessinal Abcess: He aha ka mea e hōʻeha ai i kuʻu tummy?

Anter

• He aha ke kumu e hana ai i kahi abscess ʻōpū?
• He aha nā hōʻailona o kahi ʻōpū ʻōpū?
• Pehea e ʻike ʻia ai kahi maʻi ʻōpū?
• Kukuna ultrasound
• Scanner tomography kamepiula (CT) scan NineManga.com
• Mākēneki resonance kiʻi (MRI)
• Ke kālailai laʻana wai ʻaʻohe
• Pehea e mālama ʻia ai kahi ʻōpū ʻōpū?

He aha ka abscess ʻōpū?

ʻO kahi abscess kahi ʻeke o nā mea i hoʻā ʻia i hoʻopiha ʻia me ka pā. Hiki i nā abscesses ke hana ma nā wahi āpau o ke kino (ma loko a ma waho). Loaʻa pinepine lākou ma ka ʻili o ka ʻili.

ʻO ka abscess ʻōpū kahi ʻeke o ka pus ma loko o ka ʻōpū.

Hiki i nā ʻōpū o ke ʻōpū ke hana ma kahi o ka paia o ka ʻōpū, ma ka hope o ka ʻōpū, a i ʻole nā ​​mea e pili ana i nā ʻōpū i loko o ka ʻōpū, e like me ke akepaʻa, pancreas, a me nā puʻupaʻa. Hiki ke ulu i nā abscesses ʻōpū me ke kumu ʻole, akā pili pinepine lākou i kahi hanana ʻē aʻe, e like me ke kīʻaha intra-ʻōpū, haki ka ʻōpū, a ʻeha paha i ka ʻōpū.

He aha ke kumu e hana ai i kahi abscess ʻōpū?

Hoʻokumu ʻia nā abscesses ʻōpū e nā bacteria i komo maʻa mau i loko o ka ʻōpū ma muli o ke komo ʻana i loko o ka ʻeha, haki ka ʻōpū, a i ʻole ʻoki kino ʻōpū. Hiki i nā abscesses intra-ʻōpū (abscesses ma loko o ka ʻōpū) ke hoʻomohala i ka wā o ka ʻōpū o ka ʻōpū a i ʻole kahi ʻokena i loko o ka ʻōpū i hoʻopilikia ʻia i kekahi ala a hiki i nā bacteria ke komo. ʻO ia mau ʻano e pili pū ana me ka appendicitis, haki ka ʻōpū, komo i loko o ka trauma, ʻoki kino, a me ka maʻi o Crohn a i ʻole colitis ulcerative. Kaukaʻi ʻia i kahi o ka malo o ka ʻōpū, i nā kumu hou aʻe paha ka hewa.

Hiki i nā abscesses ke hana i ke ākea ma waena o ka ʻōpū o ka ʻōpū a me ka iwi kuamoʻo. ʻIke ʻia kēia mau abscesses ma ke ʻano he abscess retroperitoneal. ʻO ka retroperitoneum e pili ana i ka manawa ma waena o ka ʻōpū o ka ʻōpū a me ka iwi kuamoʻo.

He aha nā hōʻailona o kahi ʻōpū ʻōpū?

ʻO nā ʻōuli laulā o nā ʻōpū ʻōpū i:

• manaʻo maikaʻi ʻole
• abdominal eha
• nausea a me ka luaʻi
• fiva
• nalo ʻai ʻole

Pehea e ʻike ʻia ai kahi maʻi ʻōpū?

E like paha nā ʻōuli o kahi ʻōpū me ka ʻōuli o nā kūlana ʻē aʻe, ʻoi aku ka nui o ke koʻikoʻi. E holo paha kāu kauka i kahi hoʻokolohua kiʻi e hana i kahi ʻike kūpono. ʻO kahi ultrasound paha ka hana diagnostic mua i hoʻohana ʻia. ʻO nā hoʻokolohua kiʻi ʻē aʻe, e like me ka CT scan a i ʻole MRI, kōkua pū i kāu kauka e ʻike i nā ʻōpū o ka ʻōpū a me nā aʻa.

Kukuna ultrasound

Hoʻohana kahi ultrasound abdomen i nā hawewe kani pinepine e hana i nā kiʻi o nā meaola i loko o ka ʻōpū.

I ka wā o ka hoʻokolohua, e moe ʻoe ma ka papa me kou ʻōpū i hōʻike ʻia. E noi i kahi ʻenehana ultrasound i kahi gel i maopopo i ka wai i ka ʻili ma luna o ka ʻōpū. A laila e nalu lākou i kahi mea hana lima i kapa ʻia he transducer ma luna o ka ʻōpū. Hoʻouna ka transducer i nā nalu kani kani pinepine e lele i luna i nā hanana o ke kino a me nā meaola. Hoʻouna ʻia nā nalu i kahi kamepiula, e hoʻohana ai i nā nalu e hana i nā kiʻi. ʻAe nā kiʻi i kāu kauka e nānā pono i nā mea o loko o ka ʻōpū.

Scanner tomography kamepiula (CT) scan NineManga.com

ʻO kahi CT scan kahi X-ray kūikawā i hiki ke hōʻike i nā kiʻi ʻāpana o kahi ʻāpana kikoʻī o ke kino.

ʻO ka scanner CT e like me kahi pōʻai nui me kahi puka ma waenakonu, i kapa ʻia he gantry. I ka wā o ka scan, e moe pālahalaha ʻoe ma ka papa, i hoʻonohonoho ʻia i ka gantry. Hoʻomaka ka gantry e huli a puni ʻoe, e kiʻi ana i nā kiʻi o kou ʻōpū mai nā kihi he nui. Hāʻawi kēia i kāu kauka i kahi ʻike piha o ka wahi.

Hiki i kahi CT scan ke hōʻike i nā haki, nā abscesses i hoʻopaʻa ʻia, nā ʻōpala, nā ʻōpū ulu, a me nā mea haole i ke kino.

Mākēneki resonance kiʻi (MRI)

Hoʻohana kahi MRI i nā mākēneki nui a me nā nalu lekiō e hana i nā kiʻi o ke kino. ʻO ka mīkini MRI kahi paipu magnet lōʻihi.

I ka wā o kēia hoʻokolohua, e moe ʻoe ma luna o kahi moena e heʻe ai i loko o ka wehe o ka paipu. Hoʻopuka ka mīkini i kahi māla magnet e hoʻopuni i kou kino a hoʻopili i nā mole wai i kou kino. ʻAe kēia i ka mīkini e kiʻi i nā kiʻi ākea o nā ʻaoʻao o kou ʻōpū.

ʻOi aku ka maʻalahi o kahi MRI i kāu kauka e nānā no nā mea kūpono ʻole i nā aʻa a me nā mea i loko o ka ʻōpū.

Ke kālailai laʻana wai ʻaʻohe

Lawe paha kāu kauka i kahi laʻana o ka wai mai ka abscess a nānā iā ia e hana i kahi ʻike maikaʻi aʻe. ʻO ke ala no ka loaʻa ʻana o kahi laʻana wai e pili ana i ka wahi o ka abscess.

Pehea e mālama ʻia ai kahi ʻōpū ʻōpū?

ʻO ke kahe kekahi o nā ala mua i ka mālama ʻana i kahi abscess ʻōpū. ʻO ka wili ʻana o ka nila ka kekahi o nā hana i hoʻohana ʻia e hoʻokahe i ka pus mai kahi abscess.

I kēia kaʻina hana, e hoʻohana kāu kauka i kahi CT scan a i ʻole ultrasound e hoʻokomo i kahi nila ma o kou ʻili a pololei i loko o ka abscess. A laila e huki kāu kauka i ka plunger e wehe i nā wai a pau. Ma hope o ka hoʻokahe ʻana i ka abscess, e hoʻouna kāu kauka i kahi laʻana i ka lab no ka ʻimi ʻana. E kōkua kēia i ka hoʻoholo ʻana i nā antibiotic e kuhikuhi ai.

Pono ʻoe e koi i nā lāʻau antibiotic intravenous e mālama i ka abscess ʻōpū.

Pono paha kekahi mau hihia i ke ʻoki. Pono paha ke ʻoki kino:

• e hoʻomaʻemaʻe hou i ka abscess
• inā paʻakikī ka abscess e kiʻi me kahi nila
• inā ua haki kahi ʻōpala

E hāʻawi aku kāu kauka iā ʻoe i ka anesthesia ākea e hoʻokau iā ʻoe e hiamoe ma loko o ke kaha. I ka wā o ke kaʻina hana, e ʻoki kahi kaukōpō i ka ʻōpū a loaʻa ka abscess. E hoʻomaʻemaʻe lākou i ka abscess a hoʻopili i kahi kahawai iā ia i hiki ai i ka pus ke kahe i waho. E noho ke kahawai i ka wahi a hiki i ka wā e ola ai ka abscess. Lawe pinepine kēia i kekahi mau lā a i ʻole mau pule.