Abdominal abscess: 'ehaʻeha ka a me Ka Hopena

Lahilahi serosa - peritoneum - i loko o kekahi palapala a me kekahi ua aia ma luna o nā wahi kiʻekiʻe o nā loko, i kekahi aiiay waiwai. No ka laʻana, ma ka hihia o ka li nui, ka mea hiki delimit i ka loli wahi, ho okumu i abdominal abscess. I ka 'inikua maʻa akula ua kapaia "soldering", ia mea, ke kahua o adhesions ma waena o nā loko e pili ai me ka loaa i ka paʻa pokole.

ka wehewehena

Abdominal abscess - he purulent li nui o ka hui, ai kekahi hapa paha, a me ka mea hou heheʻe'aʻaʻa a me ka mea hōʻikeʻikeʻuʻuku ho okumu lua a puni ia. Ua hiki ke hana loa i loko o kekahi "hahi" o ka abdominal lua a me ka pu ma symptoms o intoxication, kuni, a me ka sepsis.

Eia hou, i ka hoʻomanawanui, e lanakila ka eha, abdominal nāʻiʻo, hiki nausea a me ka luaʻi malama nona iho. I kekahi manawa, ma ka loa hoopii, adhesions i intestinal iaʻi.

epidemiology

Abdominal abscess,ʻaʻole surprisingly, hua mai la i ka hahaiʻanaʻoki lāʻau lapaʻau ke kaʻina hana, a ua hoohalike ana me ka complication o keia ano keia ano o ka nohoʻana. Ma nānaina o ka ulu ana i loko o ka helu o nā hana i hana 'keia makahiki, i ka helu ana o na complications kekahi maoli he progressively. A nui kūlana ma keia mea no ka emi ana o ka e hoʻonele a me ka laha ana o ka antibiotics ma microorganisms ho okumu i kumupaʻa a hampers ka Kāohiʻana o postoperative complications.

E like me ka hopena o Kekahi, hoʻokahi pakeneka oʻoki lāʻau lapaʻau e hoomanawanui i ka ulu 'postoperative abscess. Kēia huahelu mea kiekie ina o ka piʻiʻana i ka manaʻo a me ka manawa ma preoperative makaukau ua ole.

kamepiula kumumea

I ka papa kuhikuhiE kamepiula ololi, no ka mea, o ka a ka mea i lilo ia i abscess o ka abdominal lua - mea, o ka papa, cavernousʻoki kino. Ua Ua loa olelo ia lŘlŘ ma hope o iapaau ana no pancreatic maʻi, ka laau awaawa, bladder, na naau oʻu loop stitching.

Keʻano o ka li nui ma muli o ka waiū a hiki i ka intestinal Contents i loko o ka peritoneum, a me kona mea hoʻohaumia i loko o ka pae'ōnaehana lumi. Ua hiki e kena ae la ia e kūmūmū abdominal trauma. I wahi o ka mīkini'opihia hua aseptic li nui, a ua hope hui kiʻekiʻe flora.

More ma mua o ka hapalua o ka abscess o kekahi parietal (parietal)'āpana o ka peritoneum, a ma waena o kona parietal a me visceral a lahilahi.

kumu

Abdominal abscesses (ICD10 - K65) hiki ia i ka hopena o ka trauma o ka abdomen, no kekahi laʻana, lōʻihi compressions a kŰia, infectious maʻi o ka intestinal Tube (iersiteoz, salmonellosis, typhoid kuni), ulu o ka hoʻoʻino keʻano o ka hanaʻana i loko o nā loko a me mucosa, e like me ma hope o ka perforation ulcers o ka'ōpū a me ka naʻau liʻiliʻi.

Aia he ekolu kumu nui:

1. Ke alo aku o nā haumāna peritonitis ku i ka rupture o ka i paiiaʻi na, insolvency intestinal anastomoses ma hope o abdominal ana, necrosis o ka pancreatic poo, abdominal trauma.
2. Purulent li nui o ka pelvic nā loko, e like me salpingitis, kiko'î piosalpinks, tubo-ovarian abscess a me na mea e ae.
3. Huʻi li nui o ka pancreas a me ka laau awaawa, bladder, ulcerative colitis.

Ma waho aʻeo ia o ka luna, i kekahi manawa i ka pono o ka abscess i e li nui o ka perinephric'aʻaʻa, osteomyelitis, lumbar spine, tuberculous spondylitis. Ka hapanui pinepine i loko o ka li nui poʻe mamo ma staphylococci, streptococci, clostridia a me ka isherihy, oa na flora, a maʻamau kānāwai i loko o ka naʻau liʻiliʻi.

pathogenesis

Abscess postoperative abdominal akaka no i excessive naoh o ka'ōnaehana paleʻea'ōnaehana e intervene ma ka maloko a puni, a me nā'ōlelo o microorganisms. I ka hope ke komo i loko o ka peritoneal lua a me ke koko a lymph, e like me seep ma ka intestinal pa. Eia hou kekahi, he mea mau i ka pilikia o ka maʻiʻaʻai me ka surgeon e wahi i kona mau lima, na mea paahana, a mea i ka hana. Kekahi ololi nei iluna kino pü ana me ka mea mawaho i hoʻolilo 'ia, e like me ka fallopian paipu a me ka naʻau liʻiliʻi.

Mākou hiki ole hookaawale ia i keʻano o ka hoʻoʻino infiltrates ma hope o penetrating abdominal eha, ulcers a me perforations divergence sutures ma hope oʻoki kino.

Peritoneum reacts i ke ano o ka noho haumāna kahi ololi (li) stereotypically, oia, ia paha ke fibrin ma luna o kona ili a e hoopaa pu haʻawina o ka mucosa, a pela delimits ka ipu ahi, mai ola'aʻaʻa. Inā keia hoomalu ua luku like me ka hopena o ka pus, i ka hoʻoʻino detritus kahe ana i loko o kaʻekeʻeke o ka abdomen a me ka shelving ka lewa. Me ka hooulu ana o ka ia i ka ha i hai sepsis.

symptoms

E ahaʻia ana i ke kanaka ia ia i hana abdominal abscess? Symptoms e like me kekahi hoʻoʻino mai:

1. High, he ulia hookahi o ke kuni pūʻia ole a me ka profuse hou.
2. Unuhi i kaʻeha ma nā abdomen, a i listen i ka hoʻopā 'ole puʻe.
3. Pinepine urination, e like me ka peritoneum ua'ō a me ia mea nāuki mai ka bladder pa baroreceptors.
4. ʻo Eli ma paewaewa ma ka palapala o ka constipation.
5. Nausea a me ka luaʻi ma ke kiekie o ka mai kuni.

Eia hou, i ka hoʻomanawanui i e palpitations. Ua lŘlŘ no mau kumu: he kiʻekiʻe kuni a me ka intoxication. A me ka pathognomonic symptom mea Muscle hoʻopilikia paʻi. He He aiiay reflex, a kāohi 'ia paha no hoi iki i ka wela ai wahi.

Inā ka abscess ua aia 'ana ma lalo o ka diaphragm, ma ka hou ana i ka pono symptoms i ka poe i kuhikuhi i kēia hiʻona. Ke koena unuhi mua ka i ka eha ua IIeEeAIEUIeXAIIUE i loko o ka hypochondrium, mahuahua i ka hoʻoulu manaʻo, a Pāhawewe i ka scapular māhele 'āina. Ka lua o ka koena unuhi - he loli ma ka gait. Man hoʻomaka e involuntarily lawe mālama ana i ka poe mai a me ka hilinai ia ia, e ho'ēmi i Muscle hoʻopilikia.

complications

Abdominal abscesses (ICD-10 - K65) e noho undiagnosed ina ulu ma ke kāʻei kua o nā mea rula, a me ka hoʻomanawanui 'aʻole kōkua e imi. Akā, ua e hoomanao ana i ka hopena o ka au hoomolowa hana ke hoʻomōhala ola-hooweliweli aku ana, e like me sepsis a eiei? Peritonitis.

Subdiaphragmatic abscesses hiki e hoʻoheheʻeʻia, a me ka puka, e uhai i loko o ka pleural lua, ho okumu i adhesions ma laila. Oia kekahi kumu o ka manaʻo paha hiki e alakai i ka akemāmā poino. Nolaila, ina ma hope oʻoki kino a me ka poino, oe i ke kuni, a me kekahi eha, mai manao ana a pau, e hele ma iho. Ma kēia pukana o keu makau 'ia Kaha hiki ole eha.

lapaʻau '

Postoperative abdominal abscess i loko o ka haukapila huai ae ma mull wale. Ka loa informative kāu kiʻina hana mau m-Ray, ultrasound, HI a me MRI o ka pahu a me ka abdomen nā loko. Eia hou kekahi, he mea hiki no na wahine, e hana i kekahi puncture vaginal vault, e nānā, ina paha he mea kekahi purulent streaks i ka ihona hene mau mea.

Nō hoʻi, mai hoopoina e pili ana i ke keʻena hoʻokolohuaʻike. Ma mau, e malama e Ka Ikepili o ke koko o ka oi mahuahua ma ka erythrocyte sedimentation kōmi (ESR), wbc e i ka hana keaka 'oni iki i ka hema, e mea hiki a hiki i ka bipi ano, a, e hoomahuahua i ka kāpae helu o aeee aie i neutrophils.

Hae ma kaʻike, o ka abscess mea abdominal ultrasound. Aia i maopopo na hoailona e hōʻike i ke alo o ka hoʻoʻino infiltrate:

• ho okumu, ua akaka outlines a anuanu mea hōʻikeʻikeʻuʻuku;
• loko o ia mea he wai;
• maʻiʻo inhomogeneous 'ole, a ua maheleia i mau papa;
• Ua mea ma luna o ke kinowai kinoea.

Lapaʻau abdominal abscesses

O ka papa kuhikuhi hana o ka lapaʻau o abscesses, o ka papa, iʻoki kino. He mea pono e omo i ka abscess lua me ka antiseptic holoi a me antibiotic pāʻoihana. Makeʻe kulana lapaʻau 'Aʻole e haawi aku i kekahi kumu hoʻomalu i ka li nui subsides, a me ka loli i loko o ka abscess iho evacuated.

O ka papa, ma hope o ka pulakaumaka ua wehe ', i ka hoʻomanawanui ua koi' ia e hoakaka ia antimicrobial Inc no ka palahalaha pae antibiotic. I hookuu, ke kauka prescribes ka ia manawa i ka ai 'elua a me kekahi mau maomeka o ka hana a me ka pono luku likeʻole ka poeikohoia o ka microbial flora.

Manawa maikai e ao aku ia oukou i ka hoomanawanui ana o ka hiki hopena o ka lapaʻau, e like me ka luaʻi, nele o ka ikaika loa ka makemake, li nui o ka papillary, ahu iho o ke elelo, headaches, a me ka pinepine urination. A me ke kauka e hoomanao ai ia laua, a hookui aku ia i ka lapaʻau kiʻi o ka maʻi.

I ka olelo wanana a me ka Kāohi

Abdominal abscesses (kuhi ICD 10 - K65) - muli o kona kulana he nui complication, no laila, nā mea maʻi a me ka lapaau e malama i ka Kāohiʻana o keia kulana. He mea pono i ka ponoʻole, a hoopau i ka hana hoʻoʻino mai, o kekahi o ka abdominal lua, eʻoiaʻiʻo, e hoʻomaka pre- a kia-operative hoʻomākaukau o ka hoomanawanui, a oae? A oae-sterilized mea, a me ka surgeon ka lima.

No kēia appendicitis paha ma ka hihia o kekahi ulia e hoea i ka wela mea,ʻaʻole e pono ke kali i ka hoailona ana, mai luna, a me oe e ike koke nīnau aku i ke kauka no ka'ōlelo aʻo. Ua hiki ke hoola i kou ola a me ka ola.

Make nei mai abdominal abscess ihoiho he kanaha pakeneka. Ua pau hilinaʻi nui ma luna o ka he ākea ka kaʻina hana, ma ka mea, ua noho ai, a pehea ia, kena ae la i ka maʻi. Akā, me ka 'eleu lapaau i ka haukapila i ka likelihood o ka noho lakou malaila hoʻokūkū ua hoemiia.