mob plab

Dab tsi yog daim siab abscess

Lub siab abscess yog ib lub cyst uas muaj cov kua paug. Kab mob siab tuaj yeem tshwm sim rau txhua tus. Los ntawm nws tus kheej, nws tsis yog kev hem thawj rau lub neej, vim cov kua paug yog encapsulated thiab sib cais los ntawm tag nrho cov ntaub so ntswg. Tab sis nws tuaj yeem ua rau muaj kev phom sij yog tias lub capsule qhib thiab cov ntsiab lus xau tawm. Nws tuaj yeem tshwm sim tam sim ntawd, yog li koj yuav tsum tau kuaj xyuas koj tus kws kho mob tas li.

Yog tias pom daim siab abscess ntxov, nws feem ntau kho tau. Yog tsis muaj kev kho mob, nws tuaj yeem tawg thiab kis tau tus kab mob, ua rau muaj kab mob sepsis, kab mob kab mob ua rau lub neej.

Ua rau daim siab abscess hauv cov laus

Muaj ob lub laj thawj tseem ceeb uas tuaj yeem ua rau lub siab ua rau lub siab.

Kab mob:

• kab mob kab mob nyob rau hauv lub biliary ib ntsuj av;
• kab mob kab mob ntawm lub plab kab noj hniav txuam nrog appendicitis, diverticulitis, los yog plab hnyuv perforation;
• kab mob hauv cov hlab ntsha;
• Entamoeba histolytica kab mob (ib yam kab mob uas ua rau muaj kab mob amoebic dysentery - nws tuaj yeem kis tau los ntawm dej lossis kev sib cuag ntawm tib neeg mus rau lwm tus).

Kev puas tsuaj:

• endoscopy ntawm cov kua tsib ducts thiab ducts;
• tshuab, xwm txheej;
• poob ntawm txoj sia.

Tseem muaj ntau yam uas ua rau muaj kev pheej hmoo ntawm kev tsim lub siab abscess:

• Crohn's mob;
• ntshav qab zib;
• laus laus;
• dej cawv;
• Kev tiv thaiv kab mob tsis zoo vim muaj mob xws li HIV lossis AIDS, nrog rau lwm yam kev tiv thaiv kab mob, kev siv corticosteroid, kev hloov pauv hauv nruab nrog cev, lossis kev kho mob qog noj ntshav;
• zaub mov tsis zoo;
• taug kev mus rau thaj chaw uas muaj kab mob amoebic.

Cov tsos mob ntawm daim siab abscess nyob rau hauv cov neeg laus

Cov tsos mob tseem ceeb ntawm daim siab abscess thiab kev tsis txaus siab nrog nws sib txawv, tab sis feem ntau suav nrog kev sib xyaw ua ke ntawm cov tsos mob:

• mob plab (tshwj xeeb tshaj yog nyob rau sab xis lub plab mog los yog nyob rau hauv lub tav);
• av nplaum xim los yog grey, discolored quav;
• tsaus zis;
• yellowing ntawm daim tawv nqaij thiab dawb ntawm lub qhov muag (jaundice);
• zawv plab;
• ua npaws los yog txias;
• mob tej pob txha;
• xeev siab los yog tsis ntuav;
• tsis qab los noj mov;
• poob qhov hnyav yam tsis tau piav qhia;
• malaise los yog lethargy;
• hws.

Qee zaum, daim siab ua paug tuaj yeem ua rau muaj kev phom sij heev. Hu rau XNUMX tam sim yog tias tus neeg mob muaj cov tsos mob no:

• tam sim ntawd hloov tus cwj pwm, xws li tsis meej pem, delirium, lethargy, hallucinations, thiab lightheadedness;
• kub (txog 38 ° C);
• agitation los yog lethargy;
• plawv dhia ceev (tachycardia);
• ua tsis taus pa xws li ua tsis taus pa luv, teeb meem lossis ua tsis taus pa, hawb pob lossis txhaws;
• mob hnyav;
• ntuav.

Kev kho mob ntawm daim siab abscess nyob rau hauv cov neeg laus

Kev kuaj mob tau lees paub yog tias muaj cystic lossis nyuaj hauv lub siab, los ntawm cov kua dej purulent nrog cov kab lis kev cai zoo raug tso tawm thaum cov khoom noj. Nws yog ib qho tseem ceeb kom tau txais cov kev ntsuam xyuas no sai thiab pib kho vim tias muaj kev pheej hmoo siab ntawm cov teeb meem.

diagnostics

Tom qab kuaj xyuas thiab sau cov anamnesis txog seb tus neeg mob tau mob li cas, yuav tsum tau ua ntau yam kev kuaj. Ua ntej tshaj plaws, qhov no yog kev kuaj ntshav dav dav - cov enzymes hauv cov ntshav uas qhia lub siab ua haujlwm (alkaline phosphatase, ALT, AST), ntshav kab lis kev cai, lub sijhawm prothrombin thiab qhib lub sijhawm thromboplastin ib nrab, kuaj ntshav rau cov tshuaj tiv thaiv rau Entamoeba histolytica,

Tsis tas li ntawd, kev tsom xam cov quav rau Entamoeba histolytica antigen yuav raug coj mus rau cov tshuaj antigen lossis polymerase saw tshuaj tiv thaiv (PCR) ntawm cov kua dej aspirated abscess.

Lawv kuj ua lub siab ultrasound thiab xam tomography.

Kev kho mob niaj hnub

Lub siab abscess yog kho nrog tshuaj thiab phais.

Tshuaj tua kab mob. Ntau yam tshuaj tua kab mob yog siv los kho lub siab abscess. Lawv txoj kev xaiv nyob ntawm qhov xwm txheej ntawm tus kab mob. Cov tshuaj tseem ceeb:

• aminoglycosides xws li amikacin (Amikin) lossis gentamicin (Garamycin);
• Clindamycin (Cleocin);
• piperacillin-tazobactam ua ke (Zosin);
• metronidazole (Flagyl).

Yog tias nws yog amoebic abscess, tom qab tus kab mob kho tau zoo, tus neeg mob yuav tau muab lwm cov tshuaj tua cov amoeba hauv cov hnyuv kom tiv thaiv kom tsis txhob rov tshwm sim dua.

txoj kev phais. Lawv txawv, thiab kev xaiv nyob ntawm seb lub siab puas tsuaj thiab qhov hnyav ntawm tus neeg mob tus mob:

• aspiration - nyob rau hauv cov ntaub ntawv no, cov kua paug tawm nrog ib rab koob los ntawm lub plab kab noj hniav, nws tshwm sim ob peb zaug (rau abscesses tsawg tshaj li 5 cm nyob rau hauv lub cheeb);
• Cov kua dej - nws yuav tsum tau nruab ib lub catheter kom ntws cov kua paug (rau qhov abscess ntau tshaj 5 cm inch).

Ob qho ntawm cov txheej txheem no yog laparoscopic, ua los ntawm kev txiav me me. Tab sis qee zaum qhib kev phais yog xav tau rau peritonitis, tuab-walled abscesses, ruptured abscesses, ntau yam loj abscesses, thiab yav tas los ua tsis tiav cov txheej txheem.

Kev tiv thaiv kab mob siab rau cov neeg laus hauv tsev

Nws tsis yog ib txwm ua tau kom zam lub siab abscess. Txawm li cas los xij, ntau zaus, koj tuaj yeem txo qhov kev pheej hmoo ntawm kev tsim kab mob los ntawm kev zam kev noj cov zaub mov tsis huv lossis dej, txwv kev mus rau thaj chaw uas muaj kab mob amoebic.

Nrov lus nug thiab lus teb

Teb peb cov lus nug txog daim siab abscess Gastroenterologist, kws kho mob hepatologist, kws kho mob noj zaub mov Natalya Zavarzina.