Mukati
Chii chinonzi chiropa
Abscess pachiropa ibumbu rakazara nemapus. Chiropa abscess inogona kuitika mune chero munhu. Nayo pachayo, haisi kutyisidzira hupenyu, sezvo pus inoputirwa uye yakaparadzaniswa kubva kune ese tishu. Asi zvinogona kuve nengozi kana iyo capsule ikavhurwa uye zviri mukati zvichibuda kunze. Zvinogona kuitika kamwe kamwe, saka iwe unofanirwa kugara uchitarisa nachiremba wako.
Kana bundu rechiropa rikakurumidza kuwanikwa, rinorapika. Pasina kurapwa, inogona kuputika uye kuparadzira hutachiona, zvichiita kuti sepsis, hutachiona hwehutachiona hwehutachiona hwehupenyu hunotyisa.
Zvinokonzera chiropa abscess kuvanhu vakuru
Pane zvikonzero zviviri zvikuru zvinogona kumutsa abscess yechiropa.
Zvine utachiona:
- hutachiona hwehutachiona mumugwagwa webiliary;
- hutachiona hwehutachiona hwemukati wedumbu hunobatanidza ne appendicitis, diverticulitis, kana kuputika kwemukati;
- zvirwere zveropa;
- Entamoeba histolytica infection (chipenyu chinokonzerawo amoebic dysentery - inogona kutapurirwa kuburikidza nemvura kana kuonana nemunhu).
Zvinoshungurudza:
- endoscopy ye bile ducts uye ducts;
- kuputika, tsaona;
- kuwa kwehupenyu.
Pane zvakare zvinhu zvinowedzera njodzi yekugadzira chiropa abscess:
- Chirwere cheCrohn;
- chirwere cheshuga;
- kukwegura;
- doro;
- kukanganisa maitiro ezvirwere zvemuviri nekuda kwemamiriro ezvinhu akadai seHIV kana AIDS, pamwe chete nemamwe immunodeficiencies, corticosteroid kushandiswa, kuchinjwa kwenhengo, kana kurapwa kwekenza;
- kudya kwakashata;
- famba uchienda kunharaunda uko hosha dzeamoebic dzakajairika.
Zviratidzo zvekubuda kwechiropa kune vanhu vakuru
Kuratidzira kwakakosha kweabscess yechiropa uye kunyunyuta nayo kunosiyana, asi kazhinji kunosanganisira musanganiswa wezviratidzo:
- kurwadziwa kwepamuviri (kunyanya mudumbu repamusoro rekurudyi kana pasi pembabvu);
- ivhu-ruvara kana grey, tsvina ine ruvara;
- weti yakasviba;
- kutsvuka kweganda uye machena emaziso (jaundice);
- manyoka;
- fivha kana kutonhora;
- kurwadza kwemajoini;
- kuda kurutsa kana pasina kurutsa;
- kurasikirwa nenzara;
- kusanzwisisika kuonda;
- malaise kana kuneta;
- kutsvaira.
Mune zvimwe zviitiko, abscess yechiropa inogona kutyisa hupenyu. Fonera XNUMX nekukurumidza kana murwere aine chero cheizvi zviratidzo:
- chinjo yakamwe kamwe mumufambiro, zvakadai sokuvhiringidzika, delirium, kupera simba, kuona zvinhu zvisipo, uye kuchena musoro;
- kupisa kwakanyanya (kupfuura 38 ° C);
- kushushikana kana kuneta;
- kukurumidza kurova kwemoyo (tachycardia);
- matambudziko ekufema akadai sekutadza kufema zvakanaka, kunetseka kana kutadza kufema, kufemereka kana kukachidzwa;
- kurwadziwa kwakasimba;
- kurutsa.
Kurapa kwechiropa abscess kune vanhu vakuru
Kuongororwa kunosimbiswa kana pane cystic kana nzvimbo dzakaoma muchiropa, kubva kune iyo purulent fluid ine tsika dzakanaka inosunungurwa kana zviri mukati zvinotorwa. Zvakakosha kuwana ongororo idzi nekukurumidza uye kutanga kurapwa nekuda kwenjodzi huru yematambudziko.
Diagnostics
Mushure mekuongorora uye kuunganidza anamnesis pamusoro pekuti murwere akarwara sei, nhamba yezviedzo inofanira kuitwa. Chokutanga pane zvose, iyi ndeyekuongorora ropa rose - serum enzymes inoratidza kushanda kwechiropa (alkaline phosphatase, ALT, AST), tsika dzeropa, nguva yeprothrombin uye yakagadziriswa chikamu che thromboplastin nguva, serum test yemasoja ekudzivirira entamoeba histolytica;
Mukuwedzera, kuongororwa kwechigaro cheEntamoeba histolytica antigen kuchatorwa uye antigen kana polymerase chain reaction (PCR) kuongororwa kweaspirated abscess fluid ichaitwa.
Vanoitawo chiropa ultrasound uye computed tomography.
Mishonga yemazuva ano
Chiropa abscess inorapwa nemishonga uye kuvhiyiwa.
Mishonga inorwisa mabhakitiriya. Mishonga yakasiyana-siyana inoshandiswa kurapa abscess yechiropa. Chisarudzo chavo chinoenderana nemhando yehutachiona. Mishonga mikuru:
- aminoglycosides akadai amikacin (Amikin) kana gentamicin (Garamycin);
- clindamycin (Cleocin);
- piperacillin-tazobactam musanganiswa (Zosin);
- Metronidazole (Flagyl).
Kana iri amoebic abscess, mushure mekunge hutachiona hwapora, murwere anonyorerwa mumwe mushonga wekuuraya amoeba mumatumbo kudzivirira abscess kubva zvakare.
nzira dzokuvhiya. Izvo zvakasiyana, uye sarudzo inoenderana nehuwandu hwekukuvara kwechiropa uye kuoma kwemamiriro emurwere:
- aspiration - munyaya iyi, pus inoputirwa kunze netsono kuburikidza nedumbu remudumbu, inoitika kakawanda (nokuda kwezviputi zvisingasviki masendimita mashanu);
- drainage - inoda kuiswa kwecatheter kuti ibvise pus (kune abscess inodarika masendimita mashanu paupamhi).
Nzira mbiri idzi i laparoscopic, inoitwa kuburikidza nediki diki. Asi dzimwe nguva kuvhiyiwa kwakavhurika kunodiwa kune peritonitis, maabscesses-akasimba-akasimba, maabscesses akatsemuka, maabscesses makuru akawanda, uye nzira dzakambotadza kubuda.
Kudzivirirwa kwechiropa abscess muvakuru kumba
Hazviiti nguva dzose kudzivirira chiropa chiropa. Nekudaro, muzviitiko zvakawanda, unogona kuderedza njodzi yekuva nehutachiona nekudzivisa kudyiwa kwechikafu kana mvura yakasvibiswa, kudzikamisa kufamba kuenda kumatunhu uko hutachiona hweamoebic huzhinji.
Mibvunzo nemhinduro dzakakurumbira
Akapindura mibvunzo yedu nezve chiropa abscess gastroenterologist, hepatologist, nutritionist Natalya Zavarzina.
Zvishoma zvishoma, kuputika kwechiropa kunogona kukonzerwa neamoebic invasion (yakakonzerwa neEntamoeba histolitica), chiropa tumor necrosis, tuberculosis, uye kushungurudza mudumbu.