So wotaa yɛ wo yafunu mu yaw na wo ho yɛ wo hyew? Eyi betumi ayɛ Yafunu mu Akisikuru!

So woate ɛyaw a ano yɛ den wɔ wo yafunu mu na woanya atiridii pɛn? Anaasɛ woate nka sɛ wo mu duru so retew a aduan ho akɔnnɔ ne akisikuru a ɛyɛ wo yaw no so tew? Ebia tebea a yɛreka ho asɛm nnɛ no, wɔfrɛ no ``Abdominal Abscess''. Mma ɛnhaw wo, momma yɛnka eyi ho asɛm tiawa.

Dɛn ne eyi `(Yafunu mu Akisikuru)`? Dɛn nti na asiane wom?

Sɛ yɛbɛka no tiawa a, Abdominal Abscess yɛ akisikuru a akisikuru ahyɛ mu ma a ɛba wo yafunu mu baabi. Saa akisikuru yi yɛ nsu a ɛboaboa ano esiane ɔyare mmoawa bi nti. Saa kotoku anaa akisikuru a akisikuru ahyɛ mu ma yi betumi ama obi ayɛ basaa kɛse.

Fa no sɛ kuru ketewaa bi a ɛwɔ honam ani, a ɛde ɔyare mmoawa ba na akisikuru boaboa ano. Nanso eyi si wɔ yafunu no mu, enti yentumi mfi akyi nhu. Nanso ebetumi asɛe nneɛma pii afi mu. Adeɛ a ɛho hia paa ne sɛ, sɛ wɔansa yei yie a, saa ɔyareɛ yi bɛtumi atrɛ wɔ nipadua no mu nyinaa na ɛde tebea a ɛyɛ hu a wɔfrɛ no ``Sepsis'' aba. ``Sepsis'' yɛ biribi a ebetumi de nkwa mpo ato asiane mu. Ɛno nti na ɛho hia paa sɛ wohu eyi no.

Dɛn nti na saa `(Abdominal Abscess)` yi ba yafunu no mu? Dɛn na ɛde ba?

Mpɛn pii no, saa `(Abdominal Abscess)` yi fi ɔyare mmoawa bi. Sɛ saa mmoawa yi fa ɔkwan bi so hyɛn wo yafunu mu a, nipadua no mu tumi a ɛko tia nyarewa a ɛte sɛ ɔwɛmfo wɔ yɛn nipadua mu no fi ase ko tia mmoawa a wɔba wo so yi. Wɔ saa ɔko yi mu, kyerɛ sɛ, wɔ nipadua no mu tumi a ɛko tia nyarewa no mu no, ntini a ɛfa ho (`Tissue`) no sɛe, na ɔfe (`Inflammation`) ba. Saa ɔfe yi, ntini a awuwu ne mmoawa bom yɛ saa akisikuru (`Pus`), a ɛte sɛ akisikuru (`Abscess`).

Afei ma yɛnhwɛ tebea horow a mmoawa yi betumi akɔ yafunu no mu:

• Esiane ɔyare mmoawa bi a efi ase wɔ yafunu no mu nti: Ɛtɔ mmere bi a, sɛ tokuru ketewaa bi (tokuru) ba baabi te sɛ dwensɔtwaa no a, mmoawa betumi akɔ yafunu no mu.
• Ayaresa mu tebea horow bi: Sɛ nhwɛso no, nnipa a wɔwɔ Crohn yare (yare a ɛyɛ hyew a enni sabea wɔ dwensɔtwaa mu), diverticulitis (yare a ɛba dwensɔtwaa kɛse no mu nkotoku nketewa mu), anaa yare a ɛma obi ho hyehye no (PID) wɔ mmea mu no wɔ asiane kɛse mu sɛ wobenya yafunu mu akisikuru. Saa tebea horow yi nso betumi ama yafunu no ayɛ hyew.
• Wɔ yafunu mu oprehyɛn akyi: Ɛtɔ mmere bi a, wɔ yafunu mu oprehyɛn akyi no, mmoawa tumi hyɛn kuru no mu na ɛde ɔyare mmoawa ba, na ɛde akisikuru ba.
• Esiane yafunu no mu opira nti: Sɛ nhwɛso no, akyi opira te sɛ kuru a wɔde sekan abɔ no betumi ama mmoawa akɔ yafunu no mu tẽẽ.

Adeɛ a ɛho hia paa ne sɛ, ɛmfa ho nea ɛde ba no, saa `(Abdominal Abscess)` yiSɛ wɔansa no ntɛm a, ebetumi de tebea horow a emu yɛ den a ɛde nkwa to asiane mu te sɛ ``Sepsis`` (mogya mu awuduru, baabi a ɔyare no trɛw kɔ nipadua no mu nyinaa) ne ``Organ Failure`` aba. Enti, ɛsɛ sɛ wohwɛ yiye paa wɔ eyi ho.

Ɛhe na wɔ yafunu no mu na saa ``(Abdominal Abscess)'' yi betumi aba? So ahorow bi wɔ hɔ?

Yiw, saa akisikuru yi betumi ayɛ yafunu no afã horow. Nnuruyɛfo kyekyɛ wɔn mu sɛnea baabi a akisikuru no wɔ te. Yebetumi aka ahorow abiɛsa ho asɛm titiriw:

1. Intraperitoneal Abscesses: Eyinom yɛ akisikuru a ɛba yafunu no mu, kyerɛ sɛ, yafunu no mu (peritoneum) no mu. Nhwɛsoɔ:

• Wo diaphragm (ntini a ɛtetew wo koko ne wo yafunu mu) ase.
• Ntini a ɛwɔ nipadua no mu.
• Pelvic cavity (`Pelvis`) no wɔ nea ɛwɔ hɔ.
• Yafunu bɛn hɔ.
• Beae titiriw foforo ne ``Subphrenic Abscess`` a ɛba wɔ diaphragm ne mmerɛbo no ntam.

2. Retroperitoneal Abscesses: Eyinom ba wɔ yafunu no akyi, wɔ yafunu no akyi. Wohu wɔn titiriw wɔ asaabo anaa dwensɔtwaa no fã.

3. Visceral Abscess: Eyi kyerɛ akisikuru a ɛboaboa ano a ɛba akwaa a ɛyɛ den te sɛ mmerɛbo anaa akyi berɛmo mu.

Ɛmfa ho baabi a ɛba no, ɛho hia sɛ wuhu na wosa no ntɛm.

Dɛn ne ``Yafunu mu Akisikuru'' ho sɛnkyerɛnne? Yɛyɛ dɛn hu no?

Nsɛnkyerɛnne no betumi ayɛ soronko kakra a egyina baabi a akisikuru no wɔ so. Nanso sɛnkyerɛnne ahorow bi wɔ hɔ a ɛtaa ba. Hwɛ sɛ wowɔ eyinom mu bi anaa:

• Ɛyaw foforo, a emu yɛ den, na ɛkɔ so daa: Ɛyaw yi betumi aba yafunu no atifi, yafunu ase, akyi, mmati, anaa moma so mpo.
• Atiridii: Nsɛnkyerɛnne titiriw ne atiridiinini a ano yɛ den. Ɛtɔ da bi a, atiridiinini no tumi de atiridiinini ne ahopopo ka ho.
• Anorexia: Ɔpɛ a obi hwere sɛ obedidi.
• Akisikuru ne ɔfe: Akisikuru ne ebia ɔfe betumi aba aka yafunu a ɛyɛ yaw ho.
• Wo mu duru a ɛso tew a wontumi nkyerɛkyerɛ mu: Sɛ wo mu duru so tew mpofirim a wunnni adidi anaa woteɛteɛ w’apɔw mu a, ɛno nso yɛ sɛnkyerɛnne a ɛsɛ sɛ wohaw wo ho wɔ ho.

Susuw ho hwɛ, ɛtɔ da bi a sɛ yɛn yafunu yɛ yɛn yaw kakra a, yesusuw sɛ, "Oh, ɛbɛyɛ sɛ eyi yɛ gas, anaasɛ ɛbɛyɛ sɛ biribi asɛe." Nanso sɛ ɛyaw a ɛte sɛɛ no ​​de atiridii anaa aduan ho akɔnnɔ a ɛyera ka ho a, mmu no sɛ ɛyɛ gas kɛkɛ. Titiriw sɛ ɛyaw no kɔ so na ɛyɛ kɛse da biara da a, akyinnye biara nni ho sɛ ɛsɛ sɛ wohwehwɛ aduruyɛ mu afotu.

Ɔkwan bɛn so na oduruyɛfo hu ``Abdominal Abscess'' pɛpɛɛpɛ? (Nyare a Wɔahu) .

Sɛ wokɔ oduruyɛfoɔ (`Healthcare Provider`) nkyɛn a ɔwɔ saa nsɛnkyerɛnneɛ yi a, ɔbɛdi kan abisa wo wo nsɛnkyerɛnneɛ no ho asɛm. Afei ɔbɛhwehwɛ wo mu (`Physical Examination`). Bio nso, ɔbɛhyɛ sɛ wɔnyɛ nhwehwɛmu pii de si so dua sɛ eyi yɛ ``Abdominal Abscess`` anaa.

• Mogya mu nhwehwɛmu: Wobetumi de mogya dodow a edi mũ (CBC) ahwɛ sɛ ɔyare mmoawa bi wɔ hɔ anaa. Mogya mu nkwammoaa fitaa dodow a ɛkɔ soro no yɛ ɔyare mmoawa ho sɛnkyerɛnne.
• Mfoniniyɛ mu Sɔhwɛ: Eyinom boa ma wohu baabi pɔtee a akisikuru no wɔ ne ne kɛse.
• Abdominal Ultrasound: Eyi tumi hwɛ akwaa ne cysts a ɛwɔ yafunu no mu.
• Chest X-ray: Eyi betumi aboa ma woahu sɛ ɔhaw bi wɔ diaphragm no mu anaa.
• CT Scan: CT scan a wɔyɛ wɔ yafunu ne akyi berɛmo mu ne nhwehwɛmu a wɔtaa yɛ na ɛyɛ pɛpɛɛpɛ a ɛbɛboa ma wɔahu tebea yi. Ebetumi ada akisikuru no adi pefee.
• MRI scan (Magnetic Resonance Imaging - MRI scan): Ebia nhwehwɛmu yi nso ho behia wɔ nsɛm titiriw bi mu.

Ɛtɔ da bi a, ebia ɛho behia sɛ oduruyɛfo no fa akisikuru no mu kakraa bi na ɔsɔ hwɛ. Wɔfrɛ eyi sɛ ``Fine Needle Aspiration''. Wɔde ade ketewaa bi hyɛ akisikuru no mu na woyi akisikuru ketewaa bi na wɔde kɔ aduruyɛdan mu kɔhwehwɛ mmoawa pɔtee a ɛde ɔyare no ba. Eyi betumi aboa ma wɔahu ayaresa.

Dɛn ne ayaresa a wɔde sa `(Abdominal Abscess)`? So wobetumi asa no yare?

Yiw, `(Abdominal Abscess)` yɛ tebea a wotumi sa. Nanso ehia sɛ wɔsa no ntɛm na ɛfata. Wɔde akwan titiriw abien a wɔfa so sa yare bom di dwuma:

1. Nnuru a ekum ɔyare mmoawa: Wɔde nnuru yi ma de kum mmoawa a wɔde ɔyare no bae no. Ebia wobefi ase sɛ nnuru a wɔde fa ntini mu (IV) na afei wɔadan akɔ nnuru a wɔnom so.

2. Nsu a ɛkɔ nipadua no mu: Wɔrentumi mfa nnuru nkutoo nsa eyi. Ɛsɛ sɛ wɔtwe akisikuru a aboaboa ano no fi mu. Ɔkwan a wɔtaa fa so yɛ eyi ne nea wɔfrɛ no Percutaneous Abscess Drainage (PAD).

Dɛn ne `(Percutaneous Abscess Drainage - PAD)`?

Ebia eyi bɛyɛ te sɛ asɛm kɛse, nanso eyi yɛ ayaresa a ɛnyɛ den koraa na ɛnyɛ nea wɔde hyɛ nipadua mu.

Nea ɛkɔ so wɔ ha ne sɛ, oduruyɛfo no hwɛ `(CT scan)` anaa `(Ultrasound scan)` na ɔde tube ketewa bi (`Catheter` anaa `Drain`) fa honam ani (ɛno ne nea ɛkyerɛ `Percutaneous`) mu pɛpɛɛpɛ wɔ baabi a akisikuru no wɔ. Afei wɔde saa afiri no ano foforo no bata kotoku ketewaa bi ho. Afei akisikuru no sen nkakrankakra fa afiri no mu na ɛboaboa ano wɔ kotoku no mu.

Wobɛma wo ho ayɛ wo hyew (local anesthesia) bere a woreyɛ saa oprehyɛn yi. Wei kyerɛ sɛ wobɛte nka, nanso baabi a wɔde afiri no bɛhyɛ mu no bɛyɛ mmerɛw ma enti worente ɛyaw biara. Ɛtɔ mmere bi a, ɛsɛ sɛ wode tube ne bag no si baabi nna kakraa bi, ɛtɔ mmere bi a dapɛn biako, kosi sɛ akisikuru no nyinaa bɛtɔ.

So saa `(PAD)` ayaresa yi betumi de nsɛnnennen aba?

Sɛnea ɛte wɔ aduruyɛ mu adeyɛ biara ho no, hokwan ketewaa bi wɔ hɔ sɛ ɔhaw nketenkete bɛba wɔ saa ``PAD'' adeyɛ yi mu. Nanso, eyinom ntaa mma.

• Mogya a ɛretu: Mogya kakra betumi afi baabi a wɔde afiri no ahyɛ mu no.
• Ɛyaw: Sɛ akisikuru no sa a, ebia wobɛte ɛyaw bi. Wubetumi anom nnuru a wɔde kum ɛyaw ama ɛno.
• Kuru mu Nyarewa: Ɛtɔ mmere bi a, baabi a wɔde afiri no ahyɛ mu no betumi anya ɔyare mmoawa.

Sɛ biribi te sɛ eyi si a, oduruyɛfo no de ayaresa a ɛho hia bɛma.

Sɛ mewɔ ``Abdominal Abscess'' a, dɛn na metumi ahwɛ kwan? So ɛbɛsa koraa?

Wɔ nnipa pii fam no, ɛkame ayɛ sɛ nnuru a ekum ɔyare mmoawa ne PAD betumi asa Yafunu mu Akisikuru koraa. Wobɛte nka nkakrankakra. Wo atiridiinini no bɛkɔ fam, wo yaw no befi hɔ, na w’akɔnnɔ asan aba bio.

Nanso pii wɔ hɔ a ɛfa ho. An Abdominal Abscess nyɛ nea ɛba ara kwa. Ebia biribi a ɛde ba (e.g., Crohn yare, ɔyare mmoawa a ɛba bere a wɔayɛ oprehyɛn akyi). Wɔde ayaresa no atirimpɔw ne sɛ wobeyi akisikuru no afi hɔ na wɔadi ɔyare no so, na ɛnyɛ bere nyinaa na wobeyi nea ɛde ba no afi hɔ. Enti, ɛho hia sɛ wɔsa anaasɛ wodi nea ɛde ba no nso ho dwuma.

Bere bɛn na ebehia sɛ mesan kɔ oduruyɛfo nkyɛn bio?

Sɛ wo ho tɔ wo wɔ ayaresa akyi mpo a, ma w’ani nna hɔ wɔ sɛnkyerɛnne ahorow bi ho. Nhwɛsoɔ:

• Sɛ atiridiinini no san ba bio a.
• Sɛ yafunu mu yaw no fi ase bio na ɛkɔ so tra hɔ a.

Sɛ saa sɛnkyerɛnne ahorow yi san ba a, ebetumi akyerɛ sɛ akisikuru foforo ayɛ. Sɛ saa a, kɔ oduruyɛfo nkyɛn ntɛm ara.

Titiriw sɛ wowɔ tebea bi a ɛma asiane a ɛwɔ hɔ sɛ wubenya yafunu mu akisikuru te sɛ Crohn yare anaa diverticulitis no yɛ kɛse a, wo ne wo duruyɛfo nkasa mfa sɛnkyerɛnne ahorow a ɛsɛ sɛ wodwen ho titiriw ho. Saa kwan no so no, wubetumi ahu ɔhaw bi na woanya ayaresa ntɛm.

Sɛ yɛbɛbɔ no mua a, nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, enti, sɛnea yɛaka ho asɛm no, eyinom ne nsɛntitiriw a ɛsɛ sɛ yɛma ɛtra yɛn adwenem:

• Abdominal Abscess yɛ tebea a ɛba yafunu no mu.Boil a akisikuru ahyɛ mu ma. Eyi fi ɔyare mmoawa bi a wɔde yare no ba.
• Eyi renkɔ yiye kɛkɛ. Sɛ wɔansa a, ebetumi abɛyɛ nea ɛde ne nkwa to asiane mu, te sɛ sepsis.
• Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ yafunu mu yaw a emu yɛ den, atiridiinini, aduan ho akɔnnɔ a ɛyera, ne akisikuru , mmu w’ani ngu so kɛkɛ. Kɔ oduruyɛfo nkyɛn ntɛm ara.
• Mpɛn pii no nea ɛka ayaresa ho ne nnuru a ekum ɔyare mmoawa ne nsu a wɔde fi mu nyinaa .
• Sɛ wowɔ nneɛma a ɛde asiane ba te sɛ Crohn yare a, hwɛ yiye kɛse wɔ eyi ho.

Kae sɛ wunim wo nipadua yiye. Enti sɛ wote nka sɛ biribi a ɛyɛ soronko a, nyansa wom sɛ wobɛma wɔahwɛ mu. Sɛ wɔsa yare ntɛm a, ebetumi asiw ɔhaw akɛse pii ano.

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