Loaʻa pinepine iā ʻoe ka ʻeha ma kou ʻōpū a me ke kuni? He "Abdominal Abscess" paha kēia!

Ua ʻike anei ʻoe i ka ʻeha nui i loko o kou ʻōpū a me ke kuni? A i ʻole ua manaʻo paha ʻoe e emi ana kou kaumaha me ka nalowale o ka makemake a me ka nausea? Malia paha ʻo ke kūlana a mākou e kamaʻilio nei i kēia lā ua kapa ʻia ʻo "Abdominal Abscess". Mai hopohopo, e kamaʻilio maʻalahi kākou e pili ana i kēia.

He aha kēia `(Abdominal Abscess)`? No ke aha he mea weliweli?

I ka ʻōlelo maʻalahi, he puʻupuʻu piha i ka pus kahi i hana ʻia ma kahi o loko o kou ʻōpū. He wai kēia pus e hōʻiliʻili ana ma muli o kahi maʻi. Hiki i kēia ʻeke piha i ka pus a i ʻole abscess ke hoʻoulu i ka nui o ka ʻoluʻolu ʻole.

E noʻonoʻo e like me kahi ʻeha liʻiliʻi ma ka ʻili, kahi e loaʻa ai ka maʻi a hōʻiliʻili ka pus. Akā hana kēia i loko o ka ʻōpū, no laila ʻaʻole hiki iā mākou ke ʻike mai waho. Akā hiki iā ia ke hana i ka nui o ka pōʻino mai loko mai. ʻO ka mea nui loa, inā ʻaʻole mālama pono ʻia kēia, hiki i kēia maʻi ke laha ma ke kino a alakaʻi i kahi maʻi weliweli i kapa ʻia ʻo "Sepsis". ʻO "Sepsis" kahi mea hiki ke hoʻoweliweli i ke ola. ʻO ia ke kumu he mea nui e makaʻala i kēia.

No ke aha e hana ʻia ai kēia ʻano `(Abdominal Abscess)` i loko o ka ʻōpū? He aha nā kumu?

ʻO ka hapa nui o ka manawa, ʻo kēia `(Abdominal Abscess)` i hana ʻia e kahi maʻi bacteria. Ke komo kēia mau bacteria i loko o kou lua ʻōpū, hoʻomaka ka ʻōnaehana pale, e like me ke kiaʻi i loko o ko mākou kino, e hakakā i kēia mau bacteria komo. I loko o kēia hakakā, ʻo ia hoʻi, i ka pane pale, ua hōʻino ʻia nā ʻiʻo pili (`Tissue`), a loaʻa ka mumū (`Inflammation`). Me kēia mumū, hui pū nā ʻiʻo make a me nā bacteria e hana i kēlā pus (`Pus`), e like me ka paila (`Abscess`).

I kēia manawa, e nānā kākou ma lalo o nā kūlana e hiki ai i kēia mau bacteria ke komo i loko o ka ʻōpū:

• Ma muli o kahi maʻi bacteria e hoʻomaka ana i loko o ka ʻōpū: I kekahi manawa, inā loaʻa kahi lua liʻiliʻi (perforation) ma kahi e like me nā ʻōpū, hiki i ka bacteria ke komo i loko o ka lua ʻōpū.
• Kekahi mau kūlana olakino: No ka laʻana, ʻo ka poʻe me ka maʻi Crohn (kahi maʻi mumū mau o nā ʻōpū), diverticulitis (ka maʻi o nā ʻeke liʻiliʻi o ka ʻōpū nui), a i ʻole ka maʻi mumū pelvic (PID) i nā wahine e piʻi aʻe ka pilikia o ka loaʻa ʻana o kahi abscess ʻōpū. Hiki i kēia mau kūlana ke hoʻoulu i ka mumū i loko o ka ʻōpū.
• Ma hope o ke ʻoki ʻōpū: I kekahi manawa, ma hope o ke ʻoki ʻōpū, hiki i ka bacteria ke komo i loko o ka ʻeha a hana i kahi maʻi, e hopena ai i ke kūkulu ʻia ʻana o kahi abscess.
• Ma muli o kahi ʻeha i ka ʻōpū: No ka laʻana, ʻo kahi ʻeha o waho, e like me kahi ʻeha hou, hiki ke hoʻoulu i ka bacteria e komo pololei i loko o ka lua ʻōpū.

ʻO ka mea nui loa, ʻoiai ke kumu, ʻo kēia `(Abdominal Abscess)`Inā ʻaʻole e mālama koke ʻia, hiki iā ia ke alakaʻi i nā maʻi koʻikoʻi e hoʻoweliweli i ke ola e like me ka "Sepsis" (ka lāʻau make koko, kahi e laha ai ka maʻi ma ke kino holoʻokoʻa) a me ka "Organ Failure". No laila, he mea nui e makaʻala loa i kēia.

Ma hea i loko o ka ʻōpū e hiki ai ke ulu kēia "(Abdominal Abscess)"? Aia kekahi mau ʻano?

ʻAe, hiki i kēia mau abscess ke hana ʻia ma nā ʻāpana like ʻole o ka ʻōpū. Hoʻokaʻawale nā ​​​​kauka iā lākou e like me kahi i loaʻa ai ka abscess. Hiki iā mākou ke kamaʻilio nui e pili ana i ʻekolu mau ʻano:

1. Nā ʻōpū Intraperitoneal: ʻO kēia nā ʻōpū e hana ʻia i loko o ka ʻōpū, ʻo ia hoʻi, i loko o ka uhi o ka lua ʻōpū (ka peritoneum). Eia kekahi laʻana:

• Ma lalo o kou diaphragm (ka ʻiʻo e hoʻokaʻawale i kou umauma a me kou ʻōpū).
• Nā ʻōpū.
• Aia ka lua pelvic ('Pelvis') ma kona wahi.
• Aia ka ʻōpū ma kahi kokoke.
• ʻO kekahi wahi kūikawā ʻo ia ka "Subphrenic Abscess" e kū ana ma waena o ka diaphragm a me ke akepaʻa.

2. Nā ʻōpū Retroperitoneal: Hoʻokumu ʻia kēia mau mea ma ke kua o ka lua ʻōpū, ma waho o ka peritoneum. ʻIke nui ʻia lākou ma kahi o nā puʻupaʻa a i ʻole ka pancreas.

3. ʻŌpū Visceral: Pili kēia i kahi hōʻiliʻili o ka pus e hana ʻia i loko o kahi ʻōkana paʻa, e like me ke akepaʻa a i ʻole ka spleen.

Ma hea ʻole e loaʻa ai, he mea nui e ʻike koke a mālama iā ia.

He aha nā hōʻailona o ka "Abdominal Abscess"? Pehea mākou e ʻike ai?

Hiki ke ʻokoʻa iki nā hōʻailona ma muli o kahi i loaʻa ai ka abscess. Akā aia kekahi mau hōʻailona maʻamau. E nānā inā loaʻa iā ʻoe kekahi o kēia mau mea:

• ʻEha hou, koʻikoʻi, a mau loa: Hiki ke ʻeha kēia ʻeha ma ka ʻōpū o luna, ka ʻōpū o lalo, ke kua o lalo, ka poʻohiwi, a i ʻole ka umauma.
• Kuni: ʻO ka hōʻailona nui ka kuni nui. I kekahi manawa, hiki ke hele pū me ke kuni ka ʻūlū a me ka haʻalulu.
• Anorexia: Ka nalowale o ka makemake e ʻai.
• Ka luaʻi a me ka luaʻi ʻana: Hiki ke hana pū ʻia ka luaʻi a me ka luaʻi ʻana me ka ʻeha o ka ʻōpū.
• ʻO ka pohō kaumaha i wehewehe ʻole ʻia: Inā pohō koke kou kaumaha me ka ʻole o ka ʻai ʻana a i ʻole ka hoʻoikaika kino ʻana, he hōʻailona kēlā e hopohopo ai.

E noʻonoʻo i ia mea, i kekahi manawa ke loaʻa iā mākou kahi ʻeha ʻōpū liʻiliʻi, manaʻo mākou, "Auē, he kinoea paha kēia, a i ʻole ua hewa kekahi mea." Akā inā hele pū kēia ʻano ʻeha me ke kuni a i ʻole ka nalowale o ka makemake, mai hoʻokuʻu wale iā ia he kinoea. ʻOi loa aku inā mau ka ʻeha a ke ʻoi aku ka ʻino i kēlā me kēia lā, pono ʻoe e ʻimi i ke kōkua lapaʻau.

Pehea e hiki ai i ke kauka ke ʻike pololei i kahi "Abdominal Abscess"? (Diagnosis)

Ke hele ʻoe e ʻike i ke kauka (`Healthcare Provider`) me kēia mau hōʻailona, ​​e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona. A laila e nānā ʻo ia iā ʻoe (`Physical Examination`). Eia kekahi, e kauoha ʻo ia i kekahi mau hoʻokolohua e hōʻoia inā he ``Abdominal Abscess`` kēia.

• Nā hoʻāʻo koko: Hiki ke hoʻohana ʻia kahi helu koko piha (CBC) e nānā i ka maʻi. ʻO ka helu koko keʻokeʻo kiʻekiʻe he hōʻailona ia o ka maʻi.
• Nā Hoʻāʻo Kiʻi: Kōkua kēia i ka ʻike pono ʻana i kahi o ka cyst a me kona nui.
• ʻŌpū Ultrasound: Hiki i kēia ke nānā aku i nā ʻōpū a me nā cysts i loko o ka ʻōpū.
• X-ray o ka umauma: Hiki i kēia ke kōkua e ʻike inā he pilikia me ka diaphragm.
• CT Scan: ʻO ka CT scan o ka ʻōpū a me ke pelvis ka hoʻāʻo maʻamau a pololei hoʻi e kōkua i ka ʻike ʻana i kēia maʻi. Hiki iā ia ke hōʻike maopopo loa i ka abscess.
• MRI scan (Magnetic Resonance Imaging - MRI scan): Pono paha kēia hoʻāʻo i kekahi mau hihia kūikawā.

I kekahi manawa, pono paha ke kauka e lawe i kahi laʻana liʻiliʻi o ka pus a hoʻāʻo iā ia. Ua kapa ʻia kēia he "Fine Needle Aspiration". Hoʻokomo ʻia kahi nila liʻiliʻi i loko o ka abscess a lawe ʻia kahi liʻiliʻi o ka pus a hoʻouna ʻia i kahi keʻena hoʻokolohua e ʻike pono i ka bacteria e hoʻoulu ai i ka maʻi. Hiki i kēia ke kōkua i ka hoʻoholo ʻana i ka lāʻau lapaʻau.

He aha ka lāʻau lapaʻau no ka `(Abdominal Abscess)`? Hiki ke ho'ōla ʻia?

ʻAe, he maʻi hiki ke mālama ʻia ka `(Abdominal Abscess)`. Akā, pono e mālama koke ʻia a kūpono hoʻi. Hoʻohana pū ʻia ʻelua mau ʻano lapaʻau nui:

1. Nā lāʻau antibiotic: Hāʻawi ʻia kēia mau lāʻau lapaʻau e pepehi i ka bacteria i hoʻoulu ai i ka maʻi. Hiki ke hoʻomaka lākou ma ke ʻano he lāʻau intravenous (IV) a laila hoʻololi ʻia i nā lāʻau lapaʻau waha.

2. Hoʻokahe wai: ʻAʻole hiki ke ho'ōla ʻia kēia me ka lāʻau lapaʻau wale nō. Pono e hoʻokahe ʻia ka pus i hōʻiliʻili ʻia. ʻO ke ʻano hana i hoʻohana pinepine ʻia no kēia ua kapa ʻia ʻo Percutaneous Abscess Drainage (PAD).

He aha ka `(Percutaneous Abscess Drainage - PAD)`?

Me he mea nui paha kēia, akā he hana maʻalahi kēia a me ka liʻiliʻi o ka invasive.

ʻO ka mea e hana ʻia ma ʻaneʻi, nānā ke kauka i kahi `(CT scan)` a i ʻole `(Ultrasound scan)` a hoʻokomo i kahi ʻōmole liʻiliʻi (`Catheter` a i ʻole `Drain`) ma o ka ʻili (ʻo ia ke ʻano `Percutaneous`) ma kahi pono o ka abscess. A laila ua hoʻopili ʻia kekahi ʻaoʻao o kēlā ʻōmole i kahi ʻeke liʻiliʻi. A laila kahe mālie ka pus i lalo o ka ʻōmole a hōʻiliʻili i loko o ka ʻeke.

E hoʻomāʻū ʻia ʻoe (anesthesia kūloko) i kēia kaʻina hana. ʻO ke ʻano kēia e ʻike ʻoe, akā e hoʻomāʻū ʻia ka wahi i hoʻokomo ʻia ai ka ʻōmole no laila ʻaʻole ʻoe e ʻeha. I kekahi manawa pono ʻoe e mālama i ka ʻōmole a me ka ʻeke ma kahi no kekahi mau lā, i kekahi manawa he pule, a hiki i ka pau ʻana o ka pus.

Hiki i kēia lāʻau lapaʻau `(PAD)` ke hoʻoulu i nā pilikia?

E like me nā hana lapaʻau āpau, aia kahi manawa liʻiliʻi o nā pilikia liʻiliʻi me kēia kaʻina hana "PAD". Eia naʻe, ʻaʻole maʻamau kēia mau mea.

• Ke kahe ʻana o ke koko: Hiki ke puka mai kahi koko liʻiliʻi mai kahi i hoʻokomo ʻia ai ka paipu.
• ʻEha: Ma hope o ka pau ʻana o ka maneo, e ʻike paha ʻoe i kekahi ʻeha. Hiki iā ʻoe ke lawe i nā mea hoʻomaha ʻeha no kēlā.
• Ka maʻi ʻeha: I kekahi manawa hiki ke loaʻa ka maʻi i kahi i hoʻokomo ʻia ai ka paipu.

Inā loaʻa kekahi mea e like me kēia, e hāʻawi ke kauka i ka lāʻau lapaʻau e pono ai.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu kahi "Abdominal Abscess"? E ho'ōla loa anei ia?

No nā kānaka he nui, hiki i nā lāʻau antibiotic a me ka PAD ke ho'ōla loa i ka Abdominal Abscess. E mālie kou manaʻo. E emi ana kou kuni, e nalowale ana kou ʻeha, a e hoʻi hou mai kou makemake.

Akā, aia kekahi mea hou aʻe. ʻAʻole hiki wale mai kahi ʻōpū ʻōpū. Aia paha kekahi kumu ma lalo (e laʻa, ka maʻi ʻo Crohn, ka maʻi ma hope o ke ʻoki ʻana). ʻO ka manaʻo o ka lāʻau lapaʻau ka wehe ʻana i ka ʻōpū a me ka kaohi ʻana i ka maʻi, ʻaʻole i ka hoʻopau mau ʻana i ke kumu ma lalo. No laila, he mea nui e mālama a hoʻoponopono paha i ke kumu ma lalo.

Āhea wau e pono ai e ʻike hou i ke kauka?

ʻOiai inā ʻoe e ʻoi aku ka maikaʻi ma hope o ka lāʻau lapaʻau, e makaʻala no kekahi mau hōʻailona. Eia kekahi laʻana:

• Inā hoʻi hou mai ke kuni.
• Inā hoʻomaka hou ka ʻeha o ka ʻōpū a hoʻomau.

Inā ʻike hou ʻia kēia mau hōʻailona, ​​​​​​ʻo ia hoʻi ua hana ʻia kekahi ʻōpū ʻē aʻe. Inā pēlā, e ʻike koke i ke kauka.

ʻOi loa aku inā loaʻa iā ʻoe kahi maʻi e hoʻonui ai i kou pilikia o ka loaʻa ʻana o kahi abscess ʻōpū, e like me ka maʻi Crohn a i ʻole diverticulitis, e kamaʻilio me kāu kauka e pili ana i nā hōʻailona āu e hopohopo nui ai. Ma kēlā ala, hiki iā ʻoe ke ʻike i kahi pilikia a loaʻa koke ka lāʻau lapaʻau.

I ka hōʻuluʻulu manaʻo, nā mea nui e pono ai ʻoe e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, mai nā mea a mākou i kamaʻilio ai, eia nā kumu nui e hoʻomanaʻo ai:

• ʻO ka Abdominal Abscess kahi maʻi e ulu ana i loko o ka ʻōpū.He paila i piha i ka pus. Hoʻokumu ʻia kēia e kahi maʻi bacteria.
• ʻAʻole e maikaʻi kēia. Inā ʻaʻole mālama ʻia, hiki ke lilo i mea hoʻoweliweli i ke ola, e like me ka sepsis.
• Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha nui o ka ʻōpū, ke kuni, ka nalowale o ka makemake, a me ka nausea , mai hoʻowahāwahā wale. E ʻike koke i ke kauka.
• ʻO ka maʻamau, ʻo ka lāʻau lapaʻau e komo pū me nā antibiotics a me ka hoʻokahe wai .
• Inā he mau mea pilikia kou e like me ka maʻi o Crohn, e makaʻala nui ʻoe i kēia.

E hoʻomanaʻo, ʻo ʻoe ka mea ʻike maikaʻi loa i kou kino. No laila, inā manaʻo ʻoe i kekahi mea ʻē, he mea naʻauao ke nānā ʻia. Hiki i ka lāʻau lapaʻau mua ke pale aku i nā pilikia nui he nui.

ʻŌpū ʻōpū , ʻŌpū ʻōpū, ʻEha ʻōpū, Kuni, Lapaʻau, Sepsis, Maʻi ʻōpū, ʻoki ʻōpū