Koj puas mob plab thiab kub taub hau ntau zaus? Qhov no yuav yog "Abdominal Abscess"!

Koj puas tau muaj mob plab thiab kub taub hau? Los yog koj puas tau xav tias koj poob phaus nrog kev tsis noj mov thiab xeev siab? Tej zaum qhov mob uas peb tab tom tham txog hnub no hu ua "Plab Qog". Tsis txhob txhawj, cia peb tham txog qhov no yooj yim.

Kab mob "(Abdominal Abscess)" no yog dab tsi? Vim li cas nws thiaj txaus ntshai?

Hais yooj yim xwb, mob plab yog ib lub pob uas muaj kua qaub nyob hauv koj lub plab. Cov kua qaub no yog cov kua uas sib sau ua ke vim muaj kab mob. Lub hnab lossis mob plab uas muaj kua qaub no ua rau mob heev.

Xav txog nws zoo li ib qho qhov txhab me me ntawm daim tawv nqaij, uas kis tau kab mob thiab kua qaub ncaug. Tab sis qhov no tshwm sim sab hauv lub plab, yog li peb tsis tuaj yeem pom nws los ntawm sab nraud. Tab sis nws tuaj yeem ua rau muaj kev puas tsuaj ntau los ntawm sab hauv. Qhov tseem ceeb tshaj plaws yog tias qhov no tsis kho kom zoo, qhov kev kis kab mob no tuaj yeem kis mus thoob plaws lub cev thiab ua rau muaj mob txaus ntshai hu ua "Sepsis". "Sepsis" yog ib yam dab tsi uas tuaj yeem ua rau tuag taus. Yog vim li cas nws thiaj li tseem ceeb heev uas yuav tsum paub txog qhov no.

Vim li cas hom '(Abdominal Abscess)' no thiaj li tshwm sim hauv plab? Dab tsi yog cov ua rau?

Feem ntau, qhov "(Abdominal Abscess)" no yog tshwm sim los ntawm kev kis kab mob bacterial. Thaum cov kab mob no nkag mus rau hauv koj lub plab, lub cev tiv thaiv kab mob, uas zoo li tus neeg zov hauv peb lub cev, pib tawm tsam cov kab mob no. Hauv qhov kev sib ntaus sib tua no, uas yog, hauv kev tiv thaiv kab mob, cov nqaij ntshiv ("Tissue") raug puas tsuaj, thiab o ("Inflammation") tshwm sim. Nrog rau qhov o no, cov nqaij tuag thiab cov kab mob sib xyaw ua ke los ua cov kua qaub ("Pus"), uas zoo li lub qhov txhab ("Abscess").

Tam sim no cia peb saib seb cov kab mob no tuaj yeem nkag mus rau hauv lub plab li cas:

• Vim yog muaj kab mob bacterial uas pib hauv plab: Qee zaum, yog tias muaj qhov me me (perforation) tshwm sim hauv ib qho chaw xws li cov hnyuv, cov kab mob tuaj yeem nkag mus rau hauv lub plab.
• Tej yam mob uas muaj: Piv txwv li, cov neeg uas muaj tus kab mob Crohn (mob o ntawm txoj hnyuv ntev), mob diverticulitis (mob rau cov hnab me me ntawm txoj hnyuv loj), lossis mob pelvic inflammatory disease (PID) rau cov poj niam muaj feem yuav mob plab hnyuv ntau dua. Cov mob no kuj tseem tuaj yeem ua rau mob plab hnyuv.
• Tom qab phais plab: Qee zaum, tom qab phais plab, cov kab mob tuaj yeem nkag mus rau hauv qhov txhab thiab ua rau muaj kev kis kab mob, ua rau muaj qhov txhab.
• Vim yog raug mob rau lub plab: Piv txwv li, kev raug mob sab nraud, xws li qhov txhab raug chob, tuaj yeem ua rau cov kab mob nkag mus rau hauv lub plab ncaj qha.

Qhov tseem ceeb tshaj plaws yog, txawm yog vim li cas los xij, qhov "(Abdominal Abscess)" noYog tsis kho sai sai, nws tuaj yeem ua rau muaj mob hnyav thiab txaus ntshai rau lub neej xws li "Sepsis" (mob ntshav lom, qhov uas kab mob kis mus thoob plaws lub cev) thiab "Organ Failure". Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum ceev faj txog qhov no.

Qhov "(Abdominal Abscess)" no yuav tshwm sim qhov twg hauv plab? Puas muaj lwm hom mob?

Yog, cov kab mob no tuaj yeem tsim nyob rau hauv ntau qhov chaw ntawm lub plab. Cov kws kho mob faib lawv raws li qhov chaw uas cov kab mob nyob. Peb tuaj yeem tham txog peb hom:

1. Cov Kab Mob Hauv Plab: Cov no yog cov kab mob uas tsim nyob rau hauv lub plab, uas yog, sab hauv ntawm lub plab (peritoneum). Piv txwv li:

• Hauv qab koj lub diaphragm (cov leeg nqaij uas cais koj lub hauv siab thiab lub plab).
• Cov hnyuv.
• Lub plab mog ('Pelvis') nyob rau hauv qhov chaw.
• Plab nyob ze.
• Lwm qhov chaw tshwj xeeb yog "Subphrenic Abscess" uas tshwm sim ntawm lub diaphragm thiab lub siab.

2. Cov pob txuv hauv plab (Retroperitoneal Abscesses): Cov no tsim nyob rau sab nraub qaum ntawm lub plab, sab nraum peritoneum. Lawv feem ntau pom nyob rau hauv thaj chaw ntawm lub raum lossis lub txiav.

3. Kab mob hauv plab: Qhov no yog hais txog cov kua qaub uas sib sau ua ke hauv ib lub cev khov kho, xws li lub siab lossis lub zais zis.

Txawm nws tshwm sim qhov twg los xij, nws yog ib qho tseem ceeb uas yuav tsum nrhiav thiab kho nws sai sai.

Cov tsos mob ntawm "mob plab" yog dab tsi? Peb yuav paub nws li cas?

Cov tsos mob yuav txawv me ntsis nyob ntawm seb qhov twg ntawm cov pob khaus nyob. Tab sis muaj qee cov tsos mob uas pom ntau. Saib seb koj puas muaj ib qho ntawm cov no:

• Mob tshiab, mob hnyav, thiab mob tas mus li: Qhov mob no tuaj yeem tshwm sim rau sab saud ntawm lub plab, sab qis ntawm lub plab, sab nraub qaum, xub pwg nyom, lossis txawm tias hauv siab.
• Kub taub hau: Cov tsos mob tseem ceeb yog kub taub hau heev. Qee zaum, kub taub hau tuaj yeem nrog los ntawm kev txias thiab tshee hnyo.
• Anorexia: Tsis xav noj mov.
• Xeev siab thiab ntuav: Xeev siab thiab tej zaum yuav ntuav nrog rau mob plab.
• Kev poob phaus yam tsis muaj laj thawj: Yog tias koj poob phaus sai sai yam tsis tau noj zaub mov lossis tawm dag zog, qhov ntawd kuj yog ib qho cim qhia tias yuav tsum txhawj xeeb txog.

Xav txog qhov no, qee zaum thaum peb mob plab me ntsis, peb xav tias, "Auj, qhov no yuav tsum yog roj, lossis muaj qee yam phem zuj zus." Tab sis yog tias hom mob no nrog rau kub taub hau lossis tsis xav noj mov, tsis txhob tsuas yog tsis quav ntsej nws tias yog roj. Tshwj xeeb tshaj yog tias qhov mob tseem mob thiab zuj zus tuaj txhua hnub, koj yuav tsum nrhiav kev kho mob.

Tus kws kho mob yuav kuaj mob "Abdominal Abscess" li cas? (Kev kuaj mob)

Thaum koj mus ntsib kws kho mob ('Tus Muab Kev Kho Mob') uas muaj cov tsos mob no, nws yuav nug koj txog koj cov tsos mob ua ntej. Tom qab ntawd nws yuav kuaj koj ('Kev Kuaj Mob'). Tsis tas li ntawd, nws yuav xaj ntau qhov kev kuaj mob kom paub tseeb tias qhov no puas yog "Kab Mob Plab".

• Kev kuaj ntshav: Kev suav cov ntshav tag nrho (CBC) siv tau los kuaj seb puas muaj kab mob. Cov qe ntshav dawb ntau ntxiv yog ib qho cim qhia tias muaj kab mob.
• Kev Ntsuas Duab: Cov no pab kom pom tseeb tias lub cyst nyob qhov twg thiab nws loj npaum li cas.
• Kev Siv Ultrasound Hauv Plab: Qhov no tuaj yeem saib cov kabmob thiab cov cysts hauv plab.
• X-ray hauv siab: Qhov no tuaj yeem pab pom seb puas muaj teeb meem nrog lub diaphragm.
• Kev Ntsuas CT: Kev ntsuas CT ntawm lub plab thiab lub duav yog qhov kev kuaj mob uas siv ntau tshaj plaws thiab raug tshaj plaws los pab kuaj mob no. Nws tuaj yeem qhia tau qhov mob o ntawm lub plab kom meej heev.
• Kev Ntsuas MRI (Magnetic Resonance Imaging - MRI scan): Qhov kev kuaj no kuj tseem yuav tsum tau ua rau qee kis tshwj xeeb.

Qee zaum, tus kws kho mob yuav tsum tau coj ib qho me me ntawm cov kua qaub los kuaj. Qhov no hu ua "Fine Needle Aspiration." Ib rab koob me me raug ntxig rau hauv cov kua qaub thiab ib qho me me ntawm cov kua qaub raug tshem tawm thiab xa mus rau chav kuaj mob kom paub tseeb tias cov kab mob dab tsi ua rau muaj kev kis kab mob. Qhov no tuaj yeem pab txiav txim siab txog kev kho mob.

Yuav kho tus mob "(Abdominal Abscess)" li cas? Puas kho tau?

Yog, '(Plab Qog Mob)' yog ib yam mob uas kho tau. Tab sis nws yuav tsum tau kho sai thiab kom raug. Muaj ob txoj kev kho mob tseem ceeb ua ke:

1. Tshuaj tua kab mob: Cov tshuaj no yog muab los tua cov kab mob uas ua rau muaj kev kis kab mob. Tej zaum yuav pib ua cov tshuaj txhaj rau hauv cov hlab ntsha (IV) thiab tom qab ntawd hloov mus ua cov tshuaj noj.

2. Kev Nqus Dej: Qhov no tsis tuaj yeem kho tau los ntawm kev siv tshuaj xwb. Cov kua qaub uas tau sib sau ua ke yuav tsum tau nqus dej tawm. Txoj kev siv feem ntau rau qhov no yog hu ua Percutaneous Abscess Drainage (PAD).

'(Percutaneous Abscess Drainage - PAD)' yog dab tsi?

Qhov no yuav zoo li ib qho teeb meem loj, tab sis qhov no yog ib qho kev kho mob yooj yim thiab tsis tas yuav phais ntau.

Qhov tshwm sim ntawm no yog, tus kws kho mob saib daim duab '(CT scan)' lossis '(Ultrasound scan)' thiab ntxig ib lub raj me me ('Catheter' lossis 'Drain') los ntawm daim tawv nqaij (qhov ntawd yog nws txhais tau tias 'Percutaneous') qhov chaw uas lub qhov txhab nyob. Tom qab ntawd qhov kawg ntawm lub raj ntawd txuas nrog lub hnab me me. Tom qab ntawd cov kua qaub maj mam ntws mus rau hauv lub raj thiab sib sau ua ke hauv lub hnab.

Koj yuav raug tshuaj loog (tshuaj loog hauv zos) thaum lub sijhawm ua qhov no. Qhov no txhais tau tias koj yuav tseem nco qab, tab sis thaj chaw uas muab lub raj tso rau hauv yuav raug tshuaj loog yog li koj yuav tsis hnov ​​​​​​mob. Qee zaum koj yuav tsum khaws lub raj thiab lub hnab rau ob peb hnub, qee zaum ib lub lim tiam, kom txog thaum tag nrho cov kua qaub tau ntws tawm.

Kev kho mob "(PAD)" no puas ua rau muaj teeb meem?

Ib yam li lwm yam kev kho mob, muaj feem me me uas yuav muaj teeb meem me me nrog rau cov txheej txheem "PAD" no. Txawm li cas los xij, cov no tsis tshua muaj.

• Los Ntshav: Tej zaum yuav muaj me ntsis ntshav tawm ntawm qhov chaw uas ntxig lub raj.
• Mob: Tom qab qhov loog ploj mus lawm, koj yuav hnov ​​​​​​mob me ntsis. Koj tuaj yeem noj tshuaj tua kab mob rau qhov ntawd.
• Kev Mob Khaus: Qee zaum qhov chaw uas ntxig lub raj tuaj yeem kis tau kab mob.

Yog tias muaj tej yam zoo li no tshwm sim, tus kws kho mob yuav muab kev kho mob tsim nyog.

Yog tias kuv muaj "mob plab" ces kuv yuav tsum tos li cas? Puas yuav zoo tag nrho?

Rau ntau tus neeg, cov tshuaj tua kab mob thiab PAD yuav luag kho tau qhov mob plab tag nrho. Koj yuav maj mam zoo dua. Koj qhov kub taub hau yuav txo qis, koj qhov mob yuav ploj mus, thiab koj qhov kev ntshaw yuav rov qab los.

Tiam sis tseem muaj ntau yam ntxiv rau qhov ntawd. Kab mob plab tsis yog tsuas yog tshwm sim xwb. Tej zaum yuav muaj ib qho ua rau mob (piv txwv li, kab mob Crohn, kev kis kab mob tom qab phais). Kev kho mob yog tsom mus rau kev tshem tawm cov kab mob thiab tswj kev kis kab mob, tsis yog ib txwm tshem tawm qhov ua rau mob. Yog li ntawd, nws tseem ceeb heev uas yuav tsum kho lossis daws qhov ua rau mob.

Kuv yuav tsum tau mus ntsib kws kho mob dua thaum twg?

Txawm tias koj xav tias zoo dua tom qab kho mob lawm los, saib xyuas qee cov tsos mob. Piv txwv li:

• Yog tias qhov kub taub hau rov qab los dua.
• Yog tias qhov mob plab pib dua thiab tseem mob ntxiv.

Yog cov tsos mob no rov tshwm sim dua, nws yuav txhais tau tias muaj lwm qhov o ntawm lub qhov txhab. Yog tias muaj, mus ntsib kws kho mob tam sim ntawd.

Tshwj xeeb tshaj yog tias koj muaj ib yam mob uas ua rau koj muaj feem yuav mob plab, xws li mob Crohn's lossis mob diverticulitis, nrog koj tus kws kho mob tham txog cov tsos mob uas koj yuav tsum txhawj xeeb txog. Ua li ntawd, koj tuaj yeem paub txog qhov teeb meem thiab tau txais kev kho mob sai.

Hauv kev xaus lus, cov yam tseem ceeb tshaj plaws uas koj yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Zoo, yog li, los ntawm qhov peb tau tham txog, cov no yog cov ntsiab lus tseem ceeb uas yuav tsum nco ntsoov:

• Kab mob plab yog ib yam mob uas tshwm sim hauv plab.Ib qho mob qog uas muaj kua paug. Qhov no yog los ntawm kev kis kab mob ntawm cov kab mob.
• Qhov no yuav tsis zoo dua. Yog tias tsis kho, nws tuaj yeem ua rau tuag taus, zoo li sepsis.
• Yog koj muaj cov tsos mob xws li mob plab heev, kub taub hau, tsis xav noj mov, thiab xeev siab , tsis txhob tsuas yog tsis quav ntsej xwb. Mus ntsib kws kho mob tam sim ntawd.
• Kev kho mob feem ntau suav nrog ob qho tshuaj tua kab mob thiab kev tso zis tawm .
• Yog tias koj muaj cov yam ntxwv uas ua rau koj muaj feem mob xws li tus kab mob Crohn, yuav tsum ceev faj ntxiv txog qhov no.

Nco ntsoov, koj paub koj lub cev zoo tshaj plaws. Yog li ntawd, yog tias koj xav tias muaj dab tsi txawv txawv, nws yog ib qho zoo kom mus kuaj mob. Kev kho mob thaum ntxov tuaj yeem tiv thaiv tau ntau yam teeb meem loj.

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