I pum na leh khawsik i nei fo em? Hei hi Abdominal Abscess'' a ni thei!

I pum na na tak leh khawsik i nei ngai em? A nih loh leh ei duh lohna leh rilru hahna avanga i taksa rihna tlahniam ang maiin i inhria em? Tuna kan sawi tak dinhmun hi ``Abdominal Abscess'' tih a ni mai thei. Ngaihtuah buai suh, he thu hi awlsam takin sawi ila.

Hei hi eng nge ni `(Abdominal Abscess)`? Engvangin nge a hlauhawm?

A awlsam zawngin sawi ila, Abdominal Abscess chu i pum chhunga khawi emaw laiah pus-a khat lump a ni. He pus hi infection avanga tui awmkhawm a ni. He pus-filled pocket emaw abscess hian harsatna nasa tak a thlen thei a ni.

Vunah hliam te tak te, natna hrik a kai a, zun a lo khawm ang maiin han ngaihtuah teh. Mahse hei hi pum chhungah a thleng a, chuvang chuan pawn lam atang chuan kan hmu thei lo. Mahse a chhung lam atang chuan chhiatna nasa tak a thlen thei a ni. A pawimawh ber chu hei hi enkawl tha a nih loh chuan he natna hi taksa pum puiah a darh thei a, ``Sepsis'' tih hming pu natna hlauhawm tak a thlen thei a ni. ``Sepsis'' hi nunna atana hlauhawm tak pawh a ni. Chuvang chuan hei hi hriat chian a pawimawh em em a ni.

Engvangin nge hetiang `(Abdominal Abscess)` hi pum chhungah a lo awm? A chhante chu engte nge ni?

A tam zawkah chuan he `(Abdominal Abscess)` hi bacteria infection vang a ni. Heng bacteria te hi engtin emaw takin i pum chhunga an luh chuan kan taksaa vengtu ang maia immune system chuan heng invading bacteria te hi a do tan ta a ni. He indonaah hian, chu chu immune response-ah hian a kaihhnawih tissue (`Tissue`) te chu a chhe a, inflammation (`Inflammation`) a lo awm ta a ni. He inflammation nen hian tissue thi leh bacteria te chu an inzawm khawm a, chu pus (`Pus`) chu an siam a, chu chu boil (`Abscess`) ang mai a ni.

Tunah chuan eng dinhmunah nge heng bacteria te hi pum chhungah an lut thei tih hi han en ila:

• Pum chhung atanga intan bacteria infection vang: A chang chuan intestines ang hmuna khur te tak te (perforation) a awm chuan bacteria chu pum chhungah a lut thei a ni.
• Damdawi lam thil thenkhat: Entirnan, Crohn’s disease (intestine-a natna khirh tak tak), diverticulitis (intestine lian bawm te te infection), emaw pelvic inflammatory disease (PID) nei hmeichhiate chu pum chhunga hliam (abdominal abscess) an neih theihna a sang hle. Heng dinhmunte hian pum chhungah inflammation a thlen thei bawk.
• Abdominal surgery hnuah: A chang chuan pum surgery hnuah bacteria te chu hliam chhungah lutin infection a siam thei a, chu chuan abscess a siam thei a ni.
• Pum chhunga hliam vang: Entirnan, pawn lam hliam, thal hliam ang chi hian bacteria chu pum chhungah direct-in a lut thei a ni.

A pawimawh ber chu, a chhan eng pawh ni se, he `(Abdominal Abscess)` hi a niEnkawl vat loh chuan natna khirh tak, nunna atana hlauhawm tak, ``Sepsis`` (thisen rimchhia, taksa pum puia natna kai darhna hmun) leh ``Organ Failure`` te a thlen thei a ni. Hemi chungchangah hian fimkhur hle a pawimawh hle a ni.

Khawiah nge he ``(Abdominal Abscess)'' hi a lo awm theih? A chi hrang hrang a awm em?

Ni e, heng abscesses te hi pum chhung hmun hrang hrangah a lo awm thei a ni. Doctor-te chuan abscess awmna hmun azirin an classified a. A bik takin chi thum kan sawi thei a:

1. Intraperitoneal Abscesses: Hei hi pum chhung, chu chu pum chhunga lining (peritoneum) chhunga awm a ni. Entir nan:

• I diaphragm (i rilru leh i pum inthenna ruh) hnuaiah.
• Intestine a awm.
• Pelvic cavity (`Pelvis`) chu a hmunah a awm a.
• Pum a hnai hle mai.
• Hmun bik dang chu diaphragm leh liver inkar a awm ``Subphrenic Abscess`` hi a ni.

2. Retroperitoneal Abscesses: Hengte hi pum hnunglam, peritoneum pawnah a lo awm thin. Kidney emaw pancreas emaw hmunah an lang tlangpui.

3. Visceral Abscess: Hei hian solid organ chhunga pus awmkhawm, liver emaw spleen emaw a kawk a ni.

Khawi hmunah pawh lo awm se, zawn chhuah leh enkawl vat a pawimawh.

``Abdominal Abscess'' natna lan chhuah dan chu engte nge ni? Engtin nge kan hriat chian?

Abscess awmna hmun a zirin symptoms hi a inang lo deuh thei. Mahse a lan chhuah dan tlangpui thenkhat a awm. Heng zinga pakhat tal i neih leh neih loh en rawh:

• Natna thar, na tak leh awm reng: He natna hi pum chunglam, pum hnuai lam, hnungzang hnuai lam, kekawrte, a rilruah pawh a awm thei.
• Fever: A lan chhuah dan ber chu khawsik sang tak a ni. A châng chuan, khawsik hian khawsik leh khur pawh a zui thei bawk.
• Anorexia: Chaw ei duhna hloh.
• Nausea leh vomiting: Nausea leh luak chhuak pawh a awm thei a, chubakah pum na a awm thei bawk.
• Sawifiah loha taksa rihna tihtlem: Diet leh exercise la lovin i taksa rihna tlahniam nghal a nih chuan chu pawh chu ngaihtuah tur chhinchhiahna a ni.

Ngaihtuah teh, a chang chuan kan pum na tlem kan neih hian, "Aw, hei hi gas a ni ngei ang, a nih loh leh thil a chhe tawh ngei ang," tiin kan ngaihtuah thin. Mahse hetiang natna hi khawsik emaw, ei duh lohna emaw nen a inzawm a nih chuan gas anga ngaih mai mai suh. A bik takin a natna a awm reng a, nitin a na zual zel a nih chuan damdawi lam thurawn i la ngei ngei tur a ni.

Engtin nge doctor hian ``Abdominal Abscess'' hi dik takin a hriat theih ang? (Diagnosis) tih a ni.

Heng symptoms nei doctor (`Healthcare Provider`) i pan chuan i symptoms te a zawt hmasa ang che. Tichuan a enfiah ang che (`Physical Examination`). Hei bakah hian hei hi ``Abdominal Abscess`` a nih leh nih loh finfiah nan test eng emaw zat a ti dawn bawk.

• Thisen test: Thisen chhiar kimchang (CBC) hmangin hri kai leh kai loh enfiah theih a ni. Thisen var cell count a san chuan natna hrik a kai tih hriat a ni.
• Imaging Test: Hengte hian cyst awmna leh a lian leh te dik tak hriat theihna a siam a ni.
• Abdominal Ultrasound: Hei hian pum chhunga taksa peng leh cyst te a en thei a.
• Chest X-ray: Hei hian diaphragm-ah harsatna a awm leh awm loh hriat nan a pui thei a ni.
• CT Scan: He natna hi hriat theihna tura puitu atan hian pum leh pelvis CT scan hi test hman tlanglawn ber leh dik ber a ni. Abscess chu chiang takin a lantir thei.
• MRI scan (Magnetic Resonance Imaging - MRI scan): Hetiang test hi thil bik thenkhatah pawh a tul thei bawk.

A châng chuan, doctor chuan a zung sample tlem a lak a, a test a ngai mai thei. Hei hi ``Fine Needle Aspiration'' an ti a. A hnah chhungah hian needle te tak te dahin, pus tlem te te chu lakchhuah a ni a, laboratory-ah thawn a ni a, eng bacteria nge natna thlentu dik tak hriat theih a ni. Hei hian enkawl dan tur hriatfiah nan a pui thei a ni.

`(Abdominal Abscess)` enkawl dan tur chu eng nge ni? Dam theih a ni em?

Ni e, `(Abdominal Abscess)` hi enkawl theih a ni. Mahse, rang tak leh dik taka enkawl a ngai a ni. Enkawl dan tlangpui pahnih hman dun a ni a, chungte chu:

1. Antibiotics: Heng damdawi te hi natna thlentu bacteria thah nan pek thin a ni. Intravenous (IV) damdawi angin an tan thei a, chu chu oral medications-ah an thlak thei bawk.

2. Drainage: Hei hi damdawi ringawt pawha tihdam theih a ni lo. Pus lo awm tawh chu paih chhuah a ngai a ni. Chumi atana hmanraw hman tlanglawn ber chu Percutaneous Abscess Drainage (PAD) tih a ni.

`(Percutaneous Abscess Drainage - PAD)` tih hi eng nge ni?

Hei hi thil lian tak angin a lang thei a, mahse hei hi enkawlna awlsam tak leh invasive tlem ber a ni.

Heta thil thleng chu, doctor chuan `(CT scan)` emaw `(Ultrasound scan)` emaw a en a, vun (chu chu `Percutaneous` tihna a ni) kaltlangin tube te tak te (`Catheter` emaw `Drain`) a dah lut a, chu chu abscess awmna hmun chiah a ni. Tichuan chu tube tawp dang chu bag te tak teah an inzawm khawm leh a. Tichuan, chu chu zawi zawiin tube chhungah a luang thla a, bag chhungah a awm khawm ta a ni.

Hetiang tih lai hian i numbed (local anesthesia) ang. Hei hian i conscious tihna a ni a, mahse tube dahna hmun chu a numb dawn avangin natna engmah i hre lo ang. A châng chuan tube leh bag chu ni engemaw zât, a châng chuan kar khat chhûng chu a hmunah i dah vek a ngai ang, chu chu a hmin zawng zawng a chhuah hma loh chuan.

He `(PAD)` enkawlna hian harsatna a thlen thei em?

Damdawi lam thil dang ang bawkin, he ``PAD'' tih dan hmang hian harsatna tenau te a awm theihna chance tlemte chauh a awm. Mahse, hengte hi a awm lo.

• Thisen chhuah: Tube dahna hmun atang hian thisen tlem a chhuak thei.
• Natna: Natna a reh hnuah chuan natna engemaw chen i nei thei. Chumi atan chuan painkiller i ei thei bawk.
• Hliam Infection: A chang chuan tube dahna hmunah hian natna a awm thei.

Hetiang thil hi a lo thleng a nih chuan Doctor in a tul anga enkawlna a pe ang.

``Abdominal Abscess'' ka neih chuan eng nge ka beisei theih ang? A dam vek dawn em ni?

Mi tam tak tan chuan antibiotics leh PAD hian Abdominal Abscess hi a tidam vek mai mai. Zawi zawiin i rilru a hahdam ang. I khawsik chu a tlahniam ang a, i natna chu a reh ang a, i ei duhna chu a lo let leh ang.

Mahse, a tam zawk a awm. Abdominal Abscess hi a thleng mai mai lo. A chhan bulpui (e.g., Crohn natna, operation hnua hri kai) a awm thei. Enkawlna hi a hliam (abscess) tihbo leh natna control-na tur a ni a, a chhan bulpui tihbo tumna a ni ngai lo. Chuvangin, a chhan bulpui pawh enkawl emaw, chinfel emaw a pawimawh hle.

Engtikah nge doctor ka hmuh leh a ngai ang?

Enkawlna hnua i rilru a hahdam a nih pawhin, natna lan chhuahna thenkhat chu en reng ang che. Entir nan:

• Khawsik a lo let leh chuan.
• Pum natna a intan leh a, a awm reng chuan.

Heng symptoms te hi a lo lang leh a nih chuan abscess dang a lo awm tihna a ni thei. Chutiang a nih chuan Doctor pan nghal rawh.

A bik takin, Crohn natna emaw diverticulitis emaw ang chi, pum chhunga natna hrik i neih theihna tipung thei dinhmun i neih chuan, eng symptom nge i ngaihven bik tur tih chu i doctor nen sawiho rawh. Chutiang chuan harsatna i hrechhuak thei a, enkawlna i dawng vat thei bawk.

A tawi zawngin, i hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuvangin, kan sawi tawh atang chuan hengte hi kan ngaihtuah tur pawimawh ber berte chu a ni:

• Abdominal Abscess hi pum chhunga lo awm thin a ni.A boil chu a hring chhuak a. Hei hi bacteria infection vang a ni.
• Hei hi a tha lo mai mai. Enkawl loh chuan nunna atana hlauhawm, sepsis ang mai a ni thei.
• Pum natna nasa tak, khawsik, ei duh lohna, leh nausea ang chi symptoms i neih chuan ngaihthah mai mai suh. Doctor pan nghal rawh.
• Enkawlnaah hian antibiotics leh drainage te pawh a tel tlangpui .
• Crohn natna ang chi risk factors i neih chuan he thil hi fimkhur zual rawh.

I taksa hi i hre chiang ber tih hre reng ang che. Chuvangin thil danglam tak i hriat chuan check out tir hi a finthlak hle. Enkawl hmasak hian harsatna lian tham tam tak a veng thei a ni.

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Pum ril , Pum na, Pum na, Khawsik, Enkawlna, Sepsis, Intestinal infection, Pum zai