Abscess - pamimba kapena m'chiuno
Thumba lam'mimba ndi thumba lamadzimadzi omwe ali ndi kachilombo komanso mafinya omwe ali mkati mwa mimba (m'mimba). Mtundu wa abscess amatha kupezeka pafupi kapena mkati mwa chiwindi, kapamba, impso kapena ziwalo zina. Pakhoza kukhala chotupa chimodzi kapena zingapo.
Mutha kukhala ndi zilonda zam'mimba chifukwa muli:
- Zowonjezera zowonjezera
- Kutuluka kapena kutuluka m'matumbo
- Kutuluka kwa ovary
- Matenda otupa
- Matenda mu ndulu yanu, kapamba, ovary kapena ziwalo zina
- Matenda a m'mimba
- Matenda a tiziromboti
Muli pachiwopsezo chachikulu chotupa m'mimba ngati muli:
- Zowopsa
- Matenda a zilonda zam'mimba
- Kuchita opaleshoni m'mimba mwanu
- Kufooka kwa chitetezo cha mthupi
Majeremusi amatha kudutsa m'magazi anu kupita ku chiwalo m'mimba mwanu. Nthawi zina, palibe chifukwa chopezeka ndi chotupa.
Zowawa kapena zovuta m'mimba zomwe sizimatha ndi chizindikiro chofala. Zowawa izi:
- Mungapezeke m'dera limodzi m'mimba mwanu kapena m'mimba mwanu
- Atha kukhala akuthwa kapena osasangalatsa
- Zitha kukulirakulira pakapita nthawi
Kutengera komwe abscess ili, mutha kukhala ndi:
- Ululu kumbuyo kwanu
- Ululu pachifuwa kapena paphewa
Zizindikiro zina za chotupa m'mimba zitha kukhala zambiri ngati zizindikiro zakukhala ndi chimfine. Mutha kukhala ndi:
- Mimba yotupa
- Kutsekula m'mimba
- Malungo kapena kuzizira
- Kusowa kwa njala komanso kuonda
- Nseru kapena kusanza
- Kufooka
- Tsokomola
Zizindikiro zanu zitha kukhala chizindikiro cha mavuto osiyanasiyana. Wothandizira zaumoyo wanu adzayesa mayeso kuti athandizire kudziwa ngati muli ndi chotupa m'mimba. Izi zingaphatikizepo mayesero otsatirawa:
- Kuwerengera kwathunthu kwa magazi - Kuchuluka kwa maselo oyera amwazi ndi chizindikiro chotheka cha matenda ena.
- Gulu lamagetsi lokwanira - Izi ziwonetsa mavuto aliwonse a chiwindi, impso kapena magazi.
Mayeso ena omwe akuyenera kuwonetsa zilonda zam'mimba:
- X-ray m'mimba
- Ultrasound pamimba ndi m'chiuno
- Kujambula kwa CT pamimba ndi m'chiuno
- MRI ya pamimba ndi m'chiuno
Gulu lanu lazachipatala lidzayesa kuzindikira ndikuchiza chomwe chimayambitsa abscess. Kutupa kwanu kumathandizidwa ndi maantibayotiki, ngalande za mafinya, kapena zonse ziwiri. Poyamba, mosakayikira mudzalandira chithandizo kuchipatala.
ANTIBIOTICS
Mudzapatsidwa maantibayotiki kuti muzitsuka. Mudzawatenga kwa milungu 4 mpaka 6.
- Muyamba pa maantibayotiki a IV mchipatala ndipo mutha kulandira maantibayotiki a IV kunyumba.
- Mutha kusintha mapiritsi. Onetsetsani kuti mumamwa mankhwala anu onse, ngakhale mutakhala bwino.
ZOCHITIKA
Thumba lanu liyenera kutsanulidwa ndi mafinya. Wopereka chithandizo wanu ndipo musankha njira yabwino yochitira izi.
Pogwiritsa ntchito singano ndi kukhetsa - Omwe amakupatsani amayika singano pakhungu ndikutuluka. Kawirikawiri, izi zimachitika mothandizidwa ndi ma x-ray kuti onetsetsani kuti singano yalowetsedwa mu abscess.
Omwe amakupatsani mankhwala amakupatsirani tulo, komanso mankhwala ogwetsera khungu khungu lisanalowe pakhungu.
Chitsanzo cha chotupacho chimatumizidwa ku labu. Izi zimathandiza wothandizira wanu kusankha maantibayotiki omwe angagwiritse ntchito.
Mtsuko umatsalira mu chotupacho kuti mafinya atuluke.Kawirikawiri, kukhetsako kumakhala kwa masiku kapena masabata mpaka abscess ikhala bwino.
Kuchita opaleshoni - Nthawi zina, dokotalayo amachita opaleshoni kuti athetse phulusa. Mudzayikidwa pansi pa anesthesia kuti mugone pa opaleshoni. Kuchita opaleshoni kungafunike ngati:
- Chotupa chanu sichingafikidwe bwinobwino pogwiritsa ntchito singano kudzera pakhungu
- Zowonjezera, matumbo, kapena chiwalo china chaphulika
Dokotalayo amadula pamimba. Laparotomy imaphatikizapo kudula kwakukulu. Laparoscopy imagwiritsa ntchito kochepera kakang'ono kwambiri ndi laparoscope (kamera yaying'ono yamavidiyo). Dokotalayo:
- Woyera ndi kukhetsa abscess.
- Ikani kuda mu abscess. Makinawo amakhalabe mpaka thumba litayamba bwino.
Momwe mumayankhira kuchipatala zimadalira chifukwa cha chotupacho komanso momwe matendawa aliri oyipa. Zimadaliranso thanzi lanu lonse. Nthawi zambiri, maantibayotiki ndi ngalande zimasamalira zotupa m'mimba zomwe sizinafalikire.
Mungafunike opareshoni zingapo. Nthawi zina, chotupa chimabweranso.
Zovuta zingaphatikizepo:
- Chifuwa sichitha kwathunthu.
- Thumba limatha kubwerera (kubwereza).
- Kutupa kumatha kuyambitsa matenda akulu komanso matenda am'magazi.
- Matendawa amatha kufalikira.
Itanani omwe akukuthandizani ngati muli ndi:
- Kupweteka kwambiri m'mimba
- Malungo
- Nseru
- Kusanza
- Zosintha m'matumbo
Abscess - m'mimba; Chifuwa cha m'mimba
- Kuphulika kwapakati pamimba - CT scan
- Meckel diverticulum
De Prisco G, Celinski S, Spak CW. Zilonda m'mimba ndi fistula m'mimba. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 28.
Shapiro NI, Jones AE. Magulu a Sepsis. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 130.
Squires R, Carter SN, Postier RG. Mimba yam'mimba. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 45.