Pyogenic chiwindi abscess

Pyogenic chiwindi chotupa ndi thumba lodzaza mafinya m'chiwindi. Pyogenic amatanthauza kutulutsa mafinya.

Pali zifukwa zambiri zomwe zimayambitsa matenda a chiwindi, kuphatikizapo:

• Matenda am'mimba, monga appendicitis, diverticulitis, kapena matumbo opera
• Matenda m'magazi
• Kutenga kwa machubu omwe amatulutsa ndulu
• Endoscopy yaposachedwa yamachubu omwe amatulutsa ndulu
• Kupwetekedwa mtima komwe kumawononga chiwindi

Mabakiteriya ambiri amtunduwu amatha kuyambitsa zilonda zam'mimba. Nthawi zambiri, mabakiteriya amtundu umodzi amapezeka.

Zizindikiro za chiwindi chotupa zimatha kuphatikiza:

• Kupweteka pachifuwa (kumanja kumanja)
• Zowawa pamimba yakumanja yakumanja (zofala kwambiri) kapena m'mimba monse (zochepa)
• Zojambula zofiira
• Mkodzo wakuda
• Malungo, kuzizira, thukuta usiku
• Kutaya njala
• Nseru, kusanza
• Kuchepetsa mwangozi
• Kufooka
• Khungu lachikaso (jaundice)
• Kupweteka kwamapewa kumanja (kupweteka komwe kumatchulidwa)

Mayeso atha kuphatikiza:

• M'mimba mwa CT scan
• M'mimba ultrasound
• Chikhalidwe chamagazi cha mabakiteriya
• Kuwerengera kwathunthu kwa magazi (CBC)
• Chiwindi
• Kuyesa kwa chiwindi

Chithandizochi chimakhala ndikuyika chubu pakhungu kupita m'chiwindi kuti atulutse chotupacho. Nthawi zambiri, opaleshoni imafunika. Mukalandila maantibayotiki pafupifupi milungu 4 mpaka 6. Nthawi zina, maantibayotiki okha amatha kuchiza matendawa.

Vutoli limatha kuwononga moyo. Chiwopsezo chofa chimakhala chachikulu mwa anthu omwe ali ndi zilonda zambiri za chiwindi.

Sepsis yowopseza moyo ikhoza kukula. Sepsis ndi matenda momwe thupi limayankhira kwambiri mabakiteriya kapena majeremusi ena.

Imbani wothandizira zaumoyo wanu ngati muli ndi:

• Zizindikiro zilizonse za matendawa
• Kupweteka kwambiri m'mimba
• Kusokonezeka kapena kuchepa kwa chidziwitso
• Kutentha kwakukulu komwe sikupita
• Zizindikiro zina zatsopano mukamalandira chithandizo kapena mukalandira chithandizo

Kuchiza mwachangu m'mimba ndi matenda ena kumachepetsa chiopsezo chokhala ndi chotupa cha chiwindi, koma nthawi zambiri sizitetezedwa.

Chiwindi abscess; Bakiteriya chiwindi abscess; Hepatic abscess

• Dongosolo m'mimba
• Pyogenic abscess
• Zakudya zam'mimba ziwalo

Kim AY, Chung RT. Matenda a bakiteriya, parasitic, ndi fungal a chiwindi, kuphatikiza zithupsa za chiwindi. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 11th ed. Philadelphia, PA: Elsevier; 2021: chaputala 84.

Sifri CD, Madoff LC. Matenda a chiwindi ndi biliary dongosolo (chiwindi abscess, cholangitis, cholecystitis). Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 75.