Lapaʻau ʻana i ka ʻōpū o ka puʻuwai ma Indore: Mālama Puʻuwai Kiʻekiʻe ma nā Halemai Apollo

ʻO ka abscess māmā he lua i piha i ka pus i loko o ka ʻiʻo māmā, i hoʻopuni pinepine ʻia e nā ʻiʻo mumū. ʻO kēia kūlana koʻikoʻi ka hopena o ka necrosis pulmonary, kahi e make ai ka ʻiʻo māmā a hoʻoheheʻe, e hana ana i kahi lua. Ma Apollo Hospitals Indore, hāʻawi mākou i kahi ala multidisciplinary i ka mālama ʻana i ka Lung Abscess ma Indore, e hoʻohui ana i nā diagnostics pololei kiʻekiʻe me nā hana lapaʻau a me nā hana ʻoki kūikawā.

Alakaʻi ʻia e Kauka Sumit Bangeria, kā mākou kauka lapaʻau umauma a me ka onco umauma, ke kālele nei kā mākou hui thoracic i ka hoʻopaʻa wikiwiki ʻana a me ka lāʻau lapaʻau i kuhikuhi ʻia. ʻOiai he maʻi koʻikoʻi ka abscess pulmonary, loaʻa i ka hapa nui o nā maʻi kahi ho'ōla piha ke ʻike mua ʻia ka maʻi a mālama ʻia e kahi loea maʻi umauma i hoʻolaʻa ʻia ma Indore.
 

No ke aha ʻo Apollo Hospitals Indore ke koho maikaʻi loa no ka mālama ʻana i ka abscess puʻuwai

Ua ʻike ʻia ʻo Apollo Hospitals Indore ʻo ia ka haukapila abscess māmā maikaʻi loa ma Indore ma muli o kā mākou ʻōnaehana piha:

• Nā Kauka ʻoki umauma akamai: He loea i ka mālama ʻana i ka necrosis māmā paʻakikī ma Indore.
• Ka ʻIke Hoʻokomo Liʻiliʻi: Nā hale hana holomua no ke ʻoki kino VATS no ka abscess māmā ma Indore.
• Nā diagnostics kiʻekiʻe: Loaʻa i ke kiʻi CT hoʻonā kiʻekiʻe a me ka bronchoscopy 24/7.
• Mālama Koʻikoʻi Kūikawā: Kākoʻo ICU i hoʻolaʻa ʻia no nā maʻi me ka sepsis a i ʻole ka hāʻule ʻana o ka hanu.
   

He aha ka ʻōpū o ka puʻuwai? Ke hoʻomaopopo nei i ka maʻi ʻōpū o ka puʻuwai

Hiki mai kahi abscess māmā ke noho ka bacteria (pinepine ʻia mai ka waha) i loko o ka māmā, e make ai nā ʻiʻo kūloko. ʻO ka hopena kēia i kahi maʻi ʻōpū māmā, kahi e ʻike ʻia ma ke kiʻi ʻana ma ke ʻano he lua ʻokoʻa i loko o ka māmā i piha i ka wai a me ka ea. Inā pohā ka abscess i loko o ka lāʻau bronchial, ʻū pinepine ka mea maʻi i ka nui o ka sputum ʻala ʻino.
 

Nā kumu maʻamau o ka abscess puʻupuʻu e pono ai ʻoe e ʻike

• ʻūhā: Ka hanu ʻana i ka waikawa o ka ʻōpū a i ʻole ka bacteria o ka waha, pinepine i ka wā e loli ai ka ʻike.
• Hoʻomaʻemaʻe waha maikaʻi ʻole: ʻO ka maʻi periodontal kahi mea nui e pilikia ai no nā maʻi mama anaerobic.
• Nā pilikia ma hope o ka maʻi niumonia: He hoʻouka kaua nui o ka maʻi niumonia e holomua ana a hiki i ka necrosis.
• Ka Pale ʻana o ka Bronchial: He kino ʻē a he puʻupuʻu paha e ālai ana i ke alaea, e alakaʻi ana i ka maʻi ma hope o ke ālai ʻana.
   

Nā Hōʻailona o ka ʻōpū o ka puʻuwai: Nā Hōʻailona ʻAʻole Pono ʻoe e Hoʻowahāwahā

Nā hōʻailona maʻamau

• Kuni Kiʻekiʻe: Hoʻopili pinepine ʻia e ka ʻeha nui a me ka hou ʻana i ka pō.
• ʻŪhū Hana: Hōʻike ʻia e ka sputum pilau a pilau paha.
• Pahu umauma: ʻO ka ʻeha pleuritic e ʻoi aʻe ana i ka wā e hanu hohonu ana.
• Nā Hōʻailona Pūnaehana: Ka emi nui o ke kaumaha, ka luhi, a me ka hemoptysis i kekahi manawa (ke kuʻi ʻana o ke koko).
   

Nā Hōʻailona Lapaʻau e ʻImi Ai kāu Kauka

I ka wā o ka hoʻokolokolo ʻana, hiki i ke kauka ʻokiʻoki puʻupuʻu ma Indore ke ʻike i ka palupalu ma ka percussion a me nā crackles ma luna o ka wahi i hoʻopilikia ʻia. I nā hihia holomua, hiki ke loaʻa nā hōʻailona o ka clubbing a i ʻole ka systemic sepsis.
 

Pehea e ʻike ʻia ai ka abscess o ka puʻuwai?

ʻO ke kiʻi X-Ray a me ka CT Scan no ka umauma

ʻOiai ke hōʻike ʻana o ka X-ray o ka umauma i kahi lua mānoanoa me ka pae wai-ea, ʻo ka CT Scan o ka umauma ke kūlana gula. Hiki iā ia ke wehewehe pono i ka lua, hoʻokaʻawale i ka abscess mai ka empyema, a ʻike i nā kumu kumu e like me nā puʻupuʻu a i ʻole nā ​​​​kino haole.
 

Nā Noiʻi Microbiological

Hoʻohana mākou i nā moʻomeheu sputum, nā moʻomeheu koko, a i kekahi manawa bronchoscopy e ʻike ai i ke ʻano kikoʻī. I nā hihia kahi i pane ʻole ai ka abscess i ka lāʻau maʻamau, hiki ke hana ʻia ka hoʻokahe ʻana o ka māmā percutaneous ma Indore ma lalo o ke alakaʻi CT no ka hoʻokahe ʻana a me ka moʻomeheu.
 

Nā Koho Lapaʻau no ka ʻōpū o ka puʻuwai: Mai nā lāʻau lapaʻau a hiki i ke ʻoki kino

Hoʻokele Lapaʻau: Ka Laina Mua

Hoʻopaneʻe maikaʻi ka hapa nui o nā abscesses māmā i nā antibiotic IV lōʻihi. ʻO ka maʻamau, he ikaika ka lāʻau lapaʻau a hiki ke mau no 4 a 6 mau pule a hiki i ka hōʻike ʻana o ke kiʻi ua maʻemaʻe ka lua a ua emi nui paha.
 

Hoʻokele Hana Kūloko

Inā ʻaʻole hōʻike nā antibiotic i ka holomua i loko o 7-10 mau lā, a inā ʻoi aku ka nui o ka abscess ma mua o 6cm, pono paha ka hoʻokahe ʻana o ka māmā percutaneous. Pili kēia i ke komo ʻana i kahi nila maikaʻi a i ʻole catheter ma o ka paia o ka umauma e hoʻokahe i ka pus.
 

Lapaʻau ʻoki kino ma Indore

Mālama ʻia ke ʻoki ʻana no nā hihia e pili ana i ka hemoptysis nui, i manaʻo ʻia he malignancy, a i ʻole ka hoʻonā ʻole ʻana me ka nānā ʻole i ka wai kahe.

• ʻO ke ʻoki kino VATS no ka ʻōpū o ka puʻupaʻa: Hoʻohana ʻia kēia ʻano keyhole minimally invasive no ka decortication a i ʻole ka wehe ʻana i ka ʻāpana i loaʻa i ka maʻi.
• Ka wehe ʻana o ka Thoracotomy: He mea pono no nā abscesses nui a paʻakikī a i ʻole ke pono e wehe ʻia kahi lobe māmā piha (lobectomy).
   

ʻO VATS vs. ʻO ke ʻoki hāmama no ka abscess puʻupuʻu

Pinepine ninau ninaninau 'ana i

He aha ka ʻokoʻa ma waena o ka abscess māmā a me ka pneumonia? 

He maʻi laulā ka niumonia e hoʻoulu ai i ka mumū o ka ʻiʻo o ka māmā, ʻoiai ʻo ka abscess o ka māmā he wahi kikoʻī, kūloko o ka luku ʻia ʻana o nā ʻiʻo (necrosis) i hana i kahi lua piha i ka pus.
 

Hiki ke mālama ʻia kahi abscess māmā me ke ʻoki ʻole ʻana? 

ʻAe, ma kahi o 85-90% o nā abscesses māmā e mālama pono ʻia me ke ʻoki ʻole ʻana ma o ka lāʻau antibiotic ikaika a lōʻihi a me ka mālama kākoʻo.
 

Pehea ka lōʻihi o ka mālama ʻana i ka antibiotic no ka abscess o ka māmā? 

ʻO ka maʻamau, he lōʻihi ka papa hana lapaʻau, e mau ana ma waena o 4 a 8 mau pule. Hoʻomaka pinepine ia me nā lāʻau antibiotic intravenous (IV) ma ka haukapila ma mua o ka hoʻololi ʻana i nā lāʻau lapaʻau waha ma ka home.
 

He aha ke kumu o ka sputum ʻala ʻino i loko o ka abscess māmā? 

ʻO ke ʻala pilau maʻamau i hoʻokumu ʻia e nā bacteria anaerobic, ka mea e ulu maikaʻi ana i nā wahi nele i ka oxygen. Hoʻopuka pinepine ʻia kēia mau bacteria mai ka waha a hana i nā kinoea ʻokoʻa i ko lākou wāwahi ʻana i nā ʻiʻo māmā.
 

He maʻi hoʻoweliweli anei ka abscess o ka māmā i ke ola? 

Hiki ke hoʻoweliweli i ke ola inā alakaʻi ia i ka hemoptysis nui (ke koko ʻana), pohā i loko o ka pleural space, a i ʻole ke kumu o ka sepsis systemic. Eia nō naʻe, ʻo ka mālama koke ʻana me nā antibiotics hou e hoʻomaikaʻi nui i nā helu ola.
 

He aha ka mea e hana ai inā ʻaʻole mālama ʻia kahi abscess o ka māmā? 

Hiki i kahi abscess i mālama ʻole ʻia ke alakaʻi i ka ʻeha mau o ka māmā, ka laha ʻana o ka maʻi i ka lolo a i ʻole nā ​​​​​​ʻōpū ʻē aʻe, ka pohō kaumaha nui, a i ʻole ka hāʻule ʻana o ka hanu e hoʻoweliweli i ke ola.
 

He aha ka ʻokoʻa o ka abscess o ka māmā mai ka empyema thoracis? 

ʻO ka abscess o ka māmā kahi maʻi i loaʻa i loko o ka ʻiʻo māmā ponoʻī, ʻoiai ʻo ka empyema thoracis kahi hōʻiliʻili ʻana o ka pus i loko o ka pleural space (ka hakahaka ma waena o ka māmā a me ka paia o ka umauma).
 

I ka manawa hea e ʻōlelo ʻia ai ke ʻoki ʻana o VATS no ka abscess o ka māmā? 

Paipai ʻia ʻo VATS ke ʻole e emi ka abscess me nā antibiotics, inā pono kahi biopsy e kāpae i ka maʻi kanesa o ka māmā, a inā paʻakikī loa ka maʻi no ka hoʻokahe ʻana o ka paipu maʻalahi.
 

Pehea ka lōʻihi o ka manawa hoʻōla ma hope o ke ʻoki ʻana i ka abscess o ka māmā? 

ʻO ka maʻamau, ʻo nā maʻi e hana ʻia ana i ke ʻoki VATS no ka abscess o ka māmā ma Indore e hoʻōla hou i loko o 2 mau pule, ʻoiai ʻo ka poʻe e pono ai kahi thoracotomy ākea e pono paha i 4 a 6 mau pule no ka hoʻōla piha ʻana i ka hana.