I-abscess ye-fover yi-accumulation yendawo yesikhumba se-parenchyma e-hepatic ebangelwa ukuvezwa kwe-pathogenic microflora noma ama-parasites. I-abscess kuleli cala ihlala yesikhashana, okungukuthi, kwenzeka ngokumelene nesizinda somonakalo okhona emzimbeni, ngokuvamile ngenxa yokutheleleka ngegazi lamanje. Lesi sifo sinzima kakhulu, ngakho-ke siphathwa kuphela esibhedlela, futhi lapho kungekho khona ukunakekelwa kwezempilo ngesikhathi esifanele kungaholela ekufeni.
Izimbangela ze-abscess yesibindi
Ezokwelapha, i-abscesses yesibindi ivame ukuhlukaniswa ibe yi-pyogenic ne-amoebic.
I-pyogenic i-abscess yesibindi
Leli fomu lesi sifo livame kakhulu kubantu abadala kuneminyaka engama-35. Umthombo ovame kakhulu wokutheleleka kuleli cala yizifo ze-biliary tract (cholangitis noma cholecystitis). Isizathu sesibili esivame ukwanda kwezifo ezihlukahlukene ze-intraperitoneal:
- i-ulcerative colitis;
- Isifo sikaCrohn ;
- i-perforation yamathumbu;
- i-diverticulitis.
Kungenzeka futhi ukudlulisa ukutheleleka emithonjeni eseduze kakhulu ye-infection noma nge-sepsis jikelele. Esikhathini esilandelayo, i-Staphylococcus aureus ne-hemolytic streptococcus zivame ukutholakala. Ngaphezu kwalokho, kungenzeka ukuthuthukisa i-abscess enobungozi besibindi kanye nokuqala kwe-hematoma, eqala ukuvuvukala, futhi uma isibindi sithinteka yizibungu. Ukuhlukana kungaba okukodwa noma okuningi.
I-Amoebic i-abscess yesibindi
I-abscess enjalo iqala ngenxa yesenzo se-amoeba (i-Entamaeba histolytica), esiqaliswa esibindi kusukela emgodleni futhi kuyinkimbinkimbi ekwenzeni i-amoebiasis enamandla noma engapheli. Leli fomu lesi sifo livame ukubhekwa kubantu abasha kanti, njengombuso, kubangelwa ukubunjwa okukodwa.
Izimpawu zesibindi sesibindi
Izimpawu zalesi sifo zivame ukungaboni ngaso sonke isikhathi, okungukuthi, isithombe somtholampilo singafana nesinye sezifo ezibi kakhulu ezingaphakathi zangaphakathi:
- i-pneumonia;
- pleurisy;
- isifo senhliziyo, njll.
Ngokuvamile, kungakhathaliseki uhlobo lwesifo, i-abscess yesibindi ihambisana nomkhuhlane kanye nobuhlungu obukhulu ku-hypochondrium efanele. Ngokuthuthukiswa kwalesi sifo, isibindi sanda ngobukhulu, sibuhlungu ku-palpation, igazi libalula ukwanda kwenani lama-lecycyte, kanye nokuthambekela kwe- anemia .
Iziguli ezinobuthakathaka obuvamile, ukungabi nesifiso sokudla, ukuvame ukushaya inhlanzi nokuhlanza. Amaphesenti angaphezu kwesigamu ezinsukwini zokuqala amakwe yi-icteric sclera kanye nezibungu zamangqamuzana, ezigcina ziphele. Ezigulini ezinefomu le-amoebic, isifo sohudo esinemizila yegazi singabuye senzeke.
Ukwelashwa kwe-abscess yesibindi
I-abscess yesibindi isifo esibucayi kakhulu esinengozi enkulu yokufa, okungaphathwa kuphela endaweni yesibhedlela, njengoba kuchaza ukungenelela kokuhlinzwa okugunyazayo.
Ukwelashwa kuhlale kuyinkimbinkimbi futhi kunqunywa udokotela, kuye ngezimbangela ezibangela lesi sifo.
Okusemandleni kakhulu namuhla kuyindlela yokwelashwa kwama-antibiotic kuhlanganiswe nokugeleza kwamapayipi okugwedla ngaphansi kokuqondiswa kwe-ultrasound. Uma kwenzeka ukuthi i-abscess yesibindi ingasebenzi, khona-ke ukusebenza okungaqondakali kwenziwa. Ngendlela ye-amoebic yesifo, ukuhlinzwa akukwenziwa kuze kube yilapho ukutheleleka emathunjini kuqedwa.
Uma kwenzeka i-abscess eyodwa yesibindi, lapho kuthathwa izinyathelo ezifika ngesikhathi, ukubikezela kungase kube kuhle. Ukuqeda iziguli ezingama-90%, nakuba ukwelashwa kude kakhulu. Eziningi noma ezingashadile, kodwa ezingakhanjwanga ngesikhathi sokubambisana, cishe zonke ziholela ekufeni.