Qhov sib txawv tseem ceeb ntawm amebic thiab pyogenic daim siab abscess yog tias amebic daim siab abscess yog tshwm sim los ntawm cov kab mob Entamoeba histolytica thaum pyogenic daim siab abscess yog tshwm sim los ntawm cov kab mob Klebsiella pneumoniae thiab E. coli.
Ib daim siab abscess yog cov kua paug puv hauv daim siab uas tsim los ntawm kev raug mob lossis los ntawm kab mob hauv plab los ntawm cov kab mob. Txawm hais tias daim siab mob abscess muaj qhov pheej hmoo tsawg, nws yog ib qho tseem ceeb uas yuav tsum tau kuaj xyuas thiab tswj cov kab mob vim lawv tuaj yeem ua rau muaj kev pheej hmoo tuag tom qab. Cov txheej txheem niaj hnub ntawm daim siab abscess yog qhov tso tawm ntawm lub plab zom mov mus rau hauv plab thiab taug kev mus rau daim siab los ntawm cov hlab ntsha portal. Feem ntau ntawm daim siab abscess yog categorized li amebic thiab pyogenic daim siab abscesses.
Amebic Liver Abscess yog dab tsi?
Amebic daim siab abscess yog ib qho ntawm cov kua paug hauv lub siab vim muaj kab mob hu ua Entamoeba histolytica. Amebic daim siab abscess yog tshwm sim los ntawm kev mob plab hnyuv uas hu ua amebiasis. Nws tseem hu ua amebic dysentery. Tom qab tus kab mob tshwm sim hauv lub cev, tus kab mob nkag mus rau hauv cov hlab ntsha ntawm cov hnyuv thiab tom qab ntawd lub siab. Amebiasis ua rau muaj kab mob hauv plab, qhov twg trophozoites nkag mus rau hauv plab hnyuv mucosa thiab nthuav tawm hematogenously. Trophozoites ncav cuag lub siab los ntawm portal venous ncig. Amebiasis feem ntau kis los ntawm cov zaub mov thiab dej uas muaj cov quav. Qhov no feem ntau yog vim kev siv tib neeg pov tseg ua chiv.
Daim duab 01: Amebiasis
Amebiasis kis ntawm ib tus neeg mus rau lwm tus los ntawm kev sib cuag. Yog li, ambic daim siab abscesses feem ntau yog tshwm sim los ntawm kev tsis huv. Kev pheej hmoo rau cov kab mob ambic daim siab muaj xws li haus dej cawv, mob qog noj ntshav, tiv thaiv kab mob, kev noj zaub mov tsis txaus, kev siv steroid, kev siv steroid, cev xeeb tub, hnub nyoog laus, thiab mus rau thaj chaw sov. Cov neeg mob uas muaj ambic daim siab abscess muaj txoj cai sab sauv quadrant mob nyob rau hauv daim siab thiab kub taub hau. Thaum pib, cov tsos mob feem ntau yog subacute. Cov neeg mob kuj qhia raws plab thiab cov tsos mob me ntawm jaundice. Kev kuaj mob ntawm ambic daim siab abscess yog tsim los ntawm kev sib xyaw ua ke ntawm kev kuaj pom thiab kuaj serologic. Feem ntau pom cov kab mob nyob ib leeg, thiab lawv feem ntau pom nyob rau hauv txoj cai lobe. Kev kho mob muaj xws li cov ntaub so ntswg thiab ib tug luminal agent. Tus neeg saib xyuas cov ntaub so ntswg feem ntau yog metronidazole thaum tus neeg sawv cev luminal siv los tshem tawm cov kab mob hauv lub cev.
Pyogenic Liver Abscess yog dab tsi?
Pyogenic daim siab abscess yog ib yam mob uas muaj cov kua paug hauv lub siab uas tshwm sim los ntawm Klebsiella pneumoniae thiab E.coli ua. Pyogenic txhais tau tias tsim cov kua paug. Tus mob no feem ntau ua raws li peritonitis vim yog qhov tso tawm ntawm lub plab zom mov hauv plab los ntawm lub portal ncig. Nws kuj tuaj yeem yog qhov tshwm sim ntawm arterial hematogenous noob ntawm cov kab mob hauv lub cev thiab kev ua kom tsis zoo. Kev pheej hmoo muaj xws li ntshav qab zib mellitus, kab mob hepatobiliary thiab pancreatic kab mob, hloov daim siab, thiab kev siv cov tshuaj proton-pump inhibitors.
Daim duab 02: Pyogenic Liver Abscess
Pyogenic daim siab abscesses yog tshwm sim los ntawm kab mob plab xws li mob plab hnyuv, kab mob kis los ntawm Klebsiella pneumoniae thiab E. coli, kab mob ntshav, kab mob hauv cov hlab ntsha hauv cov hlab ntsha, thiab kev raug mob uas ua rau lub siab puas. Cov tsos mob muaj xws li mob hauv siab, mob plab, cov quav av nplaum, cov zis xim tsaus, ua npaws, tawm hws hmo ntuj, tsis qab los noj mov, xeev siab, ntuav, poob phaus, tsis muaj zog, thiab daj ntseg.
Kev kuaj mob pyogenic daim siab abscess tuaj yeem ua los ntawm CT scan thiab ultrasound hauv plab, ntshav kab lis kev cai, ua tiav cov ntshav suav, daim siab biopsy, thiab kuaj lub siab ua haujlwm. Kev kho mob feem ntau yog muab ib lub raj los ntawm daim tawv nqaij mus rau hauv daim siab thiaj li yuav nqus tau cov abscess. Yog tias tsim nyog, kev phais yog ua. Thaum lub sijhawm pib, nws raug kho nrog tshuaj tua kab mob.
Dab tsi zoo sib xws ntawm Amebic thiab Pyogenic Liver Abscess?
- Amebic thiab pyogenic daim siab abscesses yog daim siab mob abscess.
- Lawv tshwm sim los ntawm kev sau cov kua paug.
- Ntxiv mus, ob qho tib si feem ntau tshwm sim vim kev tsis huv.
- Ob leeg qhia cov tsos mob jaundice.
- Cov xwm txheej no tuaj yeem kuaj pom los ntawm kev kuaj lub siab thiab kuaj ultrasound.
Qhov txawv ntawm Amebic thiab Pyogenic Liver Abscess yog dab tsi?
Amebic daim siab abscess yog tshwm sim los ntawm cov kab mob Entamoeba histolytica thaum lub siab ua paug pyogenic tshwm sim los ntawm cov kab mob Klebsiella pneumoniae thiab E.coli. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm amebic thiab pyogenic daim siab abscess. Tsis tas li ntawd, amebic daim siab abscess yog muaj nyob rau hauv cov txiv neej hluas. Pyogenic daim siab abscess yog pom nyob rau hauv cov txiv neej laus thiab cov poj niam uas muaj keeb kwm ntawm ntshav qab zib. Ntxiv mus, amebic daim siab abscess qhia hyperbilirubinemia thaum pyogenic daim siab abscess qhia hypoalbuminemia.
Cov hauv qab no qhia txog qhov sib txawv ntawm amebic thiab pyogenic daim siab abscess hauv daim ntawv tabular rau kev sib piv ntawm ib sab.
Summary – Amebic vs Pyogenic Liver Abscess
Ib lub siab ua paug yog cov kua paug puv hauv lub siab. Amebic thiab pyogenic daim siab abscess yog ob hom ntawm daim siab abscess. Amebic daim siab abscess yog tshwm sim los ntawm Entamoeba histolytica, thaum pyogenic daim siab abscess yog tshwm sim los ntawm Klebsiella pneumoniae thiab E. coli. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm amebic thiab pyogenic daim siab abscess. Ob leeg tuaj yeem tshwm sim vim kev huv tsis zoo thiab tuaj yeem ua rau mob daj ntseg.
