{"id":5232,"date":"2018-08-07T07:01:10","date_gmt":"2018-08-07T00:01:10","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/2018\/08\/07\/ap-xe-abscess\/"},"modified":"2024-03-17T04:01:48","modified_gmt":"2024-03-16T21:01:48","slug":"ap-xe-abscess","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/ap-xe-abscess\/","title":{"rendered":"\u00c1p-xe (Abscess)"},"content":{"rendered":"

\u00c1p-xe c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n \u1edf c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c nhau c\u1ee7a c\u01a1 th\u1ec3. Ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 d\u1eabn l\u01b0u m\u1ee7. B\u1ea1n c\u0169ng c\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i d\u00f9ng thu\u1ed1c kh\u00e1ng sinh.<\/p>\n

\"\u00c1p<\/p>\n

\u00c1p-xe\u00a0(Ngu\u1ed3n \u1ea3nh:\u00a0Blausen.com) <\/em><\/p>\n

\u00c1p-xe l\u00e0 g\u00ec v\u00e0 nguy\u00ean nh\u00e2n g\u00e2y ra \u00e1p-xe?<\/h2>\n

T\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng do vi khu\u1ea9n l\u00e0m cho h\u1ec7 mi\u1ec5n d\u1ecbch ho\u1ea1t ho\u00e1 c\u00e1c t\u1ebf b\u00e0o b\u1ea1ch c\u1ea7u v\u00e0 c\u00e1c ch\u1ea5t ho\u00e1 h\u1ecdc \u0111\u1ec3 \u0111\u1ec1 kh\u00e1ng. Trong \u201ccu\u1ed9c chi\u1ebfn\u201d \u0111\u00f3 nhi\u1ec1u t\u1ebf b\u00e0o vi khu\u1ea9n v\u00e0 b\u1ea1ch c\u1ea7u b\u1ecb ch\u1ebft t\u1ea1o th\u00e0nh m\u1ed9t ch\u1ea5t l\u1ecfng \u0111\u1eb7c c\u00f2n g\u1ecdi l\u00e0 m\u1ee7. M\u1ed9t s\u1ed1 vi khu\u1ea9n nh\u01b0 vi khu\u1ea9n t\u1ee5 c\u1ea7u v\u00e0ng (Staphylococcus aureus) v\u00e0 li\u00ean c\u1ea7u khu\u1ea9n sinh m\u1ee7 (Streptococcus pyogenes) c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng t\u1ea1o m\u1ee7 h\u01a1n v\u00ec ch\u00fang sinh ra \u0111\u1ed9c t\u1ed1 c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng c\u00e1c m\u00f4 c\u1ee7a c\u01a1 th\u1ec3. M\u1ed9t khoang ch\u1ee9a \u0111\u1ea7y m\u1ee7 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh g\u1ecdi l\u00e0 \u1ed5 t\u1ee5 m\u1ee7 hay \u00e1p-xe. \u00c1p-xe s\u1ebd ph\u00e1t tri\u1ec3n l\u1edbn h\u01a1n n\u1ebfu t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t.<\/p>\n

N\u01a1i n\u00e0o b\u1ecb h\u00ecnh th\u00e0nh \u00e1p-xe?<\/h2>\n

Da. H\u1ea7u h\u1ebft c\u00e1c \u1ed5 \u00e1p xe h\u00ecnh th\u00e0nh d\u01b0\u1edbi da<\/strong>. M\u1ed9t \u1ed5 m\u1ee5n nh\u1ecdt l\u00e0 v\u00ed d\u1ee5 ph\u1ed5 bi\u1ebfn nh\u1ea5t. Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, l\u1ed7 ch\u00e2n l\u00f4ng b\u1ecb nhi\u1ec5m tr\u00f9ng v\u00e0 ph\u00e1t tri\u1ec3n th\u00e0nh \u1ed5 \u00e1p-xe nh\u1ecf. Tuy\u1ebfn ti\u1ebft xu\u1ea5t \u1edf c\u1eeda \u00e2m \u0111\u1ea1o c\u00f3 th\u1ec3 b\u1ecb nhi\u1ec5m tr\u00f9ng v\u00e0 ph\u00e1t tri\u1ec3n th\u00e0nh \u00e1p-xe tuy\u1ebfn Bartholin. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a m\u1ed9t \u00e1p xe da bao g\u1ed3m s\u01b0ng, n\u00f3ng, \u0111\u1ecf, \u0111au<\/strong> t\u1ea1i v\u00f9ng b\u1ecb \u1ea3nh h\u01b0\u1edfng.<\/p>\n

B\u00ean trong c\u01a1 th\u1ec3. \u00c1p-xe \u0111\u00f4i khi \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh b\u00ean trong c\u01a1 th\u1ec3: trong m\u1ed9t c\u01a1 quan ho\u1eb7c trong \u1edf kho\u1ea3ng gi\u1eefa c\u00e1c c\u01a1 quan. Nhi\u1ec1u tri\u1ec7u ch\u1ee9ng kh\u00e1c nhau c\u00f3 th\u1ec3 x\u1ea3y ra t\u00f9y thu\u1ed9c v\u00e0o v\u1ecb tr\u00ed c\u1ee7a \u00e1p-xe. Nhi\u1ec5m tr\u00f9ng trong gan c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn \u00e1p-xe gan. Si\u00eau \u00e2m, ch\u1ee5p CT ho\u1eb7c MRI c\u00f3 th\u1ec3 gi\u00fap vi\u1ec7c ch\u1ea9n \u0111o\u00e1n \u00e1p-xe. Nhi\u1ec5m tr\u00f9ng trong n\u01b0\u1edbu r\u0103ng ho\u1eb7c r\u0103ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn m\u1ed9t \u00e1p xe n\u01b0\u1edbu r\u0103ng.<\/p>\n

\"\u00c1p<\/p>\n

\u00c1p-xe gan ph\u1ea3i\u00a0– <\/em> H\u00ecnh si\u00eau \u00e2m v\u00e0 CTscan <\/em><\/p>\n

Nh\u1eefng ng\u01b0\u1eddi n\u00e0o b\u1ecb \u00e1p-xe?<\/h2>\n

\u0110a s\u1ed1 \u00e1p-xe da th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f2n c\u00f3 v\u1ebb kh\u1ecfe m\u1ea1nh. Th\u00f4ng th\u01b0\u1eddng kh\u00f4ng c\u00f3 nguy\u00ean nh\u00e2n ti\u1ec1m \u1ea9n r\u00f5 r\u1ec7t, v\u00e0 kh\u00f4ng c\u00f3 v\u1ea5n \u0111\u1ec1 ph\u00e1t sinh sau khi \u00e1p-xe bi\u1ebfn m\u1ea5t. B\u00e1c s\u0129 c\u00f3 th\u1ec3 ki\u1ec3m tra l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u v\u00e0 n\u01b0\u1edbc ti\u1ec3u c\u1ee7a b\u1ea1n, v\u00ec \u00e1p-xe c\u00f3 xu h\u01b0\u1edbng x\u1ea3y ra th\u01b0\u1eddng xuy\u00ean h\u01a1n \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ecb b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng (\u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng). \u00c1p-xe d\u01b0\u1edbi da hay t\u00e1i ph\u00e1t c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u \u0111\u1ea7u ti\u00ean c\u1ee7a c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn h\u1ec7 mi\u1ec5n d\u1ecbch.<\/p>\n

\u00c1p-xe b\u00ean trong c\u01a1 th\u1ec3 th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 b\u1ecb b\u1ec7nh, ho\u1eb7c \u1edf nh\u1eefng ng\u01b0\u1eddi m\u00e0 h\u1ec7 mi\u1ec5n d\u1ecbch b\u1ecb suy y\u1ebfu. V\u00ed d\u1ee5, m\u1ed9t \u00e1p xe ph\u1ed5i c\u00f3 th\u1ec3 h\u00ecnh th\u00e0nh sau m\u1ed9t c\u01a1n vi\u00eam ph\u1ed5i, \u00e1p-xe n\u00e3o c\u00f3 th\u1ec3 h\u00ecnh th\u00e0nh sau ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ea7u l\u00e0m th\u1ee7ng l\u1edbp b\u1ea3o v\u1ec7 b\u00ean ngo\u00e0i n\u00e3o.<\/p>\n

\"\u00e1p<\/p>\n

\u00c1p-xe n\u00e3o v\u00f9ng ch\u1ea9m b\u00ean tr\u00e1i – H\u00ecnh c\u1ed9ng h\u01b0\u1edfng t\u1eeb MRI <\/em><\/p>\n

\u0110i\u1ec1u tr\u1ecb \u00e1p-xe nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n

Thu\u1ed1c kh\u00e1ng sinh th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u00e0 m\u1ee7 c\u0169ng c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c d\u1eabn l\u01b0u ra ngo\u00e0i khi c\u1ea7n thi\u1ebft. \u00c1p-xe d\u01b0\u1edbi da c\u1ea7n tr\u1ea3i qua m\u1ed9t ca m\u1ed5 nh\u1ecf (ti\u1ec3u ph\u1eabu) \u0111\u1ec3 r\u1ea1ch da v\u00e0 \u00e9p ho\u1eb7c d\u1eabn l\u01b0u m\u1ee7 ra ngo\u00e0i. Khi da l\u00e0nh s\u1ebd h\u00ecnh th\u00e0nh s\u1eb9o. \u00c1p-xe b\u00ean trong c\u01a1 th\u1ec3 y\u00eau c\u1ea7u ca m\u1ed5 l\u1edbn h\u01a1n (\u0111\u1ea1i ph\u1eabu) \u0111\u1ec3 d\u1eabn l\u01b0u m\u1ee7 ra ngo\u00e0i. C\u00e1c k\u1ef9 thu\u1eadt kh\u00e1c nhau \u0111\u01b0\u1ee3c \u0111\u1ec1 ngh\u1ecb v\u00e0 l\u1ef1a ch\u1ecdn t\u00f9y v\u00e0o v\u1ecb tr\u00ed \u00e1p-xe.<\/p>\n

\u0110i\u1ec1u g\u00ec s\u1ebd x\u1ea3y ra n\u1ebfu \u00e1p-xe kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb?<\/h2>\n

M\u1ed9t \u1ed5 \u00e1p-xe d\u01b0\u1edbi da b\u00ecnh th\u01b0\u1eddng s\u1ebd v\u1ee1 l\u00ean b\u1ec1 m\u1eb7t da v\u00e0 cho ch\u1ea3y m\u1ee7 ra ngo\u00e0i. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 x\u1ea3y ra khi \u00e1p-xe tr\u1edf n\u00ean to h\u01a1n v\u00e0 g\u00e2y \u0111au nhi\u1ec1u h\u01a1n. V\u00ec v\u1eady, thu\u1ed1c kh\u00e1ng sinh v\u00e0 ph\u1eabu thu\u1eadt th\u01b0\u1eddng l\u00e0 l\u1ef1a ch\u1ecdn t\u1ed1t nh\u1ea5t. Tuy nhi\u00ean, m\u1ee5n nh\u1ecdt nh\u1ecf c\u00f3 th\u1ec3 b\u1ecb v\u1ee1 v\u00e0 l\u00e0nh l\u1ea1i m\u00e0 kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb. \u00c1p-xe b\u00ean trong c\u01a1 th\u1ec3 m\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng r\u1ea5t nghi\u00eam tr\u1ecdng. B\u1ea1n c\u00f3 kh\u1ea3 n\u0103ng b\u1ecb b\u1ec7nh r\u1ea5t n\u1eb7ng v\u00e0 vi\u1ec7c \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng l\u00e0 c\u1ea7n thi\u1ebft.<\/p>\n

T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n
    \n
  1. http:\/\/www.patient.co.uk\/health\/abscess<\/a><\/li>\n
  2. http:\/\/www.ultrasoundcases.info\/Slide-View.aspx?cat=141&case=3082<\/a><\/li>\n
  3. http:\/\/radiopaedia.org\/images\/21901<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    \u00c1p-xe c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n \u1edf c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c nhau c\u1ee7a c\u01a1 th\u1ec3. Ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 d\u1eabn l\u01b0u m\u1ee7 ho\u1eb7c d\u00f9ng thu\u1ed1c kh\u00e1ng sinh.<\/p>\n","protected":false},"author":41,"featured_media":5233,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3567,5174,5164,5148,5173],"tags":[4271,4272,4273,4274],"series":[1159],"coauthors":[1772],"acf":[],"yoast_head":"\n\u00c1p-xe (abscess) - Y h\u1ecdc c\u1ed9ng \u0111\u1ed3ng<\/title>\n<meta name=\"description\" content=\"\u00c1p-xe c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n \u1edf c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c nhau c\u1ee7a c\u01a1 th\u1ec3. Ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 d\u1eabn l\u01b0u m\u1ee7 ho\u1eb7c d\u00f9ng thu\u1ed1c kh\u00e1ng sinh.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/yhoccongdong.com\/du-an-khac\/ap-xe-abscess\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u00c1p-xe (abscess) - Y h\u1ecdc c\u1ed9ng \u0111\u1ed3ng\" \/>\n<meta property=\"og:description\" content=\"\u00c1p-xe c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n \u1edf c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c nhau c\u1ee7a c\u01a1 th\u1ec3. Ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 d\u1eabn l\u01b0u m\u1ee7 ho\u1eb7c d\u00f9ng thu\u1ed1c kh\u00e1ng sinh.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/ap-xe-abscess\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"article:author\" content=\"http:\/\/facebook.com\/lam.xuannha\" \/>\n<meta property=\"article:published_time\" content=\"2018-08-07T00:01:10+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-03-16T21:01:48+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2013\/09\/ap-xe.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"660\" \/>\n\t<meta property=\"og:image:height\" content=\"330\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"BS. 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