Hepatophyma – what is this, treatment of disease. Symptoms and prevention of diseases of liver Abscess
Liver abscess what is it? Liver abscess is a suppurative destructive education in the liver, appears due to purulent inflammation of tissues.
Usually, liver abscess develops secondary to other diseases of the liver. Most often get sick of middle-aged and older people. Often the abscess of the liver occurs in men.
Hepatophyma: the cause of the
The following causes of liver abscess:
- Infections of the liver in different liver extrahepatic disorders (cholelithiasis, holetsistite, holanigte, intrahepatic bile duct cancer).
- Infectious liver failure in sepsis. Infection can penetrate the liver blood vessels (Portal or hepatic Vienna).
- The spread of an infectious process in liver tissue in inflammatory diseases of the abdominal cavity organs (When appendicitis, diverticulum, nonspecific ulcerative colitis and other).
- Liver trauma (surgical and nonsurgical nature).
- An infectious cyst or defeat hematoma of the liver.
According to the medical observations, often the abscess of the liver is called appendicitis and cholelithiasis.
Hepatophyma: symptoms
The main symptoms of liver abscess:
- fever (higher 38 degrees);
- pain sensation in the right hypochondrium;
- gepatomegaliya;
- feeling of heaviness in the right side;
- poor appetite;
- chills;
- weight loss;
- jaundice;
- ascites.
Hepatophyma: diagnostics
Troubleshooting amebnom abscesse includes:
- analysis of the history of the disease and the patient's complaint;
- physical examination, where the doctor notes the reduction in weight of the patient, fever and pain by palpation of the liver;
- general blood analysis;
- x-ray study of the liver;
- ultrasound of the liver;
- spiral computed tomography;
- Magnetic resonance imaging;
- b. puncture aspiration biopsy, carried out under ultrasound control;
- radioisotope scanning;
- diagnostic laparoscopy;
- other research methods (at the discretion of the physician).
Hepatophyma: types of disease
Depending on the number of abscesses emit single and multiple liver abscesses. Depending on the location of secrete right lobes of the liver abscesses and abscesses of the left lobe of liver.
Depending on the nature of the pathogen distinguish abscesses bacterial and parasitic origin.
If the abscess has appeared on earlier unedited plot, then talk about the primary abscesse liver. Secondary abscesses develop in the face of other diseases.
Hepatophyma: patient actions
In case of liver abscess should be made as soon as possible consult a doctor.
Hepatophyma: treatment
Treatment of liver abscess should be integrated, includes diet therapy, conservative and (on indications) surgery.
When abscesse of the liver shows a fractional power (5-6 once a day) small portions. From diet to exclude acute, fatty, smoked and grilled food. Limited to the use of table salt (to 3 grams per day). Nutrition should be with high protein content (demonstrates the use of the meat, milk and bean products). The diet should include a high content of vitamins and microelements.
When bacterial abscessah the patient shows a course of antibiotic therapy and other antibacterial drugs (metrogil and etc). When liver damage amebnom appointed protivoamebnye drugs.
For medicinal purposes when abscesse liver abscess drainage incision and hold under ultrasound control. Abscess cavity can also be administered antibiotics.
Surgical treatment of the abscess is carried out in the presence of several large abscesses or in case it is impossible to make drainage.
Hepatophyma: complications
When abscesse of the liver may develop complications such:
- breakthrough abscess;
- bleeding from the blood vessels of the liver;
- subphrenic abscess.
Hepatophyma: prevention
Primary prevention of liver abscess includes disease prevention, that could potentially cause liver abscess. Primary prevention is limited to observance of the principles of healthy eating and personal hygiene.
Secondary prophylaxis of liver abscess provides timely and adequate treatment of infectious and inflammatory diseases, against which may develop liver abscess.