Thursday, October 18, 2018

Liver abscess diet? Liver abscess what to eat? Liver abscess can not eat?

Liver abscess diet? Liver abscess what to eat? Liver abscess can not eat?
Liver abscess diet? Liver abscess what to eat? Liver abscess can not eat?

Liver abscess diet
Not suitable for food:

1. Avoid drinking alcohol: Because the main component of alcohol is alcohol, it has direct damage to the liver. If you drink a lot, it will increase the burden on the liver and make the disease more serious. Therefore, patients with liver abscess should not drink alcohol.

2. Avoid eating ginger: Ginger is a commonly used condiment in daily life of the family, but the consumption of ginger in patients suffering from liver abscess is not conducive to the healing of the disease. This is because the main components of ginger, volatile oil, gingerol and baicalein can cause degeneration, necrosis and interstitial tissue hyperplasia in liver cells of patients with liver abscess, causing inflammatory infiltration and liver dysfunction. Therefore, patients with liver abscess do not eat ginger.

What is a liver abscess puncture? What are the indications, contraindications, complications, postoperative care, and postoperative diet of liver abscess puncture?

What is a liver abscess puncture? What are the indications, contraindications, complications, postoperative care, and postoperative diet of liver abscess puncture?
What is a liver abscess puncture? What are the indications, contraindications, complications, postoperative care, and postoperative diet of liver abscess puncture?

Liver abscess is a hepatic suppurative lesion caused by a variety of microorganisms such as bacteria or amoeba, and is often guided by B-ultrasound or CT-guided percutaneous transhepatic abscess lesions and drained into the drainage tube.

Anesthesia and preoperative preparation

1. Anesthesia
Local infiltration anesthesia.
2. Preoperative preparation

  • Check blood routine, platelet, and prothrombin time.
  • Fasting for 8 to 12 hours before surgery, if the abdominal flatulence is obvious, you can take the anti-swelling medicine or clean the enema beforehand.


Indication

  1. Clinically suspected liver abscess, and ultrasound showed intrahepatic hypoechoic or mixed echo lesions, need to be clearly diagnosed.
  2. Larger single liver abscess, ultrasound guided by thick needle aspiration or catheter drainage.
  3. For multiple liver abscesses, you can puncture 2 to 3 lesions at a time, or you can use multiple drainage tubes or tube drainage in a batch.

Liver abscess patient care

Liver infectious diseases are extensive, and mainly related to surgery are liver abscesses. Common bacterial hepatic abscess and amoebic liver abscess can cause different degrees of fever and hepatomegaly and right upper quadrant tenderness. Bacterial liver abscess is more common. In addition, there are some special infections such as tuberculous liver abscess, fungal liver abscess and parasitic liver abscess, etc., which are rare. The discovery and treatment of existing and potential problems such as chills, hyperthermia, and hepatic pain in patients with liver abscess, and the provision of corresponding physiological, psychological and social care can effectively improve their life treatment and prognosis.
Liver abscess patient care
Nursing measures

1.Psychological care
After the patient is admitted to the hospital, due to lack of awareness of the disease and changes in the environment, a series of psychological reactions such as tension and fear often arise. Therefore, the nursing staff should take the initiative to contact with the patient and introduce the patient with relevant knowledge of the disease, such as the characteristics of the disease and the situation after the illness, and give patient psychological counseling according to the psychological state of the patient, thereby eliminating the psychological and anxiety of the patient and establishing it. Confidence in overcoming the disease and actively cooperate with treatment.

What is a biliary liver abscess? What are the causes, clinical manifestations, examinations, diagnosis, complications, and treatment of biliary liver abscess?

What is a biliary liver abscess? What are the causes, clinical manifestations, examinations, diagnosis, complications, and treatment of biliary liver abscess?
What is a biliary liver abscess? What are the causes, clinical manifestations, examinations, diagnosis, complications, and treatment of biliary liver abscess?
Biliary liver abscess

Biliary liver abscess is a bile duct obstruction caused by gallstones, bile duct stricture, etc., and liver abscess caused by infection. It is one of the serious complications of hepatolithiasis. The disease is a multiple abscess in the liver, often associated with acute obstructive suppurative cholangitis. The clinical onset is more rapid, mainly manifested as symptoms of acute infection. The age of good hair is 21 to 40 years old, more men than women.

Cause
Bile duct stones, aphids, biliary stenosis and other biliary obstruction and inflammation, bacteria along the bile duct, invade the liver to cause inflammation, and then form a number of small abscesses, and later gradually merge into a larger abscess. Abscesses are often multiple and communicate with the bile duct, a rare abscess. In the original bile duct stones, the bile ducts are more dilated and thickened, and a large amount of fibrous tissue is proliferated in the portal tube area, which is not easy to be broken. The pathogens of biliary hepatic abscess infection are mainly Escherichia coli, followed by anaerobic streptococcus.

What are the clinical manifestations of bacterial liver abscess? What are the treatments for bacterial liver abscess?

What are the clinical manifestations of bacterial liver abscess? What are the treatments for bacterial liver abscess?
What are the clinical manifestations of bacterial liver abscess? What are the treatments for bacterial liver abscess?
Bacterial liver abscess

1. High fever, chills, loss of appetite, nausea and vomiting, excessive sweating, fatigue and weight loss are common symptoms.

2. Sustained pain in the right upper quadrant often involves pain or radiation pain in the right shoulder.

3. Most patients have varying degrees of toxic symptoms and systemic consumption, such as: fatigue, loss of appetite, nausea, vomiting, weight loss. Some patients may have swollen liver, tenderness in the right upper abdomen, splenomegaly, and ascites and jaundice in severe cases.

4. A huge liver abscess can break into the right chest and mediastinum. Acute peritonitis, empyema, bronchospasm, a small number of liver abscesses with bile duct traffic pierce the blood vessels, causing acute upper gastrointestinal bleeding.

5. Laboratory examination: white blood cell count, neutrophil ratio increased, hemoglobin often decreased, liver function may be abnormal.

Wednesday, October 17, 2018

The best treatment for liver abscess

The best treatment for liver abscess
The best treatment for liver abscess
After the liver is infected, an abscess is formed because it is not treated in time, and it becomes a liver abscess. Liver abscesses are secondary. Clinically common are bacterial liver abscess and amoebic liver abscess; others have some special infections, such as liver tuberculosis.

1.Bacterial liver abscess

  • Non-surgical treatment is suitable for localized inflammation, when abscess has not formed or multiple small abscesses. High doses of effective antibiotics and systemic supportive therapies are given on the basis of treatment of the underlying disease.
  • Surgical incision and drainage puncture drainage is not smooth, abscess is not significantly reduced, clinical manifestations are not significantly improved or progressive aggravation; accompanied by primary lesions requiring surgical treatment, such as biliary hepatic abscess; abscess wall thickness, conservative Chronic liver abscess with poor therapeutic effect; the wall of the sputum has been worn or it is estimated that there is a possibility of ulceration. Surgical incision of the abscess, treatment of the primary lesion, double cannula suction, to completely drain.


What is liver abscess incision and drainage? What are the complications, postoperative care, anesthesia, and preoperative preparation for hepatic abscess incision and drainage?

What is liver abscess incision and drainage? What are the complications, postoperative care, anesthesia, and preoperative preparation for hepatic abscess incision and drainage?
What is liver abscess incision and drainage? What are the complications, postoperative care, anesthesia, and preoperative preparation for hepatic abscess incision and drainage?
There are two common methods for incision and drainage of hepatic abscess. One is transabdominal incision and drainage, which can avoid contamination of the abdominal cavity. It is only suitable for isolated abscess or liver abscess and adhesion to the abdominal cavity near the liver surface. Incision restriction is revealed, and other abscesses or intra-abdominal infection sources in the liver are easily missed and are currently used less. The other is transabdominal abscess incision and drainage. Since the clinical application of antibiotics, this method has replaced the extraperitoneal route. Usually under the costal margin or median incision into the abdomen and drainage of liver abscess, can simultaneously treat other lesions in the liver and intra-abdominal infection.

Anesthesia and preoperative preparation

1. Anesthesia
General anesthesia plus continuous epidural anesthesia.