Fistula wa rectum

Fistula ya rectum ndi stroke, yomwe ili pansi pa khungu mu malo a anal. Amagwirizanitsa gland yakhudzidwa ndi khungu pafupi ndi anus. Zomwe zimayambitsa chitukuko chosatha chomwe chimayambitsa fistula kupanga angakhale opaleshoni, rectal resection, kupwetekedwa, ming'alu mderali komanso 95% - milandu yotchedwa paraproctitis.

Osati wodwala aliyense amene ali ndi paraproctitis yoopsa amapanga fistula ya rectum. Koma ngati abscess imatsegulidwa, yotsekedwa, koma yosachotsedweratu ndi chipata chakukunja kuti chiteteze kachilombo, izi zikhoza kuchititsa kuti purulent zilizonse ziziyenda mu lumen ya fistula. Zonsezi zidzathandiza kupanga mapangidwe a pilt ndi mitsempha ndi pus, makoma akunja a fistulous course ayamba kufooka, ndipo makoma akumkati ali ndi minofu ya granulation.

Poyambirira, gland yotentha imakula, pus mtundu umayang'ana kutuluka kudzera muzigawo zotayirira mu rectum ndi kudutsa khungu kunja kwa malo otsegula. Motero, mkati ndi kunja kwa fistula amapangidwa. Khalani osiyana:

• Fistula yangwiro imaphatikizapo kuyaka nthawi zonse, kusuntha ndi kupweteka panthawi yovuta komanso kukhumudwa, kukhumudwa chifukwa cha kuphulika kwa khungu panthawi yakhululukidwa;
• Zosakwanira (mkati) fistula ya rectum, zizindikiro zake ndizoti panthawi ya kukhululukidwa sizimabweretsa mavuto ndipo pafupifupi sizidziwonetsera zokha, koma ngati matendawa akufalikira, mkhalidwe wa wodwalayo umachepa kwambiri.

Matendawa amayamba kuchepa. Kuchulukitsa kumawonekera pamene ndimezo zatsekedwa, pamene wodwala akuda nkhawa za ululu wa anus, umene ukuwonjezeredwa ndi kutetezedwa. Kutentha thupi, kupweteka mutu, kugona ndi potency zimavutika, syphilis ndi periodic purulent discharge zisokoneza. Pali kupsa mtima kwa khungu, kuyaka ndi kuyabwa, kotero wodwala amafunika kusamba nthawi zonse ndi kusintha gaskets.

Pambuyo potsegula zikopa, ubwino umawoneka bwino, kutupa kumachepa, kutuluka kumakhala kosawerengeka, kugwira ntchito kumabwezeretsedwa. Njira zamakono zotupa pamatenda osakanikirana zimayambitsa zovuta za fistula. Pangakhale phokoso la mchere wa anal ndi chifuwa cha mitsempha ya sphincter imene imasokoneza ntchito yowonongeka ndikuyambitsa kusadziletsa kwa anal sphincter. Pa milandu yovuta komanso yovuta kwambiri, fistula imatha kuwonongeka kwambiri.

Matenda a "fistula a rectum" amapangidwa ndi wodzitetezera - katswiri yemwe amachititsa kuwona chotsalira chala pampando wa olumala. Pambuyo pa kukonzekera kwa wodwalayo, kuyembekezera kumapeto kwa matumbo akuluakulu kumachitidwa kuti athetse vutoli - sigmoidoscopy. Pachifukwa ichi, mukhoza kuona ma mucosa, kutenga minofu pa chidziwitso, kupanga kusiyana kwa matenda ngati mukuganiza kuti ndi chotupa.

Ngati ndi kotheka, fistula yakunja imayendetsedwa, ndipo kufufuza kwa ultrasound - ultrasonography - kumachitidwa kuti mudziwe malo a fistful site. Pofuna kudziwa momwe matendawa akugwiritsidwira ntchito, malo amtundu wa fistula amatha kupanga fistulography. Maphunzirowa amathandiza kutsimikizira kuti wodwalayo ali ndi fistula ya rectum, kapena kuchotsa matendawa.

Chithandizo chodziletsa ndi chopanda ntchito ndipo chimagwiritsidwa ntchito monga prophylaxis kuti chibwererenso pakapita nthawi. Njira yothandizira ntchito imapangidwa ndi akatswiri kuchipatala, pansi pa anesthesia kapena pansi pa epidural anesthesia. Mtundu wa opaleshoni umadalira malo a fistula poyerekeza ndi sphincter, mlingo wa minofu yowopsya, kupezeka ndi kuchuluka kwa zikopa za purulent mu cellulose. Koma mulimonsemo, pamene wodwala ali ndi fistula ya rectum, opaleshoniyo ndi yosapeweka.

Chokondweretsa kwambiri ndi nthawi yowonjezeredwa ndi fistula. Zimakhala zovuta kuti apange opaleshoni yowonjezereka ndi zolembera zina. Zimakhala zovuta kwambiri kuti nthambiyi ikhale yovuta kwambiri, pamene kuli kofunika kuti muzisakaniza kwambiri minofu yomwe imayambitsa matenda a fistula ndi kuwonjezera ntchito ya sphincter.

Mu nthawi yothandizira, wodwala ayenera kumanga mabanki ndi levomycol, kusamba ndi manganese, kenako ndi chamomile kapena calendula. Ndondomeko ya machiritso athunthu amatha pafupifupi mwezi umodzi.