Parotid fistula: zimayambitsa, zizindikiro ndi mbali chithandizo

Parotid fistula - maphunziro m'malo zosasangalatsa. Kuopsa ndi mbali koyamba n'zovuta kuona. M'nkhani ino tikambirana zimayambitsa, zizindikiro ndi mankhwala a matenda.

Zizindikiro za matendawa

Pakati pake penipeni, parotid fistula (ICD L98.8.0) - dzenje ndi awiri ang'onoang'ono, ndilo khomo ndime subcutaneous ndi interstitial. Mawu osavuta, matenda ndi bowo mu khutu. Nthawi zina matendawa amapangitsa yokha nacho kwa zaka zambiri. Ndipotu, maphunziro wamng'ono si angabweretse kuopseza aliyense thanzi ndi chitukuko akupezeka popanda zizindikiro. Kupeza parotid fistula mwana ndi munthu wamkulu zitha kukhala kwa anayendera kapena kumva pa njira zodzikongoletsera.

Ngati fistula nkhawa thanzi la wodwalayo, zizindikiro ake anali yapadera kwambiri. zinthu zofunika:

• maonekedwe a mabowo pafupi kapena mkati khutu;
• pyorrhea kapena katulutsidwe woyera;
• mapangidwe tinatake tozungulira ndi maonekedwe a hillocks chikopa;
• kupweteka;
• nseru, kufooka ambiri;
• malungo;
• kutupa;
• kutupa, zimakhala ndi.

zizindikiro zimenezi zimasonyeza matenda afika mdzenje. Pankhaniyi, muyenera kupempha thandizo kwa audiologist, amene mankhwala chithandizo choyenera.

kutanthauzira

Nthawi zambiri, parotid fistula akuonekera kapena pafupi tragus wa potelani khutu. Koma dzenje ndi m'mimba mwake yaing'ono akhoza isanafalikire mu wotsanzira mitsempha nkhope. Pankhaniyi, matenda ndi zovuta kuchiza. Nthawi zina akhoza kupangidwa kudzera upita, amayenda mtunda ndithu ndi zokhudza ziwalo pafupi. Wolembedwa milandu pamene fistula analowa M'mimbamo m'kamwa, nasopharynx, pakati khutu ndi yokhotakhota.

zimayambitsa

matenda angayambe mogwirizana ndi zinthu zosiyanasiyana zimene zingapangitse. Koma iwo onse m'magulu zofunikira ziwiri:

• kubadwa;
• Nagula.

Kobadwa nako parotid fistula kumachitika chifukwa cholephera chitukuko mwana wosabadwa. Nthawi zambiri izi zimachitika chifukwa mavuto osiyanasiyana mimba. Koma nthawi pakutchulidwa ndi chikoka matenda ndi kutengera za kumtundu, chifukwa 25% milandu, matenda akufotokozera mu kufala kwa mtundu recessive kusintha.

Kuthi fistula wa dera parotid

Mtundu wa matenda amakula m'badwo uliwonse. The zifukwa:

• mawotchi choipa ndi wotsatira bala suppuration;
• Zovuta pambuyo opaleshoni;
• matenda;
• mavuto a media otitis kapena matenda ena khutu.

Parotid fistula kukula zimadalira extensiveness za ndondomeko purulent. Ndipo mapangidwe mabowo lalikulu kwambiri kumawonjezera chiopsezo chotenga mabakiteriya ndi tizilombo mu khutu. Zimenezi zimabweretsa pafupipafupi njira yotupa, makamaka ngati fistula angapeze mbali ina ya thupi.

diagnostics

Kudziwa fistula parotid akhoza otolaryngologist. katswiri Choyamba amachititsa kudzifufuza cursory, ndipo nthawi ya matenda amaganiziridwa adzakhala anaika atagwira pressor mayeso. phunziro Izi zimathandiza kudziwa fistula. Pambuyo Kupeza Vuto matenda dokotala ayenera kudziwa kutalika ndi kuya njira lamkati la fistula lapansi. Izi zikhoza kuchitika pogwiritsa ntchito fistolografii. phunziro ili limasonyezanso pamaso pa nthambi sitiroko.

chithandizo

Mu mtundu kobadwa nako matenda m'pofunika bwinobwino matenda. Ngati alibe kuonekera, ndipo alibe zingawononge thanzi la mwanayo, chithandizo ndi mankhwala a disinfectants zonse makutu. Izi ndi zofunika pofuna kupewa mapangidwe matenda kapena zamafinya zinangoti. Mtsogolo, pamene mwana wamkulu angathe kuchitidwa opaleshoni kuti achotse fistula.

Ngati pali suppuration kapena kutupa kwa minofu ozungulira, m'pofunika kuchita njira mankhwala. Pa siteji koyamba mankhwala, dokotala akupanga ang'ambe thupilo yaing'ono kutupa. Izi ndi zofunika kuti anapereka danga kwa mafinya lapansi. Mankhwala zina wodwala Kwalamulidwa zinthuzi:

• mafuta "Levomekol";
• chlorhexidine bigluconate.

Pamene ndondomeko yotupa mabasi fistula kutsegula yatsekedwa. Koma nthawi zina njira akhoza fester kachiwiri. Nthawi ya zisadzachitikenso pafupipafupi akapatsidwa opaleshoni kuti achotse fistula.

alowererepo opaleshoni

The mankhwala ambiri ndi kuchotsa lathunthu la kapisozi ndi amasuntha parotid fistula. Opaleshoni nthawi zambiri opangidwa ndi njira za makolo. Pankhaniyi, fistula tidutse ndi kapisozi atachotsedwa nkhani zake purulent. Akuluakulu ndi ana okulirapo excision imagwiridwa m'chipatala ntchito mankhwala oletsa ululu pamalopo. Pambuyo opaleshoni odwala anali kutumikiridwa mankhwala ndi antiseptics, komanso analgesics. Pakuti Machining kunja ntchito "Chlorhexidine" ndi "Levomekol".

Koma m'zaka zaposachedwapa kuchotsa fistula ndi kugwiritsa ntchito njira zatsopano: galvanokausticheskaya opaleshoni laser. Chifukwa ntchito ngati malo vuto kwathunthu unagwa, ndi kuchotsa kapisozi ndi excision ankasinthana kumathandiza zisadzachitikenso m'tsogolo.

Opaleshoni - njira yabwino mankhwala, koma akhoza ikuchitika yekha ndi dokotala wodziwa. Ndithudi, pafupi fistula parotid ali ambiri misempha nkhope. Ndipo ngati kupweteka kapena kuonongeka ndi mawu anthu nkhope wosweka, kukonza cholakwa sadzakhala zotheka. Komanso, pamene imachitika bwino ntchito kumaonjezera ngozi ya fistula zisadzachitikenso. Recidivism, mu nkhani iyi, ndi oopsa chifukwa minofu yovulazidwa masks khomo mumphangayo, kotero osauka zobisika purulent ndondomeko.

mankhwala

njira yotero ya mankhwala ntchito, ngati fistula ndi ili mu mwakhama kufika malo kuchita opaleshoni sizingatheke. Pankhaniyi, wodwalayo Kwalamulidwa njira ya mankhwala antibacterial. Zinthu zimenezi zimathandiza kuti kulepheretsanso yotupa. mankhwala makamaka ogwira magawo oyambirira a matenda. Ndi mankhwalawa, ndipo mukhoza kupeza mofulumira wathunthu wa fistula lapansi.

Maphikidwe wa mankhwala

Musanayambe ntchito kapena kuti njira, Ndi bwino kufunsa dokotala. Kumbukirani kuti kudziletsa mankhwala zikhoza kukhala zoopsa kwambiri. Ndipo pamene mankhwala olakwika kapena zosayenera m'malo thandizo anakhumba, inu zochuluka zosokonezeka. Zochizira fistula parotid angagwiritsidwe ntchito ndalamazo kuti:

• Shilajit. mankhwala ali machiritso kwambiri, odana ndi yotupa ndi katundu regenerative. Zochepetsera fistula kupasuka yaing'ono chidutswa mumie mu madzi ndi kuchita lotions wa osakaniza izi.
• St. John wa liziwawa. Compresses wa decoctions wa therere zimenezi kungathandize kulepheretsanso yotupa, ndipo imathandizira bala machiritso.
• Sakanizani magawo wofanana masamba mafuta ndi mowa wamphamvu. Kuchitira ili njira chotupa, ikani pamwamba tsamba kabichi. compresses zimenezi poyera mafinya ndi kulepheretsanso yotupa.

Auricular fistula - matenda m'malo opweteka angathe kuchepetsa ubwino wa moyo. Mwamsanga kupempha thandizo kwa dokotala ndi kuyamba chithandizo cha matenda, kosavuta ndi mankhwala ndi zotsatira za matenda. Khalani wathanzi!