Kumatako fistula. Fistula wa rectum - mankhwala

Fistula thumbo kapena kumatako fistula - ngalande amene anaonekera chifukwa cha matenda. Njira amatchedwanso Svishchev pachimake. Chimayambira mu rectum ndi akutsirizira mu mafuta minofu ozungulira, kapena pa khungu la matako a. matenda ndi aakulu, nthaŵi awiri - siteji ya exacerbation ndi chikhululukiro siteji.

mitundu ya fistula

1. kumatako fistula, ndi kulemekeza lumen wa intestine, ndi amatanthauza mwamawonekedwe.

2. Ndi chikhalidwe cha chinsinsi, amene waima kuchokera kwa Iwo, zingakhale:

• mucous;
• purulent;
• fecal.

3. Malinga ndi kuchuluka kwa mipata ndi malo awo kumatako fistula ndi mitundu iwiri - zonse thumbo fistula komanso chosakwanira.

Complete fistula rectum

polowera awo ili mu mpanda wa rectum, linanena bungwe liri pa khungu m'dera perineum pafupi chotulukira ndi. Nthawi zambiri mu mawonekedwe fistula ali makomo angapo. Onsewo zili pa khoma la rectum. M'kupita kwa nthawi, iwo kuphatikiza mu njira imodzi. Kubwereketsa kutsegula aikidwa pa khungu.

Nthawi zambiri fistula wathunthu yokhota kumapeto ndipo sinuous. Pa nkhani imeneyi, kulowa iwo ntchito kafukufuku sizingatheke. Choncho, matenda kuika kovuta. Akatswiri amati munthu fistula wathunthu kumene kunali oyamba matenda. fistulas Full amaonedwa kunja.

Chosakwanira fistula rectum

fistulas chosakwanira ali mkati. Pofuna kudziwa ngati amenewa fistula kumatako, ayenera kupenda. Only mu nkhani iyi izi limveke anapezeka ndi kutengedwera. Mbali ina ya fistula zosatha - ndi kusakhazikika ndiponso ndi Baibulo zosakhalitsa ya fistula zonse yokha limapezeka kawirikawiri. Chifukwa cha fistula mwina chosakwanira:

• tazovopryamokishechny abscess;
• submucosal abscess;
• ischiorectal abscess.

Kawirikawiri Zikatero pali osiyana kutsegula chofuna m'deralo. Fistula aumbike yochepa, anatumiza purulent patsekeke. Chosakwanira fistula ndi wapezeka yekha pamene inu pitani pa dokotala, ndi maonekedwe a zizindikiro zina ndi:

• matenda pachimake abscess;
• kukhalapo kwa mafinya m'manyi.

Intrasfinkternye ndi transsfikternye fistulas

Kunja intrasfinkternogo fistula kutsegula ili pafupi chotulukira, ndipo mkati kutsegula - mu umodzi wa zamkati ndi matumbo. Mtundu uwu wa fistula mosavuta matenda. Pakuti ichi m'dera akufufuzabe perianal. Mu njira iyi ndi fistula ili danga subcutaneous ndi submucosal. kafukufuku umayamba mosavuta pa dzenje lamkati.

Transsfinkterny fistula amapezeka pafupipafupi kwambiri. Fistulous njira m'dera lina la sphincter lapansi. Timapepala kuti nthambi, matumba mafinya zili minofu, ndi minofu - zipsera. The apamwamba a fistula loposa sphincter, ndi nthambi zikuluzikulu amapezeka. Kodi transsfikterny fistula kumatako, chithunzi mabuku imasonyeza mwatsatanetsatane.

Ekstrasfinkternye fistulas

Mtundu uwu wa fistula chifukwa cha matenda monga retrorektalny paraproctitis. Pali yaitali ndi tortuous Inde, zomwe nthawi zambiri limodzi ndi kukhalapo kwa mabala, zilonda. Pamene moto lotsatira anapanga kutupa fistulous mipata. Malinga zovuta za matenda ekstrasfinkternye fistulas anawagawa madigiri:

• Pa mlingo woyamba cha kapangidwe palibe mabala, zilonda mu minofu. Fistula molunjika.
• Pa mlingo wachiwiri muli mu zipsyera mkati dzenje, koma palibe kusintha matenda yotupa.
• Pamene lachitatu digiri yoyamba ya fistula ndi yopapatiza, palibe amamuyambitsa timabala, koma osauka njira yotupa.
• Mlingo chachinayi mavuto yodziwika ndi lonse inabala mkati, apo amamuyambitsa timabala zilonda.

Chithunzi chonse matenda chofunika atagwira ultrasound ndi fistulography.

Zimayambitsa matenda

N'zovuta kuchiza matenda, ngati samadziwika chifukwa. Choncho, musanayambe kupeza yankho la funso mmene kuchiza fistula, ayenera kupeza chomwe chapangitsa kuti maonekedwe ake. Zimayambitsa fistula kungakhale kobadwa nako kapena kugula.

Kuti kupeza zifukwa ndi:

• Kutupa kwa mafuta subcutaneous, ili pafupi rectum. The matenda apita minofu subcutaneous mu rectum. Zilonda kuoneka, iwo adzatsegulidwa, ndipo anapanga fistula.
• Ntchito ikuchitika m'dera la perineum kapena rectum.
• matumbo matenda.
• Matenda pa mundawo m'mimba.
• Kutupa kwa intestine yaing'ono.
• Matenda a m'mimba.
• Zilonda, mofulumira kukula chotupa.
• Matenda: chlamydia, chindoko, ndi chifuwa chachikulu.

Kumatako fistula zambiri zikadzatha chotupa achilengedwe kapena abscess ngalande. Matendawa ukhoza kwa masabata angapo zaka zingapo.

Rectovaginal fistula angathe pathological pobereka.
Pararectal fistula ndi zotsatira za matenda monga abscess pachimake.

The owopsa fistula - fistula ndi duodenum. Nthawi zambiri ndipamene pambuyo opaleshoni mu zonse m'mimba.

zizindikiro fistula

• Zikamera ndi kukula ndi kuchuluka ululu chotulukira lapansi. Amveke limapezeka pa
  kuchotsa rectum kapena inatalikitsidwa atakhala.
• Malungo.
• General malaise.
• Maonekedwe a mafinya, nthawi zina ndi magazi purulent kununkhiza.
• Kutupa, redness mu fistula ndi.
• perineal bala.
• Kuwonjezeka kutentha.
• kugona chisokonezo.

Pamene inu muwona zizindikiro zimenezi ayenera kuonana ndi dokotala. Ngati anapezeka ndi "fistula rectum", mankhwala ayenera kuperekedwa nthawi yomweyo.

Matendawa ndi mankhwala a fistula

The njira zotsatirazi ntchito matenda:

• anayendera;
• palpation;
• rectoscopy;
• ntchito zitsulo kafukufuku;
• Kupenda pansi ochititsa dzanzi;
• kumveka maginito kulingalira.

Kamodzi matenda, m'pofunika kuyamba chithandizo. Ngati anaumba perianal abscess n'kofunika kuti mankhwala opaleshoni ya abscess ndi fistula. Pamene malo a fistula mu hindfoot gawo la kuchotsa yake sizingatheke ngati pangakhale incontinence, koma kusiya sangakhale fistula kwambiri kumatako, abscess angagwe.

Opaleshoni alowererepo lagawidwa mitundu zotsatirazi:

• Yosalekerera excision wa fistulas ndi kung'ambika awo.
• Chiphunzitso cha silikoni kuzungulira.
• Imposition wa yamawangamawanga mucous.
• Pogawanikana pamawere wa ulusi sphincter.
• Kung'ambika a fistula ndi staging ndi swab wapadera.

mankhwala kuthandiza

Nthawi zina odwala safuna kuti yokumana ndi katswiri ndi kuyamba kugwiritsa ntchito mankhwala otchuka. Kumatako fistula, zina chifukwa cha mankhwalawa akhoza kwathunthu anawachiritsa.

A maphikidwe angapo amene ali othandiza:

• Polumikiza mafuta ndi mowa wamphamvu ndalama ofanana. Izi osakaniza pakani owawa nthawi zambiri patsiku. The njira ya mankhwala - masabata ochepa.
• Tengani makungwa a mtengo wathundu, maluwa toadflax, udzu, madzi tsabola ndi kanyama kakang'ono. Onse wosweka ndi kutsanulira nyama yankhumba anasungunuka. Iwo ayenera kutsatira anapangira izi: chikho chimodzi cha thundu khungwa ndi zitsamba anatengedwa magalasi awiri a mafuta. Zonse mu uvuni ndi kutentha pa moto wochepa. The osakaniza utakhazikika, kupanga swabs thonje, wetting iwo mu njira ndi ntchito malo chofuna. The njira ya mankhwala - masabata atatu.

afterword

Kumbukirani, keyala kale kwa katswiri, kotero inu adzakhala ndi mwayi kwambiri kukhala ndi thanzi ndi kupewa mavuto. Kumatako fistula - matenda amene sakhoza nthabwala.