Fistula efakwa

Fistula of ezinqeni intshukumo iqhele ngaphantsi kwesikhumba kwindawo ezimpundu. Yena inxulumanisa ingaba ezichaphazelekayo ezimpundu kunye apha kufutshane empundwini. Izinto ezibangela ukudumba esingapheliyo leyo ekhokelela lokusekwa fistula inokuba utyando, resection ye isikali, kwentlungu, ukwaphulwa kule ndawo kwaye 95% yamatyala - ithumba oyingozi.

Ayizizo zonke ngomonde yondele paraproctitis ukuphuhlisa fistula efakwa. Kodwa ukuba ithumba ukuvula, idreyini, kodwa musa ukususa ngokupheleleyo esangweni lwangaphandle ulawulo losulelo, oko kuya kukhokelela ekubeni ubomvu iya kusoloko ingena mithambo le fistula. Konke oku kuya kukhokelela ukuyilwa lingene kunye nemingxuma ubomvu, fistula ongaphandle iindonga baqala sclerotic, neendonga angaphakathi wambu granulation kwithishyu.

fuku ekuqaleni asha ndlala kwabunjwa ubofu efuna indlela ngokusebenzisa esikule evakalala isikali kwaye ngesikhumba ngaphandle kwingingqi ingquza. Ngaloo kwakhiwa ukuvulwa ngaphakathi langaphandle fistulous. Ngokwezonyango umahluko:

• ngokupheleleyo (engaphandle) fistula kunye umtshiso rhoqo, sanies kunye ubofu ngayo ingqiqo oyingozi futhi kabi, inkxamleko ngexesha defecation ngenxa ukuqina ulusu ngexesha kuxolelwe;
• part-time (ngaphakathi) fistula ye isikali, iimpawu zazo abanjalo ukuba ixesha kuxolelwe oko akuthethi ukuba ubuhlungu kwaye phantse engabonakali ntoni ngokwayo, kodwa exacerbation imeko yesigulane kuguga.

Isifo lwenzeka ngamaza. Ukuqhubela kwenzeka xa abapase ukuvaleka xa isigulane bakhathazeka uqaqanjelwa ingquza, mandundu defecation. Isigulane enefiva, intloko ebuhlungu, ukulala waphazamiseka yaye uva amandla bakhathazeka ichor kunye nokugxothwa uveza of ubomvu. Kukho eku- eluswini nkqi, ukutshiswa kunye ukurhawuzelela, ngoko izigulane zifuna yokuhlamba rhoqo kunye pads ukutshintsha.

Emva kokuba kuvulwe nemingxuma ukuba ukudumba, ikheswa kakuhle kakhulu unciphisa ube ezinqabileyo, intsebenzo lifinyele. Long ziyenzeka iinkqubo ukudumba kwi izihlunu adrectal ikhokelela iingxaki fistula. kwanga kukho deformation le ezimpundu lomsele kunye sphincter nezihlunu benza: kukuqulungana ezihlambela umsebenzi eziqhelekileyo, kwaye kungakhokelela umchamo lo sphincter ezimpundu. Kule meko kakhulu entsonkothileyo yaye kakhulu inguqu amabi ye fistula zinokwenzeka.

Lokufunyaniswa "fistula ezinqeni" ubeka proctologist - ingcali lowo wenziwe iimviwo efakwa digital abagulayo esitulweni kwi ezingalaliswayo sentlalo. Emva ezithile ukuqeqesha isigulane ukuqinisekisa uxilongo, endoscopy yethumbu enkulu - sigmoidoscopy. Kulo mzekelo, ungabona abangaboniyo le isifo ukuthatha izihlunu biopsy, aqhube isifo mahluko kwimeko ithumba olukrokrelwayo.

Ukuba kuyimfuneko, umntu fistula yokuqonda zangaphandle, kwaye ukucacisa indawo ndawo fistula enze ultrasound - ultrasonography. Ukuze ubone indlela ihambisa lizwe of fistulas zangaphakathi ngokuyimfuneko bachithe fistulography. Ezi zifundo kunceda ukuqinisekisa ukuba isigulana umntu fistula lwe isikali, okanye ngaphandle isifo.

Olona nyango elondoloza yi kuphumelele, kwaye isetyenziswa kuthintelo ukuphinda postoperative. ukungenelela sasebenza oyingcali esibhedlele phantsi zomzimba jikelele okanye ngaphantsi Ukubulawa ebulewe. Uhlobo lwenkqubo ixhomekeke indawo fistula ngokunxulumene sphincter, iqondo esiqwini loloyiko, ubukho kunye nobungakanani nemingxuma ubovu kwi kwithishyu. Kodwa nayiphi na imeko, xa isigulane zafumana isikali fistula, uqhaqho ayinakuphepheka.

Kakhulu kakuhle eyenzeka kwi fistula intrasfinkternyh postoperative. Eyona indlela kunzima ukwenza i operation kule meko transsfinkternyh kunye ekstrasfinkternyh. Kunzima kakhulu ehamba ezintsonkothileyo eyayizalwa xa kuyimfuneko inyama nerhafu yezonwabisi ngokupheleleyo ukuba bathathe inxaxheba lokusekwa fistula kwaye alondoloze umsebenzi lo sphincter.

Kweli xesha postoperative, isigulane kufuneka makwenziwe zokubopha levomikol, ibhafu kunye potassium permanganate, yaye kamva ne chamomile okanye calendula. epheleleyo inkqubo ukuphilisa ithatha malunga enye ngenyanga.