Fistula Anal. Fistula ka ingemuva - ukwelashwa

Fistula rectal noma bendunu fistula - isiteshi okwavela ngenxa isifo. Isiteshi ubizwa nangokuthi Svishchev jika. It iqala ingemuva futhi ugcina izicubu okunamafutha ezungeze ke, noma esikhumbeni ezinqeni. Lesi sifo kuyinto okungamahlalakhona, ine nezikhathi ezimbili - esiteji exacerbation kanye ukuthethelelwa esiteji.

izinhlobo fistula

1. Anal fistula, maqondana mafutha anciphisa isikhala esingaphakathi emathunjini, libhekisela ukubukeka.

2. ngu ubunjalo imfihlo, esimelela aphume kulo, kungaba:

• lwamafinyila;
• ubovu;
• fecal.

3. Kuye inani ukuvuleka futhi indawo yabo fistula anal kuyinto ezimbili zama - a fistula umnyuziki rectal futhi akuphelele.

Qedela fistula ingemuva

itheku yabo itholakala odongeni ingemuva, okukhiphayo ivuliwe isikhumba endaweni perineum, eduze ingquza. Kaningi kule ndlela yokushumayela fistula has zokungena eziningana. Bonke zitholakala odongeni ingemuva. Ngokuhamba kwesikhathi, baba ihlangana zibe umgudu owodwa. Ukuvulwa esidayisa ibekwe phezu kwesikhumba.

Ngokuvamile fistula ephelele engonxantathu futhi sinuous. Kule ndaba, faka kuwo usebenzisa i-probe akunakwenzeka. Ngakho-ke, uphethwe ukubeka nzima. Ochwepheshe basikisela ukuthi fistula ephelele yilapho kwakukhona ukwethulwa ukutheleleka. fistulas Okugcwele ezibhekwa zangaphandle.

Akuphelele fistula ingemuva

fistulas Akuphelele kukhona yangaphakathi. Ukuze ukuthola onjalo fistula anal, kudingeka ukusihlola. Kuphela kulesi simo-ke uzobe kahle ukuhlolelwa lesi sifo futhi ngayo. Esinye isici fistula ayiphelele - kuba engazinzile futhi inguqulo kwesikhashana fistula umnyuziki ngokwalo livela kakhulu kuyaqabukela. Imbangela yale fistula ayiphelele:

• Ithumba tazovopryamokishechny;
• submucosal ithumba;
• Ithumba ischiorectal.

Ngokuvamile ezimweni ezinjalo kukhona ehlukile ukuvulwa endaweni elikhanyayo. kwakhiwa iDemo Fistula is, wangifakela ubovu ingaphakathi. fistula Akuphelele kutholwa kuphela uma uvakashela udokotela, futhi ukubukeka ezinye zezimpawu:

• acute isifo ithumba;
• khona ubomvu ku kuso.

Intrasfinkternye futhi transsfikternye fistulas

Ngaphandle intrasfinkternogo ukuvulwa fistula etholakala eduze ingquza, nokuvula kwangaphakathi - kwelinye kude emathunjini. Lolu hlobo fistula kutholakala ukuthi uphethwe yini kalula. Ngenxa yalesi endaweni siphumputha perianal. Ngale ndlela i-fistula elise esikhaleni ongama bese submucosal. Uphenyo yethulwa kalula imbobo kwangaphakathi.

Transsfinkterny fistula kwenzeka impela njalo. isiteshi Fistulous etholakala endaweni eyodwa ye sphincter. Amapheshana baye ekhelini, emaphaketheni ubomvu zitholakala kule izicubu, nezicubu - izibazi. Ayanda fistula ingaphezu sphincter, le amagatsha emikhulu kwenzeka. Kanjani fistula transsfikterny bendunu esithombeni ku-izincwadi sibonisa ngokuningiliziwe.

Ekstrasfinkternye fistulas

Lolu hlobo fistula kuwumphumela izifo ezifana retrorektalny paraproctitis. Kukhona Yiqiniso eside futhi tortuous, okuvame ukwenza ukuba khona izibazi, izilonda. Lapho le olandelayo kwamiswa ukuvuvukala ukuvuleka fistulous. Kuye yinkimbinkimbi isifo ekstrasfinkternye fistulas zihlukaniswe degrees:

• Ezingeni lokuqala eyinkimbinkimbi akukho izibazi, ulcer izicubu. Fistula ngqo.
• Ngesikhathi besigaba sesibili basesimweni kwangaphakathi imbobo izibazi, kodwa awekho izinguquko iziyaluyalu ukuvuvukala.
• Lapho wesithathu-degree Ukuvulwa kwe-fistula lincane, akukho nezibazi, kodwa ukuthuthukisa ukufunda izinqubo ukuvuvukala.
• Izinga lesine nobunzima libhekene ububanzi wazalela yangaphakathi, lapho izibazi izilonda.

Ukuze siyiqonde kahle lesi sifo ebezidinga ubambe ultrasound futhi fistulography.

Izimbangela isifo

Kunzima ilapha lezo zifo uma kungaziwa isizathu. Ngakho, ngaphambi kokuba ubheka impendulo yombuzo kanjani ukwelapha fistula, kufanele uthole ukuthi nomthelela ukubukeka kwayo. Izimbangela fistula kungaba azalwa naso noma bathenga.

Ukuze yokufuna zizathu:

• Ukuvuvukala amafutha ongama, etholakala eduze ingemuva. Lesifo ihamba kusukela izicubu ongama ku ingemuva. Izilonda avele, bayakugeza ayovulwa, nazo kanye akha fistula.
• Operations kwenziwe endaweni perineum noma ingemuva.
• isifo wamathumbu.
• Tifo letibangwa pheshana emathunjini.
• Ukuvuvukala emathunjini amancane.
• Izifo emathunjini ezinkulu.
• Ebulalayo, isimila eyanda ngokushesha kangaka.
• Izifo: chlamydia, ugcunsula, kanye nesifo sofuba.

fistula Anal ngokuvamile kwenzeka ngemva ukudabuka zemvelo noma amanzi ithumba. Lesi sifo ingahlala kusuka amasonto ambalwa iminyaka eminingana.

fistula Rectovaginal angagcina nokubeletha sokugembula.
fistula Pararectal is phetho izifo ezifana ithumba oyingozi.

I esiyingozi kakhulu fistula - fistula iyona duodenum. Ngokuvamile yakha emva kokuhlinzwa esikhathini komgodi ongaphakathi kwamathumbu.

izimpawu fistula

• Ukuvela futhi ubuhlungu zandiswe ingquza. Okhulisa kwenzeka ngesikhathi
  lokusula ingemuva noma bayiphendule isikhathi eside.
• Fever.
• umkhuhlane Jikelele.
• Ukubukeka ubomvu, kwesinye isikhathi igazi ubovu nephunga.
• Ukuvuvukala, ububomvu ku fistula.
• isilonda isizalo.
• Ukwenyuka kwezinga lokushisa.
• ukuphazamiseka kokulala.

Uma ubona lezi zimpawu kumele ubone udokotela. Uma ethola ukuthi unesifo "fistula ingemuva", ukwelashwa kufanele sinikezwe ngokushesha.

Ukuxilongwa kanye nokwelashwa of fistula

Izindlela ezilandelayo zisetshenziselwa uphethwe:

• ukuhlolwa;
• palpation;
• rectoscopy;
• usebenzisa uphenyo insimbi;
• luhlolo ngaphansi izinzwa;
• magnetic resonance imaging.

Uma kutholakala ukuthi uphethwe yini, kubalulekile ukuqala ukwelashwa. Uma kwakhiwa ithumba perianal kubalulekile ukuthi ukwelashwa kuhlinzwa of ithumba futhi fistula. Lapho indawo fistula engxenyeni hindfoot ka kususwe ngokuphelele akunakwenzeka, njengoba kungase kube incontinence, kodwa ukushiya akukwazi fistula anal kakhulu, ithumba kungenzeka.

kokungenela Steel uhlukaniswe lezi zinhlobo ezilandelayo:

• Engashiyi excision ka fistulas futhi asike izidumbu zabantu zabo.
• Ekwakhiweni iluphu abicah.
• Ukunqunywa nezimagqabhagqabha lwamafinyila.
• Cleavage ka kwezintambo zesivikelo sesifuba sphincter.
• Asike izidumbu zabantu we fistula futhi okuzobe kudlalelwa a swab ekhethekile.

Imithi yesintu ukusiza

Ngezinye izikhathi iziguli musa safuna sibonane onguchwepheshe bese uqala ukusebenzisa ukwelashwa ethandwa. fistula Anal, kwezinye izimo ngenxa yaleli imithi ingelapheka ngokuphelele.

A izindlela ezimbalwa ukuthi ziwusizo:

• Ixhuma amafutha omnqumo vodka imali elinganayo. Le nhlanganisela bakuthinte endaweni sore izikhathi eziningana ngosuku. Inkambo yokwelashwa - amasonto ambalwa.
• Thatha amagxolo oki, izimbali toadflax, utshani, amanzi pepper kanye nesinqumela esincane. Zonke ochotshoziwe futhi uthele ubhekeni encibilikisiwe. Kufanele banamathele olinganise ezilandelayo: nendebe oki amagxolo amakhambi wathatha izinyathelo ezimbili izibuko fat. Zonke wafaka kuhhavini futhi efudumele phezu ukushisa low. Ingxube ukuthi selehlile, okwenza swabs ukotini, ogelezayo nokumanzisa nabo isixazululo bese kusebenza isayithi avuvukele. Inkambo yokwelashwa - amasonto amathathu.

Afterword

Khumbula, ikheli ngaphambili ukuba uchwepheshe, ngakho kuzodingeka asele banakekele impilo yabo futhi ligweme izinkinga ezingase zivele. fistula Anal - isifo esingenakubalwa encokola.