Kodi fistula ndi chiyani komanso momwe mungachitire

Fistulas ndizovuta kwambiri komanso nthawi zambiri Zitha kuyambitsa zovuta kwa zaka zambiri. Ndi kulumikizana kwachilendo pakati pa ziwalo ziwiri zamkati mwathupi, zomwe nthawi zambiri zimalumikizana ziwalo ziwiri zosiyana ndipo nthawi zina timalankhula zachilendo monga kummero ndi trachea. Zodziwika kwambiri ndi kumatako kapena perianal.

Anthu ambiri amatenga nthawi kuti azindikire kuti ali ndi fistula, kuyambira pomwe amayamba maonekedwe a ziphuphu zakumaso mafinya ndiyeno amawona kuti sichimamaliza kuchiritsa pakapita nthawi. Chifukwa cha nkhawayi, adaganiza zopita kwa dokotala komwe adapezeka kuti ali ndi fistula.

Chifukwa chiyani fistula imachitika?

Tidzayankha mlandu wa fistula kumatako, poganizira kuti iwo ndi omwe amavutika kwambiri komanso obwerezabwereza. Zimachitika pakakhala kutsekeka kwa glands, zomwe pakapita nthawi zimayambitsa fistula yosasangalatsa iyi.

Zikuwoneka ngati a chiphuphu cha perianal kapena chiphuphu kapena mawonekedwe a chotupa kumene ngakhale kupweteka. Zimakhala zofiira, zina zazikulu zazikulu ndi zambiri Amatulutsa madzi achikasu kapena ofiira. Ichi ndi chifukwa chakuti chimodzi mwa orifices wa fistula watseka ndi kuchititsa kusapeza wotero, nthawi zambiri mukumva malungo kapena kusapeza kwambiri kuti amakulepheretsani kukhala pansi.

Matendawa nthawi zambiri amawonekera mwa amuna, zaka 30 mpaka 50, ngakhale zaka zingakhale zogwirizana. Nthawi zambiri izi zimayamba chifukwa cha kusagwirizana ndi zomwe zimachitika Matenda a Crohn kapena neoplasms, kupangika kwachilendo kwa chiwalo china chathupi chamtundu woipa kapena wotupa.

Dokotala adzazindikira matendawo mwa kuchita a kukayezetsa pokambirana ndikuchita mayeso ena, monga endoanal ultrasound, pelvic resonance kapena colonoscopy.

Zimayambitsa ndi zizindikiro za fistula

Fistulas kumatako amayamba ndi matenda omwe amayambira m'matumbo am'mimba. Matendawa amachititsa kutuluka kumene kumayenera kuchitika drain anati matenda, kawirikawiri amawonekera pafupi ndi khungu la anus. Zidzakhala ngati ngalande pansi pa khungu limodzi ndi katulutsidwe kameneka. Msewuwu umalumikiza chithokomiro kapena ngalande yakuthako ndi malo otulukira kunja, nthawi zambiri kuzungulira anus.

Zizindikiro zambiri zimakhala bowo pakhungu kuzungulira kuthako Zidzakhala ndi mawonekedwe otupa, okhala ndi malo ofiira kapena odzaza mafinya, ndi mwayi waukulu wotsegulidwa kuti atulutse matendawa. Angathenso kuwoneka kusapeza bwino, makamaka pochita chimbudzi kapena kufuna kukhala pansi. Anthu ena amakhudzidwa kwambiri ndi matendawa ndipo amayamba kutentha thupi.

Chifukwa chiyani fistulas amatuluka?

Pali zifukwa zambiri za chiyambi chake. Anthu ena amabadwa kale ndi fistula ndi ena apanga vutoli ndi kuvulala, matenda, zovuta pambuyo pa opaleshoni kapena kukhalapo kwa matenda a Crohn kapena ulcerative colitis.

Kodi mafistula a colonic ndi anorectal ndi chiyani?

Monga tafotokozera, fistula yamkati mu ngalande yopangidwa mkati mwa chamoyo, nthawi zambiri amalumikizana ziwalo ziwiri zamkati. Fistula yakunja ndi njira yachilendo pakati pa chiwalo chamkati ndi chakunja.

• Una colonic fistula ndi ngalande yachilendo yochokera m'matumbo yomwe imapita pamwamba pa khungu. Kapena chiwalo chamkati monga chikhodzodzo, nyini, kapena matumbo aang'ono okhala ndi khungu lakunja.
• La fistula ya anorectal Ndi ngalande yosadziwika bwino yomwe imayenda kuchokera ku anus kapena rectum kupita pamwamba pa khungu, nthawi zambiri kuzungulira anus. Azimayi amabwera kudzadwala matenda a rectovaginal fistula, amakhala ndi anorectal ndipo amalankhulana ndi anus kapena rectum ndi nyini.

Kodi chithandizo cha fistula ndi chiyani?

Nthawi zambiri, mankhwala Zidzadalira chifukwa chake ndi kuuma kwake. Mafistula ena amakonda kutseka okha, ena mothandizidwa ndi maantibayotiki, ndipo ena opaleshoni amagwiritsidwa ntchito.

Nthawi yoti alowererepo opaleshoni imafunika, kumene kuli kofunikira kuchiza thirakiti la fistulous ndikuchotsamo. Nthawi zina, opaleshoni ikhoza kukhala yovuta chifukwa cholowetsa ziwalo ziwiri ndi kumene ziyenera kukhala konza mabowo onse awiri, kumene kuikidwa kwa anus ochita kupanga ndikofunikira.

Zochita zosavuta nthawi zambiri zimakhala pakati pa mphindi 30 mpaka 90, ndiye kuti 1 tsiku lololedwa kuchipatala likulimbikitsidwa. Munthu wochitidwa opareshoni amawona kusintha pakadutsa masiku angapo, ngakhale kuti ndi njira yayitali yochira ndipo nthawi zambiri imakhala yowawa kwambiri. Timafotokoza mwatsatanetsatane masitepe a opareshoni:

• The opaleshoni yam'nyumba kuti asamve kuwawa kulikonse.
• Kufufuza kudzayikidwa Izi zidzakuthandizani kuti muchepetse fistula.
• Dokotala adzagwiritsa ntchito chida chotsani kuchulukana kulikonse kwa minofu amapezeka mu fistula. Matumbo nawonso adzatsegulidwa ndi kukhetsedwa.

Pomaliza, adzatseka kutsegula kwa rectal kwa fistula. Kutsegula kwina kudzakhalabe kotseguka kwa ma sutures ena. Nthawi zina, chinthu chonga ngati ulusi chimayikidwa kuti chithandizire kukhetsa madzi pabala. Tsiku ndi tsiku wodwalayo ayenera kuchiritsa chilondacho ndi madzi osambira a sitz komanso pansi pa zizindikiro zachipatala.