Fistulas inogumbura zvikuru uye muzviitiko zvakawanda Vanogona kukonzera matambudziko kwemakore akawanda. Kubatana kusina kujairika pakati penhengo mbiri dzemukati memuviri, kazhinji dzichitaurirana nhengo mbiri dzakasiyana uye mune dzimwe nguva tiri kutaura nezvenhengo dzisina kujairika dzakadai sesophagus uye trachea. Inonyanya kuzivikanwa ndeyekumashure kana perianal.
Vanhu vazhinji vanotora nguva kuti vaone kuti vane fistula, sezvo ichitanga kuonekwa kwebundu rinobuda urwa vobva vaona kuti haipedzi kupora nekufamba kwenguva. Nekuda kwekunetseka, vanosarudza kuenda kwachiremba uko kunowanikwa fistula.
Sei fistula ichiitika?
Tichagadzirisa nyaya ye anal fistulas, zvichipiwa kuti ivo ndivo vanonyanya kutambura uye vanowanzoitika. Zvinoitika kana pane kuvharwa kwezvipembenene, izvo nekufamba kwenguva zvinokonzera iyi fistula isingafadzi.
Vanoratidzika se perianal pimple kana abscess kana chimiro chebundu parinotorwadza. Iwo matsvuku muruvara, mamwe ehukuru hukuru uye mazhinji acho Dzinobuda mvura yakaita yero kana dzvuku. Izvi zvinokonzerwa nekuti imwe yezvinyorwa zve fistula yakavhara uye inokonzera kusagadzikana kwakadaro, muzviitiko zvakawanda kune fivha kana kusagadzikana kukuru kunodzivisa kugara pasi.
Chirwere ichi chinowanzoitika muvarume, pakati pemakore 30 kusvika ku50, kunyange zvazvo zera ringaenderana. Zvizhinji zvezviitiko izvi zvinowanzobatanidzwa uye zvinokonzerwa ne Chirwere cheCrohn kana neoplasms, kuumbika kusiri kujairika kwechimwe chikamu chemuviri chetishu yehunhu hwakashata kana hwebundu.
Chiremba achaita kunyatsoongorora nekuita a kuongorora mukubvunzana uye kuita mimwe bvunzo, senge endoanal ultrasound, pelvic resonance kana colonoscopy.
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Zvikonzero uye zviratidzo zvefistula
Anal fistulas inokonzerwa ne utachiona hunotangira mutsvina. Utachiona uhwu hunoita kuti kubuda kukonzereswe painofanira drain akati chirwere, inowanzoonekwa pedyo neganda re anus. Ichave iri muchimiro chemugero pasi peganda pamwe chete neiyi secretion turakiti. Mugero uyu unobatanidza gonhi retsvina kana kuti mugero wekunobuda kunze, kazhinji wakatenderedza anus.
General zviratidzo zvinowanzova buri paganda rakapoteredza anus Ichange iine fomu yakatsva, ine ruvara rutsvuku kana pus-yakazara, ine mukana mukuru wekuvhurwa kuti udzinge hutachiona. Vanogonawo kuratidza kusagadzikana kukuru, kunyanya pakuita tsvina kana kuda kugara. Vamwe vanhu vanonyanya kubatwa nehutachiona uye vanotanga fivha.
Sei mafistula aya achibuda?
Pane zvikonzero zvakawanda zvekwakabva. Vamwe vanhu vakatozvarwa vaine fistula uye vamwe vakagadzira chirwere ichi nekukuvadzwa, zvirwere, matambudziko mushure mekuvhiyiwa kana nekuvapo kweCrohn's disease kana ulcerative colitis.
Chii chinonzi colonic uye anorectal fistula?
Sezvatakatsanangura, fistula yemukati mumugero wakaumbwa mukati memuviri, kazhinji kutaurirana nhengo mbiri dzomukati. Fistula yekunze inzira isina kujairika pakati penhengo yemukati neyekunze.
- Una colonic fistula inzira isina kujairika kubva mucolon inofamba ichienda pamusoro peganda. Kana nhengo yemukati yakaita sedundira, chibereko, kana ura hudiki hune kunze kweganda.
- La anorectal fistula Iyo inzira isina kujairika inofamba kubva ku anus kana rectum kusvika pamusoro peganda, kazhinji ichitenderedza anus. Vakadzi vanouya kuzotambura nerectovaginal fistulas, vane anorectal uye vanotaurirana ne anus kana rectum nemukati.
Kurapwa kwefistula kwakadii?
Kazhinji, kurapwa Izvo zvinoenderana nechikonzero uye kuomarara. Mamwe mafistula anowanzovhara ega, mamwe nerubatsiro rwemishonga inorwisa mabhakitiriya, uye mune mamwe kuvhiyiwa kunoshandiswa.
Nguva yekupindira kuvhiyiwa kunodiwa, pazvinenge zvakakodzera kurapa fistulous turakiti uye kubvisa. Chete mune zvimwe zviitiko, kuvhiyiwa kunogona kuomeswa nekufanirwa kupindira nhengo mbiri uye kwadzinofanirwa kunge dziri gadzirisa maburi ese, uko kuiswa kweartificial anus kunodiwa.
Kushanda kuri nyore kunowanzogara pakati pe30 kusvika 90 maminetsi, zvino 1 zuva rekugamuchira muchipatara rinokurudzirwa. Munhu akavhiyiwa anozoona kuvandudzwa mushure memazuva mashoma, kunyangwe iri kurapa kwenguva refu uye kazhinji kunorwadza. Isu tinotsanangura matanho ekuvhiya:
- The anesthesia yemuno kuitira kuti usanzwa kurwadziwa.
- Pachaiswa probe iyo ichashanda segwara rekucheka pamwe nefistula.
- Chiremba anovhiya achashandisa chiridzwa kuita bvisa chero kuunganidzwa kwetishu inowanikwa mu fistula. Mabundu acho anovhurwawo nekudonhedzwa.
Pakupedzisira, ichavhara rectal kuvhura kwefistula. Imwe kuvhura icharamba yakavhurika kune mamwe sutures. Mune zvimwe zviitiko, tambo yakanaka-yakafanana nezvinhu inoiswa kuti ibatsire dhonza mvura kubva paronda. Zuva nezuva murwere anofanira kuporesa ronda rakadaro nemabhati e-sitz uye pasi pezviratidzo zvekurapa.