Nokunobuda netsvina fistula. Fistula kuti mugaranhoko - kurapwa

Fistula rectal kana neshure fistula - imwe nzira akazviratidza somugumisiro chirwere. The gwara unonziwo Svishchev famba. It kunotangira mugaranhoko uye kunoguma zvakakora rinenge rakapoteredzwa, kana pamusoro ganda magaro. chirwere ichi ane chirwere, rine mbiri nguva - padariro exacerbation nekangamwiro rwakazara.

mhando fistula

1. mumagaro fistula, panyaya lumen ari ura, inoreva zvakafanana.

2. By hunhu chakavanzika, inomira kubva mariri, anogona kuva:

• mucous;
• purulent;
• fecal.

3. Zvichienderana uwandu mawindo vavo nzvimbo mumagaro fistula ane mhando mbiri - zvizere rectal fistula uye kukwana.

Complete fistula mugaranhoko

Inlet ravo riri pakati pamadziro mugaranhoko, kuti goho riri paganda munzvimbo perineum munharaunda, pedyo horo. Kazhinji chimiro ichi fistula ane napo dzakawanda. Vose vari riri pamusoro pamadziro mugaranhoko. Nokufamba kwenguva, ivo batanidza kupinda rimwe gwara. The nzira yokubudisa buri anoiswa pamusoro ganda.

Kazhinji kacho fistula zvakakwana curved uye sinuous. Nezvenyaya iyi, kupinda navo achishandisa vachiongorora hazvibviri. Naizvozvo, nechirwere akaisa zvakaoma. Nyanzvi dzinoti kuti fistula kwakakwana ndiko kwaiva pakatanga chirwere. Full fistulas vanoonekwa zvekunze.

Kukwana fistula mugaranhoko

Kukwana fistulas vari zvemukati. Kuti kuona fistula kudaro mumagaro vanoda tichiongorora. Chete muchiitiko ichi zvichava zvakakodzera chirwere uye kubatwa. Chimwe chiri kukwana fistula - zviri kusagadzikana uye kwekanguva shanduro zvizere fistula pacharo anooneka chaizvo kashoma. The mhaka fistula angava kukwana:

• tazovopryamokishechny pute;
• submucosal pute;
• ischiorectal pute.

Kazhinji kacho zvakadai pane yoga buri zvomoto nharaunda. Fistula aumbwa pfupi, akatuma ari purulent mhango. Kukwana fistula ari kuona chete kana iwe kunoshanyira chiremba, uye chitarisiko zvimwe zviratidzo:

• chenjera chirwere pute;
• kuvapo pus mu pachituru.

Intrasfinkternye uye transsfikternye fistulas

Kunze intrasfinkternogo fistula yokutanga yaiva pedyo horo, uye pakazaruka yomukati - mune rimwe mukudzokera intestinal. mhando iyi fistula nyore chirwere. Nokuti tichitsvangadzira perianal nzvimbo iyi. Saizvozvo ari fistula riri subcutaneous nzvimbo uye submucosal. The vachiongorora kutaurwa nyore pamusoro romukati buri.

Transsfinkterny fistula kunoitika zvikuru kakawanda. Fistulous gwara iri imwe nzvimbo pamusoro sphincter. Maturakiti kunge branching, Homwe pus dziri muna rinenge uye zvinyama - mavanga. The kumusoro ari fistula riri kumusoro sphincter, hwakanyanya branching kunoitika. fistula transsfikterny mumagaro sei, pikicha mumabhuku inoratidza zvakadzama.

Ekstrasfinkternye fistulas

mhando Iri fistula ndiwo mugumisiro kwezvirwere zvakadai retrorektalny paraproctitis. Pane refu uye chakakombama Chokwadi, iro kunowanzoguma pamberi mavanga, maronda. Kana rinotevera pachoto vakaumba kuzvimba fistulous mawindo. Zvichienderana kunzwisisa kwakaita chirwere ekstrasfinkternye fistulas akakamurwa madhigirii:

• Pakutanga nenhanho zvakaoma pasina mavanga, nemaronda ari tishu. Fistula twasu.
• At yechipiri dhigirii vari yomukati buri mavanga, asi hapana kuchinja anogumbura zvirwere.
• Apo yechitatu-dhigirii hwomukova fistula yakamanikana, hapana scarring, asi kuva anogumbura kwendangariro.
• The dhigirii chechina yakaoma inozivikanwa kwazvo womukati ikabereka, ipapo scarring maronda.

Nokuti azere mufananidzo hosha runodiwa wakabata Ultrasound uye fistulography.

Zvinokonzera chirwere

Zvakaoma kubata chirwere, kana usingazivi chikonzero. Saka, usati tsvaka mhinduro yomubvunzo wokuti kurapa sei fistula, vanofanira kuwana kuti pave ayo chitarisiko. The zvinokonzera fistula inogona vachiberekwa kana vawana.

To kuzviwanira zvikonzero vari:

• Kuzvimba subcutaneous mafuta, iri pedyo mugaranhoko. Utachiona runoita kubva subcutaneous zvinyama iri mugaranhoko. Nemaronda kuonekwa, ivo achasvinudzwa uye vakaumba fistula.
• Operations kunze munzvimbo yacho perineum kana mugaranhoko.
• bowel chirwere.
• Zvirwere nemudumbu.
• Kuzvimba ari ura duku.
• Hosha yacho huru ura.
• Nyanyisa, kukura nokukurumidza bundu.
• Zvirwere: chlamydia, njovhera, uye TB.

Mumagaro fistula rinowanzoberekera pashure dzinongoitika atsamwira kana pute abudise. The chirwere hunogara kubva mavhiki akawanda kune akawanda.

Rectovaginal fistula zvingamuka pathological yokusununguka.
Pararectal fistula iri mugumisiro zvirwere zvakadai rikwanise pute.

Zvikuru ngozi fistula - fistula ndiyo duodenum. Kakawanda unoumba pashure pokuvhiyiwa ari abdominal mhango.

zviratidzo fistula

• The chidzoke nokuwedzerwa marwadzo ari horo. Amplification ndepana
  nokuisa ari mugaranhoko kana mazhinji nokugara.
• Fivhiri.
• General zvakawanda zvive.
• Chimiro pus, dzimwe nguva neropa purulent kunhuwidza.
• Kuzvimba, akatsvuka ari fistula.
• perineal ronda.
• Kuwedzera tembiricha.
• hope nyonganyonga.

Paunoona Zviratidzo izvi vanofanira kuona chiremba. Kana nechirwere "fistula mugaranhoko", kurapwa anofanira kuzviita pakarepo.

Chirwere uye Mabatirwo fistula

Zvinotevera nzira inoshandiswa kuongorora chirwere:

• rokuongorora;
• palpation;
• rectoscopy;
• kushandisa simbi vachiongorora;
• Kuongorora pasi yokutindivadza;
• rinobva resonance kuri.

Kamwe chirwere, zvinokosha kutanga kurapwa. Kana akaumba perianal pute kunokosha kuti kuvhiya pakurapa pute uye fistula. Kana nzvimbo yacho fistula iri hindfoot mugove rakwo rokubvisa hazvibviri, sezvo pangava incontinence, asi siya haagoni kuva fistula wo mumagaro pute kunogona kuitika.

Kuvhiya kupindira rakakamurwa marudzi anotevera:

• Kukudzivirirai excision pamusoro fistulas vavo kwetsinga.
• Pfungwa imwe silicone loop.
• Nokuiswa mucous makwapa akasvibirika.
• Cleavage of sphincter fibers.
• Kwetsinga of fistula uye inoshandiswa pakutsigira chaiyo swab.

mushonga Traditional kubatsira

Dzimwe nguva varwere regai kutsvaka kuwana nguva yokuonana naye nyanzvi uye kutanga kushandisa yakakurumbira kurapwa. Mumagaro fistula, mune zvimwe zviitiko pamusana mushonga ichi chinogona kupera zvachose.

A Recipes shoma zvinobatsira:

• Unobva mafuta omuorivhi vodka zvienzane zvizhinji. muvhenganiswa ichi varikwizire hosha panzvimbo kanoverengeka pazuva. Yawapiwa - shomanana.
• Tora omuti kuti pomuouki, maruva toadflax, uswa, mvura mhiripiri uye zvishoma mafuta. All yakapwanyika ugodira yanyungudiswa bhekoni. Zvinofanira kuomerera zvinotevera kukura: imwe cup nemiouki omuti nemiriwo akatorwa magirazi maviri mafuta. All kuisa muchoto uye ushamwari pamusoro yakaderera kupisa. Musanganiswa akanga dzaserera, achiita donje swabs, wetting vari kugadzirisa uye kushandisa kuti zvomoto nzvimbo. Yawapiwa - vhiki nhatu.

afterword

Yeuka, kwokutanga kero kune nyanzvi, saka iwe uchava zvakawanda mikana kuramba utano hwavo uye kudzivisa matambudziko. Mumagaro fistula - chirwere risingagoni Hazviiti.