Rectal fistula

Fistula kuti mugaranhoko ndiko kutama kuti riri pasi ganda iri nekunobuda netsvina munharaunda. Iye rinobatanidza shwanu ine mumagaro uye ganda pedyo horo. Zvinokonzera chisingaperi kuzvimba iyo inosvitsa paumbwe fistula kungava kuvhiyiwa, resection pamusoro mugaranhoko, kunotevera, pakakuvara munzvimbo iyi uye muna 95% nyaya - rikwanise pute.

Haasi wose murefu chenjera paraproctitis kuva rectal fistula. Asi kana pute kuvhura, zvaimutambisira, asi regai chose kubvisa gedhi rwokunze chirwere kuzvidzora, zvichakutungamirira kune ndechokuti pus zvichaita kuramba ichiyerera kupinda lumen yacho fistula. izvi zvose kuchaita kuti paumbwe infiltrates uye in pamwe pus, fistula dzokunze masvingo dzinotanga sclerotic, uye yomukati madziro akafukidzwa granulation tishu.

Pakutanga zvomoto shwanu unozvimba vakaumba pus kutsvaka nzira kuburikidza anodzora zvinyama ari mugaranhoko uye kubudikidza ganda kunze munzvimbo yacho horo. Saka kuumbwa mukati dzokunze fistulous buri. Akaora kusiyanisa:

• zvizere (yokunze) fistula achiperekedzwa pomoto kugara, sanies uye pus mune chakasimba uye mupfungwa kusanzwa, kuzvuzvungudza panguva defecation nokuda thickening ganda panguva kanganwiro;
• chikamu-nguva (zvemukati) fistula pamusoro mugaranhoko, zviratidzo zviri zvokuti munguva kuregererwa izvozvo haakonzeri kusanzwa uye akapotsa hakuiti unooneka, asi ane exacerbation murwere wacho nemamiriro kuipa.

Hosha rinowanikwa mune mafungu. Kusembura kunoitika apo blockage pemipata apo murwere kutyira pamusoro marwadzo ari horo, kuwedzerwa defecation. Murwere ane fivha, nemusoro, akavhunduka hope uye anotambura potency Ndainetseka ichor uye inoratidza okuyerera pus. Pane simba ganda nokushatiriswa unopfuta kuvaviwa, saka varwere zvinoda kakawanda ageza uye kuchinja Mapedhi.

Mushure nokuvhura in ari kuzvimba, kuzviparadzanisa inowedzerwa yekudyidzana zvinoderedza kuva mashoma, kuita ipfupi. yokuvamba Long anogumbura pezvakaitwa mu zvinyama adrectal zvinotungamirira matambudziko ose fistula. Inogona kusvika deformation pamusoro mumagaro Canal uye sphincter tsandanyama dzinoumba vanga dzinotyora kuipa basa, uye kungaita kuti incontinence pamusoro nekunobuda netsvina sphincter. In zvikuru kunzwisisa uye dzakakomba zviitiko akaipa kusanduka ane fistula kunogona kuitika.

The chirwere kuti "fistula mugaranhoko" anoisa proctologist - nyanzvi uyo vatakurira kunze varwere digitaalinen rectal kuongororwa pamusoro cheya iri outpatient marongero. Papera kurovedza murwere kuzosimbisa chirwere, endoscopy huru ura - sigmoidoscopy. Muchiitiko chino, unogona nemaziso kuona mucosa atore biopsy rinenge kuitisa differential chirwere vanenge vanofungidzirwa bundu.

Kana zvakakodzera, munhu vachifunga zvokunze fistula, uye kujekesa nzvimbo fistula nzvimbo vanoita Ultrasound - ultrasonography. Kuti dzichiita inobaya localization yomunyika fistulas hazvo kupedza fistulography. Zvidzidzo izvi kubatsira kusimbisa kuti murwere ane fistula yacho mugaranhoko, kana haabatanidzi chirwere.

The kuchinja kurapwa basa, uye rinoshandiswa senzira kudzivirira postoperative dzokororo. Kushanda Kupindira kubudikidza nyanzvi muchipatara pasi vakawanda yokutindivadza kana pasi nhengo dzomuviri yokutindivadza. Type kushanda kunoenderana nzvimbo fistula toreva sphincter, ukuru zvinyama scarring, kuvapo uye uwandu purulent in vari tishu. Asi chero zvakadaro, kana murwere akawana fistula mugaranhoko, kuvhiya hakudzivisiki.

Most zvakanaka ndepana intrasfinkternyh postoperative fistula. Zvikuru zvazviri zvakaoma kuita kushanda panguva transsfinkternyh uye ekstrasfinkternyh nyaya. Zviri kunyanya kuomera kunzwisisa branching runoita kana zvakakodzera kuti zvakakwana excise zvinyama kuti ndiitewo paumbwe fistula uye kuchengetedza kushanda sphincter.

Munguva postoperative nguva, murwere chinofanira kuitwa levomikol dressings, kugeza pamwe potassium permanganate, uye gare gare chamomil kana calendula. kwakakwana apore zvinotora inenge imwe mwedzi.