Anorectal pute

Anorectal abscess muunganidzwa wepus munzvimbo yeanus uye rectum.

Zvinowanzokonzera anorectal abscess zvinosanganisira:

• Zvidziviriro zvakavharwa munzvimbo yekumashure
• Utachiona hwean anal fissure
• Utachiona hwepabonde (STD)
• Kushungurudzika

Yakadzika rectal abscesses inogona kukonzerwa nematumbo kusagadzikana senge Crohn chirwere kana diverticulitis.

Izvi zvinotevera zvinhu zvinowedzera njodzi yeanorectal abscess:

• Zvepabonde
• Chemotherapy mishonga inoshandiswa kurapa cancer
• Chirwere cheshuga
• Chirwere chinoputira chirwere (Crohn chirwere uye ulcerative colitis)
• Kushandiswa kwemishonga ye corticosteroid
• Dziviriro yezvirwere mumuviri (senge kubva kuHIV / AIDS)

Mamiriro acho anobata varume kupfuura vakadzi. Mamiriro acho anogona kuitika muvacheche uye vana vadiki vachiri mumachira uye vane nhoroondo yezvipenga zvemashure.

Zviratidzo zvakajairika kuzvimba kwakatenderedza anus uye nekurwadziwa, kurova kurwadziwa nekuzvimba. Marwadzo anogona kunge akaomarara nekufamba kwematumbu, kukosora uye kugara.

Zvimwe zviratidzo zvinogona kusanganisira:

• Kuzvimbirwa
• Kubuda kwe pus kubva parece
• Kuneta, kupisa muviri, kudikitira usiku, uye kutonhora
• Kutsvuka, kunorwadza uye kuomarara munyama munzvimbo yeanus
• Unyoro

Mune vacheche, bundu rinowanzo kuoneka sekuzvimba, kutsvuka, bundu nyoro kumucheto kweanus. Mucheche anogona kunge achigunun'una uye akashatirwa kubva kusagadzikana. Iko kazhinji hakuna zvimwe zviratidzo.

Kuongorora kwehunyoro kunogona kusimbisa anorectal abscess. Proctosigmoidoscopy inogona kuitwa kutonga kunze kwezvimwe zvirwere.

Mune zvimwe zviitiko, CT scan, MRI, kana ultrasound inodiwa kuti ubatsire kuwana iko kuunganidzwa kwepus.

Dambudziko harimboendi roga. Mishonga inorwisa mabhakitiriya yoga kazhinji haigone kurapa pute.

Kurapa kunosanganisira kuvhiyiwa kuvhura uye kudurura jira.

• Kuvhiya kunowanzoitwa nemushonga unovhundutsa wemuno, pamwe nemushonga kuti uite iwe uvete. Dzimwe nguva, musana kana general anesthesia inoshandiswa.
• Kuvhiya kunowanzo kuve kurapwa kwekunze, zvinoreva kuti unoenda kumba nezuva rimwe chete. Chiremba anovhiya anovhura pute uye anodonhedza pus. Dzimwe nguva dhayeti inoiswa mukati kuti irambe yakavhurika uye ichidhonzwa, uye dzimwe nguva pute rakazara ne gauze.
• Kana iko kuunganidzwa kwepus kwakadzika, ungangoda kugara muchipatara kwenguva yakareba yekurapa kurwadziwa nekuchengetwa kweiyo abscess drainage saiti.
• Mushure mekuvhiyiwa, ungangoda anodziya sitz mabhati (akagara mutabhu yemvura inodziya). Izvi zvinobatsira kubvisa marwadzo uye kuderedza kuzvimba.

Mamota akadonhedzwa anowanzo kusiiwa akavhurika uye hapana masiteki anodikanwa.

Chiremba anovhiya anogona kupa mishonga yekurapa nemishonga inorwisa mabhakitiriya.

Kudzivisa kupatirwa kuchabatsira kudzikisa marwadzo. Iwe ungangoda zvigunwe zvekugadzirisa. Kunwa zvinwiwa uye kudya chikafu chine yakawanda fiber zvinogona kubatsira.

Nokukurumidza kurapwa, vanhu vane chirwere ichi vanowanzoita zvakanaka. Vacheche uye vacheche vanowanzo kupora nekukurumidza.

Matambudziko anogona kuitika kana kurapwa kunonoka.

Matambudziko eanorectal abscess anogona kusanganisira:

• Anal fistula (isina kujairika kubatana pakati peanus uye chimwe chimiro)
• Utachiona hunopararira kuropa (sepsis)
• Kuenderera mberi nekurwadziwa
• Dambudziko rinoramba richidzoka (kudzokorora)

Fonera wako mupi wezvehutano kana iwe:

• Cherekedza kuburitsa rectal, kurwadziwa, kana zvimwe zviratidzo zveanorectal abscess
• Iva nefivhiri, kutonhora, kana zvimwe zviratidzo zvitsva mushure mekurapwa kweichi chiitiko
• Une chirwere cheshuga uye ropa rako glucose rinova rakaoma kudzora

Kudzivirira kana kurapwa nekukurumidza kweSTD kunogona kudzivirira anorectal abscess kubva pakuumba. Shandisa makondomu panguva yekusangana, kusanganisira kusangana pabonde nekumashure kunobuda nako tsvina, kudzivirira hutachiona hwakadai.

Mune vacheche uye vana vadiki, kazhinji manapukeni shanduko uye kuchenesa kwakakodzera panguva yekuchinja manapukeni kunogona kubatsira kudzivirira ese maviri anal fissures uye abscesses

Anal pute; Rectal pute; Kunongedzera pute; Perianal abscess; Gland pute; Kuputirwa - kusazvibata

• Rectum

Zvipfeko WC. Anorectal maitiro. Mune: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts uye Hedges 'Clinical Maitiro muEmergency Medicine uye Acute Kuchengeta. 7th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 45.

Merchea A, Larson DW. Anus. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 52.