Kuvhiya kwepilonidal cyst

Pilonidal cyst ihomwe inogadzira yakakomberedza follicle yebvudzi mukatikati memagaro. Iyo nzvimbo inogona kutaridzika segomba diki kana pore muganda iro rine nzvimbo ine rima kana vhudzi. Dzimwe nguva cyst inogona kutapukirwa, uye izvi zvinodaidzwa kuti pilonidal abscess.

Chirwere chepilonidal cyst kana abscess inoda dhizaini yekuvhiya. Haizopore nemishonga inorwisa mabhakitiriya. Kana iwe uchiramba uine hutachiona, iyo pilonidal cyst inogona kubviswa nekuvhiya.

Kune mhando dzakasiyana dzekuvhiya.

Incision uye drainage - Iyi ndiyo yekurapa kwakanyanya kune cyst ine hutachiona. Iyo nzira yakapusa inoitwa muhofisi yechiremba.

• Local anesthesia inoshandiswa kudzikamisa ganda.
• Kucheka kunoitwa mu cyst kuti ubudise fluid uye pus. Gomba rakazara ne gauze ndokusiiwa rakavhurika.
• Mushure mezvo, zvinogona kutora kusvika kumavhiki mana kuti cyst ipore. Iyo gauze inofanirwa kuchinjwa kazhinji panguva ino.

Pilonidal cystectomy - Kana iwe uchiramba uine matambudziko ne pilonidal cyst, inogona kubviswa kuvhiya. Maitiro aya anoitwa seanorapa maitiro, saka haufanire kurara muchipatara.

• Iwe unogona kupihwa mushonga (general anesthesia) iyo inokuchengeta iwe wakarara uye usina kurwadziwa. Kana, iwe unogona kupihwa mushonga (wedunhu anesthesia) iyo inokuomesa iwe kubva muchiuno pasi. Muzviitiko zvisingawanzoitika, iwe unogona chete kupihwa yemuno inovhiringa mushonga.
• Kucheka kunoitwa kubvisa ganda pamwe neaporesi pamwe nechitunha chepasi chine mvere dzemvere.
• Zvichienderana nezvakawanda zvinyama zvinobviswa, nzvimbo yacho inogona kana kuti isingazadziswe ne gauze. Dzimwe nguva chubhu inoiswa kukweva mvura inounganidza mushure mekuvhiyiwa. Iyo chubhu inobviswa pane imwe nguva inotevera apo mvura yacho inomira kudonha.

Zvinogona kuve zvakaoma kubvisa iyo cyst yese, saka pane mukana wekuti ichadzoka.

Kuvhiya kunodiwa kudhonza uye kubvisa pilonidal cyst isingarape.

• Chiremba wako anogona kukurudzira iyi maitiro kana iwe uine chirwere chepilonidal chiri kukonzera kurwadziwa kana hutachiona.
• Iyo pilonidal cyst iyo isiri kukonzera zviratidzo haidi kurapwa.

Kurapa kusiri kwekuvhiya kunogona kushandiswa kana nzvimbo yacho isina hutachiona:

• Kuveura ndebvu kana laser kubvisa bvudzi rakakomberedza cyst
• Jekiseni rekuvhiya glue mune cyst

Pilonidal cyst resection inowanzo kuve yakachengeteka. Kumbira chiremba wako nezvezvinetso izvi:

• Kubuda ropa
• Utachiona
• Kutora nguva yakareba kuti nzvimbo ipore
• Kuve neiyo pilonidal cyst inodzoka

Sangana nachiremba wako kuti uve nechokwadi chekuti matambudziko ekurapa, akadai seshuga, kuwedzerwa kweropa, uye matambudziko emoyo kana mapapu ari mukutonga kwakanaka.

Udza mupi wako wezvehutano:

• Ndeapi mishonga, mavhitaminzi, uye zvimwe zvekuwedzera zvauri kutora, kunyangwe izvo zvawakatenga usina mushonga.
• Kana iwe uri kana uchigona kuve nepamuviri.
• Kana iwe wanga uchinwa doro rakawanda, zvinopfuura 1 kana 2 zvinwiwa pazuva.
• Kana iwe uchisvuta, rega kuputa vhiki dzinoverengeka pamberi pekuvhiyiwa. Mupi wako anogona kubatsira.
• Iwe unogona kubvunzwa kumbomira kutora zvishoma zvinopa ropa, senge aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), vitamini E, clopidogrel (Plavix), warfarin (Coumadin), uye chero mimwe mishonga yakaita seiyi.
• Kumbira chiremba wako kuti ndeipi mishonga yaunofanira kutora pazuva rekuvhiyiwa kwako.

Pazuva rekuvhiyiwa:

• Tevera mirairo pamusoro pekuti iwe unofanirwa kurega kudya kana kunwa usati wavhiyiwa.
• Tora mishonga yawakaudzwa nachiremba kuti utore nekunwa mvura shoma.
• Tevedzera rairo kuti unosvika rinhi kuchipatara. Iva nechokwadi chekusvika nenguva.

Mushure mekuita:

• Unogona kuenda kumba mushure mekuita.
• Ronda racho richafukidzwa nebhandeji.
• Iwe unozowana mishonga yekurwadziwa.
• Zvakakosha kuti nzvimbo yakatenderedza ronda irambe yakachena.
• Wako mupi achakuratidza maitiro ekuchengeta ronda rako.
• Mushure mayo inopora, kuveura bvudzi munzvimbo yeronda kunogona kubatsira kudzivirira chirwere chepilonidal kuti chisadzoke.

Pilonidal cysts inodzoka mune imwe hafu yevanhu vanovhiyiwa kekutanga. Kunyangwe mushure mekuvhiyiwa kwechipiri, inogona kudzoka.

Pilonidal pute; Pilonidal dimple; Chirwere chepilonidal; Pilonidal cyst; Pilonidal sinus

Johnson EK, Vogel JD, Cowan ML, et al. IAmerican Society yeColon uye Rectal Surgeons 'kiriniki yekudzidzira nhungamiro yekutungamira kwechirwere chepilonidal. Dis Colon Rectum. 2019; 62 (2): 146-157. PMID: 30640830 www.ncbi.nlm.nih.gov/pubmed/30640830.

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

Wells K, Pendola M.Pilonidal chirwere uye perianal hidradenitis. Mune: Yeo CJ, ed. Kuvhiya kwaShackelford kweAlimentary Tract. 8th ed. Philadelphia, PA: Elsevier Saunders; 2019: chitsiko 153.