Chii chinonzi anal abscess, zvikonzero zvikuru uye marapirwo

Zvemukati

• Ndezvipi zvikonzero
• Zviratidzo zvikuru
• Kurapwa kunoitwa sei
• Kuchengetwa mushure mekuvhiya
• Zvinogona kuitika

Anal, perianal kana anorectal abscess ndiko kuumbwa kwegomba rizere ne pus paganda rakakomberedza anus, izvo zvinogona kukonzera zviratidzo zvakaita sekurwadziwa, kunyanya kana uchibuda kana kugara, kutaridzika kwebundu rinorwadza munzvimbo yekumashure, kubuda ropa kana kubvisa yekuchena yero.

Kazhinji, mafomu anoverengeka apo mabhakitiriya anotapura nharaunda uye anokonzeresa kuzvimba, nekuunganidzwa kwepus. Iyo yekurapa inoitwa nachiremba anovhiya, inoda kuburitsa iyo abscess uye, mune dzimwe nguva, kushandiswa kwemishonga inorwisa mabhakitiriya kwemazuva mashoma.

Ndezvipi zvikonzero

Perianal abscess inokonzerwa nehutachiona hutachiona hweganda reanus uye perineum dunhu, kazhinji nekuda kwekuvharirwa kwezvipembenene zvinoburitsa mamusus mudunhu renhengo, zvichiita kuti kuiswa kwehutachiona. Mimwe yemamiriro ezvinhu anokonzeresa njodzi yekuumbika kwekuputa ndeaya:

• Chirwere chekuputira ura, senge chirwere cheCrohn kana ulcerative colitis;
• Suppurative hidradenitis;
• Zvirwere zve rectum, senge amoebiasis, venereal lymphogranuloma, tibhii kana rectal schistosomiasis;
• Anal fissure;
• Chirwere chegomarara;
• Kuzvidzivirira kwekuzvidzivirira;
• Kuve nekuvhiyiwa mudunhu reanorectal, senge hemorrhoidectomy, episiotomy kana prostatectomy, semuenzaniso.

Kazhinji, aya mamiriro anokonzeresa kuzvimba munyama yerectum uye anus, zvichirerutsa kuunganidzwa kwebhakitiriya uye kuumbwa kwepus. Nzwisisa zvirinani zvikonzero, zviratidzo uye kurapwa kweproctitis.

Zviratidzo zvikuru

Chiratidzo chikuru che perianal abscess marwadzo munzvimbo yeanus uye perineum, kunyanya kana uchibuda kana kugara, asi izvo zvinogona kuramba zvichingoita sekukura kwechironda. Uyezve tarisa zvimwe zvikonzero zvikuru zvekutambudzika kana uchibuda.

Kana iko kwekuputika kuri kwokunze, bundu rinorwadza, rinopisa, uye rakatsvukuruka rinogona zvakare kuonekwa munzvimbo yekumashure. Mune zvimwe zviitiko, panogona kuve nekubuda ropa uye kupisa. Kana bundu raputika, purulent secretion inogona kupukunyuka, nokudaro ichideredza kumanikidza paganda nekurwadziwa.

Kuongororwa kwehuturu hwemashure kunoitwa nachiremba mukuru kana chiremba wechiropa, kuburikidza nekuongororwa kwenzvimbo uye bvunzo dzakadai seascopy, ultrasound, computed tomography kana magnetic resonance, iyo inoratidza kukura nekudzika kwechironda. Kuongororwa kweropa, senge yakazara huwandu hweropa, kunogona kubatsira kuongorora kukomba kwehutachiona.

Kurapwa kunoitwa sei

Kurapa kwehupfu hwemashure kunoitwa nemudhiraivho waro, nachiremba mukuru wekuvhiya kana coloproctologist, nekukurumidza sezvazvinogona, sezvo kushingirira kwebundu kunowedzera njodzi yehutachiona hwakazara.

Zvichienderana nesaizi nenzvimbo yebundu, kuvhiya kwemvura kunogona kuitwa neanesthesia yemuno kana neane simba rakadai sepelinha kana epidural. Mumapundu akakura, zvingave zvakafanira kusiya pombi kwemazuva mashoma panzvimbo iyi.

Kuti arape fistula, chiremba anogona kuita akacheka kana kuisa chinhu chinokurudzira kuporesa uye kuvhara kwenzira. Pamusoro pezvo, mishonga inorwisa mabhakitiriya inogona kuratidzwa kana bundu rakakura uye riine nzvimbo huru yekuzvimba, kana kana murwere achipa njodzi dzehutachiona huzhinji, senge mune chirwere cheshuga, hutachiona hwakakanganiswa kana kufutisa, semuenzaniso.

Kuchengetwa mushure mekuvhiya

Mushure mekuvhiyiwa, chiremba anogona kukurudzira kuzorora, kushandiswa kwepainkiller uye sitz mabhati nemvura inodziya, nekuda kweayo anti-anogumbura maitiro.

Chiremba acharonga kuongororwa patsva mu1 kusvika 2 mavhiki, kucherechedza kupora uye kuona kana paine drainage yezvinyorwa zvinoratidza fistula. Mune zvimwe zviitiko, bundu rinogona kudzoka, kunyanya kana kurapwa kwekutanga kwanga kusingaitwe nemazvo kana kana paine chirwere chinokonzera kuzvimba kwenzvimbo uye chinobatsira kuumbwa kwechironda.

Zvinogona kuitika

Zvakajairika kuti bundu rinomutsa anal fistula, kunova kuumbwa kwenzira inobatanidza matunhu maviri, ayo anogona kusimuka pakati peanus nemukadzi, chibereko, urineni kana zvimwe zvikamu zvemukati, Semuyenzaniso. Tsvaga kuti chii chinonzi anal fistula uye kuti ungachirapa sei.

Uye zvakare, zvimwe zvinokonzereswa nekukonzeresa kwechibereko ndiko kubatanidzwa kweiyo anal sphincter, zvichikonzera kusagadzikana kwemanyoro, kana hutachiona hunokonzera, inova iyo mabhakitiriya anosvika kumaturu akavakidzana, senge ganda, mhasuru uye mafuta.

Uye zvakare, kana kurapwa kwacho kusingaitwe nemazvo, zvinokwanisika kuti mabhakitiriya asvike muropa, zvichikonzera hutachiona huzhinji, hunogona kutotungamira kurufu.