Fistula - ndichiyani? Fistula wowerengeka mankhwala azitsamba. ligature fistula

Fistula - ndichiyani? Yankho la funso limeneli lili mu zipangizo operekedwa ndi nkhaniyi. Komanso, tidzakhala kukuuzani n'chifukwa chiyani chikhalidwe nthenda zikachitika, komanso zimene limodzi ndi zizindikiro ndi momwe mukhoza kuchotsa izo.

mwachidule

Fistula - mtundu wa kukanidwa? Mu yochizira matenda, chotero chodabwitsa pathological mChipangano ndi fistula. Mawu amenewa anachokera ku Latin "a fistula" ndipo limatanthauza "chubu". Mu mawu ena, fistula ndi mtundu wa ritsa kuti zikugwirizana ndi chotupa kapena chilonda pamwamba kapena cavities awiri (awiri thupi) pakati pawo.

maonekedwe

Fistula - kodi zodabwitsazi pathological, chimene chimaoneka? Childs, chotero fistula ali maonekedwe a njira m'malo chopapatiza yomwe alimbane ndi zaminyewa wosanjikiza ndi limodzi mwa secretions khalidwe.

The zifukwa

Kodi n'chiyani chimachititsa fistula? Zimayambitsa kukanidwa ndi monga izi:

• Pambuyo kutha kutupa aliyense mafinya zambiri umachoka. Komanso njira yomwe wasefukira machiritso tsogolo sabweretsa chisoni. Komabe, nthawi zina (mwachitsanzo, ngati kutupa sanali kwathunthu inathetsedwa) pakuya M'mimbamo minofu akupitirizabe kachilombo (nthawi zina ngakhale gawo sichigwira la fupa), ndipo chotero "chubu" si zinaphatikizidwa, ndipo ndipamene purulent fistula.
• Fistulas angachokere muzu dzino (aakulu periodontitis) adapyola m'kamwa ndi fupa.
• Ngati wakhungu gunshot mabala si makombo a zipolopolo anali anachira nthawi, mafupa, ndiye pafupi ndi iwo komanso kwaiye abscess, imbaenda chitukuko cha fistulas.
• kupatuka kawirikawiri anapanga pambuyo opaleshoni ndi zamafinya zinangoti seams pafupi ligatures (i.e., yarns ntchito ligation a ziwalo, mitsempha ya magazi, ndi zina zotero.). Pankhaniyi, pali ligature fistula.

Mitundu ya fistulas ndi malo

Akuyendera kuti mankhwalawa ngati kupatuka ndi tizindikire mtundu wake. Kophweka, monga gulu ili zimatengera makamaka malo awa:

• Muzituluka fistula. kudwala Izi amayambira pambuyo ntchito opaleshoni (mwachitsanzo, pambuyo resection wa waukulu m'mimba limba).
• Thumbo fistula.
• Anorectal fistula. zopatuka izi amakhala ndi njira pathological akubwera kuchokera chotulukira (kapena rectum) khungu.
• Pararectal fistula. Aturuka kwa crypts kumatako khungu.
• Rectovaginal fistula. Pamene matenda amenewa kuonongeka rectovaginal septum.
• Mmatumbo kapena otchedwa fistulas matumbo. Ichi ndi kunja njira anakafika ku duodenum ndi.
• Bronchial fistula. zopatuka izi limodzi ndi kulankhulana pathological ndi lumen wa bronchus pleural patsekeke.

Mitundu ya fistulas chifukwa zikamera wa

Mwamtheradi fistula iliyonse (chithunzi zolakwika deta m'nkhani ino) akhoza wachinsinsi motere:

• Nagula. Mu mawu ena, monga chodabwitsa kumachitika chifukwa cha suppuration (mwachitsanzo, dzino fistula ndi periodontitis aakulu) kapena matenda aakulu monga osteomyelitis kapena chifuwa chachikulu.
• Kobadwa nako. Mu nkhani iyi, fistula chichokera malformations (m'michombo, khosi, etc.).
• Kudzera yokumba. Chotero zolakwika mitundu pambuyo opaleshoni (mwachitsanzo, ligature fistula).

Mitundu ya fistulas ndi kukhudzana ndi chilengedwe

Pankhaniyi, chotero chodabwitsa pathological kungakhale:

• Kunja, kapena kuti usapite ku khungu (mwachitsanzo, fistula ya rectum).
• Lamkati, i.e. salankhula ndi chilengedwe kunja, ndi kokha kugwirizana pafupi M'mimbamo (mwachitsanzo, bronhopischevodny fistula).

Mitundu ya fistulas mwachibadwa chinsinsi, ndani wa iwo ali

fistulas awa:

• purulent;
• nembanemba mucous;
• ya ndulu;
• mkodzo;
• chopondapo, etc ..

Zizindikiro zazikulu za matenda

Chithunzi matenda a matenda zimatengera makamaka pa malo a fistula ndi zifukwa asayembekezere.

Motero, mbali yaikulu ya matenda (kunja) ndi bowo pa khungu, kumene madzi adzamasulidwa. Mwa njira, maonekedwe a fistula mwina patsogolo kapena kuvulala m'deralo, kapena kutupa zimakhala ozungulira ndi ziwalo, kapena opaleshoni.

Koma fistula mkati, nthawi zambiri iwo amaoneka chifukwa cha mavuto a matenda aakulu kapena pachimake. Mwachitsanzo, ndulu zambiri anapanga chifukwa cha kutsekeka ritsa mwala. Pankhaniyi, zizindikiro zimadalira kuchuluka kwa kupatuka wa ya ndulu, amene anamasulidwa mu zonse m'mimba. Choncho, kuleza mtima kubva kwambiri ndi matenda kutchulidwa pa mundawo m'mimba.

Bronhopischevodnye fistulas zambiri zovuta kugunda chakudya mu mtengo tracheobronchial. Ndipotu zimenezi zimapangitsa kuti chitukuko cha chibayo chiyembekezo kapena matenda ndi zizindikiro zoyenera.

thumbo fistula tingaone ndi zizindikiro zotsatirazi:

• Kukhalapo kwa dzenje pang'ono chotulukira ndi (pa khungu). Pankhaniyi, wodwala akhoza kuona kumaliseche profuse a mafinya, chifukwa amene akukakamizidwa kuvala PAD ndi yamvumbi zonse.
• Kupweteka ululu m'dera chotulukira. Monga ulamuliro, kumverera ngati ali kwambiri kwambiri pa defecation, ndipo pambuyo ali chimaonekadi kuchepa.

Fistula pa usinini anatsimikiza pa malo monga:

• anasonyeza dzino sayenda;
• ululu mano, amene kumawonjezera pa kukhudza;
• mafinya.

njira matenda

Ngati mukuona mmodzi wa zizindikiro izi, chofunika mwamsanga dokotala kwa mawu olondola matenda. Tikumbukenso kuti mavuto alionse mu matenda a kupatuka otero ochokera kwa akatswiri chiyani osadzuka. Pajatu zachokera mbiri kutenga kuphunzira madandaulo yeniyeni odwala, ndi fistula, kusanthula zikuchokera ndi milingo madzimadzi komanso kusintha mu ntchito kwa ziwalo bwanji.

Kulongosola bwino malangizo ndi kutalika kwa fistula njira, komanso kugwirizana ake mwachindunji ndi moto, kawirikawiri kusanthulasanthula ndi radiography molumikizana ndi kumayambiriro ndimeyi Mosiyana.

Mwa njira, n'zotheka kulongosola bwino matenda "chapamimba fistula" kafukufuku pa pamaso pa acid amathiridwa. Ngati alipo mwa njira, umasonyeza malo a fistula muzituluka. Koma fistula mkodzo yodziwika ndi kukhalapo kwa salt uric acid.

Tikumbukenso kuti fistula akunja matenda zambiri mosavuta kuposa mkati. Chifukwa iwo ali ndi bowo khalidwe, amene ali kuoneka maliseche diso katswiri. Koma fistulas mkati, iwo ayenera kudziwa osati zizindikiro zilipo ndi madandaulo a wodwalayo, komanso mothandizidwa ndi njira zimenezi matenda monga ultrasound, X-ray ndi endoscopy.

Fistula: chithandizo mwa njira ya mankhwala boma

Kuchiza odwala ndi fistulas kunja zochokera:

• apakhungu chithandizo;
• ambiri achire;
• ntchito.

Mu mankhwala m'dera kumafuna mankhwala chifukwa bala ndi kuteteza zimakhala ozungulira mwangozi madzi, amene anamasulidwa njira. Mwachitsanzo, ngati fistula pa mwendo, pamimba ndi zina zotero. Ndiye ankachitira ndi purulent dera m'njira zosiyanasiyana (zodzola, pastes ndi ufa). Iwo chagwiritsidwa pa kutsegula kunja kwa njira, potero popewa kukhudzana wa apakhungu, ntchofu ndi zina zotero.

Komanso, pali mwina ntchito wothandizila mankhwala kuti kukusalani minofu kunja kuyabwa ndi neutralization precipitates kuchokera ndimeyi fistula. Ndi bwino kugwiritsa ntchito zoletsa wa michere proteolytic (mwachitsanzo, "Gordoks", "Contrycal" ndi zina zotero.).

njira makina a kuteteza khungu kwenikweni kuti kuchepa kapena kutha wathunthu wa kumaliseche kwa njira kudzera mwa mindandanda yamasewera wapadera.

Kwa umdandaulire septic ndi zina fistula ntchito kutsuka zawo zonse antiseptic njira.

ndime Tubular granulating zambiri atseka zokha pambuyo kuchotsa zimayambitsa awo (mwachitsanzo, kuchotsedwa kwa fupa sequestration, ligatures, ndi zina zotero.). Koma gubovidnye fistulas konse paokha. Zochizira zolakwika otere kugwiritsidwa ntchito pa opaleshoni excision awo, suturing mipata kunja kapena resection wa limba anakhudzidwa.

Iwo ayenera kukumbukira kuti nthawi zina, kupanga fistula madokotala njira yokumba mwachindunji kuti wodwala kudya, kapena kuti abwere anasonkhana chinsinsi cha chiwalo chilichonse mkati. njira zimenezi zingakhale okhazikika ndi osakhalitsa. Pambuyo kuwongolera njira mtima zosakhalitsa atsekedwa opaleshoni.

Kupatula kunja kwa chongopeka analenga fistulas ndi mkati (mezhorgannye). Monga ulamuliro, iwo woyikidwa mwina kwa nthawi yayitali kapena moyo.

fistula chithandizo cha mankhwala wowerengeka

Kumene, mankhwala amenewa amafuna kuvomerezedwa kuchimwa odziwa kufunsa dokotala. Ndipotu, ndi mosayembekezeka ndi zosayenera mankhwala a fistula chingakuthandizeni mavuto aakulu amene akhoza moyo pachiswe.

Koma ngakhale kuti zimenezi, mankhwala zina otsatira kugwiritsira ntchito njira zambiri mwambo kutseka fistula. Tiyeni tione ena mwa iwo mwatsatanetsatane.

Ligature fistula mankhwala ntchito aloe

Pakuti yokonza medicament ndi koyenera kumtengera zomera ankaimira minofu mivi 10-12, kenako asambe ndi madzi ofunda. Komanso, aloe chofunika finely kuwaza ndi kuika mu Kilogalamu imodzi mtsuko. mphamvu n'kofunika kutsanulira 300 ga aliyense uchi, kuphimba mwamphamvu malo m'malo a mdima kwa masiku 7-10. Choncho patapita masiku 4-5 misa zabwino Kusakaniza bwino. Kumapeto kwa kulowetsedwa ali wofunikila zosefera kangapo ndi kutenga supuni mchere katatu patsiku.

Mafuta odzozera fistula kunja

mafuta ndi wabwino cha machiritso ndi mankhwala a fistula nyini ndi rectum. Pakuti ichi tiyenera udzu wa tsabola madzi, thundu makungwa, mafuta anyama ndi maluwa toadflax. zomera zonse woyikidwa muyenera pogaya, n'kukaziika chidebe aliyense kenako kutsanulira mafuta kusungunuka. The chiŵerengero cha mafuta ndi zitsamba ayenera kukhala limodzi kapena awiri.

Pambuyo zimene anachita zofunika kuika mbale wodzazidwa mu uvuni ndi kuyatsa moto pang'onopang'ono. Kutentha mafuta makamaka osachepera 7-11 maola. Kumapeto kwa mankhwala n'kofunika kuti kuziziritsa firiji. njira A amachitira mafuta amenewa ndi wosavuta. Kuti tichite zimenezi, kupanga thonje swab modzala mafuta izo zikutanthauza, kenako angagwirizanitse kwa kutsegulidwa fistulous. Ndi zofunika kusintha kuvala mawola asanu.

Msuzi ku fistula lakunja

Infusions ndi decoctions camomile ntchito mankhwala kunja kokha - kwa rinsing mipata. Kukonzekera awo amafuna munthu kutenga amsupuni chachikulu cha maluwa zouma, brew kapu imodzi ya madzi otentha ndipo kenako kumva kwa mphindi 60 ndi osasankhidwa.

Komanso osamba fistula chilengedwe ndi ntchito compresses broths anapangidwa kuchokera marigold.

kupewa

Tsopano inu mukudziwa mmene tiyenera kuchitira fistula, chimene icho chiri, chifukwa kumachitika. Kuteteza anapeza njira pazikhalanso kupewa matenda opatsirana. Komanso, kufunika mosamalitsa kusunga malamulo a asepsis pa opaleshoni.

Pankhani kupewa fistulas kobadwa nako, n'zosatheka, popeza matenda akupezeka trimester mimba.