Fistula - ntoni na? Fistula amayeza intsomi unyango. fistula ligature

Fistula - ntoni na? Impendulo yalo mbuzo inokufunyanwa kwi zinto zokufunda kubonelelwe yi-nqaku. Ukongeza, siza kukuxelela ukuba kutheni kusenzeka imeko esingaqhelekanga enjalo, kwakunye noko oko kukhatshwa iimpawu nendlela ayibulale.

Overview

Fistula - loo hlobo ukulahlwa? Xa yezonyango, into zophendlo lwezifo ezifana lidla ngokuba fistula. Eli gama livela kwisiLatini "a fistula" ngokoqobo lithetha "ityhubhu". Ngamanye amazwi, le fistula luhlobo ziphatha exhuma unethumba okanye isilonda umphezulu okanye angabi nemingxuma ezimbini (umzimba ezimbini) phakathi kwabo.

ukubonakala

Fistula - yintoni na le nto lwezidumbu, into leyo ikhangeleka njani? Ngokuqhelekileyo, a fistula okunjalo indlela ijelo kunokuba emxinwa leyo igcwele epithelial ezikroziswayo lukhatshwa netuwa isici.

Izizathu

Yintoni ebangela ukuba fistula? Izinto ezibangela le ukulahlwa ziquka oku kulandelayo:

• Emva kokuba ukuyekwa kwawo nawuphina komtshiso ubofu ngokuqhelekileyo uyaphuma. Ngaphezu koko, njengejelo ayajika kwi impiliso elula elizayo. Noko ke, kwezinye iimeko (umz, ukuba ukudumba zange lupheliswe ngokupheleleyo) enzulwini inwebu kwisisu iyaqhubeka zosulelwe (maxa wambi nkqu inxalenye ufa wethambo), yaye ngoko ke "ityhubhu" akukho edidekile, kwaye yenza a fistula ubovu.
• Fistulas ukuze liphuma kwingcambu izinyo (periodontitis chronic) edlula iintsini, umhlathi kuvuka.
• Ukuba imfama amanxeba aba iingceba iimbumbulu aqokelelwa ekuhambeni kwexesha, la mathambo, koko ecaleni kubo kwadala ithumba, nto leyo ekhokelela kuphuhliso fistulas.
• Oku kuphuma ecaleni rhoqo emva kotyando kunye iyabhiqiza beentanda kufutshane ezihlangene (ngamanye amazwi, ngemisonto ezisetyenziselwa tubal izicwili zangaphakathi, imithambo yegazi, njalo njalo.). Kulo mzekelo, kukho fistula ligature.

Iintlobo fistulas yi indawo

Ngaphambi kokuqhubeka kwimpatho unxaxho enjalo, ukugqiba udidi yayo. Yenza kube lula, njengokuba oluhlobo kuxhomekeke ikakhulu kwi indawo:

• fistula esiswini. Le ngezifo akholisa ukubakho emva imisebenzi zotyando (umzekelo, emva resection welungu engundoqo ukudla).
• fistula efakwa.
• Anorectal fistula. Oku kuphambuka luphawulwa channel zophendlo lwezifo evela empundu (okanye ezinqeni) nolusu.
• fistula Pararectal. Ophuma crypts ezimpundu nolusu.
• fistula Rectovaginal. Xa isifo enjalo ezonakeleyo zekhala rectovaginal.
• Duodenal, okanye oongqondo-fistulas emathunjini. Le isiteshi lwangaphandle elandisiweyo ukususela duodenum.
• fistula inyumoniya. Oku kuphambuka ihamba unxibelelwano zophendlo lwezifo kunye mithambo ye kwisisu bronchus pleural.

Iintlobo fistulas ngenxa ukuvela

Ngokuqinisekileyo naliphi fistula (photo ezinxaxhileyo of data thaca kweli nqaku) kufuneka zihlelwe ngolu hlobo lulandelayo:

• Uthenge. Ngamanye amazwi, into enjalo kwenzeka ngenxa suppuration (umz, izinyo fistula kunye periodontitis esinganyangekiyo) okanye kwezifo ezifana osteomyelitis okanye sisifo sephepha.
• Bekhubazekile. Kulo mzekelo, ukususela malformations (inkaba, intamo, njl) kuvela i fistula.
• Esebenzisa livulwe. nokuphambuka okunjalo iifom emva kotyando (umz, fistula ligature).

Iintlobo fistulas kukudibana kunye nokusingqongileyo

Kulo mzekelo, into zophendlo lwezifo enjalo ingaba:

• Ngaphandle, oko kukuthi ukuya ngqo eluswini (umzekelo, fistula we isikali).
• Inner, ngamanye a mabanganxibelelani yemeko ezisingqongileyo, uze uqhagamshele kuphela kwisisu osecaleni (umz, bronhopischevodny fistula).

Iintlobo fistulas oluyimfihlo ngemvelo, nguwuphi na kubo

Ezi fistulas zezi:

• ubovu;
• ngenwebu yangaphakathi;
• enyongweni;
• womchamo;
• isitulo, njl ..

Eyona engundoqo Iimpawu zesi sifo

Lo mfanekiso kwezonyango kwesi sifo kuxhomekeke ikakhulu kwi indawo fistula kunye nezizathu kwazo.

Ngoko ke, lo msebenzi osemqoka iphambili yale sifo (lwangaphandle) imbobo kakhulu eluswini, ulwelo uyakhululwa kuzo. Hi ndlela leyi, imbonakalo fistula inokuba eyandulela okanye ukwenzakala kule ndawo, okanye ukudumba ancedisana ajikelezileyo amalungu, okanye uqhaqho.

Njengoko kuba fistula lwangaphakathi, amaxesha amaninzi zivela ngenxa yeengxaki yezifo ezingapheliyo okanye bukhali. Umzekelo, inyongo badla ukusekwa ngenxa nezithintelo ngamatye duct. Kulo mzekelo, iimpawu ixhomekeka kwisixa zokutenxa ye inyongo, ephuma kwi-kwisisu. Ngenxa yoko, isiguli iintlungu kakhulu kunye nezifo abuthethileyo le lokugaya.

Bronhopischevodnye fistulas kuvamise hit ukutya emthini tracheobronchial. Oku kukhokelela kuphuhliso yokulangazelela semiphunga okanye iphika ngemiqondiso efanelekileyo.

fistula efakwa bungabonakala ezi mpawu zilandelayo:

• Ubukho una okungephi ingquza (apha esikhumbeni). Kulo mzekelo, isigulane bangase khulula lweenkcukacha of ubomvu, ngenxa yokuba yena kuyanyanzeleka ukuba ukunxiba iphedi kunye iishawa rhoqo.
• intlungu zifutha kule ndawo ezimpundu. Njengomgaqo, njengokungathi ezinjalo kakhulu kakhulu ngexesha defecation, kwaye emva kokuba ngokuphawulekayo kudambe.

Fistula phezu iintsini uzimisele ngezizathu ezifana:

• wavakalisa izinyo ukuhamba;
• amazinyo iintlungu, nto leyo eyandisa ngexesha touch;
• benza ubovu.

iindlela isifo

Ukuba ubona ngokuhlwa enye yezi mpawu, kufuneka ukubona ngoko nangoko ngugqirha ingxelo echanekileyo isifo. Kufuneka kuqatshelwe ukuba naziphi na iingxaki lokufunyaniswa unxaxho enjalo kwiingcaphephe musa kuvuka. Ngapha koko, livela kwimbali ukuthatha, ukufunda izikhalazo ezithile izigulane, a fistula, uhlalutyo ubume kunye namanqanaba fluid kwakunye notshintsho ekusebenzeni amalungu achaphazelekayo.

Ukucacisa indlela nobude umjelo fistula, kwakunye uxhulumaniso yayo ngqo ngumlilo, kaninzi usebenzisa yovavanyo ray ngokusebenzisana kunye nokuqaliswa lokudlula umahluko.

Ngendlela, ukuba kunokwenzeka ukucacisa uxilongo "fistula esiswini" ngokuphanda kwi ubukho zehydrochloric acid. Ukuba ikhona kwisiteshi, libonisa indawo fistula esiswini. Kodwa fistula wokuchama luphawulwa ubukho iityuwa acid uric.

Kufuneka kuqatshelwe ukuba fistula engaphandle ukuxilonga ngokulula kakhulu lwangaphakathi. Ngenxa yokuba umngxuma kweempawu, luthi lubonakale iliso specialist lenyama. Ke ukuba fistulas zangaphakathi, kufuneka ukuchonga nje iimpawu ezikhoyo kunye nezikhalazo yomguli, kodwa ngoncedo iindlela zokuxilonga ezifana ultrasound X-ray kunye endoscopy.

Fistula: unyango ngokusebenzisa amayeza esemthethweni

Unyango kwizigulane kunye fistulas zangaphandle esekelwe:

• unyango enesihloko;
• therapeutic jikelele;
• zokusebenza.

Phantsi therapy ndawo zibandakanya unyango ngenxa inxeba kunye nokukhusela kwizihlunu ezingqongileyo sesichengeni ulwelo, nto leyo ukhululekile kuwo ijelo. Umzekelo, ukuba fistula kumlenze, emzimbeni njalo njalo., Koko ziphathwe ngendlela ummandla ubovu ngokusebenzisa ezahlukeneyo (namafutha aqholiweyo, intlama kunye Ithatyathwe emigutyeni). Bona isicelo emnyango engaphandle umjelo, nto leyo ethi ithintele zoqhagamshelwano ulusu ubomvu, yencindi njalo njalo.

Ukongeza, apho zinokusetyenziswa agents yemichiza azibandakanyi izihlunu ubuhlungu lwangaphandle neutralization ngokwemvula ukusuka sicatshulwa fistula. Kucetyiswa ukuba basebenzise inhibitors enqanda proteolytic (umz: "Gordoks", "Contrycal" njalo njalo.).

iindlela mechanical zokukhusela ulusu zibhekiswa ngokuyintloko yokuncipha okanye kumiwe olupheleleyo osenyameni evela ijelo esebenzisa kwemidlalo ezizodwa.

Ukuze ufumane unyango jikelele yokubolisa kunye nezinye fistula usebenzisa rhoqo ukuhlamba solution yabo kubola.

iindinyana Tubular granulating rhoqo luvalwa ngokuzenzekelayo emva ukususwa kwiimbangi zazo (umz, ukususwa uyathinjelwa ithambo, ezihlangene, njalo njalo.). Kodwa gubovidnye fistulas soze Kwathi ngokwabo. Kuba unyango nokuphambuka okunjalo isetyenziswa kuphela kutyando Ukusikwa zabo, suturing imingxunyana zangaphandle okanye resection welungu ochaphazelekayo.

Kufuneka kuqatshelwe ukuba kwezinye iimeko, ibe fistula oogqirha kuthetha ngumntu ngokukodwa ukuba isigulana na ongadlayo, ukuze azise imfihlelo eqokelelwe walo naliphi na ilungu lwangaphakathi. Ezi imigudu kuba zombini ezisisigxina nezexeshana. Emva nokuphucula iindlela izigulane yexeshana ivalwa intsumpa.

Ngaphandle zangaphandle ukudala artificially fistulas kunye lwangaphakathi (mezhorgannye). Njengomgaqo, yokuba ebekwa mhlawumbi ixesha elide okanye ubomi.

unyango fistula amayeza intsomi

Kakade ke, unyango olunjalo kufuneka umyalelo aphambuke thethwano abanamava kunye nogqirha. Ngapha koko, kunye unyango ngesiquphe yaye akufanelekanga ukuba fistula kungakhokelela kubunzima ezinzulu kungalubeka engozini ubomi babantu.

Kodwa nangona oku kwenzeke, ezinye abalandeli amayeza zisasebenzisa iindlela ezininzi zemveli lokuvala fistula. Makhe sihlolisise ezinye zazo ngokweenkcukacha.

Ligature fistula kunyango kusetyenziswa zekhala

Kuba nokuqulunqwa medicament kuyimfuneko ukuba izityalo amelwe iintolo nenyama 10-12, uze ubahlambe ngamanzi dikidiki. Ngaphezu koko, zekhala kufuneka luyacolwa chopha kwaye wayifaka engqayini ilitha. Umthamo kuyimfuneko ekwakuthululwa 300 g nasiphi na nobusi, yokugubungela ambathe nendawo kwindawo emnyama iintsuku 7-10. Ngoko ke emva kweentsuku 4-5 ubunzima umxube enqwenelekayo kakuhle. Ekupheleni nokuhlanganiswa kufuneka ukuba ukucoca izihlandlo ezimbalwa kwaye bathathe ngecephe dessert kathathu ngemini.

Mafutha ukuze fistula lwangaphandle

Le amafutha kulungile ukuphiliswa kunye nonyango lwe fistula lobufazi kunye isikali. Kuba oku sifuna utyani pepper amanzi, oki amaxolo, lard kunye neentyatyambo toadflax. Zonke izityalo ebekwe kufuneka amatye okusila, uze ufake naliphi na isiqulathi ze ugalele lard zaphela. Umlinganiselo amanqatha kunye imifuno kufuneka babe enye ukuya kwezimbini.

Emva kokuba izenzo kuyimfuneko ukubeka izitya igcwaliswe kwi-oveni kwaye uvula umlilo kade. Ubushushu mafutha kukhethwa iiyure hayi ngaphantsi kwe-7-11. Ekupheleni ichiza kuyimfuneko ukupholisa kwiqondo lobushushu igumbi. A indlela ukuphatha linamafutha enjalo ilula. Ukuze wenze oku, yenza swab yomqhaphu ngenkululeko kuthambisa oko kuthetha, uze uqhoboshele emnyango fistulous. Kunqweneleka ukuba ukutshintsha ukunxiba zonke iiyure ezintlanu.

Ingumhluzi evela fistula engaphandle

Infusions kunye decoctions ukusetyenziswa kweziyobisi camomile ngaphandle kuphela - kuba ngamanzi imingxunyana. Lokulungiselela lwabo sidinga ukuba asiphe elikhulu iintyatyambo ezomileyo, asile nendebe yamanzi abilayo uze nokufaka ukuba imizuzu engama-60 kwaye yahluzwa.

Kwakhona sokuhlambela indalo fistula kunye nokusetyenziswa Oluma broths ezenziwe marigold.

ukuvimbela

Ngoku uyazi indlela yokuphatha fistula, yintoni na, kutheni kwenzeka. Prevention channel ezifunyenwe kufuneka zibandakanya ukuthintelwa kwezifo ezosulelayo. Ukongeza, le mfuneko yokugcina ngokungqongqo imithetho asepsis xa kusenziwa utyando.

Ngokumalunga ukuthintelwa fistulas iziphene, akunakwenzeka, ekubeni esi sifo kwenzeka ezintathu yokuqala yokukhulelwa.