Fistula Rectal

Fistula o tōu ko te nekehanga kei e te i raro i te kiri i roto i te rohe whero. hono e ia te repe whero i pangia, me te kiri tata te nono. kia Take o mumura ma'i e arata'i ki te hanganga o te fistula pokanga, resection o te tōu, whētuki, whati i roto i tenei rohe, me te i roto i 95% o ngā take - whēwhē whakapeka.

Ehara i nga manawanui ki whakapeka paraproctitis whakawhanake fistula rectal. Otiia ki te ki te whēwhē whakatuwhera, tāhorongia te wai, engari e kore e tango i te katoa te kuwaha o waho mō te mana mate, ka arahi ai ki te meka e ka rere tonu te pirau ki roto ki te lumen o te fistula. Ka arahi tenei katoa ki te hanganga o infiltrates me kōwhao ki pirau, timata sclerotic fistula waho taiepa, a ka taupokina nga taiepa i roto i te granulation kiko.

I te tīmatanga matia āmai repe i hanga pirau rapu mō te ara i roto i te kiko wewete i roto i te tōu me roto i te kiri ki te waho i roto i te rohe o te nono. Ko te kupu i hanga tuwhera fistulous roto, me te waho. Hauora wehewehe:

• te tonu (waho) fistula tahi e tamau tahunga, sanies me pirau i roto i te tikanga whakapeka, me o hūhi, raruraru i roto i defecation tika ki thickening o te kiri i roto i murunga;
• wāhanga-wā (ā-roto) fistula o te tōu, ko nga tohu o nei taua e i roto i te wā o te murunga kore e meinga ai hūhi me te tata kore e whakaatu ake, engari he exacerbation o huru o te manawanui ino.

Puta ana te mate i roto i ngaru. puta whakahōhā ka whitinga blockage ka te manawanui hoha'a e pā ana ki te mamae i roto i te nono, te urutanga mai defecation. Te manawanui he kirika, ānini, ohorere moe, me te mamae māharahara mananga ichor me rere taratahi o te pirau. He he he ritenga kiri kaha, tahunga, me te minamina, na rapua e tūroro horoi auau me Pads te huri.

I muri te whakatuwhera i te kōwhao te mumura, ake noho motuhake te tino heke hei kau, heke mahi te. Roa e puta ana ngā tukanga inflammatory i roto i te kiko mata adrectal ki fifi o fistula. He kia haere mai i te deformation o te awa me te sphincter uaua whero hanga he nawe e ofati mahi noa, ka arahi ki te taikaha o te sphincter whero. I roto i te wā tino matatini, me te nui o te huringa mārere o te fistula taea puta.

Ko te tātaritanga o "tōu fistula" e proctologist - te tohunga nei kawea atu i te whakamātautau rectal mamati mate i runga i te nohoanga i roto i te tautuhinga tūroro. I muri i te tahi mau whakangungu i te manawanui ki te whakaū i te tātaritanga, endoscopy o te whēkau nui - sigmoidoscopy. I roto i tenei take, ka taea e ngā kite koe i te mucosa tango i te kiko unuhanga, whakahaere he tātaritanga pārōnaki i roto i te wā o te puku whakapae.

Ki te tika, he fistula Tārewa waho, a ki te whakamārama i te wāhi o te wahi fistula mahi ultrasound - ultrasonography. Hei whakatau i te aronga neke te localization o fistulas ā-tika whakapau fistulography. tauturu i ēnei rangahau ki te whakaū e te manawanui he fistula o te tōu, tutakina te tātaritanga ranei.

He whai hua te maimoatanga momo, me te whakamahia rite te ārai o te hohokitanga postoperative. wawaotanga mahi i mātanga i roto i te fare ma'i i raro i rehunga whānui i raro i rehunga epidural ranei. Momo o te mahi tei runga i te wāhi o te fistula i roto i pā ana ki te sphincter, te tohu o te kiko scarring, te aroaro me te moni o kōwhao purulent i te kiko. Otiia i roto i tetahi take, ka kitea te manawanui he tōu fistula, he mooni pokanga.

Nuinga pai puta i fistula postoperative intrasfinkternyh. Ko te tino tū uaua ki te kawe i te mahi i te transsfinkternyh me ekstrasfinkternyh take. Ko reira rawa uaua mō nekehanga matatini kouru ka tika ki te kikokiko tino Ekisia e whai wāhi i roto i te hanganga o te fistula me ki tiaki i te mahi o te sphincter.

I roto i te wā postoperative, kia mahi i te manawanui ki dressings levomikol, pati ki pāhare, a muri ki te Kamomere calendula ranei. e oti tukanga whakaora e pā ana ki te kotahi marama.