I-fistula inoratidzira chirwere chinopindira nhengo dzisina kuvhara kana foci zvechirwere, mutumbi wemuviri, chikamu chisina kukwana uye pamusoro pemuviri. Fistula ye rectum - chimwe chezvirwere zvisingafadzi, zvichikonzera kuwanda kwematambudziko. Kuti urege kudzivirirwa nenzira yekuchinja kwehutano kune chimiro chisingaperi kana kuumbwa kwechirwere panzvimbo yechirwere, zvakakosha kutsvaga rubatsiro rwechiremba uye kurapwa munguva.
Zvinokonzera fistula mu rectum
Fistula ye rectum, iyo inharaunda yemapakati pakati pemvura uye ganda rakapoteredza anus, inokura semugumisiro wepure purent process. Kazhinji kazhinji ichi ndicho chikonzero cheproctitis - hutachiona hwemawere rectal (rectum) rusvingo kana paraproctitis - hutachiona hwemhuka dziri pedo rectum. Nehutachiona huno, chikwata che-peri-rectal chinoumbwa, chinovhurwa, kuumba fistula.
Izvi ndizvo zvinokonzera kukonzera fistula. Zvimwe zvikonzero zvingave:
- granulomatous regional enteritis;
- kunokonzera kupisa kwekudzivirira kwemasvingo eureguru;
- operative resection ye rectum;
- kushungurudzika kwekuberekwa ;
- zvinetso zvekugadzirisa gynecological;
- tuberculosis yerugwaro rectal;
- diverticular mafupa;
- chlamydia ;
- oncoprocess;
- HIV, AIDS, syphilis, nezvimwewo.
Fistula ye rectum - zviratidzo uye zvinetso
Zviratidzo zvikuru zve fistula ye rectum:
- kuvapo paganda re perianal nzvimbo ye fistula isonda, kubva iyo syphilis uye pus zvinowanzopiwa;
- kurwadziwa kunzwisiswa kwehutano hwakasiyana, kukurudzirwa ne palpation, kugara, kufamba, defecation (kana fistula yakanatswa zvakanaka, pane kurwadziwa zvishoma);
- kuvapo kwekudzivirira uye kubwinya munzvimbo yakakanganiswa;
- kuwedzera kwekushisa kwemuviri;
- kushaya hutano hutano, kuora kwehope, kutya.
Sezvo mutemo, chirwere ichi chinowedzera - zvinokwanisika kuregererwa, uye shure kwechinguva - kudzokera zvakare. Dambudziko rakaoma, rakagara riine fistulas rectum rinowanzofambidzana nekushandurwa kwemunharaunda - kuchinja kwechigadziro mumasumbu, kushandiswa kwemvura inopera, kusagadzikana kwemafuta anophincter. Kana fistula ye rectum isingatariswi kwemakore akawanda, saka chirwere chinogona kuva chakaipa.
Rectal fistula kurapwa
Nzira chete inoshanda yekurapa fistula ye rectum ndiyo yekuvhiya. Kune nzira dzakawanda dzokupindira kwekuvhiya, asi pamwoyo wevose zvavo vanonyengera kusarudzwa kwe fistula ye rectum. Kusarudzwa kwemaitiro kunotsanangurwa nemhando ye fistula, kuvapo kana kusavapo kwezvipembenene uye kupisa kwekuvhiringidza. Mune zvimwe zviitiko, munguva yekufananidzira, remishonga inorwisa mabhakitiriya inodiwa kuti ibvise kupisa mukati, uye physiotherapy inogona kunyorwa zvakare.
Munguva yenguva yekuregererwa, apo fistulous irivhara, basa racho harisi basa nekuda kwekushayikwa kwemashoko akajeka uye mukana wekukuvadza mishonga ine utano. Kuvhiya kunoitwa munguva "yekutonhora" yechirwere chacho.
Panguva yekushanda, zvinotevera zvinogona kuitwa:
- Kuwedzera kuwedzera uye kunyura kwe purulent kuzvimba.
- Kuchera chidimbu chemuviri wekucheka uye kuchiita kuti uvhare kuvhura kwefistula.
- Sphincter yekuvhara, nezvimwe.
Fistula ye rectum - postoperative period
Mushure mekuvhiyiwa, varwere vanorayirwa kurapwa kwakakodzera, iyo inosanganisira:
- Anesthetic uye anti-inflammatory drugs.
- Bhuku rinopisa rinoshambidza nesiriseptic solutions.
Kuporeswa kuporesa kunoitika pamwero wega mukati memwedzi. Nguva yehutano hwekugadzirisa hunoenderana nehuwandu hwekuvhiya uye kutevedzwa nekurongwa kwezvokurapa. Mumazuva ekushanda, basa remuviri rinofanira kubviswa.