Fistula - chii? Fistula kurapwa acho mishonga. ligature fistula

Fistula - chii? Mhinduro yomubvunzo uyu inogona kuwanikwa zvinhu inopiwa nyaya. Uyezve, isu vachakuudza pamusoro sei mwero kudaro ezvinhu ane kunoitika, uyewo chii chinoitwa achiperekedzwa zviratidzo uye sei unogona kuchiparadza.

tsananguro

Fistula - kuti mhando kurambwa? In okurapa, yakadaro pathological chiri kazhinji zita fistula. Shoko iri rinobva muchiLatin "munhu fistula" uye rinoreva "chubhu". Nemamwe mashoko, kuti fistula ndiye mutsinga dzinofamba nemukaka ine mhando unobatanidza nebundu kana urikanwi pamusoro kana in maviri (mbiri muviri) pakati pavo.

chitarisiko

Fistula - chii ichi chinoshamisa pathological, kuti akaita? Kazhinji, kwakadaro fistula ane chimiro panzvimbo yakamanikana gwara riri mudungwe pamwe epithelial rukoko uye achabatsirwa noruzhinji secretions.

The zvikonzero

Chii chinokonzera fistula? The zvinokonzera kurambwa ichi zvinosanganisira zvinotevera:

• Pashure kumira chero pus kuzvimba kazhinji unodzima. Uyezve, kupa inoyerera munguva yemberi nyarara anoporesa. Zvisinei, mune zvimwe zviitiko (semuenzaniso, kana kuzvimba haana zvachose zvachose) ari kudzika mhango rinenge kuramba utachiwana (dzimwe nguva kunyange chikamu dzakafa pakati pfupa), uye saka "chubhu" haina fused, uye zvikonzero purulent fistula.
• Fistulas angamuka kubva zino mudzi (chirwere periodontitis) achipfuura matadza uye rushaya.
• Kana bofu vapfurwa maronda havasi zvimedu mabara vakanga akatorazve munguva, mafupa, ipapo pedyo navo iri vanowanika pute, zvinoita kuti pave fistulas.
• kutsauka ichi kazhinji kuumbwa pashure pokuvhiyiwa pamwe chinoda kugadziriswa vazvo pedyo ligatures (i.e., nezvitsvuku rakashandiswa ligation pamusoro dzimwe nhengo dzomukati, nemidziyo ropa, uye zvichingodaro.). Muchiitiko chino, pane ligature fistula.

Mhando fistulas ne nzvimbo

Asati mberi pakurapa yakatsauka kwakadaro, kuona kwayo mhando. Ita nyore, sezvo kupatsanura ichi kunobva achinyanya pamusoro nzvimbo:

• Gastric fistula. zvokurwara Izvi zvinowanzoitika pashure zvomusejari akavhiyiwa (somuenzaniso, pashure resection huru zvomudumbu nhengo).
• Rectal fistula.
• Anorectal fistula. kutsauka uku kunoratidzwa pathological mugero ichibva horo (kana mugaranhoko) kuti ganda.
• Pararectal fistula. Anobuda kubva mumagaro crypts kuti ganda.
• Rectovaginal fistula. Apo chirwere kwakadaro zvakakuvadza rectovaginal septum.
• Duodenal, kana inonzi intestinal fistulas. Ichi chinhu zvokunze mugero anomuitira kubva duodenum.
• Árbol fistula. kutsauka Izvi pamwe pathological kutaurirana pamwechete lumen pamusoro bronchus pleural mhango.

Mhando fistulas nokuda kwaita

Zvachose chero fistula (mufananidzo zvarakasiya kuti mashoko munyaya ino) rinogona Classified sezvinotevera:

• Yakatengwa. Nemamwe mashoko, akadai kutanga kunoitika pamusana suppuration (semuenzaniso, zino fistula pamwe chirwere periodontitis) kana zvakakura zvirwere zvakadai osteomyelitis kana tibhii.
• Vachiberekwa. Panyaya iyi, iyo fistula muka kubva malformations (guvhu, mutsipa, etc.).
• By chakagadzirwa nzira. Kwakadaro zvarakasiya siyana pashure pokuvhiyiwa (semuenzaniso, ligature fistula).

Mhando fistulas kuonana zvakatipoteredza

Muchiitiko chino, kwakadaro pathological chakajairika kunogona:

• Kunze, kuti ndiko kuenda zvakananga ganda (semuenzaniso, fistula pamusoro mugaranhoko).
• Rwomukati i.e. asingadi kutaura zvokunze kwezvakatipoteredza, uye chete kubatanidza pedyo mhango (semuenzaniso, bronhopischevodny fistula).

Mhando fistulas pachisikigo chakavanzika, izvo kwavari

fistulas ava:

• purulent;
• mucous membranes;
• bile;
• Urinary;
• chetsoka, etc ..

Huru Zviratidzo chirwere

The kunotoda mufananidzo chirwere ichi kunobva zvikurukuru nzvimbo fistula uye zvikonzero panowanikwa kwavo.

Saka, chikuru chinhu chirwere ichi (kwokunze) ndiro buri paganda, umo nemvura asunungurwa. Nenzira, pakuonekwa fistula anogona zvinotangira kana kukuvadzwa munharaunda, kana kuzvimba akapoteredza nyama uye nhengo, kana kuvhiya.

Kana dzomunyika fistula, kazhinji ivo somunhu nemhaka yematambudziko echirwere kana chakasimba zvirwere. Somuenzaniso, nduru kazhinji kuumbwa nokuda mhingaidzo mutsinga dzinofamba nemukaka ibwe. Panyaya iyi, zviratidzo kuvimba uwandu kutsauka kubva bile, iyo anosunungurwa mugomba abdominal mhango. Saka, murwere anogona kuona kwazvo marwadzo uye kutaurwa zvinetso zviri zvomudumbu turakiti.

Bronhopischevodnye fistulas kazhinji kuoma zvokudya raparadza ari tracheobronchial muti. Izvi zvinotungamirira kukura chido nemabayo kana bronchitis nezviratidzo akakodzera.

rectal fistula vangazivikanwa kubudikidza anotevera zviratidzo:

• Pamberi zvishoma buri horo (pamusoro ganda). Panyaya iyi, murwere anogona kuona kunonyengedza okuyerera pus, nokuda aakataura anomanikidzwa kupfeka ikanyanya uye kugara inopfunha.
• Ache kurwadziwa horo nzvimbo. Kazhinji, nezvekufadza kwakadaro zvikuru zvikuru panguva defecation, uye pashure ivo zvinooneka kuserera.

Fistula pamusoro matadza kunotemwa pamusoro chikonzero akadai:

• akaratidza zino mufambo;
• marwadzo mazino, izvo anowedzera panguva kubata;
• purulent buditsa.

nzira nechirwere

Kana ukaona madekwana imwe zvezviratidzo izvi, zvinodikanwa kukurumidza kuona chiremba kuti akarurama kuongorora chirwere mashoko. Zvinofanira kucherechedzwa kuti chero nematambudziko nechirwere chakadaro yakatsauka kubva nyanzvi regai simuka. Pamusoro pazvo, inobva nhoroondo kupinza, kudzidza zvakananga zvichemo dzevarwere, mumwe fistula, kuongorora murwiyo uye Urume mumatunhu uyewo zvachinja kushanda kwakakanganisa nhengo.

Kujekesa mirayiridzo uye kureba fistula chiteshi, uyewo zvakananga kubatana kwayo nomoto, kazhinji vachishandisa inoda kufunga uye radiography pavanoparidza pakatanga nokufamba kusiyana.

Nenzira, zvinokwanisika kuti kujekesa chirwere "gastric fistula" kuburikidza tsvakurudzo pamusoro pamberi hydrochloric acid. Kana chiri chipo mugwara, inoratidza nzvimbo gastric fistula. Asi nokuda Urinary fistula inozivikanwa nokuvapo uric asidhi munyu.

Zvinofanira kucherechedzwa kuti rokunze fistula rokuongorora zvikuru nyore pane dzakawanda. Nokuti vane maitiro buri, izvo zvinoonekwa kuti akashama ziso nyanzvi. Kana munyika fistulas, vanofanira kuona kwete chete huripo zviratidzo uye zvichemo murwere, asi achibatsirwa zvakadai chirwere nzira sezvo Ultrasound, X-ray uye endoscopy.

Fistula: kurapwa pachishandiswa mushonga mukuru

Kurapa varwere nechitarisiko fistulas hunobva:

• kukamura uchishandisa kurapwa;
• mukuru dzokurapwa;
• operative.

Under zvomunharaunda kurapa dzinosanganisira kurapwa kunokonzerwa ronda uye kudzivirira dzakapoteredza munyama pakuona mvura, iyo anosunungurwa kubva chiteshi. Somuenzaniso, kana munhu fistula pamusoro gumbo, dumbu uye zvichingodaro., Ipapo kubatwa purulent munharaunda nenzira dzakasiyana-siyana (okuzora, pastes uye Nezvakakuyiwa). Vari rikashandiswa pamukova wokunze hwomukova gwara, zvoita kuti kuonana ganda pamwe pus, madzihwa nezvakadaro.

Uyezve, pane anogona kushandiswa kwemakemikari nevasori kuti vanodzinga zvokunze zvinyama kutsamwa nokuda neutralization precipitates kubva fistula mundima. Zvinokurudzirwa kushandisa FIs pamusoro proteolytic makemikari (semuenzaniso, "Gordoks", "Contrycal" uye nezvakadaro.).

Mechanical nzira yokudzivirira ganda vanotorayirwa zvikurukuru vasanyanye kana kumbomira pakuyerera zvakakwana kubva gwara achishandisa anokosha Fixtures.

Nokuti vakawanda Mabatirwo septic uye nezvimwe fistula kushandisa Washing yavo rusingaperi akambozvishandisa kuuraya utachiona mhinduro.

Tubular ndima granulating kazhinji rinogumisa nomuzvarirwo pashure kubviswa zvinokonzera dzavo (semuenzaniso, kubviswa mapfupa sequestration, ligatures, uye zvichingodaro.). Asi gubovidnye fistulas haangatongopfuuri hwavo. Nokuti pakurapa zvarakasiya dzakadaro rinoshandiswa chete kunorapwa excision kwavo, suturing zvimwewo mawindo kana resection yacho sei nenyere.

Zvinofanira kucherechedzwa kuti mune zvimwe zviitiko, kuumba fistula vanovhiya chakagadzirwa nzira zvakananga kuti murwere anogona kudya, kana kuti vatore yakaunganidzwa chakavanzika chero zvemukati nenyere. channel izvi zvinogona kuva zvechigarire uye duku. Pashure mukuvandudza kushivirira kwenguva pfupi migero dzakavharika surgically.

Kunze kwokunze kuti artificially kusika fistulas uye nechomukati (mezhorgannye). Kazhinji, vari vakaisa kana kuti kwenguva refu kana kwoupenyu hwose.

fistula Mabatirwo zvavo mishonga

Zvechokwadi, kurapa kwakadaro kunoda fanira Kutsauka ruzivo zano chiremba. Pashure pezvose, pamwe rwaikurumidza kuuya uye kukodzera kurapa imwe fistula kungaita kuti zviome zvakakomba kuti anogona kukanganisa upenyu hwevanhu.

Asi pasinei ichi mukana, kurapa kungaitwa pane kwakajairika vateveri vachiri kushandisa zvetsika dzakawanda nzira kuti nokuvhara fistula. Ngatimbokurukurai zvimwe zvacho zvizere.

Ligature fistula kurapwa kushandisa Aloe

Achigadzirira munhu medicament zvinokosha kutora mbesa dzinomiririrwa dzine miseve 10-12, uye ipapo ugovashambidza mu anodziya mvura. Uyezve, Aloe kunodiwa dzakarukwa zvakanaka Chop uye kuiswa Rita chirongo. Vachikwanisa zvinokosha kudira 300 g chero uchi, kufukidza zvakasimba uye nzvimbo munzvimbo ine rima kwemazuva 7-10. Saka pashure pemazuva 4-5 mukanyiwa ndiyo kunovhengana hunodiwa tsime. Panoperera ari aizomupa anofanirwa dzinobvisa kakati uye kupfeka dhizeti chipunu katatu pazuva.

Mafuta kuti zvekunze fistula

mafuta Izvi zvakanakira kuporeswa uye Mabatirwo fistula nepanhengo uye mugaranhoko. Nokuti ichi tinoda uswa mvura mhiripiri, mioak omuti, mafuta uye maruva toadflax. All vakaisa miti vanofanira muchikuya, uye ipapo akaisa chero mudziyo uye ipapo ugodira yakarukutika mafuta. Nhamba mafuta uye mishonga vanofanira kuva munhu maviri.

Mushure akaita zviito zvakakodzera kuisa vakazadza midziyo muchoto uye kutendeukira uri kunonoka moto. Heat mafuta zvinganaka kwete asingasviki 7-11 maawa. Panoperera mushonga zvinokosha kuchitonhora mumupanda tembiricha. A nzira kwokubata mafuta akadaro nyore. Kuti aite izvi, kuti munhu donje swab zvakawanda tsvedzesa zvinoreva, uye ipapo vachikoshesa kune fistulous buri. Zviri chinodiwa kuchinja kupfeka kwemaawa mashanu ose.

Muto achibva kuruvanze fistula

Infusions uye decoctions camomile the zvinodhaka chete externally - nokuti rinsing mawindo. Nokuti gadziriro yavo zvinoda munhu kutora guru aidya chipunu maruva yakaomeswa, yokubika imwe cup kufashaira mvura uye richadzipa kwemaminitsi 60 uye yakasvinwa zvakanaka.

Uyewo yokushambidza fistula zvisikwa uye kushandiswa anorumanya broths akaita kubva Marigold.

dziviriro

Zvino munoziva kuti kubata fistula, chii, nei zvinoitika. Kudzivirira vawana mugero kunofanira kusanganisira kudzivirira zvirwere. Uyezve, vanofanira mukanyatsochengeta kuchengeta mitemo asepsis pakuvhiya.

Panyaya kudzivirira vachiberekwa fistulas, hazvibviri, sezvo chirwere rikaitika trimester akazvitakura rokutanga.