Uma wazi ukuthi zonke izinhlobo ze-fistula zihlukaniswe zibe yi-congenital, zitholakale, futhi zakhiwe ngobuciko, i-fistula ye-ligature ye-cicatrix ye-postoperative iyoba yingxenye yesigaba sokugcina. Ngakho-ke, kungenzeka noma kuphi, uma kukhona ukungenelela kokusebenza, emva kwalokho ukuvuvukala kwenzelwe ukuphathwa kwe-suture-ligature. Futhi akekho umehluko ohlobo lwendwangu esetshenziselwa (zokwenziwa, ezokwemvelo, ezitholakalayo noma cha). Ngezinye izikhathi imbangela ye-fistula ukunganakwa kwabasebenzi bezokwelapha, kodwa kwenzeka ukuthi umzimba ngokwawo ulahla izinto ezikude.
Ukwelashwa okuqaphayo kwe-ligature fistula ye-scaroper post
Njengomthetho, inqubo eyisiqalo yokwelapha isenza uzizwe ngisho nangaphambi kokuba isiguli sikhululwe ekhaya. Ngeshwa, akubona wonke umuntu olalele isimo sakhe ngemuva kokusebenza futhi ngokuqinisekile ufisa ukukhishwa ekamelweni lesibhedlela ngokushesha. Emva kwakho konke okukhathazayo mayelana nezinqubo zokuhlinzwa ezizayo, ukubuyiswa okuncane emgodleni kubonakala sengathi kuyinto encane. Kodwa-ke, kuphela izibonakaliso zokuqala zokuthuthukiswa kwe-fistula kanye nesigaba sokuqala sokuxhaswa, kungenzeka ukuthi ukwelashwa kwakhe okuzimele.
Udokotela ohlinzayo owaziwayo uyoziqhenya ukuthi inqubo yokuphulukisa yomswakama inokuphutha futhi ithatha izinyathelo ezifika ngesikhathi. Okokuqala, indawo yokuvuvukala ihlolwe ngokucophelela, izicubu ezifile zisusiwe, ukuze ukuphulukiswa kwesilonda kuqhubeke ngokushesha. Lokhu kwenziwa ezinhlangothini eziningana ngokuphathwa kokwelashwa njalo ngesisombululo se-antiseptics. Okwesibili, izintambo zisuswe ngokufanayo, ukuphela kwazo okubonakala kuwo.
Imithi enqunyiwe:
- ama-antibiotics ( Ampicillin , Ceftriaxone, Norfloxacin, Levofloxacin);
- ama-antiseptics zendawo endaweni yama-powders namafutha angencibilika emanzini (Levomikol, Trimistin);
- ama-enzyme ahlakaza amangqamuzana afile.
Amafutha adumile u-Vishnevsky futhi ngesisekelo se-synthomycin ayaphikisana ngenxa yesisekelo sabo samafutha.
Ukuzikhethela kokusebenza kwe-ligature fistula
Okubi nakakhulu uma i-fistula ingaphakathi kwezitho zangaphakathi. Noma ngaphandle, kodwa ukuvuvukala kudlule kakhulu. Kulesi simo, kunezindlela ezimbili ezivela ezinyathelweni ezinkulu:
- ukususwa kwezinto eziphathekayo ngaphandle kwe-dissection ye-fistula ngokusebenzisa isiteshi sayo esingenalutho;
- ukuqedela ukucabangela kwe-fistula ukuze ususe i-ligature uphinde ugeze isilonda kusuka kokususwa.
I-fistula egxilile, ephathwa ngokucophelela noma ehlinzekwa, ibonakala ku-quartz noma i-ultrasound esikhungweni sezokwelapha. Ukuhlolwa kwe-ultrasonic kuqinisekisa ukuthi yonke imicu isusiwe ngaphandle kokuhlala.
Ukwelashwa kwegciwane lesiguli se-fistula ekhaya
Izindlela ezingezansi zokwelashwa kwezinhlobonhlobo ze-fistula ziningi kakhulu, kodwa akudingekile ukuba zithembele ukuthi kuzokwazi ukubhekana ngokushesha nokuvuvukala emgqeni we-ligation, uma kungasuswa ngaphambilini ngokusabalalisa isayithi lokuxhaswa. Uma ungaphuthelwa isikhathi, uzama ukulwa nezindlela ezingalungile ekhaya, inqubo ingaba yimbi kuze kube sepsis. Uma ukugxila kukhishwa kahle esibhedlela, udokotela uzomnika iseluleko kuye, yiziphi izinqubo ezilula ezingenziwa ekhaya ukusheshisa ukuvalwa kwesilonda.
Isibonelo:
- Esikhathini se-fistula esigxiliwe, i-bandage ye-usawoti isetshenziswa njenge-antiseptic njengeprophylaxis yokuvuselelwa kabusha, ngisho noma kwakungenakwenzeka ukususa zonke izintambo kusukela ekuhlukaniseni. Isixazululo sosawoti esikhudlwana senziwa ngesilinganiso se-1 tsp ngayinye engilazi yamanzi abilayo.
- Ungakwazi ukususa i-fistula ngamanzi ashisayo okwanele, wenze ama-lotions noma ama- bandages .
- Ukwelashwa kwegciwane le-fistula ne-Dimexide nakho kuvamile ekhaya. Lokhu kuyinkimbinkimbi yezinga eliphezulu emhlabeni wonke, lapho isisombululo se-50% -90% esingaba khona singalungiselelwa khona. I-Demixid inekhono lokudonsa konke ukungcola okuvela esilonda esiswini.