I-fistula iyi-canal ye-pathological ehlanganisa izitho ezingenalutho noma isifo sesifo, isidumbu somzimba, isitho esingenalutho nomzimba womzimba. I-fistula ye-rectum - esinye sezifo ezingathandeki kakhulu, okwenza kube nokuphazamiseka okuningi. Ukuze ugweme ukucindezeleka ngesimo sokuguquka kwesifo kuya esimweni esingapheli noma ukwakhiwa kwesisu endaweni yesilonda, kubalulekile ukufuna usizo lwezokwelashwa nokwelashwa ngesikhathi.
Izimbangela ze-fistula ku-rectum
I-fistula ye-rectum, engumgogodla we-pathological phakathi kwegundane nesikhumba ezungeze i-anus, iqala ngenxa yenqubo eqondile yokuhlanza. Ngokuvamile lokhu kungumphumela we-proctitis - ukutheleleka kwendonga yomhlanga (rectum) udonga noma i-paraproctitis - ukutheleleka kwezicubu ezizungeze i-rectum. Ngalesi sifo, i-abscess rectal form, evuliwe, eyenza i-fistula.
Lezi yizimbangela eziyinhloko zokubunjwa kwe-fistula. Ezinye izizathu zingase zibe:
- ukungena kwe-aggregate yesifunda;
- ukuvuthwa okwenziwe ukuvuvukala kwezindonga ze-rectum;
- ukuthengiswa kokusebenza kwe-rectum;
- ukuhlukunyezwa kokubeletha ;
- izinkinga zokungenelela kwamagciwane;
- isifo sofuba sendima ye-rectal;
- isifo sezinyosi ezihlukahlukene;
- i-chlamydia ;
- i-oncoprocess;
- I-HIV, i-AIDS, i-syphilis, njll.
I-fistula ye-rectum - izimpawu nezinkinga
Izimpawu eziyinhloko ze-fistula ye-rectum:
- Ukuba khona esikhunjeni se-perianal endaweni ye-fistula kuyisilonda, lapho i-syphilis ne-pus zihlala khona ngezikhathi ezithile;
- ukuzwa ubuhlungu bokuhluka okuhlukene, ukukhuliswa nge-palpation, ukuhlezi, ukuhamba, ukuhlukunyezwa (uma i-fistula igxiliwe kahle, kukhona ubuhlungu obukhulu);
- ukuba khona kokuvuvukala nokubomvu ezindaweni ezithintekile;
- ukushisa komzimba okwandisiwe;
- isimo esibi sezempilo, ukuwohloka kokulala, ukwesaba.
Njengomthetho, lesi sifo senza u-wavy - kungenzeka ukuxolelwa, futhi emva kwesikhashana - ubuyela emuva. I-fistula eyinkimbinkimbi, ekhona isikhathi eside ihambisana nezinguquko zendawo - izinguquko ze-cicatricial in the muscle, deformation of the umhubhe anal, ukungakwazi ukusebenza sphincter anal. Uma i-fistula ye-rectum ingelashwa iminyaka eminingi, lesi sifo singaba sibi kakhulu.
Ukwelashwa okunama-fectus
Indlela kuphela ephumelelayo yokwelapha i-fistula ye-rectum iyindlela yokuhlinzwa. Kunezindlela eziningana zokungenelela kokuhlinzeka, kodwa enhliziyweni yazo zonke zilele ukuxolisa kwe-fistula ye-rectum. Ukukhethwa kwamasu kunqunywa uhlobo lwe-fistula, ukutholakala noma ukungabikho kwezibazi kanye nezinguquko zokuvuvukala. Kwezinye izimo, esikhathini sokuqala, ukwelashwa kwama-antibiotic kuyadingeka ukuqeda ukungena kwe-inflammation, futhi i-physiotherapy nayo ingabekwa.
Phakathi nesikhathi sokuxolelwa, lapho ukuvalwa kwe-fistulous kuvulwa, ukusebenza akusebenzi ngoba kungenalo imikhombandlela ecacile kanye nokulimaza izicubu ezinempilo. Ukusebenza kwenziwa esikhathini esibandayo sesifo.
Ngesikhathi sokusebenza, lokhu kusebenza okulandelayo kungenzeka:
- Ukuvulwa okwengeziwe kanye nokugeleza kokuvuvukala okuhlanzekile.
- Ukusika i-flap yezincubu ezicutshungulwayo bese uyishukumisela ukuvala ukuvulwa kwe-fistula.
- Ukuvalwa kwe-Sphincter, njll.
I-fistula yenkathi ye-rectum - postoperative
Ngemuva kokuhlinzwa, iziguli zinqatshelwe ukwelashwa okulindelekile, okufaka:
- Izidakamizwa zokubulala umzimba neziphikisayo.
- Ukugeza okubhebhethekile okubhekene nezixazululo ze-antiseptic.
Ukuphulukiswa okulimazayo kwenzeka ngokwesilinganiso ngaphakathi kwenyanga. Isikhathi sokuvuselelwa kwezicubu sincike emthamo wokuhlinza nokuhambisana nezincomo zezokwelapha. Esikhathini se-postoperative, umsebenzi womzimba kufanele ukhishwe.