I-paraproctitis ezinganeni

Ukwelashwa emzimbeni wengane kungabonakala ezifweni eziningi, kufaka phakathi i-paraproctitis, lapho ingxenye engezansi ye-rectum igcwele khona. Lesi sifo senziwa ngenxa yokuvuvukala kwezicubu ze-peritopulmonary futhi kuvamile ezinganeni ezineminyaka ehlukene, ikakhulukazi ezinganeni.

Izimbangela ze-paraproctitis

Lesi sifo sibangelwa ama-microbial pyogenic, okuyinto lapho ivinjelwe yi-duct ye-supplement form ye-gland, engena ezikhaleni zamaselula kusukela ku-lumen emathunjini. Lapho i-paraproctitis ebantwaneni, ukutheleleka kusakazeka kusuka emgqeni. Isizathu sesifo singaba:

• i-microtraumas yesikhala se-perianal (indawo esungeze i-anus);
• umonakalo ku-mucosa emaceleni;
• ukuqotshwa kanye ne-stasis;
• ezinganeni - inqubo ye-pathogenic yokwakhiwa kwe-microflora yamathumbu.

Izimpawu kanye nenkambo yesifo

I-paraproctitis ibukeka njenge-suppuration, kodwa ngokujulile ukuvuvukala, kuyinkimbinkimbi ngokwengeziwe inkinga yesifo. Lesi sifo siqala ngomkhuhlane we-39 ° C kanye nobuhlungu esifundeni sesilwane. Ingane ikhononda ngobuhlungu obukhulu lapho ichama futhi iphuma emathunjini. Kukhona ukuvuvukala nokubomvu kwesikhumba, kanye nobuhlungu lapho uthinta indawo ethintekile.

Ukuhlukanisa phakathi kwamafomu ajwayelekile nesifo esingapheli sesifo. Esimweni esibucayi sesifo, ukuvuvukala kwe-purulent kuvame ukuvela ngokweqile (ngaphansi komcibisholo noma ngaphansi kwe-submucosa) futhi kaningi kancane okutholakala endaweni ejulile. Ngenkambo ende yeso simo esibucayi noma i-fistula yokuzalwa engqondweni, lesi sifo singathatha ifomu elingapheli.

I-paraproctitis ezinganeni

Ngokuvamile, ukwelapha ngesineke kwenziwa ngaphansi kokuqondiswa okuqinile kodokotela, ngoba i-paraproctitis ingaba nzima kakhulu izinkinga ngendlela ye-sepsis. Esikhathini sokuqala, lesi sifo singelashwa ngendlela efanele ngokusetshenziswa kwamanzi okugeza, ama-microclysters, i-ultraviolet irradiation, ama-antibiotics namakhandlela. Ukungabi namandla ezinamandla nokuthuthukiswa okusobala yizinkomba zokungenela ukuhlinzwa. Ama-fistula nawo avulwe ngokuhlinzwa ukuze asuse ipus. Ukwelashwa kwe-paraproctitis kufanele kwenziwe ngudokotela onolwazi, ngoba kubalulekile hhayi kuphela ukuvula nokukhipha i-pus, kodwa futhi ukuqeda imbobo yangaphakathi lapho i-abscess ikhuluma ne-rectum. Kumele kuqashelwe ukuthi ukwelashwa okwesikhashana kwe-paraproctitis enomphela kuphela ngokululala okuphelele, futhi kuphela ku-8-9% weziguli lesi sifo singangena kwifomu elingapheli.