Hōʻike ākea o ka maʻi
ʻO kēia kahi huhū nui o ka pūnaewele cell pararectal. Ma kahi o 30% o nā maʻi āpau e kumu ʻia e ia. I ka hapanui o nā hihia, kumu ʻia ka paraproctitis e ka flora polymicrobial. I ka wā o ka inoculation o nā ʻike purulent, staphylococci, Escherichia coli, Gram-positive a me Gram-maikaʻi bacilli e ʻike mau ʻia. Ma ke ʻano he kānāwai, hoʻomaka koke ka maʻi, a hele pū me nā ʻōuli i haʻi ʻia, hōʻoluʻolu ʻole, a me ka ʻehaʻeha loa. Koi aku urgent a koke lapaʻau.
ʻO nā kumu e hoʻonāukiuki i ka hoʻomaka o ka paraproctitis
ʻO ke kumu o ka paraproctitis kahi maʻi i komo i loko o nā mea palupalu a puni ka anus, e hoʻoulu ana i nā mumū a me nā abscesses. Hoʻopili ka maʻi i loko o nā ʻeha i hoʻokumu ʻia e ka maʻi diarrhea a i ʻole ka constipation, hemorrhoids, anal trauma. I kekahi manawa paʻakikī ke hoʻokumu i ke kumu kikoʻī o ka hoʻomaka ʻana o ka maʻi i loko o kekahi kanaka. ʻOiai ʻo ka iwi a me ka scarloop hua manu paha i ale wale, i puka me nā feces, hiki ke hōʻeha i nā ʻōpū.
Ma waena o nā kumu maʻamau o ka paraproctitis, ua kāhea nā kauka i kēia:
- ka hoʻonui a me ka mumū o nā uaua hemorrhoidal;
- māwae anal;
- nā maʻi līlū o ke ākea a me nā ʻāpana ʻē aʻe o ka ʻōpū;
- nā maʻi stool (diarrhea, constipation);
- maʻi pale maʻi;
- ka hoʻolāʻau mau ma nā ʻōnaehana o ke kino.
Nā ʻano o ka paraproctitis
Kaukaʻi ʻia i ka wahi, nui nā ʻano o ka maʻi.
- 1 Palehua paraproctitis… Kū pololei kahi abscess ma lalo o ka ʻili, ʻike ʻia nā hōʻailona o ka maʻi a ke nānā ʻia, ʻo kēia ka ʻano maʻamau o nā maʻi.
- 2 Palehua paraproctitis… Aia ka paraproctitis purulent i ka pololei ma lalo o ka membrane mucous.
- 3 ischiorectal… Pālahalaha ka ʻōpala i ka mākala e hāpai i ka nono.
- 4 Pelviorectal… Pālahalaha ka ʻōpala i nā mākala o ka hāpai ʻana o ka anus a hana ma o ia i nā mākala pelvic. Ma muli o ka hoʻolaha ākea, ʻo kēia ʻano paraproctitis ka mea weliweli loa.
Hoʻohui, hiki ke pehu hohonu or pāleʻa.
Nā ʻōuli o ka paraproctitis
Hoʻomaka koke kēia maʻi a hoʻohālikelike ʻia e nā hōʻike maʻi maʻi kolohe. Eia nā hōʻailona laulā e ʻike ʻia i nā hola mua ma hope o ka hoʻomaka ʻana o ka maʻi.
- ʻeha ma kahi o ka pololei a me ka anus. Hiki i ka ʻeha ke komo i loko o ke aʻa a me ka perineum, a i loko o ka ʻōpū o ka ʻōpū; i ka wā o ka neʻe ʻana o ka ʻōpū, hoʻonui ia.
- koi pinepine a wahaheʻe hoʻi e hoʻēmi, akā hiki nō i ka paʻa paʻa.
- urination ʻeha;
- nā hōʻailona o ka ʻona e like me ke kuni, nāwaliwali, pale, nalowale o ka makemake a me ka poni, hiki ke piʻi ka mahana i nā 39 kekelē.
Hōʻike ʻia kēia mau ʻōuli ma nā ʻano āpau o ka paraproctitis a ʻaʻole pili i kona wahi. Eia nō naʻe, hoʻomohala kēlā me kēia ʻano pathology i kāna mau hōʻailona ponoʻī e kōkua ai e hoʻoholo pono i kahi i hoʻomaka ai ka mumū.
RџSЂRё subcrutaneous paraproctitiske loaʻa ka abscess ma kahi o ka anus ma lalo o ka ʻili, ʻike nui ʻia nā ʻōuli: ka pehu ʻeha ma ka anus, me ka ʻulaʻula o ka ʻili ma luna ona. Hoʻonui mālie nā ʻeha, ke kiʻi ʻana i kahi ʻano pulsating ikaika, lawe mai i ka ʻoluʻolu nui ke noho, defecating. Hele pū kēia mau hana me ka ʻehaʻeha loa. ʻO kēia ʻano abscess ka mea maʻamau.
Naloʻa submucosal Aia ma lalo o ka mucosa kūpono. ʻO nā ʻōuli o kēia ʻano wahi e like me ka abscess subcutaneus, akā ʻo ka ʻeha a me nā loli o ka ʻili i hoʻoliʻiliʻi loa ʻia.
Aia ʻo RџSЂRё ischeorectal abscess purulent kikoʻī ma luna o ka mākala e hāpai ana i ka anus. Ma muli o kahi abscess hohonu, ʻoi aku ka maopopo ʻole o nā ʻōuli kūloko: ʻehaʻeha o ka ʻehaʻeha i ka pelvic a me ka wahi o ka pololei, kahi e hoʻonui ai i ka wā o ka ʻōpū. ʻUlaʻula ʻula, hāhā i 5-6 mau lā ma hope o ka hoʻomaka o ka ʻeha. He kaumaha ka manaʻo maʻamau: hiki i ka mahana ke piʻi aʻe i 38 kekelē, ʻike ʻia ka ʻona ʻino.
Manaʻo ʻia ka paʻakikī loa pelviorectal abscess… He ʻano laha ʻole kēia o ka abscess ʻino, ke kau ʻia kahi pululent focus ma luna o nā mākala e hana ana i ka papakū pelvic, ua hoʻokaʻawale ʻia ia mai ka ʻōpū o ka ʻōpū e kahi papa lahilahi o ka peritoneum. Hele pū ka hoʻomaka ʻana o ka maʻi me ke kuni kiʻekiʻe, ka haʻalulu, a me ka ʻeha pū. Nā ʻōuli kūloko: ʻeha ma ka hui pūhaka a me ka lua o ka ʻōpū. Ma hope o 10-12 mau lā, hoʻonui ka ʻeha, noho ka noho a me ka mimi.
Kuhi ʻia kekahi poʻe kaʻawale necrotizing paraproctitis… Hoʻohālikelike ʻia kēia palapala e ka hoʻolaha wikiwiki ʻana o ka abscess, me ka nui o nā nekrosis o nā mea palupalu a koi aku i ko lākou hemo ʻana, a laila koe nā scars nui, e koi ana i ka hana a kahi kauka lula.
Paraproctitis i nā keiki
ʻO ka hapanui pinepine, kū ka paraproctitis i ka poʻe ma mua o 20 mau makahiki, akā aia pū kekahi me nā keiki i ka makaʻu. ʻO nā ʻōuli i nā keiki e like me nā mea maʻi makua, eia naʻe, ʻoi aku ka paʻakikī o ka hōʻoia ʻana i ka maʻi, ʻoiai ʻaʻole hiki i nā pēpē ke wehewehe pono i nā mea e hopohopo nei iā lākou.
E nānā pono nā mākua i ke kuni, e uē pinepine ana mai ka pēpē, keu hoʻi i ka wā o ka ʻōpū, a me ka paʻa paʻa. Ma ke ʻano he pilikia, ʻeha nā keiki i ka paraproctitis subcutaneous, no laila, ʻulaʻula a pehu ka ʻili a puni ka anus.
Nā kumu o ka hoʻokumu ʻia o paraproctitis i nā keiki:
- nā mea kūpono ʻole o nā glands i ka polū;
- haʻahaʻa palekana;
- pehu o nā ʻōpū a me nā ʻōnaehana hanu;
- dysbiosis ʻōpū.
Nā pilikia me ka paraproctitis
Inā ʻaʻole e haki ka paraproctitis purulent i ka manawa, e kupu mai nā pilikia weliweli.
- hiki i kahi hana purulent ke hōʻino i nā paia o ka ʻōpū a me nā paia o ka wahine i nā wahine;
- me ka localization subcutaneous, hiki i waho ka luku ʻia o ka abscess, a hiki i nā maʻi hou aʻe;
- ka hōʻinoʻana i nāʻiʻo momona ma ka pelvic;
- hōʻino i ka urethra i hoʻokumu ʻia e kona infiltration purulent;
- peritonitis ma muli o ka hoʻolaha wikiwiki ʻana o ka lī i ka ʻōpū o ka ʻōpū;
Hiki i ka wā postoperative ke paʻakikī. ʻOiai inā pili ka kaukipō i nā lula āpau o ke komo ʻoki ʻana, ke kahe ʻana o ke koko, nā pilikia maʻi a me nā pilikia ʻē aʻe o ka postoperative.
Kāohi ʻana i ka paraproctitis
ʻAʻohe hana pale kūikawā no kēia maʻi. Pono ia i ka manawa kūpono a mālama pono i nā maʻi āpau āpau. ʻAʻole pono e nānā ʻia nā maʻi maʻi o nā ʻōnaehana kino ʻē aʻe. He mea nui ka maʻemaʻe pili pono. Pono pono e kipa pinepine i ke kauka no kahi hoʻokolohua pale, a ʻaʻole e hoʻolohi i ka huakaʻi i kahi loea ke hoʻomaka ke kino e hāʻawi i nā hōʻailona weliweli: ʻeha, hōʻoluʻolu, nāwaliwali, etc.
lapaʻau '
ʻO ka hōʻailona o "paraproctitis", ma ke ʻano he rula, hana ʻia ma ke kumu o ke aʻo ʻana i ke kiʻi olakino, a ma hope hoʻi o ka ninaninau ʻana i ka kiko. I ka wā o kēia hoʻokolokolo ʻana, hoʻokomo ke kauka e kau ana i nā mīkina lima kūikawā i ka manamana lima i loko o ke anus a maʻalahi hoʻi i nā paia o ka pololei. I kēia hihia, hiki i ka mea hoʻomanawanui ke moe ma kona ʻaoʻao a ma kona kua paha, i kahi noho gynecological. Lawa kēia lawa pinepine.
I nā hihia kakaikahi, ʻoi loa me nā ʻano holomua a paʻakikī hoʻi o ka maʻi, kuhikuhi ʻia kahi hoʻokolohua instrumental e hoʻohana ana ʻōiwi kikoʻī (ninaninau endoscopic) a i ʻole kiʻi ultrasonography (hoʻokomo o kahi ultrasound probe i loko o ka polima).
Hoʻomaʻo i ka paraproctitis i ka lāʻau lapaʻau
ʻO ka paraproctitis huehue kahi pilikia olakino a koi ʻia i ka lāʻau lapaʻau.
He mea nui ʻo Anesthesia i ka mālama ʻana i ka paraproctitis koʻikoʻi. Hana ʻia ka hana ma lalo o ka anesthesia ākea, a pono nā kauka e hoʻomaha i nā mākala o ka mea maʻi e like me ka hiki. Pono ke ʻoki kino no ka paraproctitis i ka mālama ʻana i kekahi mau lula nui e hemo i ka mumū purulent:
- oki abscess;
- hoʻokahe abscess;
- ka loaʻa ʻana o nā wahi o ka ʻōpū a me kona hemo ʻana.
I kekahi manawa hana nā kauka ʻike ʻole i ka incision a me ke kahe o ka abscess e mālama ai i ka paraproctitis, i hiki ke alakaʻi i kahi relaps a i ʻole anal fistula.
I ka wā postoperative, pono ka mea maʻi e lawe i nā antibiotic e pale ai i ka hoʻi hou o ka paraproctitis. Pale pū lākou i nā ʻōnaehana kino ʻē aʻe mai maʻi a mai nā pilikia e like me sepsis a i ʻole peritonitis.
I loko o ka wā hoʻōla, he mea nui ia e mālama i ka hoʻomaʻemaʻe pili pono. Holoi ka wahi rectal i ʻelua mau manawa i ka lā i ke kakahiaka a me ke ahiahi a ma hope o kēlā me kēia neʻe ʻana o ka ʻōpū e pale ai i ka maʻi o ka ʻeha hope.
Nā huahana pono no ka paraproctitis
I ka wā o ka paraproctitis, pono ka mālama ʻana i nā loina o ka meaʻai kūpono. Pono ʻoe e ʻai i nā ʻāpana liʻiliʻi e pili ana i 4-5 mau manawa i ka lā. He ʻōlelo aʻoaʻo e kūpaʻa i nā ʻōlelo aʻoaʻo papaʻai maʻalahi aʻe:
- 1 inu i ka 1,5 liters o ka wai i ka lā. ʻO ka wai, tī, kefir a i ʻole ka waiū i hoʻomoʻa ʻia, nā kīʻaha lāʻau, nā mea inu hua mea maikaʻi. Akā mai ka soda, ʻoi aku ka momona - ʻoi aku ka maikaʻi o ka hōʻole i ka wā o ka maʻi.
- 2 ʻOi aku ka waiwai o nā hua a me nā mea kanu no ka mea loaʻa ka fiber. Pono ʻoe e ʻai i ka zucchini, ka beets, nā ʻāpala, ka paukena, maiʻa. Kōkua lākou i nā pā palupalu e hōʻeha ʻole i nā paia o ka ʻōpū a me nā mea komo i hoʻopili ʻia.
- 3 ʻAi i nā meaʻai wela ma ka liʻiliʻi i hoʻokahi manawa i ka lā, e like me ka sup māmā a me ka pala.
- 4 No ka ʻaina ahiahi, ʻoi aku ka maikaʻi o ka ʻai ʻana i kekahi mea māmā a inu i ka yogurt. ʻAʻole pono ia e ʻai i nā huaʻalea a i ʻole nā protein.
ʻO ka lāʻau kuʻuna no ka paraproctitis
- ʻO kahi ala kūpono e hoʻopau ai i nā ʻoluʻolu ʻole, nā ʻeha ʻeha kahi ʻauʻau e pili ana i ka paʻakai a me ka soda. Pono ʻoe e hoʻolapalapa i 5 liters o ka wai, hoʻomaʻalili e lilo i mea mahana, a laila hoʻoheheʻe i 1 punetēpō o ka paʻakai a me ka soda. E kānana i ka wai ma o cheesecloth, a laila ʻauʻau. Paipai ʻia e noho i loko o ia no 10 mau minuke, ʻo ka papa he 15 ia ʻano hana.
- Hoʻomākaukau ʻia kahi ʻauʻau ʻē aʻe no ka paraproctitis mau ma ke kumu o ka mummy. E hoʻonā i nā papa he 10 i loko o ke kīʻaha wai, e hoʻowali maikaʻi, kānana, hoʻohui i 5 liters o ka wai mehana a noho hoʻi no kekahi mau minuke.
- Douching me ka calendula infusion. He maʻalahi ia e hoʻomākaukau iā ia. Pono ʻoe e pulu i ka 20 gram o nā pua hou, ninini i ke kīʻaha o ka wai i hoʻolapalapa ʻia, e hoʻokuʻu iā ia no ʻelua mau hola, a laila e hoʻopili me kahi enema. Paipai ʻia e mālama i kona lihi me ka ʻaila a me ka kirimalu.
- He hopena laxative mālie kā nā hua Rowan. Mai iā lākou pono ʻoe e kaomi i ka wai - ma kahi o ka hapalua kīʻaha, a inu i kahi manawa liʻiliʻi 3 mau lā i ka lā ma mua o ka pāʻina ʻana. A mai ka pulp i koe, hiki iā ʻoe ke hana i kahi compress, a hoʻopili i ka anus.
ʻO nā huahana pōʻino a me nā mea ʻino me ka paraproctitis
I ka wā o ka paraproctitis, pono ʻoe e hoʻōki loa i ka puhipaka, inu i nā mea inu ʻona, nā mea ʻono a me nā momona, nā pōpō, nā mea ʻono, nā mea inu kalapona. Lawe lākou i mea hoʻonāukiuki ikaika i nā ʻōpū.
He mea kūpono hoʻi ke kāpae ʻana i ka meaʻai wikiwiki, “meaʻai maloʻo” mai ka papaʻai. ʻAʻole hiki iā ʻoe ke ʻai i ka meaʻai e mālama ai i ka pahu. Hoʻopili pū ʻia nā cereala maʻemaʻe a me nā momona. ʻAʻole pono ia e ʻai i ka laiki i hoʻolapalapa ʻia a i ʻole ka oatmeal, inu i ka jelly, tī ikaika, cocoa.
E nānā!
ʻAʻole kuleana ke alakaʻi no nā hoʻāʻo e hoʻohana i ka ʻike i hāʻawi ʻia, a ʻaʻole ia e hoʻohiki ʻaʻole e hōʻeha iā ʻoe iho. ʻAʻole hiki ke hoʻohana i nā mea e kuhikuhi ai i ka lāʻau lapaʻau a hana i kahi kuhi. E nīnau mau i kāu kauka loea.
გამარჯობათ ოპერაციის შემდეგ შავი აიი ასი პურის მიღება თუ შეიძლება