Fistula - kuyini? Fistula amakhambi ukwelashwa abantu. fistula ligature

Fistula - kuyini? Impendulo yalo mbuzo kungatholakala izinto olunikezwa sihloko. Ngaphezu kwalokho, sizokutshela mayelana nokuthi kungani i isimo okungavamile ezifana kwenzeka, kanye lokho kuhambisana izimpawu nendlela ungakwazi ayibulale.

Uhlolojikelele

Fistula - ukuthi uhlobo ukungamukeleki? Zokwelapha, into sokugembula enjalo livame ukubizwa fistula. Leli gama lisuselwa Latin "a fistula" futhi ngokwezwi nezwi lisho "tube". Ngamanye amazwi, lo fistula uhlobo imbobo exhumanisa unesimila noma isilonda surface noma izimbotshana ezimbili (umzimba amabili) phakathi kwabo.

ukubukeka

Fistula - yini lesi simanga sokugembula, nanokuthi libukeka kanjani? Ngokuvamile, i-fistula enjalo ine uhlobo isiteshi kunalokho emincane eyayibe uphahlwe EPITHELIAL ungqimba futhi kuhambisana uketshezi isici.

Izizathu eziyinhloko

Yini ebangela fistula? Izimbangela nalokhu kwenqaba zihlanganisa lokhu okulandelayo:

• Ngemva ukumisa iyiphi ukuvuvukala ubomvu ngokuvamile uyaphuma. Ngaphezu kwalokho, iwumzila igelezela kuzo ukuphulukiswa kobuhlungu esizayo. Nokho, kwezinye izimo (isib, uma ukuvuvukala awuzange iqedwe ngokuphelele) ku ijwabu ingaphakathi ukujula siyaqhubeka itheleleke nge (ngezinye izikhathi ngisho ingxenye owawusufile wethambo), ngakhoke "tube" akuyona tho, futhi yakha fistula ubovu.
• Noma nini kungase kuphakame Fistulas livela emsukeni izinyo (periodontitis ezingamahlalakhona) edabula izinsini elimanzi lomhlathi wembongolo.
• Kepha nxa impumputhe okudutshulwa akuzona izinsalela amachashazi zobhejane ngesikhathi, lenze ngalesosikhathi eduze kwabo nakho elakhiwe ithumba, okuholela ukuthuthukiswa fistulas.
• Lokhu ukuphambuka ngokuvamile kwakheka emva kokuhlinzwa kanye iqhubeka ezivuzayo eduze ligatures (ngamanye amazwi, lokuluhlaza esetshenziselwa Ligation kwezicubu zangaphakathi, imithambo yegazi, nokunye.). Kulokhu, kukhona fistula ligature.

Izinhlobo fistulas ngendawo

Ngaphambi kokuqhubeka ekwelapheni ukuphambuka ezinjalo, ukucacisa uhlobo yayo. Yenza kube lula, njengoba lokhu ngezigaba kuncike ngokuyinhloko indawo:

• fistula esiswini. Lokhu zokugula ngokuvamile kwenzeka emva imisebenzi kuhlinzwa (isibonelo, emva resection isitho main wokugaya ukudla).
• fistula Rectal.
• Anorectal fistula. Lokhu ukuphambuka libhekene isiteshi sokugembula ivela ingquza (noma ingemuva) esikhunjeni.
• fistula Pararectal. Uyaphuma kusukela crypts anal esikhunjeni.
• fistula Rectovaginal. Lapho leso sifo ezilimele septum rectovaginal.
• Duodenal, noma okuthiwa fistulas emathunjini. Lena isiteshi zangaphandle esukela duodenum.
• fistula bronchial. Lokhu ukuphambuka kuhambisana zokuxhumana sokugembula ne Isikhala sayo esingaphakathi we bronchus ingaphakathi pleural.

Izinhlobo fistulas ngenxa ukuvela

Kasibili iyiphi fistula (isithombe bokuhluka kwedatha okwethulwa kulesi sihloko) kungenziwa labizwa ngokuthi elandelayo:

• Uthenge i. Ngamanye amazwi, into enjalo kwenzeka ngenxa suppuration (isb, izinyo fistula nge periodontitis ezingamahlalakhona) noma izifo ezibucayi ezifana osteomyelitis nesifo sofuba.
• Azalwa naso. Kulokhu, lo fistula uvuke kombungu (inkaba, intamo, njll).
• Ngemishini. ngeziphambeko amafomu ezinjalo ngemva kokuhlinzwa (isib fistula ligature).

Izinhlobo fistulas by ukuxhumana imvelo

Kulokhu, into sokugembula enjalo kungaba:

• Ngaphandle, okungukuthi ukuya ngqo isikhumba (isib, fistula we ingemuva).
• Inner, isb akasakhulumi nge imvelo bangaphandle, bese uxhuma ngalo ingaphakathi eduze (isib bronhopischevodny fistula) kuphela.

Izinhlobo fistulas ngokwemvelo imfihlo, okuyinto wabo

Lezi fistulas yilezi:

• ubovu;
• nolwelwesi lwamafinyila;
• Bile;
• urinary;
• sezinyawo, njll ..

Izimpawu eyinhloko lesi sifo

Isithombe emitholampilo yalesi sifo kuncike ngokuyinhloko indawo fistula kanye nezizathu nesenzakalo yabo.

Ngakho, isici esiyinhloko lesi sifo (zangaphandle) imbobo esikhumbeni, okuyindawo ketshezi ikhishwe. By the way, ukubonakala fistula kungase eyandulela noma ukulimala kule ndawo, noma ukuvuvukala kwezicubu ezizungezile futhi izitho, noma ukuhlinzwa.

Ngokuqondene fistula yangaphakathi, avame zivela ngenxa yezinkinga ezihambisana nezifo noma oyingozi. Ngokwesibonelo, nenyongo ngokuvamile kwakheka ngenxa ukuvimbela itshe imbobo. Kulokhu, izimpawu incike inani ukuphambuka Bile, okuyinto adedelwa komgodi ongaphakathi kwamathumbu. Ngakho, isiguli bangezwa ubuhlungu obukhulu neziyaluyalu liphinyiselwe ka ipheshana wokugaya ukudla.

Bronhopischevodnye fistulas ngokuvamile nzima ukudla hit in esihlahleni tracheobronchial. Leli qiniso kuholela ukuthuthukiswa nenshisekelo pneumonia noma ukucinana kwemigudu yokuphefumula ngezibonakaliso ezifanele.

fistula rectal bungabonakala zimpawu ezilandelayo:

• Ukuba khona imbobo omncane ingquza (esikhumbeni). Kulokhu, isiguli bangezwa osenyameni kakhulu kobovu, ngenxa okuyinto ephoqelelwe ukugqoka pad izihlambi njalo.
• ubuhlungu ngiyaqaqanjelwa endaweni ingquza. Njengomthetho, emizweni enjalo usubuzwa kakhulu ngesikhathi sokuzikhulula, futhi emva kokuba kubonakale abohle.

Fistula ku izinsini kunqunywa ngezizathu ezifana:

• waveza izinyo ukuhamba;
• ubuhlungu amazinyo, okuyinto kwandisa ngesikhathi touch;
• ubovu khulula.

izindlela ukuxilongwa

Uma ubona ngisho eyodwa yalezi zimpawu, kuyadingeka ngokushesha ubone nodokotela ukuxilongwa isitatimende esilungile. Kufanele kuqashelwe ukuthi noma ibuphi ubunzima e sitholakele ukuphambuka enjalo kusukela ochwepheshe musa kuphakama. Phela, kusekelwe umlando ethatha, ukutadisha izikhalazo ezithile iziguli, a fistula, ukuhlaziya ukwakheka kanye namazinga uketshezi kanye nezinguquko ekusebenzeni kwezitho abathintekayo.

Ukuze acacise ngalezi ziyalezo yobude isiteshi fistula, kanye uxhumano yayo eqondile ngomlilo, ngokuvamile besebenzisa kumba futhi esimweni ngokuhlanganyela ukwethulwa ukudlula umehluko.

By endleleni, kungenzeka ukucacisa uphethwe "fistula esiswini" ngokusebenzisa ucwaningo khona hydrochloric acid. Uma likhona kwisiteshi, kubonisa indawo fistula esiswini. Kodwa fistula urinary libhekene khona uric acid nosawoti.

Kufanele kuqashelwe ukuthi fistula yangaphandle ukuxilonga kalula kakhulu ukwedlula yangaphakathi. Ngenxa yokuthi banobuhlobo imbobo sici, esingekho kuwo ebonakalayo nqunu iso onguchwepheshe. Kepha fistulas yangaphakathi, kufanele abone hhayi kuphela izimpawu ekhona futhi izikhalazo isiguli, kodwa futhi ngosizo ezifana izindlela zokuxilonga njengoba ultrasound, X-ray kanye Endoscopy.

Fistula: ukwelashwa esebenzisa imithi esemthethweni

Ukwelashwa kweziguli fistulas zangaphandle okusekelwe:

• ukwelashwa ngezihloko ezihlukene;
• zokwelapha jikelele;
• nokusebenza.

Ngaphansi yokwelapha wendawo ehilela ukwelashwa okuholela enxebeni ukuvikela izicubu ezizungezile nokusondelana uketshezi, ukhululeka siteshi. Ngokwesibonelo, uma fistula emlenzeni, esiswini nokunye., Bese ziphathwe ubovu esifundeni ngezindlela ezihlukahlukene (yokugcoba, ayinhlama futhi izimpushana). Kusetshenziswe ekuvulweni elingaphandle isiteshi, kanjalo uvimbele ukudala ezinye contact kwesikhumba kuvuze ubomvu, isikhwehlela nokunye.

Ngaphezu kwalokho, kukhona lingasetshenziswa chemical ejenti ukuthi ngaphandle zangaphandle izicubu ukucasuka ngu neutralization kusheshisa kusukela ndima fistula. Kunconywa ukusebenzisa inhibitor enzyme proteolytic (isb, "Gordoks", "Contrycal" kanjalonjalo.).

izindlela Mechanical wokuvikela isikhumba baqondiswa ngokuyinhloko ukwehla noma ukumisa okuphelele osenyameni evela isiteshi esebenzisa zalapho ekhethekile.

Ukuze uthole ukwelashwa jikelele fistula ukonakala nezinye usebenzisa njalo egeza isixazululo yabo isinqandakuvunda.

amavesi Tubular granulating ngokuvamile uvala angesabi emva ukususwa nezimbangela zabo (isib ukususwa ithambo enkantolo, ligatures, nokunye.). Kodwa gubovidnye fistulas neze ukudlula bebodwa. Ukuze ekwelapheni ngeziphambeko enjalo isetshenziswa kuphela ukuhlinzwa excision zabo, suturing ukuvuleka zangaphandle noma resection isitho abathintekayo.

Kufanele kuphawulwe ukuthi kwezinye izimo, akha odokotela abahlinzayo fistula ngemishini ngokuqondile ukuthi isiguli ungadla, noma ukuze alethe imfihlo eqoqwe of kabi noma isiphi isitho yangaphakathi. Lezi ziteshi kungaba kokubili unomphela futhi yesikhashana. Ngemva ekuthuthukiseni iziteshi nesineke yesikhashana zivaliwe surgically.

Ngaphandle lwangaphandle ukuze eyayenziwe ukudala fistulas futhi yangaphakathi (mezhorgannye). Njengomthetho, basuke eziphoqelelwe kungaba isikhathi eside noma ukuphila kwabo konke.

ukuphathwa fistula amakhambi abantu

Yiqiniso, ukwelashwa okunjalo kudinga kuka saziso kokubonisana abanolwazi udokotela. Phela, njengoba ukwelashwa ngaphambi kwesikhathi futhi engafanele fistula kungaholela eziyingozi ezingabeka engozini ukuphila komuntu.

Kodwa naphezu kwaloku, okunye imithi labo abanamathela namanje ukusebenzisa izindlela eziningi lukaKhisimusi ukuvala i-fistula. Ake sicabangele ezinye zazo kabanzi.

ukuphathwa fistula Ligature usebenzisa Aloe

Ukuze ukulungiswa nomuthi kuyadingeka ukuthatha izitshalo emelelwa imicibisholo esinamanzi 10-12, bese ubageze ngamanzi afudumele. Ngaphezu kwalokho, Aloe liyadingeka fake Chop bese efakwa embizeni ilitha. Umthamo kuyadingeka ukuze uthele 300 g kwanoma iyiphi uju, amboze uvalwe nendawo endaweni emnyama izinsuku 7-10. Ngakho emva kwezinsuku 4-5 Isisindo kahle ukuxuba ezifiselekayo. Ekupheleni kwe-ukumnika liyadingeka ukuhlunga izikhathi ezimbalwa uthathe spoon dessert kathathu ngosuku.

Wamafutha for fistula yangaphandle

Lokhu okugcoba muhle ngenjongo yokuphulukisa futhi ekwelapheni fistula emomozini kanye ingemuva. Ngenxa yalesi sidinga utshani yamanzi pepper, oki namagxolo, lard nezimbali toadflax. Zonke izitshalo eziphoqelelwe kudingeka ugaye, wayesezibeka isiphi isitsha bese uthele amafutha engulube kwancibilika. Isilinganiso fat kanye namakhambi kufanele kube elilodwa kuya kwamabili.

Ngemva izenzo ezenziwe ezidingekayo ukubeka ezigcwele kuhhavini bese uvula umlilo kancane. Heat wamafutha okungcono esikhathini esingekho ngaphansi kwamahora 7-11. Ekupheleni zomuthi kuyadingeka ukuze kuphole ekamelweni lokushisa. Indlela kokuphatha wamafutha ezifana ulula. Ukuze wenze lokhu, wenze swab ukotini esivulekile gcoba kusho, bese babiza ukuvulwa fistulous. Kuyinto efiselekayo ukushintsha ukugqoka njalo ngemva kwamahora amahlanu.

Umhluzi kusukela fistula yangaphandle

Infusions kanye Iziphungo camomile ukusetshenziswa kwezidakamizwa ngaphandle kuphela - uhlambulule ukuvuleka. Ukuze ukulungiselela yabo kudinga umuntu ukuthatha isipuni enkulu izimbali omisiwe, yenza nendebe amanzi abilayo bese sokunika imizuzu 60 futhi elicwengekileyo.

Futhi okugeza fistula ekudalweni nokusetshenziswa licindezele broths wenza kusukela marigold.

zokuvimbela

Manje uyazi indlela yokuphatha fistula, ukuthi kuyini, kungani kwenzeka. Prevention isiteshi atholwe kufanele bahlanganisa nokuvimbela izifo ezithathelwanayo. Ngaphezu kwalokho, isidingo ngokuqinile ukugcina imithetho asepsis phakathi nokuhlinzwa.

Ngokuphathelene nokuvinjelwa fistulas azalwa naso, akunakwenzeka, njengoba lesi sifo kwenzeka engxenyeni yezinyanga ezintathu zokuqala zokukhulelwa.