Paraproctitis hauv cov menyuam yaus hnub nyoog qis dua ib xyoos: ua rau, kho, tshuaj xyuas

2024 Tus sau: Priscilla Miln | [email protected]. Kawg hloov kho: 2024-02-18 01:25

Feem ntau, tus kab mob paraproctitis tau kuaj pom hauv cov menyuam yaus hnub nyoog qis dua ib xyoos. Tus kab mob no cuam tshuam nrog cov tsos mob mob thiab qhov tshwm sim tsis zoo. Yog li ntawd, nws tsis tuaj yeem tsis quav ntsej. Cov niam txiv yuav tsum paub cov cim twg yuav tsum tau saib ua ntej.

daim ntawv pov thawj kho mob

Paraproctitis yog ib qho tshwm sim inflammatory uas kis mus rau cov ntaub so ntswg ntawm qhov quav. Cov kab mob no nyob ib puag ncig los ntawm ntau qhov chaw tshwj xeeb: ileo-rectal, posterior-rectal, pelvic-rectal thiab submucosal. Cov txheej txheem inflammatory tuaj yeem tshwm sim hauv ib qho ntawm lawv. Thaum tus kab mob nkag mus rau hauv cov ntaub so ntswg adipose nyob rau hauv lub qhov quav, nws raug cais los ntawm cov chaw noj qab haus huv. Qhov no yog qhov pib ntawm kev loj hlob ntawm ib qho abscess. Nrog rau kev kho raws sij hawm, qhov mob tuaj yeem nres. Txwv tsis pub, lub abscess yog qhib, ib hom fistulous passage tshwm. Thaum zoo li no, tus kab mob no mus ntev.

Ntawm cov menyuam yaus, kab mob feem ntau tshwm sim ua ntej 6 lub hlis (70% ntawmtxhua rooj plaub). Nws tsis tshua muaj kev kuaj mob hauv cov menyuam yaus. Raws li kev txheeb cais, o ntawm cov ntaub so ntswg nyob ib ncig ntawm lub qhov quav feem ntau tshwm sim rau cov tub hluas, uas yog txuam nrog cov yam ntxwv ntawm lub cev ntawm lub genitourinary system.

Key Factors

Qhov tseem ceeb ntawm paraproctitis hauv cov menyuam yaus hnub nyoog qis dua ib xyoos yog kis kab mob. Hauv cov menyuam mos, tshwj xeeb tshaj yog thaum pub niam mis, qhov mob yog tshwm sim los ntawm staphylococci. Tsis tas li ntawd, cov kab mob pathogenic tuaj yeem nkag mus rau lub qhov quav hauv cov xwm txheej hauv qab no:

• tsis quav ntsej txog kev tu cev thaum tu tus menyuam mos;
• mob quav ntau zaus, nrog rau kev tsim cov kab nrib pleb ib ncig ntawm qhov quav;
• kab mob congenital ntawm lub qhov quav;
• immunodeficiencies;
• mob ntawm qhov quav mucosa vim lactose intolerance.

Yog li, paraproctitis tshwm sim thaum tus kab mob nkag mus rau hauv lub cev. Txhawm rau qhib cov kab mob pathogenic, cov txheej txheem predisposing yog xav tau. Piv txwv li, qhov quav fissures tshwm nrog kev tu cev tsis zoo. Tom qab ntxuav tas, cov ntaub npuag muab tso rau ntawm tus menyuam, thiab daim ntaub qhwv caj dab, sab laug tsis muaj neeg saib, tshwm hauv qab lawv.

Cov tsos mob ntawm tus kab mob hnyav

Cov yam ntxwv tshaj plaws yog cov tsos mob ntawm tus kab mob paraproctitis hauv cov menyuam yaus hnub nyoog qis dua ib xyoos nyob rau theem ntawm kev loj hlob. Hauv qhov no, niam txiv ceeb toom hauv tus menyuam:

• kub nce mus rau 39 degrees;
• zoo li tsis muaj kev ntxhov siab;
• tsis kam noj;
• defecation nrog muaj zogquaj.

Tus me nyuam mob tsis xis nyob txawm nyob hauv qhov chaw zaum. Yog li ntawd, qhov no ua rau flatulence thiab quav quav. Thaum pom lub qhov quav, koj tuaj yeem pom cov tawv nqaij reddening, nodular neoplasms. Thaum nias, tus me nyuam pib quaj hnyav.

kab mob chronic

Yog tias kev kho tus kab mob paraproctitis hauv cov menyuam yaus hnub nyoog qis dua ib xyoos tsis tau ua raws sijhawm, cov abscess tuaj yeem qhib tawm sab nraud lossis mus rau hauv cov ntaub so ntswg subcutaneous. Tom qab ntawd, qhov xwm txheej ntawm tus neeg mob me feem ntau zoo dua: qhov kub thiab txias poob, qhov mob txo qis lossis ploj tag nrho. Tib lub sijhawm, tso tawm nrog cov kua paug thiab cov ntshav tuaj yeem pib tawm ntawm qhov quav.

Ntau zaus, nrog rau qhov qhib ntawm qhov abscess, ib qho chaw fistulous yog tsim. Tus kab mob ua rau mob. Qhov tshwm sim tuaj yeem yog teeb meem kev noj qab haus huv hauv qab no:

• melting los ntawm cov ntsiab lus ntawm neoplasm ntawm txheej sab hauv ntawm lub qhov quav (hauv cov ntxhais, qhov chaw mos yuav raug kev txom nyem);
• kis kab mob thoob plaws lub cev;
• tawg ntawm qhov abscess rau hauv lub plab kab noj hniav, vim li ntawd, kev loj hlob ntawm peritonitis.

Fistulas qee zaum congenital. Thaum mob paraproctitis, lawv nce, tig mus rau hauv qhov khoob. Nyob rau hauv cov ntaub ntawv no, muaj ib tug pronounced asymmetry ntawm lub pob tw.

Cov niam txiv yuav tsum txhawj txog dab tsi?

Thawj cov cim qhia ntawm paraproctitis hauv cov menyuam yaus hnub nyoog qis dua ib xyoos tshwm sim thaum kawg ntawm thawj hnub ntawm kev loj hlob ntawm tus kab mob. Hnub thib ob lossis thib peb, muaj peev xwm purulent tso tawm los ntawm kev tsim lossisncaj qhov quav. Nyob rau tib lub sijhawm, nyob rau hauv tus txheej txheem ntawm defecation, nrog rau cov quav, ib tug loj npaum li cas ntawm cov hnoos qeev tawm, uas txhawb nqa cov ntaub so ntswg zoo.

Daim ntawv subcutaneous ntawm tus kab mob yog ib qho yooj yim los kuaj xyuas los ntawm cov cim sab nraud. Lub submucosal variant yog nrog los ntawm tsuas yog ib tug me ntsis nce nyob rau hauv qhov kub thiab txias, uas yog feem ntau pom los ntawm cov niam txiv raws li ib tug txo nyob rau hauv kev tiv thaiv los yog teething. Yog li ntawd, lawv tsis tam sim nrhiav kev pab los ntawm kws kho mob. Qhov no yog qhov txaus ntshai nrog kev tawg ntawm abscess thiab kev loj hlob ntawm sepsis. Hauv qhov no, qhov kub nce mus txog 40 degrees. Tus me nyuam lub plawv dhia nce, ntuav tshwm. Yuav tsum tau kho mob ceev. Yog tias cov tsos mob no tshwm sim, cov niam txiv yuav tsum hu rau lub tsheb thauj neeg mob.

Txoj kev kuaj mob

Kev kuaj mob paraproctitis yog ua tiav hauv 2 theem. Ua ntej, tus kws kho mob tshuaj xyuas keeb kwm ntawm tus neeg mob me thiab ua kev kuaj lub cev. Kev ceeb toom ntawm tus kab mob tuaj yeem tshwm sim thaum muaj qhov o lossis mob hauv thaj tsam ntawm qhov quav.

Yuav kom paub meej qhov kev kuaj mob ua ntej, yuav tsum muaj kev tshuaj ntsuam xyuas. Nws feem ntau suav nrog cov haujlwm hauv qab no:

• ntsuas ntiv tes;
• qhov ntsuas qhov quav;
• radioography;
• Ultrasound ntawm qhov quav;
• ntshav, kuaj zis.

Yog tus me nyuam muaj cov paug tawm ntawm qhov quav, cov khoom siv roj ntsha raug xa mus rau kab lis kev cai. Nrog kev pab ntawm qhov kev tshuaj ntsuam no, nws muaj peev xwm tsim tau tus neeg sawv cev ntawm tus kab mob rau kev teem caij tshuaj tua kab mob tom qab.

Txoj Kev Kho Mob

Raws li kev tshuaj xyuas kev kho mob, kev kho mob paraproctitis hauv cov menyuam yaus hnub nyoog qis dua ib xyoos hauv daim ntawv mob hnyav yog nqa tawm tshwj xeeb los ntawm kev phais. Kev ua haujlwm yog ua nyob rau hnub ntawm kev mus ntsib kws kho mob, vim tias muaj kev pheej hmoo ntawm kev kis kab mob thoob plaws hauv lub cev thaum muaj kev cuam tshuam ntawm neoplasm mus rau hauv txoj hnyuv. Kev cuam tshuam yog ua los ntawm kev siv tshuaj loog. Nws kav tsis tshaj 20 feeb. Nyob rau hauv lub xub ntiag ntawm fistula, kev ua haujlwm yog ua nyob rau hauv 2 theem:

1. Lub neoplasm qhib, ntxuav ntawm purulent secretions, ntxuav thiab ntws. Txhawm rau tiv thaiv kev kis kab mob, cov neeg mob me tau muab tshuaj tua kab mob. Lub sij hawm nkag yog 7 hnub.
2. Thaum tus menyuam tus mob zoo dua tom qab 3-4 hnub, cov kua dej tshem tawm. Tom qab thawj lub plab zom mov, da dej txhua hnub siv cov tshuaj manganese tshwm sim.

Rau peb hnub tom qab kev cuam tshuam, kev noj zaub mov tsis yog slag raug siv. Tsis tas li ntawd, physiotherapy tuaj yeem raug sau rau ntawm tus kheej. Tus menyuam feem ntau raug tso tawm 2 lub lis piam tom qab ua haujlwm. Hauv tsev, kev kho mob nrog kev siv tshuaj kho cov hnyuv microflora txuas ntxiv rau qee lub sijhawm.

Daim ntawv mob ntev ntawm tus kab mob muab rau kev kho mob (cov tshuaj tua kab mob, tshuaj tiv thaiv kab mob, Levomekol). Yog tias cov txheej txheem zoo li no tsis muaj txiaj ntsig, uas feem ntau tshwm sim, kev kho mob ntawm tus kab mob paraproctitis hauv tus menyuam tau raug sau tseg. Kev ua haujlwm feem ntau ua tiav ntawm 1 xyoos lossis 2 xyoos, yog tias tsis muaj kev hem thawj, kev cuam tshuam tsis yogpom zoo.

Tus kws kho mob Komarovsky cov lus qhia

Tus kws kho mob nto moo Komarovsky ntseeg tias tib txoj hauv kev los kho tus kab mob no yog kev phais. Tom qab kev cuam tshuam, nws yog ib qho tseem ceeb uas yuav tsum ua raws li cov cai ntawm kev nyiam huv nrog lub luag haujlwm tshwj xeeb. Qhov no yuav pab tiv thaiv kev rov qab los.

Ntxiv rau, nrog rau tus kab mob paraproctitis hauv cov menyuam yaus hnub nyoog qis dua ib xyoos, Komarovsky tawm tswv yim siv glycerin suppositories kom yooj yim cov quav. Tus kws kho mob tsis pom zoo kom noj tshuaj rau tus kheej, thiab thaum thawj cov tsos mob tshwm sim, hu rau tus kws kho mob tam sim ntawd.

Kev ntsuas kom rov zoo

Paraproctitis hauv cov menyuam yaus hnub nyoog qis dua ib xyoos tsis nyob hauv qeb ntawm cov kab mob tuag taus. Nrog rau kev tshawb pom raws sijhawm, nws tuaj yeem kho tau tag nrho.

Yog tias cov txheej txheem inflammatory tau kuaj pom lig lossis muaj teeb meem tshwm sim, lub sijhawm ntawm kev kho tuaj yeem nce ntau zaus. Kev cuam tshuam ntawm kev phais pab kom tsis txhob muaj qhov tshwm sim ntawm tus kab mob. Qhov kev cia siab yog qhov zoo txawm tias qhov no.

Cov txiaj ntsig tsis zoo tuaj yeem ua tau nyob rau hauv daim ntawv ntev ntawm tus kab mob paraproctitis, ib qho abscess rupture rau hauv plab kab noj hniav.

Txoj Kev Tiv Thaiv

Txhawm rau tiv thaiv tus kab mob paraproctitis hauv cov menyuam yaus tom qab ib xyoos thiab thawj 12 lub hlis ntawm lub neej, nws yog ib qho tsim nyog yuav tsum ua raws li cov cai ntawm kev nyiam huv thiab kho cov kab mob uas cuam tshuam nrog cov kab mob hauv plab raws sijhawm. Yog tias tus menyuam yaus ua rau cem quav lossis zawv plab, qhov teeb meem yuav tsum tsis txhob muab tso tseg. Cov tsos mob ntawm qhov mob thaum lub sij hawm defecation yuav tsum tauNrhiav kev kho mob tam sim.

Ib hom kab mob siab heev tuaj yeem ua rau tsis yog cov tsos mob tsis zoo xwb, tab sis kuj muaj kev cuam tshuam kev phais. Qhov no yog kev ntxhov siab ntxiv rau lub cev tsis paub tab.

Tiv thaiv kab mob paraproctitis suav nrog cov lus pom zoo hauv qab no:

1. Tiv thaiv cem quav thiab raws plab. Ua li no, koj yuav tsum tsim kom muaj zaub mov noj thiab tsis txhob hnov qab txog kev haus dej haus.
2. Ua raws li cov cai ntawm kev nyiam huv ntawm tus kheej txij li thawj teev ntawm tus menyuam lub neej. Nws yog ib qho tsim nyog yuav tsum tau ntxuav tus menyuam tom qab txhua qhov kev tso quav, teem caij rau chav da dej. Thaum cov pob khaus tshwm sim, koj yuav tsum siv cov tshuaj pleev tshwj xeeb.
3. Kev kho mob raws sij hawm ntawm txoj hnyuv nyob rau hauv kev taw qhia ntawm tus kws kho mob.
4. Kev tiv thaiv kab mob. Hardening, taug kev txhua hnub hauv huab cua ntshiab, tsim kom muaj kev noj haus kom raug thiab pw tsaug zog - tag nrho cov no muaj txiaj ntsig zoo rau kev ua haujlwm ntawm lub cev tiv thaiv.

Hauv daim duab, paraproctitis hauv cov menyuam yaus hnub nyoog qis dua ib xyoos zoo li tsis txaus siab. Yog li ntawd, cov niam txiv lawv tus kheej yuav tsum kuaj xyuas tus menyuam txhua hnub rau qhov liab ntawm qhov quav. Yog tias muaj cov tsos mob tshwj xeeb tshwm sim, koj yuav tsum hu rau koj tus kws kho mob tam sim ntawd.

niam txiv txoj kev xav

Kev tshuaj xyuas ntawm tus kab mob paraproctitis hauv tus menyuam mus txog ib xyoos los ntawm niam txiv muaj ntau yam. Feem ntau cov niam thiab txiv tham txog qhov kub thiab txias tam sim ntawd, ua raws li reddening ntawm daim tawv nqaij nyob ib ncig ntawm lub qhov quav. Nyob rau hauv tus txheej txheem ntawm defecation, tus me nyuam lossi quaj. Tsuas yog kev kuaj mob xwbpab lawv nkag siab txog lub hauv paus ntawm cov tsos mob no.

Niam txiv kuj hais tias tsuas yog kev phais xwb thiaj li tshem tau tus kab mob no. Txawm li cas los xij, kev hnav khaub ncaws thiab kev kho mob ntawm thaj chaw muaj kev cuam tshuam uas ua raws nws yog qhov nyuaj heev. Txawm tias tom qab tshem tawm cov neoplasm, cov menyuam yaus tseem tuaj yeem ua rau qee lub sijhawm, vim tias cov txheej txheem kho dua tshiab feem ntau nrog cov mob me me.