Kuchita opaleshoni ya pilonidal cyst

Chombo chotchedwa pilonidal cyst ndi thumba lomwe limapanga chozungulira pakhosi pakati pa matako. Derali limawoneka ngati dzenje laling'ono kapena pore pakhungu lomwe lili ndi malo akuda kapena tsitsi. Nthawi zina chotupacho chimatha kutenga kachilomboka, ndipo ichi chimatchedwa pilonidal abscess.

Pulogalamu ya pilonidal cyst kapena abscess imafuna kukhetsa madzi. Sichiza mankhwala ndi maantibayotiki. Ngati mupitiliza kukhala ndi matenda, pilonidal cyst imatha kuchotsedwa ndi opaleshoni.

Pali mitundu ingapo ya maopareshoni.

Kutsekemera ndi ngalande - Awa ndi chithandizo chofala kwambiri kwa chotupa chotere. Ndi njira yosavuta yochitidwira muofesi ya dokotala.

• Mankhwala oletsa ululu am'deralo amagwiritsidwa ntchito kupheratu khungu.
• Cheka chimapangidwa mu chotupa kuti atulutse madzi ndi mafinya. Bowo ladzaza ndi gauze ndikusiya lotseguka.
• Pambuyo pake, zimatha kutenga milungu inayi kuti chotupacho chichiritsidwe. Galasi liyenera kusinthidwa nthawi zambiri panthawiyi.

Pulogalamu ya cystectomy - Ngati mupitilizabe kukhala ndi vuto ndi pilonidal cyst, imatha kuchotsedwa opaleshoni. Njirayi imachitika ngati kuchipatala, chifukwa chake simukuyenera kugona mchipatala.

• Mutha kupatsidwa mankhwala (general anesthesia) omwe amakupangitsani kugona komanso kumva kupweteka. Kapena, mutha kupatsidwa mankhwala (Regional anesthesia) omwe amakulepheretsani kuyambira mchiuno mpaka pansi. Nthawi zambiri, mungangopatsidwa mankhwala amanjenje am'deralo.
• Amadulidwa kuti achotse khungu ndi ma pores ndi minofu yoyambira yokhala ndi zidutswa za tsitsi.
• Kutengera ndi kuchuluka kwa minofu yomwe imachotsedwa, malowa atha kukhala opanda gauze kapena sangadzaze. Nthawi zina chubu chimayikidwa kukhetsa madzi omwe amatuluka pambuyo pa opaleshoni. Chitoliro chimachotsedwa nthawi ina ikadzatha madzi akamadzaza.

Kungakhale kovuta kuchotsa chotupa chonsecho, ndiye kuti pali mwayi kuti chibwerera.

Kuchita opaleshoni kumafunika kukhetsa ndikuchotsa chotupa cha pilonidal chomwe sichichiritsa.

• Dokotala wanu angakulimbikitseni njirayi ngati muli ndi matenda a pilonidal omwe akuyambitsa kupweteka kapena matenda.
• Pilonidal cyst yomwe siyimayambitsa zizindikiro safuna chithandizo.

Chithandizo chosagwira ntchito chitha kugwiritsidwa ntchito ngati malowa alibe kachilombo:

• Kumeta kapena kuchotsa laser mozungulira chotupacho
• Jekeseni wa guluu wopangira mu chotupa

Pilonidal cyst resection nthawi zambiri imakhala yotetezeka. Funsani dokotala wanu za zovuta izi:

• Magazi
• Matenda
• Kutenga nthawi yayitali kuti dera lichiritse
• Kukhala ndi pilonidal cyst ibwerera

Kambiranani ndi dokotala wanu kuti muwonetsetse kuti mavuto azachipatala, monga matenda ashuga, kuthamanga kwa magazi, komanso mavuto amtima kapena am'mapapo akuyenda bwino.

Uzani wothandizira zaumoyo wanu:

• Ndi mankhwala ati, mavitamini, ndi zina zowonjezera zomwe mukugwiritsa ntchito, ngakhale zomwe mwagula popanda mankhwala.
• Ngati muli ndi pakati kapena mutha kukhala ndi pakati.
• Ngati mwakhala mukumwa mowa wambiri, osamwa kamodzi kapena kawiri patsiku.
• Ngati mumasuta, siyani kusuta milungu ingapo opaleshoniyo isanachitike. Wopereka wanu atha kuthandiza.
• Mutha kupemphedwa kuti musiye kumwa pang'ono magazi, monga aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), vitamini E, clopidogrel (Plavix), warfarin (Coumadin), ndi mankhwala ena aliwonse onga awa.
• Funsani dokotala wanu za mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.

Patsiku la opaleshoniyi:

• Tsatirani malangizo onena ngati muyenera kusiya kudya kapena kumwa musanachite opaleshoni.
• Tengani mankhwala omwe dokotala wanu adakuwuzani kuti mumwe pang'ono pokha madzi.
• Tsatirani malangizo pa nthawi yobwera kuchipatala. Onetsetsani kuti mwafika nthawi.

Pambuyo pake:

• Mutha kupita kwanu mutatha.
• Chilondacho chidzakutidwa ndi bandeji.
• Mupeza mankhwala opweteka.
• Ndikofunika kwambiri kuti malo ozungulira chilondacho akhale oyera.
• Wopereka chithandizo akuwonetsani momwe mungasamalire chilonda chanu.
• Pambuyo pake amachira, kumeta tsitsi m'dera la bala kungathandize kupewa matenda a pilonidal kuti asabwerere.

Ma pilonidal cysts amabwerera pafupifupi theka la anthu omwe achita opaleshoni koyamba. Ngakhale atachitidwanso opaleshoni yachiwiri, imatha kubwerera.

Kuphulika kwa pilonidal; Kuponderezedwa kwa Pilonidal; Pilonidal matenda; Chotupa cha Pilonidal; Sinus ya Pilonidal

Johnson EK, Vogel JD, Cowan ML, ndi al. American Society of Colon and Rectal Surgeons 'malangizo azachipatala othandizira kasamalidwe ka matenda a pilonidal. Dis Colon Rectum. 2019; 62 (2): 146-157. (Adasankhidwa) PMID: 30640830 www.ncbi.nlm.nih.gov/pubmed/30640830. (Adasankhidwa)

Malipiro A, Larson DW. Anus. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: Maziko Achilengedwe a Njira Zamakono Zopangira Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 52.

Wells K, Pendola M. Pilonidal matenda ndi perianal hidradenitis. Mu: Yeo CJ, mkonzi. Opaleshoni ya Shackelford ya Alimentary Tract. 8th ed. Philadelphia, PA: Elsevier Saunders; 2019: mutu 153.