Kodi abscess abscess, zimayambitsa zazikulu ndi momwe mungachiritsire

Zamkati

• Zomwe zimayambitsa
• Zizindikiro zazikulu
• Momwe mankhwalawa amachitikira
• Chisamaliro cha postoperative
• Zovuta zotheka

Anal, perianal kapena anorectal abscess ndi mapangidwe amimbamo yodzaza mafinya pakhungu mozungulira anus, zomwe zimatha kuyambitsa zizindikilo monga kupweteka, makamaka mukamachoka kapena kukhala, mawonekedwe a chotupa chowawa m'dera lamankhwala, kutuluka magazi kapena kuchotsa katulutsidwe wachikasu.

Nthawi zambiri, mafinya amayamba m'mene mabakiteriya amalowerera m'derali ndikupangitsa kutupa kwakukulu, ndikuthira mafinya. Mankhwalawa amachitidwa ndi dotolo, yemwe amafunika kukoka kwa abscess ndipo, nthawi zina, amagwiritsa ntchito maantibayotiki kwa masiku angapo.

Zomwe zimayambitsa

Perianal abscess amayamba chifukwa cha matenda a bakiteriya pakhungu la anus ndi dera la perineum, nthawi zambiri chifukwa chakulephera kwa tiziwalo timene timatulutsa mamina m'dera la kumatako, zomwe zimathandizira kukhazikitsa mabakiteriya. Zina mwazomwe zimayambitsa chiwopsezo cha mapangidwe ndi:

• Matenda otupa, monga matenda a Crohn kapena ulcerative colitis;
• Kubwezeretsa hidradenitis;
• Matenda a m'matumbo, monga amoebiasis, venereal lymphogranuloma, chifuwa chachikulu kapena thumbo;
• Kuphulika kwa kumatako;
• Khansa yapamtima;
• Chitetezo chovuta;
• Kuchita opaleshoni m'dera la anorectal, monga hemorrhoidectomy, episiotomy kapena prostatectomy, mwachitsanzo.

Nthawi zambiri, izi zimayambitsa kutupa mu minofu ya rectum ndi anus, ndikuthandizira kudzikundikira kwa mabakiteriya ndikupanga mafinya. Kumvetsetsa bwino zomwe zimayambitsa, zizindikiro ndi chithandizo cha proctitis.

Zizindikiro zazikulu

Chizindikiro chachikulu cha perianal abscess ndikumva kupweteka kwa anus ndi perineum dera, makamaka mukamachoka kapena kukhala, koma zomwe zimatha kukhala nthawi zonse pamene chotupacho chikuwonjezeka. Onaninso zifukwa zina zazikuluzikulu zopweteka mukamachoka.

Ngati malo a abscess ndi akunja kwambiri, chotupa chowawa, chowotcha, ndi pabuka chimapezekanso m'dera lamkati. Nthawi zina, pakhoza kukhala magazi ndi malungo. Thumba likaphulika, kutuluka kwa utsi kumatha kutuluka, potero kumachepetsa kupsinjika pakhungu ndi kupweteka.

Kuzindikira kwa abscess kumatako kumachitika ndi dotolo wamkulu kapena coloproctologist, pofufuza deralo ndi mayeso monga anoscopy, ultrasound, computed tomography kapena magnetic resonance, omwe amadziwika kukula ndi kuzama kwa chotupacho. Kuyezetsa magazi, monga kuwerengera kwathunthu kwa magazi, kungathandize kuwunika kukula kwa matendawa.

Momwe mankhwalawa amachitikira

Chithandizo cha chotupa cha kumatako chimachitika ndi ngalande zake, ndi dotolo wamkulu kapena coloproctologist, posachedwa, chifukwa kulimbikira kwa abscess kumawonjezera chiopsezo cha matenda opatsirana.

Kutengera kukula ndi malo amtundu wa abscess, ma drainage opangira ma drainage amatha kuchitidwa ndi mankhwala oletsa ululu am'deralo kapena ndi amphamvu kwambiri monga msana kapena miliri. M'matumbo akulu, kungakhale kofunikira kusiya ngalande kwa masiku angapo patsambalo.

Pofuna kuchiza fistula, adotolo amatha kudula kapena kuyika chida cholimbikitsira machiritso ndi kutsekedwa kwa njirayo. Kuphatikiza apo, maantibayotiki amatha kuwonetsedwa ngati chotupacho ndi chachikulu ndipo chili ndi malo otupa, kapena ngati wodwalayo ali pachiwopsezo cha matenda opatsirana, monga matenda a shuga, chitetezo chokwanira kapena kunenepa kwambiri, mwachitsanzo.

Chisamaliro cha postoperative

Pambuyo pa opaleshoni, adotolo amalimbikitsa kupumula, kugwiritsa ntchito mankhwala opha ululu komanso malo osambira ndi madzi ofunda, chifukwa chotsutsana ndi zotupa.

Adotolo adzaunikanso masabata 1 mpaka 2, kuti awone machiritso ndikuzindikira ngati pali zotulutsa zobisalira zomwe zikuwonetsa fistula. Nthawi zina, abscess imatha kubwerera, makamaka ngati chithandizo choyambirira sichinachitike molondola kapena ngati pali matenda omwe amayambitsa kutupa kwa tsambalo ndikuthandizira kupanga zotupa.

Zovuta zotheka

Ndizofala kwambiri kuti chotupacho chimayambitsa anal fistula, yomwe ndi njira yolumikizira magawo awiri, yomwe imatha kuchitika pakati pa anus ndi nyini, chiberekero, thirakiti kapena mbali zina zamatumbo, Mwachitsanzo. Dziwani kuti anal fistula ndi momwe mungachiritsire.

Kuphatikiza apo, zovuta zina zomwe chotupa cha anal chingayambitse ndikuphatikizana ndi anal sphincter, zomwe zimayambitsa kusadziletsa, kapena matenda opatsirana, pomwe mabakiteriya amafikira kumatumba oyandikana nawo, monga khungu, minofu ndi mafuta.

Kuphatikiza apo, ngati mankhwalawo sanachitike moyenera, ndikotheka kuti mabakiteriya amafika m'magazi, ndikupangitsa matenda opatsirana, omwe amatha kupha.