Rectal fitsari

Fitsari na dubura ne a tafi da aka located karkashin fata a tsuliya yankin. Ya haɗu da abin ya shafa tsuliya gland shine yake da fata a kusa da dubura. Sanadin kullum kumburi wadda take kaiwa ga samuwar da fitsari iya zama tiyata, resection daga cikin dubura, rauni, karaya a wannan yankin da kuma a 95% na lokuta - m ƙurji.

Ba kowane haƙuri tare da m paraproctitis tasowa rectal fitsari. Amma idan da ƙurji bude, magudana, amma ba gaba daya cire m Ƙofar kamuwa da cuta, shi zai kai ga cewa da ruɓaɓɓen jini za kullum daga ƙarƙashinsu a cikin lumen na fitsari. Duk wannan zai kai ga samuwar na infiltrates da cavities da ruɓaɓɓen jini, fitsari m ganuwar fara sclerotic, da kuma na ciki rufe bango da granulation nama.

Da farko inflamed gland shine yake ta kumbura kafa ruɓaɓɓen jini neman hanyar ta hanyar da sako-sako da nama a cikin dubura da kuma ta hanyar fata da waje a yankin na cikin dubura. Kamar wancan kafa ciki da kuma m fistulous bude. Asibiti rarrabe:

• cikakken (m) fitsari tare da m kona, sanies da ruɓaɓɓen jini a m da kuma ji na rashin jin daɗi, damuwa a lokacin defecation saboda kauri da fata a lokacin gafarta musu.
• part-time (ciki) fitsari daga cikin dubura, bayyanar cututtuka daga waxanda suke da irin wannan cewa, a cikin tsawon gafarta musu ba sa rashin jin daɗi da kuma kusan ba ya bayyana kanta, amma wani exacerbation na haƙuri da yanayin tabarbarewa.Idan.

Haka kuma cutar yakan faru a cikin tãguwar ruwa. Ƙarin tsanani ya auku a lokacin blockage kafa a lokacin da haƙuri damu game da zafi a cikin dubura, aggravated da defecation. A haƙuri yana da wani zazzabi, ciwon kai, gaji da damuwa da barci da kuma shan wahala iko damu ichor da intermittent sallama na ruɓaɓɓen jini. Akwai alaka mai karfi fata hangula, kona, kuma itching, don haka marasa lafiya bukatar m wanka da canza gammaye.

Bayan bude cavities zama kumburi, kadaici da aka inganta muhimmanci rage-rage zama wanda bai isa ba, yi da aka rage. Long faruwa kumburi tafiyar matakai a nama adrectal gubar rikitarwa da fitsari. Akwai iya zo a nakasawa na tsuliya canal kuma sphincter tsokoki samar da wata tabo cewa karya al'ada aiki, da kuma kai wa ga incontinence na tsuliya sphincter. A mafi hadaddun da tsanani lokuta na m canji na wani fitsari zai iya faruwa.

A ganewar asali da "fitsari dubura" yana sanya proctologist - da gwani wanda za'ayi da rashin lafiya dijital rectal jarrabawa a kan kujera a outpatient saitin. Bayan wasu horar da mãsu haƙuri a tabbatar da ganewar asali, endoscopy na manyan hanji - sigmoidoscopy. A wannan yanayin, za ka iya gani ganin mucosa dauki wani biopsy nama, gudanar da wani bambanci ganewar asali a lokuta da ake zargi da ƙari.

Idan ya cancanta, a gabansa waje fitsari, kuma domin in bayyana maku da wuri daga cikin fitsari da wuri yi duban dan tayi - ultrasonography. Don sanin da shugabanci motsa sarrafawa daga ciki fistulas dole ciyar fistulography. Wadannan nazarin taimakawa tabbatar da cewa haƙuri yana da wani fitsari daga cikin dubura, ko ware da ganewar asali.

A ra'ayin mazan jiya magani ne m, kuma an yi amfani da matsayin rigakafin postoperative komawa. Gudanar da sa baki da gwani a asibiti a karkashin janar maganin sa barci ko a karkashin epidural maganin sa barci. Irin aiki ya dogara da wuri na fitsari a dangane da sphincter, da mataki na nama scarring, gaban da yawa daga surkin jini cavities a cikin nama. Amma a cikin wani akwati, a lokacin da haƙuri gano wani fitsari dubura, tiyata ne makawa.

Mai idon auku a intrasfinkternyh postoperative fitsari. A mafi zahiri da wuya a gudanar da wani aiki a transsfinkternyh da ekstrasfinkternyh lokuta. Shi ne musamman wuya ga hadaddun sashe motsa a lokacin da wajibi ne don gaba daya excise nama da shiga a cikin samuwar da fitsari kuma don adana aiki na sphincter.

A cikin postoperative zamani, da mãsu haƙuri ya kamata a yi tare da levomikol dressings, wanka tare da potassium permanganate, kuma daga baya tare da chamomile ko calendula. cikakken waraka tsari game da daukan wata daya.