Ambiri ndi pilonidal matenda, opaleshoni ndi ochizira.
Pilonidal cysts ndi zopweteka kwambiri. Kupweteka kwakukulu kwa pilonidal matenda kumamveka ngati kuti mukukakamiza mchira wanu kutsogolo kwa ngodya ya gome ndikuigwira pamenepo.
Zizindikiro za pilonidal matenda zimabwereranso ndi matenda omwe amatha kukhala aakulu komanso opweteka kwambiri. Komanso, nthawi zambiri pamene mazati a pilonidal amakhalabe kwa nthawi yaitali, amadziwika kuti amachokera kumbuyo kumapeto kwa mapewa.
Kuwonjezera pamenepo, ngati sichikutsatiridwa, chombo cha pilonidal chingapatsire magazi ndipo chimapangitsa kuti munthu asaphedwe.
Kwa ambiri, panacea yokha ya machiritso a pilonidal matenda ndi opaleshoni.
Kodi Pilonidal Cyst Ndi Chiyani?
Zokambirana zina zilipo zokhudzana ndi momwe angapangire opaleshoni ya pilonidal komanso zomwe zimayambitsa. Chombo cha pilonidal chimachitika pamtunda wa phokoso lokhazikika (lokha pakati pa matako) mu minofu ya midline yomwe ili moyang'anizana ndi sacrum ndi cocxx. Ngakhale amayi amawatenga iwo, nawonso, ziwalo za pilonidal zimakhudza anyamata atatha msinkhu.
Pano pali mawonekedwe a pilonidal:
- Zosakanizidwa kapena tsitsi lopaka tsitsi-mwina palimodzi ndi zowonongeka-zimathyola khungu ndipo zimatsekedwa mu mpweya.
- Kachilomboka kamakhala ndi kachilombo kamene kamapanga chithunzithunzi cha pilonidal kapena chithupsa chodzaza ndi zofukiza zonunkhira zomwe zimatulutsa kupyolera muyeso limodzi kapena kuposerapo.
- Pakapita nthawi, matenda opatsirana ndi kachilombo ka sinus amakula pamwamba pamsana wanu.
Zina mwazidziwitso zomwe zingapezeke paziopsezo zakhala zikudziwika kuti pilonidal matenda:
- Kuwonjezera tsitsi
- Atakhala nthawi yaitali
- Kutentha
- Kunenepa kwambiri
- Zovala zoyenera
- Kusayera kosavuta (chonde onani kuti anthu ambiri omwe amavala masambawa nthawi zonse amatsuka)
- Dimral ya Sacral
Pa zochitika za mbiri yakale, pa nthawi ya WWII, achinyamata ambiri a GI oyendetsa galimoto a Jeeps adayambitsa matenda a pilonidal omwe amatchedwa "Jeep seat" kapena "Jeep riders '."
Kuphatikiza pa ululu wopweteka, kukoma mtima, kutupa ndi kutayika kwa pus, pilonidal matenda angathenso kuyambitsa maselo oyera a magazi ndi kuchititsa malungo.
Zindikirani, malingana ndi chitsanzo cha ngalande, pilonidal cyst nthawi zina imasokonezeka ndi perperal abscess , mkhalidwe wosiyana.
Kuchiza kwa Pilonidal Cyst
Chifukwa pilonidal cysts ndi zilonda zomwe zimafunikira opaleshoni, maantibayotiki samathandiza kwenikweni pokhapokha ngati akuphatikizanso matenda a khungu (mwachitsanzo, cellulitis).
Poyamba, zibambo za pilonidal zimamenyedwa ndi kuyamwa ndi dokotala pogwiritsa ntchito mankhwala am'deralo kumalo osamalidwa kapenanso kuchipinda chodzidzimutsa. Komabe, izi zowonjezereka zimakonza kanthawi kochepa ndi kupweteka kwa pilonidal cyst ndi sinus yogwirizana kukhala nkhani yowonongeka ndi kuwonanso komwe kunayambira matenda ena. Kawirikawiri, pilonidal cysts ndizoopsa kuposa momwe zimayambira poyamba, ndipo, kupatula opaleshoni, kuya kwake kwenikweni kumawonedwa kokha pogwiritsira ntchito ultrasound.
Pogwiritsa ntchito pilonidal matenda, pilonidal cysts amachiritsidwa bwino ndi dokotala wa opaleshoni m'chipinda chochita opaleshoni pansi pa sedationous sedation kapena general anesthesia. Ngakhale kuti njira zopaleshoni zosiyanasiyana za opaleshoni zakambidwa, tiyeni tiyang'ane pa awiri.
Njira yoyamba imaphatikizapo kutseguka (kutanthauza kuti, kusokoneza) chidulo kapena chidutswa, kutsegula chiguduli ndi kutulutsa kunja (kutanthauza, kubwezera) pansi, ndikugwedeza m'mphepete mwachitsanzo (ie, marsupializing). Vuto lopweteka limatsalira lotseguka ndipo limatha kukhetsa. Ngati mutasankha kapena mupatsidwa mwayi umenewu, ndiye kuti ndibwino kuti chilonda chisamveke tsitsi ndi zowonongeka ndikukumana ndi chisamaliro cha mlonda mlungu uliwonse mpaka machiritso atatha.
Njira yachiwiri imaphatikizapo kuchotsedwa kwathunthu (mwachitsanzo, kusakanizika) kwa khungu ndi sinus kutsatiridwa ndi kukhazikitsidwa kwa kuyamwa kutsogolo musanatseke chilonda. Ndi matenda ochulukirapo, resection ndi yaikulu, komanso, ndipo zikopa za khungu ziyenera kulengedwa kuti zitseke chilonda.
Zosankha zoterozo zimafuna kutsata, nayenso.
Mawu Ochokera
Ngati inu kapena wokondedwa wanu mumakumana ndi pilonidal matenda, ndithudi mumayenera kuwona dokotala. Vutoli silidzatha palokha ndipo lidzakhala loipitsitsa patapita nthawi. Komanso, pilonidal cysts imayambitsa thupi lanu ndi thanzi lanu ndipo zingayambitse matenda oopsa a magazi.
Kuti mukhale opaleshoni, ndibwino kuti opaleshoni ichitidwe ndi dokotala wa opaleshoni. Kungotulutsa chiphuphu kumangotulutsa mpumulo wokha basi. Malinga ngati chinyama cha pilonidal sichinayambe bwino, yang'anani matenda omwe amachititsa, kupweteka, kuyamwa kwa pus, komanso kufufuza. Ngakhalenso opaleshoni, nthawi zina amabwereranso ndi pilonidal cysts; Komabe, kwa anthu ambiri opaleshoni ndi ochizira.
> Zotsatira:
> Bullard Dunn KM, Rothenberger DA. Colon, Rectum, ndi Anus. Mu: Brunicardi F, Andersen DK, Billiar TR, Dunn DL, Hunter JG, Matthews JB, Pollock RE. eds. Mfundo za Schwartz za Opaleshoni, 10e . New York, NY: Hill ya McGraw; 2014.
> Burgess BE. Mutu 88. Kusokonezeka kwachibadwa. Mu: Tintinalli JE, Stapczynski J, Ma O, Cline DM, Cydulka RK, Meckler GD, T. eds. Mankhwala Odzidzimutsa a Tintinalli: Buku Lophunzira Loyamba, 7e . New York, NY: Hill ya McGraw; 2011.