General tsananguro yechirwere
Uku ndiko kuzvimba kwakanyanya kwepararectal cell tishu. Anenge makumi matatu kubva muzana ezvirwere zvese zvine hutachiona zvinokonzerwa nazvo. Muzviitiko zvakawanda, paraproctitis inokonzerwa nepolymicrobial flora. Munguva inoculation yezvinhu zvine purulent, staphylococci, Escherichia coli, Gram-positive uye Gram-negative bacilli inowanzo kuwanikwa. Sezvo mutemo, chirwere chinotanga nekukurumidza, uye chinoperekedzwa nezvakataurwa zviratidzo, kusagadzikana, uye kurwadziwa kwakanyanya. Inoda kurapwa nekukurumidza uye nekukurumidza.
Izvo zvikonzero zvinomutsa kutanga kweparaproctitis
Icho chinokonzeresa paraproctitis hutachiona hunopinda mumatete akapfava akatenderedza anus, zvichikonzera kuzvimba uye nemamota. Hutachiona hunopinda kuburikidza nemaronda anokonzerwa nemanyoka kana kupatirwa, mamota, kushushikana nekumashure. Dzimwe nguva chikonzero chaicho chekutanga kwechirwere mune mumwe munhu chinonetsa kumisikidza. Kunyange pfupa rakamedzwa netsaona kana mazai emazai, anobuda netsvina, anogona kukuvadza ura.
Pakati pezvimwe zvinowanzoitika zvikonzero zveparaproctitis, vanachiremba vanoshevedza zvinotevera:
- kuwedzera uye kuzvimba kwemitsipa yemanyowa;
- kupenga kwepashure;
- anogumbura zvirwere rectum uye zvimwe zvikamu ura;
- zvituru kusagadzikana (manyoka, kupatira);
- immunodeficiency;
- kusingaperi kuzvimba mune chero system yemuviri.
Mhando dzeparaproctitis
Zvichienderana nenzvimbo, pane akati wandei maratidziro echirwere.
- 1 Subcutaneous paraproctitis… Bundu rinobuda rakananga pasi peganda, zviratidzo zvechirwere zvinoonekwa kunyangwe pakuongororwa, ichi ndicho chirwere chinowanzozivikanwa.
- 2 Submucous paraproctitis… Purulent paraproctitis inoitika mukati mechadzamu pasi penzvimbo yemucheka.
- 3 Ischiorectal… Iko kuzvimba kunopararira kune mhasuru inosimudza anus.
- 4 Pelviorectal… Iko kuzvimba kunopararira kumhasuru yekusimudza anus uye kunoitisa kuburikidza nayo pamhasuru yepamuviri. Nekuda kwekuitika kwaro kwakawanda, mhando iyi yeparaproctitis ndiyo ine njodzi zvakanyanya.
Uye zvakare, kuzvimba kunogona kuva zvakadzama or kunze kwepamusoro.
Zviratidzo zveparaproctitis
Ichi chirwere chinotanga kamwe-kamwe uye chinoonekwa nechisimba kiriniki kuratidzwa. Heano zviratidzo zvakajairika zvinogona kuoneka mumaawa ekutanga mushure mekutanga kwechirwere ichi:
- kurwadziwa kwakakomberedza rectum uye anus. Marwadzo anogona kupinda mukati meguruva uye perineum, pamwe nemudumbu; panguva yekufamba ura, inowedzera.
- kazhinji uye kunyepa kukurudzira kuita tsvina, asi kupatirwa kunogona zvakare.
- kunorwadza weti;
- zviratidzo zvekudhakwa senge fivha, kushaya simba, kurwara, kurasikirwa nenzara uye dzungu, tembiricha inogona kukwira kusvika pamadhigirii makumi matatu nemapfumbamwe.
Zviratidzo izvi zvinoratidzwa mumhando dzese dzeparaproctitis uye hazvitsamire panzvimbo yayo. Nekudaro, yega yega mhando yehurwere inovandudza yayo chaiyo zviratidzo zvinobatsira kuona chaiko kwakatangira kuzvimba.
RџS•Rё subcutaneous paraproctitiskana bundu riripo padyo nepasi peganda, zviratidzo zvinonyanya kuoneka: kuzvimba kunorwadza muanus, nekutsvuka kweganda pamusoro payo. Iwo marwadzo anowedzera zvishoma nezvishoma, achiwana hunhu hunopisa, huchiunza kusagadzikana kukuru pawakagara, uchiita tsvina. Maitiro aya anoperekedzwa nemarwadzo akakomba. Iyi fomu yekuputa ndiyo yakajairika.
Submucosal pute iri pasi peyero mucosa. Zviratidzo zverudzi urwu lwenzvimbo zvakafanana nechuru chepasi, asi marwadzo uye shanduko yeganda hazvidudzike.
RџSЂRё ischeorectal abscess purulent focus iri pamusoro pemhasuru inosimudza anus. Nekuda kwehunhu hwakadzika, zviratidzo zvemuno zvakanyanyisa kujeka: kutapurika kwekurwadzisa kurwadziwa mu pelvic uye rectal nharaunda, iyo inowedzera panguva yekufamba kwematumbu. Ganda kutsvuka, kuzvimba kunoitika mazuva 5-6 mushure mekutanga kwekutambudzika. Kunzwa kwakawanda kunorema: tembiricha inogona kukwira kusvika pamadhigiri makumi matatu nemasere, kudhakwa kwakanyanya kunoonekwa.
Izvo zvakanyanya kuomarara zvinofungidzirwa bundu repamuviri… Iyi ndiyo nzira isingawanzoitika yeabute abscess, apo purulent inotarisa iri pamusoro pemhasuru iyo inogadzira pelvic floor, inopatsanurwa kubva padumbu padumbu netaundi rakatetepa reperitoneum. Kutanga kwechirwere ichi kunofambidzana nefivha yakanyanya, kutonhora, uye kurwadziwa kwemajoini. Zviratidzo zvemuno: marwadzo muhudyu pamwe nemudumbu. Mushure memazuva gumi nemaviri, marwadzo anowedzera, chigaro uye kuchengetedza weti kunoitika.
Vamwe vanhu vanoonekwa kuti vane yakasarudzika necrotizing paraproctitis… Iyi fomu inoratidzirwa nekukurumidza kupararira kwethumba, ichiperekedzwa necrosis yakakura yezvinyoro zvinyoro uye zvinoda kuti zvibviswe, mushure mezvo mavanga makuru akasara, achida kupindira kwechiremba wepurasitiki.
Paraproctitis muvana
Kazhinji kazhinji, paraproctitis inowanikwa muvanhu vanopfuura makore makumi maviri ekuberekwa, asi vana vari zvakare panjodzi. Zviratidzo muvana zvakafanana nezvevarwere vakuru, zvisinei, zvakanyanya kuoma kuongorora chirwere, nekuti vacheche havagone kutsanangura izvo chaizvo zvinovashungurudza.
Vabereki vanofanirwa kubhadhara zvakanyanya fivhiri, kugara vachichema kubva kumucheche, kunyanya panguva yekutama, uye kuzvimbirwa. Sezvo mutemo, vana vanotambura ne subcutaneous paraproctitis, saka, iro ganda rakatenderedza anus rakatsvuka uye kuzvimba.
Zvikonzero zvekuumbwa kweparaproctitis muvana:
- kusagadzikana kwezvipembenene mu rectum;
- kudzivirirwa kwakadzika;
- kuzvimba ura uye kufema hurongwa;
- ura dysbiosis.
Matambudziko neparaproctitis
Kana purulent paraproctitis ikasabuda nenguva, zvinetso zvine njodzi zvinogona kumuka:
- purulent inotungamirwa inogona kukuvadza matumbo emadziro uye madziro emadzimai muvakadzi;
- ne subcutaneous localization, iko kuparara kwethumba kunogona kuve kwekunze, uko kunotungamira kune zvimwe hutachiona;
- kukuvara kwemafuta munyama mudumbu;
- kukuvara kweiyo urethra inokonzerwa nekupinda kwayo purulent;
- peritonitis nekuda kwekukurumidza kupararira kwekuzvimba kune dumbu dumbu;
Iyo postoperative nguva inogona zvakare kuve yakaoma. Kunyangwe kana chiremba achiomerera pamitemo yese yekupindira kwekuvhiya, kubuda ropa, matambudziko anotapukira uye mamwe matambudziko ekuvhiya anogona kuoneka.
Kudzivirira paraproctitis
Iko hakuna akakosha ekudzivirira matanho echirwere ichi. Izvo zvinodikanwa panguva yakakodzera uye nemazvo kurapa zvese rectal kusagadzikana. Zvirwere zvisingaperi zveamwe masisitimu emuviri hazvifanirwe kufuratirwa. Utsanana hwepedyo hwakakosha hwakakosha. Izvo zvinodikanwa kugara uchishanyira chiremba kuti uongorore kudzivirira, uye kwete kunonoka rwendo kuenda kune nyanzvi apo muviri unotanga kupa zviratidzo zvinotyisa: kurwadziwa, kusagadzikana, kushaya simba, nezvimwe.
Diagnostics
Kuongororwa kwe "paraproctitis", sekutonga, kunoitwa pahwaro hwekudzidza kweiyo kiriniki yemufananidzo, uyezve mushure mekuongororwa kwedhijitari yeiyo rectum. Munguva yekuongorora uku, chiremba akapfeka magirovhosi akakosha anopinza chigunwe muanus uye anonzwa zviri nyore madziro ereceum. Muchiitiko ichi, murwere anogona kurara parutivi kana kumusana, pachigaro chevakadzi. Izvi zvinowanzo kukwana.
Muzviitiko zvisingawanzoitika, kunyanya nemafomu epamberi kana akaomarara echirwere, kuongororwa kwechiridzwa kunorayirwa uchishandisa rectoscopy (endoscopic bvunzo) kana ultrasound (kuiswa kweiyo ultrasound probe mune rectum).
Kurapa kweparaproctitis mune zviri pamutemo mushonga
Acute paraproctitis chirwere chekukurumidzira uye chinoda kurapwa.
Anesthesia inoita basa rakakosha pakurapa kweakanyanya paraproctitis. Kuvhiya kunoitwa pasi peanesthesia, uye vanachiremba vanofanira kusunungura tsandanyama dzemurwere zvakanyanya. Kuvhiya kweparaproctitis kunoda kuteedzerwa nemimwe mirawo yakakosha kubvisa purulent kuzvimba:
- abscess incision;
- abscess abudise;
- kuonekwa kwenzvimbo yakakanganiswa yemukati uye kubviswa kwayo.
Dzimwe nguva vanachiremba vasina ruzivo vanoita kungocheka uye kubuda kwemubundu kurapa paraproctitis, izvo zvinogona kutungamira mukudzokazve kana anal fistula.
Munguva yepashure pekuvhiya, murwere anofanira kutora mishonga inorwisa mabhakitiriya kudzivirira kudzoka kweparaproctitis. Izvo zvakare zvinodzivirira mamwe masisitimu emuviri kubva mukutapukirwa uye kubva kumatambudziko akadai sepsis kana peritonitis.
Munguva yekudzoreredza, zvakakosha kwazvo kuchengetedza hutsanana hwepedyo. Iyo rectal nzvimbo inoshambidzwa kaviri pazuva mangwanani uye nemanheru uye mushure mekufamba kwega kwega kudzivirira hutachiona hwevanga rapashure pekushanda.
Zvigadzirwa zvinobatsira zveparaproctitis
Munguva yeparaproctitis, zvakakodzera kunamatira kumisimboti yekudya kwakakodzera. Iwe unofanirwa kudya muzvikamu zvidiki kanenge ka4-5 kanomwe pazuva. Zvinokurudzirwa kutevedzera zvinotevera kuraira kwekudya:
- 1 Inwa 1,5 litita emvura pazuva. Mvura, tii, kefir kana mukaka wakabikwa wakabikwa, tii yemakwenzi, zvinwiwa zvemichero zvakakwana. Asi kubva pasoda, kunyanya inotapira - zviri nani kuramba panguva yekurwara.
- Zvibereko nemiriwo zvinobatsira zvikuru sezvo zviine fiber. Iwe unofanirwa kudya zucchini, bheet, maapuro, manhanga, mabhanana. Ivo vanobatsira kuumba zvituru zvakanyorovera izvo zvisingazokuvadze matumbo emadziro uye vatori vechikamu vakanganiswa.
- Idya chikafu chinopisa kamwe chete pazuva, senge muto wakareruka uye muto.
- Kwekudya kwemanheru, zviri nani kudya chinhu chakareruka kana kunwa yogati. Hazvina kukosha kudya makabhohaidhiretsi kana mapuroteni.
Chinyakare mushonga weparaproctitis
- Nzira inoshanda yekubvisa isingafadzi, inorwadza sensations is a bath based on salt and soda. Iwe unofanirwa kufashaira 5 litita emvura, utonhorere kuitira kuti uve unodziya, wobva wanyunguduka mupuni 1 wemunyu nesoda. Dzvinyirira iyo mvura kuburikidza cheesecloth, wobva wageza. Inokurudzirwa kugara mukati mayo kwemaminitsi gumi, iyo kosi iri gumi nemashanu maitiro akadaro.
- Imwe yekugezera yechirwere chisingaperi paraproctitis inogadzirirwa pahwaro hwamai. Dissolve mapiritsi gumi mugirazi remvura, fambisa zvakanaka, simbisa, wedzera kune mashanu litita emvura inodziya uye garawo kwemaminetsi mashoma.
- Kugara ne calendula infusion. Izvo zviri nyore kuigadzirira. Iwe unofanirwa kunyudza magiramu makumi maviri emaruva matsva, dururira girazi remvura irikufashaira, rega iite kwemaawa maviri, wozobaya neemaema. Inokurudzirwa kubata mupendero wayo nemafuta kana kirimu.
- Rowan michero ine nyoro laxative mhedzisiro. Kubva kwavari unofanirwa kusvina muto - inenge hafu yegirazi, uye kunwa zvishoma katatu pazuva pazuva usati wadya. Uye kubva kune yakasara pulp, iwe unogona kugadzira compress, uye kuishandisa kune iyo anus.
Zvigadzirwa zvine ngozi uye zvinokuvadza neparaproctitis
Munguva paraproctitis, iwe unofanirwa kurega zvachose kuputa, kunwa zvinwiwa, zvinwiwa uye zvine mafuta chikafu, mabhanzi, zviwitsi, zvinwiwa zvine kabhoni. Ivo vanoshanda seyakagumbuka akasimba kumatumbo.
Izvo zvakafanira kusabatanidza chikafu chinokurumidza, "chikafu chakaoma" kubva kuchikafu. Iwe haugone kudya chikafu chinochengeta zvigaro. Inosanganisira zviyo zvakachena uye zvakatsetseka nemasobho. Inonyanya kukurudzirwa kudya mupunga wakabikwa kana oatmeal, kunwa jelly, yakasimba tii, cocoa.
Chenjerera!
Iwo manejimendi haatarisiri chero kuyedza kwekushandisa ruzivo rwunopihwa, uye haivimbise kuti harukuvadze iwe pachezvako. Izvo zvinhu hazvigone kushandiswa kupa mushonga uye kugadzirisa chirwere. Nguva dzose bvunza chiremba wako wezvechiremba!
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