Simila Pilonidal: izimbangela, izimpawu, nokwelashwa

Ngezinye izikhathi umuntu angaphila isigamu ukuphila ngaphandle kokuqaphela ukuthi umzimba wakhe angase Sihlala izinsongo ezifihliwe, ezifana teratoma, izinso malformation noma isimila ka coccyx. Lesi sakamuva akusho ukuzibonakalisa kuze kube isikhathi esithile, futhi odokotela abakwazi ukusho ngokuthe ngqó ukuthi yini ebangela ukubonakala izimpawu zokwelashwa. Esikhathini esithile lokhu imfundo iqala avuvukele, kwakhiwa ubomvu is, izicubu ezithambile nanjengomhlanzi, futhi inkinga kuba sobala.

definition

simila Pilonidal - anomaly kwesikhumba esifundeni sacrococcygeal. Busho lokhu uphethwe kukhona itheku pilonidal noma EPITHELIAL coccygeal Yiqiniso. Hola eyodwa ukukholelwa ngalesi sifo can khona isikhumba sokuhoxisa e mezhyagodichnoy crease. Ngemva uhlukunyezwe le coccyx noma ukupholisa endaweni kuba fistula elikhanyayo futhi abscesses. Ngemva kwesikhathi esithile, futhi ngandlela-thile livuliwe, ukwakha amapheshana eyengeziwe kanye ukuvuleka. Uma aziphendukeli ukunakekelwa kwezempilo, lesi sifo singumbulali yansukuzonke ngokwemvelo.

simila Pilonidal (ICD-10)

Esikhathini International Ukwahlukanisa Diseases wokubuyekeza okweshumi kwakho isigaba ngaphansi incwadi L, lapho, phakathi kwezinye izinto, uqukethe isikhumba nezicubu ongama. simila Pilonidal lubhalwe ngemfihlo ngaphansi ikhodi L05, sifaka fistula futhi coccygeal itheku pilonidal. Ukhombe subgroups ezimbili:
- L05.0 - simila nge ithumba;
- L05.9 - simila ngaphandle ithumba.

Lesi sigaba sihlanganisa izinkunzi, dermatitis, eczema, urticaria, izifo zesikhumba kanye nezinye izinto ezihlobene.

Izimbangela simila ukwakheka

Njengoba yaziwa, i-embryo sihamba ngesikhathi ukukhula esigabeni yokuziphendukela kwemvelo. Anakho nikhukhumele, inhliziyo emithathu chambered, ngisho ulwelwesi umsila. Odokotela abaningi futhi pathologists bakholelwa ukuthi pilonidal izinhlumba coccyx Inesici azalwa naso we yangaphandle lwegciwane ungqimba. Lokhu kungenxa hhayi ekupheleni imisipha sinciphile emisipheni kakhulu lokhu umsila, okubonakala emavikini ambalwa wokuqala sokukhulelwa, futhi kufanele kwalasha ngemva kwesonto lesishiyagalombili.

Kunemibono eyahlukene ngalolu daba. Abanye ochwepheshe bakholelwa ukuthi lesi sifo kwenzeka ngenxa izinwele ingrown e amanoni ongama. Amalungu leli phuzu theory yokubakhona amavesi EPITHELIAL phakathi iminwe ngesikhathi abalungisa izinwele, ihlelo esitho unqanyulwe endaweni underarm.

Eminyakeni engaphezu kwekhulu edlule, ososayensi bezinzwa kwase nombono yakheke owawuthi Yiqiniso EPITHELIAL coccygeal e inqubo involution sokuphela we umgogodla intambo izingxenye. Enye incazelo kanjani eyakheke simila pilonidal, conformable dlule: coccygeal amathambo lapho bakha umsila izilwane, resorbed futhi besigaxa esingesihle uhlala endaweni yayo. Uma le nqubo alikapheli ngokugcwele, kule ndawo akha hambisa abayizimpumputhe, ongaba avuvukele.

izimpawu

Isilinganiso sobudala iziguli kwathiwa unesifo "simila pilonidal" - kusukela eyishumi nesithupha ukuze engamashumi amabili nanhlanu. Ngokuvamile kuthinta abameleli bezizwe eningizimu. Lesi sifo cishe ezivamile abamnyama. Iningi uhlushwa amadoda abahambayo okuningi ngemoto noma ukwenza izizinda eside, ezifana amasosha noma abashayeli bamaloli.

Yiqiniso EPITHELIAL isendaweni umugcamkhatsi e mezhyagodichnoy crease, yena zifa eligcina nezicubu adipose futhi ivula isilonda esikhumbeni. Ngokwesinqumo ewumngcingo tube ngobude emithathu kuya kwemine ngamasentimitha. Ngaphakathi, ke uphahlwe epithelium, okuyinto bukhipha isikhwehlela. Noma yimuphi umuntu elimele mechanical noma ukutheleleka kungaholela nokubambezeleka of outflow EPITHELIAL uketshezi nokuvuvukala. simila Pilonidal akulutho ngaphandle itheku avuvukele, okuyinto, ne awokuthi singaya ku ithumba. Ezimweni eziphambili isifinyelele value eside futhi kungaba angesabi ukuvulwa encibilika isikhumba. Lena inqubo kubuhlungu ezingaba izinkinga zokuphila.

Hlukanisa emkhatsini ayinzima futhi kuyinkimbinkimbi EPITHELIAL coccygeal Yiqiniso. Esimweni sokuqala, njengoba umthetho, azikho izikhalo. Ngezinye izikhathi kukhona blunt ubuhlungu coccyx, kodwa musa ibange inkathazo isiguli kwenzeke kuphela ukulimala isikhathi eside bayiphendule noma wamaphaphu. Akuvamile simila pilonidal kuhambisana ukulunywa futhi osenyameni mezhyagodichnoy crease.

Uma lesi sifo nzima ke kukhona ukuvuvukala oyingozi noma ezingamahlalakhona we EPITHELIAL unhlangothi, imfiva, ubuhlungu obukhulu endaweni ithumba, lapho izibazi endaweni fistula ukuphulukiswa. Lokhu ngokuvamile baphazamisa iziguli aphoqeleke ukuba uthintane udokotela ohlinzayo.

ukuhlola

Doctor futhi kubalulekile ukuqoqa kahle umlando wezokwelapha enemininingwane. Ngokuvamile, iziguli aphathwe ngayo ngemva kokulimala noma ubuhlungu lapho libizwa. Ukuba khona emigodini mezhyagodichnoy esifundeni, ukuvuvukala endaweni ka yesibazi, unomphela abscesses yansukuzonke ngokwenza uphethwe lula ngokwanele.

Ukuze ukwazi ukuthi zingaki izimbobo kukhona futhi kude kangakanani fistula ezijulile, udokotela sifaka udayi kuwo, iningi methylene blue ke ukubukela ukubona lapho notshwala uketshezi. Le ndlela ikuvumela ukuba ngeso lengqondo zonke streaks kobovu futhi ngokugcwele uwasuse ngesikhathi ukusebenza.

ukwelashwa simila ayinzima

simila Pilonidal ngaphandle ithumba kudinga lohleliwe kuhlinzwa ukwelashwa, isikhathi nendlela okungase kukhethwe ngamunye isiguli ngasinye. Ngokuvamile ingenye kuphela: ukuphazamiseka ngizodabula ngesikhathi ukuthethelelwa sifo. ukusebenza kwe-Radical kuyadingeka esimweni kuvulwa zangaphandle uvele ubomvu. Udokotela ohlinzayo lucwaningo excision we xhumelela isikhumba izicubu ongama kuze fascia sacrococcygeal. Ukuze kube lula ukufinyelela, uhamba EPITHELIAL namabala iodine, fukortsinom noma methylene okwesibhakabhaka. I isilonda sutured ngongqimba noma uvalwe (nge izilonda ezijulile futhi zisabalele) wenziwa suturing isilonda imiphetho kuya phansi yayo. Stitches ziyasuswa ngemva kwamasonto amabili, ukukhubazeka okukhulu yezimonyo endaweni le imbobo is hhayi waphawula. Ngokunakekela ngokucophelela lesi sifo esesindile ngokuphelele.

ukwelashwa simila kuyinkimbinkimbi

simila Pilonidal nge ithumba kudinga indlela ukuhluka ekwelashweni. Uma ukuvuvukala ingahambi ngale mezhyagodichnoy emphethweni, has amasentimitha ezingeqile kwezintathu futhi akuwona amaza isiteshi umkhankaso, kungenzeka ukuba aqhube yesikhathi esisodwa kokungenela ezinkulu futhi asuse ngokuphelele focus ukuvuvukala ububanzi. Endabeni esiphelweni ngesinyenyela ngaphambi kokuba sihlinzwe ezidingekayo yokwelapha anti-inflammatory.

Lapho kumiswa ithumba (isb nokuguqulwa ukufohla okuqukethwe ithumba) kubuye akukhetha lokuqala afeze yokwelapha anti-inflammatory ukuze mezhyagodichnoy esifundeni ezazitholakala ukusebenza kanye ukunciphisa ingozi yezinkinga nasezinkingeni ezilandela ngemva kokuhlinzwa. Engamancozuncozu esiteji olukhulu has eziningi eziwusizo:
- ukonga imbobo esikhumbeni;
- tekuhlangana esiphezulu emaphethelweni isilonda.

Ngisho uma INGENA ISINYENYELA kudlulela ezinhlangothini, into eyinhloko esikhathazeka ngayo pilonidal simila coccyx. Ukusebenza ukwenziwa umugca lohlukanisa emkhatsini we ithumba. Ngemva zokufinyelela udokotela ohlinzayo lucwaningo i ehloliwe isilonda ukususa zonke necrotic izicubu mass ikhefu jumper, uma ikhona. zokuvimbela Ukushiyeka kuyinto luhlolo olunzulu emkhakheni kuhlinzwa, ukususwa kwabo bonke detritus necrotic, excision izindinyana futhi streaks. ukuvuvukala okuphindaphindayo zingenzeka uma ukuhlinzwa kwakungelona olukhulu ngokwanele, izinsalela EPITHELIAL unhlangothi walondoloza izinwele noma isilonda sisheshe siphole kwaba ayiphelele.

Yisosha

Phakathi ukudlula udokotela ohlinzayo okusalungiswa ikhomishana uthola eduze isihoxiso endaweni ingquza nge izinwele nimkhiphela ngakho. A UDOKOTELA ibangela ukukhathazeka, le nsizwa ibuza imibuzo eholela empendulweni: Ingabe ke batshelwa ekukhathaza ukuthi ubomvu etholakalayo uma ukuvuvukala babe. Uma impendulo alivumi, udokotela ukunika izeluleko zezempilo futhi uyakuphawula ukuthi leli sosha ofanele inkonzo.

Kodwa uma okungenani owodwa impendulo inguyebo, idinga ukuhlinzwa, ngoba yokwelapha olandelanayo alikho. Ukungenelela wenziwa ngendlela lohleliwe, uma azikho izinkomba athathe isinyathelo ngokuphuthumayo.

Iseluleko iziguli

simila Pilonidal kudinga ukunakekelwa obucayi nasezinkingeni ezilandela ngemva kokuhlinzwa, ngakho-ke kuyinto efiselekayo ukugcina iziguli nale mihlahlandlela elandelayo:
- Amaviki amathathu ngemva kokuhlinzwa ukuhlala nokuphakamisa izinsimbi akuvunyelwe;
- kumele ushawa nsuku zonke nge efudumele egeza yokuhlanzeka mezhyagodichnoy endaweni;
- zingakapheli izinyanga eziyisithupha ukusebenza njalo ngemva kwamasonto amabili, udinga ukwenza ukususwa izinwele endaweni we imbobo;
- egqoke ethambile, wathatheka zangaphansi, kungekho ezivuzayo ophumile.

Le ndlela elungile uyogwema ekuphindeni lesi sifo futhi lula Ukuthwala aphume ukubalwa kwezimali esikhathini esizayo.

yezinkinga

Njengomthetho, simila pilonidal, impatho owenziwa ngokushesha kuphela, has a Izibikezelo evumayo, ngokuvamile kuza umuntu alulame ngokugcwele. Ngeshwa, ukuxakeka ngezinye izikhathi kungenzeka, njenge:

- abscesses yansukuzonke (uma audit engakaze kwenziwe ngokugcwele);
- yokuphindela isifo (uma isiguli alihambisani ngemihlahlandlela ukuphathwa imodi post-op);
- sepsis futhi pyosepticemia (uma belekelelwa yesibili kwegciwane);
- ukuvuselelwa kwezicubu EPITHELIAL jikisa-squamous cell carcinoma.

I inkinga yokugcina kukalutshwana kakhulu, kodwa odokotela abahlinzayo uthanda ukwenza iphutha endleleni Kulokhu, kanye nezicubu isuswe uthunyelwa luhlolo histological, ukuze ungabi nomdlavuza.