Cryptitis yog ib qho mob ntawm Morganian crypt. Nws los ntawm ob hom. Mob hnyav yog nrog los ntawm qhov mob hnyav. Qee zaum, qhov hnyav tuaj yeem tshwm sim. Nrog xws li cryptitis, maceration ntawm daim tawv nqaij tshwm sim. Tus kab mob tuaj yeem cuam tshuam rau 3 lub lis piam. Cov tsos mob ntawm tus kab mob cryptitis nyob ntawm ntau yam. Cov no suav nrog sphincter spasm, coccygodynia, mucus hypersecretion.
Yog tias tsis kho, cryptitis tuaj yeem tsim mob qog noj ntshav. Yog li ntawd, ceev faj. Yog hais tias tus kab mob no mob heev, cov tsos mob ntawm cryptitis thiab kev kho mob ntawm tus kab mob yuav tsum tau txiav txim los ntawm ib tug nqaim tshwj xeeb. Thiab tsuas yog tom qab ntawd nws raug tso cai pib kho.
Yog vim li cas
kab mob Cryptitis tau txhawb nqa los ntawm kev ua tsis tiav ntawm lub plab zom mov, nrog rau kev ua haujlwm tsis zoo ntawm mucosal. Xws li kev ua tsis tiav hauv kev tso tawm cov hnoos qeev tsis zoo lubricate cov quav ntawm qhov tawm, yog li lawv tsis raug tshem tawm los ntawm lub cev.
Ib feem ntawm cov quav uas nyob rau hauvqhov quav sinuses, clogs lawv, tiv thaiv qhov tshem tawm ntawm hnoos qeev thiab pab txhawb rau nws stagnation. Thiab qhov no ua rau khaus thiab o ntawm thaj chaw loj hauv qhov quav. Feem ntau, cov hnoos qeev uas ua los ntawm lub cev yog qhov thaiv uas tiv thaiv cov ntaub so ntswg zoo.
Key Factors
Yog vim li cas rau kev loj hlob ntawm tus kab mob yog cov kev mob zoo uas tsim tom qab kis kab mob los yog o. Cov laj thawj tseem ceeb ua rau cryptitis yog:
- cem quav ntev uas ua rau lub qhov quav puas;
- mob raws plab ntev uas ua rau cov kab mob crypt mucosa;
- tseem muaj cov khoom noj uas tsis tau noj (cov pob txha, husks, ntses pob txha) uas ua rau mob plab hnyuv;
- raug mob vim muaj cov khoom txawv teb chaws hauv qhov quav;
- txheej txheem mob hauv qhov quav lossis kab mob sib kis;
- nthuav dav thiab mob hemorrhoidal pob.
Symptoms
Thaum pib ntawm qhov mob, tus neeg mob muaj cov tsos mob tshwm sim:
- txo qis kev tiv thaiv;
- faus;
- -voos thiab tsis zoo ntawm kev noj qab haus huv.
Cov tsos mob ntawm cryptitis tuaj yeem tuaj thiab mus ib ntus, nyob ntawm lub xeev kev noj qab haus huv. Cov tsos mob ntawm cryptitis feem ntau tsis meej pem nrog cov tsos mob ntawm hemorrhoids. Raws li tus kab mob loj hlob zuj zus, cov cim qhia xws li:
- mob hnyav thiab kub hnyiab hnyav hauv plab thaum so thiab mob ntxiv thaum qoj ib ce thiab txav;
- kev kawmabscesses thiab fistulas, ua rau tsis xis nyob thiab hnov ntawm lub cev txawv teb chaws nyob rau hauv qhov quav;
- fever;
- cov quav tawv nrog ntshav;
- nce plab hnyuv motility;
- cem quav thiab spasms;
- mob thaum lub plab zom mov, nrog los ntshav;
- poob qab los;
- redness, thickening thiab o ntawm cov ntaub so ntswg hauv qhov quav;
- nquag tso quav;
- tso zis los yog kua paug tawm ntawm qhov quav;
- kev thaiv ntawm lub caj pas qhov quav;
- kev nyuaj siab thiab kev nyuaj siab cuam tshuam nrog kev txaj muag;
- lwm cov kab mob thiab kev mob ntawm lub plab zom mov, raws li kev txhim kho ntawm cryptitis (mob ntawm qhov quav).
Diagnosis
Thaum kuaj pom tus kab mob, tus neeg mob mus dhau cov theem hauv qab no:
- Cawm anamnesis.
- Kev tshuaj xyuas. Xav txog tus neeg mob qhov kev tsis txaus siab, tus kws kho mob ua qhov kev ntsuam xyuas sab nraud ntawm qhov chaw mos, thiab tseem palpates thaj tsam perianal. Yog hais tias qhov o tsis mus dhau lub crypts, ces kev ntsuam xyuas sab nraud ntawm lub qhov quav yuav tsis hloov. Kev tshuaj xyuas qhov quav digital qhia qhov mob, o thiab suppuration ntawm cov crypts.
- Kev tshawb fawb hauv chav kuaj. Muaj ntau ntau cov cim inflammatory (ESR, leukocytosis).
- Anascopy - txoj kev tshawb no yog ua los ntawm daim iav qhov quav. Ua tsaug rau txoj kev no, koj tuaj yeem pom qhov o thiab liab ntawm thaj chaw crypt, muaj cov quav hniav dawb thiab tawm.purulent secretion.
- Sigmoidoscopy tso cai rau koj los txiav txim siab kev ncaj ncees ntawm cov mucous daim nyias nyias ntawm lub qhov quav thiab cov hnyuv sigmoid. Siv thaum xav tias muaj comorbidities.
- YUltrasonography. Txoj kev no yog ua los ntawm kev sojntsuam qhov quav lossis qhov chaw mos.
- Txoj Cai. Hais txog kev kuaj X-ray. Nws yog ua los ntawm kev qhia tus neeg sawv cev sib txawv.
- Biopsy. Nws yog siv los piav qhia qhov kev kuaj mob nyob rau hauv lub xub ntiag ntawm qhov chaw tsis txaus ntseeg ntawm txoj hnyuv mucosa. Thaum lub sij hawm anoscopy, ib tug biopsy raug coj mus rau histology.
kev kho mob
Cov tsos mob ntawm tus kab mob (tus txheej txheem inflammatory nyob rau hauv lub qhov quav kwj dej thiab crypts), tshwm sim nyob rau hauv ib tug ntev daim ntawv, ua rau tus neeg mob tsis xis nyob, thiab nyob rau hauv lub mob theem yog yus muaj los ntawm mob throbbing mob thiab tseem ceeb heev nyuaj rau defecation.. Muab cov saum toj no, txaus, kho raws sijhawm ntawm cov tsos mob ntawm cryptitis yog qhov tseem ceeb tshwj xeeb.
Kev kho mob niaj hnub kev kho mob feem ntau yog txhawm rau tshem tawm cov hauv paus hauv paus ntawm cov kab mob pathology, txo cov txheej txheem inflammatory, txo cov tsos mob thiab mob. Hauv qab no yog cov lus qhia tseem ceeb ntawm kev kho tshuaj, qhia txog cov pab pawg tshuaj tseem ceeb ntawm cov tshuaj tsim nyog rau qhov no.
Ua tau zoo tuaj yeem hu ua kev kho mob cryptitis nrog cov tshuaj pej xeem. Muaj ntau ntau cov tshuaj rau kev kho mob, tab sis tsuas yog ob peb yam yog suav tias yog qhov zoo tshaj plaws. Ua nojnoj ob peb tablespoons qhuav chamomile, 100 ml dej thiab muab tso rau hauv ib da dej. Boil 15 feeb. Qhov no decoction yuav tsum tau nchuav rau hauv da dej thaum da dej.
Muaj ntau txoj hauv kev los kho cov tsos mob ntawm cryptitis, daim duab uas tsis txuas rau qhov zoo nkauj. Nov yog:
- Txoj kev sib raug zoo.
- Kev cuam tshuam kev phais. Yog tias kev kho mob ntawm cryptitis nrog tshuaj tsis ua haujlwm, kev phais raug pom zoo. Nws tau ua raws li tshuaj loog hauv zos.
- xov tooj cua yoj txoj kev. Qhov no yog qhov kev kho mob txaus ntshai tshaj plaws, uas nws yuav luag tsis yooj yim kom tsis txhob cuam tshuam cov ntaub so ntswg noj qab haus huv. Qhov kom zoo dua yog tias nws pab kom ua tiav sai sai.
- Infrared coagulation. Txoj kev mob siab tshaj plaws.
Tshuaj tua kab mob
Lub sijhawm mob hnyav ntawm kev txhim kho cryptitis yog tus cwj pwm los ntawm cov txheej txheem inflammatory uas muaj cov kab mob intoxication, ntxiv mus, cryptitis feem ntau yog nrog los ntawm cov pob txha purulent. Yog li ntawd, rau kev kho mob ntawm cov kab mob tau piav qhia, kev kho tshuaj tua kab mob, tshuaj tiv thaiv kab mob yog tsim nyog, uas yog ua los ntawm kev siv cov tshuaj tua kab mob hauv cov ntsiav tshuaj lossis txhaj tshuaj, thiab hauv daim ntawv suppositories rau kev siv lub qhov quav..
Thaum xaiv ib pawg tshuaj tua kab mob rau cryptitis, tus kws kho mob tuaj koom, raws li txoj cai, nyiam cov tshuaj dav dav, uas yog cov tshuaj tsim nyog rau kev kho mob cryptitis, tshuaj xyuas qhov zoo:
- Cefotaxime;
- "Metronidazole";
- Gentamicin.
tswm ciab thiab tshuaj pleev
Raws li tau hais los saum toj no, ua ke nrog kev kho mob tshuaj tua kab mob, tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob yog ua los ntawm kev pab ntawm qhov quav suppositories thiab tshuaj pleev, uas, ntxiv rau cov khoom no, muaj cov nyhuv analgesic thiab tshem tawm qhov tsis xis nyob.
Ntawm cov txiaj ntsig zoo tshaj plaws thiab siv ntau zaus, tsuas yog ob peb yam tshuaj yuav tsum raug cais tawm. Nws yog qhov tsim nyog los nyob hauv kev kho mob ntawm cryptitis nrog tswm ciab thiab tshuaj pleev:
- Aurobin ointment yog ib qho tshuaj tiv thaiv kab mob raws li prednisolone nrog cov nyhuv analgesic, uas tau lees paub los ntawm qhov muaj lidocaine hydrochloride hauv kev npaj. Cov tshuaj pleev muaj lub qhov txhab zoo zoo thiab txo qhov khaus thiab kub hnyiab.
- "Proctosan" (nyob rau hauv daim ntawv ntawm cov tshuaj pleev thiab suppositories) yog cov feem ntau siv tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob rau cryptitis. "Proctosan" yog ib qho tshuaj ua ke uas kho cov ntaub so ntswg puas, txo qhov kub hnyiab thiab khaus.
- Tshuaj pleev thiab gel "Levomikol" - tshuaj raws li methyluracil thiab chloramphenicol. Zoo cuam tshuam cov kab mob thiab cov kab mob, rov ua kom cov ntaub so ntswg ntawm lub qhov quav cuam tshuam los ntawm cov txheej txheem inflammatory, thiab tshem tawm cov tsos mob ntawm tus kab mob. Nrog cryptitis, ib daim ntaub qhwv los yog paj rwb ntaub so hauv Levomikol muab tso rau hauv qhov quav.
- Tshuaj pleev thiab tshuaj pleev "Proctosedyl" - ntau yam tshuaj uas pab tiv thaivLub hauv paus ua rau cryptitis yog nrog hemorrhoids. Tsis tas li ntawd, cov tshuaj pab txo qhov mob, tshem tawm qhov mob, kho qhov txhab thiab tawg hauv qhov quav, txhim kho venous ncig hauv qhov quav, muaj cov nyhuv antimicrobial.
- Diphenhydramine suppositories kuj nrov, uas tshem tawm cov tsos mob ntawm cryptitis (mob, kub hnyiab, kub taub hau).
Cov lus qhia rau kev siv tshuaj
Muaj qee cov lus pom zoo rau kev siv tshuaj kho qhov quav, uas yog:
- ua ntej siv cov tshuaj, nws raug nquahu kom khoob cov hnyuv kom yav tom ntej, thaum tso quav tsis tshem cov tshuaj pleev los yog tshuaj suppository los ntawm qhov quav;
- thaj chaw perineal thiab qhov quav yuav tsum tau ntxuav kom huv nrog dej sov uas tsis yog xab npum thiab, yog tias ua tau, da dej hauv zos raws li tshuaj ntsuab tshuaj tua kab mob;
- cov tshuaj pleev yog siv ncaj qha rau ntawm daim tawv nqaij ib ncig ntawm lub qhov quav thiab muab tso rau hauv lub qhov quav uas siv lub applicator tshwj xeeb;
- tswm ciab (suppositories) muab tso rau hauv qhov quav.
Sorbents
Ntau zaus, cryptitis yog qhov tshwm sim ntawm qhov tsis zoo ntawm qhov quav - los ntawm kev mob plab zawv plab mus rau cem quav ntev. Hauv thawj kis, tus kws kho mob pom zoo kom noj tshuaj sorbents thiab tshuaj tiv thaiv kab mob, suav nrog:
- "Loperamide";
- "Atoxil";
- Imodium.
Rau cem quav, cov tshuaj laxative tau sau tseg (nrog cov tshuaj tshuaj ntsuab ua ntej), suav nrog:
- Senade;
- "Bisacodilu";
- YLactulose.
Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov ntawm no tias nws yog qhov tsim nyog los daws cem quav nrog kev pab ntawm enemas, txij li cov tshuaj laxatives ua rau rov qab quav, uas, dhau los, yog qhov ua rau khaus hauv qhov quav. Laxatives tsuas yog pom zoo rau kev cem quav tsis tu ncua.
Immunostimulatory
Yuav kom tib neeg lub cev tiv thaiv kab mob kom zoo dua thiab tiv thaiv cov txheej txheem inflammatory hauv lub cev, nrog cryptitis nws yuav pab tau siv cov tshuaj immunostimulating, nrog rau cov vitamin complexes.
Kev Tiv Thaiv
Kev tiv thaiv ntawm cryptitis, nws cov teeb meem thiab exacerbations yog kev tu cev ntawm lub qhov quav thiab yuav tsum ntxuav lub qhov quav nrog dej txias tom qab txhua qhov quav. Qhov no yuav pab txo cov ntshav ntws mus rau qhov quav. Txhawm rau tiv thaiv kev mob, koj tuaj yeem da dej kub nrog kev daws ntawm poov tshuaj permanganate.
Cov txiaj ntsig zoo yog muab los ntawm cov kev kho mob uas ua kom cov ntshav ncig hauv lub plab mog. Nws yog ib qho tseem ceeb kom ua tau raws li qhov ua tau zoo ntawm cov quav thiab tshem tawm cem quav los ntawm kev siv cov khoom noj mis nyuj-neeg tsis noj nqaij thiab kev ua zaub mov kom raug (boiling, stewing).
Cov khoom noj uas ua rau mob plab hnyuv mucosa yuav tsum raug tshem tawm ntawm cov ntawv qhia zaub mov, txwv tsis pub noj cov zaub mov muaj roj thiab kib, ntsim, ntsev, ntsim thiab cov tais diav, dej qab zib. Nws tseem tsim nyog txo qis kev noj cov hmoov nplej, khoom qab zib, chocolate, kas fes thiab tshuaj yej.
