Nyob ntawm seb hom kab mob paraproctitis hauv tus neeg laus, nws yuav xav tau kev phais, uas tuaj yeem yog xwm txheej ceev lossis npaj tau. Txawm li cas los xij, tsis hais qhov no, thaum lub sijhawm kho, raws li txoj cai, ib qho abscess qhib thiab qhov mob qhov quav crypt raug tshem tawm. Thiab nrog nws, kua paug tawm.
Tom qab kev phais tus kab mob paraproctitis, tus neeg yuav tsum tau kawm qee yam kev kho mob thiab ua raws li tus kws kho mob cov lus pom zoo kom rov zoo sai li sai tau. Kev saib xyuas tom qab phais yog qhov tseem ceeb heev. Tsis ua raws li cov lus pom zoo ntawm tus kws tshaj lij tuaj yeem ua rau muaj ntau yam teeb meem.
tus kab mob no yog dab tsi?
Tus kab mob no yog ib yam kab mob ntawm lub qhov quav, uas tshwm sim los ntawm abscess. Cov kab mob no suav hais tias yog qhov tshwm sim ntau, hauv nws "qhov nrov" nws tsuas yog thib ob rau hemorrhoids, colitis lossis qhov quav fissures.
ICD-10 paraproctitis code: K61 (abscess ntawm lub qhov quav thiab qhov quav).
Raws li kev txheeb xyuas kev kho mob, cov neeg sawv cev ntawm cov muaj zogKev sib deev muaj feem yuav raug kev txom nyem los ntawm cov kab mob no. Yog hais tias peb tham txog qhov ua rau ntawm kev loj hlob ntawm tus kab mob, raws li txoj cai, paraproctitis tshwm sim tawm tsam keeb kwm ntawm ib tug kab mob uas nkag mus rau hauv lub mucous daim nyias nyias ntawm lub qhov quav. Tsis tas li ntawd, ib qho mob zoo sib xws tuaj yeem ua rau qhov quav fissures thiab hematogenous lossis lymphatic lesions. Cov teeb meem kuj tshwm sim yog tias muaj cov txheej txheem inflammatory tshwm sim hauv cov kab mob nyob sib ze.
Raws li ICD-10 code, paraproctitis muab faib ua: subcutaneous, ischiorectal, submucosal lossis pelvic-rectal. Txhua yam ntawm pathology muaj nws tus yam ntxwv.
Vim li cas thiaj xav tau kev phais?
Kev ua haujlwm yog qhov tsim nyog txhawm rau txhawm rau txheeb xyuas cov kab mob pararectal abscess, qhib nws thiab tshem tawm cov txheej txheem purulent. Nyob rau hauv tus txheej txheem ntawm kev phais, tus kab mob recess (tej zaum yuav muaj ob peb) excised, nyob rau hauv lub qhov quav los yog purulent tubules.
Yog tias peb tham txog ntau yam ntawm cov txheej txheem, ces cov abscess raug tshem tawm los ntawm ntau txoj hauv kev. Txawm li cas los xij, tsis hais tus kws kho mob xaiv li cas, nyob rau hauv txhua rooj plaub, ib qho abscess yuav qhib kom tshem tawm cov pob txha purulent. Tom qab ntawd, kev ntsuas ntxiv tuaj yeem raug coj los tiv thaiv kev kis kab mob hauv cov hnyuv.
Nws yog ib qho tseem ceeb heev uas tom qab ua haujlwm ntawm paraproctitis, tus neeg mob ua raws li txhua tus kws kho mob cov lus qhia. Tus kws tshaj lij piav qhia rau tus neeg mob tias nws yuav tsum ua raws li kev noj haus thiab ua raws li kev tawm dag zog me me. Qhov no yog qhov tsim nyog txhawm rau txhawm rau tshem tawm qhov o lossis congestion. Txawm li cas los xij, nws yog qhov tsim nyogNco ntsoov tias txawm tias tag nrho cov lus pom zoo tau ua raws, nws tsis tuaj yeem lav tias tus neeg mob yuav zoo siab thiab rov ua kom tag nrho nws txoj haujlwm.
Qhov no tsuas yog ua tau yog tias kev ua haujlwm tau ua raws sijhawm. Yog tias cov kws kho mob pib kho tus kab mob lig dhau los lossis tus neeg mob ncua sijhawm hu rau cov kws kho mob tshwj xeeb, tom qab ntawd nws muaj peev xwm txawm tias tom qab tshem tawm ntawm fistula ntawm lub qhov quav, tus neeg mob yuav raug kev txom nyem los ntawm cov kab mob pathology. Nws kuj yuav tau ua raws li tej kev cai thoob plaws hauv nws lub neej. Ib yam tseem ceeb yog saib xyuas koj cov zaub mov.
After surgery
Tom qab kev phais mob paraproctitis, cov neeg mob mus dhau ntau theem. Ua ntej tshaj plaws, lawv yuav tsum tau ua raws li kev noj zaub mov tshwj xeeb thiab saib xyuas lub qhov txhab. Kev siv tshuaj ib txwm tso cai. Hauv qhov no, nws tsis pom zoo kom kho qhov txhab ntawm koj tus kheej. Nws yog ib qho tsim nyog mus ntsib kws kho mob lossis hu rau tus kws kho mob hauv tsev.
Thaum ntxov, koj yuav tsum ua tib zoo saib xyuas koj cov zaub mov. Nws raug txwv tsis pub noj qee yam khoom noj, nrog rau cov khoom noj uas muaj ntau cov carbohydrates. Koj yuav tau ua raws li kev noj haus kom txog thaum rov ua tiav. Kev haus dej ntau kuj tseem ceeb heev.
Lub sijhawm rov qab los li cas?
Koj yuav tsum nkag siab tias kev kho mob paraproctitis tsis txwv rau qhib lub fistula. Tom qab ntawd, lub sijhawm ntawm kev ntsuas kev kho mob pib, uas tseem ceeb heev rau txhua tus neeg mob.
Thaum cov nyhuv tshuaj loog tas lawm, ib tug neeg pib mob heev nyob rau hauv qhov chaw uas tshem tawm cov purulent masses. Txhawm rau txo qhov mob, koj yuav tsum noj tshuaj antispasmodics lossis lwm yam tshuaj uas koj tus kws kho mob yuav sau.
Qee lub sijhawm, tom qab kev phais, cov neeg mob ua npaws thiab ua rau muaj kev noj qab nyob zoo. Nyob rau hauv cov ntaub ntawv no, koj yuav tsum twv yuav raug hu mus ntsib ib tug kws tshwj xeeb uas yuav tsum tau soj ntsuam cov seam. Nws yog qhov ua tau tias cov kua paug tshwm nyob rau hauv nws, lwm yam paug tawm thiab mob pib. Txhawm rau kom tshem tawm qhov tsis xav tau tshwm sim, nws yog qhov yuav tsum tau siv cov tshuaj tua kab mob, nrog rau cov tshuaj tua kab mob uas tau muab tshuaj intramuscularly.
Yog tias muaj teeb meem tom qab tshem tawm ntawm fistula ntawm lub qhov quav, ces koj tseem yuav tau txais kev kho mob tshuaj tua kab mob. Txawm li cas los xij, cov tshuaj no tsis ua haujlwm tam sim ntawd. Tsis tas li ntawd, lawv muaj qhov tsis zoo rau microflora ntawm lub plab.
Schedule
Tom qab kev phais mob paraproctitis, tus neeg mob yuav tsum tau ua ntau yam haujlwm. Ua ntej ntawm tag nrho cov, hnav khaub ncaws yog ua. Qhov no yog cov txheej txheem niaj hnub uas suav nrog kev kho cov sutures nrog cov tshuaj tua kab mob. Kev hnav khaub ncaws kuj tseem tsim nyog kom tus kws kho mob tuaj yeem ntsuas qhov kev kho mob ntawm thaj chaw muaj kev cuam tshuam thiab xyuas kom lub qhov txhab kho tsis muaj kab mob los yog kua paug. Yog tias tom qab kev phais mob tus neeg mob tsis tuaj yeem mus ntsib kws kho mob ntawm nws tus kheej, nws raug nquahu kom hu rau tus kws kho mob hauv tsev.
Koj tseem yuav tau siv tshuaj tua kab mobtshuaj pleev. Raws li txoj cai, cov seams tau ua tiav nrog Chlorhexidine. Hauv qhov no, Levomekol yog suav tias yog tshuaj pleev zoo tshaj plaws. Cov tshuaj no pab kom tshem tawm cov kua paug thiab muaj cov tshuaj tua kab mob zoo heev. Yog tias tus kws kho mob sau tseg tias lub qhov txhab tom qab kev ua haujlwm ntawm paraproctitis zoo li txaus siab thiab tsis muaj cov kua paug nyob hauv nws, ces kev kho mob tsuas yog ua raws li kev tiv thaiv kev tiv thaiv kom tsis txhob muaj suppuration.
Ntxiv mus, cov neeg ua haujlwm rov tsim dua tshiab tau siv. Lawv yog ib qho tseem ceeb kom ceev cov txheej txheem kho. Raws li txoj cai, cov tshuaj pleev tshwj xeeb yog siv rau cov laj thawj no. Ua tsaug rau lawv, cov neeg mob sai sai tshem tawm qhov tsis xis nyob, thiab crusts tsis tshwm sim ntawm qhov txhab. Tsis tas li ntawd, cov caws pliav thiab qhov tsis zoo tuaj yeem zam tau los ntawm kev siv cov tshuaj pleev no tom qab qhov chaw ua haujlwm tau zoo lawm.
Txoj kev ntawm lub sijhawm rov qab
Koj yuav tsum mus ntsib kws kho mob txhua hnub. Tus kws kho mob yuav tsum ua tib zoo tshuaj xyuas qhov txhab. Yog tias koj nco tsawg kawg yog ib qho kev mus ntsib, ces muaj kev pheej hmoo ntawm kev pom ntawm thawj cov tsos mob ntawm qhov mob lossis lwm yam tsis zoo rau qhov tshwm sim. Tsis tas li ntawd, thaum lub sijhawm kuaj mob, koj tuaj yeem qhia tus kws kho mob txog txhua yam tsos mob tsis zoo. Qee zaum, yog tias tus neeg mob tau mob hnyav, tus kws kho mob tuaj yeem sau tshuaj kho mob.
Hnub 2 lossis 3 hnub, kev kho cov hlau nplaum tau ua, nrog rau kev tiv thaiv ultraviolet. Xws li physiotherapy tsuas yog ua tau yog tias tus kws kho mob pom zoo tias tus neeg mobtiag tiag ntawm kev kho mob. Cov txheej txheem zoo li no yuav pab ua kom cov txheej txheem kho kom zoo.
Kev huv huv tom qab phais
Yog tias peb tham txog kev tshuaj xyuas tom qab phais qhov quav fistula, ntau tus neeg mob nco txog ntau yam teeb meem uas lawv tau ntsib. Piv txwv li, tom qab ib pliag, cov plaub hau pib loj hlob hauv qhov quav. Lawv tuaj yeem ua rau nws nyuaj rau kho qhov txhab, yog li cov kws tshaj lij pom zoo kom shaving ib ntus lossis txiav lawv nrog txiab. Yog tias tus neeg mob nquag siv cov tshuaj depilatory ua ntej ua haujlwm, lawv yuav tsum tau muab tso tseg rau lub sijhawm rov qab los. Qhov tseeb yog hais tias nyob rau hauv xws li compositions muaj chemical Cheebtsam uas irritate lub mucous daim nyias nyias thiab cov ntaub so ntswg.
Nws yuav tsum tau nco ntsoov tias tom qab txhua txoj kev tso quav, tus neeg mob yuav tau ua tib zoo ntxuav lub qhov quav thiab qhov chaw nyob ib ncig ntawm nws. Rau qhov no, tsis yog tsuas yog siv cov ntawv tso quav xwb, tab sis kuj siv tshuaj tua kab mob. Qhov kev xaiv zoo tshaj plaws yog da dej sitz tom qab lub plab zom mov. Koj tuaj yeem ntxiv cov tshuaj tua kab mob tshuaj tua kab mob lossis kev npaj tshwj xeeb rau lawv.
Ntawm qhov txhab kho
Yog hais tias nyob rau hauv tus txheej txheem ntawm kev mus rau hauv chav dej tus neeg mob pom ib tug me ntsis paug, ces qhov no yog suav tias yog tus qauv. Qhov no yog vim qhov tseeb tias lub qhov quav tau raug puas tsuaj loj, yog li nws tsis yog qhov xav tsis thoob tias thawj hnub tom qab cov txheej txheem yuav muaj qhov nqaij me me. Txawm li cas los xij, yog tias los ntshav hnyav, koj yuav tsum sab laj nrog tus kws kho mob tam sim ntawd txhawm rau txiav txim siab qhov teeb meem tshwm sim.
Khoom noj khoom haus
Kev noj haus yog ib qhontawm cov kev cai yooj yim rau kev ua tiav zoo tom qab kev ua haujlwm. Nyob rau hauv tus txheej txheem ntawm kev kho mob, tus neeg mob cov zaub mov yuav tsum tau ua tib zoo tshuaj xyuas. Ua ntej tshaj plaws, koj yuav tsum tso cov khoom noj ntsim thiab qab ntsev. Tsis muaj teeb meem koj yuav tsum noj cov khoom acidic, nrog rau cov txiv hmab txiv ntoo tshiab. Thaum xub thawj, nws raug pom zoo kom muab qhov nyiam rau cov txiv apples ci, tab sis koj tsis tuaj yeem siv lawv tsis muaj kev tswj hwm.
Nyob rau lub sijhawm tom qab phais, tsis muaj teeb meem koj yuav tsum haus dej cawv thiab dej qab zib. Koj kuj yuav tsum tsis suav cov zaub mov khib nyiab, yog li koj yuav tsum tsis nco qab txog cov khoom noj yooj yim, chips, crackers, thiab lwm yam.
Peb yuav tsum txhim kho cov txheej txheem ntawm kev zom zaub mov. Txhawm rau ua qhov no, tus neeg mob yuav tsum haus cov kua dej ntau npaum li qhov ua tau, cereals thiab cov tais diav uas muaj cov khoom noj muaj fiber ntau. Kev haus dej ntshiab huv yuav pab ua kom cov quav mos, uas yuav ua rau kev mus rau chav dej yooj yim dua.
Muaj Teeb Meem
Yog koj saib cov ntaub ntawv uas cov neeg mob uas tau ua tiav cov txheej txheem no hais txog lub sijhawm tom qab phais, raws li txoj cai, txhua tus neeg hais tias nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li kev noj zaub mov kom zoo thiab kev nyiam huv.
Yog tias ob peb hnub tom qab kev ua haujlwm, tus neeg mob hnov qee qhov nruj thiab tso tawm los ntawm qhov txhab, ces qhov no yuav yog txoj hauv kev zoo. Txawm li cas los xij, koj yuav tsum tau kuaj nrog tus kws kho mob tshwj xeeb txog hom kua dej ntws tawm. Yog hais tias peb tab tom tham txog kev txuam nrog cov kua qaub, ces lub qhov txhab yuav tsum tau ntxuav tam sim ntawd.
Qee zaum, tom qab kev phais kom tshem tawm lub fistula, qee cov neeg mob tsis pom qhov hloov pauv ntawm lawv tus mob. ATHauv qhov xwm txheej zoo li no, kev phais thib ob yuav tsum tau ua. Txawm li cas los xij, cov xwm txheej zoo li no tau tshwm sim tsis pub dhau ib xyoos tom qab thawj zaug kev phais.
Qee tus neeg mob raug mob ntau dhau. Nyob rau hauv cov ntaub ntawv no, lawv yog prescribes conservative kev kho mob los yog tshuaj tua kab mob. Txawm li cas los xij, txawm tias kev kho qhov txhab zoo tsis tau txhais hais tias tus neeg mob yuav tsis tau rov qab mus rau qhov thib ob fistula excision txheej txheem.
Zoo kawg
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias kev rov zoo ncaj qha nyob ntawm tus neeg mob nws tus kheej. Yog tias nws tsis ua raws li kev nyiam huv, mus ntsib kws kho mob thiab pib noj zaub mov tsis zoo thiab cawv, qhov no yuav ua rau nws lub cev tsis zoo. Tom qab ua haujlwm, lub cev tsis muaj zog, yog li koj yuav tsum tau ceev faj heev.
