Paraproctitis cov tsos mob

General piav qhia ntawm tus kab mob

Qhov no yog tus mob huam ntawm txoj hlab hlwb txoj hlab ntshav. Kwv yees li 30% ntawm tag nrho cov mob ntawm lub qhov ncauj yog tshwm sim los ntawm nws. Feem ntau, paraproctitis tshwm sim los ntawm polymicrobial muaj. Thaum lub sij hawm inoculation ntawm cov ntsiab lus purulent, staphylococci, Escherichia coli, Gram-zoo thiab Gram-negative bacilli feem ntau pom. Raws li txoj cai, tus kab mob pib sai, thiab nrog cov lus tawm suab, tsis xis nyob, thiab mob hnyav. Yuav tsum muaj kev kho mob sai thiab kho tam sim.

Cov laj thawj uas ua rau muaj qhov pib ntawm paraproctitis

Qhov ua rau ntawm paraproctitis yog ib qho mob uas nkag mus rau hauv cov nqaij mos uas nyob ib ncig ntawm lub qhov quav, ua rau mob o thiab ua kom ua paug. Tus mob kis tau los ntawm qhov txhab ua rau mob raws plab los yog quav tawv, hemorrhoids, qhov quav. Qee lub sij hawm qhov tseeb ntawm qhov pib ntawm tus kab mob hauv ib tus neeg yog qhov nyuaj rau tsim. Txawm tias ib qho kev nqos tau cov pob txha los yog qe caws pliav, uas tawm nrog quav, tuaj yeem ua rau mob hnyuv.

Ntawm lwm qhov kev ua rau mob paraproctitis, cov kws kho mob kuj hu xov tooj rau cov hauv qab no:

  • nthuav dav thiab mob ntawm cov leeg ntshav;
  • qhov quav;
  • cov kab mob ntawm lub qhov quav thiab lwm qhov ntawm cov hnyuv;
  • cov quav tsis zoo (raws plab, cem quav);
  • txhaj tshuaj tiv thaiv kab mob;
  • mob o nyob hauv ib qho kev ntawm lub cev.

Hom ntawm paraproctitis

Nyob ntawm qhov chaw, muaj ntau yam sib txawv ntawm tus kabmob.

  1. 1 Subcutaneous paraproctitis… Kev qog tshwm ncaj qha rau hauv daim tawv nqaij, cov cim ntawm tus kab mob tau pom muaj txawm tias kuaj, qhov no yog hom kabmob tshwm sim feem ntau.
  2. 2 Tshuaj mob raum vwm… Purulent paraproctitis tshwm sim nyob rau hauv lub qhov quav hauv qab cov qog ua kua.
  3. 3 Ischiorectal… Tus mob no kis rau tej leeg nqaij uas rub qhov quav.
  4. 4 Pelviorectal… Lub voos kis mus rau cov leeg ntawm lub qhov quav thiab ua los ntawm nws rau ntawm cov leeg hauv plab. Vim tias nws tshwm sim dav dav, tus mob paraproctitis yog qhov txaus ntshai tshaj plaws.

Ntxiv rau, kev mob tuaj yeem yog sib sib zog nqus or ces dag.

Cov tsos mob ntawm paraproctitis

Tus kab mob no pib dheev thiab yog tus yam ntxwv raug mob hnyav. Ntawm no yog cov tsos mob tshwm sim uas yuav tshwm sim hauv thawj teev tom qab pib ntawm tus kab mob:

  • mob ib ncig ntawm lub qhov quav thiab lub qhov quav. Tus mob tuaj yeem nkag mus rau hauv lub puab tais thiab perineum, ntxiv rau mus rau hauv lub plab zom plab hauv plab; thaum lub plab hnyuv nce ntxiv, nws nce ntxiv.
  • nquag thiab tsis tseeb tso quav tso quav, tab sis quav tawv kuj ua tau.
  • mob tso zis heev;
  • cov cim ntawm intoxication xws li kub taub hau, tsis muaj zog, pallor, tsis qab los thiab kiv taub hau, qhov kub tuaj yeem nce mus rau 39 degrees.

Cov tsos mob no tau qhia rau hauv txhua hom paraproctitis thiab tsis nyob ntawm nws qhov chaw. Txawm li cas los xij, txhua hom pathology nws tus kheej cov tsos mob tshwm sim uas pab txiav txim siab qhov twg mob yog los.

RџSЂRё subcutaneous paraproctitis nyob rau hauv cov poj niamthaum lub rwj yog nyob ze ntawm lub qhov quav nyob rau hauv daim tawv nqaij, cov tsos mob feem ntau pom tau: hnov ​​mob nraus hauv lub qhov quav, nrog daim tawv nqaij tawv dua saum nws. Qhov mob tsuas yog nce zuj zus ntxiv, nrhiav kev paub los ntawm lub siab, ua rau muaj qhov tsis txaus siab thaum zaum, tso quav. Cov txheej txheem no nrog cov mob hnyav. Daim ntawv no ntawm kev tshem tawm yog feem ntau.

Submucosal rwj nyob hauv lub qhov quav mucosa. Cov tsos mob ntawm hom chaw no zoo ib yam li subcutaneous abscess, tab sis kev mob thiab tawv nqaij hloov tsis tshua pom tseeb.

RџSЂRё ischeorectal abscess purulent ua kom pom tseeb yog nyob rau saum cov leeg uas tsa lub qhov quav. Vim tias kev ua haujlwm sib sib zog nqus, cov tsos mob hauv zos muaj ntau dua viav vias: mob npaws ntawm qhov mob plab thiab lub qhov quav, uas nce ntxiv thaum tso quav. Daim tawv nqaij liab, o tshwm sim 5-6 hnub tom qab pib mob. Qhov kev xav dav yog qhov hnyav: qhov kub tau nce mus rau 38 degrees, qhov mob hnyav yog pom.

Qhov feem ntau nyuaj yog xam tau tias yog pelviorectal rwj… Qhov no yog ib daim ntawv tsis tshua muaj neeg mob khoob khoob khoob khoob, thaum qhov ua kom pom tseeb hauv thaj chaw ntawm cov leeg nqaij, nws cais tawm ntawm lub plab plab los ntawm nyias txheej ntawm peritoneum. Qhov pib ntawm tus kab mob yog nrog kub taub hau, ua daus no, thiab mob pob txha. Cov tsos mob hauv zos: mob rau ntawm lub ntsag pob qij txha thiab lub plab pob txha. Tom qab 10-12 hnub, qhov mob hnyav ntxiv, tso quav thiab tso zis muaj ntshav.

Qee cov neeg kuaj tau pom muaj cais necrotizing paraproctitis… Daim ntawv no ua rau pom qhov tshwm sim sai heev ntawm lub voos, nrog rau kev cuam tshuam ntau ntxiv ntawm cov nqaij mos thiab ua rau lawv tshem tawm, tom qab uas muaj nti loj nyob ntawm, yuav tsum muaj kev cuam tshuam ntawm cov kws phais yas.

Paraproctitis rau cov menyuam yaus

Feem ntau, tus mob paraproctitis tshwm sim rau cov neeg muaj hnub nyoog 20 xyoo, tab sis cov menyuam yaus kuj tseem muaj kev pheej hmoo. Cov tsos mob ntawm cov menyuam yaus yog tib yam li rau cov neeg mob cov neeg laus, txawm li cas los xij, nws nyuaj rau kev txheeb xyuas tus kab mob, vim tias menyuam mos tsis tas yuav piav qhia txog qhov kev txhawj xeeb twg uas yuav txhawj xeeb rau lawv.

Cov niam txiv yuav tsum tau them nyiaj tshwj xeeb rau kev kub taub hau, nquag quaj los ntawm tus menyuam mos, tshwj xeeb yog thaum tso quav, thiab cem quav. Raws li txoj cai, cov menyuam yaus raug kev txom nyem los ntawm subcutaneous paraproctitis, yog li ntawd, daim tawv nqaij ncig lub qhov quav yog liab thiab o tuaj.

Cov laj thawj rau kev tsim ntawm paraproctitis hauv cov menyuam yaus:

  • kev ua haujlwm tsis zoo hauv cov qog nyob hauv lub qhov quav;
  • kev tiv thaiv qis;
  • o ntawm cov hnyuv thiab lub tshuab ua pa;
  • plab hnyuv dysbiosis.

Lwm yam mob nrog paraproctitis

Yog tias purulent paraproctitis tsis tawg raws sijhawm, qhov teeb meem txaus ntshai tuaj yeem tshwm sim:

  • kev tsim purulent tuaj yeem ua kev puas tsuaj rau lub plab hnyuv phab ntsa thiab phab ntsa paum hauv cov poj niam;
  • nrog cov kab mob hauv av subcutaneous, kev rhuav tshem ntawm lub voos tuaj yeem sab nraud, uas ua rau kom kis tau tus kab mob ntxiv;
  • kev puas tsuaj rau cov ntaub so ntswg hauv thaj av hu ua pelvic;
  • kev puas tsuaj rau lub qhov zis los ntawm nws txoj kev ua paug;
  • mob peritonitis vim yog kis tau sai ntawm tus mob mus rau hauv plab lub plab;

Lub sijhawm postoperative tseem tuaj yeem nyuaj. Txawm hais tias tus kws phais yuav ua raws li txhua txoj cai ntawm kev phais mob, los ntshav, kis lwm yam teeb meem thiab lwm yam teeb meem tom qab tshwm sim tuaj.

Kev tiv thaiv ntawm paraproctitis

Tsis muaj kev tiv thaiv tshwj xeeb rau tus kabmob no. Nws yog ib qho tsim nyog yuav tsum tau kho kom raug thiab kho txhua qhov teeb meem ntawm lub qhov quav. Tus kab mob mus ntev ntawm lwm cov kab ke hauv lub cev yuav tsum tsis txhob thab tawm. Kev tu cev kom huv si yog qhov tseem ceeb heev. Nws yog ib qho tsim nyog yuav tsum tau mus ntsib kws kho mob txhawm rau tiv thaiv kev tiv thaiv, thiab tsis txhob ncua kev taug kev mus rau tus kws kho mob tshwj xeeb thaum lub cev pib muab cov cim ceeb toom: mob, tsis xis nyob, tsis muaj zog, thiab lwm yam.

diagnostics

Kev kuaj mob ntawm "tus kab mob paraproctitis", raws li txoj cai, yog tsim raws kev tshawb fawb ntawm cov duab hauv chaw soj ntsuam, nrog rau tom qab kev txheeb xyuas digital ntawm lub qhov quav. Thaum lub sijhawm tshuaj xyuas no, tus kws kho mob hnav cov hnab looj tes tshwj xeeb tshaj tawm cov ntiv tes rau hauv lub qhov quav thiab yooj yim hnov ​​cov phab ntsa ntawm lub qhov quav. Hauv qhov no, tus neeg mob tuaj yeem pw ntawm nws sab lossis nraub qaum, hauv lub rooj zaum gynecological. Qhov no feem ntau txaus.

Muaj qee zaus, tshwj xeeb tshaj yog muaj cov ntawv tshaj lij lossis cov nyom ntawm tus kab mob, kev kuaj cov twj siv tshuaj yog siv mob plab (kuaj endoscopic) lossis kev kuaj mob ultrasound (kev tso ntawm ib qho kev sojntsuam mus rau hauv lub qhov quav).

Kev kho mob ntawm paraproctitis nyob rau hauv cov tshuaj

Mob paraproctitis yog ib qho mob xwm txheej ceev thiab yuav tsum tau muaj kev phais mob.

Kev ua kom loog ua lub luag haujlwm tseem ceeb hauv kev kho tus mob paraproctitis. Txoj kev khiav haujlwm no ua haujlwm thoob plaws cov tshuaj loog, thiab cov kws kho mob yuav tsum so cov neeg mob cov leeg kom ntau li ntau tau. Kev phais mob rau paraproctitis yuav tsum ua raws li qee cov cai tseem ceeb kom tshem tawm qhov mob purulent:

  • kev phais plab;
  • tshem tawm kev tso tawm heev;
  • kuaj xyuas thaj chaw cuam tshuam ntawm txoj hnyuv thiab nws txoj kev tshem tawm.

Qee zaum cov kws kho mob tsis ua haujlwm tsuas yog ua rau phais thiab txhaws qhov qog mus kho tus mob paraproctitis, uas tuaj yeem ua rau tus mob rov huam lossis mob qhov quav.

Lub sijhawm tom qab lub sijhawm so, tus neeg mob yuav tsum noj tshuaj tua kab mob kom tiv thaiv tsis txhob rov qab ua haujlwm ntawm paraproctitis. Lawv kuj tiv thaiv lwm tus kab ke hauv lub cev kom tsis txhob ua mob thiab muaj teeb meem xws li mob sepsis lossis tus mob peritonitis.

Thaum lub sijhawm ua kom rov qab los, nws yog qhov tseem ceeb heev rau kev tswj kom huv. Qhov chaw hauv lub xub ntiag tau ntxuav ob zaug ib hnub thaum sawv ntxov thiab yav tsaus ntuj thiab tom qab txhua qhov quav mus tiv thaiv kev sib kis ntawm qhov mob tom qab.

Cov khoom muaj txiaj ntsig rau paraproctitis

Thaum lub sij hawm paraproctitis, nws tsim nyog ua raws li cov qauv ntawm kev noj zaub mov zoo. Koj yuav tsum tau noj zaub mov me me li 4-5 zaug ib hnub. Nws raug nquahu kom ua raws li cov kev qhia noj zaubmov uas yoojyim:

  1. 1 Haus 1,5 litres kua ib hnub. Dej, tshuaj yej, kefir lossis fermented ci mis nyuj, tshuaj ntsuab tshuaj ntsuab, txiv hmab txiv ntoo haus yog zoo meej. Tab sis los ntawm dej qab zib, tshwj xeeb tshaj yog qab zib - nws yog qhov zoo dua los tsis kam thaum muaj mob.
  2. 2 Txiv hmab txiv ntoo thiab zaub muaj txiaj ntsig zoo vim lawv muaj fiber ntau. Koj yuav tsum tau noj zucchini, beets, txiv apples, taub dag, txiv tsawb. Lawv pab tsim cov quav mos mos uas yuav tsis ua rau cov phab ntsa hauv plab mob thiab cuam tshuam nrog cov neeg koom nrog.
  3. 3 Noj zaub mov kub tsawg kawg ib zaug ib hnub, xws li cov kua zaub me me thiab cov kua txob rau.
  4. 4 Txog noj hmo, nws zoo dua rau noj dab tsi los sis haus kua mis nyeem yogurt. Nws tsis tsim nyog noj zaub mov carbohydrates lossis cov protein.

Tsoos tshuaj rau paraproctitis

  • Ib txoj hauv kev zoo los tshem tawm qhov tsis xis nyob, hnov ​​mob yog da dej raws ntsev thiab dej qab zib. Koj yuav tsum rhaub 5 liv dej, txias kom nws sov, thiab tom qab ntawd yaj 1 tablespoon ntsev thiab dej qab zib. Lim cov kua los ntawm cheesecloth, thiab tom qab ntawd da dej. Nws raug nquahu kom zaum hauv nws li 10 feeb, chav kawm yog 15 yam txheej txheem no.
  • Lwm chav da dej rau cov kab mob paraproctitis tau npaj los ntawm mummy. Dissolve 10 ntsiav tshuaj rau hauv ib khob dej, do zoo, lim, ntxiv rau 5 liv dej sov thiab kuj zaum rau ob peb feeb.
  • Douching nrog calendula infusion. Nws yog qhov yooj yim heev los npaj nws. Koj yuav tsum tau tsau 20 grams ntawm cov paj tshiab, ncuav ib khob dej npau, cia nws brew rau ob teev, thiab tom qab ntawd txhaj nrog tso quav. Nws raug nquahu kom kho nws ntug nrog roj lossis qab zib.
  • Rowan berries muaj cov nyhuv laxative me ntsis. Los ntawm lawv koj yuav tsum tau nyem tawm cov kua txiv - kwv yees li ib nrab khob, thiab haus me ntsis 3 zaug hauv ib hnub ua ntej noj mov. Thiab los ntawm cov seem uas seem, koj tuaj yeem ua kom nrawm, thiab siv nws rau lub qhov quav.

Cov khoom txaus ntshai thiab teeb meem nrog paraproctitis

Thaum lub sij hawm paraproctitis, koj yuav tsum tsis txhob haus luam yeeb tag nrho, haus cov dej cawv, khoom qab zib thiab muaj roj, ncuav qab zib, khoom qab zib, dej qab zib. Lawv ua haujlwm hnyav ua rau cov hnyuv.

Nws kuj tseem tsim nyog tsis suav nrog cov zaub mov nrawm, "zaub mov qhuav" los ntawm kev noj zaub mov. Koj tsis tuaj yeem noj zaub mov uas khaws cov quav. Nws suav nrog cov cereals pureed thiab slimy thiab kua zaub. Nws tshwj xeeb tshaj yog tsis pom zoo kom noj mov nplej lossis oatmeal, haus jelly, tshuaj yej muaj zog, cocoa.

Mloog!

Tus thawj coj tsis yog lub luag haujlwm rau kev sim los siv cov ntaub ntawv muab, thiab tsis tuaj yeem lav tias nws yuav tsis ua mob rau koj tus kheej. Cov ntaub ntawv tsis tuaj yeem siv rau sau ntawv kho mob thiab ua kev kuaj mob. Nco ntsoov tham nrog koj tus kws kho mob tshwj xeeb!

Khoom noj khoom haus rau lwm yam kab mob:

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