Pilonidal mafitsara: haddasawa, cututtuka, yin rigakafi da magani

Wani lokaci mutum zai iya rayuwa rabin wani rai ba tare da sanin cewa jikinsa iya lurk boye barazana, kamar teratoma, koda malformation ko mafitsara da coccyx. A karshen ba bayyana kanta har a wani lokaci, da kuma likitoci ba zai iya ce hakikanin abin da ya sa bayyanar asibiti bayyanar cututtuka. A wani matsayi da wannan ilimin yana farawa inflamed, ruɓaɓɓen jini da aka kafa, a refiner ta taushi tsokoki, da kuma matsalar ya zama na fili.

definition

Pilonidal mafitsara - wani anomaly da fata a cikin sacrococcygeal yankin. Synonymous tare da wannan ganewar asali ne pilonidal sinus ko epithelial coccygeal hanya. Kai daya zuwa imani game da cutar iya gaban fata karyata a mezhyagodichnoy crease. Bayan da rauni da coccyx ko sanyaya yankin zama inflamed fitsari da kuma abscesses. Bayan wani lokaci, ya ko ta yaya ya buɗe, forming ƙarin yankuna da takware. Idan ba ka koma ga harkokin kiwon lafiya, da cutar ne maimaita a yanayi.

Pilonidal mafitsara (ICD-10)

A International Nau'in Cututtuka goma bita a sashe a karkashin harafin da L, a cikin abin da, a tsakanin sauran abubuwa, ya ƙunshi fata da kuma subcutaneous nama. Pilonidal mafitsara da aka rufaffen karkashin code L05, shi ya hada fitsari da kuma coccygeal pilonidal sinus. Gano biyu subgroups:
- L05.0 - mafitsara da ƙurji.
- L05.9 - mafitsara ba tare da ƙurji.

Wannan sashe kuma ya hada da bijimai, dermatitis, eczema, urticaria, fata cututtuka da kuma sauran appendages.

Sanadin mafitsara samuwar

Kamar yadda aka sani, tayi wuce a lokacin girma mataki na ci gaba. Ya na da babban shugaban, mai uku gidajen zuciya, har ma da wutsiya membrane. Mai likitoci da pathologists yi imani da cewa pilonidal cysts coccyx ne a nakasar lahani na cikin matsanancin jam Layer. Wannan shi ne saboda ba a ƙarshen rage tsokoki da jijiyoyin wannan sosai wutsiya, wanda ya bayyana a makanni kadan da farko na gestation, kuma ya kamata abyss bayan ta takwas mako.

Akwai daban-daban, ra'ayin a kan wannan batun. Wasu masana sun yi imanin cewa cutar na faruwa saboda ingrown hairs a subcutaneous mai. Mabiya wannan ka'idar nufi ga gaban epithelial sassa tsakanin yatsunsu a hairdressers, da sadaukarwa na gurguwar reshe, a cikin underarm yankin.

Fiye da shekara ɗari da suka wuce, neuroscientists suka gabatar da wani ka'idar bisa ga abin da epithelial coccygeal Hakika an kafa a aiwatar da involution na karshen na laka segments. Wani bayani na yadda kafa pilonidal mafitsara, mai kama da baya: coccygeal vertebrae wanda sune dabbobi wutsiya, resorbed da rudimentary cuta ya zauna a wurinsa. Idan wannan tsari yana tafiya ne ba a kammala a full, a kan wannan tabo kafa makafi tafi, wanda zai iya zama inflamed.

cututtuka

A talakawan shekaru marasa lafiya da ganewar asali "pilonidal mafitsara" - daga goma sha shida zuwa ashirin da biyar. Mafi sau da yawa shi rinjayar da wakilan kudancin kasashe. A cuta ne kusan kowa a } en fata. Mafi wahala daga mutanen da suka yi tafiya mai yawa da mota ko yin dogon tafiya, kamar sojoji ko truckers.

Epithelial Hakika an located a kan midline a mezhyagodichnoy crease, ya suyi ƙare a cikin adipose nama kuma ya buɗe wani mĩki a cikin fata. A cikin sharuddan kunkuntar tube tsawon zuwa uku zuwa hudu santimita. Ciki, shi ne liyi tare da epithelium, wanda secretes gamsai. Duk wani inji rauni ko kamuwa da cuta na iya haifar da wani bata lokaci ba na outflow epithelial mugunya da kuma kumburi. Pilonidal mafitsara wani abu kuma fiye da inflamed sinus, wanda, tare da high yiwuwa mu iya shiga cikin wani ƙurji. A ci-gaba lokuta shi ya kai wani babba darajar da iya spontaneously bude dab da fata. Wannan ne mai matukar m aiwatar da cewa zai iya wahalad da rai.

Rarrabe tsakanin uncomplicated da kuma rikitarwa epithelial coccygeal hanya. A farkon yanayin, kamar yadda mai mulkin, akwai wani gunaguni. Wani lokaci akwai m zafi a cikin coccyx, amma ba su sa matsala ga mãsu haƙuri kuma kawai faruwa tare da shafe tsawon Sitting ko huhu raunin. Da wuya pilonidal mafitsara yana tare da itching da sallama a mezhyagodichnoy crease.

Idan cutar wuya, to, akwai wani m ko na kullum kumburi da epithelial bugun jini, zazzabi, ciwo mai tsanani a yankin na ƙurji, akwai scarring a shafin na fitsari waraka. Wannan ne yawanci damun marasa lafiya da kuma tilasta su shawarci likita.

bincikowa da

Doctor kuma yana da muhimmanci sosai tattara cikakken likita tarihi. Mafi sau da yawa, marasa lafiya bi bayan wani rauni ko zafi a lokacin da ya furta. A gaban ramuka a mezhyagodichnoy yankin, da ciwon kumburi a shafin na tabo, m maimaita abscesses domin yin bincike da sauki isa.

Domin san yadda da yawa ramuka akwai kuma yadda nisa zurfi fitsari, likita injects fenti a cikin shi, mafi yawansu methylene blue, sa'an nan kallon ganin inda ruwa gudana. Wannan hanya ba ka damar ganin dukkan zane na ruɓaɓɓen jini da kuma cikakken cire su a lokacin aiki.

uncomplicated mafitsara magani

Pilonidal mafitsara ba tare da ƙurji bukatar wani shirin kaiwa m magani, lokaci da kuma irin wanda za a iya zaba akayi daban-daban ga kowane haƙuri. A general mulki daya ne kawai: tsangwama dole wuce a lokacin gafarar cutar. M aiki wajibi ne a cikin hali na waje bude bayyana ruɓaɓɓen jini. Likita daukawa fitar excision na fata dasa tare da subcutaneous nama har sacrococcygeal fascia. Domin sauƙaƙe access, epithelial motsa stained tare da aidin, fukortsinom ko methylene blue. The rauni aka sutured a yadudduka ko tam (tare da zurfin ko m raunuka) yi suturing rauni gefuna zuwa da kasa. Stitches an cire bayan makonni biyu, gagarumin kwaskwarima lahani a shafin na incision ba ya lura. Tare da hankali kula da cutar da aka warke gaba daya.

rikitarwa mafitsara magani

Pilonidal mafitsara da ƙurji bukatar a dan kadan daban-daban tsarin kula da magani. Idan kumburi ba ya je bayan mezhyagodichnoy folds, yana da wani fiye da uku da santimita kuma shi ne tsananin yakin tashar, shi ne mai yiwuwa a gudanar da wani daya-lokaci m baki da kuma gaba daya cire mayar da hankali da kumburi a diamita. A cikin hali na yaduwa infiltrate kafin tiyata bukatar anti-kumburi far.

Lokacin da ƙurji samuwar (Ina nufin maras wata-wata nasara abun ciki ƙurji) ne ma fin so zuwa na farko gudanar da zanga-mai kumburi far wa mezhyagodichnoy yankin da aka sanya don aiki, kazalika da rage hadarin postoperative rikitarwa. Tsagaita m mataki yana da yawan abũbuwan amfãni:
- tattali incision a cikin fata.
- matsakaicin haduwa da rauni gefuna.

Ko da infiltrate kara ga bangarorin, babban abu ne pilonidal mafitsara coccyx. The aiki aka yi a kan midline na ƙurji. Bayan samun dama Likita daukawa fitar da wani duba da rauni cire duk necrotic nama taro da kuma hutun jumper, idan wani. Da komowa rigakafin ne na sosai jarrabawa na m filin, da kau da duk necrotic detritus, excision na wurare da kuma zane. Maimaita kumburi zai iya faruwa idan tiyata da aka ba wani m isa, saurã daga epithelial bugun jini kiyaye gashi ko rauni warkar da ya ba da cikakken.

Bauta a cikin rundunar sojojin

A lokacin da nassi daga cikin daftarin hukumar likita gano kusa da kan Ronaldo na dubura tabo tare da wani gashi mai danko fita daga gare ta. A likita da aka haddasa wasu damuwa, saboda haka saurayin ya tambaye manyan tambayoyi: Shin shi ƙaiƙayi damunsa na takaici ko mugunya samuwa idan kumburi sun. Idan amsar ita ce korau, likita ya bada shawara a kan kiwon lafiya da kuma Notes cewa soja ne fit domin sabis.

Amma idan a kalla daya daga cikin tambayoyin da amsar ne a, shi na bukatar tiyata, saboda ra'ayin mazan jiya far ba ya wanzu. A baki ne da za'ayi a cikin wani shirin kaiwa hanya, idan akwai wani alamomi for gaggawa mataki.

Advice ga marasa lafiya

Pilonidal mafitsara bukatar m postoperative kula, don haka shi ne kyawawa su kiyaye marasa lafiya da wadannan jagororin:
- Makonni uku bayan tiyata zauna da dagawa nauyi ba a yarda.
- dole ne kai a kullum shawa tare da dumi hygienic wanka mezhyagodichnoy yanki.
- a cikin watanni shida bayan da aiki kowane mako biyu, kana bukatar ka yi da kau da hairs a yankin na incision.
- sanye da taushi, murkushe tufafi, ba tare da wani protruding seams.

A daidai m zai kauce wa da komawa da cutar da kuma tallafa a dauke daga audits a nan gaba.

rikitarwa

Kamar yadda mai mulkin, pilonidal mafitsara, magani wanda yana da za'ayi kawai da sauri, yana da wani m hangen nesa, sau da yawa zo cikakken maida. Abin baƙin ciki, wani lokacin zai yiwu rikitarwa, kamar:

- maimaita abscesses (idan duba ya ba da aka za'ayi a full).
- komawa da cutar (idan haƙuri ba cika tare da sharuɗa ga management na post-tiyata yanayin).
- sepsis da pyosepticemia (a lokacin da shiga da sakandare kwayan kamuwa da cuta).
- farfadowa daga epithelial kyallen takarda juya zuwa squamous cell sankara.

A karshen wahala ne musamman rare, amma likitoci son ɓatar da a wannan yanayin, da kuma cire nama yana aiko for histological jarrabawa, domin ya hana ciwon daji.