Ngati mukudziwa kuti mitundu yonse ya fistula imagawidwa mu congenital, inapangidwa, ndipo inapangidwa mwaluso, fistula ya fodya ya postoperative idzakhala ya gulu lomaliza. Choncho, ikhoza kuchitika paliponse, ngati panagwira ntchito yothandizira, pambuyo pake kutupa kunayamba kuchokera ku suture zipangizo zopangira opaleshoni - ligature. Ndipo palibe kusiyana kulikonse mtundu wa ulusi umene unagwiritsidwa ntchito (kupanga, chirengedwe, chokhazikika kapena ayi). Nthawi zina chifukwa cha fistula ndi kunyalanyaza kwa ogwira ntchito zachipatala, koma zimachitika kuti thupi palokha limakana zakunja.
Chithandizo chodziletsa cha ligature fistula ya katemera wotsatira
Monga lamulo, njira yoyamba yopweteketsa matenda imayamba kudzimva ngakhale asanatuluke kunyumba. Mwamwayi, sikuti aliyense amamvetsera zomwe akudwala pambuyo pochita opaleshoni ndipo akufunitsitsa kuti adzatulutsidwa m'chipinda cha chipatala mofulumira. Pambuyo pa zodetsa nkhaŵa zokhudzana ndi njira zamakono zogwiritsira ntchito, opaleshoni pang'ono m'mbali mwa msoko amawoneka ngati osakaniza. Komabe, ndi zizindikiro zoyamba za chitukuko cha fistula komanso gawo loyambitsirana, ndizotheka kumwa mankhwala osamalitsa.
Dokotala wa opaleshoni amadziŵa yekha kuti machiritso a msoko ali ndi zolakwika ndipo amatenga nthawi. Choyamba, malo otupa amayang'anitsitsa mosamala, matendawa amachotsedwa, kotero machiritso amatha kupitilira mofulumira. Izi zimachitidwa m'makonzedwe angapo ndi kuthandizidwa nthawi zonse pamsana ndi njira yothetsera antiseptics. Chachiwiri, ulusi umachotsedwa mofanana, mapeto omwe amawoneka pamwamba.
Ili ndi mankhwala olamulidwa:
- maantibayotiki ( Ampicillin , Ceftriaxone, Norfloxacin, Levofloxacin);
- Mankhwala oletsa tizilombo toyambitsa matenda omwe amapezeka m'maderawa ali ngati ufa wambiri komanso mafuta osungunuka m'madzi (Levomikol, Trimistin);
- mavitamini omwe amasungunula maselo akufa.
Mafuta otchuka a Vishnevsky ndipo pamaziko a synthomycin amatsutsana chifukwa cha mafuta awo.
Kugwiritsa ntchito opaleshoni ya ligature fistula
Zovuta kwambiri ngati fistula ili mkati mwa ziwalo za mkati. Kapena kunja, koma kutupa kunapita patali kwambiri. Pachifukwa ichi, pali njira ziwiri zochokera kumayendedwe amphamvu:
- kuchotseratu zakuthupi popanda kutsekemera kwa fistula kudutsa mumsewu wake;
- Kutengeka kwathunthu kwa fistula kuti kuchotsa ligature ndi kusamba bala kuchoka kuchikakamizo.
Mitsempha ya fistula, yomwe imachitidwa moyenera kapena opaleshoni, imawonekera ku quartz kapena ultrasound kuchipatala. Kupanga akupanga kumatsimikizira kuti ulusi wonse umachotsedwa popanda zokhalapo.
Kuchiza kwa ligature fistula m'nyumba
Njira zamakono zochiritsira mitundu yosiyanasiyana ya fistula ndizochuluka, koma sikofunika kudalira kuti zingatheke kuti zipirire mofulumira ndi kutupa kuchokera ku ligation otsala, ngati iwo sanachotsedwepo ndi kusokoneza malo osungirako mankhwala. Ngati mwaphonya nthawi, kuyesera kulimbana ndi njira zopanda pakhomo, ndondomekoyi ikhoza kuipirabe mpaka chitetezo. Pamene cholinga cha kutupa chichotsedweratu kuchipatala, adokotala angamupatse malangizo, ndi njira zosavuta zotani zomwe zingachitidwe kunyumba kuti lifulumize kutseka kwa chilonda.
Mwachitsanzo:
- Pa ligature fistula, bandage wamchere imagwiritsidwa ntchito monga mankhwala ophera tizilombo ngati prophylaxis kuti abwerere kutukusira, ngakhale kuti sizingatheke kuchotsa mitsuko yonse kuchokera ku dissection. Njira yochuluka ya mchere imapangidwa pa mlingo wa 1 tsp pa galasi la madzi otentha otentha.
- Mukhoza kuyesa fistula ndi madzi otentha amchere, pangani mavitamini kapena mchere .
- Kuchiza kwa ligature fistula ndi Dimexide kumakhalanso kofala m'nyumba. Izi ndi zotsika mtengo padziko lonse, zomwe 50% -90% yankho lamadzimadzi akhoza kukonzekera lotions. Demixid imatha kuchotsa zodetsa zonse kuchokera ku bala lopundula.