Whēwhē Pilonidal: take, tohu, te ārai me te maimoatanga

I te tahi taime e taea te tangata ora i te hawhe te ora, kahore i mohio e kia piri tona tinana tuma huna, pēnei i teratoma, malformation tākihi whēwhē o iwi timu ranei. E kore e te whakamutunga faaite mai ano tae noa ki te tetahi wa, a kore e taea te taote te mea rite te mea kua meinga te ahua o tohu haumanu. I te tahi vahi tīmata matia tenei mātauranga, kua hanga e pus, te kopa ngohengohe o te kaitahi, a ka riro kitea te raruraru.

whakamāramatanga

whēwhē Pilonidal - he Pākatokato o te kiri i roto i te rohe sacrococcygeal. Faaauhia ki tenei tātaritanga he pakohu pilonidal ranei akoranga coccygeal epithelial. Arahi tetahi ki te whakapono e pā ana ki te mate e taea te aroaro o te retraction kiri i roto i mezhyagodichnoy faarahi. I muri i te whētuki o te iwi timu ranei te meangiti te rohe riro fistula matia me abscesses. I muri i te tahi mau wa, ia te hopoia whakatuwheratia, hanga atu tuleki me tatau. Ki te kore koe e huihui ki te tiaki hauora, he recurrent i te natura te mate.

whēwhē Pilonidal (ICD-10)

I roto i te International Whakarōpū o Diseases arotakenga whakatekau o te wāhanga i raro i te pukapuka o te Ihowa, i roto i nei, i roto i era atu mea, kei kiri me te kiko subcutaneous. whakamuna whēwhē Pilonidal te i raro i te waehere L05, ngā reira fistula me pakohu pilonidal coccygeal. e rua subgroups tāutuhia:
- L05.0 - whēwhē ki whēwhē;
- L05.9 - whēwhē kahore whēwhē.

Ko tēnei wāhanga hoki ngā puru, dermatitis, katoatia, urticaria, mate kiri, me te tahi atu konga.

Take o te whēwhē hanganga

Ka rite ki mohiotia te, haere te kukune i roto i wā tupu o te kukuwhatanga. E ia he matenga nui, he ngakau-chambered toru, a tae noa te membrane hiawero. Te nuinga o tākuta me Pathologists whakapono e pilonidal cysts iwi timu ko te koha congenital o te waho apa iroriki. He tika e kore e ki te mutunga o nga uaua iti me tuhonohono o tenei hiawero rawa, e puta i roto i te torutoru wiki tuatahi o te hapūtanga tenei, a kia te torere i muri i te waru o nga wiki.

He rerekē ngā whakaaro i runga i tenei take. Ētahi tohunga whakapono e puta te mate no te mea o makawe ingrown i roto i te ngako subcutaneous. Piri o tenei wāhi ariā ki te aroaro o irava epithelial i waenganui i nga maihao i te hairdressers, te fifi o te e alangá avae, i roto i te rohe tuku whakararo.

Neke atu i te kotahi rau tau ki muri, whakaarohia neuroscientists i te ariā rite ki nei i hanga te akoranga coccygeal epithelial te i roto i te tukanga o te involution o te mutunga o te wāhanga ua. Ko tētahi atu whakamārama o te whēwhē pehea i hanga pilonidal, rite ki te mua: coccygeal pekehoe e riro te hiawero kararehe, resorbed me paihere fare tonu i roto i tona wahi. Ki te te kore oti tenei tukanga i roto i tonu, i runga i tenei wahi i hanga te nekehanga matapo, e taea riro matia.

tohu

Ko te tau toharite o te tūroro ki te tātaritanga o "whēwhē pilonidal" - i ono ki te rua tekau-rima tau. Nuinga o ngā wā pānga ki te māngai o te Iwi tonga. Ko tata noa i roto i te mate mangumangu. mamae te nuinga i te tangata e haere i te rota i te motokā hanga hīkoi roa, pēnei i hoia truckers ranei ranei.

Kei akoranga epithelial te i runga i te kātahi i mezhyagodichnoy faarahi, ia matapo mutu i roto i te kiko adipose me te whakatuwhera hoki te patunga i roto i te kiri. I roto i te ngā o te roa ngongo kuiti ki toru ki te wha henimita. Roto, Kei te kapi ai ki epithelium, e secretes hūpē. Tetahi whētuki aunoa mate ranei kia arahi ki te roa o te matamua epithelial secretion me te mumura. whēwhē Pilonidal he mea ke atu atu te pakohu matia, e, ki te tūponotanga tiketike taea tatou te haere ki te whēwhē. I roto i te wā matatau tae te reira i te uara nui, me te taea noa whakatuwheratia e rewa te kiri. Ko te tukanga tino mamae e taea haafifi i te ora tenei.

Wehewehe i waenganui i te akoranga coccygeal epithelial ngāwari, me te uaua. I roto i te take tuatahi, rite ki te tikanga, i reira he kahore amuamu. I te tahi taime i reira e puhuki mamae i roto i te iwi timu, engari e kore e meinga e ratou te he ki te manawanui me te anake puta ki noho pūkahukahu ranei whara roa. Varavara haere tahi whēwhē pilonidal e minamina me te rere i roto i te mezhyagodichnoy faarahi.

Ki te faingataa te mate, na reira he he mumura whakapeka ma'i ranei o te epithelial patunga, kirika, te mamae nui i roto i te rohe o te whēwhē, i reira te mātānawe i te pae o te whakaora fistula. Kei te nuinga o whakararuraru tenei tūroro, me te akina ratou ki te kōrero i te taote.

tātaringa

He nui Doctor me reira ki tika kohikohi hītori taipitopito hauora. Nuinga o ngā wā, tukinotia tūroro i muri i te wharanga ranei mamae ka korerotia. Ko te aroaro o rua i roto i te mezhyagodichnoy rohe, mumura i te pae o te nawe, pūmau abscesses recurrent mō te hanga ngāwari nui te tātaritanga.

I roto i te tikanga ki te mohio e hia rua i reira e me pehea tawhiti fistula hohonu, injects tae te tākuta ki reira, te nuinga o te methylene puru, ka matakitaki ana ki te kite i te wahi i nga rerenga inu. Mā tēnei aratuka ki a koutou sioloto nga koputaputa katoa o pirau, me te tino tango ratou i roto i te mahi.

maimoatanga whēwhē ngāwari

titau whēwhē Pilonidal kahore whēwhē te whakamahere hāparapara maimoatanga, te wā me te tikanga o e taea te tīpakohia takitahi hoki ia manawanui. Ko kotahi anake te tikanga whānui: pokanoa me haere i roto i murunga o te mate. he tika mahi Radical i puta te take o te waho rua pirau. te mauria e te taote i roto i excision o te uhi kiri ki te kiko subcutaneous tae noa ki fascia sacrococcygeal. I roto i te tikanga ki te whakahaere i te uru, poke nekehanga epithelial ki iodine, fukortsinom methylene puru ranei. sutured te patunga i roto i te papa piri ranei (ki te pāpaka hohonu whānui ranei) i mahi suturing taha marutanga ki tona raro. E nekehia atu tuinga i muri i rua wiki, e kore te tino hē Paku i te pae o te kokoti kitea. Ki te tiaki tupato o te mate whakaorangia te tino.

maimoatanga whēwhē uaua

whēwhē Pilonidal ki whēwhē titau te huarahi paku rerekē ki te maimoatanga. Ki te kore e te mumura haere ki tua atu puninga mezhyagodichnoy, kua kore neke atu i toru henimita me ko tino he hongere whakahau, he reira taea ki te whakahaere i te wawaotanga tuwhena kotahi-wā, me te tango i te katoa te arotahi o te mumura i roto i te diameter. I roto i te take o te whakatö te urutomo i mua e hiahiatia ana tafa therapy anti-inflammatory.

A, no te he pai ki te tuatahi te kawe i te therapy anti-inflammatory ki mezhyagodichnoy rohe hoki hanganga whēwhē (i.e. noa pakaruhanga ihirangi whēwhē) i hanga e wātea ana mō te mahi me te ki te whakaiti i te tūponotanga o pōauautanga postoperative. he maha o painga i Whiua atamira tuwhena kua:
- kokoti economical i roto i te kiri;
- te pūtahitanga mōrahi o te taha marutanga.

Ahakoa, ki te toro i te urutomo ki te taha, te ahanoa matua he iwi timu whēwhē pilonidal. whakamana ana te mahi i runga i te kātahi o te whēwhē. I muri te whakauru i te taote te mauria i te tātari o te patunga ki te tango necrotic katoa kiko papatipu me te whati ou'a, ki te tetahi. ārai matahoki Ko te hi'opo'a maitai o te mara hāparapara, te tango o te detritus necrotic katoa, excision o irava me koputaputa. Ka taea e mumura toutou puta ki te kahore i te tuwhena nui pokanga, e kore toenga o patu tiaki makawe epithelial whakaora maru ia i te ranei i oti.

Te taviniraa i roto i te ope

I roto i te wahi o te taote tauira kōmihana ite i muri ki te retraction o te wahi nono ki te makawe piripiri i roto o reira. kei te meinga te tākuta etahi āwangawanga, na ui te tangata taitamariki pātai ārahi: hohaa E reira patito ranei i pirau wātea ki te mumura. Ki te he kino te whakahoki, te tākuta homai tohutohu i runga i te hauora me te tuhipoka e he tau mo mahi te hoia.

Otiia ki te i te iti rawa tetahi o nga pātai te whakahoki, ko te ae, e titau te reira pokanga, no te mea o kore e therapy momo tīariari. kawea te wawaotanga i roto i roto i te tikanga whakamahere, ki te kahore he tohu mō te mahi akiaki.

Tohutohu mō te tūroro

titau whēwhē Pilonidal tiaki postoperative i ahuareka ai, na ko reira e minaminatia ki te mau tūroro ki te aratohu e whai ake nei:
- ki te toru wiki i muri i te pokanga noho a kore e ara pauna whakaaetia;
- Me tango i te ua ia ki mahana rohe mezhyagodichnoy horoi mā;
- i roto i nga marama e ono i muri i te mahi nga wiki e rua, e hiahia ana koe ki te hanga i te tango o makawe i roto i te rohe o te kokoti;
- te mau i te ngohengohe, kuru underwear, ki kahore he kaimono kohuki.

e ape i te huarahi tika ki te hohokitanga o te mate, me te whakahaere i te amo i roto i o hi'opo'araa i roto i te heke mai.

pōauautanga

Ka rite ki te tikanga, whēwhē pilonidal, whakahaere te maimoatanga e hohoro anake, kua he waitohunga pai, maha mai te ora tonu. Kia aroha mai, pōauautanga ētahi wā taea, pērā i:

- abscesses recurrent (ki te kore kua kawea tātari i roto i tonu);
- hohokitanga o te mate (ki te kore te manawanui e ū ki ngā aratohu mō te whakahaere o te aratau pou-operative);
- sepsis me pyosepticemia (ka piri e te whakapokenga huakita Tuarua);
- mahi whakaora i o te kopa epithelial tahuri ki mate pukupuku pūtau squamous.

Ko te pōauautanga muri tino onge, engari rite tākuta ki te kotiti i roto i tenei take, a ka tonoa te kikokiko nekehia atu te mo te whakamātautau histological, i roto i te tikanga ki te ārai mate pukupuku.