Koj puas feem ntau mob lossis o ntawm koj lub qhov quav (qhov qhib uas koj lub cev tso cov khib nyiab tawm)? Koj puas qee zaum pom cov kua zoo li kua qaub lossis me ntsis ntshav tawm los? Kuv paub tias nws yuav ua rau txaj muag thiab txaj muag me ntsis thaum tham txog cov no nrog ib tug neeg. Tab sis qhov no yog ib qho mob uas ntau tus neeg ntsib thiab tuaj yeem kho tau zoo. Yog li hnub no, cia peb tham txog qhov mob no hu ua qhov quav fistula, lossis raws li nws hu ua "Anal Fistula".
Hauv lwm lo lus, qhov quav fistula yog dab tsi?
Xav txog seb puas muaj ib lub qhov me me lossis ib lub qhov dej me me uas tsim nyob hauv peb lub qhov quav, thiab qhib mus rau hauv daim tawv nqaij ib puag ncig. Qhov ntawd yog qhov peb hu ua qhov quav tawg. Qhov no tsis yog ib yam dab tsi uas feem ntau yuav tsum muaj nyob hauv peb lub cev, nws yog ib yam dab tsi uas tsim tsis raws li ntuj tsim.
Qhov no feem ntau pib nrog kev kis kab mob ntawm cov qog me me hauv peb lub qhov quav. Thaum cov qog no kis kab mob, ib qho o uas puv nrog kua qaub, hu ua perianal abscess, tshwm sim. Cov kua qaub no tsim ib txoj hauv kev rau cov kua qaub ntws tawm. Raws li lub sijhawm dhau mus, txoj hauv kev ntawd dhau los ua ib lub qhov av hu ua perianal fistula. Qee zaum qhov no kuj hu ua perianal fistula. Qhov ntawd txhais tau tias nyob ib puag ncig lub qhov quav.
Tus mob no feem ntau tshwm sim li cas?
Qhov no tsis yog ib qho mob uas tshwm sim ntau npaum li koj xav. Nws yog ib qho mob uas tshwm sim ntau ntawm cov kab mob qhov quav. Nws pom ntau dua ob npaug ntawm cov txiv neej dua li cov poj niam. Qhov nruab nrab, tsuas yog li ib nrab ntawm cov neeg uas muaj kab mob hauv qhov quav yuav muaj mob o. Raws li tau hais ua ntej, 75% ntawm cov qhov quav fistulas yog tshwm sim los ntawm mob o.
Koj puas muaj cov yam ntxwv no thiab?
Muaj ntau yam tsos mob tseem ceeb thiab feem ntau ntawm qhov quav tawg. Cia peb saib seb lawv yog dab tsi.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Mob qhov quav | Qhov no tsis yog ib qho mob ib txwm xwb. Nws yog ib qho mob ntse thiab xeev siab uas los ntawm sab hauv. Qhov mob no yuav nce ntxiv thaum koj zaum, hnoos, lossis tso quav. Koj yuav hnov mob thaum koj kov qhov chaw ntawd. |
| O thiab liab | Tej zaum yuav muaj qhov liab thiab o ntawm qhov quav lossis ib ncig ntawm qhov quav. Qhov no qhia tau tias muaj kev kis kab mob hauv qab daim tawv nqaij, xws li cellulitis . |
| Cov kua dej xau | Tej zaum yuav muaj cov kua tawm ntawm lub qhov quav, me ntsis kua qaub, lossis txawm tias ntshav (los ntshav ntawm qhov quav) . Qee zaum qhov no kuj tuaj yeem muaj ntxhiab tsw phem. |
Ntxiv rau cov tsos mob tseem ceeb no, qee tus neeg kuj tseem yuav muaj cov tsos mob xws li:
- Ua npaws
- Mob thaum tso zis
- Nyuaj tswj kev txav mus los ntawm txoj hnyuv
Qee zaum, yog koj saib hauv daim iav, koj yuav pom lossis tsis pom lub qhov sab nraud ntawm lub noob qes. Nws zoo li lub qhov me me hauv daim tawv nqaij. Yog koj kov daim tawv nqaij nyob ib puag ncig nws, tej yam zoo li kua qaub yuav tawm los. Hauv qee lub noob qes qub, lub qhov no sab nraud yuav raug kaw. Tom qab ntawd cov kua qaub rov qab los sib sau ua ke, ua rau mob thiab o, thiab lub qhov qhib dua kom cov kua qaub tawm. Qhov no zoo li lub voj voog.
Vim li cas qhov kev tawg ntawm qhov quav no thiaj tshwm sim?
Raws li peb tau tham ua ntej lawm, qhov ua rau muaj qhov quav tawg yog kev kis kab mob ntawm cov qog hauv qhov quav, ua rau muaj cov kua paug (perianal abscess). Qhov tawg no yog txoj kev rau cov kua paug no ntws tawm.
Txawm li cas los xij, qhov quav fissures kuj tuaj yeem tshwm sim rau lwm yam tsis tshua muaj.
- Cov kab mob plab hnyuv: Piv txwv li, Crohn's kab mob.
- Cov kab mob sib kis los ntawm kev sib deev (STS) uas tshwm sim hauv qhov quav
- Kab mob ntsws uas cuam tshuam rau lub qhov quav.
- Muaj xwm txheej lossis phais mob ua ntej uas cuam tshuam rau lub qhov quav.
- Kev kho mob hluav taws xob rau mob qog noj ntshav ntawm thaj chaw pelvic
- Cov kab mob tsis tshua muaj xws li actinomycosis.
- Hidradenitis suppurativa yog ib qho mob ntawm daim tawv nqaij uas tshwm sim hauv cov qog hws.
Qhov tseem ceeb tshaj plaws yog nrhiav kev pab kho mob yog tias koj muaj cov tsos mob no, tsis hais qhov ua rau muaj li cas los xij.
Yog tias tsis kho ces yuav ua li cas?
Qhov no yog ib lo lus nug uas ntau tus neeg nug. Qhov qhov quav tawg yuav tsis zoo yog tias tsis kho.Yog qhov ntawd tshwm sim, tej zaum yuav muaj teeb meem mus sij hawm ntev.
- Kev kis kab mob rov tshwm sim: Cov kab mob tuaj yeem nyob hauv qhov chaw mos. Txawm tias qhov mob zoo li ploj mus li ob peb hnub, cov kua qaub yuav rov qab sib sau ua ke thiab yuav muaj cov kua qaub tshiab, ua rau mob.
- Kev kis ntawm lub cyst: Yog tias tsis kho ntev, qhov qhov no tuaj yeem nthuav tawm thiab tsim cov kev tshiab thiab tawm los ntawm lwm qhov ntawm daim tawv nqaij. Kev kho cov cysts nyuaj no nyuaj dua.
- Kev pheej hmoo mob qog noj ntshav: Qhov no tsis tshua muaj, tab sis muaj cov lus ceeb toom txog mob qog noj ntshav hauv qhov quav rau cov neeg uas muaj cov qhov quav ntev uas tsis tau kho rau ntau xyoo.
Yog li ntawd, tsis txhob xav tias qhov teeb meem no yooj yim. Tsis txhob tsuas yog nyiaj qhov mob xwb, mus ntsib koj tus kws kho mob sai li sai tau.
Tus kws kho mob yuav kuaj pom qhov no li cas?
Feem ntau, tus kws kho mob tuaj yeem paub qhov qhib no thaum lub sijhawm kuaj lub cev. Txawm li cas los xij, qee zaum qhov qhib sab nraud yuav raug thaiv, yog li nws yog qhov tsim nyog los nrhiav qhov twg qhov qhib sab hauv ntawm qhov qhib pib.
Yog tias qhov kev kuaj no ua rau koj mob, tus kws kho mob yuav txiav txim siab ua qhov kev kuaj no hauv chav phais mob thiab siv tshuaj loog.
Koj tuaj yeem sim cov kev xeem no kom nrhiav tau txoj kev tag nrho ntawm Bhagandara:
- Kev thaij duab MRI (Magnetic Resonance Imaging): Qhov no tuaj yeem pom tseeb qhov twg lub qhov quav hla thiab qhov twg nws txuas, thiab nws cuam tshuam li cas rau cov leeg nqaij sphincter.
- Endoscopic Ultrasound: Ib lub koob yees duab me me thiab lub cuab yeej ultrasound raug ntxig rau hauv lub qhov quav kom tau txais cov duab meej zoo ib yam li cov uas tau txais los ntawm MRI.
- Kev kuaj mob Fistulography: Yuav muab ib cov kua tshwj xeeb txhaj rau hauv qhov chaw mos thiab thaij duab X-ray. Ces mam li pom txoj kev ntawm cov kua ntawd kom meej meej.
Cov kev kuaj no yuav pab tus kws kho mob txiav txim siab hom hernia thiab kev kho mob zoo tshaj plaws.
Yuav kho li cas? Puas tsim nyog phais?
Yog, feem ntau cov qhov quav tawg yuav tsum tau phais kom zoo. Tos kom lawv zoo nws tus kheej tsuas yog ua rau rov qab muaj kab mob thiab abscesses. Txawm li cas los xij, yog tias qhov tawg yog los ntawm ib yam mob xws li Crohn's kab mob, thiab tsis muaj kab mob, nws qee zaum tuaj yeem kho tau nrog tshuaj.
Hom kev phais mob
Qhov xwm txheej ntawm kev phais mob nyob ntawm seb qhov hernia yooj yim lossis nyuaj npaum li cas.
1. Rau Cov Qhov Ncauj Yooj Yim
Txoj kev phais tseem ceeb rau cov qhov quav yooj yim uas tsis muaj kev puas tsuaj loj rau cov leeg ntawm lub qhov quav thiab tsis muaj ceg yog fistulotomy . Qhov no yog txoj kev ua tiav zoo tshaj plaws (kwv yees li 95%) thiab yooj yim tshaj plaws. Ntawm no, tus kws phais qhib lub qhov ntawm qhov quav thiab cia nws kho los ntawm sab hauv mus rau sab nraud.
2. Rau Cov Qhov Ncauj Uas Muaj Teeb Meem Ntau Yam
Ib qho hernia uas hla ib cheeb tsam loj ntawm lub qhov quav, ceg ntoo, lossis nyob rau hauv ib tus neeg uas muaj lwm yam mob raug suav hais tias yog qhov nyuaj. Qhov no yuav xav tau kev phais hauv ntau theem.
| Txoj kev phais | Qhov tshwm sim tsuas yog |
|---|---|
| Seton Drain | Qhov no zoo li ib txoj xov tshwj xeeb. Nws raug ntxig los ntawm lub qhov chaw mos. Qhov nws ua yog tias lub qhov av tseem qhib kom txog thaum tag nrho cov kua qaub hauv lub qhov chaw mos raug ntws tawm thiab khoob. Qee zaum, cov pov thawj siv txoj xov no los txiav lub qhov chaw mos thiab cia nws kho. |
| Endorectal Advancement Flap | Qhov no tsis yog txiav cov leeg ntawm lub qhov quav. Hloov chaw, cov nqaij mob uas nyob ib puag ncig qhov qhib hauv lub qhov quav raug tshem tawm, thiab rub ib daim nqaij noj qab haus huv (flap) los ntawm sab hauv lub qhov quav kom kaw lub qhov. |
| Cov Txheej Txheem LIFT | Ntawm no, qhov chaw ntawm lub qhov chaw mos uas hla ntawm ob lub leeg ntawm lub qhov quav raug xaws thiab kaw (ligation). Txoj kev no txo qhov kev pheej hmoo ntawm kev puas tsuaj rau cov leeg. |
Lub sijhawm rov zoo tom qab phais
Feem ntau, cov kev phais no yog ua rau koj mus tsev yam tsis tas yuav nyob hauv tsev kho mob. Koj yuav tau txais cov tshuaj tua kab mob thiab cov lus qhia kom ua raws li thaum koj mus tsev.
- Cov tshuaj ntxiv dej thiab fiber: Vim tias cov tshuaj tua kab mob tuaj yeem ua rau raws plab, nws raug pom zoo kom noj cov tshuaj ntxiv fiber kom tiv thaiv nws. Koj yuav tsum haus dej ntau nrog cov no.
- Sitz da dej: Zaum hauv lub tais dej sov so rau ob peb feeb tsawg kawg ib zaug hauv ib hnub tuaj yeem txo qhov mob thiab pab kom qhov txhab kho sai dua.
- Kev saib xyuas qhov txhab: Ua kom qhov txhab huv si los ntawm kev siv cov ntaub qhwv kom nqus cov kua dej ntawm qhov txhab, hloov lawv tsis tu ncua.
Feem ntau nws yuav siv sijhawm peb mus rau rau lub lis piam kom rov zoo tag nrho.
Thaum twg koj yuav tsum mus ntsib kws kho mob?
Yog tias koj muaj mob hnyav heev hauv koj lub qhov quav, ib txwm qhia rau koj tus kws kho mob. Tsis txhob xav tias nws yuav ploj mus nws tus kheej. Muaj ntau tus neeg xav tias nws yog hemorrhoids. Tab sis hemorrhoids feem ntau tsis ua rau mob ntau npaum li no. Txawm tias koj tus kws kho mob ib txwm hais tias nws yog hemorrhoids, yog tias qhov mob tseem muaj, nco ntsoov mus ntsib kws kho mob tshwj xeeb, xws li kws kho mob plab lossis kws phais.
Kev nyob nrog hom mob no tuaj yeem ua rau koj ntxhov siab heev, ob qho tib si lub cev thiab lub hlwb. Tab sis tsis txhob txaj muag txog nws thiab ncua kev nrhiav kev kho mob. Thaum koj tau txais kev kho mob sai npaum li cas, nws yuav yooj yim dua rau kev tswj hwm.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Ib qho fistula ntawm qhov quav yog ib qho qhov tsis zoo uas tsim los ntawm sab hauv ntawm lub qhov quav mus rau sab nraud ntawm daim tawv nqaij.
- Cov tsos mob tseem ceeb yog mob heev, o, thiab muaj kua tawm ntawm lub qhov quav zoo li kua qaub. Tsis txhob xav tias cov no yog cov mob hemorrhoids.
- Vim tias qhov mob no tsis zoo nws tus kheej, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob.
- Feem ntau yuav tsum tau phais mob. Yog tias koj nrhiav kev kho mob sai npaum li cas, ces qhov kev phais yuav yooj yim dua.
- Tsis txhob txaj muag los yog ntshai tham txog qhov no. Qhov no yog ib qho mob uas kho tau thiab kho tau tag nrho.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus