Ukuba uyazi ukuba zonke iintlobo ze-fistula zahlulwe zibe ngama-congenital, zifunyenwe, kwaye zenziwe ngokuzikhethela, i-fistula ye-ligature ye-post-operative cicatrix iya kuba yinkalo yokugqibela. Ngoko ke, inokuthi yenzeke naphi na, ukuba kukho ukungenelela kokusebenza, emva koko ukuvuvukala kuphuhliswe kwi-suture impahla yokuhlinzwa-ligature. Kwaye akukho mpela mfahluko wohlobo lwentambo eyayisetyenziselwa (ukuhlanganiswa, okwemvelo, ukuxhamla okanye ukungaxhasi). Ngamanye amaxesha imbangela ye-fistula kukunyaniseka kwabasebenzi bezonyango, kodwa kwenzeka ukuba umzimba ngokwawo ulahla izinto ezivela ngaphandle.
Unyango olulondolozo lwe-ligature fistula yesikhumba esasemva
Njengomthetho, inkqubo yokuqala yokugula isenza ukuba uzive ngaphambi kokuba isiguli sigxothwe ekhaya. Ngelishwa, akuyena wonke umntu ophulaphule imeko yakhe emva kokusebenza kwaye ngokuqinisekileyo unqwenela ukukhutshwa kwamagumbi esibhedlele ngokukhawuleza. Emva kwayo yonke inkxalabo malunga neenkqubo zokuqapha ezizayo, ukulungiswa okuncane kummandla womthunzi kubonakala kunjalo. Nangona kunjalo, kuphela ngeempawu zokuqala zokuphuhliswa kwe-fistula kunye nesigaba sokuqala sokuxhaswa, kunokwenzeka ukuba unyango lwakhe lugqirha.
Ugqirha owaziwayo uya kuzikhethela ukuba inkqubo yokuphulukisa yomsila inokwenyuka kwaye ithatha amanyathelo afike ngexesha. Okokuqala, indawo yokuvuvukala ihlolwe ngokucophelela, iiscupu ezifayo zisuswe, ukwenzela ukuba ukuphulukiswa kwilonda kungaqhubela phambili ngokukhawuleza. Oku kwenziwa kwimizuzu emininzi kunye nokunyangwa rhoqo kweso sombululo ngesisombululo se-antiseptics. Okwesibini, iintambo zisuswe ngokufanayo, iziphelo ezibonakala phezu komhlaba.
Imiselweyo yeyeza:
- ii-antibiotics ( Ampicillin , Ceftriaxone, Norfloxacin, Levofloxacin);
- i-antiseptics zendawo zendawo ngendlela ye-powders kunye ne-ointments e-soluble yamanzi (i-Levomikol, i-Trimistin);
- ii-enzyme ezichitha iiseli ezifile.
Amafutha amaninzi aseVishnevsky kunye nesiseko se-synthomycin ayaphikiswa ngenxa yeoli yabo.
Ukuchithwa komsebenzi we-ligature fistula
Okubi kakhulu xa i-fistula ingaphakathi kwizitho zangaphakathi. Okanye ngaphandle, kodwa ukuvuvuka kwahamba kakhulu. Kule meko, kukho iindlela ezimbini eziphuma kumanyathelo aphezulu:
- ukususwa kwezinto eziphathekayo ngaphandle kwe-dissection ye-fistula ngokusebenzisa iteksi layo elingenanto;
- ukugqitywa kwe-fistula ukwenzela ukuba ususe i-ligature kwaye uhlambe isilonda kumxhasi.
I-fistula yesigulana, ephathwa ngenyameko okanye ngokugqithiseleyo, ifakwe kwi-quartz okanye i-ultrasound kwiziko lempilo. Ukuhlolwa kwe-Ultrasonic kuqinisekisa ukuba zonke iintambo zisuswe ngaphandle kokuhlala.
Unyango lwe-ligature fistula ekhaya
Izindlela ezingapheliyo zonyango lweentlobo ezahlukeneyo ze-fistula zininzi kakhulu, kodwa akufuneki ukuba zithembele ukuba kuya kukwazi ukuhlangabezana ngokukhawuleza nokuvuvukala kwi-ligation ehleliyo, ukuba ayinakususwa ngokusasaza isayithi sokuxhaswa. Ukuba uphoswa ixesha, uzama ukulwa neendlela ezilungelelene ekhaya, inqubo ingadluka kude kube sepsis. Xa kugxininiswa ngokutsha kwesibhedlele, ugqirha mhlawumbi uya kunika icebiso kuye, yiyiphi inkqubo elula eyenziweyo ekhaya ukukhawulezisa ukuvalwa kwesilonda.
Umzekelo:
- Kwi-fistula yesigulane, i-bandage yetyuwa isetyenziswe njenge-antiseptic njengeprophylaxis yokuvuselela kwakhona, nangona kwakungeke kwenzeke ukususa yonke imida kwi-dissection. Isisombululo soxyulo setyuwa senziwa ngesantya se-1 tsp nganye ngeglasi yamanzi abilayo.
- Unokuyichukumisa i-fistula ngamanzi atyuwa okwaneleyo, wenze i-lotions okanye i- bandages .
- Unyango lwe-ligature fistula ne-Dimexide nayo iyaqheleke kakhulu ekhaya. Le ngxininiso ephantsi kwinqanaba lehlabathi, apho i-50% -90% isisombululo esinamandla esingalungiswa ngayo. I-Demixid inamandla okukrazula konke ukungcola kwilonda le-purulent.