Muzhinji nemapironidal chirwere, kuvhiyiwa kunorapa.
Pilonidal cysts inonakidza kwazvo. Kurwadziwa kukuru kwepilonidal chirwere kunonzwa sokuti iwe waifanira kusvitsa tailbone yako kurwisana nekona yakakosha ye tafura uye kuibata ipapo.
Zviratidzo zvepilonidal zvirwere zvinowanzodzoka nehutachiona hunotevera hunova hwakaoma uye hunorwadza. Uyezve, mumamiriro ezvinhu akaipisisa apo pilonidal cysts inoramba iripo kwenguva yakareba, aya majekiti ave akazivikanwa kubva kubva kumucheto kumashure kusvika kumapapiro emafudzi.
Uyezve, kana isina kusiya, chirwere chepilonidal chinogona kupindira ropa uye chinoguma nehutu hunouraya.
Kune vakawanda, chete panacea yehupenyu hunoramba huripo pilonidal chirwere.
Chii Chinonzi Pilonidal Cyst?
Dzimwe nharo dziripo sekusingaiti chete nzira yekugadzira zvakanakisisa kuporesa pilonidal cyst asiwo chinokonzera iyo. Irostoniidal cyst inowanikwa pamwero wechinyorwa chinoputika (chinoputika pakati pezvigaro) munharaunda ine midline inowanikwa pamusoro pe sacrum uye coccyx. Kunyange zvazvo vakadzi vanozviwana, zvakare, pilonidal cysts zvinowanzokonzera varume vechidiki mushure mekuberekwa.
Heino mafungiro epionidal cyst:
- Iko kunopindira kana ingrown hair follicles-zvichida pamwe nemarara-anoputsa ganda uye akavharwa mu cyst.
- Iyi cyst inotapukirwa ichigadzira peconidal abscess kana kubika izere nezvinonhuwira zvinosvibisa izvo zvinopinda kuburikidza nechimwechete kana kupfuura zvitoni zvepiloniidal.
- Nokufamba kwenguva, zvirwere zvekudzoka uye mapepa e sinus zvakapararira kumusoro pamwe nechezasi.
Zvishomanana zvingangodaro zvinokonzera ngozi zvinowanikwa nokuda kwepilonidal chirwere:
- Kunyanya muviri bvudzi
- Akagara kwenguva yakareba kwenguva
- Furuji
- Kuwedzera muviri
- Bvisa zvipfeko
- Urombo hwakashata (tapota cherechedza kuti vanhu vazhinji vanowana ma cysts vanogeza nguva dzose)
- Sacral dimple
Pamusoro pezvinyorwa zvenhoroondo, panguva yeWWII, vakawanda vechidiki veGI vanotyaira Jeeps vakavaka chirwere chepilonidal chainzi "chigaro cheJee" kana kuti "chirwere cheJeep".
Mukuwedzera kumarwadzo anorwadza, unyoro, kuzvimba uye kusvibiswa kwemvura yepus, pilonidal chirwere chinogonawo kumutsa masero eropa ropa uye kukonzera fivhiri.
Zvinyorwa, zvichienderana nehuwandu hwemvura, pilonidal cyst dzimwe nguva inopesana ne perirectal abscess , iyo yakasiyana zvachose.
Kurapa kwePilonidal Cyst
Nemhaka yokuti pilonidal cysts zvipembenene zvinowanzodikanwa kuvhiyiwa, maantibioti anoita zvishomanana kuti abatsire mamiriro acho kunze kwekuti painewo pamwe nehutachiona hweganda (kureva, cellulitis).
Pakutanga, mbambo dzepiloniidal dzinofungidzirwa uye dzinodzingwa nachiremba anoshandisa anesthesia yemunharaunda mune imwe nzvimbo yekuchengetedza kana mukana wekugadzirisa mukamuri. Zvisinei, kupindira uku kunowanzogadzirisa kwenguva pfupi nekutsamwa kwepiloniidal cyst uye sinus inobatanidza kuva nyaya yakadzoka uye kuona kwepakabva kune hutachiona hunowedzera. Kakawanda, pilonidal cysts inowedzera kuparadza kupfuura iyo inotanga kuonekwa, uye, kunze kwekuvhiyiwa, kudzika kwavo kwechokwadi kunoonekwa chete nekushandisa ultrasound.
Nekudzoka kwepilonidal chirwere, pilonidal cysts inonyatsorapwa nechiremba chiremba mune imwe nzvimbo yekuvhiya pasi pekuchengetedzwa kwepraveous or general anesthesia. Kunyange zvazvo nzira dzakasiyana-siyana dzokuvhiya dzakataurwa, ngatitarisei maviri.
Nzira yekutanga inosanganisira kuparadzaniswa (kureva, kusunungura) sinus kana ruvara, kutema kuzarura kristi nekudzima kunze (kureva, kuisa pasi) chigadziko, uye kusunungura mitsara (ie, marsupializing). Donda rinoguma rinosara rakazaruka uye rinogona kusunungura zvakasununguka. Kana ukasarudza kana ukapiwa sarudzo iyi, zvino zvakakosha kuchengetedza maronda akajeka kwebvudzi nemafuta uye kusangana kwekuchengetedza kwevhiki kwevhiki kusvika kupora kwapera.
Chisarudzo chechipiri chinosanganisira kubviswa zvakakwana (kureva, kukanganisa) kwekstasi uye sinus yakateverwa nekuiswa kwekutsvaira kusati kwavharwa kusati kwavharwa kwevanga. Nezvirwere zvakanyanya, resection yakawedzera, zvakare, uye zviputi zveganda zvingada kugadzirwa kuitira kuti uvhare ronda.
Zvisarudzo zvakadaro zvinoda kutevera, zvakare.
Shoko Rinobva
Kana iwe kana munhu waunoda akawana pilonidal chirwere, iwe zvechokwadi unoda kuona chiremba. Dambudziko iri haringazoitiki pacharo uye richava rakaipa munguva. Uyezve, pilonidal cysts inokanganisa muviri wako uye utano uye inogona kutungamirira kuhutachiwana hwehutachiuraya.
Nokuda kwepironiidal cyst, zvakanakisisa kuve nekuvhiyiwa kwakaitwa nachiremba muimba yekushandisa. Kungodonha chipfeko kunoguma nekununurwa kwenguva pfupi chete. Chero bedzi iyo pilonidal cyst inoramba yakasimba, tarisira hutachiona hunowanzoitika, kurwadziwa, kunyura kwemvura yakawanda, uye kutevera. Kunyangwe nekuvhiyiwa, pilonidal cysts dzimwe nguva kudzoka; zvisinei, kune vanhu vazhinji vanovhiyiwa inorapa.
> Sources:
> Bullard Dunn KM, Rothenberger DA. Colon, Rectum, uye Anus. Mu: Brunicardi F, Andersen DK, Billiar TR, Dunn DL, Hunter JG, Matthews JB, Pollock RE. eds. Schwartz's Principles of Surgery, 10e . New York, NY: McGraw-Hill; 2014.
> Burgess BE. Chitsauko 88. Matambudziko Anorectal. Muna: Tintinalli JE, Stapczynski J, Ma O, Cline DM, Cydulka RK, Meckler GD, T. eds. Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e . New York, NY: McGraw-Hill; 2011.