Pilonidal chikofu: zvinokonzera, zviratidzo, dziviriro uye kurapwa

Dzimwe nguva munhu anogona kurarama hafu hupenyu pasina kuziva kuti muviri wake vanovanda zvakavanzika kutyisidzira, akadai teratoma, itsvo malformation kana chikofu kuti coccyx. The yokupedzisira hakuiti unooneka kusvikira imwe nguva, uye vanachiremba havagoni kutaura chaizvoizvo chii kwakaita chitarisiko yokuora zviratidzo. Pane imwe nguva dzidzo ichi chinotanga zvomoto, pus aumbwa, nomunatsi wacho zvinyoronyoro munyama, uye dambudziko zvinova pachena.

tsananguro

Pilonidal chikofu - ane anomaly ganda iri sacrococcygeal nharaunda. Kwakafanana chirwere ichi vari pilonidal sinus kana epithelial coccygeal kosi. Kutungamirira munhu kutenda pamusoro chirwere kuvapo ganda yokururamisa mu mezhyagodichnoy crease anogona. Pashure dambudziko iri coccyx kana kutonhora nzvimbo anova zvomoto fistula uye abscesses. Kwapera nguva, iye zvimwe akasvinudzwa, achiumba mamwe maturakiti mawindo. Kana iwe haapari dzoutano, chirwere chacho idzokororo zvakasikwa.

Pilonidal chikofu (ICD-10)

Mune International kupatsanura pakati Diseases wegumi Shanduro ane chikamu pasi mutsamba L, iyo, pakati pezvimwe zvinhu, rine ganda uye subcutaneous tishu. Pilonidal chikofu iri encrypted pasi bumbiro L05, chinosanganisira fistula uye coccygeal pilonidal sinus. Vanozivikanwa subgroups maviri:
- L05.0 - chikofu pamwe pute;
- L05.9 - chikofu pasina pute.

Chikamu ichi zvinosanganisira nzombe, dermatitis, eczema, urticaria, zvirwere ganda nezvimwe zvinoshandiswa.

Zvinokonzera chikofu inotungamirwa

Sezvo chikazozikamwa, embryo rinopfuura panguva kukura padanho shanduka. Ane musoro hombe, ine chambered matatu mwoyo, uye kunyange muswe membrane. vanachiremba Most uye pathologists vanodavira kuti pilonidal cysts coccyx chinhu vachiberekwa kuremara rokunze utachiona rukoko. Izvi imhaka kwete pamugumo kwakaderedza tsandanyama nemarunda kwazvo muswe ichi, izvo Mumashoko okutanga shoma vhiki gestation, uye anofanira chigadziko pashure vhiki wechisere.

Pane zvakasiyana siyana panyaya iyi. Dzimwe nyanzvi dzinodavira kuti hosha kunoitika pamusana ingrown bvudzi ari subcutaneous mafuta. Vateveri ichi dzidziso pfungwa pakuvapo epithelial ndima pakati minwe panguva nevezvimwewo, kunamatwa kudimburwa muzvidimbu munzvimbo underarm munharaunda.

Anodarika zana apfuura, neuroscientists akanga aronga imwe dzidziso maererano izvo epithelial coccygeal kosi achiumbwa nedanho involution yokuguma wenyika musana zvikamu. Chimwe tsananguro sei kuumbwa pilonidal chikofu, conformable wambotaurwa: coccygeal vertebrae izvo zvinoumba mhuka muswe, resorbed uye wokugaya tsapo anoramba panzvimbo yayo. Kana izvi hazvina kuvakwa zvakazara, panzvimbo ino vakaumba bofu kufamba, izvo zvinogona kuva zvomoto.

zviratidzo

Avhareji yezera varwere chirwere kuti "pilonidal chikofu" - kubva gumi kusvika pamakore makumi maviri namashanu. Kakawanda zvinokanganisawo vamiririri kumaodzanyemba vemarudzi. The chirwere anenge nevakawanda vechitema. Most vanotambura varume vanofamba zvakawanda nemotokari kana kuti mumamiriro refu, zvakadai masoja kana truckers.

Epithelial kosi riri pamusoro midline iri mezhyagodichnoy crease, iye tinongoita kupedza ari adipose rinenge uye kunozarura ronda paganda. Maererano rakamanikana chubhu urefu matatu kusvika mana masendimita. Inside, zvakanamirwa mudungwe pamwe epithelium, izvo secretes madzihwa. Chero zvokuimba kunotevera kana chirwere kungaita kuti kunonoka kuti water drainage epithelial secretion uye kuzvimba. Pilonidal chikofu chinhu chimwe kupfuura zvomoto sinus, iyo, pamwe yakakwirira mukana tinogona kuenda imwe mota. In mazhinji kacho zvasvika rebei kukosha uye zvinogona nomuzvarirwo rakazaruka kubvunda ganda. Ichi chinhu chinorwadza zvikuru muitiro kuti anogona omesa upenyu.

Kusiyanisa pakati nyore uye zvakaoma epithelial coccygeal kosi. Muchiitiko chokutanga, sezvinoita mutemo, hapana kugunun'una. Dzimwe nguva pane kungopotsera kurwadziwa coccyx, asi havazivi kukonzera dambudziko murwere uye chete nokuitika kwenguva refu nokugara kana zvemapapu kukuvara. Kashoma pilonidal chikofu iri pamwe kuvaviwa uye kukangamwirwa mezhyagodichnoy crease.

Kana chirwere kuoma, ipapo kusachengeteka kukuru kana chirwere kuzvimba epithelial sitiroko, fivha, kurwadziwa munzvimbo yacho pute, ipapo scarring pa nzvimbo fistula zvokuporesa. Izvi Kazhinji anokangaidza varwere uye vanovamanikidza kunoona chiremba.

Diagnostics

Doctor uye zvakakosha zvakanaka unganidza hwakadzama zvokurapa kare. Kakawanda, varwere kurapwa pashure yokukuvara kana marwadzo kana kududzwa. Kuvapo maburi mezhyagodichnoy nharaunda, kuzvimba pa nzvimbo chivara, zvechigarire idzokororo abscesses nokuda kuita zvokuongorora nyore zvakakwana.

Kuti vazive kuti makomba zhinji varipo uye sei zvakadzama fistula, chiremba raanozvibaya dhayi mariri, vakawanda methylene zvitema, ipapo vakatarira kuona uko mvura mvura ndokuyerera. Nzira iyi inobvumira kuti kuona zvose mitaro ose pus uye zvakazara kuvabvisa panguva oparesheni.

nyore chikofu kurapwa

Pilonidal chikofu pasina pute kunoda akaronga kuvhiya kurapwa, nguva uye netsika izvo zvinogona kusarudzwa mumwe nomumwe nomumwe murwere. The Kazhinji ndiyo chete: chipingaidzo anofanira kupfuura panguva kuregererwa chirwere. Yakakura oparesheni kunodikanwa zvakaitika kwokunze hwomukova akazviratidza pus. The chiremba anoita excision ganda batanidza pamwe subcutaneous zvinyama kusvikira sacrococcygeal fascia. Kuti zviite kuwana, epithelial runoita akasvibiswa ayodhini, fukortsinom kana methylene rwebhuruu. The ronda akanga sutured mu akaturikidzana kana zvakasimba (pamwe yakadzika kana zvakawanda maronda) akaita suturing ronda micheto ayo pasi. Stitches vanobviswa pashure pemavhiki maviri, kukosha zvizorwa kuremara pa nzvimbo incision haina kuchengetwa. With nokungwarira vatarisire chirwere anoporeswa chose.

kuoma chikofu kurapwa

Pilonidal chikofu pamwe pute kunoda siyanei nzira kurapwa. Kana kuzvimba asingadi kuenda mhiri mezhyagodichnoy pazvirugu, haana kupfuura vatatu masendimita uye zvachose mushandirapamwe mugero, zvinokwanisika kuitisa imwe-nguva yakakura kupindira uye kubvisa zvachose ainyanya chokutsva mu dhayamita. Kana kupararira nda kuvhiya asati vaida Anti-anogumbura kurapa.

Kana pute inotungamirwa (i.e. vaingoerekana budiriro kugutsikana pute) ndiko zvinodiwa kutanga kuita Anti-anogumbura kurapa kuti mezhyagodichnoy nharaunda yakaitwa kuwanikwa kushanda uyewo yekuzvidzivirira postoperative yematambudziko. Chokunyora yakakura Danho ane nhamba zvakanakira:
- mari incision paganda;
- kufadza convergence ronda kumicheto.

Kunyange kana nda kunosvika kuna mativi, chikuru chinhu chiri pilonidal chikofu coccyx. The oparesheni rinoitwa pasi midline ari pute. Mushure kuwana chiremba anoita chinhu odhita ari ronda kubvisa zvose necrotic zvinyama guru uye yokuzorora jumper, kana ani. Kuitazve kudzivirira ndiwo kumbonyatsoongorora Kuongorora kuvhiya munda, kubviswa zvose necrotic detritus, excision nendima uye mitaro. Akadzokorora kuzvimba anogona kuitika kana Kuvhiya akanga asiri yakakura zvakakwana, vakasara epithelial sitiroko akachengetedzwa bvudzi kana muchikuvadza kuporeswa haana zvachose.

Kushumira muchiuto

Munguva choRugwaro gwaro komisheni chiremba anowana pedyo yokururamisa of horo ruvara ane bvudzi muchibudisira pairi. A CHIREMBA ari kukonzera zvimwe zvaimunetsa, saka jaya anobvunza mibvunzo vaitungamirira: Zvine kuvava chichikusvota kana pus kuwanikwa kana kuzvimba vaiva. Kana mhinduro iri kunaka, chiremba rinopa mazano utano uye rinotaura kuti musoja wakafanira basa.

Asi kana kupfuura mumwe wemibvunzo mhinduro iri hongu, zvinoda kuvhiyiwa, nekuda kuchinja kurapa haako. The Kupindira rinoitwa nenzira yakarongwa nenzira, kana pasina zviratidzo kuti kukurumidza kuita.

Mazano varwere

Pilonidal chikofu kunoda kusimba postoperative hanya, saka zviri kwakanaka kuchengeta varwere zvinotevera:
- vhiki nhatu pashure pokuvhiyiwa kugara uye nokusimudza masimbi haabvumirwi;
- unofanira kutora zuva nemvura ine kudziya Utsanana Washing mezhyagodichnoy nzvimbo;
- mukati memwedzi mitanhatu avhiyiwa ose vhiki mbiri, unofanira kuita kubviswa bvudzi munharaunda yacho incision;
- akapfeka dzakapfavirira, apwanye andapeni, pasina yakabudikira vazvo.

Yakarurama kusvika kuti vadzivise dzokororo chirwere uye aivabatsira kutakura kubva audits mune ramangwana.

yematambudziko

Kazhinji, pilonidal chikofu, kurapwa iyo rinoitwa nokukurumidza chete kunze, ane yakanaka fungidziro, kazhinji anouya kunaya zvakakwana. Zvinosuruvarisa dzimwe nguva zvinoita matambudziko akadai:

- idzokororo abscesses (kana odhita asina kuitwa zvizere);
- dzokororo chirwere (kana murwere asingadi kuteerera mirayiridzo kurapa post-kushanda muoti);
- sepsis uye pyosepticemia (kana vakabatana yechipiri noutachiona);
- patsva zviri epithelial munyama dzikava squamous muchitokisi carcinoma.

Zvapedzisira kuomesa zvikuru zvisingawanzoitiki, asi vanachiremba vanovhiya vanoda yakatsauka iyi, uye akabvisa zvinyama anotumwa kuti histological kuongororwa, kuitira kudzivirira kenza.