Tsis pom kev lawm

Qhov mob ntawm qhov quav yog ib qho quav ntawm lub qhov quav thiab ntawm lub qhov quav.

Cov teeb meem tshwm sim ntawm tus mob anorectal ua muaj xws li:

• Thaiv cov qog hauv qhov chaw ntawm lub qhov quav
• Kev kis mob ntawm qhov quav
• Kev kis los ntawm kev sib deev (STD)
• Kev poob plig

Kev mob tob hau ntawm qhov ncauj yuav yog tshwm sim los ntawm kev mob plab hnyuv xws li Crohn lossis diverticulitis.

Cov xwm txheej hauv qab no ua rau muaj kev pheej hmoo rau anorectal abscess:

• Anal sex
• Kev siv tshuaj kho mob siv los kho mob qog noj ntshav
• Mob ntshav qab zib
• Mob hauv plab hnyuv (Tus kab mob Crohn thiab mob ulcerative)
• Kev siv tshuaj corticosteroid
• Kev tiv thaiv kab mob ua kom tsis muaj zog (xws li los ntawm HIV / AIDS)

Tus mob muaj feem cuam rau txiv neej ntau dua li poj niam. Qhov xwm txheej yuav tshwm sim hauv cov menyuam mos thiab menyuam yaus uas tseem nyob ntawm cov pawm thiab cov uas muaj keeb kwm ntawm qhov quav.

Cov tsos mob feem ntau yog o ncig lub qhov quav thiab ib qho zuj zus, throbbing mob nrog o. Qhov mob yuav ua tau mob nyhav nrog lub plab ua paug, hnoos thiab zaum.

Lwm cov tsos mob tuaj yeem suav nrog:

• Cem quav
• Kev tso kua paug tawm ntawm qhov quav
• Nkees, kub taub hau, tawm hws hmo ntuj, thiab ua daus no
• Liab, mob thiab tawv nqaij ntawm thaj chaw ntawm qhov quav
• Kev sib tw

Hauv cov menyuam mos, qhov voos feem ntau tshwm los ntawm o, liab, mob pob tw ntawm lub qhov quav. Tus menyuam mos yuav npau taws thiab chim ua tsis xis nyob. Feem ntau tsis muaj lwm cov tsos mob.

Kev kuaj mob ntawm lub qhov quav tuaj yeem lees paub qhov tsis ua haujlwm tsis muaj zog. Yuav ua ib qho proctosigmoidoscopy los txiav txim tawm ntawm lwm yam kab mob.

Muaj qee kis, kuaj mob CT scan, MRI, lossis ultrasound los pab nrhiav qhov pus ntawm cov kua paug.

Qhov teeb meem tsis tshua ploj mus ntawm nws tus kheej. Tshuaj tua kab mob ib leeg feem ntau tsis tuaj yeem kho qhov ua paug.

Txoj kev kho mob suav nrog kev phais kom qhib thiab ntws qhov ua paug.

• Kev phais mob feem ntau yog ua nrog cov tshuaj loog hauv zos, nrog rau tshuaj kom koj tsaug tsaug zog. Qee zaum, tus nqaj pob txha los yog dav dav siv tshuaj loog.
• Kev phais mob feem ntau yog txheej txheem sab nrauv, uas txhais tau tias koj mus tsev hauv tib hnub. Tus kws phais yuav txiav tawm lub voos thiab tshem tawm cov kua paug. Qee zaum cov dej ntws tso rau hauv txhawm rau kom qhov phais kom qhib thiab ua kom dej ntws tawm, thiab qee zaum cov paug ntawm qhov quav yog ntim nrog ntaub nyias nyias.
• Yog tias qhov pus khaws no tob, koj yuav tsum tau nyob hauv tsev kho mob ntev dua rau kev tswj hwm qhov mob thiab saib xyuas cov chaw tawm ntawm lub qhov quav tso.
• Tom qab phais tas, koj yuav tsum tau da dej sov so (zaum hauv lub dab dej sov). Qhov no pab daws qhov mob thiab txo qhov o.

Cov roj ntsha khoob tawm yog ib txwm tso qhib thiab tsis muaj tus muab khi rau.

Tus kws phais mob tuaj yeem sau tshuaj kom txhob pleev xim thiab tshuaj tua kab mob.

Zam kev cem quav yuav pab txo qhov mob. Tej zaum koj yuav xav tau cov tshuaj ua kom quav muag. Haus dej thiab haus zaub mov ntau nrog fiber ntau kuj tuaj yeem pab tau.

Nrog kev kho mob sai, cov neeg uas muaj tus mob no feem ntau ua tau zoo. Cov menyuam mos thiab menyuam yaus feem ntau yuav rov zoo sai dua.

Teeb meem tuaj yeem tshwm sim thaum kho mob qeeb.

Teeb meem ntawm tus mob anorectal abscess yuav suav nrog:

• Qhov quav fistula (qhov sib txuas tsis zoo ntawm lub qhov quav thiab lwm tus qauv)
• Kab mob uas kis rau hauv cov ntshav (sepsis)
• Txuas ntxiv mob
• Cov teeb meem rov qab los (rov muaj dua)

Hu koj tus kws kho mob yog tias koj:

• Daim ntawv ceeb toom tshem tawm ntawm lub qhov quav, mob, lossis lwm cov tsos mob ntawm qhov tsis tuaj yeem qog
• Ua npaws, ua daus no, lossis muaj lwm yam tsos mob tshiab tom qab kho tus mob no
• Puas yog ntshav qab zib thiab koj cov ntshav qab zib yuav nyuaj rau koj tswj hwm

Kev tiv thaiv lossis kho STDs sai sai tuaj yeem tiv thaiv kom tsis txhob ua kom tsis txhob tus mob ntxiv. Siv hnab looj thaum sib deev, suav nrog kev sib deev ntawm qhov quav, txhawm rau tiv thaiv kev kis tus mob no.

Hauv cov menyuam mos thiab menyuam yaus, kev hloov pauv hloov pawm thiab nquag ntxuav lub sijhawm hloov daiv pawm tuaj yeem pab tiv thaiv ob qho quav thiab ua paug.

Qhov quav plab; Lub raum tsis ua haujlwm; Kev Mus Dhau Ib Zaug; Perianal mob rwj; Qeb hauv siab; Quav - anorectal

• Lub Pob Tsuas

Txheej WC. Cov txheej txheem tsis nco qab. Hauv: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts thiab Hedges 'Cov Txheej Txheem Chaw Kho Mob hauv Xwm Ceev Kho Mob thiab Mob Zoo Mob. 7 tus ed. Philadelphia, PA: Elsevier; 2019: chap 45.

Merchea A, Larson DW. Anus. Hauv: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Phau Ntawv Txog Kev Kho Mob. 20 tus ed. Philadelphia, PA: Elsevier; 2017: chap 52.