Dab tsi yog qhov quav tsis ua hauj lwm, qhov tseem ceeb ua thiab yuav kho li cas

Zoo Siab

• Dab tsi ua
• Cov tsos mob tseem ceeb
• Yuav kho tus mob li cas
• Tom qab kho tas
• Muaj teeb meem tshwm sim

Qhov quav, mob ib ce lossis mob anorectal ua paug yog qhov tsim kom muaj kab noj hniav puv rau ntawm daim tawv nqaij puag ncig lub qhov quav, uas tuaj yeem ua rau cov tsos mob xws li mob, tshwj xeeb tshaj yog thaum khiav tawm lossis zaum, qhov tshwm sim ntawm cov qog mob rau hauv qhov quav, ntshav tawm lossis tshem tawm. ntawm daj tso pa tawm.

Feem ntau, cov qog ua haujlwm thaum cov kab mob kis tau rau thaj av thiab ua rau mob hnyav, nrog cov paug ntawm cov paug. Txoj kev kho yog ua tiav los ntawm tus kws phais, yuav tsum tau tso dej tawm ntawm lub voos thiab, hauv qee kis, siv tshuaj tua kab mob rau ob peb hnub.

Dab tsi ua

Perianal abscess yog tshwm sim los ntawm kev kis kab mob ntawm daim tawv nqaij ntawm lub qhov quav thiab thaj av perineum, feem ntau yog vim muaj qhov cuam tshuam ntawm cov qog uas tsim cov hnoos qeev hauv thaj chaw anal, pab txhawb kev teeb tsa ntawm cov kab mob. Qee qhov xwm txheej ua rau muaj kev pheej hmoo ntawm voos tsim yog:

• Cov mob o, xws li Crohn's mob lossis mob plab thuv;
• Muab cov lus zais hidradenitis;
• Kev kis mob ntawm lub qhov quav, xws li amoebiasis, mob nqaij hlav hauv lub cev, mob ntsws lossis mob schistosomiasis ntawm lub qhov quav;
• Qhov quav pauj;
• Kab mob hlwb tsis muaj mob;
• Raug tiv thaiv tsis muaj zog;
• Piv txwv li tau phais mob rau hauv thaj chaw anorectal, piv txwv li hemorrhoidectomy, episiotomy lossis prostatectomy, piv txwv.

Feem ntau, cov mob no ua rau cov nqaij ntshiv ntawm qhov quav thiab lub qhov quav, ua kom muaj cov kab mob ntau ntxiv thiab tsim kom muaj cov kua paug. Zoo dua nkag siab txog cov ua, cov tsos mob thiab kev kho mob ntawm proctitis.

Cov tsos mob tseem ceeb

Cov tsos mob tseem ceeb ntawm tus mob hnoos qhuav yog mob nyob rau hauv lub qhov quav thiab perineum thaj av, tshwj xeeb tshaj yog thaum tshem tawm lossis zaum, tab sis uas tuaj yeem ua tas mus li li qhov txhab mob zuj zus ntxiv. Kuj kuaj xyuas lwm qhov ua rau mob siab heev thaum khiav tawm.

Yog tias qhov chaw nyob ntawm lub voos ntau dua sab nraud, qhov mob hnyav, kub, lub pob liab liab kuj tseem tuaj yeem pom hauv thaj chaw quav. Muaj qee kis, nws yuav muaj los ntshav thiab ua npaws. Thaum lub voos ua paug, purulent secretion tuaj yeem khiav dim, yog li txo qis siab ntawm daim tawv nqaij thiab mob.

Kev kuaj mob ntawm txoj kev ua paum yog ua los ntawm tus kws phais neeg feem ntau lossis tus kws tshaj lij txoj sia, los ntawm kev tsom xam thaj av thiab kev kuaj mob xws li anoscopy, ultrasound, suav tomography lossis magnetic resonance, uas txheeb xyuas qhov loj thiab qhov tob ntawm lub qhov txhab. Kev kuaj ntshav, xws li ua kom tiav cov ntshav suav, tuaj yeem pab ntsuas qhov hnyav ntawm tus mob.

Yuav kho tus mob li cas

Kev kho mob ntawm lub qhov quav yuav ua tiav nrog nws cov kua dej, los ntawm tus kws phais neeg lossis tus kws kho mob caj dab, kom sai li sai tau, vim tias kev mob siab rau ntawm lub qhov ncauj yuav ua rau muaj kev pheej hmoo kis tus mob.

Ua raws li qhov loj me thiab thaj chaw ntawm lub voos voos, kev phais leeg mob tuaj yeem ua nrog cov tshuaj loog hauv zos lossis nrog cov muaj zog dua qub xws li txha caj qaum lossis phaum av. Hauv cov qog uas loj, nws yuav tsim nyog los tso kua tawm ntawm ob peb hnub ntawm qhov chaw.

Txhawm rau kho lub fistula, tus kws kho mob yuav ua ib qho txiav los yog muab cov khoom siv los txhawb kho kom zoo thiab kaw txoj hauv kev. Ib qho ntxiv, cov tshuaj tua kab mob tuaj yeem paub yog tias lub voos yuav loj thiab muaj qhov mob loj, lossis yog tias tus neeg mob nthuav tawm cov kev pheej hmoo ntawm kev kis tus kab mob, xws li mob ntshav qab zib, kev tiv thaiv kev tiv thaiv lossis kev rog, piv txwv.

Tom qab kho tas

Tom qab kev phais mob, tus kws kho mob yuav pom zoo kom so, siv cov tshuaj pleev xim thiab da dej sitz nrog dej sov, vim nws cov nyhuv ua rau mob.

Tus kws kho mob yuav teem sijhawm rov ntsuas dua hauv 1 txog 2 lub lim tiam, kom tshuaj xyuas qhov zoo thiab kom paub seb puas muaj kua dej xau ntawm qhov zais cia uas qhia tias fistulas. Qee qhov xwm txheej, qhov qog tuaj yeem rov qab los, tshwj xeeb tshaj yog tias kev kho mob thawj zaug tsis tau ua kom raug lossis yog muaj kab mob uas ua rau mob ntawm qhov chaw thiab ua kom yooj yim rau kev tsim lub qhov txhab.

Muaj teeb meem tshwm sim

Nws yog qhov muaj ntau rau cov plhaw tawm mus rau qhov quav fistula, uas yog qhov tsim ntawm txoj hauv kev uas txuas ob thaj tsam, uas tuaj yeem tshwm sim nruab nrab ntawm lub qhov quav thiab lub paum, lub tsev menyuam, tso zis lossis lwm qhov ntawm txoj hnyuv, muab ua piv txwv. Tshawb nrhiav seb qhov fistula qhov quav yog dab tsi thiab yuav kho nws li cas.

Ib qho ntxiv, lwm qhov teeb meem uas lub qhov quav tsis pom kev tuaj yeem yog kev koom tes ntawm lub qhov quav, ua rau quav quav, lossis mob necrotizing, uas yog thaum tus kab mob mus txog cov ntaub so ntswg nyob sib ze, xws li tawv nqaij, nqaij thiab rog.

Ib qho ntxiv, yog tias kev kho mob tsis ua tsis yog, nws muaj peev xwm ua kom tus kab mob mus txog cov ntshav, ua rau muaj kev kis kab mob, uas tuaj yeem ua rau tuag taus.