Lub plab zom mov Fistula

Zoo Siab

• Hom GIFs
• 1. Lub plab fistula
• 2. Tshaj tawm ntawm tus fistula ntxiv
• 3. Sab nrauv lub nrig
• 4. Cov khoom fistula nyuaj
• Cov ua rau GIF
• Kev phais mob
• Spontaneous GIF tsim
• Kev poob plig
• Cov tsos mob thiab cov teeb meem ntawm GIF
• Thaum yuav tau mus ntsib kws kho mob
• Kev kuaj thiab tshuaj mob
• Kev Kho Mob ntawm GIF
• Lub hom phiaj ncua ntev

Dab tsi yog lub plab zom zaub mov fistula?

Lub plab zom zaub mov fistula (GIF) yog qhov ua rau lub plab zom mov tsis zoo uas ua rau lub plab zom mov tawm hauv txoj hnyuv lossis plab hnyuv. Qhov no tuaj yeem ua rau kis tau thaum cov kua dej no nkag mus rau koj cov tawv nqaij lossis lwm yam hauv nrog cev.

GIF feem ntau tshwm sim tom qab phais mob plab, uas yog phais sab hauv koj lub plab. Cov neeg muaj teeb meem ntawm kev mob plab kuj muaj qhov pheej hmoo loj ntawm lub fistula.

Hom GIFs

Muaj plaub hom GIFs tseem ceeb:

1. Lub plab fistula

Hauv plab hnyuv fistula, pais plab zom mov tawm ntawm ib feem ntawm txoj hnyuv mus rau lwm qhov chaw uas lub cev kov. Qhov no tseem paub tias yog "gut-to-gut" fistula.

2. Tshaj tawm ntawm tus fistula ntxiv

Hom fistula no tshwm sim thaum lub plab zom mov tawm hauv koj lub plab hnyuv mus rau lwm qhov chaw nruab nrog, xws li koj lub zais zis, lub ntsws, lossis lub voos.

3. Sab nrauv lub nrig

Hauv lub fistula sab nraud, lub plab ua pa tawm ntawm daim tawv nqaij. Nws tseem muaj lub npe hu ua "cutaneous fistula."

4. Cov khoom fistula nyuaj

Lub fistula nyuaj yog ib qho uas tshwm sim hauv ntau tshaj ib lub cev.

Cov ua rau GIF

Muaj ntau yam sib txawv ntawm GIFs. Lawv suav nrog:

Kev phais mob

Txog 85 txog 90 feem pua ​​ntawm GIFs tshwm sim tom qab kev phais mob plab. Koj yuav muaj peev xwm tsim lub nrig loj yog tias koj muaj:

• mob cancer
• hluav taws xob kho rau koj lub plab
• ob leeg plob tsis so tswj
• phais teeb meem suture
• incision site teeb meem
• ib qho kev qog
• muaj mob
• hematoma, lossis ntshav txhaws hauv koj daim tawv
• mob qog
• khoom noj khoom haus tsis muaj zog

Spontaneous GIF tsim

Ib daim GIF yam uas tsis muaj qhov paub tias hauv 15 txog 25 feem pua ​​ntawm cov neeg mob. Qhov no tseem hu ua tus kheej tshwm sim.

Cov mob hauv lub plab hnyuv, xws li Crohn's mob, tuaj yeem ua rau GIFs. Xws li ntau ntawm cov neeg muaj Crohn tus mob pib fistula qee lub sijhawm hauv lawv lub neej. Kev mob plab hnyuv, xws li diverticulitis, thiab leeg ntshav tsis txaus (ntshav ntws tsis txaus) yog lwm yam ua.

Kev poob plig

Kev raug mob rau ntawm lub cev, xws li rab phom lossis rab riam sib tsoo uas mob rau hauv plab, tuaj yeem ua rau GIF txhim kho. Qhov no tsis tshua muaj.

Cov tsos mob thiab cov teeb meem ntawm GIF

Koj cov tsos mob yuav txawv nyob ntawm seb koj puas muaj fistula sab hauv lossis sab nraud.

Lub fistulas sab nraud ua rau paug tawm los ntawm daim tawv nqaij. Lawv tau nrog lwm cov tsos mob, suav nrog:

• mob plab
• mob hnyuv tawm tsam
• ua npaws
• kom cov qe ntshav dawb kom ntau

Cov neeg uas muaj daim fistulas sab hauv yuav muaj kev:

• zawv plab
• qhov quav los ntshav
• ntshav hlab ntaws lossis sepsis
• kev nqus tsis tau cov as-ham thiab lub cev poob ceeb thawj
• lub cev qhuav dej
• paug zuj zus ntawm qhov pib mob

Qhov tshwm sim hnyav tshaj plaws ntawm GIF yog sepsis, kev kho mob xwm txheej ceev hauv lub cev tau muaj cov lus teb hnyav heev rau cov kab mob. Tus mob no tuaj yeem ua rau muaj kev phom sij txaus ntshai ntshav tsawg, hloov khoom nruab nrog cev, thiab tuag taus.

Thaum yuav tau mus ntsib kws kho mob

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob no tom qab kev phais mob:

• muaj kev hloov pauv tseem ceeb hauv koj cov quav
• raws plab heev
• kua dej tawm los ntawm qhov qhib hauv koj lub plab lossis ze qhov quav
• plab txawv txawv

Kev kuaj thiab tshuaj mob

Koj tus kws kho mob yuav kuaj koj li keeb kwm kev kho mob thiab kev phais mob thiab ntsuas koj cov tsos mob tam sim no. Lawv yuav khiav ntau txoj kev kuaj ntshav los pab kuaj GIF.

Cov kev kuaj ntshav no feem ntau yuav ntsuas koj cov tshuaj electrolytes thiab cov zaub mov zoo, uas yog ntsuas ntawm koj qib albumin thiab pre-albumin. Cov no yog ob qho protein uas tau ua lub luag haujlwm tseem ceeb hauv kev kho qhov txhab.

Yog tias lub fistula sab nraud, qhov kev xa tawm yuav xa mus rau qhov chaw kuaj ntshav kom tau tshuaj ntsuam. Daim fistulogram tuaj yeem ua los ntawm kev txhaj tshuaj zas xim sib txawv rau hauv qhov qhib ntawm koj cov tawv nqaij thiab kev xoo hluav taws xob.

Pom lub fistulas sab hauv yuav nyuaj dua. Koj tus kws khomob yuav khiav cov kev kuaj no:

• Lub siab dua thiab sab hauv txoj kev ua tiav nrog kev siv lub raj kom yoog, hloov tau yooj yim nrog lub koob yees duab txuas. Qhov no yog siv los saib cov teeb meem tshwm sim hauv koj lub plab zom mov lossis lub plab zom mov. Lub koob thaij duab no hu ua endoscope.
• Yuav siv cov duab hluav taws xob sab qaum thiab hauv plab uas muaj qhov nruab nrab zoo ib yam. Qhov no tuaj yeem suav barium nqos yog tias koj tus kws kho mob xav tias koj yuav muaj lub plab lossis plab hnyuv fist. Siv tau cov tshuaj barium enema yog tias koj tus kws kho mob xav tias koj muaj nyoos fistula.
• Yuav siv qhov ntsuas ultrasound lossis CT scan txhawm rau nrhiav cov plab hnyuv fistula lossis thaj chaw ua paug.
• Daim fistulogram cuam tshuam kev txhaj tshuaj zas xim rau hauv kev qhib ntawm koj cov tawv nqaij hauv lub fistula sab nraud thiab tom qab ntawd thaij duab X-ray.

Txog lub fistula uas muaj cov hlab ntaws tseem ceeb ntawm koj lub siab lossis tus txiav ua pa, koj tus kws kho mob yuav xaj kom kuaj cov duab tshwj xeeb hu ua sib nqus cholangiopancreatography.

Kev Kho Mob ntawm GIF

Koj tus kws kho mob yuav ua qhov kev soj ntsuam tag nrho ntawm koj lub fistula los txiav txim siab qhov nws yuav raug kaw nws ntawm nws tus kheej.

Fistulas tau faib raws li ntau npaum li cas ntawm lub plab ua pa yog txia los ntawm kev qhib. Kev tso tawm fistulas tsawg dua 200 millilitres (mL) ntawm lub plab zom zaub mov ib hnub. High fistulas tso tawm tsim tawm txog 500 mL ib hnub.

Qee hom fistulas kaw lawv tus kheej thaum:

• koj tus kab mob yog tswj
• koj lub cev nws nqus tau cov as-ham txaus
• koj cov kev noj qab haus huv tag nrho yog qhov zoo
• tsuas yog ib qho me me ntawm cov mob ua kua plab tuaj ntawm qhov qhib

Koj txoj kev kho mob yuav tsom rau koj kom zoo thiab tiv thaiv lub qhov txhab viav vias yog tias koj tus kws kho mob xav tias koj lub fistula yuav kaw nws tus kheej.

Cov kev kho mob yuav suav nrog:

• rov qab haus kua ntxiv
• kho koj cov ntshav hluav taws xob cov ntshav hluav taws xob
• normalizing ib qho acid thiab puag tsis txaus
• txo cov kua dej tawm los ntawm koj lub fistula
• Tswj kev kis mob thiab kev saib xyuas tawm tsam sepsis
• tiv thaiv koj cov tawv nqaij thiab pab tu koj qhov nqaij to

Kev kho GIF tuaj yeem siv sijhawm ntev ib asthiv lossis ntau hli.Koj tus kws kho mob yuav pom zoo kom kaw lub fistula yog tias koj tsis zoo dua tom qab peb mus rau rau lub hlis ntawm kev kho mob.

Lub hom phiaj ncua ntev

Fistulas kaw lawv tus kheej li ntawm 25 feem pua ​​ntawm lub sijhawm uas tsis muaj kev phais mob rau cov neeg uas tsis muaj mob thiab thaum cov kua pais plab tsawg tau tsim tawm.

GIFs feem ntau tshwm sim tom qab phais plab los yog los ntawm kev mob plab zom mov plab. Tham nrog koj tus kws kho mob txog koj cov kev pheej hmoo thiab seb yuav pom cov tsos mob ntawm lub fistula loj hlob li cas.