Cyst Pilonidal: oonobangela, iimpawu, uthintelo kunye nonyango

Ngamanye amaxesha umntu aphile isiqingatha ubomi ngaphandle eqonda ukuba umzimba wakhe ukuze babonisele izisongelo ezifihlakeleyo, ezifana teratoma, malformation kwezintso okanye cyst of coccyx. Le yokugqibela akuthethi ukuzibonakalisa de kube lixesha elithile, kwaye oogqirha abakwazi ukuthetha kakuhle oko kwabangela ukubonakala iimpawu zonyango. Kwezinye indawo le mfundo iqala asha, ububomvu ibunjiwe, iithishu ezithambileyo womnyibilikisi, kwaye ingxaki ibonakale.

definition

cyst Pilonidal - an anomaly ulusu kummandla sacrococcygeal. Ifane nale unesifo zezi sinus pilonidal okanye ikhondo coccygeal epithelial. Kukhokelela ukuba sikholwe malunga isifo ubukho yesikhumba esokuqala xa mezhyagodichnoy ndezela. Emva kokuba ububi le coccyx okanye sokupholisa kummandla fistula asha kunye amathumba. Emva kwexesha elithile, ngandlela wavula, ukwakha amaphecana ezongezelelweyo kunye iminyango. Ukuba ngaba ukubhenela kukhathalelo lwempilo, esi sifo nezolo ngokwendalo.

cyst Pilonidal (ICD-10)

In the International Classification yezifo uhlaziyo seshumi icandelo phantsi ileta L, apho, phakathi kwezinye izinto, iqulathe ulusu kunye inyama ongama. cyst Pilonidal ibhalwe ngokufihlisa phantsi ikhowudi L05, oko kuquka fistula kunye sinus coccygeal pilonidal. Kuchongwe subgroups ezimbini:
- L05.0 - cyst ne ithumba;
- L05.9 - cyst ngaphandle ithumba.

Eli candelo libandakanya zeenkomo, dermatitis, nangokhwekhwe, urticaria, izifo zolusu kunye nezinye izinto ezihlobene.

Izinto ezibangela cyst Ukwakheka

Njengoko yaziwa, umbungu udlula ngexesha Inqanaba lokukhula yokuba izinto zazivelela. Yena a intloko enkulu, intliziyo-zawo zibe ntathu, nkqu ndizayo ngumsila wena. Oogqirha abaninzi kunye pathologists bakholelwa ukuba pilonidal cysts coccyx onesiphene naso ye engaphandle lwegciwane umaleko. Oku kubangelwa ukuba ekupheleni izihlunu kuncitshiswa kunye nemisipha yale nomsila, ebonakala kwiiveki zokuqala ezimbalwa sokukhulelwa, kwaye kufanele enzonzobileni emva kweveki wesibhozo.

Kukho izimvo ezahlukeneyo kulo mba. Ezinye iingcali zikholelwa ukuba isifo kwenzeka ngenxa iinwele ingrown kwi amanqatha ongama. Amarhamente lo mbono ngongoma yobukho izicatshulwa epithelial phakathi kweminwe kwi beenwele, ukunqulwa kwesebe unqanyulwe kwindawo ikhwapha.

Ngaphezu kwekhulu leminyaka eyadlulayo, iingcaphephe ukuba ecetywayo ithiyori ngokwendlela apho kwikhosi epithelial coccygeal senziwa inkqubo involution lesiphelo seziqingatha umnqonqo. Enye ingcaciso cyst enzeka njani pilonidal, ndifaniswe noko kunye ongaphambili: coccygeal omqolo leyo zenza izilwanyana umsila, resorbed kunye inyanda sekukubi lema endaweni yalo. Ukuba le nkqubo ngokupheleleyo, kule ndawo baseka intshukumo oyimfama, ongaba ebushushwini babo.

iimpawu

I-avareji yobudala kwezigulane unesifo "cyst pilonidal" - ukususela elinesithandathu ukuya kwiminyaka engamashumi amabini anesihlanu. Kaninzi oku kuchaphazela nabameli bezizwe esemazantsi. Esi sifo phantse eqhelekileyo abamnyama. Uninzi baphathwa amadoda ahambe kakhulu ngemoto okanye wenze iin- elide, ezifana amajoni okanye beelori.

Ikhosi Epithelial ukwakweli osembindini kwi mezhyagodichnoy anda, yena ukuzivala eziphela inwebu adipose uvule inxeba eluswini. Ngokwemiqathango ubude tube emxinwa ukuya iisentimitha ezintathu ukuya kwisine. Ngaphakathi, oko igcwele epithelium, leyo likhipha yencindi yomlomo. Naliphi na umothuko ngomatshini okanye usulelo kungakhokelela nokubambezeleka lokuphuma epithelial secretion kunye nokudumba. cyst Pilonidal nto yimbi ngaphandle sinus asha, leyo, kunye amathuba aphezulu sinako ukuya ithumba. Kwiimeko eliphezulu ifikelela ixabiso elikhulu kwaye ngokuzenzekelayo ukuvulwa eyenzeke isikhumba. Le yinkqubo buhlungu kakhulu ukuba nzima ubomi.

Ukwahlula phakathi ikhosi coccygeal epithelial gingxi kwaye inzima. Kwimeko yokuqala, njengoko umthetho, akukho zikhalazo. Ngamanye amaxesha kukho blunt intlungu coccyx, kodwa ungabi sisizekabani sisiwiso nomonde kwenzeka kuphela kokuhlala okanye semiphunga ukulimala ixesha elide. Ayifane cyst pilonidal lukhatshwa ukurhawuzelela kunye kukhululeka kuloo mezhyagodichnoy ndezela.

Ukuba isifo nzima, ngoko kukho nangokurhala yondele okanye okondeleyo epithelial stroke, ifiva, iintlungu eziqatha ndawo ithumba, umkrwelo apho kwisiza fistula yokuphilisa. Oku ngesiqhelo kuyaphazamisa izigulane kwaye kwanyanzeleka ukuba adibane wotyando.

ekuxilongweni

Ugqirha kwaye kubalulekile ukuba baqokelele kakuhle imbali yezonyango eneenkcukacha. Kaninzi, izigulane aphathwe emva kokwenzakala okanye ubuhlungu xa libizwa. Ukubakho imingxunya kwingingqi mezhyagodichnoy, ukudumba kwindawo kwesiva, amathumba abasisigxina nezolo ngokwenza uxilongo lula ngokwaneleyo.

Ukuze ukwazi ukuba imingxunya ezininzi kukho kwaye akude kangakanani fistula enzulu, ugqirha sifaka idayi kuwo, inkoliso methylene emsi, ngoko ukubukela ukubona apho ukungena nokuphuma fluid. Le ndlela ivumela ukuba nomfanekiso zonke wachuba iindawo zonke ububomvu kunye ngokupheleleyo awasuse kulo msebenzi.

unyango cyst ayinzima

cyst Pilonidal ngaphandle ithumba ifuna acwangcisiweyo yotyando unyango, ixesha kunye nendlela ezinokuthi zikhethwe ngayinye isigulane ngasinye. Umthetho jikelele enye kuphela: kufuneka kudlule uphazamiseko ngexesha kuxolelwe esi sifo. operation olukhulu kuyimfuneko kwimeko yokuvulwa lwangaphandle wabonakala ubomvu. Ugqirha uphumeza Ukusikwa le sihlume imvaba izihlunu ongama de ifascia sacrococcygeal. Ukwenzela ukuba kube lula ukufikelela, ushukumisa epithelial zidyojwe ayodini, fukortsinom okanye methylene oluhlaza. Isilonda sutured ngokwemaleko okanye ngokuqinileyo (kunye izilonda zendele okanye zinabile) wenza suturing imiphetho inxeba ukuya ezantsi kwayo. Izitishi zisuswa emva kweeveki ezimbini, iziphene ezibalulekileyo izithambiso kwisiza le liqatywe ayikho ulandelwe. Ngenkathalo kakuhle sifo sinyangeke ngokupheleleyo.

unyango cyst elukhuni

cyst Pilonidal nge ithumba kufuna indlela eyahlukileyo kancinane kunyango. Ukuba ukudumba akafuni ukuya ngaphaya nezibaya mezhyagodichnoy, uye cm kungekho ngaphezulu kwesithathu yaye ngokungqongqo ijelo phulo, kunokwenzeka ukuba aqhube ngexesha elinye-ungenelelo ezinkulu kwaye ukususa ngokupheleleyo ugqaliselo ukudumba ubukhulu. Kwimeko zityalwe infiltrate phambi uqhaqho kwakufuneka unyango anti-ukudumba.

Xa ukubunjwa ithumba (ngamanye kulogo idabi isiqulatho ithumba) nalo kubhetele ukuba kuqala ukwenza uthomalaliso anti-ukudumba ukuba mezhyagodichnoy mmandla yenziwa yafumaneka ukusebenza kwakunye ukunciphisa ingozi kubunzima postoperative. sigaba kuhlehliselwe olukhulu lineqela eziluncedo:
- liqatywe ukonga esikhumbeni;
- ukuhlangabezana iphezulu emiphethweni inxeba.

Nokuba infiltrate kudlulela emacaleni, le nto iphambili pilonidal cyst coccyx. Olu tyando lwenziwa kwi osembindini ka ithumba. Emva zokufikelela ugqirha yenza uphicotho lenxeba ukususa yonke necrotic inyama ubunzima kunye ikhefu zemoto, ukuba zikhona. Uthintelo iphinde i uviwo ngokucokisekileyo intsimi ngotyando, ukususwa bonke detritus necrotic, Ukusikwa iindinyana kunye wachuba iindawo. ukudumba phindo kunokwenzeka ukuba utyando wayengenguye ezinkulu ngokwaneleyo, yokutyiwa kokubetha walondoloza iinwele epithelial okanye ukuphiliswa isilonda ungazalisi.

Bakhonze umkhosi

Ngexesha sicatshulwa ugqirha idrafti ikhomishini ubhaqa ecaleni elirhoxisa le ndawo empundu kunye nonwele unamathele kulo. A UGQIRHA ibangela inkxalabo, ngoko ke umfana abuze imibuzo ekhokelayo: Ngaba oko ukudlathuka endibulala ukuba ubofu ziyafumaneka xa ukudumba baba. Ukuba impendulo ngu thabatha, ugqirha unika iingcebiso kwimpilo kwaye iqaphela ukuba ijoni kufanelekile ukuba inkonzo.

Kodwa ukuba ubuncinane omnye wale mibuzo impendulo ngu-ewe, kufuna uqhaqho, ngenxa ayisekho unyango endala. Ungenelelo ngoncedo lwenziwa ngendlela acwangcisiweyo, ukuba akukho ezibonisa ukuba amanyathelo akhawulezileyo.

Iingcebiso iziguli

cyst Pilonidal kufuna unyango ubuncwane postoperative, ngoko kungakuhle ukubona izigulane ezi zikhokelo zilandelayo:
- iiveki ezintathu emva kotyando ukuhlala kwaye akuvumelekanga phakamisa iintsimbi;
- Kufuneka uthathe ishawa imihla kunye kwindawo mezhyagodichnoy yokuhlamba zisempilweni eshushu;
- zingadlulanga iinyanga ezintandathu emva kokuba umsebenzi kwiiveki ezimbini, kufuneka wenze ukususwa kweenwele kule ndawo liqatywe;
- efake soft, ukuyinyathela yangaphantsi, kungekho ezivuzayo eveleleyo.

Indlela echanekileyo wayeza ukuphepha ukwenzeka sifo lula ukuphatha ngaphandle zophicotho kwixesha elizayo.

ukungaphili

Njengomgaqo, cyst pilonidal, unyango oluqhutywa msinyane nje, abe ALS kakuhle, liza bachache ngokupheleleyo. Ngelishwa, iingxaki maxa wambi kuyenzeka, ezifana:

- amathumba nezolo (ukuba yophicotho-zincwadi ayisebenzanga yenziwa ngokupheleleyo);
- ukwenzeka sifo (ukuba isigulane ayiyithobeli imigaqo yolawulo imo post-operative);
- nokudumba kunye pyosepticemia (xa bencediswa usuleleko eziziisekondari amagciwane);
- nokuvuselelwa izicwili epithelial kuphambukela carcinomas cell carcinoma.

I ingxaki yokugqibela inqabile kakhulu, kodwa oogqirha ungathanda ukuba impazamo kulo mzekelo, kwaye izicwili ezinokususwa wathumela uviwo histological, ukwenzela ukuthintela isifo somhlaza.