Yog tias koj paub tias txhua yam ntawm fistulas raug muab faib rau hauv lub cev, nrhiav, thiab tsim artificially, lig fistula ntawm postoperative cicatrix yuav muaj rau tom kawg qeb. Yog li ntawd, nws yuav tshwm sim nyob qhov twg, yog tias muaj ib qho kev pabcuam, tom qab uas tus mob tsim los ntawm cov khoom siv phais plab - ligature. Thiab muaj kiag li tsis muaj qhov txawv ntawm hom xov tau siv (hluavtaws, ntuj, absorbable lossis tsis). Qee lub sij hawm qhov ua rau fistula yog qhov tsis zoo ntawm cov neeg ua haujlwm kho mob, tab sis nws tshwm sim los ntawm lub cev nws tsis lees txais cov khoom siv rau neeg txawv teb chaws.
Txhaj tshuaj kho ntawm cov kev lig kev cai lig fistula ntawm kev noj qab haus huv tom qab
Raws li txoj cai, qhov pib pathological ua rau nws tus kheej muaj kev xav ua ntej ua ntej tus neeg mob tawm hauv tsev. Hmoov tsis, tsis yog txhua leej txhua tus saib xyuas nws tus mob tom qab ua haujlwm thiab yeej txhawb nqa tawm ntawm tsev kho mob chav pw ntau dua sai sai. Tom qab tag nrho cov kev txhawj xeeb txog cov txheej txheem phais tom ntej, ib qho kev me ntsis reddening hauv thaj chaw seam zoo li zoo li ib tug trifle. Txawm li cas los xij, tsuas yog thawj zaug ntawm kev loj hlob ntawm fistula thiab thawj theem ntawm suppuration, nws yog qhov ua tau rau nws txoj kev kho kom zoo.
Ib tus kws phais neeg paub txog nws tus kheej yuav txiav txim siab tias qhov kho ntawm txoj kev hloov ntawm cov seam tau hloov thiab siv sijhawm raws sijhawm. Ua ntej, qhov chaw ntawm qhov mob yog ua tib zoo kuaj, cov ntaub so ntswg tuag raug muab tshem tawm, yog li ntawd qhov kev kho mob kho tau sai dua. Qhov no yog ua nyob rau hauv ntau receptions nrog ib tug tas mus li kev kho mob ntawm seam nrog ib tug daws ntawm antiseptics. Secondly, threads yog muab tshem tawm hauv parallel, qhov kawg ntawm uas tshwm nyob rau saum npoo.
Nws yog kws kho mob tshuaj:
- tshuaj tua kab mob ( Ampicillin , Ceftriaxone, Norfloxacin, Levofloxacin);
- cov antiseptics hauv cheebtsam li hauv cov hmoov thiab dej-soluble acids (Levomikol, Trimistin);
- enzymes uas dissolve tuag hlwb.
Nrov ointments Vishnevsky thiab nyob rau ntawm synthomycin yog contraindicated vim lawv oily zus.
Ua haujlwm excision ntawm ligature fistula
Kev mob heev yog qhov fistula nyob rau hauv nruab nrog cev. Los yog sab nraum, tab sis qhov o tuaj mus dhau deb. Hauv qhov no, muaj ob txoj kev tawm ntawm kev ntsuas radical:
- tshem tawm cov khoom siv pov tseg tsis muaj kev cuam tshuam ntawm fistula los ntawm nws cov channel tsis muaj hollow;
- ua kom tiav ntawm lub fistula thiaj li tshem tau ligature thiab ntxuav lub qhov txhab los ntawm suppuration.
Lub cev fistula, kev kho los yog kev phais, yog raug nyob rau quartz los yog ultrasound hauv ib lub tsev kho mob. Ultrasonic kuaj xyuas kom tseeb tias tag nrho cov threads raug tshem tawm tsis muaj residue.
Kev kho fistula lig tom tsev
Cov kev tsis zoo ntawm kev kho mob ntawm ntau hom fistulas muaj ntau heev, tab sis nws tsis tas yuav cia siab tias nws yuav ua tau kom ceev nrooj nrog tus mob ntawm lub ligation seem, yog hais tias lawv tsis tau muab tshem tawm los ntawm kev tshaj tawm qhov chaw ntawm suppuration. Yog tias koj ncua sij hawm, sim ua kom muaj kev tsim kho hauv vaj tse, txoj hau kev yuav ua rau kom txog thaum lub sepsis. Thaum lub hom phiaj ntawm qhov mob yog raug tshem tawm hauv tsev kho mob, tus kws kho mob yuav muab tswv yim rau nws, cov txheej txheem yooj yim li cas hauv tsev kom ceev tau qhov mob kaw.
Piv txwv li:
- Nyob rau ntawm cov pob fistula, ib cov ntaub qhwv muaj ntsev yog siv los ua antiseptic ua cov tshuaj tiv thaiv kom rov ua mob, txawm hais tias nws tsis tau tshem tag nrho cov strands ntawm qhov kev sib faib. Qhov concentration ntawm ntsev tov yog ua los ntawm tus nqi ntawm 1 tsp ib khob ntawm kub boiled dej.
- Koj tuaj yeem yaug lub fistula nrog cov dej txaus ntsev, ua cov pleev los yog qhwv qhov ntsev .
- Kev kho ntawm lig fistula nrog Dimexide kuj muaj ntau heev hauv tsev. Qhov no yog qhov pheej yig universal, ntawm 50% -90% aqueous tov yuav npaj rau cov tshuaj pleev. Demixid muaj rab peev xwm los kos tau tag nrho cov impurities los ntawm lub qhov dej purulent.