Fistula Parotid: izimbangela, izimpawu kanye nezici ukwelashwa

fistula Parotid - imfundo kunalokho edabukisayo. Ingozi iba ukuthi izigaba zokuqala kunzima ukubona. Kulesi sihloko sizoxoxa izimbangela, izimpawu kanye zokwelapha lesi sifo.

Izimpawu zesifo

Enkabeni yalo, fistula parotid (ICD L98.8.0) - umgodi ububanzi ezincane, okuyinto umnyango amavesi ongama bese interstitial. Ngamagama alula, lesi sifo singumbulali imbobo indlebe. Kwezinye izimo, lesi sifo izenze wazizwa iminyaka eminingi. Phela, imfundo encane akusho abalona usongo zezempilo kanye nentuthuko kwenzeka kungekho zimpawu zokugula. Thola fistula parotid e ingane futhi omdala kungaba ngenxa ekuhlolweni noma uma kulalelwa phakathi nezinqubo yezimonyo.

Uma fistula kusongela impilo isiguli, izimpawu wakhe babengabalandeli evelele. Izici Main:

• ukubukeka izimbobo eduze noma ngaphakathi indlebe;
• pyorrhea noma uketshezi omhlophe;
• kumiswa Izigaxana ebonakala lesikhumba hillocks;
• ubuhlungu;
• isicanucanu futhi ubuthakathaka jikelele;
• umkhuhlane;
• ukuvuvukala;
• ukuvuvukala emisipheni.

Lezi izimpawu zibonisa ngegciwane uthola emgodini. Kulokhu, kufanele ufune usizo kusukela Udokotela wezindlebe, ubani imithi ukwelashwa okufanele.

kwasendaweni

Ezimweni eziningi, fistula parotid livela ku noma eduze tragus indlebe zinyakaze. Kodwa umgodi ubukhulu ezincane kungenziwa yenziwe yaba yasendaweni ngaphakathi zilingise emsipheni ebusweni. Kulokhu, lesi sifo kunzima ukwelapha. Ngezinye izikhathi zingase zimiswe ngokusebenzisa uhamba, imali bahambe amabanga amade futhi ezithinta izitho eduze. Eqoshiwe izimo lapho fistula bangena ngalo ingaphakathi ngomlomo, nasopharynx, maphakathi nendlebe kanye uxhaxha.

izimbangela

Lesi sifo kungavuka ngokuqondene ezahlukahlukene. Kodwa zonke zingena ngaphansi kwezigaba ezimbili eziyisisekelo:

• lokuzalwa;
• uthenge.

Azalwa naso fistula parotid kwenzeka ngenxa ukwehluleka kwengane esibelethweni. Ezimweni eziningi, lokhu kwenzeka ngenxa yezinkinga ezihlukahlukene sokukhulelwa. Kodwa ngokuvamile okuvela amathonya isifo kanye nezici ezithile zofuzo, ngoba 25% izimo, ukugula eba ukudlulisela esikhubazayo kuguquka hlobo.

fistula Kutholiwe yesifunda parotid

Lolu hlobo isifo ingaqala ngasiphi yobudala. Izizathu eziyinhloko:

• ukulimala mechanical nge okwalandela isilonda suppuration;
• Izinkinga emva kokuhlinzwa;
• ukutheleleka;
• yezinkinga abezindaba otitis noma ezinye izifo indlebe.

Parotid usayizi fistula incike extensiveness yenqubo ubovu. Futhi ekwakhekeni izimbobo ububanzi kakhulu kwandisa ingozi yokuthola amagciwane kanye nezilwanyana ezincane ezingabonakali indlebe. Lokhu kuholela izinqubo njalo ukuvuvukala, ikakhulukazi uma fistula likwazi ukufinyelela kwenye ingxenye yomzimba.

ukuhlola

Anqume fistula parotid kungaba Otolaryngologist. Uchwepheshe Okokuqala uqhuba luhlolo ngokudlulisa amehlo, futhi ezifo esolwa uyoqoka ubambe pressor test. Lolu cwaningo kusiza ukuthola fistula. Ngemva ekuxilongeni isifo udokotela udinga ukuthola obuphelele nokujula inkambo engaphakathi fistula. Lokhu kungenziwa ngokusebenzisa fistolografii. Lolu cwaningo futhi libonisa khona ekhelini unhlangothi.

ukwelashwa

Ngo uhlobo azalwa naso yesifo kubalulekile sokuhlola ngokucophelela isifo. Uma ingakwenzi lokho ukuzibonakalisa, futhi akusho zisongele impilo yengane, uphathwa ekwelapheni indlebe izibulali-magciwane njalo. Lokhu kuyadingeka ukuze kuvinjelwe ukwakheka unesifo noma iqhubeka. Esikhathini esizayo, lapho ingane amadala kungaba kwenziwe ukuhlinzwa ukhishwe fistula.

Uma kukhona suppuration noma ukuvuvukala zezicubu ezizungezile, kubalulekile ukuba afeze Inkambo yokwelashwa. Ngesikhathi besanda kuqala yokwelapha, udokotela yenza imbobo elincane ukuvuvukala. Lokhu kuyadingeka ukuze ukuzwakalisa ukuba ubomvu. Okunye ukwelashwa isiguli ezinqunyiwe amalungiselelo anjalo:

• wamafutha "Levomekol";
• chlorhexidine bigluconate.

Uma ukuvuvukala eyeka fistula ukuvulwa uvala. Kodwa ngezinye izikhathi Yiqiniso ungakwazi ikhule futhi. Ezimweni ukuphinda njalo inikezwe ukuhlinzwa ukhishwe fistula.

kokungenela kuhlinzwa

Ukwelapha eziphumelela kakhulu ukususwa ephelele capsule futhi ushukumisela fistula parotid. Ukusebenza ezimweni eziningi ezivezwa izindlela zesintu. Kulokhu, lo fistula ivulekile futhi capsule isuswe ekuqukethe ubovu. Ngo abadala nezingane ezindala excision wenziwa esibhedlela nokusetshenziswa izinzwa wendawo. Ngemva kokuhlinzwa iziguli abangu iqondiswa antibiotic antiseptics, kanye analgesics. Ukuze machining zangaphandle isicelo "Chlorhexidine" futhi "Levomekol".

Kodwa eminyakeni yamuva ukususa fistula futhi zisebenza izindlela ezintsha: galvanokausticheskaya nokuhlinzwa laser. Ngenxa imisebenzi enjalo endaweni inkinga sinqamukile ngokuphelele phansi, futhi kokususwa capsule futhi excision ematfuba kusiza ukuvimbela Ukuphinda esikhathini esizayo.

Ukusebenza - indlela engcono kakhulu ukwelashwa, kodwa kungase kwenziwe kuphela udokotela ohlinzayo abanolwazi. Ngempela, eduze fistula parotid has inqwaba yokwaziswa okulethwa yizinzwa ebusweni. Futhi uma ubuhlungu noma abalinyazwe isimo sobuso womuntu siphukile, silungise iphutha ngeke kwenzeke. Ngaphezu kwalokho, ukusebenza lapho uphenyo olwenziwe kahle kwandisa ingozi fistula Ukuphinda. Recidivism, kulesi simo, kuyingozi ngoba buso isibanda izicubu umnyango mhubhe, ngakho ukuthuthukisa esicashile ubovu inqubo.

ukwelashwa

Le ndlela yokwelashwa esetshenziselwa, uma fistula itholakala kanzima ukuze afinyelele izindawo lapho ukuqhuba ukusebenza akunakwenzeka. Kulokhu, isiguli ezinqunyiwe inkambo yokwelapha elwa namagciwane. Impatho enjalo ivumela ukumisa ukuvuvukala. ukwelashwa ephumelela kakhulu kusaqalwa lesi sifo. Ngokwelashwa okufanele, ungathola ukunyamalala ephelele fistula.

Zokupheka of imithi yendabuko

Ngaphambi ukusebenzisa lokhu noma lokhuya izindlela, kutuswa bonana nodokotela wakho kuqala. Khumbula ukuthi ukuzelapha kungaba yingozi. Futhi lapho zokwelapha elingalungile noma okungalungile esikhundleni impumuzo oyifunayo, uthola eziningi izinkinga. Ukuze ekwelapheni fistula parotid ingasetshenziswa lezo zimali:

• Shilajit. Le into ine ukuphulukisa kakhulu, eqeda ukuvuvukala nezindawo okuzivuselela. Ukuze ekwelapheni fistula chaza encane ucezu mumie emanzini wenze lotions le ngxube.
• wort iSt John sika. Ukulibopha of Iziphungo lokhu imbiza kungasiza ukunqanda ukuvuvukala, futhi ukusheshisa isilonda ukuphulukisa.
• Hlanganisa izingxenye alinganayo amafutha zemifino kanye vodka. Phatha lokhu lesion isixazululo, beka phezulu iklabishi leaf. ukulibopha okunjalo ukusiza ukudonsa ubomvu kanye ukumisa ukuvuvukala.

fistula ngokuhleba - isifo kunalokho ezingemnandi ezingaba kakhulu ukunciphisa izinga lempilo. Ukushesha ufuna usizo lukadokotela futhi baqala ekwelapheni lesi sifo, kuba lula ukwelashwa kanye nemiphumela yalesi sifo. Hlala uphilile!