Kwabaningi abanezifo ze-pilonidal, ukuhlinzwa kunesifo.
I-Pilonidal cysts ibuhlungu kakhulu. Ubuhlungu obukhulu bokugula kwe-pilonidal buzwa sengathi kufanele ucindezele umsila wakho ngokumelene nekhoneni elibukhali etafuleni bese ulibamba lapho.
Izimpawu zesifo se-pilonidal zivame ukubuya nezifo eziqhubekayo zibe nzima kakhulu futhi zibuhlungu nakakhulu. Ngaphezu kwalokho, ezimweni ezimbi kakhulu lapho i-pilonidal cysts ihlala khona isikhathi eside, la ma-cysts awaziwa ukulandelela kusukela ekugcineni ngemuva kuze kube phakathi kwamahlombe.
Ngaphezu kwalokho, uma kushiywe kungalashwa, i-cyst pilididal ingathinta igazi futhi ibangele ukuqubuka okubulalayo.
Kwabaningi, i-panacea kuphela ye-pilonidal isifo esiqhubekayo ukuhlinzwa.
Iyini i-Cyst Pilonidal?
Enye ingxabano ikhona mayelana nokuthi kungcono kanjani ukwelashwa nge-cyst pilididal kodwa futhi kubangelwa yini. I-cyst pilididal ivela ezingeni le-cleft engalinganisani (iqhube phakathi kwezintambo) esifundeni se-midline esinesidumbu esibhekene ne-sacrum ne-coccyx. Nakuba abesifazane bezithola, futhi, ama-cysts e-pilonidal asithinta abantu abasha ngemuva kokukhulelwa.
Nansi indlela amafomu e-pilonidal cyst:
- I-follicle ye-hair impact noma ingrown-mhlawumbe kanye ne-debris-iphule isikhumba futhi ifakwe e-cyst.
- Le-cyst isandulela ngculazi yenze i-abscess pilonidal noma ibilisiwe igcwele ipusi elimnandi elidonsa ngesono esisodwa noma ngaphezulu se-pilonidal.
- Ngokuhamba kwesikhathi, ukutheleleka kwama-recur kanye namapheshana we-sinus kusakazeka phezulu phezulu emuva kwe-back your back.
Kunezici ezimbalwa ezikhona ezingcupheni eziye zatholakala ngenxa ye-pilonidal disease:
- Izinwele zomzimba ezidlulele
- Ukuhlala isikhathi eside
- I-Friction
- Ukukhuluphala
- Izingubo zokugqoka
- Ukuhlanzeka okungcolile (sicela uqaphele ukuthi abantu abaningi abathola la ma-cysts bahlala njalo)
- I-Sacral dimple
Ngombhalo womlando, ngesikhathi se-WWII, ama-GI amaningi amasha aqhuba ngeJeep adala isifo se-pilonidal esibizwa ngokuthi "isihlalo seJeep" noma "isifo seJeepers."
Ukwengeza ebuhlungu obukhulu, isisa, ukuvuvukala kanye nokungcola kwe-pus, i-pilonidal isifo singaphinda siphakamise amazinga omhlophe wegazi futhi sibangele imfiva.
Inothi, kuye ngokuthi iphethini ye-drainage, i-cyst pilonidal ngezinye izikhathi ididaniswe ne- abscess persetal , isimo esihluke ngokuphelele.
Ukwelashwa kwe-Pilonidal Cyst
Ngenxa yokuthi i-pilonidal cysts yizilonda ezidinga ukwelashwa, ama-antibiotic enza kancane ukusiza lesi sifo ngaphandle kokuthi kuhambisana nokutheleleka kwesikhumba (okungukuthi, cellulitis).
Ekuqaleni, izimbongolo ze-pilonidal zihanjiswe futhi zidonswa udokotela besebenzisa i-anesthesia yendawo endaweni yokunakekelwa okuyinhloko noma isilungiselelo segumbi lokuphuthumayo. Kodwa-ke, lokhu kungenelela kuvame ukulungisa okwesikhashana ukucasuka kwe-cyst pilididal kanye ne-sinus ehambisanayo ibe yinkinga ephindaphindiwe kanye nokubona okuvela kumthelela owodwa wokutheleleka. Ngokuvamile, ama-cysts e-pilonidal ahlasela kakhulu kunokuba avele ekuqaleni, futhi, ngaphandle kokuhlinzwa, ukujula kwabo kwangempela kubonakala kuphela ngokusebenzisa i-ultrasound.
Ngokuphindaphindiwe kwezifo ze-pilonidal, ama-cysts e-pilonidal aphethwe kangcono ngudokotela ohlinzayo egumbini lokusebenza ngaphansi kwe-sedation e-intravenous noma i-anesthesia ejwayelekile. Nakuba izindlela ezihlukahlukene zokuhlinzwa ziphakanyisiwe, ake sibheke ezimbili.
Indlela yokuqala ihilela ukuhlukaniswa (okusho ukuthi, ukungazitholi) isono noma ipheshana, ukusika ukuvula i-cyst nokukhipha (ie, ukuguqula) isisekelo, nokuxuba emaphethelweni (ie, marsupializing). Isilonda esiphumelayo sishiywe sivulekile futhi singasuswa ngokukhululekile. Uma ukhetha noma unikezwa lolu khetho, kubalulekile ukugcina isilonda sicacile sezinwele nezinsalela futhi uhlangane nokunakekelwa kwezilonda zamasonto onke kuze kufike ukuphulukiswa.
Inketho yesibili ihilela ukususwa okuphelele (okungukuthi, ukukhwabanisa) kwe-cyst nesinus elandelwe ukubekwa kwe-suction suction ngaphambi kokuvalwa kwesilonda. Ngesifo esiningi, ukuthengiswa kwempahla kuningi kakhulu, futhi, futhi ukuvuleka kwesikhumba kungadingeka kudalwe ukuze kuvaliwe isilonda.
Izinketho ezinjalo zidinga ukulandelwa, futhi.
Izwi elivela
Uma wena noma othandekayo uhlangabezana nesifo se-pilonidal, nakanjani udinga ukubona udokotela. Le nkinga ngeke ihambe ngokwayo futhi iyoba yimbi kakhulu ngokuhamba kwesikhathi. Ngaphezu kwalokho, i-pilonidal cysts ingozi umzimba wakho kanye nempilo yakho futhi ingabangela ukutheleleka kwegazi okubulalayo.
Ukuze uthole i-cyst pilididal, kungcono ukuthi uhlinzekwe udokotela ohlinzayo ekamelweni lokusebenza. Ukuphuza i-abscess nje kubangelwa ukusizwa kwesikhashana kuphela. Uma nje i-cyst pilididal ihlala iqinile, lindela ukutheleleka okuphindaphindiwe, ubuhlungu, ukugeleza kwe-pus enkulu, nokulandelela. Ngisho nokuhlinzwa, i-pilonidal cysts ibuyele njalo; Kodwa-ke, kubantu abaningi ukuhlinzeka ukwelapha.
> Imithombo:
> Bullard Dunn KM, Rothenberger DA. I-Colon, i-Rectum, ne-Anus. Ku: Brunicardi F, Andersen DK, B Billiar, Dunn DL, Hunter JG, Matthews JB, Pollock RE. ama-eds. Izimiso Zokuhlinza Schwartz, 10e . ENew York, NY: McGraw-Hill; 2014.
> Burgess BE. Isahluko 88. Ukuphazamiseka Kwemvelo. Ku: Tintinalli JE, Stapczynski J, Ma O, Cline DM, Cydulka RK, Meckler GD, T. eds. Umuthi Ophuthumayo We-Tintinalli: Umhlahlandlela Wokufunda Ophelele, 7e . ENew York, NY: McGraw-Hill; 2011.