Utyando lwe-pilonidal cyst

I-cyst pilonidal yipokotho ejikeleze isihlwitha seenwele kwindawo enqamlezileyo phakathi kweempundu. Indawo ingabonakala ngathi ngumngxunya omncinci okanye isibambo esikhumbeni esinebala elimnyama okanye iinwele. Ngamanye amaxesha umqala ungosuleleka, kwaye oku kubizwa ngokuba lithumba le pilonidal.

I-cyst pilonidal cyst okanye ithumba elifunwayo lifuna ukuhambisa amanzi. Ayizukuphilisa ngamayeza okubulala iintsholongwane. Ukuba uqhubeka nosulelo, i-cyst pilonidal ingasuswa ngotyando.

Kukho iintlobo ezininzi zotyando.

Ukuqhekeka kunye nomsele - Olu lolona nyango luqhelekileyo kwi-cyst eyosulelekileyo. Yinkqubo elula eyenziwa kwiofisi kagqirha.

• I-anesthesia yendawo isetyenziselwa ukuphazamisa ulusu.
• Ukusikwa kwenziwa kwi-cyst ukukhupha ulwelo kunye nobofu. Umngxunya upakishwe ngegauze kwaye ushiywe uvulekile.
• Emva koko, kunokuthatha ukuya kuthi ga kwiiveki ezi-4 ukuze ipholile. I-gauze kufuneka itshintshwe rhoqo ngeli xesha.

I-cystectomy yepilonidal - Ukuba uqhubeka unengxaki nge-pilonidal cyst, inokususwa ngotyando. Le nkqubo yenziwa njengenkqubo yezigulana ezingalaliswayo, ngenxa yoko akuyi kufuneka ukuba ulale esibhedlele.

• Unokunikwa iyeza (i-anesthesia ngokubanzi) ekugcina ulele kwaye ungenazintlungu. Okanye, unokunikwa iyeza (i-anesthesia yengingqi) ekwenza ungabinangqondo ukusukela esinqeni ukuhla. Kwiimeko ezinqabileyo, unokunikwa kuphela iyeza lendawo.
• Kusikiwe ukususa isikhumba kunye ne-pores kunye nezicubu ezingaphantsi ezinoboya bezinwele.
• Kuxhomekeka ekubeni zingakanani izicubu ezisusiweyo, loo ndawo inokuthi okanye ingapakishwa nge-gauze. Ngamanye amaxesha ityhubhu ibekwa ukukhupha ulwelo oluqokelela emva kotyando. Umbhobho uyasuswa ngexesha elizayo xa ulwelo luyeka ukukhupha amanzi.

Kunganzima ukususa yonke i-cyst, ke kukho ithuba lokuba ibuye.

Utyando luyafuneka ukukhupha kwaye ususe i-cyst pilonidal engaphilisi.

• Ugqirha wakho unokucebisa le nkqubo ukuba unesifo se-pilonidal esibangela iintlungu okanye usulelo.
• I-cyst pilonidal engabangeli iimpawu ayifuni unyango.

Unyango olungatyandi lunokusetyenziswa ukuba le ndawo ayinasulelo:

• Ukucheba okanye ukususwa kweenwele kwi-cyst
• Inaliti yeglue yotyando kwi-cyst

Ukuthengiswa kwakhona kwecyst pilonidal kukhuselekile ngokubanzi. Buza ugqirha wakho malunga nezi ngxaki:

• Ukopha
• Usulelo
• Ukuthatha ixesha elide ukuba indawo inyange
• Ukuba ne-pilonidal cyst ibuye

Dibana nogqirha wakho ukuqinisekisa ukuba iingxaki zonyango, ezinjengesifo seswekile, uxinzelelo lwegazi oluphezulu, kunye neengxaki zentliziyo okanye zemiphunga zilawulwa kakuhle.

Xelela umboneleli wakho wezempilo:

• Ngawaphi amayeza, iivithamini kunye nezinye izongezo ozithathayo, kwanezo uzithengileyo ngaphandle kommiselo.
• Ukuba ukhulelwe okanye unokukhulelwa.
• Ukuba ubusele utywala obuninzi, ngaphezu kwesiselo esinye okanye ezi-2 ngosuku.
• Ukuba uyatshaya, yeka ukutshaya iiveki ezimbalwa ngaphambi kotyando. Umboneleli wakho unokunceda.
• Unokucelwa ukuba uyeke okwethutyana ukuthoba igazi, njengeasprini, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), ivithamin E, clopidogrel (Plavix), warfarin (Coumadin), kunye namanye amayeza afana nala.
• Buza ugqirha wakho ukuba ngawaphi amayeza ofanele ukuwathatha ngosuku lotyando lwakho.

Ngomhla wotyando:

• Landela imiyalelo malunga nokuba ufuna ukuyeka ukutya okanye ukusela ngaphambi kotyando.
• Thatha amayeza ugqirha wakho akuxelele ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Landela imiyalelo ukuba ufike nini esibhedlele. Qiniseka ukuba ufika ngexesha.

Emva kwenkqubo:

• Ungagoduka emva kwenkqubo.
• Inxeba liza kugqunywa ngebhandeji.
• Uya kufumana amayeza entlungu.
• Kubaluleke kakhulu ukugcina indawo ejikeleze inxeba icocekile.
• Umboneleli wakho uya kukubonisa indlela yokunyamekela inxeba lakho.
• Emva kokuphilisa, ukucheba iinwele kwindawo yenxeba kunokunceda ukuthintela isifo se-pilonidal ekubeni sibuye.

Iipilidalidal cysts zibuya malunga nesiqingatha sabantu abaye benza utyando okokuqala. Kwanasemva kotyando lwesibini, inokubuya.

Ithumba Pilonidal; Ukuncipha kwePilonidal; Isifo sePilonidal; Umqala Pilonidal; Isono sePilonidal

UJohnson EK, uVogel JD, uCowan ML, et al. I-American Society of Colon kunye neRectal Surgeons 'izikhokelo zeklinikhi zokulawulwa kwesifo se-pilonidal. Dis ikholoni Rectum. 2019; 62 (2): 146-157. IINKCUKACHA: 30640830 www.ncbi.nlm.nih.gov/pubmed/30640830.

IMerchea A, iLarson DW. Anus. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango: Isiseko sebhayiloji yoQeqesho lwangoku. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 52.

Wells K, Pendola M. Isifo sePilonidal kunye ne-perianal hidradenitis. Ku: Ewe CJ, ed. Utyando lwe-Shackelford lwe-Alimentary Tract. Ngomhla we-8. IPhiladelphia, PA: Elsevier Saunders; I-2019: isahluko 153.