Mea Kākau: Laura McKinney
Lā O Ka Hana: 8 Apelila 2021
HōʻAno Hou I Ka Lā: 23 Kepakemapa 2024
Anonim
Pilonidal Sinus | General Surgery Video Lectures | Medical Student Education | V-Learning | TRAILER
Wikiō: Pilonidal Sinus | General Surgery Video Lectures | Medical Student Education | V-Learning | TRAILER

Anter

He aha ka maʻi sinus pilonidal (PNS)?

ʻO kahi sinus pilonidal (PNS) kahi puka liʻiliʻi a i ʻole ke tunnel i ka ʻili. Hoʻopiha paha ia i ka wai a i ʻole pus, e hoʻokumu ana i kahi cyst a i ʻole abscess. Kū i loko o ka māwae i ka piko o nā kī. Loaʻa i kahi cyst pilonidal ka lauoho, ka lepo, a me nā ʻōpala. Hiki iā ia ke hōʻeha i ka ʻehaʻeha a hiki ke lilo i maʻi. Inā hele a maʻi ʻia, hiki paha i ka pī a me ke koko a ʻala hohono.

ʻO kahi PNS kahi ʻano e pili nui i nā kāne a maʻa mau i ka poʻe ʻōpio. ʻOi aku ka maʻamau i ka poʻe e noho nui, e like me nā hoʻokele kaʻa.

Nā kiʻi o ka sinus pilonidal

He aha nā kumu o ka maʻi sinus pilonidal?

ʻAʻole maopopo ke kumu kūpono o kēia ʻano, akā manaʻo ʻia ke kumu he hui o nā hormonone hoʻololi (no ka mea ma hope o ka wā ʻōpio), ka ulu ʻana o ka lauoho, a me ka hakakā mai nā lole a mai ka hoʻolōʻihi ʻana i kahi noho lōʻihi.

ʻO nā hana e hoʻonāukiuki ai, e like me ka noho ʻana, hiki ke hoʻoikaika i ka lauoho e ulu ana i kahi e burrow hoʻi i lalo o ka ʻili. Manaʻo ke kino i kēia lauoho haole a hoʻomaka i kahi pane pale kūʻē iā ia, e like me ke ʻano o ka hopena i ka wā e pili ana i kahi splinter. Hana kēia pane pale i ka cyst a puni kou lauoho. I kekahi manawa hiki i ke kanaka ke loaʻa i nā hewa he nui e hoʻohui ma lalo o ka ʻili.


Keʻike nei i kahi sinus pilonidal a me ka ʻike ʻana i nā hōʻailona o ka maʻi

ʻAʻole paha ʻoe i ʻike ʻia i kekahi mau hōʻailona ma mua o ka liʻiliʻi o ke kaumaha e like me ka dimple e like me ka ʻili o kou ʻili. Eia naʻe, i ka manawa e maʻi ai ke kaumaha, e ulu koke ia i cyst (kahi ʻeke paʻa i piha me ka wai) a i ʻole kahi abscess (kahi pehu a me nā mea ʻāpala kahi e ʻohiʻohi ai ka pā.

ʻO nā hōʻailona o ka maʻi maʻi pū kekahi:

  • ʻeha ke noho a kū paha
  • pehu o ka cyst
  • ʻulaʻula, ʻili ʻeha a puni ka wahi
  • kaomi a i ʻole ke kahe ʻana o ke koko mai ka abscess, e honi ana i kahi pilau
  • e ulu ana ka lauoho i ka leona
  • ke kūkulu ʻia ʻana o nā ʻaoʻao sinus, a i ʻole nā ​​puka o ka ʻili

Hiki paha iā ʻoe ke ʻike i kahi fiva haʻahaʻa, akā ʻoi aku ka liʻiliʻi o kēia.

Pehea e mālama ʻia ai nā sinona pilonidal?

Lapaʻau mālama

Inā ʻike koke ʻia kāu hihia, ʻaʻole ʻoe e ʻehaʻeha loa, a ʻaʻohe hōʻailona o ka mumū, e kuhikuhi paha kāu kauka i kahi antibiotic ākea ākea. ʻO kahi antibiotic ākea ākea kahi antibiotic e mālama i kahi ʻano bacteria. He mea nui ia e hoʻomaopopo ʻaʻole kēia e hoʻōla i ka maʻi sinus, akā e hāʻawi ia iā ʻoe i ke kōkua mai ka maʻi a me ka hōʻoluʻolu ʻole. Paipai kāu kauka iā ʻoe e kiʻi i kahi hoʻokolohua ukali, hemo mau i ka lauoho a kahi i kahi ʻumi i ka pūnaewele, a e nānā pono i ka hoʻomaʻemaʻe.


Hāʻawi kālā

Hoʻopili kēia hana i nā ʻōuli mai kahi abscess, a i ʻole kahi hōʻiliʻili o ka pā i loko o ka sinus. Ma mua o kēia kaʻina hana, hāʻawi kāu kauka iā ʻoe i kahi anesthetic kūloko. E hoʻohana lākou i kahi scalpel e wehe i ka abscess. E hoʻomaʻemaʻe lākou i nā lauoho, ke koko, a me nā pēpē mai loko o ka abscess.

E ʻāko kāu kauka i ka ʻeha me ka lole ʻaila make a ʻae iā ia e hoʻōla mai loko mai i waho. Hoʻōla pinepine ka ʻeha ma waena o ʻehā mau pule, a ʻaʻole koi ka poʻe he nui i kahi mālama hou aʻe.

Phenol ʻume

No kēia ʻano lapaʻau, e hāʻawi mua kāu kauka iā ʻoe i kahi anesthetic kūloko. A laila e pahu lākou i ka phenol, kahi hui kemika i hoʻohana ʻia e like me kahi antiseptic, i loko o ka cyst. Pono e hana hou i kēia kaʻina hana i mau manawa. Ma ka hopena, na kēia lāʻau ʻana e hoʻokāʻoi a paʻa hoʻi ka liona.

Loaʻa i kēia lapaʻau kahi helu piʻi kiʻekiʻe loa. No laila, he mea maʻamau ʻole ia ma ʻAmelika Hui Pū ʻIa. Huli nā kauka i ke ʻoki kino e like me ka mālama ʻana o ke koho i kekahi mau hihia.

ʻOki kino

Inā loaʻa iā ʻoe kahi PNS hou a i ʻole inā he ʻoi aku ʻoe ma mua o hoʻokahi kahe sinus, e paipai kāu kauka i kahi kaʻina hana.


E hāʻawi mua ʻia ʻoe i kahi anesthetic kūloko. A laila, e wehe ka mea lapaʻau i nā leona, e hoʻoneʻe i nā pā a me nā ʻōpala. Ke pau kēia kaʻina hana, e humuhumu nā mea ʻeha i nā ʻeha.

Ma hope o ke kahakaha ʻana, e wehewehe ana kāu kauka pehea e hoʻololi ai i nā lole a e paipai ʻia e kahi i ka pūnaewele e pale i ka ulu ʻana o ka lauoho i loko o ka ʻeha.

He aha ke kuanaʻike no ka maʻi sinus pilonidal?

Aia i ka nui o ka maʻi a me ke ʻano o ka mālama ʻana, e hoʻomaʻemaʻe pinepine kahi PNS ma waena o 4 a 10 mau pule.

He aha nā pilikia e pili ana i ka maʻi sinus pilonidal?

Aia kekahi mau pilikia e kū mai i PNS. Hoʻopili kēia i ka maʻi ʻeha a me ka hoʻi ʻana o ka PNS ma hope o ke kaha ʻana.

ʻO nā hōʻailona hōʻailona ʻia ka ʻeha me:

  • ʻeha ʻeha loa
  • hoʻā ʻia, ʻili pehu
  • kahi mahana o 100.4 ° F a ʻoi paha
  • ke kahe nei ke koko a me ka nū mai ke kahua ʻeha
  • he pilau e hele mai ana mai ka ʻeha

Pehea e hiki ai iaʻu ke pale aku i ka maʻi sinus pilonidal?

Hiki iā ʻoe ke pale i ka hoʻi hou ʻana o PNS ma ka holoi ʻana i ka wahi i kēlā me kēia lā me ke kopa maʻalahi, e hōʻoia ana e hemo nā kopa āpau, e mālama i ka wahi a maloʻo loa, a pale i ka noho ʻana no nā wā lōʻihi.

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