Mubvunzo kuna GP Maarten: Chii chingakonzeresa abscess perianal?

Maarten Vasbinder anogara kuIsaan. Basa rake ndere general practitioner, basa raainyanya kudzidzira kuSpain. PaThailandblog anopindura mibvunzo kubva kuvaverengi vanogara muThailand.

Iwe une mubvunzo kuna Maarten uye unogara muThailand here? Tumira izvi kumupepeti: www.thailandblog.nl/contact/ Zvakakosha kuti upe ruzivo rwakakwana se:

• Zera
• Zvichemo)
• Nhoroondo
• Kushandiswa kwemishonga, kusanganisira kuwedzera, nezvimwewo.
• Kusvuta, doro
• kufuta
• Optional: mhedzisiro yerabhoritari uye kumwe bvunzo
• Zvinogoneka BP

Unogona kutumira mafoto ku [email inodzivirirwa] zvese zvinogona kuitwa zvisingazivikanwe, zvakavanzika zvako zvinovimbiswa.

Wadiwa Martin,

Ndiri P., ane makore 63, ndakaroora mukadzi wechiThai, uye ndinonwa girazi rewhiskey zvine mwero asi ndichiri kuputa (20 pazuva). Famba imbwa yangu kweanenge maminetsi makumi maviri zuva rega rega, asi munguva yakapfuura ndakapedza nguva yakawanda ndiri pakombuta yangu, iyo yave kushomeka zvakanyanya.

Ini handina high blood pressure, ndichipihwa zviyero zvemazuva ese muchipatara, uye handina kufuta uye handishandise chero mushonga uye ndinonzwa neimwe nzira.

Ndine hutsanana pachangu, uye ndinogeza zvakakwana uye kwenguva yakareba kanenge kaviri pazuva (kazhinji munguva yezhizha). Mushure mekufamba kwega kwega (mazuva mashoma uye kwete mazuva ese) ini ndinoshandisa iyo inowanikwa yekuThai yekugezera yekumashure, uye ipapo ipapo ndinogeza nemucheka wekugeza nesipo nemvura. Asi munguva pfupi yapfuura ndakavhiyiwa dumbu muchipatara kechitatu mumwedzi 2. Ndichiri kufanira kuenda kuchipatara mazuva ose mwedzi uno kuti nditariswe ronda rangu zuva nezuva, uye izvi zvine mugumisiro unorwadza wakareba.

Mubvunzo wangu kwauri ndewekuti, shawa yehutsanana ine jeti ine simba inogona kukonzera abscess perianal? Kana zvisina kudaro?… chii chimwe chingakonzeresa zvichemo zvinorwadza izvi nekuvhiya? Ronda rekuvhiyiwa racheneswa zvakanaka here? (mukuona kwangu hongu).

Pane mukana wechina perianal abscess uye chii chingaitwa kudzivirira dambudziko iri rinorwadza zvikuru?

Pamwe intestinal stoma inogona kupa mhinduro? Ini handichatarisiri kune rechina kana rechishanu perianal abscess

Neunyoro uye kumirira mhinduro yako yehunyanzvi nekuti zvinonetsa kutaura nachiremba wangu wekuChina/Thai.

P.

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Wadiwa P,

Perianal abscesses zvechokwadi inorwadza zvikuru uye ndozvakaitawo kurapwa. Pane zvikonzero zvakawanda zvinobvira:

• Kubuda kwakavharika kwegondo rekumashure.
• Venereal zvirwere.
• IBD (chirwere chinoputika), zvakadai seCrohn's disease uye ulcerative colitis.
• Kuzvimbirwa.
• Manyoka.
• Prednisone kushandiswa kana chemotherapy.
• Chirwere cheshuga.
• Fistula (munyaya iyi kubatana pakati peura uye ganda rakapoteredza anus.
• Kutsemuka (kutsemuka) mugero rekumashure.

Nyaya yekuti abscess yako inoramba ichidzoka inomutsa fungidziro yefistula inogona kunge yakavapo panguva yekutanga. Fistula kazhinji inonetsa kuronda. Unogona kukumbira kuongororwa (fistulography). Vanogonawo dzimwe nguva kuonekwa paMRI.

Kutarisa mugero rekumashure ine endoscope dzimwe nguva kunogona kutungamira mukuwanikwa kweabscess mugero.

Ndinofungidzira kuti chiremba wako chiremba anovhiya ane ruzivo mundima iyi. Kana zvisina kudaro, ona chiremba anovhiya ane. Chiremba anovhiya achaedza kubvisa fistula uye abscess zvachose. Tora inodziya sitz yekugezera mushure memaitiro ega ega. Izvi zvinoderedza marwadzo uye zvinokurudzira kupora.

Mvura yekumashure yakanaka, asi isina mhirizhonga. Ndaisashandisa pepa rechimbuzi. Bata anus nerudo.

Stoma haiite sepfungwa yakanaka kwandiri. Izvo hazvinakidze futi.

Tichifunga nezve chokwadi chekuti hauna kufamba ura mazuva ese, ndinokurudzira kuti utore gadziriro yefiber, yakadai seDuphalac. Imwe teaspoon yakakura mushure mekudya kwega kwega uye imwe isati yasvika.

Pachokwadi,

Dr. Maarten