Nakuba kungavamile kakhulu emakatini, ama-perianal fistula asengawabangela ubuhlungu obukhulu nokungakhululeki, kangangokuthi azodinga usizo lukadokotela wezilwane ukuze alulame futhi aphile impilo evamile.
Ngenxa yalesi sizathu, sizoxoxa nawe ngezimbangela ze-perianal fistula emakatini nokuthi yiziphi izinyathelo okufanele uzithathe ukuze uwasize alulame.
Ziyini futhi ziyini izimbangela zazo?
Ama-fistula e-Perianal yizindawo ezisuka engxenyeni yangaphakathi yomzimba futhi ezivulekele endaweni eseduze ne-anus . Ngobuchwepheshe, ayisixhumanisi esingajwayelekile phakathi kwama-perianal sacs nesikhumba esizungezile. Emakatini, imbangela evame kakhulu yizindlala ze-anal noma ama-sacs . Lawa, ngaphansi kwezimo ezijwayelekile, asebenza njenge-lubricant, esiza isilwane ukuba sikhulule ngaphandle kobuhlungu lapho kuphuma indle, futhi asebenza nomsebenzi wokuphawula indawo.
Inkinga ivela lapho kuvela i-feline sacculitis , isimo sokuvuvukala esithinta lawa ma-sac. Lokhu kuvame ukwenzeka lapho okuqukethwe yizindlala kungaphumi kahle, kuqongelelane futhi kubangele ukuvuvukala kwendawo okungenzeka kube nokukhula ngokweqile kwamagciwane. Izinto ezifana nokuqunjelwa noma isifo sohudo zivimbela uketshezi ukuthi luphume ngokwemvelo, okungaholela ku-fistula noma ukutheleleka okukhulu njenge- perianal abscess (iqoqo lobomvu).
Ezinye izimbangela ezibalulekile zifaka phakathi ukuvaleka kwepayipi ngenxa yokukhishwa okukhulu kwe-secretion , ukutheleleka ngamagciwane okungena ngengozi (ikakhulukazi yi -Escherichia coli kanye ne-Proteus spp. ), noma ngisho nokulimala endaweni ye-perianal. Izimo eziyisisekelo ezifana nobuthakathaka besimiso somzimba sokuzivikela noma izifo zokuvuvukala nazo zibeka isilwane esimeni sokuthuthukisa lezi zimo. Izinhlobo ezifana nama-Persian nama-Maine Coon anomlando wezinkinga zokugaya ukudla ziye zabonakala zithambekele kakhulu kwi-sacculitis.
Yiziphi izimpawu?
Ukuhlonza kusenesikhathi kubalulekile ukuvimbela ukuvuvukala ukuthi kungaqhubekeli ezimweni ezibucayi kakhulu. Izimpawu ze-perianal fistula emakatini yilezi ezilandelayo :
- Ukukhotha ngokweqile kwesifunda se-perianal ngenxa yokucasuka.
- Ukuqunjelwa noma uhudo isimo esingapheli esivimbela ukuphelelwa yizinto emzimbeni.
- Izinkinga zokuzikhipha, okuhlanganisa ne-tenesmus (umzamo ongasebenzi kahle).
- Ubukhona be iminonjana yegazi noma izinto ezibolile endle.
- Ukuvuvukala nokubomvu kubonakala eduze kwendunu.
- Ukukhishwa okunuka kabi noma ubomvu obuvela ku-fistula.
- Izinguquko zokuziphatha, njengolaka oluzumayo, ukuzihlukanisa, noma ukuzwakala ngenxa yobuhlungu.
- I-scooting (ukuhudula indunu phansi), yize kungavamile kakhulu emakatini kunasezinjeni.
Itholakala kanjani futhi yelashwa kanjani?
Ukuxilongwa kufanele kwenziwe udokotela wezilwane ngokuhlolwa ngokomzimba okuphelele . Ngezinye izikhathi, kudingeka ukuhlikihlwa kwe-rectal ngaphansi kokulalisa, ukuhlaziywa kwe-cytochemical kwe-exudate, ama-cultures kanye nama-antibiograms ukuthola ukumelana namagciwane, noma ngisho ne- perianal ultrasound ukuhlola ubukhulu bamathumba. Ezimweni eziphindaphindayo, i-biopsy ingadingeka ukuze kunqunywe izimo ezibucayi kakhulu.
Ukwelashwa kuzoncika ebunzimeni kanye nembangela:
- Amasosha omzimba abuthakathaka noma izimo ezincaneKuzonikezwa imithi yomlomo. Ukusebenzisa ukhilimu oqukethe [okulandelayo] nakho kunganconywa. ama-corticosteroids kanye nama-antibiotic (njenge-gentamicin ene-betamethasone) futhi banisele nge-0,05% chlorhexidine.
- Izifo ze-anal sac (amacala aphakathi nendawo): Zizosetshenziswa ama-antibiotic asebenzayo (njenge-amoxicillin-clavulanic acid) kanye nemithi engeyona eye-steroidal yokulwa nokuvuvukala (njenge- i-meloxicam) ukunciphisa ubuhlungu. Ngaphezu kwalokho, ukudla kuzobuyekezwa ukuze kufakwe i-fibre encibilikayo uma kukhona ukuqunjelwa.
- Amacala anzima noma aphindaphindayoUma kukhona amathumba, inqubo elandelayo izolandelwa: amanzi okuhlinzwa ngaphansi kwe-anesthesia ejwayelekile. Uma i-sacculitis ingelapheki futhi ingaphenduli ekwelashweni, udokotela wezilwane uzoncoma ukuthi ukususwa kwe-sacculectomy emaceleni amabili (ukususwa kwezindlala ngokuhlinzwa).
Ungakhipha kanjani izindlala ezimpundu emakati?
Kungakhathaliseki ukuthi imbangela iyini, kubalulekile ukuveza izindlala zendunu uma ikati lakho linezinkinga ngazo ukuze kuvinjelwe ukwakheka kwe-fistula. Ukuze wenze lokhu, landela lezi zinyathelo :
- Okokuqala, siphakamisa umsila ngesandla esisodwa bese kuthi ngesinye sithathe esisodwa i-gauze ehlanzekile.
- Okwesibili, sibeka i-gauze ngaphambi nje kwendunu yekati.
- Okwesithathu, sithola amasaka (akuzinhlangothi zombili zendunu) ngokwenza ingcindezi emnene kodwa uqaphele ukuthi ungabalimazi. Kubalulekile ukuthi ungami ngqo phambi kwabo, njengoba uketshezi luphuma ngokucindezela okukhulu.
- Ekugcineni, sizobulala amagciwane endaweni nge- amafutha anconyiwe ngodokotela wezilwane.
Ukuze uvimbele le nkinga ukuthi ingaphinde ivele, kunconywa ukuthi ugcine inhlanzeko eqinile ye-perianal , uqaphe noma yiziphi izimpawu zokuqala zokuvaleka, futhi uqinisekise ukuthi udla ukudla okulinganiselayo okukhuthaza ukugaya ukudla okunempilo. Ungazami ukwelapha i-fistula ekhaya ngaphandle kokugadwa, njengoba ukuphathwa okungafanele kungenza ukutheleleka kube kubi kakhulu.
Ukutholwa kusenesikhathi kwe-sacculitis kanye nokuphathwa kahle kwezindlala zendunu kuyisihluthulelo sokuvimbela isilwane sakho ekuhluphekeni okungapheli okuhlobene ne-perianal fistula, ngaleyo ndlela kuqinisekiswe ukululama okuphelele kanye nekhwalithi yokuphila engcono.