a I-coccyx fistula kubangela ukuvuvukala okungapheli, okuphindaphindayo kwe-purulent esigodweni sezinqe. Esigabeni esibucayi, ubomvu, ububele, ubuhlungu nomkhuhlane kungenzeka. Uma i-coccygeal fistula iqhuma, kuzoba nokugeleza kobomvu njalo, okuphuma ezinqeni nokuluma. Ngakho-ke, ukuhlinzwa kwe-coccyx fistula laser kufanele kwenziwe ngokushesha.
Iyiphi indlela ye-coccyx fistula?
Iyiphi indlela engcono kakhulu kimi? Iziguli eziningi zizibuza lo mbuzo - futhi kufanele. Kodwa akukhona nje mayelana nendlela engcono kakhulu, kumayelana nesiteji lapho i-coccyx fistula noma i-coccyx ithumba. Ingabe ithumba eline-pulptem indawo ebomvu nebuhlungu kakhulu ezungeze ithumba, khona-ke ukwelashwa kokuqala kufanele kukhawulelwe ekudambiseni izimpawu ngendlela ehlasela kancane. Ngale njongo, sizosebenzisa inqubo ye-LSPC - ukuhlinzwa kwe-laser coronoplastic, okuye kwazanywa futhi kwavivinywa yithi, okuhambisana nokuvalwa kwe-laser nokufaka umoya. indlela yokukhetha umgodi ngokusho kwe-Iesalnieks1 imele.
Ukwelashwa nge-laser kweziguli ze-coccyx fistula
Ukuhlinzwa kwe-laser coccyx fistula okuchazwe lapha kwenziwa e-HeumarktClinic njengesiguli esilaliswa ngaphandle ngaphansi kwe-anesthesia yangobusuku. Iziguli ziphaphama ngokushesha ekupheleni kokwelashwa nge-laser futhi zishiya ukuhlinzwa zizizwa zilungele izinyawo zazo ngaphandle kwe-stretcher futhi zingagoduka ngokushesha ngemva kwalokho. Indlela elula kakhulu yokusebenzisa isigaba esingenzima sangemva kokusebenza isekhaya, siphelezelwa umndeni noma abangani.
Die I-Laser Coccyx Fistula Plastic (LSPC) Surgery
kuyindlela emnene, engasikiwe lapho ukuphulukiswa kungenzeka khona ngaphandle kwezibazi eziphazamisayo futhi ngokushesha futhi cishe akukho kungasebenzi kahle, ikakhulukazi uma kukhulunywa nge-coccyx cyst encane engapheli, i-sinus pilonidalis.
I-Coccyx fistula: I-Fistula ivalwa nge-laser beam cishe "ngaphandle kokuhlinzwa".
Inqubo ye-LSPC laser coccyx fistula plastic surgery
I-Laser Coccyx Fistula Plastic Surgery (LSPC) ngokuvamile idinga ukusikwa okuncane noma cha. E-HeumarktClinic sisebenzisa isistimu ye-laser emise okwendandatho ekhethekiletem, evala yonke indawo ye-fistula kanye nezakhiwo zokuvuvukala nge-microsurgically ngaphandle kokuhlinzwa nezibazi. Kodwa-ke, esimweni se-multiple, i-coccyx fistulas eyinkimbinkimbi, le nqubo elula kufanele yengezwe ngama-micro-slits nama-punches engeziwe ukuze ukwazi ukususa zonke izandiso noma ama-satellite e-coccyx fistulas eyinkimbinkimbi. I-cyst ngokwayo ekuqaleni ifana naleyo indlela yokukhetha umgodi Ukuhlanza okungenamsoco, ikakhulukazi ukususa izinwele ezimile ngobumnene. Umgodi osele we-cyst, osaqukethe ubomvu, amabhaktheriya nezicubu ezifile, bese ushiswa nge-laser beam kanye ne-pilonidal sinus, i-coccyx cyst ikhishwa amagciwane ngaphakathi ukuze amagciwane nodonga lwe-cyst, lapho kuvela khona ukuphindaphinda. kusuka, ziyasuswa zingavuswa ndawonye, “ziphekwe” bese zivalwa. Inqubo ye-LSPC ibe njalo iguqulelwa kulokho okutholakele futhi icushwe kahle ngakunye ngokusekelwe kulokho okutholwe ngaphakathi kokuhlinzwa. Siphinde sisebenzise ama-sutures ukudala ukucindezelwa kwe-cyst, ama-sutures esikhumba, asuswa phakathi kwezinsuku ezingu-1-2. I-cyst ibe isihlala ivaliwe. Ukuphindaphinda okuphindaphindiwe kungenzeka, kodwa lokhu akuvamile.
Uphenyo lokuqala
Ngaphambi kwanoma yikuphi ukulungiswa kwepulasitiki ye-laser coccyx fistula, lesi simo kufanele sihlukaniswe: Ingabe i-coccygeal fistula eyingozi noma engapheli? Esigabeni sokuvuvukala okukhulu, ubomvu obuqoqiwe kufanele bukhishwe kuqala. Ngaphambi kokulungiswa kwepulasitiki ye-laser coccyx fistula, izinqe kanye ne-coccyx kuhlolwa kusetshenziswa i-ultrasound futhi kuthathwa izithombe zezingcezu ezimbalwa. Izinga, ukujula nokuqukethwe kwe-fistula kunganqunywa futhi uhlelo lokuhlinza lungadwetshwa ngokunembile. Ukunquma ubomvu, izinwele, izibazi, ukunamathela kanye nemingcele nezandiso ngaphambi kokuhlinzwa kubaluleke kakhulu ukuze uphumelele.
Inqubo yokubulala izinzwa
Ukuhlinzwa kwepulasitiki kwe-laser coccyx fistula kwenziwa ebusuku nangaphansi kwe-anesthesia yendawo. Uma uthanda, ukulala kwakusihlwa kungenziwa futhi njenge-anesthesia emfushane evamile. Isixazululo esikhethekile, esipholile sokubulala izinzwa sisetshenziselwa ukulungisa ipulasitiki ye-laser coccyx fistula, ebuye isebenze njengesixazululo sokupholisa kanye nesisombululo se-hemostatic nesidambisa izinhlungu. Kokubili inqubo ngokwayo kanye ne-anesthesia yendawo abubuhlungu ngaphansi kokulala kwakusihlwa.
Indlela yokuhlinzwa ye-LSPC
Ngaphambi kokuthi kusetshenziswe imishayo ye-laser kusetshenziswa “isu lembobo yokhiye”, izinwele ezivalekile, ubomvu kanye nemfucumfucu yezicubu ziyamuncwa kusetshenziswa izibhakela ezincane futhi “isinye sesinye” esiphuphumayo sihlanzwa ngokuhlinzwa. I-probe isetshenziselwa ukuthola amaphaseji afihliwe kanye nezimbobo ze-fistula futhi zilungiselele i-laser fiber. Amathumba ashubile abe esekhishwa, imbobo encane ecishe ibe ngu-1-2 cm ishiywe ukuze ukuvuvukala kunciphe futhi amanye ama-micro-opens amancane nama-fistula avalwa nge-laser fistula bese i-coccyx fistula ibulawa inzalo ngaphakathi futhi ivalwe kusetshenziswa. laser coccyx fistula ukulungiswa kwepulasitiki. Asikhulumi “ngokuhlinzwa” ngoba izithungo ezincane nokuphulukiswa kwazo akuhambelani nokucindezeleka kokuhlinzwa okuvulekile.
I-laser beam iyashisa futhi ivale imigudu ejulile ye-purulent kanye ne-fistula enqubweni ecishe ivalwe ngokuphelele ngesikhathi sokulungiswa kwepulasitiki ye-laser coccyx fistula. I-laser yethu ekhethekile ingama-0,3-0,4 mm mncane futhi ayidingi ukuvuleka kwesikhumba okukhudlwana ukuze kufakwe. Into ekhethekile ngale ndlela ukusetshenziswa kwezixazululo ezikhethekile zokupholisa ukukhulula ubuhlungu nokuyeka ukuphuma kwegazi kwelinye. Lokhu kusho ukuthi isikhumba sivikelwe ngokukhethekile futhi siphulukisa ngokushesha kunezinye izinqubo. Isixazululo esisetshenziswa endaweni sokubamba izinhlungu siyaqhubeka nokusebenza amahora angama-5-6 ngemuva kokuhlinzwa. Lokhu kusho ukuthi iziguli zethu ngokuvamile azinabuhlungu noma zopha ngemva kokuhlinzwa. Ngokuya ngezinga le-coccyx fistula, ukusebenza kuthatha cishe imizuzu engama-30-40.
Ngemva kokuhlinzwa kwe-Laser Coccyx Fistula Plastic
Ngenxa yokwelashwa okuthambile kweziguli zangaphandle kwe-coccyx fistula, iziguli zethu zishiya lo mkhuba ngokuzimela ngosuku olufanayo futhi zingakwazi ukuqala umsebenzi wazo wansuku zonke ngakusasa. Ezimweni eziningi, ukuphathwa kwama-antibiotic akudingekile. Ukusetshenziswa kwezihloko zezinto zokupholisa, ukucindezela okubandayo okufakwe e-Rivanol, kukhuthaza ukuvuvukala nokuphulukiswa. Lokhu kwelashwa kokulandelela ekhaya kunconywa ekuseni nakusihlwa, ngisho noma usebenza ngokuzikhandla. Uzophinde ubonakale ngosuku olulandelayo ngemva kokuhlinzwa nangemva kokubonisana nathi.
Izibuyekezo - Ukusebenza kwe-LSPC
Iqiniso lokuthi singakwazi ukwelapha cishe zonke izinhlobo namazinga e-coccyx fistula sisebenzisa indlela yokukha umgodi we-laser kuyiqiniso elingafakazelwa izibalo. Ezinye iziguli nazo zibika lokhu esidlangalaleni.
Njengoba kusho kuzibuyekezo ze-Google: selapha yonke i-fistula uma iziguli zibuya njalo ukuze zizothola ukunakekelwa okulandelwayo kuze kube yilapho ziphola. Indlela ngezinye izikhathi iba namatshe uma kukhulunywa nge-coccyx fistula.
Isibuyekezo sesiguli ku-Google: " Bengilokhu ngihlushwa imiphumela yokukhishwa kwe-coccyx fistula iminyaka engu-13 futhi uDkt. Haffner wakwazi ukuvala inxeba esebenzisa i-laser therapy ayikhetha. “
Izinzuzo ze-LSPC Coccyx Fistula Laser Plastic Surgery
I-laser coccyx fistula esikhundleni sokuyisika
- Akukho buhlungu
- Azikho izibazi ezinqeni
- Ukuphulukiswa okusheshayo
- Ikhono lokusebenza ngokushesha
- Inqubo yeziguli zangaphandle
- Imidlalo engenzeka ngemuva kwama-lasers
Ithumba kanye ne-cyst ku-coccyx
Ithumba le-coccyx, i-coccygeal cyst, i-pilonidal sinus ingaba yingozi futhi ingapheli, ihlala isikhathi eside futhi ihlanganiswe ne-coccyx fistula. Esigabeni esibucayi se-coccyx abscess, Iziqondiso zesiJalimane Kunconywa ukuthi uphathe ithumba kancane kancane futhi udalule ithumba futhi ukhiphe i-debridement - ukuhlanza. Lokhu kuvame ukuqinisekisa ukukhululeka ezikhalweni ngesikhathi esifushane kakhulu. Ukukhishwa - ukususwa - kwethumba ngokuvamile akusadingeki namuhla, I. Iesalnieks,
1 A. Ommer,2 A. Herald,3 futhi D. Unodoli4 Kumihlahlandlela yakho mayelana namathumba e-coccyx kanye ne-fistula, usuvele ubheka lokhu njengokudlulelwe yisikhathi ngenxa yezinkinga ezinkulu. Siphinde sihlanganyele lo mbono: sesivele sithathe iziguli ezilashwa ngaphandle okuye kwadingeka ziphile nenxeba elikhulu, elivulekile iminyaka eminingana ngoba ukuphola kwesilonda ngemva kokuvuleka kwe-coccyx cyst, i-pilonidal sinus, ukuhlinzwa kwe-coccyx fistula, kusetshenziswa inqubo ye-fistula cyst - Ukukhishwa akuzange kwenzeke. Sabe sesibuyisela ama-coccyx cysts angapholi ngesikhathi esifushane ngezibuyekezo ezimbili noma ezintathu ezihlanganisa ubuchwepheshe be-laser kanye nomqondo wesimanje wesilonda.
Ukuvezwa, ukukhululeka kanye nokukhishwa kwe-coccyx abscess, i-coccyx fistula, ithumba le-pilonidal sinus kungenziwa ngaphansi kokubili kwe-anesthesia yendawo kanye ne-anesthesia emfushane kuye ngokuthi isimo se-coccyx ithumba. Kuyaphawulwa ukuthi uDkt.(H) Haffner unguchwepheshe ofakazelwe ekusebenzeni ngaphansi kwe-anesthesia yendawo kuzo zonke izindawo zomzimba futhi unesipiliyoni seminyaka engu-43. Ngakho-ke siyaqinisekisa ukuthi ukhululekile ebuhlungwini kuzo zonke izimo.
Kukhona ezinye izinketho zokwelapha i-pilonidal sinus, i-coccyx cyst, ngale ndlela elandelayo:
I-Pit Picking Op
Kuyinqubo ehlasela kancane ngaphandle kwe-laser njengenye indlela yokwelapha ye-pilonidal sinus engapheli, i-coccyx cyst. Nokho, izinga lokuphinda liphezulu uma liqhathaniswa nokuhlinzwa kwe-laser cyst (LSPC). Lokhu kungase kube ngenxa yokuthi le nqubo ayibandakanyi "ukuvalwa inzalo" kwangaphakathi nge-laser beam nokuvalwa kwe-laser ye-cavity. Nokho, le nketho isengazanywa, ikakhulukazi ezigulini ezikhubazekiletem Isabelomali. Izindleko zokufakwa kwe-laser ngokuvamile azikhavi izinkampani zomshwalense wezempilo, noma zimbozwe kancane. Sizobe sesikweluleka ngezindleko ezilindelekile zazo zombili izinqubo.
I-Limberg flap kanye nenqubo ye-Karydakis
izindlela zokuhlinza ezinkulu ezimbili ezinkulu ezifanayo futhi ekuqaleni ezihlanganisa ukukhishwa okubanzi (ukususwa) kwe-coccyx cyst, i-pilonidal sinus, kumuntu ophile kahle. Ngemva kwalokho, kusala imbobo enkulu phakathi nethambo lomsila. Lesi sici sibe sesivalwa ngendlela yokuthi udokotela ohlinzayo wepulasitiki asike i-flap enkulu yesikhumba nezicubu ezixhumene no-Stiehl kusukela ezinqeni esebenzisa i-semicircle, i-arc-incision efana ne-arc, bese ibekwa phezu kwendawo enesici ngokuzungeza. yona. Imiphumela mihle, kodwa kuwukuhlinzwa okunesibazi sempilo yonke esiwela ezinqeni cishe imizuzu eyi-10.
Umuntu angase abuze ukuthi ingabe angafuna yini ukonakala okunjalo namuhla, lapho ezinye izinqubo ezingenaso isibazi zitholakala. Ngeke siyidinge le ndlela noma ngabe yikuphi ngoba sikwazile ukwelapha zonke izimo ngempumelelo sisebenzisa indlela ye-LSPC.
Iseluleko somuntu ngamunye
Singajabula ukukweluleka mathupha ngale ndlela yokwelapha. Sishayele ku: 0221 257 2976, Sithumelele i-imeyili: info@heumarkt.clinic noma usebenzise lokhu ukuthintana ngemibuzo yakho.