Isifo se-Pilonidal sinus

Isifo se-Pilonidal sinus yisimo sokuvuvukala esihilela izintambo zezinwele ezingenzeka noma yikuphi lapho kuhlangana khona ukuqhuma phakathi kwezinqe, okusukela ethanjeni phansi komgogodla (i-sacrum) kuye endunu. Lesi sifo sinobuthi futhi asihlangani nomdlavuza.

I-Pilonidal dimple ingavela njenge:

• Ithumba le-pilonidal, lapho i-follicle yezinwele itheleleka khona futhi ubomvu buqoqa ezicutshini ezinamafutha
• I-pilonidal cyst, lapho kwakhiwa khona i-cyst noma umgodi uma ngabe kade kwaba nethumba
• I-pilonidal sinus, lapho ipheshana likhula khona ngaphansi kwesikhumba noma lishone kusuka kusikhumba sezinwele
• Umgodi omncane noma ipore esikhunjeni equkethe amabala amnyama noma izinwele

Izimpawu zingafaka:

• Ubuthi lukhipha emgodini omncane esikhunjeni
• Ubumnene bendawo ngemuva kokusebenza noma ukuhlala isikhathi esithile
• Indawo efudumele, ethambile, evuvukele eduze kwethambo lomsila
• Umkhuhlane (onqabile)

Kungase kungabikho zimpawu ngaphandle kwesifutho (umgodi) omncane esikhunjeni esikhaleni esiphakathi kwezinqa.

Imbangela yesifo se-pilonidal ayicaci. Kucatshangwa ukuthi kudalwa yizinwele ezikhulayo ziye esikhunjeni esikhaleni esiphakathi kwezinqa.

Le nkinga kungenzeka yenzeke kubantu:

• Bakhuluphele
• Bhekana nokuhlukumezeka noma ukucasuka endaweni
• Yiba nezinwele zomzimba ezeqile, ikakhulukazi izinwele ezimangelengele, ezisontekile

Geza ngokujwayelekile bese uyomisa. Sebenzisa ibhulashi elikhuhlayo lokuthambisa ukuvimbela izinwele ukuthi zingangeni. Gcina izinwele kule ndawo zifushane (ukushefa, i-laser, i-depilatory) okunganciphisa ubungozi bokuqhamuka nokuphindeka.

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma ubona noma yikuphi okulandelayo ezungeze i-cyst pilonidal:

• Ukukhipha ubomvu
• Ububomvu
• Ukuvuvukala
• Ubumnene

Uzocelwa umlando wakho wezokwelapha bese uhlolwa ngokomzimba. Kwesinye isikhathi ungacelwa imininingwane elandelayo:

• Ngabe kube khona ushintsho ekubukeni kwesifo se-pilonidal sinus?
• Ngabe kube khona noma yimaphi amanzi avela endaweni?
• Unazo ezinye izimpawu?

Isifo sePilonidal esingabangeli zimpawu asidingi ukwelashwa.

Ithumba le-pilonidal lingavulwa, likhishwe bese ligcwala nge-gauze. Ama-antibiotic angasetshenziswa uma kukhona ukutheleleka okusakazeka esikhumbeni noma futhi unesinye, isifo esibi kakhulu.

Okunye ukuhlinzwa okungadingeka kungafaka:

• Ukususwa (ukusika) kwendawo enesifo
• Okufakwe esikhunjeni
• Ukusebenza kwe-Flap kulandela ukusikwa
• Ukuhlinzwa ukususa ithumba elibuyayo

Ithumba Pilonidal; I-Pilonidal sinus; I-Pilonidal cyst; Isifo sePilonidal

• Izimpawu zomlando zomuntu omdala - emuva
• I-Pilonidal dimple

IKliegman RM, iSt. Geme JW, iBlum NJ, i-Shah SS, iTasker RC, iWilson KM. Izimo zokuhlinzwa ze-anus ne-rectum. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 371.

Thengisa i-NM, uFrancone TD. Ukuphathwa kwesifo se-pilonidal. Ku: UCameron AM, uCameron JL, ama-eds. Ukwelashwa Kwamanje. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2020: 335-341.

ISurrell JA. I-Pilonidal cyst nethumba: ukuphathwa kwamanje. Ku: Fowler GC, ed. Izinqubo zikaPfenninger noFowler zokuNakekela okuyisisekelo. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 31.