Ukuhlinzwa kwe-pilonidal cyst

I-cyst pilonidal iyisikhwama esakha uzungeze isiqu sezinwele esikhaleni esiphakathi kwezinqa. Indawo ingabukeka njengomgodi omncane noma ipore esikhunjeni equkethe indawo emnyama noma izinwele. Kwesinye isikhathi umqubuko ungatheleleka, futhi lokhu kubizwa ngokuthi yithumba le-pilonidal.

I-pilonidal cyst noma ithumba elinalesi sifo lidinga amanzi okuhlinzwa. Ngeke iselapheke ngemithi elwa namagciwane. Uma uqhubeka nokuthola izifo, i-cyst pilonidal ingasuswa ngokuhlinzwa.

Kunezinhlobo eziningana zokuhlinzwa.

Ukuqhekeka nokudonsa amanzi - Lokhu ukwelashwa okuvame kakhulu kwe-cyst enegciwane. Kuyindlela elula eyenziwe ehhovisi likadokotela.

• I-anesthesia yendawo isetshenziselwa ukuqaqamba isikhumba.
• Kwenziwa ukusika ku-cyst ukukhipha uketshezi nobomvu. Umgodi ugcwele i-gauze futhi ushiywe uvulekile.
• Ngemuva kwalokho, kungathatha amasonto amane ukuthi i-cyst iphole. I-gauze kufanele ishintshwe kaningi ngalesi sikhathi.

I-pilonidal cystectomy - Uma uqhubeka unenkinga nge-pilonidal cyst, ingasuswa ngokuhlinzwa. Le nqubo yenziwa njengenqubo yokwelashwa kweziguli, ngakho-ke awudingi ukulala ubusuku esibhedlela.

• Unganikezwa umuthi (i-anesthesia ejwayelekile) ekugcina ulele futhi ungabi nezinhlungu. Noma, unganikezwa umuthi (i-anesthesia yesifunda) ekundikindiki kusukela okhalweni kuye phansi. Ezimweni ezingavamile, unganikezwa kuphela umuthi endikindiki wendawo.
• Kwenziwa ukusikwa ukuze kususwe isikhumba ngama-pores nezicubu ezingaphansi ezineziqu zezinwele.
• Ngokuya ngokuthi izicubu zisuswe kangakanani, indawo ingahle igcwale i-gauze. Kwesinye isikhathi kufakwa ishubhu ukukhipha uketshezi oluqoqeka ngemuva kokuhlinzwa. Ishubhu lisuswa ngokuhamba kwesikhathi lapho uketshezi luyeka ukukhipha.

Kungaba nzima ukususa yonke i-cyst, ngakho-ke kunethuba lokuthi izobuya.

Ukuhlinzwa kuyadingeka ukukhipha nokususa i-pilonidal cyst engapholi.

• Udokotela wakho angancoma le nqubo uma unesifo se-pilonidal esibangela ubuhlungu noma ukutheleleka.
• I-cyst pilonidal engabangeli izimpawu ayidingi ukwelashwa.

Ukwelashwa okungasetshenziswanga kungasetshenziswa uma indawo ingenwe yigciwane:

• Ukushefa noma ukususwa kwezinwele ku-cyst
• Ukujova i-glue yokuhlinzwa ku-cyst

I-Pilonidal cyst resection ngokuvamile iphephile. Buza udokotela wakho ngalezi zinkinga:

• Ukopha
• Ukutheleleka
• Kuthatha isikhathi eside ukuthi indawo yelapheke
• Ukuba ne-cyst pilonidal kuyabuya

Hlangana nodokotela wakho ukuze uqiniseke ukuthi izinkinga zezokwelapha, ezinjengesifo sikashukela, umfutho wegazi ophakeme, nezinkinga zenhliziyo noma zamaphaphu zilawulwa kahle.

Tshela umhlinzeki wakho wezempilo:

• Imiphi imithi, amavithamini, nezinye izithasiselo ozithathayo, ngisho naleyo oyithenge ngaphandle kadokotela.
• Uma ukhulelwe noma ungakhulelwa.
• Uma uphuze utshwala obuningi, uphuza iziphuzo ezingaphezu kwezingu-1 noma ezi-2 ngosuku.
• Uma ubhema, yeka ukubhema emasontweni ambalwa ngaphambi kokuhlinzwa. Umhlinzeki wakho angasiza.
• Ungacelwa ukuthi uyeke ukuthatha okwesikhashana izinciphisi zegazi, njenge-aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), vitamin E, clopidogrel (Plavix), warfarin (Coumadin), kanye neminye imithi efana nale.
• Buza udokotela wakho ukuthi imiphi imithi okufanele uyiphuze ngosuku lokuhlinzwa kwakho.

Ngosuku lokuhlinzwa:

• Landela imiyalo yokuthi ngabe udinga ukuyeka ukudla noma ukuphuza ngaphambi kokuhlinzwa.
• Thatha imithi udokotela wakho akutshele ukuthi uyiphuze ngesiphuzo esincane samanzi.
• Landela imiyalo yokuthi uzofika nini esibhedlela. Qiniseka ukuthi ufika ngesikhathi.

Ngemuva kwenqubo:

• Ungaya ekhaya ngemuva kwenqubo.
• Isilonda sizombozwa ngebhandishi.
• Uzothola imithi yezinhlungu.
• Kubaluleke kakhulu ukugcina indawo ezungeze isilonda ihlanzekile.
• Umhlinzeki wakho uzokukhombisa ukuthi unakekelwa kanjani isilonda sakho.
• Ngemuva kokuphola, ukushefa izinwele endaweni yesilonda kungasiza ekuvimbeleni isifo se-pilonidal ukuba singabuyi.

Ama-cysts ama-Pilonidal abuya cishe engxenyeni eyodwa yabantu abahlinzwa okokuqala. Ngisho nangemva kokuhlinzwa okwesibili, kungabuya.

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

UJohnson EK, Vogel JD, uCowan ML, et al. I-American Society of Colon and Rectal Surgeons ’imihlahlandlela yokwenza imitholampilo yokuphathwa kwesifo se-pilonidal. I-Dis Colon Rectum. 2019; 62 (2): 146-157. I-PMID: 30640830 www.ncbi.nlm.nih.gov/pubmed/30640830.

IMerchea A, uLarson DW. Ingquza. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa: Isisekelo Sebhayoloji Sokuzijwayeza Kwamanje Kokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 52.

I-Wells K, isifo se-Pendola M. Pilonidal kanye ne-perianal hidradenitis. Ku: Yeo CJ, ed. Ukuhlinzwa kukaShackelford kwe-Alimentary Tract. Umhlaka 8. IPhiladelphia, PA: Elsevier Saunders; 2019: isahluko 153.