Pilonidal cyst: ua, cov tsos mob, kev tiv thaiv thiab kev kho mob

Tej zaum ib tug neeg muaj peev xwm nyob ib nrab ib lub neej uas tsis muaj realizing tias nws lub cev tej zaum yuav lurk thaum ntshai heev txawm, xws li teratoma, raum malformation los yog cyst ntawm coccyx. Cov yav tas tsis manifest nws tus kheej kom txog thaum ib tug tej lub sij hawm, thiab cov kws kho mob tsis tau hais raws nraim li cas tau tshwm sim los rau hauv lub tsos ntawm kev soj ntsuam cov tsos mob. Nyob rau tej taw tes no kev kawm ntawv pib inflamed, kua paug yog tsim, ib tug refiner tus nqaij mos mos, thiab cov teeb meem yuav khees.

txhais

Pilonidal cyst - ib tug anomaly ntawm daim tawv nqaij nyob rau hauv lub sacrococcygeal cheeb tsam. Synonymous nrog no mob yog pilonidal qhov ntswg los yog epithelial coccygeal kawg. Ua kom yus ntseeg txog tus kab mob tau tus muaj ntawm daim tawv nqaij retraction nyob rau hauv mezhyagodichnoy crease. Tom qab lub raug mob ntawm lub coccyx lossis cua txias lub cheeb tsam yuav kub lug fistula thiab ua paug. Tom qab ib co sij hawm, nws sov ua licas qhib, txoj kev ntxiv tracts thiab qhib. Yog hais tias koj tsis chaw uasi mus rau kev kho mob, tus kab mob no yog recurrent nyob rau hauv cov xwm.

Pilonidal cyst (ICD-10)

Nyob rau hauv lub International ib suam ntawm kab mob kaum kho nqi lus ntawm ib tug seem nyob rau hauv tsab ntawv ntawm L, nyob rau hauv uas, cov lwm yam, muaj daim tawv nqaij thiab subcutaneous cov ntaub so ntswg. Pilonidal cyst yog encrypted nyob rau hauv lub code L05, nws muaj xws li fistula thiab coccygeal pilonidal qhov ntswg. Cov ob pab pawg:
- L05.0 - cyst nrog rwj;
- L05.9 - cyst tsis rwj.

Seem no kuj muaj xws li bulls, dermatitis, eczema, urticaria, daim tawv nqaij cov kab mob thiab lwm yam appendages.

Ua rau cyst tsim

Raws li yog lub npe hu, lub embryo kis thaum lub sij hawm txoj kev loj hlob theem ntawm evolution. Nws muaj ib tug loj lub taub hau, ib tug peb-chambered lub plawv, thiab txawm tus Tsov tus tw daim nyias nyias. Feem ntau cov kws kho mob thiab pathologists ntseeg tau hais tias pilonidal hlwv coccyx yog ib tug congenital defect ntawm lub txheej kab txheej. Qhov no yog vim tsis mus rau thaum xaus ntawm cov txo nqaij thiab ligaments ntawm no heev tus Tsov tus tw, uas zoo nkaus li nyob rau hauv thawj ob peb lub lim piam ntawm hnub, thiab yuav tsum tau cov abyss tom qab lub yim lub lim tiam.

Muaj ntau tswvyim nyob rau hauv no qhov teeb meem. Ib txhia kws txawj ntseeg tau hais tias tus kab mob no tshwm sim vim hais tias ntawm ingrown plaub mos mos nyob rau hauv lub subcutaneous rog. Adherents no ziag no taw tes rau hauv lub xub ntiag ntawm epithelial nqe vaj lug kub ntawm cov ntiv tes hairdressers, lub cult ntawm lub amputated povtseg, nyob rau hauv lub underarm cheeb tsam.

Ntau tshaj ib puas xyoo dhau los, neuroscientists tau npaj ib tug kev tshawb xav raws li uas tus epithelial coccygeal Hoob no yog tsim nyob rau hauv tus txheej txheem ntawm involution ntawm lub kawg ntawm cov leeg nrob qaum feem. Lwm tus piav ntawm yuav ua li cas tsim pilonidal cyst, conformable nrog yav dhau los: coccygeal pob txha caj qaum uas tshwm sim tawm lub tsiaj Tsov tus tw, resorbed thiab rudimentary nras nyob rau hauv nws qhov chaw. Yog hais tias tus txheej txheem no tsis yog ua kom tiav nyob rau hauv tag nrho, nyob rau hauv no qhov chaw tsim ib tug dig muag kev khiav tawm, uas muaj peev xwm ua kub lug.

cov tsos mob

Qhov nruab nrab muaj hnub nyoog ntawm cov neeg mob nrog ib tug mob ntawm "pilonidal cyst" - los ntawm kaum mus rau nees nkaum-tsib xyoo. Feem ntau cov feem ntau nws muaj feem xyuam rau tus neeg sawv cev ntawm lub yav qab teb nationalities. Tus kab mob yog yuav luag sib xws nyob rau hauv dub. Feem ntau cov txom nyem los ntawm cov txiv neej uas mus rau ib tug ntau ntawm lub tsheb los yog ua ntev qho, xws li cov tub rog los yog truckers.

Epithelial Hoob no yog nyob rau hauv lub midline nyob rau hauv mezhyagodichnoy crease, nws blindly xaus nyob rau hauv lub adipose nqaij thiab qhib ib lub qhov txhab nyob rau hauv daim tawv nqaij. Nyob rau hauv cov nqe lus ntawm ib tug nqaim raj ntev mus peb mus rau plaub centimeters. Sab hauv, nws yog hlua nrog epithelium, uas secretes hnoos qeev. Tej cov neeg kho tshuab poob plig los sis kab mob tej zaum yuav ua rau ncua sij hawm ntawm outflow epithelial secretion thiab o. Pilonidal cyst yog tsis muaj dab tsi lwm tus tshaj qhov kub lug qhov ntswg, uas, uas muaj ntau yam peb yuav tau mus rau hauv ib qho rwj. Nyob rau hauv heev zaum nws nce mus txog ib tug txiav txim nqi thiab yuav nthawv qhib los ntawm melting ntawm daim tawv nqaij. Qhov no yog ib tug heev heev txheej txheem uas yuav cov nyom lub neej.

Paub qhov txawv ntawm uncomplicated thiab tham epithelial coccygeal kawg. Nyob rau hauv thawj cov ntaub ntawv, raws li ib tug txoj cai, yog tsis muaj kev tsis txaus siab. Tej zaum kuj muaj blunt mob nyob rau hauv lub coccyx, tab sis lawv tsis ua teeb meem rau tus neeg mob thiab tsuas yog tshwm sim nrog heev zaum los yog mob ntsws kev raug mob. Feem ntau yeej tsis pilonidal cyst yog nrog los ntawm khaus thiab mus nyob rau hauv mezhyagodichnoy crease.

Yog hais tias tus kab mob no nyuab, ces muaj yog ib tug mob los yog mob mob ntawm lub epithelial stroke, ua npaws, mob heev nyob rau hauv lub cheeb tsam ntawm lub rwj, muaj caws pliav ntawm qhov chaw ntawm fistula zoo. Qhov no yog feem ntau yog puas tabkaum cov neeg mob thiab yuam lawv mus tham ib tug kws phais neeg.

diagnostics

Tus kws kho mob thiab nws yog ib qho tseem ceeb kom zoo zoo sau ncauj lus kom ntxaws kho mob yav dhau los. Feem ntau cov feem ntau, cov neeg mob kho tom qab ib qho kev raug mob los yog mob thaum cov lus hais. Lub xub ntiag ntawm qhov nyob rau hauv mezhyagodichnoy cheeb tsam, o ntawm qhov chaw ntawm lub caws pliav, tas mus li recurrent paug ua tus mob yooj yim txaus.

Nyob rau hauv thiaj li yuav paub ntau npaum li cas qhov muaj thiab yuav ua li cas nyob deb ntxaum fistula, tus kws kho mob injects zas mus rau hauv nws, feem ntau ntawm methylene xiav, ces saib seb cov kua ntws. Qhov no txoj kev tso cai rau koj yuav pom tau tag nrho cov streaks ntawm kua paug thiab siab tshem tawm lawv thaum lub sij hawm lub lag luam.

uncomplicated cyst kev kho mob

Pilonidal cyst tsis rwj yuav tsum tau ib tug teem sij hawm phais kho mob, lub sij hawm thiab yam uas yuav tau xaiv ib lub zuj zus rau txhua tus neeg mob. Cov kev cai no tsuas yog ib: cuam yuav tsum hla dhau thaum lub sij hawm txoj kev zam txim ntawm tus kab mob. Radical lag luam yog tsim nyog nyob rau hauv cov ntaub ntawv ntawm cov sab nraud qhib nyob kua paug. Tus kws phais nqa tawm excision ntawm daim tawv nqaij graft nrog subcutaneous cov ntaub so ntswg kom txog thaum sacrococcygeal fascia. Nyob rau hauv thiaj li yuav pab txhawb tau, epithelial tsiv tsuas nrog iodine, fukortsinom los yog methylene xiav. Cov mob twb sutured nyob rau hauv khaubncaws sab nraud povtseg los yog nruj nreem (nrog sib sib zog nqus los yog kim heev txhab) ua suturing mob npoo rau nws qab. Stitches raug muab tshem tawm tom qab ob lub lis piam, tseem ceeb kom hniav zoo nkauj tsis xws luag nyob rau qhov chaw ntawm lub incision yog tsis cai. Nrog ceev faj saib xyuas ntawm tus kab mob yog kho kiag li.

nyuab cyst kev kho mob

Pilonidal cyst nrog rwj yuav tsum tau ib tug me ntsis txawv mus kom ze rau kev kho mob. Yog hais tias lub o tsis mus dhau mezhyagodichnoy folds, muaj tsis muaj ntau tshaj peb centimeters thiab yog nruj me ntsis ib phiaj los nqis tes channel, nws tseem tau mus ua ib tug ib-lub sij hawm radical pab thiab tag tshem tawm tsom xam cov uas mob nyob rau hauv txoj kab uas hla. Nyob rau hauv cov ntaub ntawv ntawm hais tawm infiltrate ua ntej phais yuav tsum tau anti-inflammatory kev kho.

Thaum rwj tsim (i.e. txawj txhob ntsiab lus rwj) yog tseem preferable rau thawj nqa tawm lub anti-inflammatory kev kho rau mezhyagodichnoy cheeb tsam tau tsim muaj rau cov lag luam raws li zoo raws li tau kom tsis txhob muaj kev pheej hmoo ntawm postoperative teeb meem. Profit radical theem muaj ib tug xov tooj ntawm zoo:
- yig incision nyob rau hauv daim tawv nqaij;
- lub siab tshaj plaws convergence ntawm lub qhov txhab npoo.

Txawm yog hais tias tus infiltrate ncua mus rau sab, lub ntsiab kwv yog pilonidal cyst coccyx. Lub lag luam yog ua nyob rau hauv midline ntawm lub rwj. Tom qab tus txheejtxheem tus kws phais nqa tawm ib qho kev tshawb ntawm lub qhov txhab kom tshem tawm tag nrho cov necrotic cov ntaub so ntswg loj thiab so jumper, yog tias muaj. Relapse kev tiv thaiv yog ib tug meej kev soj ntsuam ntawm lub phais teb, qhov kev tshem tawm ntawm tag nrho cov necrotic detritus, excision ntawm nqe vaj lug kub thiab streaks. Ua o yuav tshwm sim yog tias phais yog tsis yog ib tug radical txaus, remnants ntawm epithelial stroke fwm cov plaub hau los yog lub qhov txhab tom qab yog tsis tiav.

Muab nyob rau hauv cov tub rog

Thaum lub sij hawm tso cai ntawm lub cua ntsawj ntshab commission kws phais neeg tim khawv tom ntej no mus retraction ntawm lub qhov quav nqaij ntawd nrog ib tug plaub hau so hauv nws. Ib tug KWS KHO MOB yog ua ib co kev txhawj xeeb, yog li tus tub hluas nug ua lus nug: Puas muaj nws khaus bothers seb paug muaj yog hais tias mob tau. Yog hais tias cov lus teb yog tsis zoo, tus kws kho mob muab tswv yim rau kev kho mob thiab sau ntawv uas cov peeb zeej yog haum rau qhov kev pab.

Tab sis, yog hais tias tsawg kawg yog ib tug ntawm cov lus nug lus teb yog muaj, nws yuav tsum tau muab hlais tawm lawm, vim hais tias ntawm conservative kev kho tsis muaj nyob. Cov kev pab yog nqa tawm nyob rau hauv ib tug teem sij hawm yam, yog hais tias muaj yog tsis muaj indications rau ceev kev txiav txim.

Tswv yim rau cov neeg mob

Pilonidal cyst yuav tsum tau me postoperative kho mob, ces nws yog ntshaw kom soj ntsuam cov neeg mob nrog rau cov lus qhia nram qab:
- Peb lub lis piam tom qab phais zaum thiab lifting tes taw hnyav li yog tsis tau tso cai;
- yuav tsum tau ib tug txhua txhua hnub da dej sov so tu ntxuav mezhyagodichnoy cheeb tsam;
- tsis pub dhau rau lub hlis tom qab lub lag luam txhua txhua ob lub lis piam, koj yuav tsum ua qhov kev tshem tawm ntawm cov plaub mos mos nyob rau hauv lub cheeb tsam ntawm lub incision;
- hnav ib tug mos mos, crush ris tsho hauv qab, uas tsis muaj protruding nqaws.

Qhov tseeb mus kom ze yuav tsis txhob muaj cov tsis tshua mob heev ntawm tus kab mob thiab pab txhawb lub nqa tawm ntawm audits nyob rau hauv lub neej yav tom ntej.

teeb meem

Raws li ib tug txoj cai, pilonidal cyst, kev kho mob uas yog nqa tawm tsuas sai sai, muaj ib tug dej siab raug, feem ntau los ib tug tag nrho rov qab. Tu siab, tej zaum tau teeb meem, xws li:

- recurrent paug (yog tshawb tsis tau nqa tawm nyob rau hauv tag nrho);
- rov muaj dua ntawm tus kab mob no (yog hais tias tus neeg mob tsis ua raws li cov txheej txheem rau cov kev tswj ntawm post-operative hom);
- sepsis thiab pyosepticemia (thaum koom los ntawm theem nrab kab mob);
- lwm cov epithelial ntaub so ntswg tig mus rau hauv squamous cell carcinoma.

Cov yav tas yam tab kaum yog tsis tshua muaj tsis tshua muaj, tab sis cov neeg phais nyiam ua txhaum nyob rau hauv cov ntaub ntawv no, thiab lub tshem tawm cov ntaub so ntswg yog xa rau histological xeem, nyob rau hauv thiaj li yuav tiv thaiv kom txhob mob cancer.