Qhov Tseem Ceeb - Piles vs Fistula
Piles lossis sab hauv hemorrhoids yog ntau hom hemorrhoids uas tuaj yeem txhais tau tias yog cov varicosities ntawm cov tributaries ntawm cov hlab ntsha zoo tshaj plaws uas npog los ntawm cov mucous membrane. Lub fistula yog kab mob pathological uas yog kab nrog granulation cov ntaub so ntswg los yog epithelium uas txuas ob qhov chaw epithelial. Hauv kev nkag siab morphological, pawg tuaj yeem suav tau tias yog cov hnab ntim tsis muaj qhov qhib rau sab nraud. Tab sis fistulae muaj ob qhov qhib ntawm qhov kawg. Qhov no yog qhov sib txawv tseem ceeb ntawm cov kab mob pathological no.
Piles yog dab tsi?
Piles yog varicosities ntawm cov tributaries ntawm lub qhov quav vein superior uas npog los ntawm cov mucous membrane; cov no tseem hu ua internal hemorrhoids. Cov ceg ntoo uas nyob hauv 3', 7' thiab 11' txoj haujlwm thaum saib hauv txoj haujlwm lithotomy yog qhov tshwj xeeb tshaj plaws kom tau hemorrhoids. Cov hlab ntsha ntawm lub qhov quav zoo tshaj yog tsis muaj valve thiab tswj tsis tau cov ntshav ntws los ntawm nws. Tsis tas li ntawd, nws yog nyob rau hauv lub feem ntau dependable cheeb tsam ntawm lub capillary network ntawm lub qhov quav kwj dej. Cov kev pab cuam no ua rau muaj kev pheej hmoo ntawm cheeb tsam no kom tau hemorrhoids.
Daim duab 02: Piles
Muaj peb theem ntawm sab hauv hemorrhoids.
- First degree – pawg nyob hauv lub qhov quav.
- Thib ob - pawg extrude los ntawm lub qhov quav thaum lub sijhawm tso quav tab sis tom qab rov qab mus rau lawv txoj haujlwm qub.
- Thib peb - pawg nyob sab nraum lub qhov quav.
Cov hemorrhoids sab hauv tsis ua rau mob vim lawv yog innervated los ntawm autonomic afferent nerves.
Caus
- Tsev neeg keeb kwm ntawm hemorrhoids
- Txhua yam kab mob uas ua rau mob ntshav siab ntau
- cem quav ntev
Symptoms
- Piles feem ntau tsis mob
- Per qhov quav los ntshav
- pruritus
Fistula yog dab tsi?
A fistula yog kab mob pathological uas yog kab nrog granulation cov ntaub so ntswg lossis epithelium uas txuas ob qhov chaw epithelial. Lub qhov quav fistula yog ib qho zoo sib xws ntawm lub lumen ntawm lub qhov quav los yog qhov quav thiab daim tawv nqaij perianal. Ib qho abscess uas tsim nyob rau hauv qhov chaw inter-sphincteric tuaj yeem tawg rau hauv ob qho kev qhia yog tias tsis kho, tsim kom muaj tus cwj pwm khiav nrog ob qhov qhib. Cov kab mob no tsis kho tus kheej vim tias, cov hnoos qeev raug yuam tawm los ntawm cov kab mob thaum lub sij hawm defecation, inhibiting kev puas tsuaj kho mechanisms.
Daim duab 02: Fistula
Associated Conditions
- YCrohn's disease
- Ulcerative colitis
- Rectal carcinoma
Qhov tshwm sim ntawm qib siab fistulae yog qhov tsawg heev. Cov fistulae siab heev no khiav ntawm lub qhov quav mus rau ntawm daim tawv nqaij perianal thiab nyob saum lub nplhaib anorectal. Yog li ntawd, fecal teeb meem tsis tu ncua los ntawm qhov qhib ntawm daim tawv nqaij nto ntawm cov khaub ncaws. Tab sis qhov no tsis tshwm sim nyob rau hauv qis qis fistulae uas nyob hauv qab lub nplhaib anorectal.
Presentation
- Cov neeg laus yuav kis tau fistulae dua li menyuam yaus
- Keeb kwm ntawm perianal abscesses
- Nyob rau hauv dej purulent tawm
- Nws yog ib qho tseem ceeb uas yuav tsum tau saib xyuas cov tsos mob ntawm cov kab mob plab inflammatory
- Feem ntau, cov qog ntshav hauv zos tsis loj zuj zus
Sigmoidoscopy thiab proctoscopy tuaj yeem siv los tshem tawm qhov ua tau ntawm Crohn tus kab mob lossis mob plab hnyuv.
Qhov txawv ntawm Piles thiab Fistula yog dab tsi?
Piles vs Fistula |
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| Cov varicosities ntawm cov tributaries ntawm lub qhov quav ntawm cov hlab ntsha zoo tshaj plaws los ntawm cov mucous membrane yog lub npe hu ua hemorrhoids lossis pawg. | Ib fistula yog kab mob pathological uas yog kab nrog granulation ntaub so ntswg lossis epithelium uas txuas ob qhov chaw epithelial. |
| tawmtawm | |
| Tsis muaj kev tso tawm. | Muaj dej ntws tawm purulent. |
| Qhov no suav tau tias yog ib lub hnab uas tsis muaj qhov qhib. | Nov muaj ob qhov qhib ntawm ob qhov kawg. |
Summary – Piles vs Fistula
Ib fistula yog kab mob pathological uas yog kab nrog granulation cov ntaub so ntswg lossis epithelium uas txuas ob qhov chaw epithelial. Cov varicosities ntawm lub tributaries ntawm superior rectal vein npog los ntawm ib tug mucous daim nyias nyias yog hu ua internal hemorrhoids los yog pawg. Qhov tsis muaj qhov qhib rau sab nraud hauv pawg yog qhov sib txawv tseem ceeb ntawm pawg thiab fistula, uas pab peb txheeb xyuas ob qho xwm txheej sib cais.
Download PDF Version of Piles vs Fistula
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm Piles thiab Fistula.
