Paraproatitis treatment

Overview of the disease

Paraproatitis accounts for 20 to 40% of all proctology pathologies. Men he worries much more often than women. Deals are characterized by purulent inflammation of fatty fiber, which is located near the rectum, as well as in the anal sphincter zone. Pathology can be:

1. Acute - limited povero-containing cavities (abscesses) of fatty fiber are formed and detected for the first time.
2. Chronic - charging and perianal fistulas appear again after a man of acute paraproctitis. This is usually a consequence of improper or insufficient therapy of acute paraproctitis.

On the classification of paraproititis

Depending on where the inflammation is localized, as well as the degree of propagation of acute paraproctitis, proctologists are divided into:

1. Subcutaneous - it is treated easier, since purulent melting is in the perianal region.
2. Intrasfinctile - inflammation applies to the tissue of anal sphincter.
3. Ishiorectal - Pump is located in the iliac and straight hole.
4. Pelviorectal - inflammatory process goes inside a small pelvis.

Why paraproatitis occurs?

If you notice the symptoms mentioned earlier, contact the surgeon immediately. After listening and inspected the patient if the doctor suspects paraprocts, then some surveys will appoint. To accurately determine the location of the gland, sometimes it is necessary to carry out a finger rectal examination. The procedure is painful, most often it is carried out under anesthesia, when the patient has already been delivered to the operating. Studies allowing to confirm and refine the diagnosis «acute paraproititis»:

1. Blood analysis.
2. Ultrasound of the crotch - helps to determine the size of an ulcer, its location.
3. Radiography and CT Capchik and Sleep.

If there is a suspicion of chronic paraproatitis, then the doctor examines the rear pass, crotch, produces a finger survey of the anal canal. When the fistin is found, doctors make the probing of his stroke. Then they resort to the anemscopy, rectoromanososcopy, ultrasonography.

Fistulography She helps with chronic paraproxy find out the direction of the fistula. To do this, a contrast substance is introduced into the fistula, and then a radiographic study is carried out.

Recommendations for treatment

Paraproatitis treatment Only surgical. If the paraprojectite is acute, then during the operation, the purulent cavity is revealed. Operational intervention is carried out immediately under general anesthesia, most often resort to peridural or sacred anesthesia. Abscess revealed, evacuate the pus and put drainage. In the future, the wound heals itself or the seams are superimposed on it. Such measures only stop the purulent process, but may not get rid of the disease completely. Our site has already mentioned that it arises due to the admission of pus on a fistula from the rectum crypt. Therefore, there is a certain risk that it will happen to repeat the acute form or the transition of paraproctitis into a chronic form.

In the case of chronic paraproctitis, it is resorted to more complex operations. Excised not only the fistula, but also defective fabric. Surgeons try to interrupt the message with the rectum, and then create favorable conditions so that the wound will heal faster.

After surgical intervention, the patient is prescribed antibacterial therapy using, for example, gentamicin, cefotaxim, amikacin. Mazews are drawn daily Levomecole.

There are cases when doctors cannot conduct an operation. For example, if a patient is very old age, if he suffers heavy diseases or exhausted. Then they try to assign such conservative methods that can improve the patient's condition. And only then begin to surgery.

In addition to the radical operation, follow the rules listed below to prevent relapses:

1. Fighting constipation. The intestinal emptying must be regular.
2. Eat different products containing a lot of fiber.
3. Include in your diet Prostokvash, «Bifox», kefir, ryazhenka, cottage cheese.
4. Products from the dough is better not to use.
5. It is advisable to carry out the arms after defecation, comply with personal hygiene rules.
6. Don't dial.
7. Comerate in a timely manner Anal cracks, Hemorrhoids and other similar diseases.
8. Suffering sugar diabetes, should certainly maintain a blood glucose concentration in normal.

What are the complications of paraproatitis?

If a person with paraprojectite is slow for any reason with reference to a proctologist, this can lead to adverse consequences:

1. Distribution of intestinal content in the area of ​​paragreotal fiber. This happens because of the purulent melting of the wall of the rectum.
2. The transition of purulent inflammation on the scrotum, as a result of which its subsequent gangrene is possible.
3. The formation of purulent fistulas in space between the vagina and the rectum.
4. Necrosis of the skin in the dispensation zone.
5. The appearance of scars in the sphincters, walls of the anal canal, formation in the small pelvis.
6. The breakthrough of purulent content into the retroperitoneal fiber, the abdominal cavity, which is fraught with peritonitis and phlegmon for the peritoneous. If this happens, that is, the risk of blood infection (sepsis).
7. Largeness of a long existing purulent fistula.

To avoid heavy complications, when symptoms indicating paraprojects, do not slow down - contact medical care!