Title Tretman analnih fistula
Title (english) Treatment of anal fistulas
Author Snježana Dragičević
Mentor Leonardo Patrlj (mentor)
Committee member Žarko Rašić (predsjednik povjerenstva)
Committee member Tomislav Meštrović (član povjerenstva)
Committee member Leonardo Patrlj (član povjerenstva)
Granter University of Zagreb School of Medicine (Department of Surgery) Zagreb
Defense date and country 2016-06-30, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Surgery
Abstract Cilj ovog preglednog rada je prikazati najčešće probleme i vrste oboljenja u području završnog crijeva, načine dijagnosticiranja, modalitete liječenja, prevenciju problema i spriječavanje nastanka oboljenja u predjelu završnog debelog crijeva. Fistulom nazivamo abnormalnu povezanost između dvije epitelom prekrivene strukture, dva organa ili dvije površine tkiva. Analna fistula je velik problem s kojim su se liječnici susretali još od vremena Hipokrata, te je do danas ostala izazov. Analna fistula (Fistula ani) je kronično stanje koje nastaje u 99% slučajeva nakon analnog apscesa. Nakon incizije abscesa i evakuacije sadržaja stvara se kanal, koji se proteže od otvora u koži gdje je izvedena incizija do unutrašnjeg otvora izvodnog kanala periproktalnih žlijezda, koji se nalazi na mjestu analne kripte. Vodeći simptom koji nalazimo kod analnih fistula je curenje žutog, zamućenog sadržaja na stražnji otvor u koži oko anusa. Ponekad se javljaju mukli bolovi, koji su najčešće posljedica začepljenja fistuloznog kanala. Različitim tretmanima liječenja pokušalo se postići što bolji rezultat. Poznati engleski proktolog Parks uveo je novu metodu (Fistulotomia), kojom su recidivi smanjeni na minimum. Statistički gledano, s problemima u predjelu završnog debelog crijeva, suočava se 3/4 odrasle populacije. S obzirom na veliku incidenciju oboljenja kod odrasle populacije nužno je ukazati na važnost pravovremene dijagnoze i odgovarajućeg tretmana analnih fistula. Osnovne postavke idealnog tretmana su: kontrola sepse, zatvaranje fistule i održavanje kontinencije. Takvim pristupom smanjujemo bolesnicima pojavu recidiva i poboljšavamo kvalitetu života.
Abstract (english) Goal of this paperwork is to present the most common diseases in area of large bowel, ways to diagnose it, modality of treatment, prevention of the problem and prevention of illness in area of large bowel. Fistula is an abnormal connection between two organs or between two surfaces of skin. Anal fistula is a major issue doctors have been encountering since times of Hippocrates, and it's remained a challenge until this day. Anal fistula ( fistula ani) is a chronical disease which, in 99% of the cases appears subsequent to anal abscess. After the incision of an abscess and the drainage of content, canal placed at the spot of anal crypt is formed and it's stretching from spot of incision to inner opening of excretory canal of perirectal glands. Leading symptom of anal fistula is leakage of yellow, impure discharge into the rear opening in the skin around anus. Sometimes there is a presence of dull pain which is often a result of fistula canal being clogged. With different ways of treatment it was attempted to achieve as good results as possible. Well known British proctologist, Parks established a new method (fistulotomy) by which recidives are reduced to minimum. Statistically observed, three quarters of adult population experiences problems in the area of large bowel. Therefore, it is necessary to point out to the importance of early diagnosis and adequate treatment of anal fistulas. Basic settings of ideal treatment are: sepsis control, closure of fistula and maintenance of continency. With this approach, possibility of recidive is reduced and quality of life is improved.
Keywords
analna fistula
fistulotomia
održavanje kontinencije
kvaliteta života
Keywords (english)
anal fistula
fistulotomy
maintenance of continency
life quality
Language croatian
URN:NBN urn:nbn:hr:105:388926
Study programme Title: Studies in Nursing Study programme type: university Study level: graduate Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2017-03-13 10:15:43