Tretman analnih fistula

master's thesis

• 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
• Created on: 2017-03-13 10:15:43