Przetoka, czyli patologiczne połączenie między dwoma lub więcej organami, może powstać na skutek urazu, powikłań po zabiegu operacyjnym lub choroby. Jakie wyróżnia się główne typy przetok?
Klasyfikacja przetok jest organizowana na podstawie wyznaczników anatomicznych, fizjologicznych i etiologicznych. Uwzględnienie w typologii wszystkich tych czynników pozwala uzyskać całościowe zrozumienie tego schorzenia i dobrać odpowiednie procedury terapeutyczne do indywidualnego przypadku.
Pod względem anatomicznym przetoki rozróżnia się na podstawie organów, pomiędzy którymi utworzyło się patologiczne połączenie. Wyróżnia się przetoki w obrębie układu krążenia, układu oddechowego, trawiennego, moczowo-płciowego oraz mięśniowo-szkieletowego.
Można także wskazać podział na przetoki wewnętrzne (pomiędzy organami wewnętrznymi) oraz zewnętrzne (pomiędzy organem a powierzchnią skóry).
Etiologia przetok
Wśród przyczyn powstawania tego schorzenia można wskazać trzy główne grupy: urazy, powikłania po zabiegach oraz choroby.
Przetoki mogą powstawać jako powikłanie rozległych zabiegów operacyjnych, związanych m.in. z terapią nowotworu oraz operacji pęcherzyka żółciowego. Stosowanie radioterapii również może skutkować wytworzeniem u pacjenta przetoki.
Wśród chorób, które mogą być powikłane wykształceniem przetoki, wymienia się nowotwory (szczególnie trzustki i układu rozrodczego), choroby zapalne jelit, w tym przede wszystkim chorobę Leśniowskiego-Crohna oraz wrzodziejące zapalenie jelita grubego, zapalenie wyrostka robaczkowego, zapalenie trzustki, chorobę wrzodową, a także trądzik odwrócony.
Do powstania przetoki mogą doprowadzić urazy w obrębie brzucha (np. rany postrzałowe, kłute), a także rany tłuczone i miażdżone powstałe np. w wyniku wypadków komunikacyjnych. Częstą przyczyną wykształcenia przetoki odbytniczo-pochwowej jest także powikłany, skomplikowany poród.
Główne rodzaje przetok
Przetoki w obrębie żołądka i jelita cienkiego w większości przypadków mają jatrogenne podłoże. Mogą się rozwinąć na skutek przerwania szwu zespalającego albo wystąpienia niewielkiego urazu tkanki podczas zamykania rany operacyjnej. Zaburzenie integralności zespoleń chirurgicznych skutkujące wykształceniem przetoki może także wystąpić z powodu niewystarczającego przepływu krwi lub nadmiernego napięcia szwu zespalającego.
Resekcja żołądka z powodu nowotworu, choroby wrzodowej lub w wyniku operacji bariatrycznej może prowadzić do wycieku soków żołądkowych lub treści jelita, w następstwie czego dochodzi do rozwoju miejscowego zakażenia i wytworzenia ropnia. Skutkiem tego procesu może być wykształcenie przetoki.
Do głównych przyczyn przetok okołoodbytniczych należą choroby zapalne (choroba Leśniowskiego-Crohna, wrzodziejące zapalenie jelita grubego, zapalenie uchyłków jelita grubego). Przyczyną wykształcenia przetoki może być także gruźlica, nowotwór (zwłaszcza jelita grubego), wcześniejsze wystąpienia ropnia odbytu. Przyczyną powstania przetoki okołoodbytniczej mogą być także powikłane operacje ginekologiczne i proktologiczne.
Przetoki naczyniowe, czyli nieprawidłowe połączenia tętniczo-żylne, tętniczo-tętnicze i żylno-żylne, mogą mieć różną etiologię. Powstają zarówno w wyniku urazów, jak i chorób oraz na podłożu jatrogennym. Mogą także wynikać z wad wrodzonych. Do częstych przyczyn powstawania tego rodzaju przetok są zaburzenia hemodynamiczne, niewydolność serca, niedokrwienie mięśnia sercowego, incydenty zatorowe.
W obrębie układu oddechowego mogą wystąpić przetoki tchawiczo-przełykowe. Ich przyczyną są wady wrodzone (atrezja przełyku). Przetoka tchawiczo-przełykowa może być także powikłaniem powstałym wskutek zabiegu tracheostomii.
Źródła: https://www.woundsource.com/, https://emedicine.medscape.com/, https://www.medonet.pl/
Przeczytaj także: Membrana z komórek ludzkiego łożyska może pomóc w terapii ran przewlekłych
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เว็บสล็อตpg เว็บตรง ฝากถอนด้วยระบบอัตโนมัติ สล็อตวอเลท ฝาก ถอน แบบอัตโนมัติ ทำให้คุณไม่ต้องใช้เวลานานในการฝาก
ความโดดเด่นที่สร้างความแตกต่าง ให้เกมสล็อต pg slot แตกง่าย สร้างสรรค์ขึ้นมา ในรูปแบบ 3D ที่สวยงามตระการตา
แจกเครดิตฟรี เพียงแชร์และคอมเมนต์ เครดิตฟรี50ไม่จำเป็นต้องมีทุนเยอะ ก็รวยได้
แนะนำโปรโมชั่นสล็อตออนไลน์พิเศษ pgslot ใช้ระบบขั้นเทพที่ถูกพัฒนามาอย่างที่ดีสุด
เกมยอดฮิตอันดับหนึ่ง pgdragon เรียกได้ว่าได้รับความนิยมอย่างมาก ในบรรดานักลงทุนผู้แสวงหาผลกำไร
อยากแนะนำให้ลองเข้ามาเล่นที่เกมนี้ดู แล้วจะรู้ว่าเกมสล็อตทำเงินได้เป็นอย่างไร เครดิตฟรี50 ทดลองเล่นสล็อตเว็บตรง ได้ผ่านมือถือ จัดหนักจัดเต็มได้แล้ววันนี้!
สล็อตpg ออนไลน์ ที่ทำเงินสูงให้ผู้เล่นมากที่สุด pgslot เกมที่สร้างสีสันในการเล่นและเป็นเกมที่โบนัสแตกง่ายที่สุด
โปรทุกยอดฝาก เอาใจเหล่าเกมเมอร์ ฝาก50รับ100ใหม่ล่าสุด2023 ลองรับลูกค้าได้เยอะ และการบริการต้องดีเยี่ยม
รับโบนัสพิเศษมากมาย เพียงใช้ ทางเข้า pgslot ไม่ต้องเดินทางไปคาสิโนหรือหาตู้สล็อตโดยตรง ทำให้ท่านไม่เสียเวลาทิ้ง
เว็บสล็อตเปิดใหม่ สุดยอดเว็บเกมสล็อตที่ดีที่สุด pgzeed สามารถเล่นผ่านระบบ ios และ android เล่นได้หลายแพลตฟอร์ม
สมาชิกท่านใดที่กังวลเรื่องความปลอดภัย การโกง pgslot เราเป็นเว็บตรงไม่ผ่านเอเยนต์เปิดให้บริการอย่างเป็นทางการ
475408 242750Excellent blog right here! Also your website rather a lot up fast! 894197
เครดิตฟรี ไม่ต้องฝาก เป็นสิ่งที่เว็บพนันออนไลน์ สล็อตเครดิตฟรี50 มีไว้ตอบแทนแก่สมาชิกของเว็บ
PG SLOT เกมส์สล็อตออนไลน์ที่ได้รับความนิยมpg slotที่มีคนเล่นมากที่สุดในปี 2023
เกมออนไลน์pgslot work
ที่เปิดมาสู่ฟอร์มใหม่ที่น่าตื่นเต้น เล่นแล้วมีผลกำไรจริง
PGSLOT เกมสล็อต pgslot
ที่ได้รับความนิยมมากที่สุดในตอนนี้
สล็อตออนไลน์ไม่เพียงแต่สนุกและตื่นเต้น pgzeedแต่ยังมีความเป็นมืออาชีพและน่าเชื่อถือด้วย
ทางเลือกที่เหนือกว่าสำหรับผู้ที่ต้องการเล่นสล็อตpgzeedระดับพรีเมียม ด้วยกราฟิกที่อลังการ ความหลากหลายของเกม โบนัสและโปรโมชั่นที่น่าสนใจ
ผู้เล่นสามารถเลือกเล่นเกมส์ตามความชอบได้อย่างไม่จำกัดsuperslotสล็อตเว็บตรง เว็บแท้ มาแรงสุดในปี 2023
เข้าสู่โลกความสนุกและโอกาสในการเล่นpgสล็อตออนไลน์ อยากให้ลอง
สล็อตเว็บตรง ไม่ผ่านเอเย่นต์ ไม่มีขั้นต่ำ สล็อตเว็บตรงแจกโบนัสถอนไม่อั้น
แจกโบนัสจำนวนมาก เพื่อให้ผู้เล่นได้เอาโบนัสไปเล่นpgสล็อตกันแบบสนุกๆไปเลย คาสิโนออนไลน์เว็บตรง
สนุกสุดมันกับเกมสล็อต pg ที่เว็บ อเวจี สล็อต
ประสบการณ์สุดพิเศษแห่งความบันเทิง
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มาเล่น pg slot เว็บตรง กับเราเว็บpg slot
ที่ไม่มีขั้นต่ำ จ่ายเต็มทุกบาท ไม่ตุกติก
เว็บไซต์สล็อตออนไลน์pgslot
ที่ได้รับการยอมรับและความนิยมเป็นอย่างมากในวงการคาสิโนออนไลน์
เว็บสล็อตออนไลน์ใหม่ล่าสุด สล็อตเว็บตรง
เล่นยังไงก็แตกถอนได้ไม่อั้น
เป็นสล็อตเว็บตรงไม่ผ่านเอเย่นต์ ที่มีลิขสิทธิ์แท้สล็อตเว็บตรง แตกหนัก ซึ่งทำให้เว็บไซต์ของเราน่าเชื่อถือกว่าเว็บอื่น
ท้าชิงรางวัลใหญ่ ด้วยเกมส์สล็อตสุดฮิต pgzeed888ชิงโชคกันแล้ววันนี้
ให้ลุ้นชคและสนุกสนานไปกับเกมส์สล็อต pgzeed999และเพิ่มโอกาสชนะของคุณให้มากขึ้น
เข้าสู่โลกของการพนันด้วย เครดิตฟรี เป็นวิธีที่ยอดเยี่ยมในการเริ่มต้น.โค้ดเครดิตฟรีกดรับเอง
มันเป็นโอกาสที่เราไม่ควรมองข้าม
เป็นทางเลือกที่ดีเครดิตฟรีล่าสุดสำหรับผู้เล่นที่กำลังมองหาโอกาสในการเพิ่มเงินทุนในการเดิมพันของพวกเขา
โปรโมชั่นฝาก19รับ100
สล็อต ล่าสุด รับได้เลย ตอนนี้
สนุกไปกับสล็อตที่คุณชื่นชอบและเตรียมพร้อมที่จะเป็นผู้ชนะในโลกของสล็อตออนไลน์กับpgslotAuto ตอนนี้
สล็อตเว็บตรง อันดับ 1 jaojeng
จากมุมมองของผู้เล่นที่ชื่นชอบการเล่นเกมออนไลน์
เครดิตฟรี PG SLOT โดยไม่ต้องฝากเงิน ไม่ต้องแชร์ รับไปได้เลยเครดิตฟรี50
รับง่ายเล่นสบายๆ
สล็อตอันดับหนึ่งครองใจผู้เล่นสล็อต 249เกมที่หาเงินได้เร็วที่สุด ในขณะนี้
สล็อตเว็บตรง แตกง่าย ฝากถอน อัตโนมัติ ไม่มีขั้นต่ําพีจี สล็อตพร้อมโบนัส และเครดิตฟรีเพียบ
หนทางแห่งความสนุกและโชคดีบางกอก 789
ต้องที่นี่ที่เดียว
เว็บไซต์สล็อตแตกง่าย ได้เงินไวgrand lisboa สล็อต ที่ได้รับความนิยมจากเหล่านักเสี่ยงโชคมาก
เว็บไซต์ให้บริการเกมสล็อตทรูวอเลท goodbet711 สล็อตด้วยมาตรฐานการบริการที่ดีที่สุด
ลงทะเบียนเป็นสมาชิก ร่วมสนุกสนาน เล่นเกมm98 สล็อต ได้แล้ววันนี้กับทางเว็บไซต์เรา