الشق الشرجي
Abstract
يعتبر الشق الشرجي من أكثر الآفات الشائعة منذ القدم، إذ وضع أول وصف لها منذ حوالي قرنين من الزمن. والشق عبارة عن تمزق أو شرخ أو قرحة طولا نية تقع على المحور الطولاني لأسفل قناة الشرج تحت الخط المسنن عادة على الوجه الخلفي للشرج (90% من الحالات وسطيا ).
من أهم مسبباته الإمساك المزمن والحمل والولادات والاستئصال الجائر لمخاطية الشرج والمستقيم في حالات جراحة البواسير. كما تلعب المعالجة الخاطئة للبواسير الشرجية باستعمال الماسورة الخاصة بالمراهم الشرجية الحادة المقطع والقاسية دورا في الإصابة بالشقوق الشرجية.
الإناث أكثر إصابة من الذكور 1/2تقريبا، وأكثر أشكاله مشاهدة هو الشق المزمن (65% من الحالات) وحوالي ربع الحالات تكون مترافقة بأمراض شرجية أخرى خاصة البواسير، وأهم تظاهراته الألم الحاد والنزف.
عولجت هذه الحالات في مشفانا جراحيا بثلاث طرق، كانت أكثرها شيوعا طريقة استئصال الشق وخزع المصرة الخلفي مع خياطة مخاطية الشرج مع الجلد لنتائجها الجيدة وقلة مضاعفاتها.
Anal fissure is the most common problem in anus. It was first described two centuries ago. An anal fissure is a split in the anoderm in either the posterior or anterior midlin just distal to the dentate line. 90% of our anal fissure cases occure postriorly.
The cause of the anal fissures has been postulated to be: chronic constipation, pregnancy, extensive mucosal resection during Haemorrhoidectomies.
Also the incorrect treatment of piles – o.g using the special adopter for piles ointments application – can be considered a cause of anal fissure .The Ratio of females to meles is about 2/1.
Chronic anal fissure is the most common from (65%of all cases). 25% are accompanied with the anal diseases such as piles. The typical manifest tires of anal fissure are extreme pain during defecation and red blood streaking the stool.
These cases were treated surgically in 3 different rethodes the commonest one was the dorsal fissurectomy and postesior sphincterotomy. This method has better results and less complication.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The authors retain the copyright and grant the right to publish in the magazine for the first time with the transfer of the commercial right to Tishreen University Journal for Research and Scientific Studies - Health Sciences Series
Under a CC BY- NC-SA 04 license that allows others to share the work with of the work's authorship and initial publication in this journal. Authors can use a copy of their articles in their scientific activity, and on their scientific websites, provided that the place of publication is indicted in Tishreen University Journal for Research and Scientific Studies - Health Sciences Series . The Readers have the right to send, print and subscribe to the initial version of the article, and the title of Tishreen University Journal for Research and Scientific Studies - Health Sciences Series Publisher
journal uses a CC BY-NC-SA license which mean
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material
- The licensor cannot revoke these freedoms as long as you follow the license terms.
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes.
- ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.