Nthawi zina timakhala ndi mavuto azaumoyo omwe ndi ovuta kuwalankhula, koma opweteka kwambiri. Chotupa chofiira, chotupa, komanso chopweteka pafupi ndi anus ndi chimodzi mwa zinthu zimenezi. Ululu ukakhala pansi, ukuyenda, kapena kupita kuchimbudzi ukhoza kukhala wokhumudwitsa kwambiri moti sungathe kuchita ntchito zako za tsiku ndi tsiku. Kodi mwakumanapo ndi zoterezi? Ndiye musachite mantha ndi vutoli. Tiyeni tikambirane mwatsatanetsatane komanso mosavuta.
Kodi chiphuphu cha m'makoswe n'chiyani kwenikweni?
Mwachidule, thumba la kumatako ndi chotupa chopweteka, chodzaza mafinya chomwe chimapangika pansi pa khungu mozungulira kumatako kwanu. Pali tinthu tating'onoting'ono mkati mwa kumatako kwanu komwe kumathandiza kusunga chinyezi. Tinthu tating'onoting'onoti tikatsekedwa pazifukwa zilizonse, kachilombo ka bakiteriya kangayambe ndipo mafinya amatha kusonkhana mkati mwake. Mafinya amenewo amasonkhana, ndikupanga chotupa chopweteka.
Mtundu wofala kwambiri wa thumba lotupa umatchedwa perianal abscess, womwe umapezeka pafupi ndi potulukira thumba la thumba lotupa. Nthawi zambiri umawoneka ngati chotupa chofiira komanso chofewa. Nthawi zina, thumba limathanso kupangika mkati mwa thumba lotupa, m'malo otulutsiramo thumba. Silikuwoneka.
Kugwirizana pakati pa fistula ndi anal fissure
Chinthu china chomwe muyenera kudziwa mukalankhula za izi ndi chomwe chimatchedwa fistula. Anthu ambiri (pafupifupi 50%) omwe amadwala fistula ya kumatako pambuyo pake amadwala fistula.
Fistula ndi ngalande yosazolowereka yomwe imayamba kuchokera pamalo pomwe pali thumba lodzaza mafinya (mkati mwa thako) kupita pamwamba pa khungu. Iyi ndi njira yoti thupi litulutse mafinya omwe asonkhana chifukwa cha matenda.
Mng'alu uwu ungayambitse mafinya pafupipafupi, nthawi zina ndi ndowe kapena magazi pang'ono, kutuluka m'bowo laling'ono pakhungu. Nthawi zina, ngati bowo ili litatsekedwa, mafinya amatha kusonkhananso ndikupanga thumba latsopano. Chifukwa chake ngati mumakhala ndi ming'alu pafupipafupi m'makowa, pali mwayi waukulu kuti chifukwa chake ndi mng'alu.
Kodi ndi zifukwa ziti zomwe zimayambitsa komanso zomwe zimayambitsa matenda a khansa awa?
Palibe chifukwa chimodzi chokha chomwe chimayambitsa kung'ambika kwa anal. Pali zifukwa zosiyanasiyana komanso zinthu zomwe zingayambitse izi. Tiyeni tiwone patebulo.
| Choyambitsa/Choopsa | Kufotokozera kosavuta |
|---|---|
| Zilonda za kumatako zotsekedwa | Ichi ndiye chifukwa chachikulu komanso chofala kwambiri. Matenda a bakiteriya mkati mwa tinthu ta m'mimba amachititsa kuti mafinya azisonkhana. |
| Mikwingwirima ya kumatako | Mabakiteriya amatha kulowa kudzera m'ming'alu yaying'ono mu rectum chifukwa cha zinthu monga kudzimbidwa ndi kuyambitsa matenda. |
| Matenda a m'mimba | Anthu omwe ali ndi matenda otupa m'matumbo (IBD) monga matenda a Crohn kapena ulcerative colitis ali pachiwopsezo chachikulu. |
| Matenda a shuga | Anthu omwe ali ndi matenda a shuga ali pachiwopsezo chachikulu chotenga matenda aliwonse. |
| Chitetezo chamthupi chofooka | Anthu omwe ali ndi chitetezo chamthupi chofooka chifukwa cha matenda monga mankhwala a khansa (chemotherapy), mankhwala a steroid (prednisone), kapena kachilombo ka HIV nawonso ali pachiwopsezo chachikulu. |
| Zifukwa zina | Matenda opatsirana pogonana, kuvulala m'matako, kusuta fodya, ndi kudzimbidwa kosatha nazonso zingayambitse vutoli. |
Kodi ichi ndi matenda a hemorrhoids? Kapena mng'alu wa m'makoswe? Tiyeni tidziwe kusiyana kwake.
Anthu ambiri amasokoneza vutoli ndi ma hemorrhoids. Kusokonezeka kumeneku n'koyenera chifukwa zonsezi zimachitika m'dera lomwelo ndipo zonse zimayambitsa kupweteka ndi kuyabwa. Komabe, izi ndi matenda awiri osiyana kwambiri.
Matenda a m'mimba si matenda. Ndi mitsempha yotupa m'malo otulukira magazi. Mphuno ya m'malo otulukira magazi ndi thumba lodzaza mafinya lomwe limayambitsidwa ndi matenda a bakiteriya.
Tiyeni tifotokoze bwino kusiyana kumeneku ndi tebulo ili m'munsimu.
| Khalidwe | Chifuwa cha m'makoswe | Ma hemorrhoids |
|---|---|---|
| Chilengedwe | Chotupa chomwe chili ndi mafinya, chofiira, chotupa, ndipo chimamveka chofunda chikakhudza. | Mtsempha wamagazi wotupa womwe umaoneka ngati chotupa chofiirira-buluu, cholimba. |
| Ululu | Ululu wopweteka nthawi zonse, woopsa, makamaka akakhala pansi. | Mungamve kupweteka, kuyabwa, kapena kusasangalala, koma nthawi zina sizikhala zovuta kwambiri. |
| Malungo ndi kuzizira | Inde , uwu ndi matenda omwe angayambitse malungo, kuzizira, komanso kunjenjemera. | Ayi , ma hemorrhoids si matenda, choncho samayambitsa malungo. |
| Kutuluka kwa mafinya | Ngati thumba laphulika, mafinya amatha kutuluka. | Palibe mafinya. Pakhoza kukhala magazi pang'ono. |
Kodi dokotala amazindikira bwanji izi?
Ngati muli ndi zizindikiro izi, ndikofunikira kuonana ndi dokotala . Dokotala nthawi zambiri amakufunsani za zizindikiro zanu ndikuwunika dera lomwe muli.
- Kuwunika thupi: Dokotala adzayang'ana rectum ndi malo ozungulira, kuti aone ngati pali kutupa, kufiira, ndi ululu.
- Kuyezetsa kwa digito kwa rectum: Chala chovala magolovesi chimayikidwa mu rectum kuti chione ngati pali zotupa kapena matenda ena.
- Mayeso ena:Nthawi zina, makamaka ngati chotupacho chili mkati, scan monga ultrasound, CT scan, kapena MRI ingalimbikitsidwe kuti itsimikizire matendawa. Colonoscopy ingalimbikitsidwenso kuti iwonetse matenda ena, monga matenda otupa m'matumbo (IBD).
Kodi chimachiritsidwa bwanji? Kodi izi zitha kukhala bwino zokha?
Chofunika kwambiri kukumbukira apa ndichakuti mng'alu wa kumatako nthawi zambiri suchira wokha. Umafunikira chithandizo chamankhwala.
Chenjezo: Musayese kuchotsa mafinya pa chithupsachi kunyumba kapena kuchibaya ndi chinthu chakuthwa. Izi zitha kukulitsa matenda ndikuyambitsa mavuto oopsa monga sepsis.
Madzi Oyendetsera Opaleshoni
Kawirikawiri njira yabwino komanso yokhayo yochizira ming'alu ya kumatako ndikuchita opaleshoni yaying'ono kuti mafinya achotsedwe kwathunthu.
- Ma cysts ang'onoang'ono akunja: Izi nthawi zambiri zimatha kuchitika mu ofesi ya dokotala (OPD) pakangopita mphindi zochepa pansi pa anesthesia yapafupi.
- Zotupa zamkati kapena zazikulu: Pankhaniyi, muyenera kulowetsedwa kuchipatala, kupatsidwa mankhwala oletsa ululu, ndikuchitidwa opaleshoniyi m'chipinda chochitira opaleshoni pansi pa mankhwala oletsa ululu.
Pambuyo pa opaleshoni, chochekacho nthawi zambiri chimasiyidwa chotseguka mpaka mafinya atatuluka kwathunthu. Sichisokedwa.
Nthawi yochira pambuyo pa opaleshoni
Ululu utatha opaleshoni umachepa kwambiri. Kuti akuthandizeni kuchira msanga, dokotala wanu angakulangizeni izi:
- Mankhwala ochepetsa ululu: Mankhwala adzaperekedwa kuti achepetse ululu.
- Mankhwala Opha Mabakiteriya: Mankhwala opha mabakiteriya angakupatseni mankhwala oletsa matenda, makamaka ngati muli ndi matenda ena monga matenda a shuga. Ndikofunikira kumwa mankhwala awa nthawi yonse.
- Sitz Bath: Izi ndizofunikira kwambiri. Kukhala m'beseni la madzi ofunda kwa mphindi 10-15 kangapo patsiku kungathandize kuchepetsa ululu, kusunga bala loyera, komanso kungathandize kuti lichiritse mwachangu.
- Kupewa kudzimbidwa: Kumwa mankhwala otseketsa ( mankhwala otseketsa ) ndi kudya zakudya zokhala ndi ulusi wambiri (zipatso, ndiwo zamasamba) kungathandize kuchepetsa kusasangalala mukapita kuchimbudzi mpaka bala litachira.
Mavuto omwe angachitike ngati chithandizo choyenera sichinatengedwe
Ngati izi zinyalanyazidwa ngati nkhani yaying'ono, mavuto aakulu angachitike.
- Kupangika kwa fistula: Monga tafotokozera kale, ngati chotupa chikayamba, pali mwayi waukulu woti fistula ipangike.
- Kufalikira kwa matenda:Matendawa amatha kulowa m'magazi ndikufalikira m'thupi lonse, zomwe zimayambitsa matenda oopsa otchedwa sepsis.
- Kupangika kwa ma cyst pafupipafupi: Ngati mafinya sanachotsedwe bwino kapena ngati thumba la thumba layamba, ma cyst amenewa amatha kupitiriza kupanga.
- Fournier's gangrene: Ichi ndi matenda osowa kwambiri koma oopsa omwe amachititsa kuti minofu yozungulira ziwalo zoberekera izifa msanga.
Choncho, chinthu chabwino kwambiri kuchita ndikupempha upangiri kwa dokotala zizindikiro zikangoyamba kuonekera.
Uthenga Wopita Nawo Kunyumba
- Chiphuphu cha kumatako ndi chotupa chopweteka komanso chodzaza mafinya chomwe chimapangika mozungulira kumatako.
- Izi siziyenera kusokonezedwa ndi matenda a m'mimba. Malungo ndi ululu waukulu zitha kukhala zizindikiro za kusweka kwa msana.
- Matendawa nthawi zambiri sachira okha, choncho ngati muli ndi zizindikiro, musataye nthawi ndikuonana ndi dokotala.
- Pewani kuyesa kufinya kapena kubisa chotupacho kunyumba. Zingakhale zoopsa kwambiri.
- Kawirikawiri, chithandizochi chimafuna opaleshoni yaying'ono kuti achotse mafinya. Ichi ndi chithandizo chopambana komanso chotetezeka.
- Ngati muli ndi ma cysts pafupipafupi, lankhulani ndi dokotala wanu za izi, chifukwa mwina pali fistula yobisika pansi pake.
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