Nthawi zina, timakumana ndi mavuto azaumoyo omwe ndi ovuta ngakhale kukambirana, koma amapweteka kwambiri. Chilonda cha kumatako—chotupa chofiira, chotupa, komanso chofewa pafupi ndi kumatako—ndi vuto lomwelo. Chifukwa cha ululu womwe mumamva mukakhala pansi, mukuyenda, kapena mukugwiritsa ntchito chimbudzi, chingakhale chofooketsa kwambiri moti chimasokoneza moyo wanu watsiku ndi tsiku. Kodi mukukumana ndi izi? Ngati ndi choncho, chonde musachite mantha. Tiyeni tikambirane za vutoli momveka bwino komanso mosavuta, lomwe labweretsedwa kwa inu ndi Nirogi Lanka.
Kodi kwenikweni chiphuphu cha m'makoswe n'chiyani?
Mwachidule, thumba la kumatako ndi chotupa chopweteka, chodzaza mafinya chomwe chimakula pafupi ndi kumatako kapena pansi pa khungu m'dera la kumatako. Ngalande yanu ya kumatako ili ndi tinthu tating'onoting'ono tomwe timatulutsa mafinya kuti tithandize mafuta. Tinthu tating'onoting'onoti tikatsekedwa, timakhala ndi matenda a bakiteriya, zomwe zimapangitsa kuti mafinya azisonkhana—umu ndi momwe chotupa chopwetekacho chimapangikira.
Mtundu wofala kwambiri ndi 'Perianal Abscess,' womwe nthawi zambiri umawoneka ngati kutupa kofiira, kofewa, komanso kofunda. Nthawi zina, chithupsa chimatha kukula mkati mwa rectum; izi sizimawoneka kuchokera kunja.
Kugwirizana pakati pa Anal Abscess ndi Anal Fistula
Ndikofunikira kumvetsetsa ubale womwe ulipo pakati pa chiphuphu ndi fistula ya kumatako. Anthu ambiri (pafupifupi 50%) omwe amatuluka chiphuphu cha kumatako amatha kudwala fistula ya kumatako.
Fistula ya kumatako ndi ngalande yosazolowereka yomwe imalumikiza malo omwe chilondacho chinapangidwira (mkati mwa ngalande ya kumatako) ndi pamwamba pa khungu. Imeneyi kwenikweni ndi njira yopangidwa ndi thupi kuti matenda atuluke.
Fistula ingayambitse kutuluka kwa mafinya, magazi, kapena nthawi zina ndowe kudzera m'kabowo kakang'ono pakhungu. Ngati kabowo aka katseka, malowo amatha kubwereranso, zomwe zimapangitsa kuti pakhale thumba latsopano. Chifukwa chake, zilonda zomwe zimabwereranso nthawi zambiri zimakhala chizindikiro champhamvu cha fistula yomwe ili pansi pake.
Kodi ndi zinthu ziti zomwe zimayambitsa komanso zomwe zimayambitsa matenda amenewa?
Palibe chifukwa chimodzi chokha choyambitsa thumba la m'malungo; m'malo mwake, zinthu zosiyanasiyana komanso matenda zimatha kuwonjezera chiopsezo chanu. Tiyeni tiwone bwino izi mu tebulo ili m'munsimu.
| Choyambitsa / Choyambitsa Chiwopsezo | Kufotokozera Kosavuta |
|---|---|
| Ma Tizilombo Totsekeka Tomwe Timatuluka Kumayako | Ichi ndi chifukwa chofala kwambiri. Tizilomboti tikatsekeka, mabakiteriya amatha kuchulukana, zomwe zimapangitsa kuti matenda ayambe kufalikira komanso kuti mafinya azitha kusonkhana. |
| Mikwingwirima ya kumatako | Kung'ambika pang'ono m'kati mwa thako lanu, komwe nthawi zambiri kumachitika chifukwa cha kudzimbidwa kosatha, kungathandize ngati malo olowera mabakiteriya, zomwe zimayambitsa matenda. |
| Matenda a M'mimba | Ngati mukudwala matenda a kutupa m'matumbo (IBD), monga matenda a Crohn kapena matenda a zilonda zam'mimba, chiopsezo chanu chokhala ndi thumba ndi chachikulu. |
| Matenda a shuga | Ngati muli ndi matenda a shuga, mphamvu ya thupi lanu yolimbana ndi matenda ikhoza kuchepetsedwa, zomwe zingawonjezere chiopsezo chanu chonse. |
| Chitetezo cha Mthupi Chofooka | Anthu omwe ali ndi chitetezo chamthupi chochepa chifukwa cha mankhwala a chemotherapy, kugwiritsa ntchito mankhwala a steroid kwa nthawi yayitali (monga prednisone), kapena matenda monga HIV ali pachiwopsezo chachikulu. |
| Zinthu Zina | Matenda opatsirana pogonana, kuvulala m'dera la kumatako, kusuta fodya, komanso kudzimbidwa kosalekeza kungakhalenso zinthu zomwe zimayambitsa vutoli. |
Kodi ndi Ma Hemorrhoids kapena Chifuwa Choyamwa? Kumvetsetsa Kusiyana
Ndizachilendo kwambiri kwa odwala ku Nirogi Lanka kusokoneza matenda awiriwa. Chifukwa chakuti amapezeka m'dera lomwelo ndipo onsewa amayambitsa zizindikiro monga kupweteka kapena kuyabwa, chisokonezocho n'chomveka. Komabe, ndi matenda awiri osiyana kwambiri.
Matenda a m'mimba si matenda; ndi mitsempha yamagazi yotupa komanso yotupa m'ngalande ya m'makowa. Mosiyana ndi zimenezi, thumba la m'makowa ndi gulu la mafinya lomwe limapezeka m'malo ena chifukwa cha matenda a bakiteriya.
Tiyeni tifotokoze bwino kusiyana kumeneku mu tebulo ili m'munsimu.
| Mbali | Chifuwa cha m'makoswe | Ma hemorrhoids |
|---|---|---|
| Chilengedwe | Chotupa chodzaza mafinya, chofiira, komanso chotupa chomwe chimamveka chotentha chikakhudza. | Mtsempha wamagazi wolimba, wotupa, nthawi zambiri utoto wake ndi wofiirira kapena wabuluu. |
| Ululu | Ululu wopweteka kwambiri, wokhalitsa komanso wopweteka. Izi nthawi zambiri zimakhala zovuta kwambiri mukakhala pansi. | Zingayambitse kuyabwa, kusasangalala, kapena kupweteka, koma nthawi zambiri sizimapweteka kwambiri. |
| Malungo ndi Kuzizira | Inde , chifukwa chakuti matendawa ndi matenda opatsirana, mungamve malungo ndi kuzizira. | Ayi , ma hemorrhoids si matenda ndipo samayambitsa malungo. |
| Kutulutsa | Ngati thumba la thumba laphulika, mungaone mafinya akutuluka pamalopo. | Palibe mafinya; komabe, mungaone magazi pang'ono. |
Kodi dokotala amazindikira bwanji izi?
Ngati mukukumana ndi zizindikiro izi, ndikofunikira kuti mukaonane ndi dokotala. Dokotala wanu nthawi zambiri amawunikanso mbiri yanu yachipatala ndikukuyezani thupi.
- Kuyezetsa Thupi: Dokotala adzayang'ana malo anu akumatako kuti awone ngati pali zizindikiro zotupa, kufiira, ndi kupweteka.
- Kuyezetsa kwa Digital Rectal (DRE): Pogwiritsa ntchito chala chopakidwa magolovesi, dokotala wanu adzayang'ana mosamala ngalande ya kumatako kuti aone ngati pali ziphuphu zamkati kapena zolakwika zina.
- Kuyezetsa Kwina: Nthawi zina, makamaka ngati chilondacho chili mkati mwa thupi, dokotala wanu angakulangizeni kuti mupimidwe ndi ultrasound, CT scan, kapena MRI. Angakulangizeninso kuti mupimidwe ndi colonoscopy kuti mupewe matenda ena monga Inflammatory Bowel Disease (IBD).
Kodi chimachiritsidwa bwanji? Kodi chidzatha chokha?
Ndikofunikira kumvetsetsa kuti thumba la kumatako silingachiritse lokha. Limafunika thandizo lachipatala mwachangu.
Chenjezo: Musayesere kufinya, kutulutsa madzi, kapena kuboola thumba la kumatako kunyumba. Kuchita izi kungayambitse kufalikira kwa matendawa, zomwe zingayambitse mavuto aakulu monga sepsis, yomwe ndi ngozi yachipatala yomwe ingawononge moyo. Ngati mukukumana ndi zizindikiro za thupi monga kutentha thupi kwambiri kapena kusokonezeka, imbani 911 kapena pitani ku chipinda chadzidzidzi chapafupi nthawi yomweyo.
Madzi Oyendetsera Opaleshoni
Chithandizo chodziwika bwino komanso chothandiza kwambiri cha thumba la m'malungo ndi opaleshoni yotulutsa mafinya kwathunthu.
- Matumbo Osaonekera: Nthawi zambiri amatha kuchotsedwa madzi m'chipinda chogwirira ntchito (OPD) pogwiritsa ntchito mankhwala oletsa ululu m'thupi m'mphindi zochepa chabe.
- Matumbo Ozama Kapena Ovuta: Izi zingafunike kupita kuchipatala kapena ku malo ochitira opaleshoni, komwe opaleshoniyo imachitikira pansi pa mankhwala oletsa ululu.
Pambuyo pa njirayi, kudulako nthawi zambiri kumasiyidwa kotseguka kuti malowo achire kuchokera mkati kupita kunja, kuonetsetsa kuti palibe matenda ena omwe atsala.
Kuchira Pambuyo pa Opaleshoni
Pambuyo pa opaleshoni, ululu wanu ukhoza kuchira kwambiri. Kuti muchiritse bwino, dokotala wanu angakulangizeni kuti:
- Mpumulo wa Ululu: Mankhwala adzaperekedwa kuti athetse ululu uliwonse wochitika pambuyo pa opaleshoni.
- Mankhwala opha tizilombo: Mankhwalawa angakupatseni mankhwala oletsa matenda, makamaka ngati muli ndi matenda ena monga matenda a shuga. Ndikofunikira kwambiri kuti mumalize kumwa mankhwala onse omwe mwapatsidwa.
- Sitz Bath: Izi ndi zothandiza kwambiri. Kukhala m'beseni la madzi ofunda kwa mphindi 10-15, kangapo patsiku, kumathandiza kutonthoza malowo, kusunga bala loyera, komanso kulimbikitsa kuchira.
- Kupewa Kudzimbidwa: Dokotala wanu angakulangizeni mankhwala ofewetsa ndowe komanso zakudya zokhala ndi ulusi wambiri (zipatso, ndiwo zamasamba) kuti muzitha kuyenda bwino m'matumbo pamene bala lanu likuchira.
Mavuto obwera chifukwa cha kuchedwa kulandira chithandizo
Kunyalanyaza thumba la m'matupi kungayambitse mavuto aakulu azaumoyo.
- Kupangika kwa fistula: Chilonda chosachiritsidwa nthawi zambiri chimayambitsa matenda a fistula m'makoswe, omwe ndi ngalande yosazolowereka yolumikiza ngalande ya m'makoswe ndi khungu.
- Kufalikira kwa matenda: Matendawa amatha kulowa m'magazi mwanu, zomwe zingayambitse sepsis.
- Kubwerezabwereza: Ngati sichinatulutsidwe bwino, chilondacho chikhoza kubwerera.
- Chilonda cha Fournier:Matenda osowa koma oopsa kwambiri, omwe akupita patsogolo mofulumira m'minofu yozungulira ziwalo zoberekera zomwe zimafuna chisamaliro chadzidzidzi.
Kufunafuna upangiri kwa dokotala zizindikiro zikangoyamba ndiye njira yabwino kwambiri yotsimikizira kuti mukuchira bwino.
Nirogi Lanka: Uthenga Wofunika Wopita Nawo Kunyumba
- Chilonda cha m'makoswe ndi matenda opweteka komanso odzaza mafinya omwe amafunika chisamaliro cha akatswiri.
- Musasokoneze izi ndi ma hemorrhoids; kukhalapo kwa malungo ndi kupweteka kwakukulu kosalekeza ndi zizindikiro zazikulu za thumba.
- Vutoli silidzatha lokha. Musachedwe kupita kwa dokotala.
- Musayese kutulutsa thumba kunyumba, chifukwa izi ndi zoopsa kwambiri.
- Kuchotsa madzi m'thupi pogwiritsa ntchito opaleshoni ndiye njira yodziwika bwino, yotetezeka, komanso yothandiza.
- Ngati mukuvutika ndi ziphuphu zomwe zimabwerezabwereza, kambiranani ndi dokotala wanu za kuthekera kwa fistula yomwe ili mkati mwa thumba lanu.
