Kodi mwakhalanso ndi chotupa chopweteka pafupi ndi thako lanu? Chingakhale 'Perianal Abscess'!

Kodi mudayamba mwakhalapo ndi chotupa chopweteka kwambiri, chofiira, komanso chotupa kuzungulira thako lanu (kumene timachitira chimbudzi)? Vutoli, lomwe limakhala lopweteka kwambiri moti simungathe kukhala pansi kapena kusuntha, ndi losasangalatsa kwenikweni. Nthawi zambiri, ili likhoza kukhala vuto lotchedwa 'Perianal Abscess'. Dzinali lingamveke ngati nkhani yaikulu, koma tiyeni tikambirane mwachidule, m'njira yomwe mungamvetse.

Kodi thumba la perianal ndi chiyani?

Mwachidule, ndi chotupa chodzaza mafinya chomwe chimapangika mkati kapena mozungulira anus yanu (malo ozungulira m'mimba). Chimakhala ngati chithupsa chachikulu kapena chithupsa pakhungu lathu, koma chili pamalo osavuta kumva.

Rectum yathu ndi gawo lomaliza la dongosolo logaya chakudya. Ndi chubu chotalika pafupifupi mainchesi awiri. Chili ndi mizere iwiri ya minofu mkati ndi kunja, yomwe timaitcha "sphincters". Minofu imeneyi imayang'anira njira yodutsa ndowe. Chifukwa chake, mkati mwa rectum iyi muli tinthu tambiri tofewa kwambiri. Tinthu tating'onoting'ono timatulutsa timadzi tomwe timasunga rectum kukhala yonyowa. Ngati imodzi mwa tinthu tating'onoting'onoti yatsekedwa mwanjira ina, imayambitsidwa ndi mabakiteriya ndipo mafinya amayamba kusonkhana mkati. Pamenepo ndiye pamene thumba lopwetekali limapangidwa.

Vutoli nthawi zina limatchedwa ``Anal Abscess'' kapena ``Anorectal Abscess.'' Ngakhale pali mayina angapo, onse amatanthauza chinthu chimodzi.

Ndani amene ali ndi mwayi waukulu wopeza matendawa? Ndani amene ali pachiwopsezo chachikulu?

Matendawa, otchedwa ``Perianal Abscess'', amapezeka kwambiri mwa amuna. Amafala kwambiri mwa anthu azaka zapakati pa 20 ndi 60. Komanso, anthu omwe ali ndi matenda enaake ali pachiwopsezo chachikulu chotenga matendawa.

Tiyeni tiwone omwe angakhale pachiwopsezo chachikulu?

• Ngati muli ndi vuto lotchedwa Inflammatory Bowel Disease (IBD) (monga matenda a Crohn kapena Ulcerative colitis). Izi ndi matenda otupa omwe amakhudza matumbo nthawi zonse.
• Ngati muli ndi `(Diabetes Mellitus)` (shuga).
• Ngati muli ndi vuto lomwe matumba ang'onoang'ono amapangika m'matumbo, monga diverticulitis, ndipo amadwala.
• Ngati muli ndi matenda omwe amafooketsa chitetezo cha mthupi, monga HIV/AIDS.
• Chiwopsezochi chingawonjezekenso ndi matenda ena opatsirana pogonana (STIs).

Kuwonjezera pa izi, palinso zinthu zina zoopsa:

• Ngati ndinu mayi woyembekezera.
• Ngati ndinu wosuta fodya.
• Ngati mukumwa mankhwala a steroid monga Prednisone, mankhwala a khansa, kapena mankhwala ena omwe amaletsa chitetezo chamthupi chanu.
• Ngati mumatsegula m'mimba kapena kudzimbidwa pafupipafupi.
• Nthawi zina, kuvulala ndi matenda amtundu uwu kungachitikenso chifukwa cholowetsa zinthu zina m'chimbudzi (monga nthawi yogonana).

Kodi zizindikiro zake ndi ziti? Kodi mumazindikira bwanji?

Chizindikiro chodziwika kwambiri ndi chakuti,Chotupa kapena chotupa chomwe chimakhala chofiira, chotupa, komanso chopweteka kwambiri chikakhudza pafupi ndi thako. Chimawoneka ngati chiphuphu chachikulu. Nthawi zina izi zimatha kukhala ululu wopweteka kwambiri. Ululuwu ukhoza kukulirakulira mukakhala pansi, mukutsokomola, kapena mukutulutsa chimbudzi. Tangoganizirani, izi zitha kukhala zopweteka kwambiri moti simungathe kuchita ntchito zanu za tsiku ndi tsiku.

Pakhoza kukhalanso zizindikiro zina:

• Kutuluka kwa madzi ngati mafinya kuchokera ku anus.
• Ululu waukulu mkati kapena mozungulira rectum.
• Chotupa chofiira, chotupa, chopweteka kapena chotupa.
• Kudzimbidwa kapena kupweteka pamene matumbo akutuluka.
• Kusamva bwino monga kutupa ndi kuyabwa kwa khungu kuzungulira mphuno.
• Nthawi zina magazi pang'ono amatuluka ndi ndowe (kutuluka magazi m'mimba).
• Kupweteka m'mimba m'munsi.

Popeza pali matenda mkati mwa chilondachi, anthu ena amatha kukhala ndi zizindikiro zofanana ndi chimfine, monga malungo, kuzizira, ndi kupweteka kwa thupi .

N’chifukwa chiyani chiphuphu chimakula chonchi? Kodi zimayambitsa chiyani?

Nthawi zambiri, chifukwa chachikulu chomwe chimapangitsa kuti `(Parianal Abscess)` ichi chikhale chotseka chimodzi mwa tiziwalo tofewa mkati mwa mphuno zomwe ndatchula kale. Tizilomboti tikatseka, mabakiteriya kapena tizilombo toyambitsa matenda timakhala mkati mwake, zomwe zimayambitsa matenda. Pamenepo ndi pomwe mafinya amasonkhana ndipo chithupsachi chimapangidwa.

Pakhoza kukhala zifukwa zina:

• Matenda a mng'alu wa m'makoswe.
• Kuvulala kulikonse kwa malo olumikizirana kumatako (mwachitsanzo, panthawi yogonana kumatako).
• Matenda opatsirana pogonana (STIs).
• Matenda ena a m'mimba.
• Nthawi zina, vuto ngati ili lingachitikenso chifukwa cha matenda a "Epidermoid cyst" (nthawi zambiri iyi ndi chotupa chomwe chimachitika chifukwa cha kutsekeka kwa mafuta pakhungu) pakhungu lozungulira anus. Komabe, silopweteka kwambiri poyerekeza ndi "Parianal Abscess" wamba ndipo limakhala ndi zizindikiro zochepa monga malungo.
• Hidradenitis Suppurativa ndi matenda a pakhungu osatha omwe amayambitsa zithupsa zopweteka komanso zobwerezabwereza m'matenda a thukuta m'khwapa, m'mimba, mozungulira bere, komanso pansi pa mabere.

Kodi dokotala amazindikira bwanji izi molondola?

Ngati muli ndi zizindikiro izi, muyenera kuonana ndi dokotala. Dokotala nthawi zambiri amakuyesani.

Izi nthawi zambiri zimatha kuzindikirika poyezetsa rectal . Dokotala amavala magolovesi, amapaka mafuta, ndikuyika chala mu rectum kuti awone ngati pali vuto lililonse. Nthawi zina, chipangizo chotchedwa speculum chingagwiritsidwe ntchito poyang'ana mkati mwa rectum.

Ngati chithupsacho chikuoneka kuchokera kunja, dokotala akhoza kuchizindikira popanda kugwiritsa ntchito zipangizo zilizonse. Komabe, zithupsa zina zimatha kupezeka mozama kuposa pamwamba pa khungu.

Ngati pali kukayikiridwa kuti pali thumba lozama lotere, dokotala angachite mayeso otchedwa ``Proctosigmoidoscopy``. Mu mayeso awa, chubu chopyapyala chimayikidwa mu rectum. Kumapeto kwa chubucho pali kamera yaying'ono ndi kuwala. Komanso, nthawi zina mayeso monga ``CT scan```, ``MRI``` kapena ``Ultrasound`` angafunike kuti adziwe kukula kwenikweni ndi malo otseguka.

Mayeso awa amachitika kuti atsimikizire ngati iyi ndi ``Parianal Abscess'' kapena vuto lina lalikulu monga khansa ya m'matumbo.

Kodi imachiritsidwa bwanji?

Chithandizo chachikulu cha izi ndikutsegula thumba ndikutulutsa mafinya. Izi ziyenera kuchitidwa ndi dokotala.

Chofunika kwambiri: Musayese kuphulitsa kapena kufinya chithupsa chotere nokha! Kuchita zimenezi kungayambitse matenda ndikuwonjezera vutoli.

Anthu ambiri amamva kupweteka kwambiri akatulutsa mafinya.

Kawirikawiri, dokotala amatha kuchotsa mafinyawa mu ofesi yake (OPD) mwa kupereka mankhwala ochepetsa zizindikiro, ndikudula pang'ono ndi scalpel kapena singano.

Komabe, ngati chilondacho ndi chachikulu kapena chakuya kwambiri, mungafunike opaleshoni iyi kuchipatala pansi pa opaleshoni ya anesthesia.

Nthawi zina, kutengera malo ndi kuopsa kwa malo otsegukawo, chubu chaching'ono (catheter) chingaikidwe pamalo otsegukawo kuti mafinya atuluke. Nthawi zambiri, sipafunika kusoka, mankhwala ndi bandeji zimangoyikidwa.

Pambuyo pa opaleshoni, dokotala wanu angakuuzeni kuti muchite izi:

• Tengani "sitz bath" kangapo patsiku. Izi zikutanthauza kukhala mu chidebe cha madzi ofunda ndi malo anu oberekera omwe ali m'madzi ofunda. Izi zichepetsa ululu ndi kutupa, ndikuthandizira bala kuchira mwachangu.
• Mankhwala opha tizilombo angaperekedwe kuti athetse matenda, kapena ngati munthuyo ali ndi chitetezo chamthupi chofooka.
• Mankhwala oletsa ululu kapena ofewetsa ndowe angaperekedwe kuti achepetse ululu panthawi yoyenda m'mimba.
• Kuti muchepetse ululu, mungapemphedwe kuti mumwe mankhwala ochepetsa ululu nthawi zonse kapena mankhwala amphamvu ochepetsa ululu omwe dokotala wakupatsani.

Kodi vutoli lingathetsedwe kunyumba?

Nthawi zina za `(Perianal Abscess)`, ma compress ofunda ndi `(Sitz bath)` angapereke mpumulo kunyumba. Komabe, nthawi zonse ndi bwino kuonana ndi dokotala ndikupempha upangiri wake. Chifukwa, nthawi zina, dokotala angasankhe kuti ndikofunikira kuchotsa mafinya kudzera mu opaleshoni. Ngati chithupsa chikaphulika chokha popanda upangiri wa dokotala, pali chiopsezo chofalitsa matendawa.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire?

Chiphuphu cha perianal nthawi zambiri chimatenga milungu itatu kapena inayi kuti chichiritse bwino mafinya atachotsedwa. Komabe, malinga ndi American Society of Colon and Rectal Surgeons, pafupifupi theka la anthu omwe ali ndi chiphuphu pambuyo pake adzayamba kudwala fistula (njira yolumikizirana pakati pa anus ndi rectum).

Kodi muyenera kutsuka mtedza uwu?

Ayi, musachite zimenezo. Kuchita zimenezi kungayambitse matenda kapena kukulitsa thumba. Ndi bwino kwambiri kuyeretsa izi ndi dokotala.

Kodi mumatani ngati chilondachi chaphulika mwadzidzidzi?

Ngati chilondacho chaphulika chokha, yesetsani kusunga malowo kukhala oyera momwe mungathere. Tsukani bwino ndi sopo ndi madzi ndikuphimba ndi bandeji yoyera. Komabe, ikhoza kukhalabe ndi kachilomboka, kapena ikhoza kukhala ndi kachilomboka. Choncho dikirani masiku angapo kuti muwone ngati chikuchira bwino. Onetsetsani kuti mwaonana ndi dokotala kuti akupatseni upangiri.

Kodi ndingatani kuti izi zisabwerezenso?

Mukhoza kuchita izi kuti mtundu uwu wa chithupsa usabwerenso:

• Ngati muli ndi matenda omwe amakuika pachiwopsezo cha matendawa, monga matenda a shuga kapena kutupa kwa matumbo, athetseni bwino.
• Nthawi zonse sungani malo anu otulukira maliseche ndi maliseche anu kukhala aukhondo. Tsatirani njira zabwino zaukhondo.
• Kugwiritsa ntchito kondomu pogonana ndi munthu m'malo olumikizirana mafupa kungalepheretse kufalikira kwa matenda opatsirana pogonana (matenda opatsirana pogonana) ndi mabakiteriya.

Matenda ena (monga IBD) sangathetseretu vutoli. Komabe, ndikofunikira kupeza chithandizo choyenera cha matenda amenewo ndikudziwa kuti angayambitse zilonda zamtunduwu.

Kodi izi ndi nkhani yaikulu?

Chilonda cha perianal nthawi zambiri sichili chachikulu ndipo chingachiritsidwe. Komabe, ngati zizindikiro zanu zikuipiraipira kapena sizikuchepa mutalandira chithandizo, onetsetsani kuti mwadziwitsa dokotala wanu.

Kodi mavuto omwe angakhalepo ndi ati?

Chithandizo nthawi zambiri chimakhala chopambana. Komabe, nthawi zina, mavuto ena amatha kuchitika:

• Fistula ya m'makoswe (njira yolumikizirana pakati pa anus ndi nyini).
• Kupangika kwa thumba lobwerezabwereza.
• Kufalikira kwa matenda kapena ``Sepsis`` (matenda oopsa omwe angakhale oopsa kwa moyo).
• Fournier's gangrene (matenda oopsa kwambiri a bakiteriya omwe amafalikira ku minofu yozungulira buluzi ndi ziwalo zoberekera - izi sizichitika kawirikawiri).

Kodi ndiyenera kupita kwa dokotala liti?

Chilonda cha m'mabowo chingayambitse mavuto ngati sichichiritsidwa. Pitani kwa dokotala nthawi yomweyo ngati muli ndi zizindikiro izi:

• Kupweteka kwambiri komanso kusasangalala.
• Kutuluka magazi m'thupi.
• Malungo ndi kuzizira.
• Kutupa mozungulira mphuno.

Kodi kusiyana pakati pa hemorrhoids ndi abscess ndi kotani?

Anthu ena angasokoneze izi chifukwa zonse ziwiri zimakhala ndi vuto la kumaliseche. Komabe, pali kusiyana pakati pa ziwirizi.

• Ma hemorrhoids ndi mitsempha yamagazi yotupa yomwe imapanga mkati kapena kunja kwa anus. Amamva ngati ziphuphu. Angayambitse kusasangalala, kuyabwa, komanso nthawi zina kutuluka magazi. Komabe, ma hemorrhoids si matenda. Nthawi zambiri, ma hemorrhoids amatha kuchiritsidwa ndi mafuta ogulitsidwa kunja kwa chipatala kapena okha.
• Chiphuphu ndi chotupa chodzaza mafinya chomwe chimayamba chifukwa cha matenda. Nthawi zambiri chimakhala chopweteka kwambiri komanso chachikulu kuposa chotupa cha m'mimba. Ngakhale chotupa cha m'mimba chimamva cholimba pang'ono mukachikhudza, chotupacho chimamva chofunda, chofewa, komanso chopweteka mukachikhudza. Komanso, chotupacho chingayambitse zizindikiro monga malungo ndi kuzizira, zomwe zotupa za m'mimba sizimayambitsa.

Mwachidule, ngakhale kuti ma hemorrhoids ndi ovuta, thumba ndi vuto lomwe limafuna chisamaliro ndi chithandizo chambiri.

Pomaliza (Uthenga Wopita Nawo Kunyumba)

Chilonda cha perianal ndi vuto losasangalatsa komanso lopweteka kwambiri. Koma chabwino kwambiri ndichakuti ndi vuto lochiritsika . Ngakhale matenda ena amatha kuonjezera chiopsezo chanu, ndikofunikira kudziwa izi ndikuchitapo kanthu kofunikira.

Ngati muli ndi chotupa, kutupa, kapena ululu ngati uwu m'chimbudzi chanu, musachinyalanyaze. Makamaka ngati chikugwirizana ndi zizindikiro monga malungo ndi kuzizira, muyenera kuwonana ndi dokotala. Nthawi zambiri, mudzapeza mpumulo waukulu dokotala wanu akatulutsa mafinya m'chimbudzi. Kumbukirani, musayese kubisa kapena kubisa nokha!

Ndikukufunirani thanzi labwino!

Kung'ambika kwa m'mako , thumba la m'mako, thumba la mafinya, thumba la m'mako, thumba la m'mako, matenda a m'mako, matenda a m'mimba