Ungasada kutaura nemunhu nezvekurwadziwa kana kusagadzikana muhuro nenzvimbo dzakapoteredza. Ungafunga kuti inyaya inonyadzisa uye isingafadzi. Asi hazvina kunaka kufuratira mamiriro ezvinhu akadaro. Nekuti kunyangwe dambudziko diki rinogona kuva dambudziko guru gare gare. Nhasi tiri kutaura nezvenyaya yakakosha iyo vanhu vazhinji vasingade kutaura nezvayo. Ndiyo chirwere chinonzi Anal Fistula uye nzira yekuvhiya inonzi Fistulotomy inoitirwa kurapwa kwayo.
Zvichitaurwa zviri nyore, chii chinonzi anal fistula?
Fungidzira kuti gomba diki rinoumbwa rakatenderedza anus yako, richibatanidza ganda rakaipoteredza nemukati me anus yako. Ndizvo zvatinongodaidza kuti anal fistula. Kazhinji inotanga nehutachiona kana kuti tupukanana twakapoteredza anus yako. Zvakafanana nebundu diki rakazadzwa nematumbu rinoumbwa pasi peganda rako. Kana bundu iri rakazadzwa nematumbu rikagara ipapo kwenguva yakareba, rinogadzira nzira yekuti matumbu abude. Ndiyo inova mugero uyu unonzi fistula.
Zvikonzero zvikuru zveizvi zvinogona kuva:
- Utachiona uye kuungana kwematumbu akakomberedza anus.
- Kumwe kukuvara panzvimbo iyoyo.
- Zvirwere zvemudumbu zvinogara kwenguva refu, zvakaita sechirwere cheCrohn.
Ndezvipi zviratidzo zvechirwere ichi?
Kana uine chirwere ichi, unogona kusangana nechimwe chezviratidzo zvinotevera kana kupfuura. Zvakakosha kuziva izvi.
| Chiratidzo | Tsananguro |
|---|---|
| Marwadzo uye kusagadzikana | Marwadzo anogona kuwedzera kana munhu akagara, achifamba, achikosora, uye kunyanya kana munhu achibvisa tsvina mumuviri. |
| Kuchinja kweganda | Ganda rakatenderedza huro rinogona kutsvuka, kuzvimba, uye kuvaviwa. |
| Kuburitswa | Urwa kana ropa riri pedyo ne anusZvinobuda zvinogona kubuda. Dzimwe nguva izvi zvinogona kunhuhwirira zvakaipa. |
| Dambudziko rekudzora kufamba kwedumbu | Mune zvimwe zviitiko, panogona kuva nekuoma kudzora kufamba kwedumbu. |
| Kupindwa nechando | Fivha inogona kuitika nekuda kwehutachiona huri mumuviri. |
Saka chii chinonzi kuvhiyiwa uku kunonzi Fistulotomy?
Kuvhiya kweFistulotomy ndiyo nzira yekuvhiya inobudirira uye inoshandiswa zvakanyanya kurapa fistula yekumashure. Iyi inzira iri nyore kwazvo. Chiremba anovhura nzira yefistula yandambotaura kare. Kureva kuti, anoicheka-cheka semugero. Zvadaro anochenesa nekubvisa hurwa, nyama ine utachiona, nedzimwe tsvina dzingave dziri mukati.
Kana ikavhurwa yocheneswa nenzira iyi, ronda rinotanga kupora kubva mukati zvichienda kunze. Izvi zvinobvisa mukana wekuti urwa huungane zvakare uye hugadzire mugero. Kazhinji, kuvhiyiwa uku ndiko kwakanakisisa pakurapa chirwere ichi.
Chinhu chinonyanya kukosha ndechekuti tsinga yekumashure haizombopora yoga. Zvinoda kurapwa nachiremba. Kana ikasarapwa, hutachiona hunogona kupararira mumuviri wese uye hunogona kukonzera zvirwere zvinouraya zvakaita se sepsis .
Kuvhiyiwa kwefistulotomy kunoitwa sei?
Maitirwo ekuvhiyiwa uku anoenderana nerudzi rwechikadzi chako.
- Kune hernia iri nyore uye isinganyanyi kutaurwa: Kuvhiyiwa uku kunogona kuitwa dzimwe nguva kunze kwechipatara, pasina kugara muchipatara.
- Kana iri hernia yakadzika uye yakaoma: Kuvhiyiwa uku kunoitwa paunenge uri muchipatara uye uri pasi peanesthesia muimba yekuvhiyiwa.
Panguva yekuvhiyiwa, chiremba anocheka nhengo yemukadzi uye anochenesa mukati zvakanaka. Zvadaro, dzimwe nguva ronda rinovharwa nemasitichi. Asi kazhinji, ronda rinosiyiwa rakavhurika uye rakazara nechinhu chakaita segauze. Ipapo ronda rinotanga kupora kubva mukati.
Chiremba anosarudza sei kuti iyi ndiyo nzira yakanakisisa yekurapa?
Usati wasarudza kana uchida fistulotomy kana kumwe kurapwa, chiremba wako achaita bvunzo dzinoverengeka kuti aone nzvimbo chaiyo, kudzika, uye nzira ye fistula.
| Bvunzo | Maitiro ekuzviita |
|---|---|
| Kuongororwa kwemuviri | Chiremba achashandisa chigunwe chine magirovhosi kuti aongorore rectum (Digital Rectal Exam). Izvi zvichapa pfungwa huru yehukuru nenzvimbo ye anus. |
| Kuongororwa kweMRI | Izvi zvinoita kuti nyama dzakapfava dzakatenderedza huro nepaburi remukadzi dzionekwe zvakajeka, zvine mativi matatu . |
| Endoscopy | Chubhu diki ine kamera inoiswa nepaburi remudumbu kuti iongorore nyama dzemukati nepaburi remukati memukadzi. |
| Mimwe miedzo | Dzimwe nguva bvunzo dzakadai seX-rays nefistulography (X-ray inotorwa mushure mekubaya contrast fluid) dzinogonawo kuitwa. |
Mhedzisiro yebvunzo idzi ndiyo ichasarudza kurapwa kwakakodzera iwe. Kana nhengo yemukadzi ikapfuura nemusphincter yekumashure, kungwarira kwakakosha kuchaitwa kudzivirira kukuvadza tsandanyama panguva yekuvhiyiwa.
Pane mamwe marapirwo here?
Ehe, fistulotomy haisiriyo yega nzira yekuvhiya inoitwa. Dzimwe nzira dzinoshandiswa, kunyanya kune fistula dzakaoma zvikuru.
- Maitiro eSeton: Mukuita uku, suture yakaita sebhandi rerabha kana bhandi re elastic rinoiswa nemugero we perianal. Izvi zvinobvumira pus kuti ibude mvura nguva dzose, zvichibatsira zvishoma nezvishoma perianal open kuti ipore.
- Maitiro ekusimudza: Uku kuvhiyiwa kwakakosha kunoitwa panhengo yechikadzi inopfuura nepamhasuru dzemumhino yekumashure.
- Glue yeFibrin kana Collagen plug: Kuchekwa kwacho kunovharwa uchishandisa rudzi rwakakosha rweglue kana plug.
Chiremba wako wepfungwa ndiye achasarudza kuti ndeipi yemishonga iyi yakakunakira.Saka musatya izvi, taurai pachena nachiremba.
Chii chichaitika mushure mekuvhiyiwa?
Panogona kunge paine kusagadzikana mushure mekuvhiyiwa, asi kazhinji kunoitika kwenguva pfupi.
- Marwadzo: Unganzwa kurwadziwa panzvimbo yekuvhiyiwa. Chiremba achakupa mishonga inoderedza marwadzo.
- Kubuda ropa: Madonhwe mashoma eropa anogona kunge aripo. Zvisinei, kana ropa rakawanda richibuda, unofanira kuzivisa chiremba wako nekukasika.
- Musoro nehope: Dambudziko iri rinogona kukonzerwa nekushandisa mushonga wekutindivadza.
- Kudzokorora: Kashoma, fistula kana tupukanana zvinogona kudzoka.
Nguva yekupora inosiyana kubva pamunhu nemunhu. Mushure mekuvhiyiwa kuri nyore, unogona kudzokera kuhupenyu hwakajairika mukati memavhiki mashoma. Zvisinei, zvinogona kutora mwedzi kana kupfuura kuti ronda ipone zvachose. Munguva iyi, zvakakosha kutevedzera mirairo yachiremba wako nokungwarira, kunyanya panyaya yekuchengetedza ronda rakachena uye kudya kwakaringana.
Mharidzo Yekuenda Nayo Kumba
- Fistula yekumashure inzira yakaita semugero inobuda kubva paganda rakatenderedza huro.
- Dambudziko iri harimbopori roga. Saka kana uine zviratidzo zvakaita sekurwadziwa, kuzvimba, kana kuti manyoka, usanyara uye enda kuna chiremba nekukasika.
- Kuvhiya kweFistulotomy inzira yekuvhiya inobudirira zvikuru pakuita izvi. Inosanganisira kuvhura, kuchenesa, uye kubvumira fistula kupora.
- Kutevera mirayiridzo yechiremba mushure mekuvhiyiwa kwakakosha kuti munhu akwanise kupora nekukurumidza.
- Kana muine mibvunzo nezvenyaya iyi, musatya kubvunza chiremba wenyu. Hutano hwenyu ndihwo hwakakosha.
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