Ngamanye amaxesha sineengxaki zempilo ezinzima ukuthetha ngazo, kodwa zibuhlungu kakhulu. Iqhuma elibomvu, elidumbileyo nelibuhlungu kufutshane ne-anus yenye yezinto ezinjalo. Intlungu xa uhleli, uhamba, okanye usiya kwindlu yangasese inokuba yinto ecaphukisayo kangangokuba awukwazi nokwenza imisebenzi yakho yemihla ngemihla. Ngaba ukhe waba namava anjalo? Ngoko ke musa ukoyika le meko. Masithethe ngayo ngokweenkcukacha nangokulula.
Yintoni kanye kanye ithumba eliphuma empundu?
Ngamafutshane, ithumba eliphuma empundu liqhuma elibuhlungu nelizele bubomvu elenzeka phantsi kolusu olujikeleze i-anus yakho. Kukho amadlala amancinci ngaphakathi kwi-anus yakho anceda ukugcina umswakama. Xa la madlala evalekile nangasiphi na isizathu, usulelo lwebhaktheriya lunokukhula kwaye ububomvu bunokwakheka ngaphakathi kwawo. Loo bubomvu buyaqokelelana, buyenze iqhuma elibuhlungu.
Uhlobo oluqhelekileyo lwethumba lubizwa ngokuba yi-perianal abscess, eyenzeka kufutshane nomnyango we-anus. Ihlala ibonakala njengeqhubu elibomvu nelithambileyo. Ngamanye amaxesha, amathumba anokwakheka ngaphakathi kwi-anus, kwi-rectum. Azibonakali.
Ulwalamano phakathi kwe-anal fissure kunye ne-fistula
Enye into ekufuneka uyazi xa uthetha ngale nto yinto ebizwa ngokuba yi-fistula. Abantu abaninzi (malunga nama-50%) abafumana i-anal fistula baya kuba ne-fistula kamva.
I-fistula ngumngxuma ongaqhelekanga oqala kwindawo apho kukho ithumba elizaliswe bubovu (ngaphakathi kwimpundu) ukuya kumphezulu wolusu. Le yindlela umzimba okhupha ngayo ubovu obuqokelelene ngenxa yosulelo.
Olu qhekeko lunokubangela ukuba kuphume ubomvu rhoqo, ngamanye amaxesha kube nendle encinci okanye igazi, kumngxuma omncinci eluswini. Ngamanye amaxesha, ukuba lo mngxuma uyavaleka, ubomvu bungaqokelelana kwakhona bube sisilonda esitsha. Ngoko ke ukuba unamaqhuqhuva amaninzi empundu, kukho ithuba elihle lokuba unobangela kukuqhekeka.
Ziziphi izizathu kunye nezinto ezibangela ukuphuhliswa kwezi thumba?
Akukho sizathu sinye sokuba kubekho ukuqhekeka kwempundu. Kukho izizathu ezahlukeneyo kunye nezinto ezinokubangela oku. Masizijonge kwitheyibhile.
| Unobangela/Into ebangela umngcipheko | Ingcaciso elula |
|---|---|
| Iindlala zempundu ezivalekileyo | Le yeyona nto iphambili neyona ixhaphakileyo. Usulelo lweentsholongwane ngaphakathi kwamadlala lubangela ukuba ubovu buqokeleleke. |
| Ii-Anal Fissures | Iintsholongwane zinokungena ngeemfanta ezincinci kwi-rectum ngenxa yezinto ezifana nokuqunjelwa kwaye zibangele usulelo. |
| Izifo zenkqubo yokugaya ukutya | Abantu abanezifo zamathumbu ezibangelwa kukudumba (IBD) ezifana nesifo sikaCrohn okanye i-ulcerative colitis basengozini enkulu. |
| Isifo seswekile | Abantu abanesifo seswekile basengozini enkulu yokufumana naluphi na usulelo. |
| Ubuthathaka bomzimba | Abantu abaneenkqubo zomzimba ezibuthathaka ngenxa yeemeko ezifana namayeza omhlaza (i-chemotherapy), amayeza e-steroid (i-prednisone), okanye i-HIV nabo basengozini enkulu. |
| Ezinye izizathu | Izifo ezidluliselwa ngesondo, ukwenzakala ezimpundu, ukutshaya, kunye nokuqunjelwa okungapheliyo nazo zinokuba negalelo. |
Ingaba le yi-hemorrhoids? Okanye yi-anal fissure? Masibone umahluko.
Abantu abaninzi babhidanisa le meko ne-hemorrhoids. Oku kudideka kufanelekile kuba zombini zenzeka kwindawo enye kwaye zombini zibangela iintlungu nokurhawuzelelwa. Nangona kunjalo, ezi ziimeko ezimbini ezahlukeneyo zonyango.
IiHemorrhoids azilosulelo. Ziimithambo evuvukileyo empundu. I-anal fissure lithumba elizaliswe bububovu elibangelwa lusulelo lwebhaktheriya.
Masicacise ngakumbi lo mahluko ngetheyibhile engezantsi.
| Uphawu | Ithumba Elingasemva | IiHemorrhoids |
|---|---|---|
| Indalo | Iqhuma elizele bubomvu, lidumbile, kwaye lifudumele xa ulichukumisa. | Umthambo wegazi ovuvukileyo ofana neqhuma elimfusa-blu, eliqinileyo. |
| Intlungu | Intlungu engapheliyo, ebukhali, nehlabayo, ingakumbi xa uhleli. | Usenokuziva iintlungu, ukurhawuzelelwa, okanye ukungakhululeki, kodwa akusoloko kubuhlungu. |
| Umkhuhlane kunye nokubanda | Ewe , olu luhlobo losulelo olunokubangela umkhuhlane, ukugodola, kunye nokungcangcazela. | Hayi , ii-hemorrhoids azilosulelo, ngoko ke azibangeli umkhuhlane. |
| Ukukhupha ubofu | Ukuba ithumba liyaqhuma, ubovu bungaphuma. | Akukho bomvu. Kusenokuba kukho igazi elincinci. |
Ugqirha uyixilonga njani le nto?
Ukuba unale mpawu, kubalulekile ukubona ugqirha . Ugqirha uya kukubuza ngeempawu zakho aze ahlole indawo leyo.
- Uvavanyo lomzimba: Ugqirha uza kujonga i-rectum kunye nendawo engqongileyo, ejonga ukudumba, ukuba ibomvu, kunye nentlungu.
- Uvavanyo lweDijithali lweRectal: Umnwe ogqunywe ngeglavu ufakwa kwirectum ukujonga amaqhuma okanye ezinye izinto ezingaqhelekanga.
- Ezinye iimvavanyo:Ngamanye amaxesha, ingakumbi ukuba ithumba lingaphakathi, i-scan efana ne-ultrasound, i-CT scan, okanye i-MRI ingacetyiswa ukuqinisekisa ukuxilongwa. I-colonoscopy ingacetyiswa nokuthintela ezinye iimeko, ezifana nesifo samathumbu esivuthayo (IBD).
Iphathwa njani? Ingaba oku kuya kuba ngcono ngokwako?
Eyona nto ibalulekileyo ekufuneka uyikhumbule apha kukuba i-anal fissure ayihlali iphola yodwa. Ngokuqinisekileyo ifuna unyango.
Isilumkiso: Musa, nangayiphi na imeko, ukuzama ukususa ubovu kweli thumba ekhaya okanye ukulihlaba ngento ebukhali. Oku kunokwenza usulelo lube lubi ngakumbi kwaye kukhokelele kwiingxaki ezisongela ubomi ezifana ne-sepsis.
Ukukhupha amanzi ngotyando
Amaxesha amaninzi unyango olungcono nolukuphela kwalo lokuqhekeka kwempundu kukwenza utyando oluncinci ukuze kususwe ubovu ngokupheleleyo.
- Ii-cysts ezincinci zangaphandle: Ezi zinokwenziwa eofisini kagqirha (OPD) kwimizuzu embalwa phantsi kwe-anesthesia yendawo.
- Iithumba zangaphakathi okanye ezinkulu: Kwimeko enjalo, kuya kufuneka ungeniswe esibhedlele, ufakwe i-anesthesia, kwaye olu tyando lwenziwe kwigumbi lotyando phantsi kwe-anesthesia eqhelekileyo.
Emva kotyando, i-incision idla ngokushiywa ivuliwe ide iphume yonke i-pus. Ayithungwa.
Ixesha lokuchacha emva kotyando
Intlungu emva kotyando iyancipha kakhulu. Ukuze akuncede uphile ngokukhawuleza, ugqirha wakho unokucebisa oku kulandelayo:
- Iipilisi zokunciphisa iintlungu: Kuza kunikwa amayeza okulawula iintlungu.
- Iiantibiotics: Iiantibiotics zinganikwa ukulawula usulelo, ingakumbi ukuba unezinye izifo ezifana nesifo seswekile. Kubalulekile ukuthatha la mayeza ixesha lonke.
- Sitz Bath: Oku kubaluleke kakhulu. Ukuhlala esityeni samanzi afudumeleyo imizuzu eli-10-15 izihlandlo ezininzi ngemini kunokunciphisa iintlungu, kugcine inxeba licocekile, kwaye kuncede ukuba liphilise ngokukhawuleza.
- Ukuthintela ukuqhina: Ukusela amayeza okuhambisa isisu ( amayeza okuhambisa isisu ) nokutya ukutya okunefayibha eninzi (iziqhamo, imifuno) kunokunceda ukunciphisa ukungakhululeki xa usiya kwigumbi lokuhlambela de inxeba liphole.
Iingxaki ezinokwenzeka ukuba unyango olufanelekileyo aluthathwa
Ukuba oku akunanzwa njengento encinci, iingxaki ezinkulu zinokwenzeka.
- Ukwakheka kweFistula: Njengoko besitshilo ngaphambili, ukuba kuvela ithumba, kukho amathuba aphezulu okwakheka kwefistula.
- Ukusasazeka kosulelo:Usulelo lunokungena egazini luze lusasazeke emzimbeni wonke, nto leyo ebangela imeko eyingozi ebizwa ngokuba yi-sepsis.
- Ukwakheka rhoqo kwe-cyst: Ukuba ubomvu abususwanga kakuhle okanye ukuba kuvela ithumba, la ma-cyst angaqhubeka nokwakheka.
- I-Fournier's gangrene: Olu luhlobo losulelo olungaqhelekanga kodwa olusongela ubomi olubangela ukufa ngokukhawuleza kwezicubu ezijikeleze amalungu esini.
Ngoko ke, eyona nto ingcono onokuyenza kukufuna iingcebiso zonyango ngokukhawuleza nje xa kuvela iimpawu.
Umyalezo Wokuya Ekhaya
- Ithumba eliphuma empundu liqhuma elibuhlungu nelizele bubomvu elenzeka lijikeleze i-anus.
- Oku akufanele kudidaniswe ne-hemorrhoids. Umkhuhlane kunye nentlungu eqatha zinokuba ziimpawu zokuqhekeka kwempundu.
- Le meko ayihlali iphola yodwa, ngoko ke ukuba uneempawu, musa ukuchitha ixesha uye kugqirha.
- Kuphephe ukuzama ukucinezela okanye ukuqhekeza i-cyst ekhaya. Kunokuba yingozi kakhulu.
- Amaxesha amaninzi, unyango lubandakanya inkqubo encinci yotyando ukuze kususwe ubovu. Olu lunyango oluphumelelayo nolukhuselekileyo.
- Ukuba une-cysts rhoqo, thetha nogqirha wakho ngaloo nto, kuba kusenokwenzeka ukuba kukho i-fistula efihliweyo ngaphantsi.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho