Siyazi ukuba le yingongoma enzima ukuthetha ngayo, kodwa kukho abantu abaninzi kuluntu lwethu abahlupheka buthule yile ngxaki. Ngaba uziva nentlungu ebukhali enganyamezelekiyo xa usiya kwindlu yangasese, ingakumbi xa uphuma indle, ngokungathi unqunyulwa liva leglasi? Kwangaxeshanye, ngaba ngamanye amaxesha ubona amathontsi ambalwa egazi elibomvu elitsha? Emva koko kukho ithuba elikhulu lokuba unokuba ne -anal fissure . Ungakhathazeki, le yimeko eqhelekileyo kakhulu. Namhlanje siza kuthetha ngale nto ngendlela elula kakhulu, ngendlela onokuyiqonda.
Kalula nje, yintoni i-anal fissure?
I-anal fissure kukukrazuka okuncinci okanye umngxuma kwi-mucous membrane engaphakathi komjelo wakho wempundu. Cinga ngayo njengokuqhekeka kwemilebe yakho xa unomkhuhlane. Ulusu olusekupheleni kwempundu yakho luncinci kakhulu kwaye lunobuthathaka. I-fracture yenzeka xa olu lusu luncinci lonakele ngesizathu esithile. Oku kudla ngokuba yimbangela ephambili yentlungu yempundu kunye nenani elincinci legazi kwindle yakho.
Le meko inokuchaphazela nabani na wanoma yiphi na iminyaka. Ixhaphake kakhulu kubantwana abancinci, abafazi abakhulelweyo, kunye nabantu abadala abaselula. Kwabanye abantu, ikhula ngequbuliso ize iphucuke ngokwayo kwiintsuku okanye kwiiveki ezimbalwa. Kwabanye, inokuba yimeko engapheliyo ehlala ixesha elide.
Ziziphi iimpawu eziphambili zale meko?
Umntu onomngxuma ongasemva unokufumana iimpawu ezahlukeneyo. Nangona kunjalo, kukho iimpawu ezimbalwa eziqhelekileyo abantu abaninzi abazifumanayo. Ndiza kuzishwankathela kule theyibhile ukuze kube lula ukuziqonda.
| Uphawu | Inkcazo |
|---|---|
| Intlungu ebukhali | Intlungu ebukhali, ehlabayo nehlabayo eyenzeka xa usiya kwigumbi lokuhlambela, ingakumbi xa uphuma indle. Le ntlungu inokuhlala imizuzu ukuya kwiiyure emva kokuba ugqibile ukukhupha indle. |
| Igazi esitulweni | Igazi elincinci elitsha nelibomvu elikhanyayo linokubonwa kwisitya sendlu yangasese, esitulweni, okanye kwiphepha lendlu yangasese. Oku akukokuphuma kwegazi elininzi, kudla ngokuba ngamathontsi ambalwa egazi. |
| Ukudumba kunye nokurhawuzelela | Ukutsha okanye ukurhawuzelela kwimpundu emva kokukhupha indle. |
| Ukuqaqamba kwemisipha emqolo (ukuqaqamba kwemisipha) | Intlungu inokubangela ukuba izihlunu ezimile okwesangqa ezijikeleze i-anus (anal sphincters) ziqine okanye ziqine ngokungacwangciswanga. |
| Iqhuma elukhumbeni | Ngamanye amaxesha iqhuma elincinci okanye uphawu lwesikhumba lunokubonakala kumphezulu wesikhumba kufutshane nendawo etyumkileyo. |
Into ebalulekileyo kukuba le ntlungu yenza abantu abaninzi boyike ukuya kwigumbi lokuhlambela. Kodwa ukubamba isitulo kwenza isitulo sibe nzima kwaye inxeba libe mandundu kwixesha elizayo. Kufana nomjikelo onzima.
Ngaba ndine-hemorrhoids? Okanye kukho umngxuma kwi-rectum yam?
Le yingxaki abantu abaninzi abanayo, kuba iimpawu ze-hemorrhoids kunye ne-anal fissures ziyafana kakhulu. Zombini zinokubangelwa kukuqunjelwa, zombini zinokopha, kwaye zombini zinokurhawuzelela.
Kodwa kukho umahluko omkhulu.
- Intlungu: Abantu abalithoba kwabalishumi abaneempundu eziqhekekileyo bafumana iintlungu eziqatha. Kodwa ii-hemorrhoids azisoloko zibuhlungu. Iintlungu zee-hemorrhoids zihlala zibuhlungu kakhulu kwaye ziqhubeka. Kodwa iintlungu zokuqhekeka zihlala ziyintlungu ebukhali, ekrazukileyo eyenzeka ngexesha lokuhamba kwamathumbu .
- Indalo: IiHemorrhoids zimithambo yegazi evuvukileyo ejikeleze i-anus. Zifana nemithambo evuvukileyo emilenzeni. Kodwa umngxuma ukrazuka eluswini.
Nangona kunjalo, ukuba unale mpawu, kungcono ukubona ugqirha ukuze ufumane ukuxilongwa okufanelekileyo kunokuba uzame ukuzenzela isigqibo sokuba ingaba yi-hemorrhoids okanye yi-cransure.
Kutheni kukho olu hlobo lokungavisisani? Zithini izizathu eziphambili?
Oku kudla ngokubangelwa kukwenzakala kwesikhumba esithambileyo se-rectum. Kwakhona, ezinye iimeko zempilo zinokunyusa le ngozi.
Izizathu eziphambili:
- Ukuqhinwa:Le yeyona nto iphambili neyona ixhaphakileyo. Xa indle iba nzima, yomile, kwaye inkulu, kufuneka uzibhokoxe ngamandla ukuze uyidlule. Oku kunokolula kwaye kukrazule ulusu oluthambileyo lwe-rectum.
- Urhudo Olungapheliyo: Ukuhamba rhoqo kwamathumbu kunokonakalisa ulusu lwe-rectum.
- Ukuzala: Olu hlobo lokukrazuka lunokwenzeka ngenxa yoxinzelelo ngexesha lokuzala ngokwendalo.
- Ukufaka into ethile kwi-rectum: ngenxa yezinye iimvavanyo zonyango okanye ezinye izizathu.
- I-Dyschezia yosana: Le meko inokwenzeka nangona iintsana zizama ukukhupha indle.
Ezinye iimeko ezinokuba negalelo:
- Utyando lwangaphambili olunxulumene ne-rectum.
- Isifo samathumbu esidumbileyo (IBD), esifana nesifo sikaCrohn .
- Izifo ezidluliselwa ngesondo (iiSTI).
- Iimeko ezinqabileyo kakhulu ezifana nesifo sephepha (TB) kunye nomhlaza wempundu .
- Ukuqhambuka kwenapukeni kuya kuba mandundu.
Zeziphi iingxaki ezinokwenzeka ukuba le meko ayinyangwa?
Uninzi lwexesha, ezi mingxunya ziyaphola kwiiveki ezimbalwa ngononophelo olufanelekileyo. Kodwa ngamanye amaxesha azipholi kwaye ziyaqhubeka zikho. Oku sikubiza ngokuba yiChronic Anal Fissure . Isizathu sale nto ngumjikelo ombi endiwukhankanyileyo ngaphambili.
Intlungu ibangela ukuba izihlunu ezikwi-rectum ziqine (i-spasm) -> Izihlunu ziqine, nto leyo ebangela ukuba umsantsa woluleke ngakumbi, kwaye unciphise ukuhamba kwegazi ukuya kuloo ndawo -> Inxeba liphola kancinci ngenxa yokuncipha kokuhamba kwegazi -> Inxeba alipholi, ngoko ke intlungu iyaqhubeka.
Ukuba lo mjikelo uyaqhubeka, kusenokuvela ezinye iingxaki.
- Ukuchaphazeleka lindle: Xa ungasayi kuhlamba ngenxa yokoyika iintlungu, indle ingabhajwa kwi-rectum.
- I-Anal Stenosis: Ukuvaleka ngenxa yokwenzakala ixesha elide kunokubangela ukuba i-anus ibe mxinwa, nto leyo eyenza kube nzima ngakumbi ukukhupha indle.
- I-Anal Fistula: Umbhobho ongaqhelekanga unokwenziwa phakathi kwe-anus kunye nolusu xa umngxuma uba nzulu kwaye usulele. Le yimeko enzima ngakumbi.
Ugqirha uyixilonga njani le nto?
Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho. Emva koko, uza kuzama ukuhlola i-rectum yakho. Oku kwenziwa ngokukujika kwelinye icala lebhedi aze ashukumise iimpundu zakho kancinci emacaleni, ezama ukuva umngxuma.
Abantu abaninzi bayoyika kwaye baneentloni ngolu vavanyo. Kodwa khumbula, oku kuqhelekile koogqirha. Ukuba awukwazi ukunyamezela iintlungu, ugqirha akayi kukunyanzela ukuba wenze uvavanyo. Esi sifo sinokuchongwa ngokusekwe kwiimpawu zodwa.
Ukuba unentlungu encinci, ugqirha wakho unokufaka umnwe ofakwe iiglavu kancinci kwi-rectum yakho (uvavanyo lwedijithali lwe-rectal) ukujonga ukuqina kwemisipha kunye nezinye iingxaki. Oku kunokunceda ukuthintela ezinye iimeko.
Yintoni onokuyenza ekhaya ukuze uphole kwaye unciphise iintlungu?
Iindaba ezimnandi zezokuba uninzi lwee-anal fissures, ingakumbi ezintsha (acute fissures), zinokunyangwa ngamayeza alula asekhaya.
| Unyango | Indlela yokwenza oku kunye nokubaluleka kwako |
|---|---|
| Ibhafu yaseSitz (ibhafu yamanzi ashushu) | Olu lolona nyango lungcono nolulula. Gcwalisa isitya esikhulu ngamanzi afudumeleyo uze uhlale kuso imizuzu eli-10-15, kabini okanye kathathu ngemini. Oku kuya kunciphisa iintlungu nokurhawuzelela. Kuya kukhulula izihlunu ezikwi-anus, kwandise ukuhamba kwegazi, kwaye kuncede inxeba liphole ngokukhawuleza. |
| Ukutshintsha ukutya | Kubalulekile ukuthintela ukuqhinwa. Yitya ukutya okuninzi okunefayibha (iimbotyi, iilentili, iibhanana, ispinatshi, iioats, iziqhamo, imifuno). Sela ubuncinane iiglasi ezisi-8-10 zamanzi ngosuku. Oku kuya kuthambisa isitulo kwaye kube lula ukukhupha. |
| Imikhwa yendlu yangasese | Xa kufuneka uye kwindlu yangasese, musa ukulibazisa. Kuphephe ukuzibhokoxa. Xa uhleli kwindlu yangasese, beka ibhentshi encinci (isitulo sokunyathela) phantsi kwemilenze yakho. Oku kuya kunceda umzimba wakho ukuba ungene kwindawo ekhululekileyo yokukhupha indle. |
| Ucoceko | Emva kokusebenzisa indlu yangasese, yicoce ngobunono ngee-wipes ezimanzi ezingenavumba okanye ezingenatywala okanye iphepha langasese elithambileyo. Ukuba kunokwenzeka, ukuhlamba ngamanzi (i-bidet) kungcono. |
| Iintlobo zeengubo | Ukufaka into efana ne-petroleum jelly kunokunceda ukugcina ulusu lumanzi kwaye luphile. Iikhrimu zokunciphisa iintlungu (umz. iLidocaine) zingasetyenziswa njengoko ugqirha emyalele. |
Ukuba unyango lwasekhaya aluyinyangi, zeziphi iindlela zonyango zonyango?
Ukuba umngxuma awupholi kangangeeveki ezi-6-8 (Chronic Anal Fissure), kubalulekile ukubona ugqirha. Injongo ephambili yonyango apha kukukhulula izihlunu zempundu nokunika umngxuma ithuba lokuphola.
Iintlobo zamachiza
- Ioyile yeNitroglycerin: Le oyile isebenza ngokwandisa imithambo yegazi ejikeleze i-anus, iphumze izihlunu, kwaye yonyuse ukuhanjiswa kwegazi enxebeni. Oku kunceda inxeba liphole ngokukhawuleza. Nangona kunjalo, abanye abantu banokuba neentloko ezibuhlungu xa beyisebenzisa.
- Izithinteli zeCalcium channel: Izithambiso eziqulethe amayeza anjenge-nifedipine okanye i-diltiazem nazo zisetyenziselwa ukuphumza izihlunu.
- Inaliti yeBotox®: Ukuba ezinye iindlela zonyango aziphumeleli, inaliti yeBotox® ingasetyenziswa njengendlela yokugqibela yokunyanga izihlunu zempundu. Oku kuyayikhubaza kwaye kuyiphumze imisipha okwethutyana (kangangeenyanga ezi-3), okuvumela ukuba umsantsa uphole.
- IiLaxatives Ezininzi: Ukuba ukuqhina kukhulu, ugqirha wakho unokucebisa amayeza anjengezongezo zefayibha (umz., i-psyllium husk).
Utyando
Ukuba amayeza awancedi okanye umsantsa uphinda ubuye, kunokufuneka utyando oluncinci. Oku kubizwa ngokuba yiLateral Internal Sphincterotomy .
Oku kuquka ukwenza umngxuma omncinci kakhulu kwimisipha yangaphakathi ye-sphincter ye-rectum phantsi kwe-anesthesia, ukususa ngokusisigxina i-stricture. Olu lunyango oluphumelele kakhulu (luphumelele ngaphezu kwe-90%), kwaye intlungu iyanyamalala ngokukhawuleza emva kotyando. Ungaya ekhaya uvela esibhedlele ngaloo mini inye.
Umyalezo Wokuya Ekhaya
- Ukuqhekeka kwempundu sisifo esiqhelekileyo nesibuhlungu kakhulu. Musa ukuba neentloni okanye uyoyike.
- Le meko idla ngokubangelwa kukuqunjelwa, kwaye inokunyangwa kwiiveki ezimbalwa ngonyango olulula lwasekhaya (ukutshiswa ngamanzi afudumeleyo, ukutya ukutya okunefayibha eninzi, kunye nokusela amanzi amaninzi).
- Ukuba unegazi elibomvu elitsha esitulweni sakho, iintlungu ezinganyamezelekiyo, okanye ukuba awuziva ngcono emva kweeveki ezimbalwa, musa ukuchitha ixesha uye kugqirha ofanelekileyo.
- Kuphephe ukulibazisa ukuya kwindlu yangasese ngenxa yokoyika iintlungu. Oku kungayenza imeko ibe mandundu.
- Le meko inokunyangeka ngokupheleleyo ngokulandela unyango oluchazwe ngugqirha nokwenza utshintsho olulula kwindlela ophila ngayo.
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