Ngaba nawe uziva iintlungu ezigqithisileyo xa ukhupha indle? Intlungu ebukhali, enganyamezelekiyo, njengokusikwa sisiqwenga seglasi... Uze uzive uloyiko olukhulu xa ubona amathontsi ambalwa egazi kwiphepha langasese okanye kwindawo yokuhlambela. Le yingxaki abantu abaninzi abaneentloni zokuyithetha, kwaye bayayigcina ngaphakathi. Kodwa eneneni yimeko yempilo eqhelekileyo. Ngoko masithethe ngayo ngokukhululekileyo namhlanje.
Yintoni umngxuma wempundu?
Ngamafutshane, umngxuma wempundu kukukrazuka okuncinci, ukuqhekeka, okanye ukuqaqamba eluswini ngaphakathi komjelo wakho wempundu. Kanye njengokuba imilebe yethu inokukrazuka, ulwelo oluthambileyo olusekupheleni kwempundu yakho lunokukrazuka ngenxa yezizathu ezahlukeneyo. Olu buhlungu lubangela intlungu ebuhlungu xa uphuma isisu.
Le meko inokuchaphazela nabani na wanoma yiphi na iminyaka, ukususela kwiintsana ezincinci ukuya kubantu abadala. Ixhaphake kakhulu kubafazi abakhulelweyo nakubantwana abancinci.
Ziziphi iimpawu eziphambili zale meko?
Ukuba une-anal fissure, unokufumana enye okanye ngaphezulu kwezi mpawu:
- Intlungu ebukhali nehlabayo xa uhamba ngesisu: Olu lolona phawu luqhelekileyo nolungakhululekiyo. Abanye bachaza intlungu ngokuthi "njengokuhamba phezu kweglasi."
- Intlungu ehlala iiyure ezininzi: Kwanasemva kokuba ugqibile ukukhupha indle, usenokuba nentlungu yokutsha okanye yokuqaqanjelwa kangangeeyure eziliqela.
- Igazi elincinci esitulweni: Eli lidla ngokuba ligazi elincinci elibomvu eliqaqambileyo nelitsha. Ungalibona kwiphepha langasese okanye kumphezulu wesitulo.
- Ukurhawuzelela okanye ukutsha ejikeleze i-anus: Olu hlobo lokungakhululeki lunokwenzeka ngenxa yenxeba.
- Iqhuma elincinci okanye i-leg yesikhumba kufutshane ne-anus: Ngamanye amaxesha, i-leg yesikhumba inokukhula ngemifantu engapheliyo ye-anal.
Ingaba le yi-hemorrhoids okanye yi-anal fissure?
Eli lithuba apho abantu abaninzi badideka khona. Kuqhelekile ukuba ii-hemorrhoids kunye ne-anal fissures zidideke kuba iimpawu ziyafana (njengokopha nokurhawuzelelwa). Nangona kunjalo, kukho umahluko ocacileyo phakathi kwezi zimbini.
Cinga ngayo, ii-hemorrhoids zimithambo yegazi evuvukileyo empundu, njengeqela lemithambo. Kodwa umngxuma wempundu kukukrazuka eluswini.
Makhe sibone ukuba zeziphi izinto eziphambili ezahlukileyo phakathi kwezi zimbini.
| Uphawu | Ukuqhekeka kwempundu | IiHemorrhoids |
|---|---|---|
| Intlungu | Rhoqo (ngaphezulu kwama-90%) kukho intlungu ebukhali kakhulu nehlabayo ngexesha lokuya ngasese. | Akusoloko kukho intlungu. Ukuba kukho intlungu, idla ngokuba yintlungu eqhubekayo nenzima. |
| Ukopha | Amaxesha amaninzi, igazi elincinci livela njengechaphaza kwiphepha langasese okanye umsonto kumphezulu wesihlalo. | Nokuba akukho ntlungu, kusenokubakho amathontsi okanye ukuvuza kwegazi ngamanye amaxesha. |
| Ukuziva uneqhina | Iqhuma alisoloko libonakala. Kwiimeko ezinde, i-tag encinci yesikhumba inokuvela. | Amaqhuma athambileyo nanamaqhuma aphuma kwimpundu anokubanjwa esandleni. |
Nangona kunjalo, ukuba uneempawu ezinje, eyona nto ibalulekileyo kukubona ugqirha uze ufumane uxilongo oluchanekileyo, endaweni yokuqikelela.
Kutheni oku kusenzeka? Zithini izizathu eziphambili?
Eyona nto ibangela ukuqhekeka kwempundu kukonakala okanye ukwenzakala kolusu oluthambileyo lwempundu. Kukho izinto ezininzi ezinokubangela oku.
Izizathu eziphambili:
- Ukuqhinwa: Le yeyona nto iphambili. Xa indle yomile kwaye iqine njengelitye, ulusu olujikeleze i-anus lunokwelulwa, lukrazuke, kwaye luqhekeke xa luzama ukuwakhupha.
- Ukuzala: Uxinzelelo ngexesha lokubeleka lungonakalisa indawo ejikeleze i-anus kwaye lubangele ukuqhekeka.
- Urhudo Olungapheliyo: Indle ekhululekileyo eqhubekayo inokonakalisa ulusu lwe-rectum.
- Isenzo sokwabelana ngesondo: Ukuqhekeka kweempundu ngamanye amaxesha kunokwenzeka ngenxa yesenzo sokwabelana ngesondo.
Ezinye izinto ezinefuthe:
- Isifo samathumbu esivuthayo (IBD): Iimeko ezifana nesifo sikaCrohn.
- Izifo ezidluliselwa ngesondo (iiSTI).
- Utyando lwangaphambili olunxulumene ne-rectum.
- Isenokuba luphawu olungaqhelekanga lwezifo ezinzulu ezifana nomhlaza wempundu .
Kuza kwenzeka ntoni ukuba oku kuyaqhubeka? (Iingxaki)
Uninzi lwee-anal fissures (ii-acute fissures) ziyaphola kwiiveki ezimbalwa ngononophelo olufanelekileyo. Nangona kunjalo, ukuba ezinye ii-fractures aziphili kwaye zihlala ixesha elingaphezu kweenyanga ezimbini, sizibiza ngokuba zii-chronic anal fissures.
Le meko yenzeka ngenxa yomjikelo onzima.
1. Izihlunu ze-anal sphincter ezijikeleze i-anus ziyaqina ngokuzenzekelayo ngenxa yentlungu ngexesha lokuya ebhedini.
2. Xa izihlunu ziqina, inxeba liyolula ngakumbi, kwaye ukuhanjiswa kwegazi kuloo ndawo kuncipha.
3. Xa igazi linciphile, ukuphiliswa kwenxeba kuyalibaziseka.
4. Ngenxa yokuba inxeba alipholi, kwixesha elizayo xa ukhupha inkunkuma, ufumana iintlungu eziqatha kwakhona. Lo mjikelo uyaqhubeka.
Ukuba oku kuyaqhubeka, iimeko ezinje ngokuchaphazeleka kwendle kunye ne-anal stenosis zinokwenzeka.
Loluphi unyango olunokwenziwa ekhaya?
Ukuba awukwazi ukubona ugqirha kwangoko xa le meko iqala, kukho izinto ezilula onokuzenza ekhaya ukunceda ukunciphisa iintlungu kunye nokungonwabi. Ezi zinto zihlala zinceda imeko ibe ngcono.
| Kwenziwe ntoni | Inkcazo |
|---|---|
| Ukuhlamba eSitz | Le yeyona nto ilungileyo onokuyenza. Gcwalisa isitya esikhulu ngamanzi afudumeleyo uze usifake imizuzu eli-10-15. Ukwenza oku kabini okanye kathathu ngemini, ingakumbi emva kokuhambisa isisu, kuya kunciphisa iintlungu, kuphumze izihlunu, kwaye kuncede inxeba liphole. Musa ukongeza isepha okanye iDettol emanzini. |
| Ukutshintsha ukutya | Ukutya okutyebileyo kwifayibhaYitya ngakumbi. Faka imifuno eluhlaza efana nesipinatshi kunye nekale, iziqhamo (ii-apile, iibhanana), imifuno, ii-oats, kunye namandongomane ekutyeni kwakho. Ezi zinto ziya kunceda ukuthambisa isitulo. Nciphisa ukutya okuneziqholo nokunamafutha okwethutyana. |
| Sela amanzi amaninzi. | Sela ubuncinane iilitha ezi-2-3 zamanzi ngosuku. Oku kubalulekile ukuze uthintele ukuqhinwa. |
| Imikhwa yendlu yangasese | Xa uziva ufuna ukuya kwindlu yangasese, yiya kwindlu yangasese ngaphandle kokulibazisa. Musa ukulinda ixesha elide. Xa usebenzisa indlu yangasese, beka ibhentshi encinci phantsi kweenyawo zakho. Oku kuya kwenza kube lula ukuhlala phantsi. |
| Ucoceko | Xa uhlamba, musa ukuhlikihla ngamandla ngephepha langasese elirhabaxa, kodwa licoce ngobunono ngamanzi. Ungasebenzisa neewipes ezimanzi ezingenatywala. |
Ziziphi iindlela zonyango ezikhoyo?
Ukuba imeko yakho ayiphucuki emva kweeveki ezimbalwa zonyango lwasekhaya, qiniseka ukuba ubona ugqirha. Ugqirha uya kumamela iimpawu zakho kwaye, ukuba kuyimfuneko, enze uvavanyo oluthambileyo ukuqinisekisa ukuxilongwa. Ukuba iintlungu zinzima, unyango lunokuqaliswa ngokusekelwe kwiimpawu ngaphandle kovavanyo.
Injongo ephambili yonyango kukukhulula izihlunu ze-rectum, ukubuyisela ukuhamba kwegazi, kunye nokuvumela inxeba ukuba liphilise.
- Amafutha Aneyeza:
- I-Nitroglycerin Ointment: Le nto ikhulisa imithambo yegazi, inyuse ukuhamba kwegazi, kwaye iphumze izihlunu. Nangona kunjalo, inokubangela iintloko ezibuhlungu kwabanye abantu.
- IiCalcium Channel Blockers: Ukuba ikhrimu ye-nitroglycerin ayisebenzi, iikhrimu ezifana ne-diltiazem nazo zisetyenziselwa ukuphumza izihlunu.
- Izinto zokuthambisa isitulo/iLaxatives: Ukuba ukuqhina kwesisu kukhulu, kukho amayeza anokunikwa ukuthambisa isitulo.
- Inaliti yeBotox®: Ukuba ezinye iindlela zonyango aziphumeleli, inaliti yeBotox inganikwa ukuze kuphumzwe izihlunu ezikwi-rectum kangangeenyanga ezintathu, okuvumela inxeba ukuba liphilise.
- Utyando:
Utyando lunokucetyiswa njengendlela yokugqibela yokuthatha amanyathelo okugqibela kwiimfanta ezingapheliyo ezingapholiyo ngonyango olungentla .Olu tyando luncinci, olwaziwa ngokuba yi-colostomy, lubandakanya ukwenza umngxuma omncinci kwimisipha yangaphakathi ye-rectum ukuze kususwe ukuqina okungaqhelekanga ngokusisigxina. Olu lunyango olusebenzayo kakhulu.
Khumbula, le yimeko eqhelekileyo kakhulu. Ngoko ke, kungcono ukubona ugqirha uze ufumane ingcebiso ngaphandle kokuba neentloni okanye uloyiko. Ukunyamezela iintlungu kuya kuyenza ibe mandundu imeko.
Umyalezo Wokuya Ekhaya
- Intlungu ebukhali ngexesha lokuthulula kunye negazi elincinci elitsha zezona mpawu ziphambili zokuqhekeka kwempundu.
- Eyona sizathu siphambili soku kukuqunjelwa kunye nobunzima bokuphuma kwendle.
- Uninzi lweemfantu ziyaphola kwiiveki ezimbalwa ngononophelo olulula olufana nokutya ukutya okunefayibha eninzi, ukusela ulwelo oluninzi, kunye nokuhlamba umzimba.
- Ukuba iimpawu zakho zihlala ngaphezu kweeveki ezimbalwa okanye zinzima, qiniseka ukuba ufuna ingcebiso kagqirha.
- Akukho mfuneko yokuba ubandezeleke ziintlungu, kuba kukho unyango olusebenzayo kakhulu (amafutha, amayeza, kwaye, ukuba kuyimfuneko, utyando) kwesi simo.
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