Ngaba nawe uziva intlungu ebukhali rhoqo, ukudumba, okanye ukuphuma kolwelo oluphuma kwimpundu yakho? Mhlawumbi le ntlungu iyanda xa uhleli, usiya kwindlu yangasese, okanye ukhohlela. Usenokuziva uneentloni kwaye ungakhululekanga ukuthetha ngale nto nabani na. Kodwa le ayiyongxaki echaphazela wena kuphela. Le meko yenzeka kubantu abaninzi. Namhlanje sithetha ngale meko ibizwa ngokuba yi-"Anal Fistula".
Kalula nje, yintoni i-anal fistula?
Cinga ngayo njengomhubhe omncinci. Umngxuma wempundu yinto efana naleyo. Ngamafutshane, yindlela engaqhelekanga efana nomhubhe eyakheka ukusuka ngaphakathi kwimpundu yethu ukuya ngaphandle kolusu lwethu. Idla ngokuvela xa amadlala amancinci empundu phezulu kwimpundu yethu esuleleka. Xa la madlala esuleleka kwaye kwakheka ithumba elizaliswe bubovu, indlela yokuba ubovu buphume. Yiyo loo nto ekugqibeleni iba yi-fistula. Ikwabizwa ngokuba yi-perianal fistula. Ithetha "ukujikeleza impundu."
Le meko ixhaphakile. Amadoda anamathuba aphindwe kabini okuba nayo kunabafazi. Malunga nomntu omnye kwabababini ofumana i-fistula ejikeleze i-anus uya kuba nale meko.
Ndizibona njani iimpawu zoku?
Ukuba une-"Anal Fistula", usenokuba nenye okanye ngaphezulu kwezi mpawu. Ngamanye amaxesha zihlala zihleli, kwaye ngamanye amaxesha ziyafika zidlule.
| Uphawu | Ivakalelwa njani loo nto? |
|---|---|
| Intlungu yempundu | Olu luphawu oluphambili. Yintlungu ebukhali evakala ngathi kukutsha, njengentlungu ebukhali. Le ntlungu inokwanda xa uhleli, usiya kwindlu yangasese, okanye ukhohlela. Ikwabuhlungu xa uyichukumisa. |
| Ukudumba kunye nokubomvu | Kusenokuba kukho ukubomvu kunye nokudumba ngaphakathi okanye kufutshane ne-anus. Olu luphawu losulelo (i-cellulitis) phantsi kolusu. |
| Ulwelo oluvuzayo | Kusenokubakho ukuphuma kolwelo oluphuma empundu, olunokufana nobovu, indle encinci, okanye igazi. Ngamanye amaxesha kusenokubakho ivumba elibi. |
Ngaba zikho ezinye iimpawu ngaphandle kwezi?
Ewe, abanye abantu banokuba nezi mpawu, nangona kungengabo bonke abantu:
- Ukuba nomkhuhlane
- Ukuziva iintlungu xa uchama
- Ubunzima bokulawula ukuhamba kwamathumbu
Ngamanye amaxesha, ukuba ujonge esipilini, ungabona umngxuma omncinci eluswini kufutshane ne-anus yakho (umgodi we-fistula). Kodwa ngamanye amaxesha ungavalwa. Xa loo mngxuma uvalwa, ubomvu bunokubuthana ngaphakathi, nto leyo ebangela iintlungu nokudumba, kwaye umngxuma ungavuleka kwakhona ngobomvu obuncinci. Oku kunokuba njengomjikelo.
Kutheni kusenzeka into enje?
Eyona nto ibangela i-anal fistula yi -perianal abscess esiyixubushileyo ngaphambili. Eli thumba lenzeka xa i-gland encinci kwi-anus ivalekile kwaye isulelekile. Le pus ifuna indlela yokuphuma. Emva koko, i-pus yakha indlela efana nomngxuma eya kumphezulu wesikhumba. Ngamanye amaxesha, nokuba ugqirha usika aze asuse le pus, inxeba lisenokungaphili ngokupheleleyo kwaye i-fistula efana nale isenokusala.
Nangona kunjalo, ayizizo zonke iifistula ezikhula ngenxa yesi sizathu. Zikho nezinye izizathu.
- Izifo zokudumba kwamathumbu, ezifana nesifo sikaCrohn .
- Iintsholongwane ezidluliselwa ngeentlobano zesini ezingasemva.
- Isifo sephepha esichaphazela i-rectum.
- Ingozi okanye utyando lwangaphambili oluya emqolo.
- Unyango lwemitha yomhlaza kwindawo ye-pelvic.
- Usulelo olungaqhelekanga kunye neemeko zolusu ezifana ne-'Actinomycosis' kunye ne-'Hidradenitis suppurativa'.
Eyona nto ibalulekileyo kukuba, nokuba yintoni na imbangela, kungcono ukungayinaki, kuba ukuba ayinyangwa, ayihlali yodwa .
Zeziphi iingxaki ezinokwenzeka ukuba azinyangwa?
Ukucinga, "Kuza kuba ngcono" kunokuba yingozi. I-fistula enganyangwanga ingakhokelela kwizinto ezifana nezi:
1. Usulelo oluphindaphindayo: Usulelo lusenokuqhubeka ngaphakathi kwi-fistula. Nokuba intlungu iyancipha emva kweentsuku ezimbalwa, ubovu bungaphinda buqokeleleke kwaye kuvele ithumba elitsha, nto leyo ebangela intlungu.
2. Ukusasaza isini:Intsumpa esele ikhulile ingakhula, idale imijelo emitsha, ize iphume kwezinye iindawo zolusu. Ukwakheka kwentsumpa okuntsonkothileyo kunzima nokunyanga.
3. Umngcipheko womhlaza: Oku kunqabile kakhulu. Nangona kunjalo, kukho ithuba elincinci kakhulu lokufumana umhlaza wempundu onxulunyaniswa ne-fistula engapheliyo enganyangwanga iminyaka emininzi.
Ngoko ke, ukuba unezi mpawu, bonana nogqirha ngokukhawuleza.
Uyifumana njani le nto, Gqirha?
Ngokwesiqhelo, ugqirha angafumana umngxuma wangaphandle we-fistula ngokukuxilonga nje. Kodwa eyona nto ibalulekileyo kukufumana umngxuma wangaphakathi, oko kukuthi, apho umngxuma uqala khona.
- Uvavanyo lomzimba: Ugqirha uza kuhlola indawo ejikeleze i-anus yakho. Oku kusenokuba buhlungu kancinci. Ukuba intlungu ininzi kakhulu, ungathomalaliswa, oko kuthetha ukuba uzathomalaliswa kancinci, kwaye uvavanyo luya kwenziwa kwigumbi lotyando.
- Izixhobo ezikhethekileyo: Isixhobo esincinci esinekhamera ebizwa ngokuba yi-"Anoscope" okanye "Proctoscope" singafakwa kwi-rectum ukuze sihlolwe.
- Uvavanyo lokufota: Ngamanye amaxesha olu vavanyo luyadingeka ukuze kubonwe ngqo apho ikhoyo i-fistula tunnel.
- I-MRI scan (Magnetic Resonance Imaging): Oku kungabonisa ngokucacileyo indlela ye-fistula kunye nendlela edibene ngayo nemisipha ye-sphincter ye-anus.
- I-Endoscopic Ultrasound: Ikhamera encinci kunye nesixhobo se-ultrasound esifakwe kwi-rectum sinokuvelisa imifanekiso efana ne-MRI.
- I-Fistulography: Uvavanyo lwe-X-ray lwe-fistula ngokufaka idayi ekhethekileyo kuyo.
Olu vavanyo luza kunceda ugqirha ukuba afumanise uhlobo lwe-fistula. Oko kukuthi, indlela edlule ngayo kwimisipha ye-anal sphincter. Oku kuza kuqinisekisa indlela oza kunyangwa ngayo. Kubaluleke kakhulu ukwenza utyando ngaphandle kokulimaza loo misipha.
Zithini iindlela zonyango zoku?
Ixesha elininzi, kufuneka utyando ukuze kunyangwe umngxuma wempundu. Kunqabile kakhulu ukuba unyangwe ngamayeza odwa. Nangona kunjalo, ukuba ngumngxuma ongasuleliyo obangelwa sisifo esifana nesifo sikaCrohn, kukho ithuba lokuba uya kunyangwa ngamayeza athile akhethekileyo abizwa ngokuba yi-immunomodulators.
Uhlobo lotyando luyahluka ngokuxhomekeke kuhlobo lwe-fistula.
| Uhlobo lotyando | Icacisiwe ngokulula |
|---|---|
| KwiFistula Elula | |
| I-Fistulotomy | Le yeyona ndlela ixhaphakileyo nephumelelayo (malunga nama-95%). Okwenziwayo apha kukunqumla inxalenye efana nophahla yetonela yeBhagandara. Emva koko iba njengenxeba elivulekileyo, lizaliswa ukusuka ezantsi ukuya phezulu kwaye liphole. |
| Kwi-Complex Fistulas | |
| Umsele weSeton | Kule nto, ugqirha ufaka into ethile efana nomsonto nge-anus. Oku kudala indlela yokuba yonke i-pus engaphakathi iphume ngayo. Ngamanye amaxesha, njengoko le ntambo inqumla kancinci kwimisipha, inxeba liyaphola emva kwayo. |
| I-Endorectal Advance Flap | Apha, umngxuma ongaphakathi kwimpundu uvalwa ngaphandle kokunqumla umsipha. Kuthathwa isiqwenga sezicubu eziphilileyo (i-flap) ngaphakathi kwi-rectum kwaye umngxuma uvalwe. Emva koko inxeba liyaphola ukusuka ngaphakathi ukuya ngaphandle. |
| Inkqubo ye-LIFT | Kule nkqubo, inxalenye yomsipha ehamba phakathi kwezi zihlunu zimbini ivalwe nge-suture. Le ndlela inokunciphisa umonakalo kwimisipha. |
Ugqirha wakho uza kukhetha indlela yonyango efanela imeko yakho. Kusenokungabi lula ukugqiba inkqubo ngotyando olunye, okanye kusenokufuneka ukuba kwenziwe utyando oluninzi.
Ndingenza ntoni ekhaya emva kotyando?
Ngokwesiqhelo ungaya ekhaya ngaloo mini inye yotyando. Kufuneka uzinyamekele ezi zinto emva kokuba ubuyele ekhaya.
- Iipilisi zokunciphisa iintlungu: Sela amayeza okunciphisa iintlungu achazwe ngugqirha ngexesha elifanelekileyo.
- Ukuthintela ukuqhina kwesisu:Izithomalalisi zentlungu zinokubangela ukuqhina kwesisu. Ngoko ke, njengoko ugqirha esitsho, thatha izongezo zefayibha kwaye usele amanzi amaninzi.
- Ukuhlamba nge-Sitz: Nciphisa kwisitya samanzi afudumeleyo imizuzu eli-10-15 ubuncinane kanye ngemini. Oku kuya kunciphisa iintlungu kwaye kuncede inxeba liphole ngokukhawuleza.
- Ukugcina inxeba licocekile: Ukuba kukho ulwelo oluphuma enxebeni, landela imiyalelo kagqirha wakho ukuze uligcine licocekile. Tshintsha ibhandeji rhoqo.
Ngokwesiqhelo kuthatha iiveki ezintathu ukuya kwezintandathu ukuphiliswa ngokupheleleyo.
Eyona nto ibalulekileyo kukuba, ungaze uyityeshele intlungu enzima empundu. Musa ukuzenzela isigqibo, "Kufuneka ukuba yi-hemorrhoids." Ii-hemorrhoids azisoloko zibangela intlungu engaka. Ngoko ke musa ukuba neentloni uze ubone ugqirha ngokukhawuleza. Okukhona ufuna unyango ngokukhawuleza, kokukhona unyango luya kuba lula kwaye kokukhona ukuchacha kuya kukhawuleza.
Umyalezo Wokuya Ekhaya
- Ukuba kukho intlungu engapheliyo, ukudumba, okanye ukuphuma komoya okufana nobomvu kwi-anus, oko kungaba luphawu lwe-anal fistula .
- Oku akufane kuphelele ngokwako . Ukuba akunyangwa, kunokukhokelela ekusasazekeni kosulelo kunye neengxaki.
- Musa ukuba neentloni zokuthetha ngale nto. Bona ugqirha ofanelekileyo ngoko nangoko uze ufumane ingcebiso.
- Unyango olungcono noluhlala luhleli koku lutyando. Ugqirha wakho uya kugqiba uhlobo lotyando olulungele wena.
- Ukulandela imiyalelo kagqirha kanye emva kotyando kubalulekile ukuze uphile ngokukhawuleza.
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