Ngaba uhlala uziva iintlungu, ukudumba, okanye ukuziva umanzi ecaleni kwempundu yakho (indawo olala kuyo)? Abantu abaninzi baneentloni kwaye baneentloni zokuthetha ngezi zinto. Kodwa ezi ziingxaki zempilo, ngoko ke ukuba neentloni nokuzifihla kuya kuyenza ibe mandundu imeko. Namhlanje sithetha ngesihloko esinobuzaza, kodwa esibaluleke kakhulu njenge-anal fistula, okanye `(Anal Fistula)`.
Kalula nje, yintoni i-anal fistula?
Cinga ngayo njengomngxuma ongaqhelekanga ohamba usuka ngaphakathi kwimpundu yethu uye kumphezulu wolusu oluyijikelezileyo. Ngokuchanekileyo, olu nxibelelwano lwenzeka phakathi kwempundu, inxalenye yokugqibela yenkqubo yethu yokugaya ukutya, kunye nolusu oluyijikelezileyo.
Idla ngokuqala ngosulelo kwi-gland encinci ngaphakathi kwi-anus. Olu sulelo lubangela ukuba ubovu buqokeleleke bube yiqhuma. Ngokwesayensi silubiza ngokuba yithumba. Ukuba eli qhuma alipholi kakuhle, lenza indlela entsha yokuba ubovu buphume, ebizwa ngokuba yi-tunnel. Loo mngxuma yinto esiyibiza ngokuba yi-fistula.
Le meko ayiziphili yodwa. Kungoko ke, kubaluleke kakhulu ukuyinyanga. Oku kudla ngokufuna utyando oluncinci.
Ngaba kukho iintlobo zeBhagandara?
Ewe, le tunnel yahlulwe yaya kwiintlobo ezahlukeneyo ngokuxhomekeke kwindawo ekuyo kunye nendlela ethatha ngayo. Kukho izihlunu ezimbini ezimile okweringi ezinceda i-anus yethu ivale kwaye ivuleke. Ezi zihlunu sizibiza ngokuba yi-sphincter . Uhlu oluphambili lusekelwe kwindlela i-vagina edlula ngayo kwezi zihlunu.
- I-Intersphincteric anal fistula: Olu lolona hlobo luqhelekileyo. Kule meko, umngxuma wenziwa phakathi kwezihlunu ze-sphincter zangaphakathi nezangaphandle.
- I-Transsphincteric anal fistula: Kolu hlobo, umngxuma udlula kwizihlunu zangaphakathi nezangaphandle.
- I-Suprasphincteric anal fistula: Apha, umngxuma udlula ngaphezulu kwemisipha yangaphakathi uze ufikelele kumphezulu wolusu.
- I-Extrasphincteric fistula: Olu luhlobo olungaqhelekanga. Luqala kwinxalenye ephezulu ye-rectum kwaye luhamba ngaphandle kwezihlunu zombini.
- I-superficial anal fistula: Olu hlobo lwahlukile kwezinye. Nangona luqala ngaphakathi kwi-anus, aludluli kwi -anal sphincter, kodwa lujikeleza luze luvuleke kumphezulu wesikhumba.
Olu hlobo lokwahlulahlula lunokuba nzima kuwe, kodwa ugqirha wakho uya kukwazi ukumisela uhlobo oluchanekileyo onalo aze anikezele ngonyango olufanelekileyo.
Ziziphi izizathu eziphambili kunye nezinto ezibangela umngcipheko wokuphuhlisa i-hernia?
Njengoko benditshilo ngaphambili,Eyona nto ibangela ukuba kubekho ithumba eliphuma empundu. Xa amadlala amancinci ngaphakathi empundu evalekile, iintsholongwane ziyaqokelelana zize zibangele usulelo, nto leyo edala ithumba elizaliswe yi-pus. Ukuba eli thumba alinyangwa, linokukhula lize lenze umngxuma eluswini ukuze i-pus iphume. I-anus ngumngxuma odibanisa i-gland kunye nomngxuma eluswini.
Ngaphandle koko, ezinye iimeko zempilo zinokubangela iintsumpa zesini, kodwa oko kunqabile.
- Isifo sephepha
- Ezinye izifo ezidluliselwa ngesondo
- Iimeko zokudumba zenkqubo yokugaya ukutya ixesha elide, ezifana nesifo sikaCrohn okanye i-ulcerative colitis.
- Unyango lomhlaza we-rectal
- Ukususa ithumba elakhe lavela ngaphambili kwaye lizaliswe bubovu
- Iingozi okanye ukwenzakala okunxulumene ne-anus
Uyazi njani ukuba une-hymen? Zithini iimpawu zayo?
Ukuba unempawu enye okanye ezingaphezulu kwezi zingezantsi, isenokuba luphawu losulelo lwe-yeast. Ukuba unengxaki efana nale, kungcono ukubona ugqirha ngaphandle kokuchitha ixesha .
| Uphawu | Inkcazo |
|---|---|
| Intlungu engapheliyo kunye nokudumba | Intlungu engapheliyo kunye nokudumba okujikeleze i-anus okwandayo xa uhleli, uhamba, okanye ukhohlela. |
| Ubomvu bolusu kunye nobushushu | Ulusu olujikeleze i-anus luba bomvu kwaye lufudumele xa luchukunyiswa. |
| Ubomvu okanye ukukhupha | Umngxuma omncinci eluswini kufutshane ne-anus unokuvuza ubomvu obunuka kakubi okanye ulwelo olunegazi . Kungangcolisa impahla yakho yangaphantsi. |
| Ezinye iimpawu | Abanye abantu banokufumana iimpawu ezinje ngomkhuhlane, ubuthathaka, iintlungu xa bekhupha indle okanye bechama, kunye nokopha. |
Gqirha, uyixilonga njani le nto?
Xa usiya kugqirha wakho, uza kukubuza ngeempawu zakho kunye nembali yakho yezonyango. Emva koko, baza kwenza uvavanyo lomzimba. Ezinye iimfantu kulula ukuzibona kuba ziyabonakala. Ezinye iimfantu ngamanye amaxesha zinokuvaleka zize ziphinde zivuleke. Ugqirha uza kuhlola ngononophelo indawo ejikeleze i-anus ukuze akhangele naluphi na ubovu okanye ulwelo, okanye naziphi na iziqwenga.
Ngamanye amaxesha, ukuqinisekisa ngakumbi imeko, angakuthumela kwingcali yeemeko zamathumbu amakhulu kunye namathumbu amakhulu. Banokwenza novavanyo olufana ne-X-ray okanye i-CT scan. Ngamanye amaxesha, unokucetyiswa ukuba wenze i-colonoscopy, equka ukufaka ityhubhu enekhamera nge-anus yakho ukuze uhlole ingaphakathi le-colon yakho. Olu vavanyo lwenziwa phantsi kwe-anesthesia (ukukwenza ulale) ukuze ungaziva ungonwabanga.
Ziziphi iindlela zonyango lwe-phlegm?
Utyando ludla ngokufuneka ukuze kunyangwe imifantu yempundu. Unyango olufumanayo luya kuxhomekeka kwindawo, ubungakanani, kunye nohlobo lomfantu. Nazi ezinye zeendlela eziphambili zonyango.
| Indlela yonyango | Kalula nje... |
|---|---|
| I-Fistulotomy | Olu lolona tyando luqhelekileyo kwi-hernias elula, engangeniyo. Ugqirha uvula umngxuma, akhuphe ubovu, aze ashiye inxeba livulekile ukuze liphilise. |
| Ukubekwa kweSeton | Le ndlela isetyenziswa kwi-fistula ezintsonkothileyo nezidlula imisipha. Intambo yotyando (i-seton) idlula kwi-tunnel ize ibotshelelwe. Oku kuvumela ubomvu ukuba buqhubeke nokuphuma amanzi, kwaye ekuhambeni kwexesha, intambo iyanqumla kancinci kwimisipha, incede i-fistula ukuba iphile. |
| Utyando lweFistulectomy | Apha, lonke i-ganglion cyst liyasuswa kwaye lisuswe. Le ndlela ingasetyenziselwa ii-ganglion cysts ezintsonkothileyo okanye eziphindaphindayo. |
| Inkqubo ye-LIFT | Olu lutyando lwe-hernias ezintsonkothileyo. Apha, umngxuma ophakathi kwezihlunu uvalwa ngokuthungwa. Oku kunciphisa umonakalo kwizihlunu. |
| Ezinye iindlela | Ukongeza, kukho iindlela zanamhlanje ezifana nokusebenzisa i-mucosal progression flap ukuvala i-fistula okanye ukusebenzisa ii-plugs ezikhethekileyo (ii-fistula plugs) ukuvala umngxuma. |
Zithini iingxaki ezinokubakho xa zinganyangwa?
Ukuqhekeka kwempundu akuyonto yokuziphilisa. Ukuba awuyinyangi, inokukhokelela kwiingxaki.
- Usulelo oluphindaphindayo: Iintsholongwane kunye nobovu zinokuqhubeka nokuqokelelana kwilungu lobufazi elinganyangwanga, nto leyo ekhokelela ekubeni usulelo oluphindaphindwayo luqhubeke. Ezi zinokuba nzima ngakumbi ngokuhamba kwexesha kwaye kube nzima ukuzinyanga.
- Ubunzima bokulawula amathumbu akho: Ukuba isini sakho sonakaliswe yimisipha ye-sphincter , unokuba nobunzima bokulawula iintshukumo zakho zamathumbu. Oku kubizwa ngokuba yi-"Fecal incontinence".
- Usulelo Olubi: Ukuba usulelo olukwilungu lobufazi lusasazeka luye kwizicubu ezingqongileyo okanye egazini, imeko enzima nesongela ubomi ebizwa ngokuba yi-"Sepsis" inokwenzeka.
- Ukwakheka kweendlela ezintsha zokubola: Ukubola okunganyangwanga kunokukhula kwaye kwenze imijelo emitsha, nto leyo eyonza imeko ibe nzima ngakumbi.
- Umngcipheko womhlaza: Oku kunqabile kakhulu. Nangona kunjalo, kukho umngcipheko omncinci kakhulu wokuba nomhlaza we-rectal ngenxa yeentsumpa zesini ezinganyangwanga ixesha elide.
Ngoko ke, xa ubeka ecaleni ihlazo, eyona nto ingcono onokuyenza kukufuna ingcebiso kagqirha ngokukhawuleza ukuba unezi mpawu.
Umyalezo Wokuya Ekhaya
- I-anal fistula ngumngxuma ongaqhelekanga owenzeka phakathi kwe-anus kunye nolusu oluyijikelezileyo.
- Eyona nto ibangela oku kukuba ithumba elinganyangwanga elivela kwimpundu.
- Iimpawu eziphambili ziintlungu ezingapheliyo, ukudumba, ukuba bomvu, kunye nokukhupha ubomvu okanye ukungcola okujikeleze i-anus.
- Le meko ayiziphili yodwa , ngoko ke ukufuna unyango kubalulekile.
- Amaxesha amaninzi, oku kufuna utyando. Ugqirha wakho uya kugqiba unyango olulungele wena.
- Musa ukulibazisa unyango ngenxa yeentloni okanye uloyiko. Ukwenza njalo kunokuyenza mandundu imeko kwaye kubangele iingxaki.
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