Ngaba uhlala unentlungu okanye ukudumba ecaleni kwempundu yakho (indawo apho umzimba wakho ukhupha khona inkunkuma)? Ngaba ngamanye amaxesha uyayibona into efana nobovu okanye igazi elincinci liphuma? Ndiyazi ukuba kunokuba nzima kwaye kube neentloni ukuthetha ngezi zinto nomntu. Kodwa le yimeko abantu abaninzi abahlangabezana nayo kwaye inokunyangeka ngempumelelo. Ngoko ke namhlanje, masithethe ngokukhululekileyo ngale meko ibizwa ngokuba yi-anal fistula, okanye njengoko ibizwa ngokwezonyango, yi-"Anal Fistula".
Kalula nje, yintoni i-anal fistula?
Khawucinge nje ukuba kukho umngxuma omncinci okanye i-culvert ngaphakathi kwi-anus yethu, evulekela eluswini olujikelezileyo. Yiloo nto siyibiza ngokuba yi-anal fissure. Le ayisiyonto emele ukuba semzimbeni wethu, yinto eyenzeka ngendlela engaqhelekanga.
Oku kudla ngokuqala ngokusuleleka kwamadlala amancinci ngaphakathi kwimpundu yethu. Xa la madlala esulelekile, kuvela ithumba elizaliswe yi-pus, elibizwa ngokuba yi-perianal abscess. Eli thumba lenza indlela yokuba i-pus iphume ngayo. Ekuhambeni kwexesha, loo ndlela iba ngumngxuma obizwa ngokuba yi-perianal fistula. Ngamanye amaxesha oku kubizwa ngokuba yi-perianal fistula. Oko kuthetha ukuba ujikeleze i-anus.
Ixhaphake kangakanani le meko?
Oku akuqhelekanga njengoko unokucinga. Yimeko eqhelekileyo phakathi kwezifo zempundu. Ibonakala ngokuphindwe kabini kumadoda kunakwabasetyhini. Ngokomyinge, malunga nesiqingatha kuphela sabantu abanosulelo lwe-anal gland abaya kuba nethumba. Njengoko bekutshiwo ngaphambili, ama-75% e-anal fistula abangelwa lithumba.
Ngaba nawe unazo ezi mpawu?
Kukho iimpawu ezininzi eziphambili neziqhelekileyo zokuqhekeka kwempundu. Makhe sijonge ukuba zeziphi.
| Uphawu | Inkcazo |
|---|---|
| Intlungu yempundu | Le ayisiyonto nje iqhelekileyo ebuhlungu. Yintlungu ebukhali nebangela isicaphucaphu evela ngaphakathi. Le ntlungu inokwanda xa uhleli, ukhohlela, okanye uphuma isisu. Usenokuziva neentlungu xa uchukumisa loo ndawo. |
| Ukudumba kunye nokubomvu | Kusenokubakho ukubomvu kunye nokudumba ngaphakathi okanye ngeenxa zonke kwimpundu. Oku kubonisa usulelo olusebenzayo phantsi kolusu, olufana ne -cellulitis . |
| Ulwelo oluvuzayo | Kunokubakho ukuphuma kolwelo oluphuma empundu, inani elincinci lobovu, okanye negazi (ukopha emqolo) . Ngamanye amaxesha oku kunokuba nevumba elibi. |
Ukongeza kwezi mpawu ziphambili, abanye abantu banokufumana iimpawu ezifana nezi:
- Ifiva
- Intlungu xa uchama
- Ubunzima bokulawula ukuhamba kwamathumbu
Ngamanye amaxesha, ukuba ujonge esipilini, usenokubona okanye ungawuboni umngxuma ongaphandle kwe-scrotum. Kufana nomngxuma omncinci eluswini. Ukuba uchukumisa ulusu olujikelezileyo, into efana nobovu ingaphuma. Kwezinye ii-scrotum ezindala, lo mngxuma ongaphandle ungavalwa. Emva koko ubovu buqokelelana kwakhona, nto leyo ebangela intlungu nokudumba, kwaye umngxuma uvuleka kwakhona ukuze ubovu buphume. Oku kunokuba njengomjikelo.
Kutheni le nto kuvela le ngxunya yempundu?
Njengoko besikhe sathetha ngaphambili, eyona nto iphambili neyona ixhaphakileyo yokuqhekeka kwempundu kusulelo lwe-gland kwimpundu, nto leyo eyenza i-sac egcwele ubovu (i-perianal abscess). I-flissure iba yindlela yokukhupha ubovu.
Nangona kunjalo, imifantu yempundu inokwenzeka nangezinye izizathu ezingaqhelekanga.
- Izifo zokudumba kwamathumbu: Umzekelo, isifo sikaCrohn.
- Izifo ezidluliselwa ngesondo (ii-STS) ezenzeka kwi-anus
- Isifo sephepha esichaphazela i-rectum.
- Ingozi okanye utyando lwangaphambili olubandakanya i-rectum.
- Unyango lwemitha lomhlaza wengingqi ye-pelvic
- Usulelo olungaqhelekanga lweebhaktheriya olufana ne-actinomycosis.
- I-Hidradenitis suppurativa yimeko yesikhumba eyenzeka kwiindlala zokubila.
Eyona nto ibalulekileyo kukufuna ingcebiso kagqirha ukuba unale mpawu, nokuba yintoni na imbangela.
Kuza kwenzeka ntoni ukuba ayinyangwa?
Lo ngumbuzo abantu abaninzi abawubuzayo. I-anal fissure ayizukuphola yodwa ukuba ayinyangwa.Ukuba oko kuyenzeka, iingxaki ezihlala ixesha elide zinokubakho.
- Usulelo oluphindaphindayo: Usulelo lunokuhlala lusebenza ngelungu lobufazi. Nokuba intlungu ibonakala ngathi iyaphela kangangeentsuku ezimbalwa, ubovu bungaphinda buqokeleleke kwaye kuvele ithumba elitsha, nto leyo ebangela intlungu.
- Ukusasazeka kwe-cyst: Ukuba ayinyangwa ixesha elide, le tunnel inokukhula ize yenze iindlela ezintsha ize iphume kwezinye iindawo zolusu. Ukunyanga i-cyst enzima kangaka kunzima nangakumbi.
- Umngcipheko womhlaza: Oku kunqabile kakhulu, kodwa kukho iingxelo zomhlaza wempundu okhula kubantu abaneempundu zempundu ezihlala ixesha elide ezinganyangwanga kangangeminyaka emininzi.
Ngoko ke musa ukuyithatha lula le meko. Musa ukunyamezela nje intlungu, bonana nogqirha wakho ngokukhawuleza.
Ugqirha uyibona njani le nto?
Uninzi lwexesha, ugqirha unokuyibona le ndawo ivulekileyo ngexesha lovavanyo lomzimba. Nangona kunjalo, ngamanye amaxesha indawo evulekileyo ngaphandle isenokuvaleka, ngoko ke kuyimfuneko ukufumana apho indawo evulekileyo ngaphakathi kwindawo evulekileyo iqala khona.
Ukuba olu vavanyo lubuhlungu kuwe, ugqirha unokugqiba ekubeni enze olu vavanyo kwigumbi lotyando emva kokunika i-anesthesia.
Ungazama ezi mvavanyo ukuze ufumane indlela epheleleyo yeBhagandara:
- I-MRI scan (Magnetic Resonance Imaging): Oku kungabona ngokucacileyo apho umjelo wempundu udlula khona nalapho udibana khona, kunye nendlela ochaphazela ngayo izihlunu ze-sphincter.
- I-Endoscopic Ultrasound: Ikhamera encinci kunye nesixhobo se-ultrasound zifakwa kwi-rectum ukuze kufunyanwe imifanekiso ecacileyo efana naleyo ifunyenwe nge-MRI.
- I-Fistulography: Kufakwa ulwelo olukhethekileyo kwilungu lobufazi kwaye kuthathwa i-X-ray. Indlela yolwelo emva koko ibonakala ngokucacileyo.
Olu vavanyo luya kunceda kakhulu ugqirha ukuba amisele uhlobo lwe-hernia kunye nonyango olufanelekileyo.
Inyangwa njani? Ngaba utyando luyimfuneko?
Ewe, uninzi lwemixokelelwane yempundu ifuna utyando ukuze iphole. Ukulinda ukuba iphole yodwa kuya kukhokelela kuphela kwiintsholongwane eziphindaphindayo kunye namathumba. Nangona kunjalo, ukuba umxokelelwane ubangelwa yimeko yezonyango efana nesifo sikaCrohn, kwaye akukho ntsholongwane, ngamanye amaxesha inokunyangeka ngamayeza.
Iintlobo zotyando
Uhlobo lotyando luxhomekeke ekubeni i-hernia ilula okanye iyinkimbinkimbi kangakanani.
1. KwiFistula Elula
Utyando oluphambili lwe-fistula elula engabandakanyi monakalo mkhulu kwimisipha ye-rectum kwaye engenamasebe yi -fistulotomy . Le yeyona ndlela iphumelele kakhulu (malunga ne-95%) kwaye ilula. Apha, ugqirha otyandayo uvula umngxuma we-fistula aze ayivumele ukuba iphiliswe ngaphakathi.
2. Kwi-Complex Fistulas
I-hernia enqumla indawo enkulu ye-rectum, amasebe, okanye ekwimeko yezonyango ithathwa njengeyinkimbinkimbi. Oku kungadinga utyando ngamanqanaba aliqela.
| Indlela yotyando | Kwenzeka ntoni nje |
|---|---|
| Umsele weSeton | Oku kufana nomsonto okhethekileyo. Ufakwa nge-vaginal. Into eyenzayo kukuba umngxuma uhlale uvulekile de kuphume yonke i-pus engaphakathi kwi-vaginal kwaye ikhutshwe. Ngamanye amaxesha, iimonki zisebenzisa lo msonto ukusika i-vaginal kwaye zivumele ukuba iphole. |
| I-Endorectal Advance Flap | Oku akubandakanyi ukunqunyulwa kwemisipha ye-rectum. Endaweni yoko, izicubu ezinentsholongwane ezijikeleze umngxuma ongaphakathi kwi-anus ziyasuswa, kwaye iqhekeza lezicubu eziphilileyo (i-flap) liyatsalwa ngaphakathi kwi-rectum ukuze kuvalwe umngxuma. |
| Inkqubo ye-LIFT | Apha, inxalenye yesini edlula phakathi kwezihlunu ezimbini ze-rectum iyathungwa kwaye ivalwe (i-ligation). Le ndlela inciphisa umngcipheko wokonakala kwezihlunu. |
Ixesha lokuchacha emva kotyando
Uninzi lwexesha, olu tyando lwenziwa ngendlela ekuvumela ukuba uye ekhaya ngaphandle kokulaliswa esibhedlele. Uza kunikwa amayeza okudambisa iintlungu oza kuwasebenzisa kunye nemiyalelo ekufuneka uyilandele xa usiya ekhaya.
- Izithako zokuncedisa amanzi kunye nefayibha: Ekubeni iintlungu zinokubangela ukuqhina kwesisu, kuyacetyiswa ukuba uthathe izithako zokuncedisa ifayibha ukuze uthintele ukuqhina kwesisu. Kufuneka usele amanzi amaninzi ngezi zinto.
- Ukuhlamba nge-Sitz: Ukuhlala esityeni samanzi afudumeleyo imizuzu embalwa ubuncinane kanye ngemini kunokunciphisa iintlungu kwaye kuncede inxeba liphole ngokukhawuleza.
- Ukunyamekela inxeba: Gcina inxeba licocekile ngokusebenzisa ii-gauze pads ukufunxa ulwelo oluvela enxebeni kwaye ulutshintshe rhoqo.
Kudla ngokuthatha iiveki ezintathu ukuya kwezintandathu ukuze umntu aphile ngokupheleleyo.
Ufanele uye nini kugqirha?
Ukuba unentlungu ebuhlungu kakhulu kwi-rectum yakho, soloko uxelela ugqirha wakho. Musa ukucinga ukuba iza kuphela yodwa. Abantu abaninzi bacinga ukuba zii-hemorrhoids. Kodwa ii-hemorrhoids azisoloko zibangela intlungu engaka. Nokuba ugqirha wakho oqhelekileyo uthi zii-hemorrhoids, ukuba intlungu iyaqhubeka, qiniseka ukuba ubona ingcali, njengogqirha wesisu okanye ugqirha wotyando.
Ukuphila nolu hlobo lwentlungu kunokuba luxinzelelo olukhulu, emzimbeni nasengqondweni. Kodwa ungabi neentloni ngayo kwaye ulibazise ukufuna unyango. Okukhona ufumana unyango ngokukhawuleza, kokukhona kulula ukuyilawula.
Umyalezo Wokuya Ekhaya
- I-anal fistula ngumngxuma ongaqhelekanga oqala ngaphakathi kwimpundu ukuya ngaphandle kwesikhumba.
- Iimpawu eziphambili ziintlungu eziqatha, ukudumba, kunye nokukhupha okufana nobomvu kwimpundu. Musa ukuzijonga njengeziqhushumbisi.
- Ekubeni le meko ingaziphili yodwa, kubaluleke kakhulu ukufuna iingcebiso zonyango.
- Utyando ludla ngokufuneka njengonyango. Okukhona unyango lufuneka ngokukhawuleza, kokukhona utyando lunokuba lula.
- Musa ukuba neentloni okanye ukoyika ukuthetha ngale nto. Le yimeko enokunyangeka kwaye inyangeke ngokupheleleyo.
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