Ngaba uyayazi i-Anal Stenosis? Makhe sithethe ngayo!

Ngamanye amaxesha siziva sinzima kancinci xa sisiya kwindlu yangasese, akunjalo? Okanye usenokuba ukhe wabona ezinye iintsana ezisandul’ ukuzalwa zikhala zizele zizisu ngaphandle kokusebenzisa indle. Namhlanje siza kuthetha ngemeko enokubangela ezo zinto. Nangona oku kungabonakala ngathi yingongoma enzima ukuthetha ngayo, kubaluleke kakhulu ukuyiqonda.

Yintoni i-Anal Stenosis?

Ngamafutshane, i-anal stenosis kukuncitshiswa kwe-anus yakho, indlela ephuma ngayo indle emzimbeni wakho. Oogqirha ngamanye amaxesha bayibiza le nto ngokuthi 'yi-anal stricture.' Ifana nombhobho wamanzi ovalekileyo kwaye kunzima ukuwuvula.

Le meko ixhaphake kakhulu kubantu abadala. Isizathu soku kukuba inokuba yingxaki emva kotyando okanye ngenxa yesifo esithathe ixesha elide. Nangona kunjalo, abanye abantwana banokuzalwa bene-anus enciphileyo. Oku kubizwa ngokuba yi -'congenital anal stenosis' .

Abanye abantu banokuba neempawu ezibuthathaka ze-anal stricture, abanye banokuba neempawu eziphakathi, kwaye abanye banokuba neempawu ezinzima. Nangona kunjalo, uphawu oluphambili kukungakwazi ukuhamba kwamathumbu. Kwiimeko ezininzi, ezi mpawu zinokuncitshiswa ngokwenza utshintsho kwindlela otya ngayo kunye nokusebenzisa amayeza. Nangona kunjalo, ukuba i-anal stricture yakho inzima, unokufuna utyando.

Ixhaphake kangakanani le meko?

I-anal stenosis ayiqhelekanga kangako. I-anal stenosis yabantu abadala kunye ne -congenital anal stenosis (CAS) zinqabile. Kodwa abaphandi basazama ukufumanisa ukuba ixhaphake kangakanani na. Ngoko ke ukuba unezinye zezi mpawu, kungcono ukuthetha nogqirha wakho ngayo.

Zithini iimpawu?

Ukuqhinwa luphawu oluphambili kuye nabani na one-rectum encinci. Nangona kunjalo, kunokubakho umahluko omncinci kwiimpawu kubantwana nakubantu abadala. Makhe sijonge ukuba ziyintoni na.

Iimpawu kubantu abadala

Abantu abadala banokuba nezinye iimpawu kunye nokuqhinwa, ezifana nezi:

• Urhudo.
• Ukungakwazi ukulawula indlela elihamba ngayo indle (ukungakwazi ukuzibamba) .
• Ukuziva ngathi kusekho into eseleyo emva kokuba ugqibile ukukhupha indle (ukufuduka okungaphelelanga) .
• Isitulo sincinci njengepensile.
• Intlungu xa uzama ukukhupha indle.
• Ukopha okuphuma emqolo .

Ukuba unenye okanye ngaphezulu kwezi mpawu, musa ukuzityeshela, kulungile?

Iimpawu kwiintsana

Ukuba usana olusandul’ ukuzalwa lunale meko, kukho iimpawu ezininzi ezinokunceda ekuyichongeni.

• Uphawu oluqhelekileyo kukuba xa usana olusandul’ ukuzalwa lungadlulanga kwindle yalo yokuqala, ebizwa ngokuba yi -meconium, kwiiyure ezingama-48 emva kokuzalwa.
• Ukulila nokungazoli okungenakunqandwa nokuba uzama kangakanani na.
• Izihlalo ezikhululekileyo.
• Iimpawu zokuphelelwa ngamanzi emzimbeni ziquka indawo ethambileyo etshonayo entlokweni yomntwana kunye neenapukeni ezimanzi ezingaphantsi kwesithandathu ngosuku.
• Lowo unesisu esidumbileyo.

Ukuba ukrokrela ukuba umntwana wakho unento efana nale, kufuneka ubone ugqirha ngokukhawuleza.

Zithini izizathu zokuncitshiswa kwerectum?

Kwabantu abadala, i-rectum iyancitshiswa ngenxa yezicubu zesilonda ezikhula ngaphakathi kwi-rectum. Ezi zicubu zesilonda zenza umaleko wezicubu oqinileyo nongaguqukiyo owakheka ecaleni kweendonga ze-rectum, ziwunciphise. Cinga ngayo njengentambo eqinileyo endaweni yebhanti yerabha. Ezi zicubu zesilonda zinokukhula emva kwenkqubo yezonyango okanye utyando olwenziwe kwi-rectum yakho. Okanye inokubangelwa yimeko ende ebangela ukudumba .

Uphando lubonise ukuba ama-90% eempundu eziqhekekileyo zibangelwa zizicwili ezikhula emva kotyando lwe-hemorrhoid . Ezinye izizathu zezicwili ziquka:

• Izifo ezidluliselwa ngesondo kwimpundu. Imizekelo ibandakanya i-chlamydia , i-herpes yesini , ii-anal warts ezibangelwa yi-human papillomavirus (HPV) , i-syphilis , i-gonorrhea , i-hepatitis A , i-hepatitis B , kunye ne-HIV .
• Isifo samathumbu esidumbileyo (IBD) .
• Ukusetyenziswa kakhulu kwemithi yokukhupha isisu .
• Unyango lwemitha lomhlaza werectal lunokubangela ukuba izicubu ezibomvu zenzeke kwaye zinciphise irectum.

I-Congenital Anal Stenosis

Usana luzalwa lune-anus encinci, imeko ebizwa ngokuba yi -anorectal malformation , ebangelwa kukutshintsha kophuhliso lwe-fetus . Iingcali azikayazi imbangela echanekileyo yoku. Ngoko ke oomama akufuneki bakhathazeke ngayo.

Zithini iingxaki zoku?

Iingxaki ezibangelwa kukuqhekeka kwesisu zixhomekeke kwiimpawu onazo. Umzekelo, ukuba unengxaki yokungakwazi ukuzibamba , usenokuba nezilonda ezijikeleze i-rectum yakho. Ukuba unesiphene esingapheliyo, usenokuba nesifo esibizwa ngokuba yi-fecal impaction , apho indle inamathela khona kwi-rectum yakho. Ukuba umntwana wakho wazalwa enomjelo omncinci wempundu (CAS), usenokuba nengxaki yokuphelelwa ngamanzi emzimbeni . Yiyo loo nto unyango lwangethuba lubalulekile.

Oogqirha bayixilonga njani le meko?

Kukho umahluko omncinci kwindlela abantwana nabantu abadala abafumana ngayo oku.

Indlela yokufumanisa i-congenital anal stenosis (CAS) kwiintsana

Oogqirha badla ngokubona iimpawu ze-congenital anal stenosis xa behlola usana olusandul’ ukuzalwa. Olu vavanyo lungabandakanya uvavanyo lwe-digital rectal (DRE) .

Ukuba umntwana wakho akaphumeleli kwi -meconium kwiiyure ezingama-24-48 emva kokuzalwa, okanye ukuba iintshukumo zakhe zokuqala zamathumbu zikhululekile kakhulu, ugqirha wakho unokurhanela ukuba une-CAS. Banokuyalela iimvavanyo ukuqinisekisa imeko, ezifana nezi:

• Uvavanyo lwe-ultrasound yesisu .
• Uvavanyo lwe-enema ye-Barium .
• I -CT scan (i-computed tomography - i-CT scan) .

Indlela yokufumanisa i-prolapse ye-rectal kubantu abadala

Ugqirha uza kukubuza ngeempawu zakho kunye nembali yakho yezonyango. Ukuba ukhe watyandwa, baza kujonga ezo rekhodi. Emva koko baza kwenza uvavanyo olufana nolu:

• Uvavanyo lwedijithali lwerectal .
• I-Anoscopy ( ikhamera encinci ejonga ngaphakathi kwi-rectum).
• I-Proctoscopy ( uvavanyo olujonge nzulu kancinci kwi-rectum).

Iphathwa njani le nto?

Nokuba une-rectum encinci okanye umntwana wakho unayo, unyango lokuqala kukuzama ukwenza kube lula ukuphuma kwendle. Ugqirha unokucebisa izinto ezifana nezi:

• Ukusebenzisa izithambisi-ndlela zokuhlamba izisu zeentsana, kunye nezithambisi-ndlela zokuhlamba izisu kunye nezithambisi-ndlela zabantu abadala, kunokunceda isitulo sidlule ngokulula kwi-anus enciphileyo.
• Ukutshintsha oko ukutyayo nokuselayo. Oku kuthetha ukongeza ulwelo kunye nefayibha ekutyeni kwakho kwemihla ngemihla. Yitya iziqhamo, imifuno, kunye neenkozo ezipheleleyo.

Ngamanye amaxesha, wakuba ukwazile ukuphuma kwigumbi lokulala elinobukhulu obuqhelekileyo, i-rectum iya kunwebeka ize ikhule ngokwayo.

Ezinye iindlela zonyango zeentsana

Ugqirha womntwana wakho unokolula aze andise i-anus yomntwana wakho esebenzisa inkqubo ebizwa ngokuba yi -'anal dilatation.' Oku kuquka ukufaka isixhobo esincinci, esithanjiswe ngethambiso (dilator) kwi-anus yomntwana wakho. Esi sixhobo siyasuswa emva kwemizuzwana embalwa.

Umntwana kuya kufuneka afumane olu nyango kabini ngemini kangangeeveki ezimbalwa. Iveki nganye, kusetyenziswa ii-dilators ezinkulu kancinci de i-anus yomntwana ibuyele kubukhulu obuqhelekileyo. Emva koko, inani lonyango liyancitshiswa kwiinyanga ezimbalwa. Kukho amaxesha apho oomama bafundiswa ukwenza oku ekhaya.

Kunqabile kakhulu ukuba umntwana onempundu enciphileyo afune utyando olubizwa ngokuba yi -anoplasty .

Ezinye iindlela zonyango zabantu abadala

Ukuba utshintsho kwindlela yokutya kunye nezinto zokuthambisa isitulo azincedi, ugqirha wakho unokucebisa ukuba utyando lwe-anal luvulwe . Banokwenza oku ngokwabo, okanye banokukufundisa indlela yokusebenzisa i- dilator ekhaya. Ukuba oku akusebenzi, banokucebisa utyando. Olu tyando lunokubandakanya:

• I-Anoplasty: Olu tyando lwenzelwe ukulungisa iingxaki ezithintela i-rectum ukuba isebenze kakuhle. Ugqirha ulungisa i-rectum yakho ukuze ivuleke ibe nkulu kunesiqhelo.
• I-Sphincterotomy: Kule nkqubo, ugqirha usika umsipha we-sphincter ngaphakathi kwe-rectum yakho, enciphisa ukuqina kwe-rectum yakho.

Kwenzeka ntoni emva konyango?

Kwiimeko ezininzi, unyango luya kubuyisela i-rectum yakho kubukhulu bayo obuqhelekileyo kwaye lunciphise iimpawu ze-rectal prolapse. Ngelishwa, le meko idla ngokuchaphazela abantu abanesifo samathumbu esivuthayo (IBD), esihlala ixesha elide. Ukuba kunjalo kuwe, oogqirha bakho banokukunceda ulawule i-IBD yakho.

Uninzi lwexesha, umjelo womntwana ongasemva unokunyangeka. Kodwa njengoko umntwana wakho ekhula, lungela ukulawula ukuqhinwa komntwana omncinci . Lumka oku ngakumbi xa umntwana wakho eqeqeshwa kwindlu yangasese.

Ndingazinyamekela njani?

Ukuba une-rectum encinci, umzimba wakho mhlawumbi udlule kwizinto ezininzi. Njengotyando lwe-hemorrhoid okanye ukuhlala nesifo samathumbu esivuthayo njengesifo sikaCrohn . I-rectum encinci inokubonakala ngathi yenye ingxaki kwinkqubo yakho yokugaya ukutya. Unyango lunokunceda ekunciphiseni iimpawu zakho. Nazi ezinye izinto onokuzenza ukunceda ukuhamba kwamathumbu akho:

• Sela amanzi amaninzi: Qala usuku lwakho ngeglasi yamanzi ashushu. Kulungile ukusela ikomityi yekofu emva koko. I-caffeine inokuvuselela izihlunu kwinkqubo yakho yokugaya ukutya kwaye ikuncede uphume ebhedini. Sela amanzi amaninzi imini yonke.
• Hlala ukhuthele: Nokuba kukuhamba ngokukhawuleza okanye ukukhwela ibhayisekile, nayiphi na intshukumo iya kuvuselela izihlunu zesisu sakho kwaye yonyuse ukuhamba kwegazi ukuya emathunjini akho. Zonke ezi zenzo ziya kukunceda uphume indle rhoqo.
• Cinga ngezinto zokuthambisa isitulo kunye nezinto zokuhambisa isisu: Ngamanye amaxesha, udinga nje ukutyhalwa kancinci ukuze ukhuphe isitulo. Ugqirha wakho unokukunika izinto zokuthambisa isitulo kunye nezinto zokuhambisa isisu , okanye ungathenga amayeza athengiswa ngaphandle kwekhawuntara.Nangona kunjalo, ukuba unesifo samathumbu esibangelwa kukudumba (i-IBD), qiniseka ukuba uqhagamshelana nogqirha wakho malunga nohlobo lwesithambisi sendle omele usisebenzise.

Ndifanele ndimbone nini ugqirha?

Ukuba iimpawu zakho zokuwa kwesisu aziphucuki nangona unyango luqhubeka, okanye ukuba ziya zisiba mandundu, bona ugqirha wakho.

Nantsi ingongoma: Sonke kufuneka sikhuphe indle. Kodwa xa unemeko efana ne-anal stenosis, apho i-anus yakho incinci kangangokuba indle eqhelekileyo ayinakukwazi ukuphuma kuyo, kunokuba nzima kakhulu.

Ukuba une-rectum encinci, ungaziva ngathi ezi mpawu zichaphazela ubomi bakho bemihla ngemihla.

Ukuba umntwana wakho une-congenital anal stenosis (CAS), usenokuba nexhala kwaye uxinezelekile, mhlawumbi ngenxa yokuba umntwana wakho akaphumli okanye akatyi.

Ngethamsanqa, kukho iindlela ezahlukeneyo zokunyanga ukucutheka kwempundu. Ukuba wena okanye umntwana wakho ninezi mpawu, thetha nogqirha. Okukhona nifumana uxilongo nonyango ngokukhawuleza, kokukhona wena okanye umntwana wakho niza kuphila ngokukhawuleza.

Ezona zinto zibalulekileyo ekufuneka sizikhumbule kweli bali zezi:

• I-anal stenosis kukucutheka kwendlela edlula kuyo indle. Inokwenzeka kubantu abadala ngenxa yotyando okanye isifo, okanye kubantwana ukususela ekuzalweni.
• Ukuba uneempawu ezifana nokuqhinwa, iintlungu xa uhamba ngesisu, okanye uphuma indle , ngokuqinisekileyo kuya kufuneka ubone ugqirha. Kwiintsana, ukuba azikayi kungena isisu emva kweentsuku ezimbini, loo nto ikwayinto ekufuneka uyiqwalasele.
• Ungakhathazeki, kukho iindlela ezahlukeneyo zonyango zoku, ukusuka ekutshintsheni ukutya ukuya kumayeza, iinkqubo ezikhethekileyo (umz. ukukhulisa i-anal), kwanotyando ukuba kuyimfuneko.
• Eyona nto ibalulekileyo kukufuna ingcebiso kagqirha kwangoko xa uziva ingxaki. Emva koko ungafumana isiqabu ngokukhawuleza. Nyamekela impilo yakho, kuba yeyona nto ixabisekileyo!

I- Anal Stenosis, Ukuqhinwa, I-Anus, Iintsana Ezisandul' Ukuzalwa, IiHemorrhoids, Utyando, Ubunzima Bokukhupha Indle