Ngaba uziva ungakhululekanga ngenxa yentlungu, ukudumba, okanye ukuphuma kwamanzi kwimpundu yakho? Oku kunokuba nzima kangangokuba kunokwenza kube nzima ukuhamba, ukuhlala, okanye ukwenza imisebenzi yemihla ngemihla. Isizathu sale nto isenokuba yi-anal fistula, imeko ebizwa ngokuba yi -'Anal Fistula' . Le meko kunzima ukuyinyanga ngokupheleleyo ngamayeza. Ke ngoko, isisombululo esilungileyo nesisebenzayo sale nto kukuhlinzwa. Namhlanje sithetha ngotyando olubizwa ngokuba yi-'Fistulotomy' lwale meko ye-anal fistula.
Yintoni iFistulotomy?
Ngamafutshane, iFistulotomy yinkqubo yotyando eyenziwa ukunyanga i-anal fistula. Ngoku makhe sibone ukuba yenziwa njani i-anal fistula.
Xa usulelo luvela kwi-anus okanye kwi-rectum yakho, lunokubangela ukuba kubekho iqhuma elibuhlungu nelizele bubomvu. Eli qhuma liza kuphuma emva kweentsuku ezimbalwa, nokuba lodwa okanye ngokusikwa okuncinci, lishiya indlela yokuba iqhuma lihambe ngayo. Lifana nomngxuma ongaphantsi komhlaba. Lo mngxuma uvela ngaphakathi kwi-anus ukuya kumphezulu wolusu ubizwa ngokuba yi-anal fistula.
Kwi-fistulotomy, ugqirha otyandayo (ugqirha otyandayo i-colorectal) uyivula ngokupheleleyo le mhubhe. Cinga ngayo njengetyhubhu yokusela yeplastiki, yinqumle ubude bayo uze uyicande ngokupheleleyo. Xa uyivula ngolu hlobo, inxeba liqala ukuphola ngaphakathi nangaphandle. Le yindlela ekuphela kwayo yokunyanga esi sifo ngokupheleleyo. Nangona kunjalo, kunqabile kakhulu, le meko inokuphinda ivele emva kotyando.
Ungazilungiselela njani ngaphambi kotyando?
Olu tyando lunokuchaphazela indlela oqhele ukwenza ngayo izinto kangangeeveki ezimbini, ngoko ke kubalulekile ukucwangcisa kwangaphambili.
- Umntu onokukunceda: Lungiselela kwangaphambili ukuba umntu akuqhubele ekhaya emva kotyando. Ekubeni utyando luza kwenziwa phantsi kwe-anesthesia, awuzukukwazi ukuqhuba okanye ukuya ekhaya wedwa.
- Ukutya nokusela: Ukuba usebenzisa i-anesthesia jikelele, uya kucelwa ukuba uyeke ukutya ngobusuku bangaphambi kotyando lwakho. Ungacelwa nokuba uyeke ukusela amanzi malunga neeyure ezine ngaphambi kotyando lwakho.
- Ukucocwa kwamathumbu: Ngamanye amaxesha, ugqirha unokukucebisa ukuba wenze i-enema yokucoca amathumbu akho kusasa ngosuku lotyando lwakho.
Ugqirha wakho uza kukunika imiyalelo ecacileyo ngayo yonke le nto, ngoko qiniseka ukuba ubuza nayiphi na imibuzo onokuba nayo.
Kwenzeka ntoni ngexesha lotyando?
Emva kokuba ufakwe i-anesthesia, ugqirha uza kulandela la manyathelo:
1. Okokuqala, kufakwa isixhobo esikhethekileyo (iprobe) kwisini.Bafumanisa ngqo apho iqala khona kwaye iphelela khona emzimbeni.
2. Emva koko, umngxuma ofunyenweyo unqunyulwa ngokupheleleyo.
3. Ekugqibeleni, i -gauze dressing ibekwa phezu kwenxeba elivulekileyo ize ivalwe. Oku kuya kufunxa naliphi na igazi okanye olunye ulwelo olunokuphuma enxebeni.
Olu tyando ludla ngokuthatha imizuzu engama-30 ukuya kwiyure. Okukhona ibhinqa lilikhulu, kokukhona utyando lunokuthatha ixesha elide.
Ziziphi iingenelo kunye neengozi zalo tyando?
Njengakwezinye iindlela zotyando, kukho iingenelo kunye neengozi ezincinci.
| Iinzuzo | Iingozi/Iingxaki |
|---|---|
| Le yeyona ndlela ikuphela kwayo neyona ilungileyo yokunyanga ngokupheleleyo i-anal fissure. | Ukopha igazi eliphuma enxebeni. |
| Izinga lempumelelo yolu tyando liphezulu kakhulu (malunga nama-95%). | Usulelo lwenxeba. |
| Kunokwenzeka ukususa iintlungu kunye nokungonwabi okubangelwa sisifo. | Ukungakwazi ukuzibamba kwindle . Oku kunqabile kakhulu kwaye kudla ngokuba yinto yexeshana. |
Ingaba i-fistulotomy lutyando olukhulu? Ngokwesiqhelo yinkqubo yokuya ekhaya ngaloo mini inye ngaphandle kokuhlala esibhedlele. Nangona kunjalo, ekubeni i-incision inokuba nkulu ngokuxhomekeke kubukhulu be-fistula kunye nokusetyenziswa kwe-anesthesia, ayisiyonto ifanele ithathwe lula.
Yintoni ekufuneka uyiqwalasele emva kotyando?
Asinguye wonke umntu ophila ngendlela efanayo. Nangona kunjalo, kusenokwenzeka ukuba uzive ungonwabanga kwaye uneentlungu kwiintsuku ezimbalwa zokuqala emva kotyando. Kungathatha iinyanga ezininzi ukuba inxeba liphiliswe ngokupheleleyo. Kubalulekile ukunyamekela ezi zinto ngeli xesha.
- Iipilisi zokunciphisa iintlungu: Sela amayeza entlungu njengoko ugqirha wakho ekuyalele.
- I-Sitz Bath: Hlamba i-sitz yonke imihla. Oku kuthetha ukugcwalisa isitya esikhulu ngokwaneleyo ukuba uhlale kuso ngamanzi afudumeleyo uze uhlale kuso malunga nemizuzu eli-10-15. Oku kuya kunceda ukunciphisa iintlungu kunye nokugcina inxeba licocekile.
- Ukutya Neziselo: Sela amanzi amaninzi ukuze ungaqhinwa . Kwakhona, faka ukutya okuninzi okunefayibha eninzi (iziqhamo, imifuno, kunye neembotyi) ekutyeni kwakho.
- Ukuya kwindlu yangasese: Kuphephe ukuzibhokoxa xa usiya kwindlu yangasese.
- Ukuzilolonga: Ukuba uzilolonga yonke imihla, kunokufuneka ube nomonde. Ugqirha wakho unokucebisa ukuba uyeke ukwenza imithambo ebeka uxinzelelo kumzimba wakho ongezantsi, ingakumbi ukuphakamisa iintsimbi kunye nokugoba umzimba ngokunzulu, kangangeenyanga ezimbalwa.
Uzicoca njani emva kokuya ngasese?
Le yingxaki enabantu abaninzi. Ekubeni kukho inxeba, kufuneka ulumke kancinci xa ulicoca.
- Emva kokusebenzisa indlu yangasese, sula ngobunono nge- baby wipe engenatywala okanye ngelaphu elifumileyo.
- Ukuba kunokwenzeka, kungcono ukuhlamba okanye ukuhlamba umzimba rhoqo xa usiya kwigumbi lokuhlambela.
Ukuba unale mpawu, bonana nogqirha ngokukhawuleza.
Ukuba ufumana naziphi na kwezi mpawu zilandelayo ngexesha lokuchacha kwakho, qhagamshelana nogqirha wakho ngaphandle kokulibazisa.
| Iimpawu zesilumkiso ekufuneka uziqaphele |
|---|
| Ukuqunjelwa okuhlala ixesha elingaphezu kweentsuku ezintathu. |
| Ukopha kakhulu enxebeni. |
| Ukuba nomkhuhlane ophezulu. |
| Ukuphuma kolwelo olufana nobovu oluvela enxebeni okanye empundu. |
I-anal fissure yimeko ebuhlungu kakhulu kwaye ibeka ubomi esichengeni. Kodwa utyando lwe-Fistulotomy sisisombululo esilungileyo kuyo. Nangona ixesha lokuchacha lide kancinci, ngomonde nangokulandela imiyalelo kagqirha ngqo, ungachacha ngokupheleleyo. Ukuba uzive ungakhululekanga okanye ukhathazekile ngeli xesha, ungoyiki ukuthetha nogqirha wakho ngayo.
Umyalezo Wokuya Ekhaya
- Utyando lweFistulotomy yeyona ndlela isebenzayo nephumelelayo yokunyanga ngokupheleleyo i-fistula yempundu.
- Ukuchacha emva kotyando kuthatha ixesha elithile, ingakumbi ukuba inxeba liphole ngokupheleleyo.
- Landela imiyalelo kagqirha wakho ngononophelo, ingakumbi malunga nokucoca amanxeba, ukutya okunempilo, kunye nokuzilolonga.
- Ukuba ufumanisa iimpawu ezilumkisayo ezinjengokopha kakhulu, umkhuhlane, okanye ukuphuma kobofu, tsalela umnxeba ugqirha wakho ngoko nangoko.
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