Ngaba nawe ukhe waba neqhuma elibuhlungu kufutshane nempundu yakho? Lisenokuba 'yiPerianal Abscess'!

Ngaba wakha waba neqhuma elibuhlungu kakhulu, elibomvu, nelidumbileyo elijikeleze i-anus yakho (apho sithutha khona)? Le meko, enokuba buhlungu kangangokuba awukwazi nokuhlala okanye ukushukuma, iyacaphukisa kakhulu. Kwiimeko ezininzi, le inokuba yimeko ebizwa ngokuba yi-'Perianal Abscess'. Igama lisenokuvakala ngathi yinto enkulu, kodwa masithethe ngayo ngokulula, ngendlela onokuyiqonda.

Yintoni ithumba eliphuma kwisisu?

Ngamafutshane, sisiqhuma esizaliswe bubovu esikhula ngaphakathi okanye sijikeleze i-anus yakho (indawo ye-perineal). Sifana ne-blister enkulu okanye ithumba eluswini lwethu, kodwa sikwindawo ebuthathaka ngakumbi.

I-rectum yethu yinxalenye yokugqibela yenkqubo yokugaya ukutya. Yityhubhu emalunga nee-intshi ezimbini ubude. Inezangqa ezimbini zemisipha ngaphakathi nangaphandle, esizibiza ngokuba yi-"sphincters". Ezi zihlunu zilawula ukuhamba kwendle. Ngoko ke, ngaphakathi kweli rectum kukho amadlala amaninzi athambileyo. La madlala akhupha incindi ukuze agcine i-rectum imanzi. Ukuba elinye lala madlala livalekile ngandlela thile, liyosulelwa yibhaktheriya kwaye ubovu buqala ukuqokelelana ngaphakathi. Kulapho ke eli thumba libuhlungu lenzeka khona.

Le meko ngamanye amaxesha ibizwa ngokuba yi-"Anal Abscess" okanye "Anorectal Abscess." Nangona kukho amagama aliqela, onke athetha into enye.

Ngubani onokuba sengozini enkulu yokuphuhlisa ezi zinto? Ngubani osengozini enkulu?

Le meko, ebizwa ngokuba yi-"Perianal Abscess", ixhaphake kakhulu kumadoda. Ixhaphake kakhulu kubantu abaphakathi kweminyaka engama-20 ukuya kwengama-60 ubudala. Kwakhona, abantu abaneengxaki ezithile zempilo basengozini enkulu yokuba nayo.

Makhe sibone ukuba ngubani onokuba semngciphekweni omkhulu?

• Ukuba unesifo esibizwa ngokuba yi-Inflammatory Bowel Disease (IBD) (esifana nesifo sikaCrohn okanye i-Ulcerative colitis). Ezi ziimeko ezingapheliyo zokudumba ezichaphazela amathumbu.
• Ukuba une-`(Diabetes Mellitus)` (iswekile).
• Ukuba unemeko apho iingxowa ezincinci zenzeka emathunjini, njenge-diverticulitis, kwaye ziyasuleleka.
• Ukuba unesifo esenza amajoni omzimba abe buthathaka, njenge-HIV/AIDS.
• Le ngozi inokwandiswa nazizifo ezithile ezidluliselwa ngesondo (ii-STI).

Ukongeza koku, kukho nezinye izinto ezininzi ezibangela umngcipheko:

• Ukuba ungumama okhulelweyo.
• Ukuba ungumtshayi.
• Ukuba uthatha ii-steroids ezifana nePrednisone, amayeza omhlaza, okanye amanye amayeza athintela inkqubo yakho yomzimba yokuzikhusela.
• Ukuba unesifo sorhudo okanye ukuqhinwa rhoqo.
• Ngamanye amaxesha, olu hlobo lokulimala kunye nosulelo lunokwenzeka ngenxa yokufakwa kwezinto ezithile kwi-anus (umzekelo, ngexesha lesenzo sokwabelana ngesondo).

Zithini iimpawu? Uzibona njani?

Uphawu oluqhelekileyo olubonwayo kukuba,Iqhuma okanye iqhuma eliba bomvu, lidumbe, kwaye libe buhlungu xa ulichukumisa kufutshane ne-anus. Libonakala ngathi liqhuma elikhulu. Ngamanye amaxesha oku kungaba yintlungu ebuhlungu. Le ntlungu inokuba mandundu xa uhleli, ukhohlela, okanye ukhupha indle. Khawuthelekelele, oku kunokuba buhlungu kangangokuba awukwazi nokwenza imisebenzi yakho yemihla ngemihla.

Kusenokubakho nezinye iimpawu:

• Ukuphuma kolwelo olufana nobovu oluphuma kwimpundu.
• Intlungu ebuhlungu ngaphakathi okanye ecaleni kwe-rectum.
• Iqhuma elibomvu, elidumbileyo, elibuhlungu okanye ukudumba.
• Ukuqhinwa okanye iintlungu ngexesha lokuhamba kwamathumbu.
• Ukungakhululeki okufana nokudumba kunye nokurhawuzelelwa lusu olujikeleze i-anus.
• Ngamanye amaxesha igazi elincinci liphuma kunye nendle (i-Rectal bleeding).
• Intlungu yesisu esisezantsi.

Ngenxa yokuba kukho usulelo ngaphakathi kwesi thumba, abanye abantu banokufumana iimpawu ezifana nomkhuhlane, ezinje ngomkhuhlane, ukubanda, kunye neentlungu zomzimba .

Kutheni ithumba lifana nolu? Zithini izizathu?

Ixesha elininzi, isizathu esiphambili sokwakheka kwesi `(Parianal Abscess)` kukuvaleka kwenye yee-gland ezibuthathaka ngaphakathi kwi-anus endikhankanyileyo ngaphambili. Xa ezi gland zivalekile, iintsholongwane okanye iintsholongwane ezivela kwindle ziyabanjwa ngaphakathi kuzo, nto leyo ebangela usulelo. Kulapho ke ubovu buqokelelana khona kwaye eli thumba lenzeka khona.

Kunokubakho ezinye izizathu:

• Usulelo lwe-anal crush.
• Nakuphi na ukwenzakala kwindawo yempundu (umzekelo, ngexesha lokwabelana ngesondo ngempundu).
• Izifo ezidluliselwa ngesondo (iiSTI).
• Ezinye izifo zamathumbu.
• Ngamanye amaxesha, imeko efana nale inokubakho ngenxa yosulelo lwe-"Epidermoid cyst" (esi sisifo esidla ngokuba sisisu esibangelwa kukuvaleka kwamadlala eoyile eluswini) eluswini olujikeleze i-anus. Nangona kunjalo, asibuhlungu kangako kune-"Parianal Abscess" eqhelekileyo kwaye sineempawu ezimbalwa ezifana nomkhuhlane.
• I-Hidradenitis Suppurativa sisifo solusu esingapheliyo esibangela amathumba abuhlungu aphindaphindayo kunye namathumba kwi-bite glands yamakhwapha, i-groin, ejikeleze i-anus, nangaphantsi kwamabele.

Ugqirha uxilonga njani oku ngokuchanekileyo?

Ukuba unale mpawu, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Ugqirha uya kukuxilonga rhoqo.

Oku kunokubonwa rhoqo ngokuhlolwa kwerectal . Ugqirha uza kunxiba iiglavu, afake i-lubricant, aze afake umnwe kwirectum ukujonga naziphi na iingxaki. Ngamanye amaxesha, isixhobo esibizwa ngokuba yi-speculum singasetyenziswa ukujonga ngaphakathi kwirectum.

Ukuba ithumba libonakala ngaphandle, ugqirha usenokulibona ngaphandle kwezixhobo. Nangona kunjalo, amanye amathumba anokufunyanwa nzulu kunomphezulu wolusu.

Ukuba kukho ukurhanelwa komgodi onzulu kangaka, ugqirha unokwenza uvavanyo olubizwa ngokuba yi-``Proctosigmoidoscopy``. Kolu vavanyo, kufakwa umbhobho omncinci kwi-rectum. Ekupheleni kombhobho kukho ikhamera encinci kunye nesibane. Kwakhona, ngamanye amaxesha iimvavanyo ezifana ne-``CT scan```, ``MRI`` okanye ``Ultrasound``` zinokufuneka ukuze kuchongwe ubungakanani obuchanekileyo kunye nendawo yombhobho.

Olu vavanyo lwenziwa ukuqinisekisa ukuba le yi-"Parianal Abscess" okanye yenye imeko enzima efana nomhlaza we-rectal.

Iphathwa njani?

Unyango oluphambili lwale nto kukuvula ithumba kunye nokukhupha ubovu (i-drainage). Oku kufanele kwenziwe ngugqirha.

Okona kubaluleke kakhulu: Ungaze uzame ukudumba okanye ukucinezela ithumba ngolu hlobo ngokwakho! Ukwenza njalo kunokusasaza usulelo kwaye kwenze imeko ibe mandundu.

Abantu abaninzi baziva bekhululekile kakhulu kwiintlungu emva kokukhupha le pus.

Ngokwesiqhelo, ugqirha angawususa lo bomvu kanye eofisini yakhe (OPD) ngokumnika isixhobo sokudambisa iintlungu, enze ukusika okuncinci nge-scalpel okanye inaliti.

Nangona kunjalo, ukuba ithumba likhulu okanye linzulu kakhulu, kunokufuneka ukuba olu tyando lwenziwe esibhedlele phantsi kwe-anesthesia eqhelekileyo.

Ngamanye amaxesha, ngokuxhomekeke kwindawo kunye nobunzima bomngxuma, umbhobho omncinci (i-catheter) unokufakwa emngxunyeni ukuze kuphume ubovu. Uninzi lwexesha, akufuneki kuthunga, kufakwa amayeza kunye nebhandishi kuphela.

Emva kotyando, ugqirha wakho angakuxelela ukuba wenze oku kulandelayo:

• Hlamba "uhlamba i-sitz" izihlandlo ezininzi ngemini. Oku kuthetha ukuhlala ebhafini enamanzi afudumeleyo, i-anus yakho kunye nendawo yakho yangasese itshixiwe emanzini afudumeleyo. Oku kuya kunciphisa iintlungu kunye nokudumba, kwaye kuncede inxeba liphole ngokukhawuleza.
• Amayeza okubulala iintsholongwane anokunikwa ukulawula usulelo, okanye ukuba umntu unenkqubo yomzimba yokuzikhusela ebuthathaka.
• Iilaxatives okanye izithambisi-situlo zinganikwa ukunciphisa iintlungu ngexesha lokuhamba kwamathumbu.
• Ukuze unciphise iintlungu, unokucelwa ukuba usele amayeza okuthomalalisa iintlungu rhoqo okanye mhlawumbi amayeza okuthomalalisa iintlungu anamandla achazwe ngugqirha.

Ngaba le meko ingakhululeka ekhaya?

Kwezinye iimeko ze-"minor `(Perianal Abscess)`, ii-compress ezifudumeleyo kunye ne-`(Sitz bath)` zinokunika isiqabu ekhaya. Nangona kunjalo, kungcono ukubona ugqirha kwaye ucele icebiso lakhe. Kuba, kwezinye iimeko, ugqirha unokugqiba kwelokuba kuyimfuneko ukususa ubovu ngotyando. Ukuba ithumba liqhuma lodwa ngaphandle kwengcebiso kagqirha, kukho umngcipheko wokusasaza usulelo.

Kuthatha ixesha elingakanani ukuchacha?

Ithumba eliphuma kwi-perianal lidla ngokuthatha malunga neeveki ezintathu ukuya kwezine ukuze liphiliswe ngokupheleleyo emva kokuba ubovu bukhutshiwe. Nangona kunjalo, ngokutsho kwe-American Society of Colon and Rectal Surgeons, malunga nesiqingatha sabantu abanethumba kamva baya kuba ne-anal fistula (umngxuma osulelekileyo phakathi kwe-anus kunye ne-rectum).

Ngaba ufanele uphuze eli nut?

Hayi, ungaze wenze loo nto. Ukwenza njalo kunokusasaza usulelo okanye kuyenze ibe mandundu ithumba. Kukhuselekile ukuba oku kucocwe ngugqirha.

Wenza ntoni ukuba eli thumba liqhuma ngequbuliso?

Ukuba ithumba liqhuma lodwa, zama ukugcina indawo icocekile kangangoko. Yihlambe kakuhle ngesepha namanzi uze uyigqume ngebhandishi ecocekileyo. Nangona kunjalo, isenokuba isenosulelo, okanye isenokuba nosulelo. Ngoko ke linda iintsuku ezimbalwa uze ubone ukuba iphola kakuhle na. Qiniseka ukuba ubona ugqirha ukuze akunike ingcebiso.

Ndingayithintela njani ukuba ingaphindi ivele?

Ungenza ezi zinto ukuthintela olu hlobo lwethumba ukuba lungaphindi luvele:

• Ukuba uneemeko ezikwandisa umngcipheko wakho wokuba nale meko, ezifana nesifo seswekile okanye isifo samathumbu esidumbileyo, zilawule kakuhle.
• Soloko ugcina i-anus yakho kunye nendawo yangasese icocekile. Landela iindlela ezilungileyo zococeko.
• Ukusebenzisa ikhondom ngexesha lokwabelana ngesondo ngempundu kunokuthintela ukusasazeka kwezifo ezidluliselwa ngesondo (STIs) kunye neebhaktheriya.

Ezinye iimeko zempilo (umz., i-IBD) zisenokungayisusi ngokupheleleyo le ngozi. Nangona kunjalo, kubalulekile ukufumana unyango olufanelekileyo lwezo meko kwaye uqaphele ukuba zinokubangela olu hlobo lwezilonda.

Ingaba le yimeko enzima?

Ithumba elivela kwi-perianal lidla ngokuba libi kakhulu kwaye linokunyangeka kwaye linyangeke. Nangona kunjalo, ukuba iimpawu zakho ziya zisiba mandundu okanye aziphucuki emva konyango, qiniseka ukuba wazise ugqirha wakho.

Ziziphi iingxaki ezinokubakho?

Unyango ludla ngokuba yimpumelelo. Nangona kunjalo, kwiimeko ezingaqhelekanga, ezinye iingxaki zinokwenzeka:

• I-Anal fistula (umngxuma osulelekileyo phakathi kwempundu kunye nelungu lobufazi).
• Ukwakheka kwethumba eliphindaphindayo.
• Ukusasazeka kosulelo okanye ``Sepsis`` (usulelo olunzima olunokuba yingozi ebomini).
• I-Fournier's gangrene (usulelo oluyingozi kakhulu olusasazeka kwizicwili ezijikeleze i-anus kunye nezitho zangasese - oku kunqabile kakhulu).

Ndifanele ndimbone nini ugqirha?

Ithumba eliphuma empundu linokubangela iingxaki ukuba alinyangwa. Bonana nogqirha ngokukhawuleza ukuba unenye yezi mpawu:

• Intlungu ebuhlungu kunye nokungonwabi.
• Ukopha okuphuma emqolo.
• Umkhuhlane kunye nokubanda.
• Ukudumba okujikeleze i-anus.

Yintoni umahluko phakathi kwe-hemorrhoids kunye ne-abscess?

Abanye abantu banokuzibhidanisa ezi zinto zimbini kuba zombini zibangela ukungakhululeki kwimpundu. Nangona kunjalo, kukho umahluko phakathi kwezi zimbini.

• IiHemorrhoids zimithambo yegazi evuvukileyo eyakha ngaphakathi okanye ngaphandle kwe-anus. Zivakala ngathi ziqhuma. Zinokubangela ukungakhululeki, ukurhawuzelela, kwaye ngamanye amaxesha zibangele ukopha. Nangona kunjalo, iihemorrhoids aziyontsholongwane. Kwiimeko ezininzi, iihemorrhoids zinokunyangwa ngeekhrimu ezithengiswa ngaphandle kwekhawuntara okanye zodwa.
• Ithumba liqhuma elizaliswe bububovu elibangelwa lusulelo. Lidla ngokuba buhlungu ngakumbi kwaye likhulu kunethumba. Ngelixa ithumba livakala linzima kancinci xa ulichukumisa, ithumba livakala lifudumele, lithambile, kwaye libuhlungu xa ulichukumisa. Kwakhona, ithumba linokubangela iimpawu ezifana nomkhuhlane kunye nokubanda, nto leyo i-hemorrhoids engayibangelayo.

Ngamafutshane, nangona ii-hemorrhoids zicaphukisa, ithumba yimeko efuna ingqalelo kunye nonyango olungakumbi.

Ekugqibeleni (Umyalezo Wokuya Ekhaya)

Ithumba elivela kwi-perianal liyinto ecaphukisayo nebuhlungu kakhulu. Kodwa eyona nto ilungileyo kukuba limeko enokunyangeka . Nangona ezinye iimeko zempilo zinokwandisa umngcipheko wakho, kubalulekile ukuliqaphela kwaye uthathe amanyathelo afunekayo.

Ukuba uneqhuma, ukudumba, okanye intlungu efana nale kwimpundu yakho, musa ukuyityeshela. Ingakumbi ukuba ihamba neempawu ezifana nomkhuhlane kunye nokubanda, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Kwiimeko ezininzi, uya kufumana isiqabu esikhulu xa ugqirha wakho ekhupha ubovu kwindawo evulekileyo. Khumbula, ungazami ukuzikhupha okanye ukuzikhupha ngokwakho!

Ndikunqwenelela impilo entle!

Ukuqhekeka kwempundu , ithumba lempundu, ithumba lempundu, ithumba lePerianal, ithumba lempundu, usulelo lwempundu, iiHemorrhoids