Usenokungafuni ukuthetha nabani na ngentlungu okanye ukungakhululeki kwi-anus nakwindawo engqongileyo. Usenokucinga ukuba yingongoma ebangela iintloni kwaye ayikhululeki. Kodwa ayilocebo lilungileyo ukungazinaki iimeko ezinjalo. Kuba nengxaki encinci inokuba yingxaki enkulu kamva. Namhlanje sithetha ngengongoma ebaluleke kakhulu abantu abaninzi abangafuniyo ukuthetha ngayo. Leyo yimeko ebizwa ngokuba yi -Anal Fistula kunye nenkqubo yotyando ebizwa ngokuba yi-Fistulotomy eyenziwa njengonyango lwayo.
Kalula nje, yintoni i-anal fistula?
Khawucinge ukuba kukho umngxuma omncinci ojikeleze i-anus yakho, odibanisa ulusu olujikeleze i-anus yakho ngaphakathi. Yiloo nto siyibiza ngokuba yi-anal fistula. Idla ngokuqala ngosulelo okanye ithumba elijikeleze i-anus yakho. Ifana neqhuma elincinci elizaliswe bubomvu elenzeka phantsi kolusu lwakho. Xa eli qhuma lizaliswe bubomvu lihlala apho ixesha elide, lidala indlela yokuba ubomvu buphume. Yiyo loo nto iba yi-tunnel ebizwa ngokuba yi-fistula.
Izizathu eziphambili zoku zinokuba zezi:
- Usulelo kunye nokuqokelelwa kobofu obujikeleze i-anus.
- Olunye ukonzakala kuloo ndawo.
- Iimeko zokudumba kwamathumbu ezihlala ixesha elide, ezifana nesifo sikaCrohn.
Zithini iimpawu zale meko?
Ukuba unale meko, unokufumana enye okanye ngaphezulu kwezi mpawu zilandelayo. Kubaluleke kakhulu ukuba uzazi ezi mpawu.
| Uphawu | Inkcazo |
|---|---|
| Intlungu kunye nokungonwabi | Intlungu inokwanda xa uhleli, uhamba, ukhohlela, ingakumbi xa ukhupha indle. |
| Utshintsho lolusu | Ulusu olujikeleze i-anus lunokuba bomvu, ludumbe, kwaye lurhawuzelele. |
| Ukukhutshwa | Ubomvu okanye igazi kufutshane ne-anusUkuphuma kolwelo kungaphuma. Ngamanye amaxesha oku kungaba nevumba elibi. |
| Ubunzima bokulawula ukuhamba kwamathumbu | Kwezinye iimeko, kunokubakho ubunzima ekulawuleni ukuhamba kwamathumbu. |
| Ifiva | Umkhuhlane unokubakho ngenxa yosulelo emzimbeni. |
Ngoko ke yintoni le ngcibi ebizwa ngokuba yiFistulotomy?
I-Fistulotomy yeyona ndlela yotyando iphumelele kakhulu kwaye isetyenziswa kakhulu ukunyanga i-anal fistula. Yinkqubo elula kakhulu. Ugqirha uyivula ngokupheleleyo indlela ye-fistula endikhankanyileyo ngaphambili. Oko kukuthi, uyayinqumla njengomjelo. Emva koko ucoca aze asuse ubovu, izicubu ezinentsholongwane, kunye nayo nayiphi na enye inkunkuma enokuba ngaphakathi.
Xa ivuliwe kwaye icocwa ngale ndlela, inxeba liqala ukuphola ngaphakathi nangaphandle. Oku kususa amathuba okuba ubovu buqokeleleke kwakhona kwaye kwenze umngxuma. Kwiimeko ezininzi, olu tyando lolona sisombululo silungileyo kwesi sifo.
Eyona nto ibalulekileyo kukuba i-anal fissure ayisoze iphole yodwa. Ngokuqinisekileyo ifuna unyango. Ukuba ayinyangwa, usulelo lunokusasazeka emzimbeni wonke kwaye lukhokelele kwiimeko ezisongela ubomi ezifana ne-sepsis .
Utyando lwe-fistulotomy lwenziwa njani?
Indlela olu tyando olwenziwa ngayo ixhomekeke kuhlobo lwelungu lakho lobufazi.
- Kwi-hernia elula nengacacanga: Olu tyando ngamanye amaxesha lunokwenziwa ngaphandle kwesibhedlele, ngaphandle kokuhlala esibhedlele.
- Ukuba yi-hernia enzulu neyinkimbinkimbi: Olu tyando lwenziwa ngelixa usesibhedlele kwaye uphantsi kwe-anesthesia jikelele kwigumbi lotyando.
Ngexesha lotyando, ugqirha usika i-vagina aze acoce ingaphakathi kakuhle. Emva koko, ngamanye amaxesha inxeba livalwa ngemithungo. Kodwa amaxesha amaninzi, inxeba lishiywa livulekile kwaye lipakishwe ngento efana ne-gauze. Emva koko inxeba liqala ukuphola ngaphakathi.
Ugqirha ugqiba njani ukuba olu lolona nyango lungcono?
Ngaphambi kokuba uthathe isigqibo sokuba ufuna i-fistulotomy okanye olunye unyango, ugqirha wakho uza kwenza uvavanyo oluninzi ukuze afumanise indawo, ubunzulu, kunye nendlela i-fistula eyenzeka ngayo.
| Uvavanyo | Indlela yokwenza oko |
|---|---|
| Uvavanyo lomzimba | Ugqirha uza kusebenzisa umnwe ogqunywe ngeglavu ukujonga i-rectum (Digital Rectal Exam). Oku kuya kunika umbono osisiseko ngobukhulu kunye nendawo ye-anus. |
| Iskeni ye-MRI | Oku kuvumela ukuba izicubu ezithambileyo ezijikeleze i-anus kunye nomjelo we-vaginal zibonwe ngomfanekiso ocacileyo nonobukhulu obuthathu . |
| I-Endoscopy | Ityhubhu encinci enekhamera eqhotyoshelweyo ifakwa nge-anus ukuze kuhlolwe izicubu zangaphakathi kunye nomnyango wangaphakathi welungu lobufazi. |
| Ezinye iimvavanyo | Ngamanye amaxesha iimvavanyo ezifana ne-X-ray kunye ne-fistulography (i-X-ray ethathwe emva kokufaka i-contrast fluid) nazo zinokwenziwa. |
Iziphumo zezi mvavanyo ziya kumisela unyango olufanelekileyo kuwe. Ukuba i-vagina idlula kwi-anal sphincter, kuya kufuneka ulumke kakhulu ukuze ungalimazi izihlunu ngexesha lotyando.
Ngaba kukho ezinye iindlela zonyango?
Ewe, i-fistulotomy ayisoloko ilutyando lodwa oluqhutywayo. Kusetyenziswa nezinye iindlela, ingakumbi kwi-fistula enzima kakhulu.
- Inkqubo yeSeton: Kule nkqubo, umthungo ofana nebhendi yerabha okanye ibhendi yelastiki ifakwa kwitonela yeperianal. Oku kuvumela ubofu ukuba buphume rhoqo, nto leyo enceda kancinci kancinci ukuba ukuvulwa kweperianal kuphole.
- Inkqubo yokuLiftisa: Olu lutyando olukhethekileyo olwenziwa kwilungu lobufazi oludlula kwimisipha yeringi yempundu.
- Iglu yeFibrin okanye iplagi yeCollagen: I-incision ivalwa kusetyenziswa uhlobo oluthile lweglu okanye iplagi.
Ugqirha wakho ongugqirha uza kugqiba ukuba loluphi unyango olukufaneleyo.Ngoko ke musa ukoyika oku, thetha ngokukhululekileyo nogqirha.
Kuza kwenzeka ntoni emva kotyando?
Kusenokubakho ukungakhululeki emva kotyando, kodwa kudla ngokuba yinto yexeshana.
- Intlungu: Usenokuva iintlungu kwindawo yotyando. Ugqirha uza kukunika amayeza okudambisa iintlungu ngenxa yoku.
- Ukopha: Kunokubakho amathontsi ambalwa egazi. Nangona kunjalo, ukuba kukho ukopha okugqithisileyo, kufuneka wazise ugqirha wakho ngoko nangoko.
- Intloko ebuhlungu kunye nokozela: Le meko inokubangelwa kukusebenzisa i-anesthesia.
- Ukuphinda-phinda: Kunqabile kakhulu ukuba i-fistula okanye ithumba liphinde libuye.
Ixesha lokuchacha liyahluka kumntu nomntu. Emva kotyando olulula, ungabuyela kubomi obuqhelekileyo kwiiveki ezimbalwa. Nangona kunjalo, kungathatha inyanga okanye ngaphezulu ukuba inxeba liphiliswe ngokupheleleyo. Ngeli xesha, kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngononophelo, ingakumbi malunga nokugcina inxeba licocekile kunye nokutya.
Umyalezo Wokuya Ekhaya
- I-anal fistula yindlela efana nomngxuma ephuma eluswini olujikeleze i-anus.
- Le meko ayiziphili yodwa. Ngoko ke ukuba uneempawu ezifana neentlungu, ukudumba, okanye ububomvu, ungabi nantloni kwaye ubone ugqirha ngokukhawuleza.
- I-Fistulotomy yindlela yotyando ephumelele kakhulu kule njongo. Ibandakanya ukuvula, ukucoca, kunye nokuvumela i-fistula ukuba iphole.
- Ukulandela imiyalelo yezonyango kanye emva kotyando kubalulekile ukuze uphile ngokukhawuleza.
- Ukuba unemibuzo malunga noku, ungoyiki ukubuza ugqirha wakho. Impilo yakho yeyona nto ibalulekileyo.
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