Ngezinye izikhathi siba nezinkinga zempilo okunzima ukukhuluma ngazo, kodwa ezibuhlungu kakhulu. Iqhubu elibomvu, elivuvukele, elibuhlungu eduze kwendunu lingenye yezinto ezinjalo. Ubuhlungu lapho uhleli, uhamba, noma uya endlini yangasese bungaba yinto ecasulayo kangangokuthi awukwazi ngisho nokwenza imisebenzi yakho yansuku zonke. Ingabe wake waba nesipiliyoni esinjalo? Ngakho-ke ungesabi lesi simo. Ake sixoxe ngakho ngokuningiliziwe nangokulula.
Iyini ngempela ithumba lendunu?
Kalula nje, ithumba lendunu liyiqhubu elibuhlungu, eligcwele ubovu elakheka ngaphansi kwesikhumba esizungeze indunu yakho. Kunezindlala ezincane ngaphakathi kwendunu yakho ezisiza ukugcina umswakama. Lapho lezi zindlala zivalekile nganoma yisiphi isizathu, kungavela ukutheleleka ngamagciwane futhi ubovu bungakheka ngaphakathi kwazo. Lokho bhovu kuyakheka, kwakheke iqhubu elibuhlungu.
Uhlobo oluvame kakhulu lwethumba lubizwa ngokuthi i-perianal abscess, eyenzeka eduze komgodi we-anus. Ngokuvamile livela njengeqhubu elibomvu nelithambile. Ngezinye izikhathi, amathumba angakheka ngaphakathi kwe-anus, e-rectum. Awabonakali.
Ubudlelwano phakathi kwe-anal fissure ne-fistula
Enye into okufanele uyazi uma ukhuluma ngalokhu yilokho okubizwa ngokuthi i-fistula. Abantu abaningi (cishe abangu-50%) abathola i-fistula yesinqe kamuva bazothola i-fistula.
I-fistula iwumhubhe ongavamile owakheka kusukela endaweni yethumba eligcwele ubomvu (ngaphakathi kwendunu) kuya ebusweni besikhumba. Lena yindlela umzimba okhulula ngayo ubomvu obuqongeleleke ngenxa yokutheleleka.
Lo mfantu ungabangela ubomvu obuvamile, ngezinye izikhathi ngendle encane noma igazi, ukuba kuphume emgodini omncane esikhumbeni. Ngezinye izikhathi, uma lo mfantu uvaleka, ubomvu bungaphinde buqoqeke futhi bakhe ithumba elisha. Ngakho-ke uma unemifantu ephindaphindayo endunu, kunethuba elihle lokuthi imbangela iwumfantu.
Yiziphi izimbangela kanye nezici eziyingozi zokukhula kwalezi zimila?
Ayikho imbangela eyodwa yokuqhekeka kwendunu. Kunezimbangela ezahlukahlukene kanye nezici eziyingozi ezingaba nomthelela kulokhu. Ake sizibheke etafuleni.
| Imbangela/Isici sengozi | Incazelo elula |
|---|---|
| Izindlala zendunu ezivinjiwe | Lena imbangela eyinhloko nevame kakhulu. Ukutheleleka ngamagciwane ngaphakathi kwezindlala kubangela ubomvu ukuthi buqongelelane. |
| Imifantu Yendunu | Amabhaktheriya angangena ngemifantu emincane e-rectum ngenxa yezici ezifana nokuqunjelwa futhi abangele ukutheleleka. |
| Izifo zesimiso sokugaya ukudla | Abantu abanezifo zamathumbu ezivuvukalayo (IBD) njengesifo sikaCrohn noma i-ulcerative colitis basengozini enkulu. |
| Isifo sikashukela | Abantu abanesifo sikashukela basengozini enkulu yokuthola noma yikuphi ukutheleleka. |
| Ukuzivikela komzimba okubuthakathaka | Abantu abanezivikeli mzimba ezibuthakathaka ngenxa yezimo ezifana nemithi yomdlavuza (i-chemotherapy), imithi ye-steroid (i-prednisone), noma i-HIV nabo basengozini enkulu. |
| Ezinye izizathu | Izifo ezithathelwana ngocansi, ukulimala kwendunu, ukubhema, kanye nokuqunjelwa okungapheli nakho kungaba nomthelela. |
Ingabe lokhu kuyi-hemorrhoids? Noma i-anal csure? Ake sazi umehluko.
Abantu abaningi badidanisa lesi simo nama-hemorrhoids. Lokhu kudideka kunengqondo ngoba kokubili kwenzeka endaweni efanayo futhi kokubili kubangela ubuhlungu nokulunywa. Kodwa-ke, lezi yizimo ezimbili zezokwelapha ezihluke ngokuphelele.
Ama-hemorrhoids awasona isifo. Angukuvuvukala kwemithambo endunu. Uqhekeko lwendunu luyisilonda esigcwele ubomvu esibangelwa ukutheleleka ngamagciwane.
Ake sicacise kabanzi lo mehluko ngethebula elingezansi.
| Isici | Ithumba Lendunu | Ama-Hemorrhoids |
|---|---|---|
| Imvelo | Iqhubu eligcwele ubomvu, elibomvu, elivuvukele, futhi elifudumele uma ulithinta. | Umthambo wegazi ovuvukele obukeka njengeqhubu eliluhlaza okwesibhakabhaka, eliqinile. |
| Ubuhlungu | Ubuhlungu obuhlala njalo, obubukhali, obuhlabayo, ikakhulukazi uma uhleli. | Ungase uzwe ubuhlungu, ukulunywa, noma ukungakhululeki, kodwa akukubi ngaso sonke isikhathi. |
| Umkhuhlane kanye nokubanda | Yebo , lokhu kuyisifo esingabangela umkhuhlane, amakhaza kanye nokuthuthumela. | Cha , ama-hemorrhoids awasona isifo, ngakho awabangeli umkhuhlane. |
| Ukukhishwa kobomvu | Uma ithumba liqhuma, ubomvu bungase buphume. | Akukho ubomvu. Kungase kube negazi elincane. |
Udokotela uhlonza kanjani lokhu?
Uma unalezi zimpawu, kubalulekile ukubona udokotela . Udokotela uvame ukukubuza ngezimpawu zakho bese ehlola indawo.
- Ukuhlolwa komzimba: Udokotela uzobheka i-rectum nendawo ezungezile, ahlole ukuvuvukala, ukubomvu, kanye nobuhlungu.
- Ukuhlolwa Kwe-Digital Rectal: Kufakwa umunwe ogqokwe igilavu e-rectum ukuze kuhlolwe amaqhubu noma ezinye izinkinga.
- Ezinye izivivinyo:Ngezinye izikhathi, ikakhulukazi uma isimila singaphakathi, kunganconywa ukuthi kuhlolwe i-ultrasound, i-CT scan, noma i-MRI ukuqinisekisa ukuxilongwa. I-colonoscopy inganconywa futhi ukuze kunqunywe esinye isimo, njenge-IBD.
Iphathwa kanjani? Ingabe lokhu kuzolunga ngokwakho?
Into ebaluleke kakhulu okufanele uyikhumbule lapha ukuthi i-anal fissure ayivamisile ukuphola yodwa. Impela idinga ukwelashwa.
Isexwayiso: Ungazami, ngaphansi kwanoma yiziphi izimo, ukususa ubomvu kuleli thumba ekhaya noma ukulihlaba ngento ebukhali. Lokhu kungenza ukutheleleka kube kubi kakhulu futhi kuholele ezinkingeni ezisongela ukuphila njenge-sepsis.
Ukuhlanza Amanzi Ngokuhlinzwa
Ngokuvamile ukwelashwa okungcono kakhulu nokuwukuphela kwakho komfantu wendunu ukwenza ukuhlinzwa okuncane ukuze kususwe ubomvu ngokuphelele.
- Ama-cyst amancane angaphandle: Lokhu kuvame ukwenziwa ehhovisi likadokotela (i-OPD) ngemizuzu embalwa ngaphansi kwe-anesthesia yendawo.
- Izimila zangaphakathi noma ezinkulu: Kulesi simo, kuzodingeka ulaliswe esibhedlela, uhlinzwe nge-anesthesia, bese kwenziwa lokhu kuhlinzwa egumbini lokuhlinza ngaphansi kwe-anesthesia ejwayelekile.
Ngemva kokuhlinzwa, i-incision ivame ukushiywa ivuliwe kuze kube yilapho ubomvu sebuphume ngokuphelele. Ayithungwa.
Isikhathi sokululama ngemva kokuhlinzwa
Ubuhlungu ngemva kokuhlinzwa buyancipha kakhulu. Ukuze akusize ululame ngokushesha, udokotela wakho angase akuncome okulandelayo:
- Ama-Painkiller: Kuzonikezwa imithi yokulawula ubuhlungu.
- Ama-antibiotic: Ama-antibiotic angase anikezwe ukulawula ukutheleleka, ikakhulukazi uma unezinye izimo ezifana nesifo sikashukela. Kubalulekile ukuthatha le mithi isikhathi sonke.
- I-Sitz Bath: Lokhu kubaluleke kakhulu. Ukuhlala esitsheni samanzi afudumele imizuzu eyi-10-15 izikhathi eziningana ngosuku kunganciphisa ubuhlungu, kugcine inxeba lihlanzekile, futhi kusize ukuthi liphilise ngokushesha.
- Ukuvimbela ukuqunjelwa: Ukuthatha imithi yokuhlanza ( imithi yokuhlanza ) nokudla ukudla okune-fiber eningi (izithelo, imifino) kungasiza ekunciphiseni ukungakhululeki ngenkathi uya endlini yangasese kuze kube yilapho inxeba liphola.
Izinkinga ezingase zenzeke uma ukwelashwa okufanele kungathathwa
Uma lokhu kunganakwa njengento encane, kungaba nezinkinga ezinkulu.
- Ukwakheka kwe-Fistula: Njengoba sixoxile ngaphambili, uma kuvela isimila, kunethuba elikhulu lokuthi i-fistula yakheke.
- Ukusabalala kokutheleleka:Ukutheleleka kungangena egazini futhi kusakazeke emzimbeni wonke, okubangela isimo esiyingozi esibizwa ngokuthi i-sepsis.
- Ukwakheka kwe-cyst okuvamile: Uma ubomvu bungasuswanga kahle noma uma kuvela ithumba, la ma-cyst angaqhubeka nokwakheka.
- I-Fournier's gangrene: Lesi yisifo esingavamile kakhulu kodwa esisongela ukuphila esibangela ukufa okusheshayo kwezicubu ezizungeze izitho zangasese.
Ngakho-ke, into engcono kakhulu ongayenza ukufuna iseluleko sezokwelapha ngokushesha nje lapho kuvela izimpawu.
Umlayezo Wokuya Nawe Ekhaya
- Ithumba lendunu liyisigaxa esibuhlungu nesigcwele ubomvu esakheka nxazonke kwendunu.
- Lokhu akufanele kudidaniswe nama-hemorrhoids. Umkhuhlane kanye nobuhlungu obukhulu kungaba izimpawu zokuqhekeka kwendunu.
- Lesi simo ngokuvamile asizipholi sodwa, ngakho-ke uma unezimpawu, ungachithi isikhathi bese ubona udokotela.
- Gwema ukuzama ukucindezela noma ukubhoboza i-cyst ekhaya. Kungaba yingozi kakhulu.
- Ngokuvamile, ukwelashwa kuhilela inqubo encane yokuhlinzwa ukuze kususwe ubomvu. Lokhu kuyindlela yokwelapha ephumelelayo nephephile.
- Uma unama-cyst avamile, khuluma nodokotela wakho ngalokho futhi, njengoba kungase kube ne-fistula efihliwe ngaphansi.
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