Siyazi ukuthi lesi yisihloko esinzima ukukhuluma ngaso, kodwa kunabantu abaningi emphakathini wethu abahlushwa yile nkinga buthule. Ingabe nawe uzizwa ubuhlungu obukhulu obungabekezeleleki uma uya endlini yangasese, ikakhulukazi lapho uphuma indle, njengokungathi usikwa yiva eliyingilazi? Ngesikhathi esifanayo, ingabe ngezinye izikhathi ubona amaconsi ambalwa egazi elibomvu elisha? Khona-ke kunethuba elikhulu lokuthi nawe une -anal csure . Ungakhathazeki, lesi yisimo esivamile kakhulu. Namuhla sizokhuluma ngalokhu ngendlela elula kakhulu, ngendlela ongayiqonda.
Kalula nje, kuyini ukuqhekeka kwendunu?
I-anal fissure iwukudabuka okuncane noma umfantu olwelwesini lwamafinyila olungaphakathi komsele wakho wendunu. Cabanga ngakho njengokuqhekeka kwezindebe zakho uma unomkhuhlane. Isikhumba esisekugcineni kwendunu yakho sincane kakhulu futhi siyazwela. I-fracture yenzeka lapho lesi sikhumba esincane sonakele ngesizathu esithile. Lokhu kuvame ukuba yimbangela eyinhloko yobuhlungu bendunu kanye nenani elincane legazi esitulweni sakho.
Lesi simo singathinta noma ubani wanoma yimuphi ubudala. Sivame kakhulu ezinganeni ezincane, abesifazane abakhulelwe, kanye nabantu abadala abasebasha. Kwabanye abantu, sivela ngokuzumayo futhi sibe ngcono ngokwaso ezinsukwini noma emavikini ambalwa. Kwabanye, singaba yisimo esingamahlalakhona esihlala isikhathi eside.
Yiziphi izimpawu eziyinhloko zalesi simo?
Umuntu onomfantu we-rectal angase abe nezimpawu ezahlukahlukene. Kodwa-ke, kunezimpawu ezimbalwa ezivamile abantu abaningi ababhekana nazo. Ngizozifingqa kuleli thebula ukuze kube lula ukuziqonda.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu obukhulu | Ubuhlungu obuhlabayo, obuhlabayo, obuhlabayo obuvela uma uya endlini yokugezela, ikakhulukazi uma uphuma indle. Lobuhlungu bungahlala imizuzu kuya emahoreni ngemva kokuqeda ukuthulula. |
| Igazi esitulweni | Inani elincane legazi elisha nelibomvu elikhanyayo lingabonakala esitsheni sendlu yangasese, esitulweni, noma ephepheni lendlu yangasese. Lokhu akukhona ukopha okukhulu, ngokuvamile amaconsi ambalwa egazi. |
| Ukuvuvukala nokulunywa | Ukushisa noma ukulunywa endunu ngemva kokukhipha indle. |
| Ukuqaqamba kwemisipha yangemuva (ukuqaqamba) | Ubuhlungu bungabangela imisipha efana nendandatho ezungeze i-anus (ama-sphincters endunu) ukuthi iqine noma iqine ngokungazelelwe. |
| Isigaxa esikhumbeni | Ngezinye izikhathi kungase kuvele iqhubu elincane noma ithegi lesikhumba ebusweni besikhumba eduze nendawo yokusikwa. |
Into ebalulekile ukuthi lobu buhlungu benza abantu abaningi besabe ukuya endlini yangasese. Kodwa ukubamba indle kwenza indle ibe nzima futhi inxeba libe libi kakhulu ngesikhathi esizayo. Kufana nomjikelezo omubi.
Ingabe nginama-hemorrhoids? Noma nginomfantu e-rectum yami?
Lena inkinga abantu abaningi abanayo, ngoba izimpawu zama-hemorrhoids kanye nama-anal fissures zifana kakhulu. Zombili zingabangelwa ukuqunjelwa, zombili zingaphuma igazi, futhi zombili zingaba nokulunywa.
Kodwa kukhona umehluko omkhulu.
- Ubuhlungu: Abantu abayisishiyagalolunye kwabayi-10 abanemifantu yendunu bazwa ubuhlungu obukhulu. Kodwa ama-hemorrhoids awabuhlungu ngaso sonke isikhathi. Ubuhlungu bama-hemorrhoids bungaba ubuhlungu obungapheli obuqhubekayo. Kodwa ubuhlungu bomfantu buvame ukuba ubuhlungu obukhulu, obudabukayo obuvela ngesikhathi sokuhamba kwamathumbu .
- Imvelo: Ama-hemorrhoids yimithambo yegazi evuvukele ezungeze indunu. Afana nemithambo evuvukele emilenzeni. Kodwa uqhekeko luwukudabuka esikhumbeni.
Kodwa-ke, uma unalezi zimpawu, kungcono ukubona udokotela ukuze uthole ukuxilongwa okufanele kunokuzama ukuzinqumela ukuthi ngabe yi-hemorrhoids noma i-crap.
Kungani kwenzeka lolu hlobo lokungezwani? Yiziphi izizathu eziyinhloko?
Lokhu kuvame ukubangelwa ukulimala kwesikhumba esibucayi se-rectum. Futhi, izimo ezithile zempilo zingandisa le ngozi.
Izimbangela eziyinhloko:
- Ukuqunjelwa:Lena imbangela eyinhloko nevame kakhulu. Uma indle iba lukhuni, yomile, futhi inkulu, kufanele uzikhandle kanzima ukuze uyidlule. Lokhu kunganweba futhi kudabule isikhumba esibucayi se-rectum.
- Uhudo Olungapheli: Ukunyakaza kwamathumbu njalo kungalimaza nesikhumba se-rectum.
- Ukubeletha: Lolu hlobo lokudabuka lungenzeka ngenxa yengcindezi ngesikhathi sokubeletha ngokwemvelo.
- Ukufaka okuthile e-rectum: ngenxa yezivivinyo ezithile zezokwelapha noma ezinye izizathu.
- I-Dyschezia Yezinsana: Lesi simo singase senzeke ngisho nalapho izingane zizama ukuzikhulula.
Ezinye izimo ezingaba nomthelela:
- Ukuhlinzwa kwangaphambilini okuhlobene ne-rectum.
- Isifo samathumbu esivuvukalayo (IBD), njengesifo sikaCrohn .
- Izifo ezithathelwana ngocansi (ama-STI).
- Amacala angavamile kakhulu njengesifo sofuba (TB) kanye nomdlavuza wendunu .
- Ukuqubuka kwenabukeni kuya ngokuya kuba kubi.
Yiziphi izinkinga ezingaba khona uma lesi simo singelashwa?
Esikhathini esiningi, lezi zimfa ziyaphola zingakapheli amasonto ambalwa ngokunakekelwa okufanele. Kodwa ngezinye izikhathi azipholi futhi ziyaqhubeka. Lokhu sikubiza ngokuthi i -Chronic Anal Fissure . Isizathu salokhu umjikelezo omubi engikhulume ngawo ekuqaleni.
Ubuhlungu bubangela ukuthi imisipha e-rectum iqine (i-spasm) -> Imisipha iqine, okubangela ukuthi i-crap inwebeke kakhulu, futhi kunciphisa ukugeleza kwegazi endaweni -> Inxeba liphola kancane ngenxa yokugeleza kwegazi okunciphile -> Inxeba alipholi, ngakho ubuhlungu buyaqhubeka.
Uma lo mjikelezo uqhubeka, kungase kuvele ezinye izinkinga.
- Ukushaywa Yindle: Uma ugwema ukuya endlini yangasese ngenxa yokwesaba ubuhlungu, indle ingabhajwa e-rectum.
- I-Anal Stenosis: Ukushaqeka ngenxa yokulimala isikhathi eside kungabangela ukuthi i-anus ibe mncane, okwenza kube nzima kakhulu ukukhipha indle.
- I-Anal Fistula: Ipayipi elingajwayelekile lingakheka phakathi kwe-anus nesikhumba lapho umfantu uba julile futhi uthelelekile. Lesi yisimo esiyinkimbinkimbi kakhulu.
Udokotela uhlonza kanjani lokhu?
Uma uya kudokotela, uzoqala ngokukubuza ngezimpawu zakho. Ngemuva kwalokho, uzozama ukuhlola i-rectum yakho. Lokhu kwenziwa ngokukuphendulela ohlangothini olulodwa lombhede bese uhambisa izinqe zakho kancane kancane emaceleni, uzama ukuzwa umgodi.
Abantu abaningi bayesaba futhi banamahloni ngalokhu kuhlolwa. Kodwa khumbula, lokhu kuvamile kakhulu kodokotela. Uma ungakwazi ukubekezelela ubuhlungu, udokotela ngeke akuphoqe ukuthi wenze ukuhlolwa. Lesi sifo singatholakala ngokususelwa ezimpawu zodwa.
Uma ubuhlungu buncane, udokotela wakho angafaka umunwe ogcotshwe ngegilavu e-rectum yakho (ukuhlolwa kwe-rectal digital) ngobumnene ukuze ahlole ukuqina kwemisipha nezinye izinkinga. Lokhu kungasiza ekuvimbeleni ezinye izimo.
Yini ongayenza ekhaya ukuze welaphe futhi unciphise ubuhlungu?
Izindaba ezinhle ukuthi imifantu eminingi yendunu, ikakhulukazi emisha (imifantu ebukhali), ingelashwa ngemithi elula yasekhaya.
| Ikhambi | Indlela yokukwenza kanye nokubaluleka kwako |
|---|---|
| Ibhavu laseSitz (ibhavu lamanzi ashisayo) | Lena indlela yokwelapha engcono kakhulu nelula. Gcwalisa isitsha esikhulu ngamanzi afudumele bese uhlala kuso imizuzu eyi-10-15, kabili noma kathathu ngosuku. Lokhu kuzonciphisa ubuhlungu nokulunywa. Kuzophinde kukhulule imisipha endunu, kwandise ukugeleza kwegazi, futhi kusize inxeba ukuthi liphilise ngokushesha. |
| Ukushintsha ukudla | Kubalulekile ukuvimbela ukuqunjelwa. Yidla ukudla okune-fiber eningi (ubhontshisi, ubhontshisi, ubhanana, isipinashi, i-oats, izithelo, imifino). Phuza okungenani izingilazi zamanzi ezingu-8-10 ngosuku. Lokhu kuzothambisa indle futhi kwenze kube lula ukuyikhipha. |
| Imikhuba yendlu yangasese | Uma udinga ukuya endlini yangasese, ungalibali. Gwema ukuzikhandla. Uma uhleli endlini yangasese, beka ibhentshi elincane (isitulo sokunyathela) ngaphansi kwemilenze yakho. Lokhu kuzosiza umzimba wakho ngokwemvelo ukuthi ungene esimweni esikhululekile sokuzikhulula. |
| Ukuhlanzeka | Ngemva kokusebenzisa indlu yangasese, hlanza ngobumnene ngezindwangu ezimanzi ezingenaphunga noma ezingenalo utshwala noma iphepha langasese elithambile. Uma kungenzeka, ukuhlanza ngamanzi (i-bidet) kungcono kakhulu. |
| Izinhlobo zokumboza | Ukufaka into efana ne-petroleum jelly kungasiza ekugcineni isikhumba simanzi futhi siphole. Ama-cream aqeda ubuhlungu (isib. i-Lidocaine) angasetshenziswa njengoba kuqondiswe udokotela. |
Uma ukwelashwa ekhaya kungayiqedi, yiziphi izindlela zokwelapha?
Uma umfantu ungapholi isikhathi esingaphezu kwamasonto ayi-6-8 (i-Chronic Anal Fissure), kubalulekile ukubona udokotela. Umgomo oyinhloko wokwelashwa lapha ukukhulula imisipha yendunu nokunikeza umfantu ithuba lokuphola.
Izinhlobo zemithi
- Amafutha e-Nitroglycerin: La mafutha asebenza ngokwandisa imithambo yegazi ezungeze indunu, akhulule imisipha, futhi andise ukunikezwa kwegazi enxebeni. Lokhu kusiza inxeba ukuthi liphilise ngokushesha. Kodwa-ke, abanye abantu bangase babe nekhanda elibuhlungu lapho besebenzisa lokhu.
- Ama-calcium channel blockers: Amafutha aqukethe imithi efana ne-nifedipine noma i-diltiazem nawo asetshenziselwa ukukhulula imisipha.
- Umjovo we-Botox®: Uma ezinye izindlela zokwelapha zingaphumeleli, umjovo we-Botox® ungasetshenziswa njengendlela yokugcina yokwelapha imisipha yendunu. Lokhu kukhubaza okwesikhashana futhi kuphumuze imisipha (cishe izinyanga ezintathu), okuvumela ukuthi i-crash iphole.
- Ama-laxative amaningi: Uma ukuqunjelwa kukhulu, udokotela wakho angase ancome imithi efana nezithasiselo ze-fiber (isb., i-psyllium husk).
Ukuhlinzwa
Uma imithi ingasizi noma ukuqhekeka kuphinde kuvele, kungadingeka ukuhlinzwa okuncane. Lokhu kubizwa ngokuthi i-Lateral Internal Sphincterotomy .
Lokhu kuhilela ukwenza ukusika okuncane kakhulu emsipheni wangaphakathi we-rectum ngaphansi kwe-anesthesia, ukususa unomphela ukuqina. Lokhu kuyindlela yokwelapha ephumelela kakhulu (iphumelele ngaphezu kuka-90%), futhi ubuhlungu buyanyamalala ngokushesha ngemva kokuhlinzwa. Ungaya ekhaya usuka esibhedlela ngalolo suku.
Umlayezo Wokuya Nawe Ekhaya
- Uqhekeko lwendunu luyisimo esivame kakhulu futhi esibuhlungu. Ungabi namahloni noma wesabe.
- Lesi simo sivame ukubangelwa ukuqunjelwa, futhi singelapheka emavikini ambalwa ngokwelashwa okulula kwasekhaya (ukushiswa ngamanzi afudumele, ukudla ukudla okune-fiber eningi, nokuphuza amanzi amaningi).
- Uma unegazi elibomvu elisha esitulweni sakho, ubuhlungu obungabekezeleleki, noma uma ungazizwa ungcono ngemva kwamasonto ambalwa, ungachithi isikhathi bese ubona udokotela ofanelekayo.
- Gwema ukuhlehlisa ukuya endlini yangasese ngenxa yokwesaba ubuhlungu. Lokhu kungenza isimo sibe sibi kakhulu.
- Lesi simo singelapheka ngokuphelele ngokulandela kahle ukwelashwa okunqunywe udokotela nokwenza izinguquko ezimbalwa ezilula endleleni yokuphila.
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