Ingabe nawe uzizwa ubuhlungu obuhlala bukhona, ukuvuvukala, noma ukuphuma koketshezi endunu yakho? Mhlawumbe lobu buhlungu buyanda uma uhleli, uya endlini yangasese, noma ukhwehlela. Ungase uzizwe unamahloni futhi ungakhululekile ukukhuluma ngalokhu nanoma ubani. Kodwa lokhu akuyona inkinga ethinta wena kuphela. Lesi simo senzeka kubantu abaningi. Namuhla sikhuluma ngalesi simo esibizwa ngokuthi "i-Anal Fistula".
Kalula nje, iyini i-fistula yendunu?
Cabanga ngakho njengomhubhe omncane. I-anal fissure ifana naleyo. Kalula nje, kuyindlela engavamile efana nomhubhe eyakheka kusukela ngaphakathi kwe-anus yethu kuya ngaphandle kwesikhumba sethu. Ngokuvamile kwenzeka lapho izindlala ezincane ze-anal phezulu kwe-anus yethu zitheleleka. Lapho lezi zindlala zitheleleka futhi kwakheka ithumba eligcwele ubomvu, indlela yokuthi ubomvu buphume. Yilokho ekugcineni okuba yi-fistula. Ibizwa nangokuthi i-perianal fistula. Kusho ukuthi "ezungeze i-anus."
Lesi simo sivamile. Amadoda anamathuba aphindwe kabili okuba naso kunabesifazane. Cishe oyedwa kwababili abantu abathola i-fistula eduze kwendunu bazoyithola.
Ngizibona kanjani izimpawu zalokhu?
Uma une-fistula yendunu, ungase ube nesinye noma ngaphezulu salezi zimpawu. Ngezinye izikhathi zihlala njalo, futhi ngezinye izikhathi ziyafika zidlule.
| Isibonakaliso | Kuzwakala kanjani lokho? |
|---|---|
| Ubuhlungu bendunu | Lolu uphawu oluyinhloko. Ubuhlungu obukhulu obuzwakala sengathi buvutha, njengobuhlungu obukhulu. Lobuhlungu bunganda uma uhleli, uya endlini yangasese, noma ukhwehlela. Bubuhlungu futhi uma uthintwa. |
| Ukuvuvukala nokubomvu | Kungase kube nokubomvu nokuvuvukala ngaphakathi noma eduze kwendunu. Lokhu kuyisibonakaliso sokutheleleka (i-cellulitis) ngaphansi kwesikhumba. |
| Uketshezi oluvuzayo | Kungase kube nokukhishwa koketshezi oluphuma endunu, okungase kubukeke njengobomvu, indle encane, noma igazi. Ngezinye izikhathi kungase kube nephunga elibi. |
Zikhona yini ezinye izici ngaphandle kwalezi?
Yebo, abanye abantu bangase babe nalezi zimpawu, nakuba kungebona bonke abantu:
- Ukuba nomkhuhlane
- Ukuzwa ubuhlungu lapho uchama
- Ubunzima bokulawula ukunyakaza kwamathumbu
Ngezinye izikhathi, uma ubheka esibukweni, ungabona imbobo encane esikhumbeni eduze kwendunu yakho (umgodi we-fistula). Kodwa ngezinye izikhathi ingavalwa. Uma leyo mbobo ivalwa, ubomvu bungaqoqana ngaphakathi, okubangela ubuhlungu nokuvuvukala, futhi imbobo ingavuleka futhi ngobomvu obuncane. Lokhu kungaba njengomjikelezo.
Kungani kwenzeka into efana nale?
Imbangela eyinhloko ye-anal fistula yi -perianal abscess esixoxe ngayo ekuqaleni. Leli thumba lakheka lapho indlala encane e-anus ivaleka futhi itheleleka. Leli thumba lidinga indlela yokuphuma. Bese, i-pus yakha indlela efana nomhubhe eya ebusweni besikhumba. Ngezinye izikhathi, ngisho nalapho udokotela ekhipha futhi esusa le pus, inxeba lingase lingapholi ngokuphelele futhi i-fistula efana nalena ingasala.
Kodwa-ke, akuzona zonke i-fistula ezikhula ngenxa yalesi sizathu. Kunezinye izizathu futhi.
- Izifo zamathumbu ezivuvukalayo, njengesifo sikaCrohn .
- Izifo ezithathelwana ngocansi endunu.
- Isifo sofuba esithinta i-rectum.
- Ingozi noma ukuhlinzwa kwangaphambilini e-rectum.
- Ukwelashwa ngemisebe yomdlavuza esifundeni se-pelvic.
- Ukutheleleka okungajwayelekile kanye nezimo zesikhumba ezifana ne-'Actinomycosis' kanye ne-'Hidradenitis suppurativa'.
Into ebalulekile ukuthi, kungakhathaliseki ukuthi imbangela iyini, kungcono ukungasinaki, ngoba uma singelashwa, asivamile ukuziphelela .
Yiziphi izinkinga ezingaba khona uma zingelashwa?
Ukucabanga ukuthi, "Kuzolulama" kungaba yingozi. I-fistula engalashwanga ingabangela izinto ezifana nalezi:
1. Ukutheleleka okuphindaphindiwe: Ukutheleleka kungase kuqhubeke ngaphakathi kwe-fistula. Ngisho noma ubuhlungu buphela ngemva kwezinsuku ezimbalwa, ubomvu bungaphinde buqoqeke futhi kungase kwakheke ithumba elisha, okubangela ubuhlungu.
2. Ukusabalalisa isitho sangasese sowesifazane:I-wart esivele isikhathi eside ingakhula, idale imigudu emisha, futhi iphume kwezinye izingxenye zesikhumba. Ukwakheka kwe-wart okuyinkimbinkimbi nakho kunzima ukukwelapha.
3. Ingozi yomdlavuza: Lokhu akuvamile kakhulu. Kodwa-ke, kunethuba elincane kakhulu lokuthola umdlavuza wendunu ohlotshaniswa ne-fistula engapheli engalashwanga iminyaka eminingi.
Ngakho-ke, uma unalezi zimpawu, xhumana nodokotela ngokushesha.
Ukuthola kanjani lokhu, Dokotela?
Ngokuvamile, udokotela angathola imbobo yangaphandle ye-fistula ngokukuhlola nje. Kodwa into ebaluleke kakhulu ukuthola imbobo yangaphakathi, okungukuthi, lapho umhubhe uqala khona.
- Ukuhlolwa komzimba: Udokotela uzohlola indawo ezungeze indunu yakho. Lokhu kungaba buhlungu kancane. Uma ubuhlungu bukhulu kakhulu, ungase unikezwe i-laxation, okusho ukuthi uzonikezwa i-laxation kancane, futhi ukuhlolwa kuzokwenziwa egumbini lokuhlinza.
- Imishini ekhethekile: Ithuluzi elincane elinekhamera elibizwa ngokuthi ``Anoscope'' noma ``Proctoscope'' lingafakwa e-rectum ukuze lihlolwe.
- Ukuhlolwa kwezithombe: Ngezinye izikhathi lokhu kuhlolwa kuyadingeka ukuze kubonakale kahle ukuthi umhubhe we-fistula ukuphi.
- Ukuskena kwe-MRI (I-Magnetic Resonance Imaging): Lokhu kungabonisa ngokucacile indlela ye-fistula nokuthi ixhumeke kanjani emisipheni ye-sphincter ye-anus.
- I-Endoscopic Ultrasound: Ikhamera encane kanye nedivayisi ye-ultrasound efakwe ku-rectum ingaveza izithombe ezifana ne-MRI.
- I-Fistulography: Ukuhlolwa kwe-X-ray kwe-fistula ngokufaka idayi ekhethekile kuyo.
Lezi zivivinyo zizosiza udokotela ukuthi anqume uhlobo lwe-fistula. Okusho ukuthi, idlule kanjani emisipheni ye-anal sphincter. Lokhu kuzonquma ukuthi uzophathwa kanjani. Kubaluleke kakhulu ukwenza ukuhlinzwa ngaphandle kokulimaza leyo misipha.
Yiziphi izindlela zokwelapha lokhu?
Esikhathini esiningi, kudingeka ukuhlinzwa ukuze kwelashwe i-anal fissure. Akuvamile ukuthi ilashwe ngemithi yodwa. Kodwa-ke, uma i-fracture engathelelani ebangelwa yisifo esifana nesifo sikaCrohn, kunethuba lokuthi izolashwa ngemithi ethile ekhethekile ebizwa ngokuthi ama-immunomodulators.
Uhlobo lokuhlinzwa luyahlukahluka kuye ngohlobo lwe-fistula.
| Uhlobo lokuhlinzwa | Kuchazwe kalula |
|---|---|
| Nge-Fistula Elula | |
| Ukuhlinzwa kwe-Fistulotomy | Lena yindlela evame kakhulu futhi ephumelelayo (cishe ama-95%). Okwenziwa lapha ukusika ingxenye efana nophahla yomhubhe weBhagandara. Bese kuba njengenxeba elivulekile, ligcwala kusukela phansi kuya phezulu futhi liphole. |
| Ama-Fistula Ayinkimbinkimbi | |
| I-Seton Drain | Kulokhu, udokotela ohlinzayo ufaka into ekhethekile efana nentambo nge-anus. Lokhu kudala indlela yokuthi wonke ubomvu obungaphakathi buphume ngayo. Ngezinye izikhathi, njengoba le ntambo inqamula kancane kancane emisipheni, inxeba liyaphola ngemuva kwalo. |
| I-Endorectal Advancement Flap | Lapha, imbobo engaphakathi kwendunu ivaliwe ngaphandle kokusikwa kwemisipha. Kuthathwa ingcezu yezicubu eziphilile (i-flap) ngaphakathi kwe-rectum bese imbobo ivalwa. Inxeba bese liphola kusukela ngaphakathi kuya ngaphandle. |
| Inqubo ye-LIFT | Kule nqubo, ingxenye yomsipha ehamba phakathi kwemisipha emibili ivalwe ngentambo. Le ndlela inganciphisa umonakalo emisipheni. |
Udokotela wakho uzokhetha indlela yokwelapha efanelana kahle nesimo sakho. Kungase kungenzeki ukuqeda inqubo ngokuhlinzwa okukodwa, noma kungadingeka ukwenza ukuhlinzwa okuningana.
Yini okufanele ngiyenze ekhaya ngemva kokuhlinzwa?
Ngokuvamile ungaya ekhaya ngosuku olufanayo nolu kuhlinzwa. Udinga ukunakekela lezi zinto ngemva kokubuyela ekhaya.
- Ama-Painkiller: Thatha ama-painkiller anikezwe udokotela ngesikhathi.
- Ukuvimbela ukuqunjelwa:Ama-painkiller angabangela ukuqunjelwa. Ngakho-ke, njengoba udokotela esho, thatha izithasiselo ze-fiber bese uphuza amanzi amaningi.
- Ukugeza nge-Sitz: Cwilisa esitsheni samanzi afudumele imizuzu eyi-10-15 okungenani kanye ngosuku. Lokhu kuzonciphisa ubuhlungu futhi kusize inxeba ukuthi liphilise ngokushesha.
- Ukugcina inxeba lihlanzekile: Uma kukhona uketshezi oluphuma enxebeni, landela imiyalelo kadokotela wakho ukuze uligcine lihlanzekile. Shintsha ibhandeji njalo.
Ngokuvamile kuthatha amasonto amathathu kuya kwayisithupha ukuphulukiswa ngokuphelele.
Into ebaluleke kakhulu ukuthi, ungalokothi ungazinaki izinhlungu ezinzima endunu. Ungazinqumeli ukuthi, "Kumelwe ukuba yi-hemorrhoids." Ama-hemorrhoids awavamile ukubangela ubuhlungu obungaka. Ngakho-ke ungabi namahloni bese ubona udokotela ngokushesha. Uma ufuna ukwelashwa ngokushesha, ukwelashwa kuzoba lula futhi ukululama kuzoba ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Uma kukhona ubuhlungu obuqhubekayo, ukuvuvukala, noma ukuphuma koketshezi olufana nobovu oluvela endunu, kungaba uphawu lwe-anal fistula .
- Lokhu akuvamile ukuzixazulula ngokwakho . Uma kungelashwa, kungaholela ekusabalaleni kokutheleleka kanye nezinkinga.
- Ungabi namahloni okukhuluma ngalokhu. Bonana nodokotela ofanelekayo ngokushesha bese uthola iseluleko.
- Ngokuvamile ukwelashwa okungcono kakhulu nokuhlala njalo kwalokhu ukuhlinzwa. Udokotela wakho uzonquma uhlobo lokuhlinzwa olukufanele.
- Ukulandela imiyalelo kadokotela ngemva kokuhlinzwa kubalulekile ukuze ululame ngokushesha.
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