Ingabe uvame ukuzwa ubuhlungu, ukuvuvukala, noma umuzwa wobumanzi eduze kwendunu yakho (indawo lapho ulala khona)? Abantu abaningi banamahloni futhi banamahloni okukhuluma ngalezi zinto. Kodwa lezi yizinkinga zempilo, ngakho-ke ukuba namahloni nokuzifihla kuzokwenza isimo sibe sibi kakhulu. Namuhla sikhuluma ngesihloko esibucayi, kodwa esibaluleke kakhulu njenge-anal fistula, noma `(Anal Fistula)`.
Kalula nje, iyini i-fistula yendunu?
Cabanga ngakho njengomhubhe ongavamile ogeleza usuka ngaphakathi kwendunu yethu uye ebusweni besikhumba esizungezile. Ngokuqondile, lokhu kuxhumana kwenzeka phakathi kwengaphakathi lendunu, ingxenye yokugcina yesimiso sethu sokugaya ukudla, kanye nesikhumba esizungezile.
Ngokuvamile kuqala ngokutheleleka endlaleni encane ngaphakathi kwendunu. Lokhu kutheleleka kubangela ubomvu ukuthi buqoqeke bese kwakheka iqhubu. Ngokwesayensi sikubiza ngokuthi ithumba. Uma lesi siqhubu singapholi kahle, sakha indlela entsha yokuphuma kobomvu, okubizwa ngokuthi umhubhe. Lowo mhubhe yilokho esikubiza ngokuthi i-fistula.
Lesi simo asizipholi sodwa. Ngakho-ke, kubaluleke kakhulu ukuselapha. Lokhu ngokuvamile kudinga ukuhlinzwa okuncane.
Zikhona yini izinhlobo zeBhagandara?
Yebo, lo mhubhe uhlukaniswe ngezinhlobo eziningana kuye ngokuthi ukuphi kanye nendlela ohamba ngayo. Kunemisipha emibili efana nendandatho esiza i-anus yethu ukuthi ivale futhi ivuleke. Sibiza le misipha ye-sphincter . Ukuhlukaniswa okuyinhloko kusekelwe endleleni isitho sangasese sowesifazane esidlula ngayo kule misipha.
- I-Intersphincteric anal fistula: Lolu uhlobo oluvame kakhulu. Kulesi simo, umhubhe wakhiwa phakathi kwemisipha ye-sphincter yangaphakathi neyangaphandle.
- I-Transsphincteric anal fistula: Kulolu hlobo, umhubhe udlula kokubili emisipheni yangaphakathi neyangaphandle.
- I-Suprasphincteric anal fistula: Lapha, umhubhe udlula ngaphezu kwemisipha yangaphakathi bese ufinyelela ebusweni besikhumba.
- I-Extrasphincteric fistula: Lolu uhlobo olungavamile kakhulu. Luqala engxenyeni ephezulu ye-rectum bese luhamba ngaphandle kwemisipha yomibili.
- I-superficial anal fistula: Lolu hlobo luhlukile kwezinye. Nakuba luqala ngaphakathi kwe-anus, aludluli nge-sphincter ye-anal , kodwa luyayizungeza bese luvuleka ebusweni besikhumba.
Lokhu kuhlukaniswa kungaba nzima kuwe, kodwa udokotela wakho uzokwazi ukunquma ukuthi yiluphi uhlobo oluqondile onalo futhi anikeze ukwelashwa okufanele kakhulu.
Yiziphi izimbangela eziyinhloko kanye nezici eziyingozi zokuthuthukisa i-hernia?
Njengoba ngishilo ngaphambili,Imbangela eyinhloko ithumba elakheka endunu. Lapho izindlala ezincane ngaphakathi endunu zivalekile, amagciwane ayaqoqana futhi abangele ukutheleleka, okudala ithumba eligcwele ubomvu. Uma leli thumba lingelashwa, lingakhula futhi lidale imbobo esikhumbeni ukuze ubomvu buphume. Indunu iwumhubhe oxhumanisa indlala kanye nembobo esikhumbeni.
Ngaphandle kwalokho, ezinye izimo zezokwelapha nazo zingabangela izinhlungu zesitho sangasese sowesifazane, kodwa lokho akuvamile.
- Isifo sofuba
- Ezinye izifo ezithathelwana ngocansi
- Izimo zokuvuvukala zesikhathi eside zesistimu yokugaya ukudla, njengesifo sikaCrohn noma i-ulcerative colitis.
- Ukwelashwa komdlavuza we-rectal
- Ukususa ithumba elake lavela futhi lagcwala ubomvu
- Izingozi noma ukulimala okuhlobene ne-anus
Wazi kanjani ukuthi une-hymen? Ziyini izimpawu?
Uma unesinye noma ngaphezulu kwalezi zimpawu ezingezansi, kungaba uphawu lokutheleleka kwemvubelo. Uma unesifo esifana nalesi, kungcono ukubona udokotela ngaphandle kokuchitha isikhathi .
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu obungapheli kanye nokuvuvukala | Ubuhlungu obuqhubekayo kanye nokuvuvukala okuqhubeka eduze kwendunu okwandayo lapho uhleli, uhamba, noma ukhwehlela. |
| Ukubomvu kwesikhumba nokufudumala | Isikhumba esizungeze indunu siba bomvu futhi sizizwe sifudumele uma usithinta. |
| Ubomvu noma ukuphuma kwamanzi | Imbobo encane esikhumbeni eduze kwendunu ingase ivuze ubomvu obunuka kabi noma uketshezi olunegazi . Ingase ingcolise izingubo zakho zangaphansi. |
| Ezinye izici | Abanye abantu bangase babe nezimpawu ezifana nomkhuhlane, ubuthakathaka, ubuhlungu lapho bekhipha indle noma bechama, kanye nokopha. |
Dokotela, ukuxilonga kanjani lokhu?
Uma uya kudokotela wakho, uzokubuza ngezimpawu zakho kanye nomlando wezokwelapha. Ngemuva kwalokho, bazokwenza ukuhlolwa ngokomzimba. Ezinye izimfa kulula ukuzibona ngoba ziyabonakala. Ezinye izimfa ngezinye izikhathi zingavaleka futhi zivuleke. Udokotela uzohlola ngokucophelela indawo ezungeze indunu ukuze abheke noma yikuphi ubomvu noma uketshezi, noma noma yiziphi izigaxa.
Ngezinye izikhathi, ukuze aqinisekise isimo, angakudlulisela kuchwepheshe wezimo zamathumbu amakhulu kanye ne-rectal. Bangase futhi benze izivivinyo ezifana ne-X-ray noma i-CT scan. Ngezinye izikhathi, ungase utuswe ukuba wenze i-colonoscopy, ehilela ukufaka ipayipi elinekhamera nge-anus yakho ukuze uhlole ingaphakathi le-colon yakho. Lokhu kuhlolwa kwenziwa ngaphansi kwe-anesthesia (ukukwenza ulale) ukuze ungazizwa ungakhululekile.
Yiziphi izindlela zokwelapha i-phlegm?
Ukuhlinzwa kuvame ukudingeka ukuze kwelashwe imifantu yendunu. Ukwelashwa okutholayo kuzoncika endaweni, usayizi, kanye nohlobo lwemifantu. Nazi ezinye zezindlela zokwelapha eziyinhloko.
| Indlela yokwelapha | Kalula nje... |
|---|---|
| Ukuhlinzwa kwe-Fistulotomy | Lona ukuhlinzwa okuvamile kakhulu kwama-hernia alula, angangeni. Udokotela uvula umhubhe, akhiphe ubomvu, bese eshiya inxeba livulekile ukuze liphilise. |
| Ukubekwa kweSeton | Le ndlela isetshenziselwa ama-fistula ayinkimbinkimbi, adlula imisipha. Intambo yokuhlinzwa (i-seton) idlula emhubheni bese iboshwa. Lokhu kuvumela ubomvu ukuthi buqhubeke nokuphuma, futhi ngokuhamba kwesikhathi, intambo inqamula kancane kancane emisipheni, isize i-fistula ukuthi iphole. |
| Ukususwa kwe-Fistulectomy | Lapha, lonke i-cyst ye-ganglion liyasuswa futhi lisuswe. Le ndlela ingasetshenziswa kuma-cyst e-ganglion ayinkimbinkimbi noma aphindaphindayo. |
| Inqubo ye-LIFT | Lokhu futhi kuyindlela yokuhlinzwa kwama-hernia ayinkimbinkimbi. Lapha, umhubhe ophakathi kwemisipha uvalwa ngokuthunga. Lokhu kunciphisa umonakalo emisipheni. |
| Ezinye izindlela | Ngaphezu kwalokho, kunezindlela zesimanje ezifana nokusebenzisa i-mucosal progression flap ukuvala i-fistula noma ukusebenzisa ama-plug akhethekile (ama-fistula plugs) ukuvimba umhubhe. |
Yiziphi izinkinga eziba khona uma zingelashwa?
Uqhekeko lwendunu akuyona inkinga yokuzelapha. Uma ungayilaphi, ingadala izinkinga.
- Ukutheleleka okuphindaphindiwe: Amabhaktheriya nobomvu kungaqhubeka nokwakheka esithweni sangasese sowesifazane esingelashwanga, okuholela ekuthelelekeni okuphindaphindiwe. Lokhu kungaba kubi kakhulu ngokuhamba kwesikhathi futhi kube nzima ukukwelapha.
- Ubunzima bokulawula amathumbu akho: Uma isitho sakho sangasese sowesifazane sonakaliswe yimisipha ye-sphincter , ungase ube nobunzima bokulawula ukunyakaza kwamathumbu akho. Lokhu kubizwa ngokuthi "ukungakwazi ukuzibamba kwendle".
- Ukutheleleka Okukhulu: Uma ukutheleleka esithweni sangasese sowesifazane kusakazekela ezicutshini ezizungezile noma egazini, isimo esibi nesisongela ukuphila esibizwa ngokuthi "i-Sepsis" singavela.
- Ukwakheka kwezindlela ezintsha ze-gangrene: I-gangrene engalashwanga ingakhula futhi yakhe imigudu emisha, okwenza isimo sibe nzima nakakhulu.
- Ingozi yomdlavuza: Lokhu akuvamile kakhulu. Kodwa-ke, kunengozi encane kakhulu yokuba nomdlavuza we-rectal ngenxa yezinhlungu zesitho sangasese ezingalashwanga isikhathi eside.
Ngakho-ke, uma ubeka ihlazo eceleni, into engcono kakhulu ongayenza ukufuna iseluleko sezokwelapha ngokushesha okukhulu uma unalezi zimpawu.
Umlayezo Wokuya Nawe Ekhaya
- I-fistula yendunu iwumhubhe ongavamile owakheka phakathi kwengaphakathi lendunu nesikhumba esizungezile.
- Imbangela eyinhloko yalokhu ithumba elingalashwanga elivela endunu.
- Izimpawu eziyinhloko ubuhlungu obungapheli, ukuvuvukala, ukubomvu, kanye nobomvu noma ukuphuma kwamanzi eduze kwendunu.
- Lesi simo asizipholi sodwa , ngakho-ke ukufuna ukwelashwa kubalulekile.
- Ngokuvamile, lokhu kudinga ukuhlinzwa. Udokotela wakho uzonquma ukwelashwa okukulungele.
- Ungalibazisi ukwelashwa ngenxa yamahloni noma ukwesaba. Ukwenza kanjalo kungenza isimo sibe sibi kakhulu futhi kuholele ezinkingeni.
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