Ingabe uvame ukuba nobuhlungu noma ukuvuvukala eduze kwendunu yakho (indawo lapho umzimba wakho ukhipha khona imfucuza)? Ingabe ngezinye izikhathi uyawubona uketshezi olufana nobovu noma igazi elincane liphuma? Ngiyazi ukuthi kungaba yinto exakile futhi ehlazisayo ukukhuluma ngalezi zinto nothile. Kodwa lesi yisimo abantu abaningi ababhekana naso futhi singelashwa ngempumelelo. Ngakho-ke namuhla, ake sixoxe ngokukhululekile ngalesi simo esibizwa ngokuthi i-anal fistula, noma njengoba sibizwa ngokwezokwelapha, i-"Anal Fistula".
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Kalula nje, iyini i-fistula yendunu?
Cabanga ngomhubhe omncane noma i-culvert kwakheka ngaphakathi kwe-anus yethu, ivulekela esikhumbeni esizungezile. Yilokho esikubiza ngokuthi i-anal fissure. Lokhu akuyona into okufanele ibe semzimbeni wethu, kuyinto eyakha ngendlela engavamile.
Lokhu kuvame ukuqala ngokutheleleka kwezindlala ezincane ngaphakathi kwendunu yethu. Lapho lezi zindlala zitheleleka, kwakheka ithumba eligcwele ubovu, elibizwa ngokuthi ithumba le-perianal. Lobo bubovu budala indlela yokuthi ubovu buphume ngayo. Ngokuhamba kwesikhathi, leyo ndlela iba umhubhe obizwa ngokuthi i-perianal fistula. Ngezinye izikhathi lokhu kubizwa nangokuthi i-perianal fistula. Lokho kusho ukuthi nxazonke kwendunu.
Sivame kangakanani lesi simo?
Lokhu akuyona into engavamile njengoba ungase ucabange. Kuyisimo esivamile phakathi kwezifo zendunu. Sibonakala cishe kabili kaningi kwabesilisa kunakwabesifazane. Ngokwesilinganiso, cishe ingxenye yabantu abanegciwane le-anal gland abazoba nethumba. Njengoba kushiwo ngaphambili, ama-75% e-anal fistula abangelwa ithumba.
Ingabe nawe unazo lezi zimpawu?
Kunezimpawu eziningana eziyinhloko nezivamile zomfantu wendunu. Ake sibheke ukuthi ziyini.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu bendunu | Lokhu akulona nje ubuhlungu obuvamile. Kubuhlungu obuhlabayo, obunesicanucanu obuvela ngaphakathi. Lobuhlungu bungakhula uma uhleli, ukhwehlela, noma uphuma isisu. Ungase uzwe ubuhlungu ngisho nalapho uthinta indawo. |
| Ukuvuvukala nokubomvu | Kungase kube nokubomvu nokuvuvukala ngaphakathi noma eduze kwendunu. Lokhu kubonisa ukutheleleka okusebenzayo ngaphansi kwesikhumba, njenge- cellulitis . |
| Uketshezi oluvuzayo | Kungase kube nokukhishwa koketshezi oluphuma endunu, inani elincane lobomvu, noma ngisho negazi (ukopha kwamathumbu) . Ngezinye izikhathi lokhu kungaba nephunga elibi. |
Ngaphezu kwalezi zimpawu eziyinhloko, abanye abantu bangase babe nezimpawu ezifana nalezi:
- Imfiva
- Ubuhlungu lapho uchama
- Ubunzima bokulawula ukunyakaza kwamathumbu
Ngezinye izikhathi, uma ubheka esibukweni, ungase ubone noma ungawuboni umgodi ongaphandle kwe-scrotum. Kufana nomgodi omncane esikhumbeni. Uma uthinta isikhumba esizungezile, into efana nobomvu ingaphuma. Kwezinye i-scrotum ezindala, lo mgodi ongaphandle ungase uvalwe. Bese ubomvu buqoqana futhi, okubangela ubuhlungu nokuvuvukala, bese umgodi uvuleka futhi ukuze kukhishwe ubomvu. Lokhu kungaba njengomjikelezo.
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Check Availability →Kungani kwenzeka lokhu kuqhekeka kwendunu?
Njengoba sesixoxile ngaphambili, imbangela eyinhloko nevame kakhulu yoqhekeko lwendunu ukutheleleka kwendlala endunu, okwakha isikhwama esigcwele ubomvu (ithumba le-perianal). Uqhekeko luba yindlela yokuthi lobo bomvu buphume ngayo.
Kodwa-ke, imifantu yendunu ingenzeka nangezinye izizathu ezingavamile.
- Izifo zamathumbu ezivuvukalayo: Isibonelo, isifo sikaCrohn.
- Izifo ezithathelwana ngocansi (ama-STS) ezenzeka endunu
- Isifo sofuba esithinta i-rectum.
- Ingozi noma ukuhlinzwa kwangaphambilini okubandakanya i-rectum.
- Ukwelashwa ngemisebe yomdlavuza wesifunda se-pelvic
- Ukutheleleka okungavamile kwamagciwane njenge-actinomycosis.
- I-Hidradenitis suppurativa yisifo sesikhumba esenzeka ezindlaleni zokujuluka.
Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha uma unalezi zimpawu, kungakhathaliseki ukuthi imbangela iyini.
Kwenzekani uma ingelashwa?
Lona umbuzo abantu abaningi abawubuzayo. I-anal fissure ngeke iphole yodwa uma ingelashwa.Uma lokho kwenzeka, kungase kube nezinkinga zesikhathi eside.
- Ukutheleleka okuphindaphindiwe: Ukutheleleka kungaqhubeka kusebenza ngesitho sangasese sowesifazane. Ngisho noma ubuhlungu bubonakala buphela izinsuku ezimbalwa, ubomvu bungaphinde buqoqeke futhi kungase kwakheke ithumba elisha, okubangela ubuhlungu.
- Ukusabalala kwe-cyst: Uma ingelashwa isikhathi eside, lo mhubhe ungakhula futhi wakhe imizila emisha futhi uphume kwezinye izingxenye zesikhumba. Ukwelapha ama-cyst ayinkimbinkimbi kangaka kunzima nakakhulu.
- Ingozi yomdlavuza: Lokhu akuvamile kakhulu, kodwa kube nemibiko yokuthi umdlavuza wendunu ukhula kubantu abanemifantu yendunu ehlala isikhathi eside engalashwanga iminyaka eminingi.
Ngakho-ke ungasithathi kalula lesi simo. Ungagcini nje ngokubekezelela ubuhlungu, bonana nodokotela wakho ngokushesha okukhulu.
Udokotela ukubona kanjani lokhu?
Esikhathini esiningi, udokotela angayibona le mbobo ngesikhathi sokuhlolwa ngokomzimba. Kodwa-ke, ngezinye izikhathi imbobo engaphandle ingase ivalwe, ngakho-ke kubalulekile ukuthola ukuthi imbobo engaphakathi kwembobo iqala kuphi.
Uma lokhu kuhlolwa kubuhlungu kuwe, udokotela angase anqume ukwenza lokhu kuhlolwa egumbini lokuhlinza ngaphansi kwe-anesthesia.
Ungazama futhi lezi zivivinyo ukuthola indlela ephelele yeBhagandara:
- Ukuskena kwe-MRI (I-Magnetic Resonance Imaging): Lokhu kungabona ngokucacile ukuthi umsele wendunu udlula kuphi nokuthi uxhumana kanjani, nokuthi uthinta kanjani imisipha ye-sphincter.
- I-Endoscopic Ultrasound: Ikhamera encane kanye nedivayisi ye-ultrasound kufakwa e-rectum ukuze kutholakale izithombe ezicacile ezifana nalezo ezitholwe nge-MRI.
- I-Fistulography: Kufakwa uketshezi olukhethekile esithweni sangasese sowesifazane bese kuthathwa i-X-ray. Indlela yoketshezi ingabonakala kahle.
Lezi zivivinyo zizosiza kakhulu udokotela ukuthi anqume uhlobo lwe-hernia kanye nokwelashwa okufanele kakhulu.
Ilashwa kanjani? Ingabe ukuhlinzwa kuyadingeka?
Yebo, imifantu eminingi yendunu idinga ukuhlinzwa ukuze iphole. Ukulinda ukuthi iphole yodwa kuzoholela ekuthelelekeni okuphindaphindiwe kanye namathumba. Kodwa-ke, uma umfantu ubangelwa yisimo sezokwelapha njengesifo sikaCrohn, futhi kungekho ukutheleleka, ngezinye izikhathi ungelashwa ngemithi.
Izinhlobo zokuhlinzwa
Uhlobo lokuhlinzwa luncike ekutheni i-hernia ilula noma iyinkimbinkimbi kangakanani.
1. Nge-Simple Fistula
Ukuhlinzwa okuyinhloko kwama-fistula alula angabandakanyi umonakalo omkhulu emisipheni ye-rectum futhi angenawo amagatsha yi -fistulotomy . Lena yindlela ephumelela kakhulu (cishe ama-95%) futhi elula kakhulu. Lapha, udokotela ohlinzayo uvula umhubhe we-fistula futhi awuvumele ukuthi uphole kusukela ngaphakathi kuye ngaphandle.
2. Nge-Fistula Eyinkimbinkimbi
I-hernia ewela indawo enkulu ye-rectum, amagatsha, noma etholakala kumuntu onezinye izimo zezokwelapha ibhekwa njengeyinkimbinkimbi. Lokhu kungadinga ukuhlinzwa ngezigaba eziningana.
| Indlela yokuhlinzwa | Kwenzekani nje |
|---|---|
| I-Seton Drain | Lokhu kufana nentambo ekhethekile. Ifakwa ngesitho sangasese sowesifazane. Okwenzayo ukuthi umhubhe uhlale uvulekile kuze kube yilapho wonke ubomvu obungaphakathi kwesitho sangasese sowesifazane bukhishwa futhi bukhishwa. Ngezinye izikhathi, izindela zisebenzisa le ntambo ukusika isitho sangasese sowesifazane futhi zivumele ukuthi siphole. |
| I-Endorectal Advancement Flap | Lokhu akuhileli ukusika imisipha ye-rectum. Kunalokho, izicubu ezinegciwane ezizungeze imbobo engaphakathi kwe-anus ziyasuswa, bese kukhishwa ingcezu yezicubu eziphilile (i-flap) ngaphakathi kwe-rectum ukuze kuvalwe imbobo. |
| Inqubo Yokuphakamisa | Lapha, ingxenye yesitho sangasese sowesifazane edlula phakathi kwemisipha emibili ye-rectum iyathungwa futhi ivalwe (i-ligation). Le ndlela inciphisa ingozi yokulimala kwemisipha. |
Isikhathi sokululama ngemva kokuhlinzwa
Esikhathini esiningi, lokhu kuhlinzwa kwenziwa ngendlela ekuvumela ukuthi uye ekhaya ngaphandle kokulala esibhedlela. Uzonikezwa imithi yokwelapha izinhlungu ozoyisebenzisa kanye nesethi yemiyalelo okufanele uyilandele uma uya ekhaya.
- Izithako zamanzi nefayibha: Njengoba iziqeda ubuhlungu zingabangela ukuqunjelwa, kutuswa ukuthi uthathe izithako zefayibha ukuze uvimbele lokhu. Kufanele uphuze amanzi amaningi ngalezi zinto.
- Ukugeza nge-Sitz: Ukuhlala esitsheni samanzi afudumele imizuzu embalwa okungenani kanye ngosuku kunganciphisa ubuhlungu futhi kusize inxeba ukuthi liphilise ngokushesha.
- Ukunakekelwa kwenxeba: Gcina inxeba lihlanzekile ngokusebenzisa ama-gauze pad ukuze umunce uketshezi oluvela enxebeni bese ulushintsha njalo.
Ngokuvamile kuthatha amasonto amathathu kuya kwayisithupha ukululama ngokuphelele.
Kufanele ubonane nini nodokotela?
Uma uzwa ubuhlungu obukhulu e-rectum yakho, hlala utshela udokotela wakho. Ungacabangi ukuthi buzophela bodwa. Abantu abaningi bacabanga ukuthi ama-hemorrhoids. Kodwa ama-hemorrhoids awavamile ukubangela ubuhlungu obungaka. Ngisho noma udokotela wakho ojwayelekile ethi ama-hemorrhoids, uma ubuhlungu buqhubeka, qiniseka ukuthi ubona uchwepheshe, njengodokotela wezifo zamathumbu noma udokotela ohlinzayo.
Ukuphila nalolu hlobo lobuhlungu kungaba yinto ekucindezelayo kakhulu, ngokomzimba nangokwengqondo. Kodwa ungabi namahloni ngakho futhi uhlehlise ukufuna ukwelashwa. Uma uthola ukwelashwa ngokushesha, kuba lula kakhulu ukubhekana nakho.
Umlayezo Wokuya Nawe Ekhaya
- I-anal fistula iwumhubhe ongavamile owakheka kusukela ngaphakathi kwe-anus kuya ngaphandle kwesikhumba.
- Izimpawu eziyinhloko ubuhlungu obukhulu, ukuvuvukala, kanye nokukhishwa kobomvu okufana nobomvu endunu. Ungakucabangi lokhu ngokuthi ama-hemorrhoids.
- Njengoba lesi simo singapholi sodwa, kubaluleke kakhulu ukufuna iseluleko sezokwelapha.
- Ukuhlinzwa kuvame ukudingwa njengokwelashwa. Uma ukwelashwa kufunwa ngokushesha, ukuhlinzwa kungaba lula kakhulu.
- Ungabi namahloni noma wesabe ukukhuluma ngalokhu. Lesi yisimo esingelapheka futhi siphele ngokuphelele.
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