Ingabe nawe unakho ukulunywa okungabekezeleleki eduze kwendunu? (Pruritus Ani) Ake sixoxe ngalokhu!

Ingabe ngezinye izikhathi uyalunywa kakhulu eduze kwendunu yakho? Mhlawumbe lokhu kulunywa kukukhathaza kakhulu kangangokuthi awukwazi ukulala ebusuku. Noma uzizwa sengathi kuba kubi kakhulu ngemva kokuya endlini yangasese? Lena inkinga abantu abaningi abanayo, kodwa banamahloni okukhuluma ngayo. Kodwa-ke, ayinakushaywa indiva, ngoba ingabangela ukungakhululeki okukhulu. Ngakho-ke namuhla, ake sixoxe ngokuningiliziwe ngalokhu kulunywa eduze kwendunu, noma ngokwezokwelapha, `Pruritus Ani` .

Kuyini ngempela i-pruritus ani?

Kalula nje, i-pruritus ani iwukuqubuka okulumayo okuzungeze indunu yakho. Kubhekwa njengesifo sesikhumba . Lokhu kuqubuka kuvame ukuba kubi kakhulu ebusuku . Kungaba kubi kakhulu nangemva kokuhamba kwamathumbu. Lokhu kungaba yinto ecasulayo kakhulu, njengoba lapho uklwebha kakhulu, kulapho uklwebha khona kakhulu.

Yiziphi izinhlobo eziyinhloko zokulunywa?

Kunezinhlobo ezimbili eziyinhloko ze-pruritus ani. 1. I-Pruritus Ani Eyinhloko (Idiopathic): Lolu hlobo lwe-pruritus alukwazi ukuhlonzwa ngembangela ethile . Lolu hlobo lwe-pruritus luvame ukubonakala. 2. I-Pruritus Ani Yesibili (Yesibili): Lolu hlobo lwe-pruritus lungabangelwa izici ezahlukahlukene . Izibonelo zifaka phakathi ukutheleleka, izifo zesistimu, i-contact dermatitis, nezinye izimo zesikhumba.

Ubani othinteka kakhulu yilesi simo?

Empeleni, noma ubani angaba nokulunywa yindunu. Kodwa-ke, ucwaningo luthole ukuthi uma ungumuntu wesilisa ophakathi kweminyaka engama-40 nengama-70, unamathuba amancane okuthola lesi simo. Lokho akusho ukuthi abesifazane abasitholi, kodwa sivame kakhulu kwabesilisa.

Sivame kangakanani lesi simo?

Kubikwa ukuthi phakathi kuka-1% no-5% wabantu banokulunywa yindunu. Futhi, amadoda anamathuba aphindwe kane okuthola lesi simo kunabesifazane.

Ukulunywa kwendunu kuthinta kanjani umzimba?

Into eyinhloko ukuthi unesifiso esingenakuphikiswa sokuklwebha indunu yakho . Kodwa-ke, inkinga ukuthi kungakhathaliseki ukuthi uklwebha kangakanani, kunikeza impumuzo yesikhashana kuphela.

Eqinisweni, ukuklwebha indunu yakho kuzokwenza indawo ilume kakhulu . Esikhundleni sokunciphisa ukulunywa , empeleni kungenza kube kubi kakhulu.

Cabanga ngakho, isikhumba esizungeze indunu yakho sibucayi kakhulu. Izinzipho zakho zinamandla kakhulu kunalokho. Ngakho-ke uma uziklwebha ngezinzipho zakho , amathuba okulimaza isikhumba, okubangela imihuzuko, noma ngisho nokutheleleka aphezulu kakhulu . Uma lo "mjikelezo wokuklwebheka kokuklwebheka" uqhubeka, ungabangela ukungakhululeki okukhulu, ubuhlungu, kanye nokuvuvukala.

Ziyini izimpawu zokulunywa yindunu?

Kulesi simo, ungase ube nezimpawu ezifana nalezi:

• Ukuluma okukhulu (Ukuluma)
• Ukucasuka kwesikhumba nokungakhululeki
• Umuzwa wokushisa
• Ubuhlungu
• Ukuklwebheka ( imihuzuko ) okubangelwa ukulunywa
• Isikhumba esijiyile noma esifana nesikhumba endaweni yakho yangemuva noma eduze kwayo - indawo ye-perianal

Kungani kufanele siklwebhe indunu yethu kanje? Yiziphi izizathu?

Kungaba nezimbangela eziningi zokulunywa yindunu. Ake sizibheke ngasinye ngasinye.

Ukuzwela kwesikhumba kanye nokuhlanzeka

Isikhumba esizungeze indunu yakho (indawo ye-perianal) sibucayi kakhulu.

• Insipho enephunga elimnandi, impuphu, ama-lotion, kanye nama-cream ngezinye izikhathi kungabangela ukusabela kokungezwani komzimba.
• Futhi, ukusula ngephepha langasese eliqinile , ukuhlanza indawo ngendwangu elukhuni , noma amanzi ashisayo nakho kungaba yingozi esikhumbeni.

Kubaluleke kakhulu ukuhlanza indunu yakho kahle ngemva kokusebenzisa indlu yangasese. Uma ungayihlanzi kahle, izinhlayiya zendle zingabhajwa emigoqweni yendunu yakho, okubangela ukulunywa. Ukuvama kanye nokuvumelana kwendle yakho nakho kungathinta lokhu. Isibonelo, uma uqunjelwe (uba nokunyakaza kwamathumbu okungaphansi kwezintathu ngesonto) noma unesifo sohudo, kungenzeka kakhulu ukuthi uzwe ukulunywa.

Ukudla neziphuzo

Okunye kokudla neziphuzo ozidlayo nakho kungabangela lokhu kuluma.

• Imikhiqizo yobisi
• Iziphuzo ezinekhabhoni
• Iziphuzo ezine-caffeine (isib. ikhofi, itiye, i-soda)
• Ukudla okune-asidi noma okunongwe (isib. utamatisi, izithelo ze-citrus, upelepele, ugalikhi oluhlaza)

Izingubo

Ngisho nezingubo ozigqokayo zingathinta lokhu. Izingubo zangaphansi eziqinile noma amabhulukwe angabamba ukushisa kanye nomswakama (ukujuluka) endaweni ezungeze indunu, okwenza ukulunywa kube kubi kakhulu.

Ezinye izimo zezokwelapha

Ama-Hemorrhoids

Ama-hemorrhoids ayimithambo yegazi evuvukile, ekhulisiwe eyenzeka ngaphakathi nangaphandle kwe-anus. Ama-hemorrhoids amakhulu ngaphandle kwe-anus (ama-hemorrhoids angaphandle) angenza kube nzima ukuphuma kwendle ngemuva kokuya endlini yokugezela. Ama-hemorrhoids angaphakathi angabangela ukopha noma ukungcola kwendle noma ukungakwazi ukuzibamba. Lokhu kungabangela nesikhumba esilumayo.

Ukutheleleka kwemvubelo (Ukutheleleka kwemvubelo - i-Candida)

Ukutheleleka kwemvubelo kubangelwa uhlobo lwesikhunta esibizwa ngokuthi i-Candida . Lokhu kutheleleka kungaqala esithweni sangasese sowesifazane noma e-rectum. Kungabangela ukushintsha kombala wesikhumba, ukuvuvukala, noma ukusikeka okuncane kanye nokuqhekeka esikhumbeni kuleyo ndawo.

Imifantu yendunu

Lokhu ukudabuka noma imifantu esikhumbeni esizungeze i-anus noma umsele wendunu. Imbangela eyinhloko yalokhu uhlobo oluthile lokulimala endaweni. Izibonelo zifaka phakathi ukuqunjelwa, ukukhandleka ngesikhathi sokuhamba kwamathumbu, uhudo olude, kanye nocansi lwendunu.

I-HPV kanye nama-Warts

I-Human Papillomavirus (HPV) igciwane elivame ukuthinta izitho zangasese, i-anus, kanye ne-rectum. I-HPV ibangela izinhlungu zesitho zangasese . Lezi yizifo ezithathelwana ngocansi. Zibangela amaqhubu amancane noma ukukhula (amaqhubu) ezithweni zangasese kanye nasezindaweni ezizungezile i-anus. Lezi nhlungu ngezinye izikhathi zingabangela ukopha okuncane, ukungakhululeki, kanye nokuvuvukala.

Izikelemu (Izikelemu ze-Pinworm / Izikelemu Zemicu)

Izikelemu, ikakhulukazi izikelemu, ziyizikelemu ezincane kakhulu, ezimhlophe noma ezimpunga kancane. Ziyizinambuzane , okusho ukuthi zithembele komunye umuntu ukuze ziphile. Lezi zikelemu zihlala emathunjini nasemathunjini abantu abangenwe yilesi sifo. Zibeka amaqanda eduze kwendunu ebusuku . Leyo yimbangela eyinhloko yokulunywa yindunu. Lokhu kuvame kakhulu ezinganeni ezincane.

Wazi kanjani ukuthi unalo lolu hlupho? (Ukuxilongwa)

Uma uya kudokotela, yena uzokwenza ukuhlolwa ngokomzimba kuqala. Lokhu kuzohlanganisa ukuhlolwa okuphelele kwendawo ezungeze indunu yakho, kubhekwe noma yiziphi izinguquko embala wesikhumba, ukuthungwa, ukuqubuka, noma izilonda. Ngaphezu kwalokho, udokotela angase akubuze imibuzo efana nalokhu:

• Ingabe uthatha imithi okwamanje?
• Uchitha kangaki indle?
• Kuyini ukuqina kwendle yakho? (Ingabe iwuketshezi noma inamaqhubu?)
• Yiluphi uhlobo lokudla oludla kakhulu?
• Uphuza ziphi iziphuzo?
• Usebenzisa luphi uhlobo lwensipho uma ugeza?
• Usebenzisa luphi uhlobo lwephepha langasese?
• Ingabe uvame ukugqoka izingubo eziqinile (izingubo zangaphansi, amabhulukwe)?
• Ingabe unakho ukungezwani nokudla?

Uma udokotela engakwazi ukuthola imbangela yokulunywa kwakho kulolu lwazi, noma uma isimo sakho singathuthuki ngokwelashwa, angakudlulisela kudokotela wesikhumba .

Yiziphi izivivinyo ezenziwayo?

Kukhona ukuhlolwa okulula okubizwa ngokuthi ukuhlolwa kwetheyiphu ukuze kutholakale ukuthi ngabe izikelemu ezibangela ukulunywa yizikelemu. Izikelemu ezibangela ukulunywa zisebenza kakhulu ebusuku. Uma usola ukuthi ingane yakho inalesi simo, unganamathisela i-tape encane eduze kwendunu ngaphambi kokuba ingane yakho ilale. Uma ingane yakho ivuka ekuseni, khipha i-tape bese uhlola ukuthi ayinazo yini izikelemu noma amaqanda.

Ukwelapha kanjani lokhu kuluma kwendunu?

Ngokuvamile, lapho welapha lokhu, into yokuqala okufanele ugxile kuyoZijwayeze ukuhlanzeka kahle kwendunu. Lokhu kusho ukuhlanza indunu kahle ngemva kokuhamba kwamathumbu, ukugcina indawo yomile, nokusebenzisa inani elincane lempuphu ye-talcum engasebenzisi umuthi. Uma une -pruritus ani yesibili , okusho ukuthi ukulunywa kubangelwa esinye isimo, ukwelashwa kuzoncika embangela ethile . Izinketho zokwelapha zifaka:

Okhilimu namafutha okugcoba

Kukhona okhilimu abatholakala ekhemisi, njenge -hydrocortisone . Lawa ngamafutha angaphansi kweqembu le-corticosteroid , ahlanganiswe nomuthi wokuqeda ubuhlungu. Lawa angasetshenziswa endaweni ethintekile kabili noma kathathu ngosuku. Ezinye izifundo ziphakamisa ukuthi okhilimu abaqukethe i-capsaicin bayindlela enhle yokusebenzisa ama-corticosteroids ekulumeni okungapheli kwendunu.

Ama-antibiotic kanye nemithi yokulwa ne-antifungal

Uma udokotela wakho esola ukuthi ukulunywa kubangelwa ukutheleleka, angase akunikeze imithi yokulwa namagciwane noma imithi yokulwa namagciwane .

Umjovo we-Methylene blue / Ukudweba imidwebo endunu

Uma ezinye izindlela zokwelapha zingasebenzi, odokotela ngezinye izikhathi basebenzisa umjovo obizwa ngokuthi i-methylene blue . Lokhu kuhilela ukufaka lo muthi ngaphansi kwesikhumba esizungeze indunu. I-methylene blue isebenza ngokuqeda iziphetho zemizwa kuleyo ndawo, inciphise ubuhlungu nokulunywa.

Ingabe kukhona izindlela zokwelapha ezingenziwa ekhaya?

Yebo, kunezinto eziningana ongazenza ekhaya ukuze unciphise ukulunywa yindunu:

• Sebenzisa iphepha langasese elingenazo izidayi namaphunga: Elinye iphepha langasese liqukethe izidayi noma amaphunga angabangela ukungezwani kwesikhumba. Ngakho-ke khetha imikhiqizo esho izinto ezifana nokuthi "ayinadayi," "ayinaphunga," "ayinabala," kanye nokuthi "ayinawo umthelela wokungezwani komzimba."
• Gwema ukusebenzisa insipho eqinile, amakha, kanye nama-deodorant esikhumbeni sakho: Lokhu kungase kube nezinto ezibangela ukungezwani komzimba noma amakhemikhali .
• Gqoka izingubo zangaphansi zekotini: Izingubo zangaphansi zekotini zimunca umswakama kahle. Futhi, qiniseka ukuthi izingubo zakho zangaphansi zilingana kahle futhi uzishintshe njalo. Sebenzisa insipho engenaphunga uma ugeza izingubo zakho zangaphansi.
• Gwema ukudla neziphuzo ezithile: Ubisi, iziphuzo ezine-carbonated, iziphuzo ezine-caffeine, kanye nokudla okune-acidic/omuncu konke kungenza ukulunywa kwakho kube kubi nakakhulu. Kodwa ungayeki ukukudla konke ngesikhathi esisodwa. Zama ukusika into eyodwa ngesikhathi izinsuku ezimbalwa ukuze ubone ukuthi yikuphi ukudla/isiphuzo okubangela ukulunywa kwakho.

Yini okufanele ngiyilindele ngalesi simo?

Uma kuhlanzeka futhi kwelashwa ngendlela efanele, abantu abanokulunywa yindunu bangalulama ngokushesha.Izimpawu zivame ukuphela phakathi nesonto elilodwa kuya kwamathathu. Kodwa-ke, ezimweni ezimbi kakhulu, ukululama kungathatha isikhathi eside.

Ngizinakekela kanjani? (Amathiphu okuzinakekela)

Uma unesifo sokulunywa yindunu, landela lawa macebiso okuzinakekela:

• Lawula isifiso sakho sokuklwebha: Ukuklwebha kungaba kubi kakhulu ebusuku. Ungase uklwebhe izinzipho zakho ebuthongweni bakho ungaqapheli. Ngakho-ke, gqoka amagilavu ​​​​ekotini ahlanzekile, athambile uma ulele ebusuku. Lokhu kungasiza ekuvimbeleni ukulimala kwesikhumba kanye nokutheleleka.
• Gcina indawo ezungeze indunu ihlanzekile futhi yomile: Ngemva kokukhipha isisu noma ukugeza, hlanza indawo ezungeze indunu ngamanzi ahlanzekile (ngokusebenzisa ishawa noma i-bidet), iphepha langasese elimanzi, noma ama-baby wipes. Bese womisa ngethawula lephepha noma ithawula. Ungasebenzisa futhi umshini wokomisa izinwele ekushiseni okuphansi.
• Sebenzisa izinto ezimunca: I-cornstarch encane, i-talcum powder encane engaphuziswanga, noma ucezu lukakotini lungasiza ekumunceni umswakama endaweni.
• Ungahlanzi ngamandla kakhulu: Gwema ukusebenzisa insipho lapho uhlanza eduze kwendunu. Ungahlikihli kakhulu ngephepha langasese noma indwangu.
• Gwema imikhiqizo equkethe amakha: Okhilimu abanephunga elimnandi, ama-lotion, amabhati okugeza anama-bubble, kanye nama-powder kungandisa ukulunywa.
• Yidla ukudla okucebile nge -fiber : Ukudla okunomsoco kusiza ukuvimbela ukuqunjelwa noma uhudo futhi kwenze ukuhamba kwamathumbu kube ngokwejwayelekile.
• Sebenzisa okhilimu/amafutha njengoba kuyalelwe: Ungafaki okungaphezu kwalokho okuyalelwe udokotela. Uma ukulunywa kunganciphi noma kuba kubi kakhulu, yeka ukusebenzisa bese utshela udokotela wakho.

Kufanele ngimbone nini udokotela?

Uma welashwa kodwa ukulunywa okuzungeze indunu kunganciphi, uma ukulunywa kuba kubi kakhulu ngemva kokwelashwa, noma uma indawo ibonakala inegciwane (ukushintsha kombala wesikhumba, ukuvuvukala, ukuvuvukala), bona udokotela ngokushesha .

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma ubona udokotela wakho, ungabuza imibuzo efana nale:

• Ingabe ngine-Primary Pruritus Ani noma i-Secondary Pruritus Ani?
• Uma ngine-secondary pruritus ani, iyini imbangela?
• Yimiphi imithi oyincomayo?
• Ingabe leyo mithi ingabangela imiphumela emibi ?
• Yikuphi ukwelashwa kwasekhaya okuncomayo?
• Ingabe kukhona ukhilimu noma amafutha ongawasebenzisa?
• Ingabe kufanele ngibone udokotela wesikhumba noma omunye uchwepheshe?

Kungani indunu yami iluma ebusuku?

Njengoba sesike sakhuluma ngakho ngaphambili, izimuncagazi ezifana nezikelemu zibeka amaqanda azo eduze kwendunu ebusuku. Yingakho zisebenza kakhulu ebusuku. Yingakho ungase ulume kakhulu ebusuku kunezinye izikhathi zosuku.

Ingabe kufanele ngikhathazeke ngokuklwebha indunu yami?

Ezimweni eziningi, awudingi ukubona udokotela uma unesifo sokulunywa yindunu. Abantu abaningi bathola impumuzo ngokuhlanzeka okufanele kanye nemithi ethile etholakala ngaphandle kwemithi kadokotela.

Ukulunywa kwendunu kuyisimo esingathandeki neze. Kuyacasula, kuyahlazisa, futhi ngezinye izikhathi akubekezeleleki kangangokuthi awukwazi ukucabanga nganoma yini enye. Kodwa khumbula, kukhona impumuzo!

Ukuhlanzeka okufanele, imithi uma kudingeka, kanye nokunakekelwa okumnene kungasiza ekunciphiseni ukulunywa yindunu. Uma izimpawu zakho zingapheli naphezu kokwelashwa, bona udokotela wakho ngokushesha.

Khumbula into ebaluleke kakhulu (Umyalezo Wokuya Ekhaya)

Ngakho-ke, ukulunywa yindunu akuyona into yokunganakwa.

• Ukuhlanzeka kuyinto ebaluleke kakhulu. Gcina indawo ezungeze indunu ihlanzekile futhi yomile.
• Zama ukuthola ukuthi yini ebangela ukulunywa kwakho. Kungaba ukudla, uhlobo lwensipho, noma esinye isimo sempilo.
• Ungakhali! Lokho kuzokwenza isimo sibe sibi kakhulu.
• Uma amakhambi asekhaya engasizi, ungabi namahloni ubone udokotela . Uzokunikeza ukwelashwa okufanele.

Ngiyethemba ukuthi lolu lwazi luwusizo kuwe. Hlala uphilile!

👩🏽‍⚕️ Imibuzo eyengeziwe (ama-FAQ)

💬 Kungani ngihlala ngiba nokulunywa yindunu?

Kungaba nezizathu eziningi zalokhu. Izizathu eziyinhloko ukuthi indawo ayihlanzwanga kahle noma ukuthi yonakaliswe ngokuyigeza kakhulu. Izikelemu, izifo zesikhunta, noma ama-hemorrhoids nakho kungabangela lokhu kuluma.

💬 Yini okufanele siyenze ekhaya uma sithola i-rectum elumayo?

Uma uzwa ukulunywa, ungakuklwebhi bese uzilimaza. Ngemva kokusebenzisa indlu yangasese, esikhundleni sokuklwebha, yigeze ngamanzi bese uyisula ngendwangu ethambile. Futhi, yenza umkhuba wokugqoka izingubo zangaphansi ezikhululekile, ezithambile.

💬 Ingabe kukhona amafutha okugcoba angasetshenziswa ukuvimba lokhu kuluma?

Ungafaka inani elincane lokhilimu njenge-hydrocortisone, ongayithenga ekhemisi, ukuze unciphise ukulunywa. Kodwa-ke, uma ukulunywa kuqhubeka isikhathi esingaphezu kwesonto noma uma kuphuma igazi, kufanele nakanjani ubone udokotela.