Uyazi nge-Anal Stenosis? Ake sixoxe ngayo!

Ngezinye izikhathi sizizwa sinzima kancane uma siya endlini yangasese, akunjalo? Noma kungenzeka ukuthi uke wabona ezinye izingane ezisanda kuzalwa zikhala zigcwele izisu ngaphandle kokukhipha indle. Namuhla sizokhuluma ngesimo esingabangela izinto ezinjalo. Nakuba lokhu kungase kubonakale kuyisihloko esinzima ukukhuluma ngaso, kubaluleke kakhulu ukuqaphela.

Kuyini i-Anal Stenosis?

Kalula nje, i-anal stenosis iwukuncishiswa kwe-anus yakho, indlela lapho indle iphuma khona emzimbeni wakho. Odokotela ngezinye izikhathi bakubiza lokhu ngokuthi 'ukuqina kwe-anal.' Kufana nepayipi lamanzi elivalekile futhi elinenkinga yokuvula amanzi.

Lesi simo sivame kakhulu kubantu abadala. Isizathu salokhu ukuthi singakhula njengenkinga ngemva kokuhlinzwa noma ngenxa yokugula osekunesikhathi eside. Kodwa-ke, ezinye izingane zingazalwa zine-anus encane. Lokhu kubizwa ngokuthi 'i-congenital anal stenosis' .

Abanye abantu bangase babe nezimpawu ezincane zokuqina kwendunu, abanye bangase babe nezimpawu ezimaphakathi, kanti abanye bangase babe nezimpawu ezinzima. Kodwa-ke, uphawu oluyinhloko ukungakwazi ukuhamba kwamathumbu. Ezimweni eziningi, lezi zimpawu zingancishiswa ngokwenza izinguquko ekudleni nokusebenzisa imithi. Kodwa-ke, uma ukuqina kwendunu yakho kukhulu, ungadinga ukuhlinzwa.

Sivame kangakanani lesi simo?

I-anal stenosis empeleni ayivamile kangako. Kokubili ukuqala komuntu omdala kanye nokuzalwa kwe-anal stenosis (CAS) akuvamile. Kodwa abacwaningi basazama ukuthola ukuthi ivame kangakanani. Ngakho-ke uma unezinye zalezi zimpawu, kungcono ukukhuluma nodokotela wakho ngakho.

Ziyini izimpawu?

Ukuqunjelwa yisona sibonakaliso esiyinhloko kunoma ubani one-rectum encane. Kodwa-ke, kungase kube nomehluko omncane ezimpawini ezinganeni nakubantu abadala. Ake sibheke ukuthi ziyini.

Izimpawu kubantu abadala

Abantu abadala bangase babe nezinye izimpawu kanye nokuqunjelwa, njenge:

• Uhudo.
• Ukungakwazi ukulawula ukuhamba kwendle (ukungakwazi ukuzibamba kwendle) .
• Ukuzizwa sengathi kusekhona okusele ngemuva kokuqeda ukukhipha indle (ukuphuma okungaphelele) .
• Isihlalo sincane njengepensela.
• Ubuhlungu lapho uzama ukuzikhulula.
• Ukopha okubangelwa yi-rectum .

Uma unesinye noma ngaphezulu salezi zimpawu, ungazinaki, kulungile?

Izimpawu ezinganeni

Uma umntwana osanda kuzalwa enalesi simo, kunezimpawu eziningana ezingasiza ekusiboneni.

• Uphawu oluvame kakhulu luba lapho umntwana osanda kuzalwa engakaphumi indle yakhe yokuqala, ebizwa ngokuthi i-meconium, zingakapheli amahora angu-48 ezelwe.
• Ukukhala nokungahlaliseki okungenakuvinjelwa kungakhathaliseki ukuthi uzama kangakanani.
• Izihlalo ezikhululekile.
• Izimpawu zokuphelelwa amanzi emzimbeni zifaka phakathi indawo ethambile ecwiliswe ekhanda lomntwana kanye namanabukeni amanzi angaphansi kwayisithupha ngosuku.
• Lowo onesisu esivuvukele.

Uma usola ukuthi ingane yakho inesifo esifana nalesi, kufanele ubonane nodokotela ngokushesha.

Yiziphi izimbangela zokuncishiswa kwe-rectal?

Kwabantu abadala, i-rectum iyancishiswa ngenxa yezicubu zesibazi ezakheka ngaphakathi kwe-rectum. Lezi zicubu zesibazi zakha ungqimba lwezicubu oluqinile nolungaguquki olwakheka odongeni lwe-rectum, luyincishise. Cabanga ngakho njengentambo eqinile esikhundleni sebhande lerabha. Lezi zicubu zesibazi zingakhula ngemva kwenqubo yezokwelapha noma ukuhlinzwa okwenziwe ku-rectum yakho. Noma kungabangelwa yisimo esidala ukuvuvukala .

Ucwaningo lukhombisile ukuthi ama-90% emifantu yendunu abangelwa yizicubu zesibazi ezakheka ngemva kokuhlinzwa kwe-hemorrhoid . Ezinye izimbangela zezicubu zesibazi zifaka:

• Izifo ezithathelwana ngocansi endunu. Izibonelo zifaka phakathi i-chlamydia , i-herpes yobulili , ama-warts endunu abangelwa yi-human papillomavirus (HPV) , i-syphilis , i-gonorrhea , i-hepatitis A , i-hepatitis B , kanye ne-HIV .
• Isifo samathumbu esivuvukalayo (IBD) .
• Ukusetshenziswa ngokweqile kwemithi yokuhlanza isisu .
• Ukwelashwa ngemisebe yomdlavuza we-rectal nakho kungabangela ukwakheka kwezicubu zezibazi futhi kunciphise i-rectum.

I-Congenital Anal Stenosis

Ingane izalwa ine-anus encane, isimo esibizwa ngokuthi i-anorectal malformation , esibangelwa ushintsho ekukhuleni kwengane . Ochwepheshe abakayazi imbangela eqondile yalokhu. Ngakho-ke omama akufanele bakhathazeke ngakho.

Yiziphi izinkinga zalokhu?

Izinkinga ezivela ekuqhekekeni kwe-rectal zincike ezimpawini onazo. Isibonelo, uma unenkinga yokungakwazi ukuzibamba , ungase ube nezilonda eduze kwe-rectum yakho. Uma uqunjelwa njalo, ungase ube nesifo esibizwa ngokuthi i-fecal impaction , lapho indle inamathela khona e-rectum yakho. Uma ingane yakho yazalwa inomsele omncane we-anal (CAS), ingase iphelelwe amanzi emzimbeni . Yingakho ukwelashwa kusenesikhathi kubalulekile.

Odokotela bakuthola kanjani lokhu?

Kunomehluko omncane endleleni izingane kanye nabantu abadala abakuthola ngayo lokhu.

Indlela yokuthola i-congenital anal stenosis (CAS) ezinganeni

Odokotela bavame ukubona izimpawu ze-congenital anal stenosis lapho behlola umntwana osanda kuzalwa. Lokhu kuhlolwa kungafaka ukuhlolwa kwe-digital rectal (DRE) .

Uma ingane yakho ingadluli i-meconium zingakapheli amahora angu-24-48 izelwe, noma uma ukunyakaza kwayo kokuqala kokuphuma kwesisu kukhululekile kakhulu, udokotela wakho angase asole ukuthi ine-CAS. Bangase bacele ukuhlolwa ukuqinisekisa isimo, njengokuthi:

• Ukuhlolwa kwe-ultrasound yesisu .
• Ukuhlolwa kwe-enema ye-Barium .
• I -CT scan (i-computed tomography - i-CT scan) .

Indlela yokuthola i-rectal prolapse kubantu abadala

Udokotela uzokubuza ngezimpawu zakho kanye nomlando wakho wezokwelapha. Uma uke wahlinzwa, bazobuyekeza lawo marekhodi. Bese benza izivivinyo ezinjengalezi:

• Ukuhlolwa kwe-rectal ngedijithali .
• I-Anoscopy ( ikhamera encane ebheka ngaphakathi kwe-rectum).
• I-Proctoscopy ( ukuhlolwa okubheka ngokujulile kancane engxenyeni engezansi).

Kuphathwa kanjani lokhu?

Kungakhathaliseki ukuthi une-rectum encane noma ingane yakho inayo, ukwelashwa kokuqala ukuzama ukwenza kube lula ukuphuma kwendle. Udokotela angase ancome izinto ezinjengalezi:

• Ukusebenzisa izithambisi zendle zezingane, kanye nezithambisi zokuhlanza kanye nezithambisi zendle zabantu abadala, kungasiza indle idlule kalula endunu encane.
• Ukushintsha lokho okudlayo nokuphuzayo. Lokhu kusho ukwengeza uketshezi kanye ne-fiber ekudleni kwakho kwansuku zonke. Yidla izithelo, imifino, kanye nokolweni ophelele.

Ngezinye izikhathi, uma usukwazi ukuphuma endlini yangasese enobukhulu obujwayelekile, i-rectum izonwebeka futhi ikhule yodwa.

Ezinye izindlela zokwelapha izingane

Udokotela wengane yakho angelula futhi akhulise indunu yengane yakho esebenzisa inqubo ebizwa ngokuthi 'ukwanda kwendunu.' Lokhu kuhilela ukufaka idivayisi encane, egcotshwe ngamafutha (i-dilator) endunu yengane yakho. Idivayisi iyasuswa ngemva kwemizuzwana embalwa.

Ingane kuzodingeka ithole lokhu kwelashwa kabili ngosuku amasonto ambalwa. Isonto ngalinye, kusetshenziswa ama-dilator amakhulu kancane kuze kube yilapho indunu yengane ibuyela esilinganisweni esijwayelekile. Bese, inani lokwelashwa liyancishiswa ezinyangeni ezimbalwa. Kunezikhathi lapho omama befundiswa khona ukwenza lokhu ekhaya.

Akuvamile kakhulu ukuthi umntwana one-anus enciphile adinge ukuhlinzwa okubizwa ngokuthi i-anoplasty .

Ezinye izindlela zokwelapha zabantu abadala

Uma ukushintsha indlela yokudla kanye nezinto zokuthambisa indle kungasizi, udokotela wakho angancoma ukukhuliswa kwendunu . Bangase bakwenze lokhu bona, noma bangakufundisa indlela yokusebenzisa i -dilator ekhaya. Uma lokhu kungasebenzi, bangancoma ukuhlinzwa. Lokhu kuhlinzwa kungabandakanya:

• I-Anoplasty: Lokhu kuhlinzwa kwenzelwa ukulungisa izinkinga ezivimbela i-rectum ukuthi isebenze kahle. Udokotela ohlinzayo ulungisa kabusha i-rectum yakho ukuze ivuleke futhi ibe nkulu kunokujwayelekile.
• I-Sphincterotomy: Kule nqubo, udokotela ohlinzayo usika imisipha ye-sphincter ngaphakathi kwe-rectum yakho, enciphisa ukuqina kwe-rectum yakho.

Kwenzekani ngemva kokwelashwa?

Ezimweni eziningi, ukwelashwa kuzobuyisela i-rectum yakho kusayizi wayo ojwayelekile futhi kunciphise izimpawu zokuwa kwe-rectal. Ngeshwa, lesi simo sivame ukuthinta abantu abanesifo samathumbu esivuvukalayo (IBD), okuyisimo esihlala isikhathi eside. Uma kunjalo kuwe, odokotela bakho bangakusiza ukuphatha i-IBD yakho.

Esikhathini esiningi, umsele wendunu yomntwana ungelashwa. Kodwa njengoba ingane yakho ikhula, lungela ukuphatha ukuqunjelwa kwengane encane . Qaphela lokhu ikakhulukazi lapho ingane yakho iqeqeshwa ukuya endlini yangasese.

Ngizinakekela kanjani?

Uma une-rectum encane, umzimba wakho kungenzeka ukuthi udlule ezintweni eziningi. Njengokuhlinzwa kwe-hemorrhoid noma ukuhlala nesifo samathumbu esivuvukalayo njengesifo sikaCrohn . I-rectum encane ingazwakala njengenye inselele ohlelweni lwakho lokugaya ukudla. Ukwelashwa kungasiza ekunciphiseni izimpawu zakho. Nazi ezinye izinto ongazenza ukusiza ukunyakaza kwamathumbu akho:

• Phuza amanzi amaningi: Qala usuku lwakho ngengilazi yamanzi ashisayo. Kulungile ukuphuza inkomishi yekhofi ngemuva kwalokho. I-caffeine ingavuselela imisipha ohlelweni lwakho lokugaya ukudla futhi ikusize ukhiphe indle. Phuza amanzi amaningi usuku lonke.
• Hlala umatasa: Kungakhathaliseki ukuthi ukuhamba ngokushesha noma ukugibela ibhayisikili, noma yikuphi ukunyakaza kuzovuselela imisipha yesisu sakho futhi kwandise ukugeleza kwegazi emathunjini akho. Yonke le misebenzi izokusiza ukuthi ukhiphe indle kaningi.
• Cabanga ngezinto zokuthambisa indle kanye nemithi yokuhlanza: Ngezinye izikhathi, udinga nje ukusunduzwa kancane ukuze ukhiphe indle. Udokotela wakho angakunikeza izinto zokuthambisa indle kanye nemithi yokuhlanza , noma ungathenga imithi etholakala ngaphandle kwemvume kadokotela.Kodwa-ke, uma unesifo samathumbu esivuvukalayo (i-IBD), qiniseka ukuthi uthintana nodokotela wakho mayelana nohlobo lwesithambisi sendle okufanele usisebenzise.

Kufanele ngimbone nini udokotela?

Uma izimpawu zakho zokuncipha kwe-rectal prolapse zingathuthuki naphezu kokwelashwa, noma uma ziba zimbi kakhulu, bona udokotela wakho.

Nasi isiphetho: Sonke sidinga ukuthulula indle. Kodwa uma unesifo esifana ne-anal stenosis, lapho indunu yakho incane kakhulu kangangokuthi indle evamile ayikwazi ukudlula, kungaba nzima kakhulu.

Uma une-rectum encane, ungase uzizwe sengathi lezi zimpawu zithinta impilo yakho yansuku zonke.

Uma ingane yakho ine-congenital anal stenosis (CAS), ungase ukhathazeke futhi ucindezeleke, kungaba ngoba ingane yakho ayiphumuli noma ayidli.

Ngenhlanhla, kunezindlela eziningana zokwelapha ukuncishiswa kwendunu. Uma wena noma ingane yakho ninalezi zimpawu, khuluma nodokotela. Uma uthola ukuxilongwa nokwelashwa ngokushesha, kulapho wena noma ingane yakho nizolulama ngokushesha.

Izinto ezibaluleke kakhulu okudingeka sizikhumbule kule ndaba yilezi:

• I-anal stenosis ukuncishiswa kwendlela okudlula kuyo indle. Kungavela kubantu abadala ngenxa yokuhlinzwa noma isifo, noma ezinganeni kusukela ekuzalweni.
• Uma unezimpawu ezifana nokuqunjelwa, ubuhlungu ngesikhathi sokuhamba kwamathumbu, noma indle ekhululekile , kufanele nakanjani ubone udokotela. Kubantwana, uma bengakahambi kwamathumbu ngisho nangemva kwezinsuku ezimbili, lokho kuyinto okufanele uyinake.
• Ungakhathazeki, kunezindlela ezahlukene zokwelapha lokhu, kusukela ekushintsheni kokudla kuya emithini, izinqubo ezikhethekile (isib. ukukhulisa indunu), ngisho nokuhlinzwa uma kudingeka.
• Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha nje lapho uzizwa unenkinga. Khona-ke ungathola impumuzo ngokushesha. Nakekela impilo yakho, ngoba iyona into ebaluleke kakhulu!

I- Anal Stenosis, Ukuqunjelwa, I-Anus, Izinsana Ezisanda Kuzalwa, Ama-Hemorrhoids, Ukuhlinzwa, Ubunzima Bokukhipha Indle