Ingabe uzizwa ungakhululekile ngenxa yobuhlungu, ukuvuvukala, noma ukuphuma koketshezi endunu yakho? Lokhu kungaba yinkinga enkulu kangangokuthi kungenza kube nzima ukuhamba, ukuhlala, noma ukwenza imisebenzi yansuku zonke. Imbangela yalokhu kungaba yi-anal fistula, isimo esibizwa ngokuthi 'i-Anal Fistula' . Lesi simo kunzima ukusiqeda ngokuphelele ngemithi. Ngakho-ke, ikhambi elingcono kakhulu nelisebenza kahle kakhulu lalokhu ukuhlinzwa. Namuhla sikhuluma ngokuhlinzwa okubizwa ngokuthi 'i-Fistulotomy' yalesi simo se-anal fistula.
Kuyini i-Fistulotomy?
Kalula nje, i-Fistulotomy inqubo yokuhlinzwa eyenziwa ukuze kwelashwe i-fistula yendunu. Manje ake sibone ukuthi i-fistula yendunu yakheka kanjani.
Uma kwenzeka ukutheleleka endunu noma endunu yakho, kungabangela ukwakheka kweqhubu elibuhlungu, eligcwele ubomvu. Lobo bomvu buzophuma ngemva kwezinsuku ezimbalwa, kungaba ngokwalo noma ngokusikwa okuncane, kushiye indlela yokuthi ubomvu buhambe ngayo. Kufana nomhubhe ngaphansi komhlabathi. Lo mhubhe owakheka ngaphakathi kwendunu uye ebusweni besikhumba ubizwa ngokuthi i-anal fistula.
Ku-fistulotomy, udokotela ohlinzayo (udokotela ohlinzayo we-colorectal) uvula ngokuphelele lo mhubhe. Cabanga ngawo njengepayipi lokuphuza lepulasitiki, usike ubude bese ulicwebezela ngokuphelele. Uma uwuvula kanje, inxeba liqala ukuphola kusukela ngaphakathi kuya ngaphandle. Lena ukuphela kwendlela yokwelapha lesi sifo ngokuphelele. Kodwa-ke, akuvamile kakhulu, lesi simo singaphinde sibuye ngemva kokuhlinzwa.
Ungazilungiselela kanjani ngaphambi kokuhlinzwa?
Lokhu kuhlinzwa kungathinta indlela osebenza ngayo evamile cishe amasonto amabili, ngakho-ke kubalulekile ukuhlela kusenesikhathi.
- Umuntu ozokusiza: Hlela kusengaphambili ukuthi othile akuyise ekhaya ngemva kokuhlinzwa. Njengoba ukuhlinzwa kuzokwenziwa ngaphansi kwe-anesthesia, ngeke ukwazi ukushayela noma ukuya ekhaya wedwa.
- Ukudla Nokuphuza: Uma unikezwa i-anesthesia ejwayelekile, uzocelwa ukuthi uyeke ukudla ngobusuku bangaphambi kokuhlinzwa kwakho. Ungase futhi ucelwe ukuthi uyeke ukuphuza amanzi cishe emahoreni amane ngaphambi kokuhlinzwa kwakho.
- Ukuhlanzwa kwamathumbu: Ngezinye izikhathi, udokotela angase akucebise ukuthi wenze i-enema yokuhlanza amathumbu akho ekuseni ngosuku lokuhlinzwa kwakho.
Udokotela wakho ohlinzayo uzokunikeza imiyalelo ecacile ngakho konke lokhu, ngakho qiniseka ukuthi ubuza noma yimiphi imibuzo ongase ube nayo.
Kwenzekani ngesikhathi sokuhlinzwa?
Ngemva kokuhlinzwa, udokotela ohlinzayo uzolandela lezi zinyathelo:
1. Okokuqala, kufakwa ithuluzi elikhethekile (i-probe) esithweni sangasese sowesifazane.Bathola kahle ukuthi iqala kuphi futhi iphelela kuphi emzimbeni.
2. Ngemuva kwalokho, umhubhe otholakele uvulwa ngokuphelele.
3. Ekugcineni, kufakwa i- gauze dressing phezu kwenxeba elivulekile bese ivalwa. Lokhu kuzomunca noma yiliphi igazi noma olunye uketshezi olungaphuma enxebeni.
Lokhu kuhlinzwa kuvame ukuthatha imizuzu engama-30 kuya ehoreni. Uma isitho sangasese sowesifazane sikhulu, kulapho ukuhlinzwa kungase kuthathe isikhathi eside khona.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunezinzuzo kanye nezingozi ezincane.
| Izinzuzo | Izingozi/Izinkinga |
|---|---|
| Lena yindlela kuphela futhi engcono kakhulu yokwelapha ngokuphelele ukuqhekeka kwendunu. | Ukopha okuvela enxebeni. |
| Izinga lempumelelo yalokhu kuhlinzwa liphezulu kakhulu (cishe ama-95%). | Ukutheleleka kwenxeba. |
| Kungenzeka ukususa ubuhlungu nokungakhululeki okubangelwa yilesi sifo. | Ukungakwazi ukuzibamba kwendle . Lokhu akuvamile kakhulu futhi kuvame ukuba okwesikhashana. |
Ingabe i-fistulotomy iwukuhlinzwa okukhulu? Ngokuvamile inqubo yokulaliswa esibhedlela lapho ungaya ekhaya ngalolo suku ngaphandle kokuhlala esibhedlela. Kodwa-ke, njengoba ukusikwa kungaba kukhulu kuye ngobukhulu be-fistula kanye nokusetshenziswa kwe-anesthesia, akuyona into okufanele ithathwe kalula.
Yini okufanele uyinake ngemva kokuhlinzwa?
Akuwona wonke umuntu olulama ngendlela efanayo. Kodwa-ke, cishe uzothola ukungakhululeki nobuhlungu ezinsukwini ezimbalwa zokuqala ngemva kokuhlinzwa. Kungathatha izinyanga eziningana ukuthi inxeba liphole ngokuphelele. Kubalulekile ukunakekela lezi zinto phakathi nalesi sikhathi.
- Iziqeda-zinhlungu: Phuza imithi yezinhlungu njengoba nje udokotela wakho ekuyalele.
- I-Sitz Bath: Geza i-sitz nsuku zonke. Lokhu kusho ukugcwalisa isitsha esikhulu ngokwanele ukuba uhlale kuso ngamanzi afudumele bese uhlala kuso cishe imizuzu eyi-10-15. Lokhu kuzosiza ekunciphiseni ubuhlungu futhi kugcine inxeba lihlanzekile.
- Ukudla Neziphuzo: Phuza amanzi amaningi ukuze ugweme ukuqunjelwa . Futhi, faka ukudla okune-fiber eningi (izithelo, imifino, kanye nemifino) ekudleni kwakho.
- Ukuya endlini yangasese: Gwema ukuzikhandla uma uya endlini yangasese.
- Ukuzivocavoca: Uma uvivinya umzimba nsuku zonke, kungadingeka ubekezele. Udokotela wakho angase akuncome ukuthi uyeke ukwenza izivivinyo ezicindezela umzimba wakho ongezansi, ikakhulukazi ukuphakamisa izinsimbi kanye nokugoba okujulile, izinyanga ezimbalwa.
Uzihlanza kanjani ngemva kokuya endlini yokugezela?
Lena inkinga abantu abaningi abanayo. Njengoba kukhona inxeba, kudingeka uqaphele kancane lapho ulihlanza.
- Ngemva kokusebenzisa indlu yangasese, sula ngobumnene nge- baby wipe engenalo utshwala noma indwangu emanzi.
- Uma kungenzeka, kungaba ngcono ukugeza noma ukugeza u-sitz njalo uma uya endlini yokugezela.
Uma unalezi zimpawu, bona udokotela ngokushesha.
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngesikhathi sokululama kwakho, xhumana nodokotela wakho ngokushesha.
| Izimpawu zesixwayiso okufanele uziqaphele |
|---|
| Ukuqunjelwa okuhlala isikhathi esingaphezu kwezinsuku ezintathu. |
| Ukopha ngokweqile okuvela enxebeni. |
| Ukuba nomkhuhlane ophezulu. |
| Uketshezi olufana nobovu oluphuma enxebeni noma endunu. |
I-anal fissure iyisimo esibuhlungu kakhulu futhi esisongela impilo. Kodwa ukuhlinzwa kwe-Fistulotomy kuyisisombululo esihle salokhu. Nakuba isikhathi sokululama sithatha isikhathi eside, ngokubekezela nangokulandela imiyalelo kadokotela ngqo, ungalulama ngokugcwele. Uma uzizwa ungakhululekile noma ukhathazekile phakathi nalesi sikhathi, ungesabi ukukhuluma nodokotela wakho ngakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-Fistulotomy kuyindlela ephumelela kakhulu nephumelelayo yokwelapha ngokuphelele i-fistula yendunu.
- Ukululama ngemva kokuhlinzwa kuthatha isikhathi, ikakhulukazi ukuze inxeba liphole ngokuphelele.
- Landela imiyalelo kadokotela wakho ngokucophelela, ikakhulukazi mayelana nokuhlanza amanxeba, ukudla okudlayo kanye nokuzivocavoca umzimba.
- Uma uqaphela izimpawu eziyisixwayiso njengokuphuma kwegazi ngokweqile, umkhuhlane, noma ukuphuma kobomvu, shayela udokotela wakho ngokushesha.
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