Ubuhlungu be-anal, ikakhulukazi ukusha kanye nobuhlungu obubukhali ngesikhathi sokuhamba kwamathumbu, yinto abantu abaningi abangafuni ukukhuluma ngayo, kodwa ihlushwa kakhulu ngaphakathi. Ngezinye izikhathi imbangela ukudabuka okuncane odongeni lomsele wakho we-anal. Ngokwezokwelapha sikubiza ngokuthi 'i-Anal Fissure'. Ngokuvamile, lezi zinyembezi ziphola phakathi namasonto ambalwa ngemithi, amafutha okugcoba, kanye nokushintsha kwendlela yokuphila. Kodwa kwabanye abantu, zihlala izinyanga, ngisho neminyaka. Yingakho odokotela bekhuluma ngokuhlinzwa okubizwa ngokuthi 'i-Lateral Internal Sphincterotomy' kumuntu onobuhlungu obungapheli kangaka.
Kalula nje, kuyini i-Lateral Internal Sphincterotomy?
Kulungile, yize igama lingase lizwakale liyinkimbinkimbi kancane, empeleni umqondo ulula impela. I-lateral internal sphincterotomy ukuhlinzwa okuncane okwenziwa kwenye yezindandatho ezimbili zemisipha ezizungeze i-anus yakho.
Cabanga nje, kunezindandatho ezimbili zemisipha ezizungeze indunu yethu.
1. I-Internal Anal Sphincter: Asinawo amandla okulawula lokhu. Kuhlala kuqinile futhi kuyaphumula kuphela ngesikhathi sokuhamba kwamathumbu.
2. I-External Anal Sphincter: Singayiqinisa noma siyikhulule nganoma yisiphi isikhathi.
Isizathu esiyinhloko sokuthi kungani imifantu yendunu yesikhathi eside ingapholi ukucindezeleka kwale ndandatho yemisipha yangaphakathi . Kulokhu kuhlinzwa, udokotela ohlinzayo wenza ukusika okuncane kakhulu emisipheni yangaphakathi okuqinile kakhulu futhi kunciphisa ukuqina kwayo. Kufana nokusika ibhande lerabha eliqinile kancane bese ulikhulula. Lokhu kubizwa ngokuthi `(Myotomy)`, okusho ukusika imisipha.
Kungani udinga lokhu kuhlinzwa?
Ungase uzibuze, "Kungani ngingadinga ukuhlinzwa kwemvukuzane encane?" Nasi isizathu.
Uma kwakheka umfantu e-rectum, imisipha engaphansi iyavezwa. Lokhu kubangela ukuthi imisipha iqine njalo futhi ingalawuleki. Lokhu sikubiza ngokuthi ukuqaqamba kwemisipha. Lokhu kuqaqamba kubangela izinkinga ezimbili eziyinhloko:
1. Ukwelula inxeba: Lapho imisipha iqina, izinhlangothi zomsipha ziyahlangana. Njengoba nje sigoba ingalo yethu futhi sinesilonda endololwaneni yethu, inxeba liyavuleka. Lokhu kunciphisa amathuba okuthi inxeba liphole.
2. Ukugeleza kwegazi okunciphile: Uma umsipha ufinyeziwe ngokuqinile, ukugeleza kwegazi kuleyo ndawo kuyancipha. Ukugeleza kwegazi okuhle kubalulekile ukuze noma yiliphi inxeba liphole. Uma ukugeleza kwegazi kunciphile, inqubo yokuphulukisa iyama ngokuphelele.
Lokhu kubangela ukuqina kwemisipha ngenxa yobuhlungu, kanti ukuqina kwemisipha kubangela ukuthi inxeba lingapholi futhi ubuhlungu bukhule. Kufana nomjikelezo omubi. Ukuhlinzwa kwe-`Lateral Internal Sphincterotomy` kuphula lowo mjikelezo omubi. Lapho ukuqina kwemisipha kuncipha phakathi kuka-20% no-50%, 'ukuqaqamba' kuyama, ukugeleza kwegazi kuyabuyiselwa, futhi inxeba liqala ukuphola ngokwemvelo.
Khumbula, akuzona zonke izimfa zendunu ezidinga ukuhlinzwa. Kodwa-ke, cishe ama-40% ezimfa zendunu azisabeli emithini futhi zingaba yizifo ezingamahlalakhona. Ezimweni ezinjalo, ukuhlinzwa kubhekwa njengesixazululo esisebenza kahle kakhulu nesihlala njalo .
Kwenzekani ngaphambi nangesikhathi sokuhlinzwa?
Lokhu ngokuvamile akuyona inqubo enkulu yokuhlinzwa. Ngokuvamile kuyinqubo yokulaliswa esibhedlela lapho ungaya ekhaya ngosuku olufanayo ngemva kokwelashwa.
Ukulungiselela ukuhlinzwa
- I-Anesthesia: Lokhu kuhlinzwa kuvame ukwenziwa ngaphansi kwe-anesthesia ejwayelekile. Lokhu kusho ukuthi ngeke uzwe lutho ngesikhathi sokuhlinzwa. Ngakho-ke, ngeke ukwazi ukushayela ngemuva kokuhlinzwa. Kubalulekile ukuba nomuntu ozokushayela ekhaya.
- Landela imiyalelo: Landela imiyalelo kadokotela wakho ngqo, njengokuthi mangaki amahora okudingeka uzile ngaphambi kokuhlinzwa.
Ngesikhathi sokuhlinzwa
Empeleni ukuhlinzwa kuthatha cishe imizuzu engama-30. Udokotela ohlinzayo uqala ngokusebenzisa ithuluzi elincane elibizwa ngokuthi i-anoscope ukuze abheke ngaphakathi kwendunu futhi athole indawo eqondile lapho kukhona khona umfantu. Ngemuva kwalokho, kwenziwa umfantu omncane ohlangothini lomsipha wangaphakathi we-sphincter ngaphansi komfantu. Lokhu kusikwa kungenziwa nge-scalpel noma idivayisi kagesi ebizwa ngokuthi i-electrocautery. Umgomo ukunciphisa ukuqina komsipha kube sezingeni elifunekayo nokuvumela umfantu ukuthi uphole.
Kwenzekani ngemva kokuhlinzwa? Futhi ubuhlungu bunjani?
Uzozwa ubuhlungu ngemva kokuhlinzwa, kodwa abantu abaningi bathi lobu buhlungu buncane kakhulu kunobuhlungu obubukhali, obungabekezeleleki ababenabo ngaphambi kokuhlinzwa . Udokotela uzokunikeza imithi yobuhlungu.
| Ongakulindela ngemva kokuhlinzwa | Incazelo |
|---|---|
| Ubuhlungu | Kungase kube nobuhlungu obuhlala izinsuku ezimbalwa. Lokhu kungalawulwa ngamaphilisi okudambisa izinhlungu anikezwe udokotela. |
| Inani elincane lobomvu noma ukuphuma kwegazi | Inxeba lingase likhiphe uketshezi noma igazi elincane izinsuku ezimbalwa. Lokhu kuvamile. |
| Ukuzikhulula | Ukuqunjelwa kungenzeka ngenxa yokubulala izinzwa kanye nokuhlinzwa. Kungathatha usuku noma ezimbili ukunyakaza kokuqala kwamathumbu. |
| Ukuphumula | Kubalulekile ukuphumula isonto elilodwa noma amabili. Gwema ukuphakamisa izinto ezisindayo kanye nomsebenzi onzima. |
Ungenza kanjani ukuthulula kube lula?
Ungase uzwe ubuhlungu lapho uthuthwa isisu ngemva kokuhlinzwa. Kodwa lokhu akukusha kuwe. Kunezinto ezimbalwa ongazenza ukusiza ngalokhu:
- Izithambisi zendle: Sebenzisa izithambisi zendle (njengoba kuqondiswe udokotela wakho).
- Amanzi nokudla okucebile nge-fiber: Phuza amanzi amaningi. Yidla ukudla okuningi okucebile nge-fiber njengezithelo, imifino, kanye nokudla okusanhlamvu okuphelele.
- Ukugeza nge-Sitz: Hlala esitsheni samanzi afudumele imizuzu eyi-10-15. Lokhu kuzonciphisa ubuhlungu futhi kusize ukugcina inxeba lihlanzekile.
- Ama-baby wipes: Ukusebenzisa ama-baby wipes esikhundleni sephepha langasese kunganciphisa umonakalo enxebeni.
Yiziphi izinzuzo kanye nezingozi ezingaba khona zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, lokhu kunezinzuzo kanye nezingozi ezincane kakhulu.
Inzuzo eyinhloko ukuthi ungasusa unomphela ubuhlungu obekukhathaza isikhathi eside, ngesilinganiso sempumelelo esingaba ngu-95% . Lokhu kuzothuthukisa kakhulu ikhwalithi yempilo yakho.
Izingozi (Izinkinga):
Lezi izinto ezingabonakali kakhulu.
- Ukungakwazi ukuzibamba kwendle okuncane: Njengoba imisipha ikhululeka, ungase uzwe ukuvuza okuncane kwendle noma umoya ngesikhathi senqubo yokuphulukiswa. Lokhu kungokwesikhashana kubantu abaningi futhi kuzophela ngokuphelele phakathi namasonto ambalwa.
- Ukugcinwa komchamo: Abanye abantu bangase babe nobunzima bokuchama ngemva kokuhlinzwa. Lokhu kuvame ukuzixazulula ngokwako.
- Ukutheleleka noma ukuphuma kwegazi: Njenganoma yikuphi ukuhlinzwa, kunengozi encane kakhulu yokutheleleka.
- Ukuphindaphinda kokuqubuka: Akuvamile kakhulu, ukuqubuka kungaphinde kuvele.
Udokotela wakho uzokhuluma nawe ngalezi zingozi futhi akusize wenze isinqumo esikulungele kakhulu.
Uzobona nini udokotela
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokuhlinzwa, yazisa udokotela wakho ngokushesha:
- Izimpawu zokutheleleka njengomkhuhlane , ukuvuvukala, kanye nokubomvu kwesilonda .
- Ukopha ngokweqile noma ubomvu obunuka kabi.
- Ubuhlungu obukhulu obungenakulawuleka ngisho nangemithi yobuhlungu.
- Ukungakwazi ukuchama.
Ingabe zikhona ezinye izindlela zokwelapha ezihlukile?
Yebo, kunezinye izinketho. I-'Fissurectomy' ingenye inqubo yokuhlinzwa. Kulokhu, i-crassure kanye nezicubu ezizungezile zisuswa ngaphandle kokusikwa kwemisipha. Ngesikhathi esifanayo, i-'Botox' ifakwa ukuze kuphumule imisipha. Kodwa-ke, i-'Lateral Internal Sphincterotomy' ibhekwa 'njengendinganiso yegolide' futhi isetshenziswe isikhathi eside ngesilinganiso sempumelelo esiphezulu.
Kumuntu obehlushwa imifantu yendunu izinyanga eziningi, umcabango wokuhlinzwa ungethusa. Kodwa empeleni ungakulethela impumuzo oyidingayo. Uzoqala ukuzwa umehluko omkhulu ezinsukwini ezimbalwa ngemva kokuhlinzwa.
Umlayezo Wokuya Nawe Ekhaya
- Uma i-anal crush iqhubeka isikhathi esingaphezu kwezinyanga ezimbili ngaphandle kokuphulukiswa ngemithi, kubhekwa njengesifo esingamahlalakhona.
- I-'Lateral Internal Sphincterotomy' iyindlela ephumelela kakhulu (95%) futhi iyindlela elula yokuhlinzwa enciphisa ukuqina kwemisipha ngaphakathi kwe-rectum, okuvumela ukuthi i-crash iphole.
- Ubuhlungu ngemva kokuhlinzwa buvame ukuba buncane kakhulu kunobuhlungu obuvela ekusikweni.
- Nakuba kuthatha cishe amasonto ayisithupha ukuphulukiswa ngokuphelele, uzoqala ukuzizwa ukhululekile kakhulu ezinsukwini ezimbalwa.
- Uma unemibuzo noma ukwesaba ngokuhlinzwa, xoxa ngakho ngokukhululekile nodokotela wakho. Bazokunikeza ikhambi elingcono kakhulu.
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