Ingabe nawe uke waba neqhubu elibuhlungu eduze kwendunu yakho? Kungaba 'yi-Perianal Abscess'!

Wake waba neqhubu elibuhlungu kakhulu, elibomvu, nelivuvukele eduze kwendunu yakho (lapho sikhipha khona indle)? Lesi simo, esingaba buhlungu kangangokuthi awukwazi nokuhlala noma ukunyakaza, siyacasula ngempela. Ezimweni eziningi, lesi kungaba yisimo esibizwa ngokuthi 'i-Perianal Abscess'. Igama lingase lizwakale njengento enkulu, kodwa ake sixoxe ngakho kalula, ngendlela ongayiqonda.

Iyini ithumba le-perianal?

Kalula nje, yiqhubu eligcwele ubomvu elakheka ngaphakathi noma eduze kwe-anus yakho (indawo ye-perineal). Kufana ne-blister enkulu noma ukubila esikhumbeni sethu, kodwa kusendaweni ezwela kakhulu.

I-rectum yethu iyingxenye yokugcina yesistimu yokugaya ukudla. Iyipayipi elingaba amasentimitha amabili ubude. Inezindandatho ezimbili zemisipha ngaphakathi nangaphandle, esizibiza ngokuthi "ama-sphincters". Le misipha ilawula ukudlula kwendle. Ngakho-ke, ngaphakathi kwale rectum kunezindlala eziningi ezithambile kakhulu. Lezi zindlala zikhipha uketshezi ukuze zigcine i-rectum imanzi. Uma enye yalezi zindlala ivinjiwe ngandlela thile, itheleleka ngamagciwane bese ubomvu buqala ukuqoqana ngaphakathi. Yilapho-ke kwakheka khona leli thumba elibuhlungu.

Lesi simo ngezinye izikhathi sibizwa ngokuthi ``Anal Abscess'' noma ``Anorectal Abscess.'' Nakuba kunamagama amaningana, wonke asho into efanayo.

Ubani onamathuba amaningi okuthuthukisa lokhu? Ubani osengozini enkulu?

Lesi simo, esibizwa ngokuthi "i-Perianal Abscess", sivame kakhulu kwabesilisa. Sivame kakhulu kubantu abaneminyaka ephakathi kuka-20 no-60. Futhi, abantu abanezinkinga ezithile zempilo basengozini enkulu yokuba naso.

Ake sibone ukuthi obani abangase babe sengozini enkulu?

• Uma unesifo esibizwa ngokuthi i-Inflammatory Bowel Disease (IBD) (njengesifo sikaCrohn noma i-Ulcerative colitis). Lezi yizimo zokuvuvukala ezingamahlalakhona ezithinta amathumbu.
• Uma une-`(Diabetes Mellitus)` (isifo sikashukela).
• Uma unesimo lapho kwakheka khona izikhwama ezincane emathunjini, njenge-diverticulitis, bese zitheleleka.
• Uma unesifo esenza amasosha omzimba abe buthaka, njenge-HIV/AIDS.
• Le ngozi ingandiswa nayizifo ezithile ezithathelwana ngocansi (ama-STI).

Ngaphezu kwalokhu, kunezinye izici eziningana eziyingozi:

• Uma ungumama okhulelwe.
• Uma ubhema.
• Uma uthatha ama-steroid afana ne-Prednisone, imithi yomdlavuza, noma eminye imithi ecindezela amasosha omzimba wakho.
• Uma unesifo sohudo noma ukuqunjelwa njalo.
• Ngezinye izikhathi, lolu hlobo lokulimala kanye nokutheleleka kungenzeka futhi ngenxa yokufakwa kwezinto ezithile endunu (isibonelo, ngesikhathi socansi).

Ziyini izimpawu? Uzibona kanjani?

Uphawu oluvame kakhulu olubonakala yilolu,Iqhubu noma iqhubu eliba bomvu, livuvuke, futhi libe buhlungu uma ulithinta eduze kwendunu. Libukeka njengeqhubu elikhulu. Ngezinye izikhathi lokhu kungaba ubuhlungu obuhlabayo. Lobuhlungu bungakhula kakhulu uma uhleli, ukhwehlela, noma ukhipha indle. Cabanga nje, lokhu kungaba buhlungu kangangokuthi awukwazi ngisho nokwenza imisebenzi yakho yansuku zonke.

Kungase kube nezinye izimpawu:

• Uketshezi olufana nobovu oluphuma endunu.
• Ubuhlungu obukhulu ngaphakathi noma eduze kwe-rectum.
• Isigaxa noma ukuvuvukala okubomvu, okuvuvukele, okubuhlungu.
• Ukuqunjelwa noma ubuhlungu ngesikhathi sokuhamba kwamathumbu.
• Ukungakhululeki njengokuvuvukala nokulunywa kwesikhumba esizungeze indunu.
• Ngezinye izikhathi igazi elincane liphuma nendle (i-Rectal bleeding).
• Ubuhlungu besisu esingezansi.

Ngenxa yokuthi kukhona ukutheleleka ngaphakathi kwaleli thumba, abanye abantu bangase babe nezimpawu ezifana nomkhuhlane, njengomkhuhlane, ukubanda, kanye nobuhlungu bomzimba .

Kungani ithumba lifana naleli? Ziyini izimbangela?

Esikhathini esiningi, isizathu esiyinhloko sokwakheka kwalesi `(i-Parianal Abscess)` ukuvaleka kwesinye sezindlala ezithambile ngaphakathi kwendunu engikhulume ngaso ekuqaleni. Lapho lezi zindlala zivaleka, amabhaktheriya noma amagciwane avela esitulweni ayabhajwa ngaphakathi kuzo, okubangela ukutheleleka. Yilapho ubomvu buqoqana khona bese kwakheka lesi sithumba.

Kungase kube nezinye izizathu:

• Ukutheleleka komfantu wendunu.
• Noma yikuphi ukulimala endaweni yendunu (isibonelo, ngesikhathi socansi lwendunu).
• Izifo ezithathelwana ngocansi (ama-STI).
• Ezinye izifo zamathumbu.
• Ngezinye izikhathi, isimo esinjengalesi singase senzeke ngenxa yokutheleleka kwe-"Epidermoid cyst" (lokhu kuvame ukuba yisisu esibangelwa ukuvaleka kwezindlala zamafutha esikhumbeni) esikhumbeni esizungeze indunu. Kodwa-ke, asibuhlungu kangako kune-"Parianal Abscess" evamile futhi sinezimpawu ezimbalwa njengomkhuhlane.
• I-Hidradenitis Suppurativa yisifo sesikhumba esingamahlalakhona esibangela amathumba abuhlungu aphindaphindayo kanye namathumba ezindlala zokujuluka zamakhwapha, imbobo, eduze kwendunu, nangaphansi kwamabele.

Udokotela ukuxilonga kanjani lokhu ngokunembile?

Uma unalezi zimpawu, kufanele nakanjani ubonane nodokotela. Udokotela uzokuxilonga ngokuvamile.

Lokhu kungabonakala ngokuhlolwa kwe-rectal . Udokotela uzogqoka amagilavu, afake amafutha athile, bese efaka umunwe e-rectum ukuze ahlole noma yikuphi ukukhubazeka. Ngezinye izikhathi, idivayisi ebizwa ngokuthi i-speculum ingasetshenziswa ukubheka ngaphakathi kwe-rectum.

Uma ithumba libonakala ngaphandle, udokotela cishe angalibona ngaphandle kwemishini. Kodwa-ke, amanye amathumba angatholakala ejulile kunobuso besikhumba.

Uma kukhona ukusolakala komgodi ojulile kangaka, udokotela angenza ukuhlolwa okubizwa ngokuthi ``Proctosigmoidoscopy``. Kulokhu kuhlolwa, kufakwa ipayipi elincane e-rectum. Ekupheleni kwepayipi kukhona ikhamera encane kanye nokukhanya. Futhi, ngezinye izikhathi ukuhlolwa okufana ``CT scan```, ``MRI`` noma ``Ultrasound`` kungadingeka ukuze kutholakale usayizi oqondile nendawo yomgodi.

Lokhu kuhlolwa kwenziwa ukuqinisekisa ukuthi lokhu "kuyi-Parianal Abscess" noma esinye isimo esibi njengomdlavuza we-rectal.

Iphathwa kanjani?

Ukwelashwa okuyinhloko kwalokhu ukuvula ithumba nokukhipha ubomvu (i-drainage). Lokhu kufanele kwenziwe udokotela.

Okubaluleke kakhulu: Ungalokothi uzame ukuqhumisa noma ukucindezela amathumba kanje wena! Ukwenza kanjalo kungasakaza ukutheleleka futhi kwenze isimo sibe sibi kakhulu.

Abantu abaningi bazizwa bekhululekile kakhulu ebuhlungwini ngemva kokukhipha lobo bomvu.

Ngokuvamile, udokotela angasusa lobu bomvu khona kanye ehhovisi lakhe (i-OPD) ngokunikeza umuthi wokubulala izinhlungu, enze ukusika okuncane nge-scalpel noma ngenaliti.

Kodwa-ke, uma ithumba likhulu noma lijule kakhulu, kungadingeka ukuthi wenze lokhu kuhlinzwa esibhedlela ngaphansi kwe-anesthesia ejwayelekile.

Ngezinye izikhathi, kuye ngokuthi indawo kanye nobukhulu bomgodi, ipayipi elincane (i-catheter) lingafakwa emgodini ukuze kuphume ubomvu. Isikhathi esiningi, akudingeki ukuthunga, kufakwa imithi kanye nebhandishi kuphela.

Ngemva kokuhlinzwa, udokotela wakho angakutshela ukuthi wenze okulandelayo:

• Hlamba "ubhavu ojulile" izikhathi eziningana ngosuku. Lokhu kusho ukuhlala ebhavini elinamanzi afudumele indunu yakho kanye nendawo yakho yangasese kucwiliswe emanzini afudumele. Lokhu kuzonciphisa ubuhlungu nokuvuvukala, futhi kusize inxeba ukuthi liphilise ngokushesha.
• Ama-antibiotic anganikezwa ukulawula ukutheleleka, noma uma umuntu enesimiso somzimba esibuthakathaka.
• Ama-laxative noma ama-softeners endle anganikezwa ukunciphisa ubuhlungu ngesikhathi sokuhamba kwamathumbu.
• Ukuze unciphise ubuhlungu, ungase ucelwe ukuthi uphuze imithi yokubulala izinhlungu njalo noma mhlawumbe imithi yokubulala izinhlungu enamandla oyinikezwe udokotela.

Ingabe lesi simo singaqedwa ekhaya?

Kwezinye izimo ze-"minor `(Perianal Abscess)`, ukucindezela okufudumele kanye ne-`(Sitz bath)` kunganikeza impumuzo ekhaya. Kodwa-ke, kungcono ngaso sonke isikhathi ukubona udokotela bese ucela iseluleko sakhe. Ngoba, kwezinye izimo, udokotela anganquma ukuthi kuyadingeka ukususa ubomvu ngokuhlinzwa. Uma ithumba liqhuma lodwa ngaphandle kweseluleko sikadokotela, kunengozi yokusabalalisa ukutheleleka.

Kuthatha isikhathi esingakanani ukululama?

Ithumba le-perianal livame ukuthatha cishe amasonto amathathu kuya kwamane ukuze liphole ngokuphelele ngemva kokuba ubomvu sebukhishwe. Kodwa-ke, ngokusho kwe-American Society of Colon and Rectal Surgeons, cishe ingxenye yabantu abanethumba kamuva bazohlushwa i-anal fistula (umhubhe onegciwane phakathi kwe-anus ne-rectum).

Ingabe kufanele uphuze leli nut?

Cha, ungalokothi wenze lokho. Ukwenza kanjalo kungasakaza ukutheleleka noma kwenze ithumba libe libi kakhulu. Kuphephile kakhulu ukuhlanzwa ngudokotela.

Wenzani uma leli thumba liqhuma ngokuzumayo?

Uma ithumba liqhuma lodwa, zama ukugcina indawo ihlanzekile ngangokunokwenzeka. Ligeze kahle ngensipho namanzi bese ulimboza ngebhandeji elihlanzekile. Kodwa-ke, lingase libe nesifo, noma lingase libe nesifo. Ngakho linda izinsuku ezimbalwa ubone ukuthi liyaphola kahle yini. Qiniseka ukuthi ubona udokotela ukuze uthole iseluleko.

Ngingakuvimbela kanjani ukuthi kuphinde kwenzeke?

Ungenza lezi zinto ukuze uvimbele lolu hlobo lwethumba ukuthi lungaphinde luvele:

• Uma unezimo ezandisa ingozi yakho yalesi simo, njengesifo sikashukela noma isifo samathumbu esivuvukalayo, zilawule kahle.
• Gcina njalo i-anus yakho kanye nendawo yangasese ihlanzekile. Landela imikhuba emihle yokuhlanzeka.
• Ukusebenzisa ikhondomu ngesikhathi socansi lwendunu kungavimbela ukusabalala kwezifo ezithathelwana ngocansi (STIs) kanye namagciwane.

Ezinye izimo zempilo (isib., i-IBD) zingase zingayiqedi ngokuphelele le ngozi. Kodwa-ke, kubalulekile ukuthola ukwelashwa okufanele kwalezo zimo futhi uqaphele ukuthi zingabangela lezi zinhlobo zezilonda.

Ingabe lesi yisimo esibucayi?

Ithumba le-perianal ngokuvamile alilibi kakhulu futhi lingelashwa futhi lelapheke. Kodwa-ke, uma izimpawu zakho ziba zimbi noma zingathuthuki ngemva kokwelashwa, qiniseka ukuthi wazisa udokotela wakho.

Yiziphi izinkinga ezingaba khona?

Ukwelashwa kuvame ukuphumelela. Kodwa-ke, ezimweni ezingavamile, kungase kube nezinkinga ezithile:

• I-fistula yendunu (umhubhe onegciwane phakathi kwendunu nesitho sangasese sowesifazane).
• Ukwakheka kwamathumba okuphindaphindiwe.
• Ukusabalala kokutheleleka noma ``Sepsis`` (ukutheleleka okukhulu okungasongela impilo).
• I-Fournier's gangrene (ukutheleleka okubangelwa yibhaktheriya okungathi sína okusakazekela ezicutshini ezizungeze indunu nezitho zangasese – lokhu akuvamile kakhulu).

Kufanele ngimbone nini udokotela?

Ithumba lendunu lingadala izinkinga uma lingelashwa. Bheka udokotela ngokushesha uma unezinye zalezi zimpawu:

• Ubuhlungu obukhulu kanye nokungakhululeki.
• Ukopha okubangelwa yi-rectum.
• Umkhuhlane kanye nokubanda.
• Ukuvuvukala okuzungeze indunu.

Uyini umehluko phakathi kwama-hemorrhoids kanye ne-abscess?

Abanye abantu bangase badideke laba ababili ngoba bobabili babangela ukungakhululeki endunu. Kodwa-ke, kunomehluko phakathi kwalaba ababili.

• Ama-hemorrhoids yimithambo yegazi evuvukele eyakheka ngaphakathi noma ngaphandle kwendunu. Azizwa sengathi amaqhubu. Angabangela ukungakhululeki, ukulunywa, futhi ngezinye izikhathi ukopha. Kodwa-ke, ama-hemorrhoids awasona isifo. Ezimweni eziningi, ama-hemorrhoids angelashwa ngokhilimu otholakala ngaphandle kwemithi noma ngokwawo.
• Ithumba liyiqhubu eligcwele ubomvu elibangelwa ukutheleleka. Ngokuvamile libuhlungu kakhulu futhi likhulu kune-hemorrhoid. Ngenkathi ithumba lizwakala liqinile kancane uma ulithinta, ithumba lizwakala lifudumele, lithambile, futhi libuhlungu uma ulithinta. Futhi, ithumba lingabangela izimpawu ezifana nomkhuhlane kanye nokubanda, okuyinto ama-hemorrhoids angayidali.

Kalula nje, nakuba ama-hemorrhoids ecasula, ithumba yisimo esidinga ukunakwa okwengeziwe nokwelashwa.

Ekugcineni (Umyalezo Wokuya Ekhaya)

Ithumba le-perianal liyinto ecasulayo futhi ebuhlungu kakhulu. Kodwa ingxenye engcono kakhulu ukuthi liyisimo esingelapheka . Nakuba izimo ezithile zempilo zingandisa ingozi yakho, kubalulekile ukuqaphela lokho futhi uthathe izinyathelo ezidingekayo.

Uma uneqhubu, ukuvuvukala, noma ubuhlungu obufana nabu endunu yakho, ungabunaki. Ikakhulukazi uma kuhambisana nezimpawu ezifana nomkhuhlane kanye nokubanda, kufanele nakanjani ubone udokotela. Ezimweni eziningi, uzothola impumuzo enkulu uma udokotela wakho ekhipha ubomvu embotsheni. Khumbula, ungazami ukuzikhipha noma ukuzikhipha wena!

Ngikufisela impilo enhle!

Uqhekeko lwendunu, ithumba lendunu, ithumba lobomvu, ithumba le-Perianal, ithumba lendunu, izifo zamathumbu, ama-Hemorrhoids