Ungase ungafuni ukukhuluma nanoma ubani ngobuhlungu noma ukungakhululeki endunu nasezindaweni ezizungezile. Ungase ucabange ukuthi kuyindaba ehlazisayo futhi engakhululekile. Kodwa akulona neze umqondo omuhle ukungazinaki izimo ezinjalo. Ngoba ngisho nenkinga encane ingaba yinkinga enkulu kamuva. Namuhla sikhuluma ngesihloko esibaluleke kakhulu abantu abaningi abangathandi ukukhuluma ngaso. Leso yisimo esibizwa ngokuthi i-Anal Fistula kanye nenqubo yokuhlinzwa ebizwa ngokuthi i-Fistulotomy eyenziwa njengendlela yokwelapha lesi simo.
Kalula nje, iyini i-fistula yendunu?
Cabanga ngomhubhe omncane ozungeze indunu yakho, oxhumanisa isikhumba esizungezile nengaphakathi lendunu yakho. Yilokho esikubiza ngokuthi i-anal fistula. Ngokuvamile kuqala ngokutheleleka noma ithumba elizungeze indunu yakho. Kufana neqhubu elincane eligcwele ubomvu elakheka ngaphansi kwesikhumba sakho. Uma leli qhubu eligcwele ubomvu lihlala lapho isikhathi eside, lidala indlela yokuthi ubomvu buphume ngayo. Yilokho okuba yileli qhubu elibizwa ngokuthi i-fistula.
Izizathu eziyinhloko zalokhu kungaba:
- Ukutheleleka kanye nokuqongelela kobomvu nxazonke kwendunu.
- Okunye ukulimala kuleyo ndawo.
- Izimo zokuvuvukala kwamathumbu isikhathi eside, njengesifo sikaCrohn.
Ziyini izimpawu zalesi simo?
Uma unalesi simo, ungase ube nesinye noma ngaphezulu kwalezi zimpawu ezilandelayo. Kubaluleke kakhulu ukuzazi lezi.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu nokungakhululeki | Ubuhlungu bungase bukhule lapho uhleli, uhamba, ukhwehlela, futhi ikakhulukazi lapho ukhipha indle. |
| Izinguquko zesikhumba | Isikhumba esizungeze indunu singase sibe bomvu, sivuvuke futhi silume. |
| Ukukhishwa | Ubomvu noma igazi eduze kwendunuKungase kuphume uketshezi. Ngezinye izikhathi lokhu kungaba nephunga elibi. |
| Ubunzima bokulawula ukunyakaza kwamathumbu | Kwezinye izimo, kungase kube nobunzima ekulawuleni ukuhamba kwamathumbu. |
| Imfiva | Umkhuhlane ungase uvele ngenxa yokutheleleka emzimbeni. |
Ngakho-ke kuyini lokhu kuhlinzwa okubizwa ngokuthi i-Fistulotomy?
I-Fistulotomy inqubo yokuhlinzwa ephumelela kakhulu futhi esetshenziswa kabanzi ukwelapha i-fistula yendunu. Kuyindlela elula kakhulu. Udokotela uvula ngokuphelele umgudu we-fistula engikhulume ngawo ekuqaleni. Okusho ukuthi, uwusika njengomsele. Bese ehlanza kahle futhi asuse ubomvu, izicubu ezinegciwane, nanoma yimuphi omunye udoti ongaba ngaphakathi.
Uma ivuliwe futhi ihlanzwa ngale ndlela, inxeba liqala ukuphola kusukela ngaphakathi kuya ngaphandle. Lokhu kuqeda ithuba lokuthi ubomvu buqoqeke futhi bese kwakheka umhubhe. Ezimweni eziningi, lokhu kuhlinzwa kuyisisombululo esingcono kakhulu salesi sifo.
Into ebaluleke kakhulu ukuthi i-anal fissure ngeke iphole yodwa. Impela idinga ukwelashwa. Uma ingelashwa, ukutheleleka kungasakazeka emzimbeni wonke futhi kuholele ezimweni ezisongela ukuphila njenge -sepsis .
Ukuhlinzwa kwe-fistulotomy kwenziwa kanjani?
Indlela lokhu kuhlinzwa okwenziwa ngayo incike ohlotsheni lwesitho sakho sangasese sowesifazane.
- Nge-hernia elula nengabalulekile: Lokhu kuhlinzwa ngezinye izikhathi kungenziwa ngaphandle kwesibhedlela, ngaphandle kokuhlala esibhedlela.
- Uma kuyi-hernia ejulile neyinkimbinkimbi: Lokhu kuhlinzwa kwenziwa ngenkathi usesibhedlela futhi ungaphansi kwe-anesthesia ejwayelekile egumbini lokuhlinza.
Ngesikhathi sokuhlinzwa, udokotela usika isitho sangasese sowesifazane bese ehlanza ingaphakathi kahle. Bese kuthi, ngezinye izikhathi inxeba livalwe ngezithungo. Kodwa ngokuvamile, inxeba lishiywa livulekile futhi ligcwele into efana ne-gauze. Bese inxeba liqala ukuphola ngaphakathi.
Udokotela unquma kanjani ukuthi lokhu kuyindlela engcono kakhulu yokwelapha?
Ngaphambi kokunquma ukuthi udinga i-fistulotomy noma olunye ukwelashwa, udokotela wakho uzokwenza izivivinyo eziningana ukuze athole indawo eqondile, ukujula, kanye nendlela i-fistula ezotholakala ngayo.
| Ukuhlolwa | Indlela yokukwenza |
|---|---|
| Ukuhlolwa komzimba | Udokotela uzosebenzisa umunwe ogqokile ukuze ahlole i-rectum (Digital Rectal Exam). Lokhu kuzonikeza umbono oyisisekelo ngobukhulu nendawo ye-anus. |
| Ukuskena kwe-MRI | Lokhu kuvumela izicubu ezithambile ezizungeze indunu kanye nomsele wesitho sangasese sowesifazane ukuthi zibukwe ngesithombe esicacile kakhulu, esinezinhlangothi ezintathu . |
| I-Endoscopy | Ipayipi elincane elinekhamera elinamathiselwe lifakwa nge-anus ukuze kuhlolwe izicubu zangaphakathi kanye nokuvulwa kwangaphakathi kwesitho sangasese sowesifazane. |
| Ezinye izivivinyo | Ngezinye izikhathi ukuhlolwa okufana ne-X-ray kanye ne-fistulography (i-X-ray ethathwe ngemva kokujova uketshezi oluhlukile) nakho kungenziwa. |
Imiphumela yalezi zivivinyo izonquma ukwelashwa okufanele kakhulu kuwe. Uma isitho sangasese sowesifazane sidlula ku-sphincter yendunu, kuzothathwa ukunakekelwa okukhethekile ukuze kugwenywe ukulimaza imisipha ngesikhathi sokuhlinzwa.
Ingabe zikhona ezinye izindlela zokwelapha?
Yebo, i-fistulotomy akuyona yodwa indlela yokuhlinzwa eyenziwayo. Kusetshenziswa ezinye izindlela, ikakhulukazi kuma-fistula ayinkimbinkimbi kakhulu.
- Inqubo ye-Seton: Kule nqubo, kufakwa i-suture efana ne-rubber band noma i-elastic band emhubheni we-perianal. Lokhu kuvumela ubomvu ukuthi buphume njalo, kancane kancane kusize ukuvulwa kwe-perianal ukuthi kuphole.
- Inqubo yokukhuphula: Lokhu ukuhlinzwa okukhethekile okwenziwa esithweni sangasese sowesifazane esidlula emisipheni yendandatho yendunu.
- Iglue ye-Fibrin noma ipulaki ye-Collagen: I-incision ivalwa kusetshenziswa uhlobo olukhethekile lweglue noma ipulaki.
Udokotela wakho ohlinzayo onguchwepheshe uzonquma ukuthi yikuphi kwalokhu kwelashwa okufanele wena.Ngakho-ke ungesabi lokhu, khuluma nodokotela ngokukhululekile.
Kuzokwenzekani ngemva kokuhlinzwa?
Kungase kube nokungakhululeki okuthile ngemva kokuhlinzwa, kodwa ngokuvamile kuba okwesikhashana.
- Ubuhlungu: Ungase uzwe ubuhlungu endaweni yokuhlinzwa. Udokotela uzokunika imithi yobuhlungu ngalokhu.
- Ukopha: Kungase kube namaconsi ambalwa egazi. Kodwa-ke, uma kukhona ukopha ngokweqile, kufanele wazise udokotela wakho ngokushesha.
- Ikhanda elibuhlungu kanye nokozela: Lesi simo singabangelwa yi-anesthesia.
- Ukuphinda: Akuvamile kakhulu ukuthi i-fistula noma ithumba liphinde libuye.
Isikhathi sokululama siyahlukahluka kuye ngomuntu nomuntu. Ngemva kokuhlinzwa okulula, ungabuyela empilweni evamile zingakapheli amasonto ambalwa. Kodwa-ke, kungathatha inyanga noma ngaphezulu ukuthi inxeba liphiliswe ngokuphelele. Phakathi nalesi sikhathi, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngokucophelela, ikakhulukazi mayelana nokugcina inxeba lihlanzekile kanye nokudla okufanele.
Umlayezo Wokuya Nawe Ekhaya
- I-anal fistula iyindlela efana nomhubhe ethelelekile ephuma esikhumbeni esizungeze i-anus.
- Lesi simo asipholi sodwa. Ngakho-ke uma unezimpawu ezifana nobuhlungu, ukuvuvukala, noma ubomvu, ungabi namahloni futhi ubone udokotela ngokushesha.
- I-Fistulotomy inqubo yokuhlinzwa ephumelela kakhulu kule njongo. Ihilela ukuvula, ukuhlanza, nokuvumela i-fistula ukuthi iphole.
- Ukulandela imiyalelo yezokwelapha ngemva kokuhlinzwa kubalulekile ukuze ululame ngokushesha.
- Uma unemibuzo ngalokhu, ungesabi ukubuza udokotela wakho. Impilo yakho iyona nto ebaluleke kakhulu.
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