Ukuqhuma kwesidunu

I-anal fissure ukuhlukaniswa okuncane noma ukudabuka kwezicubu ezincane ezinomswakama (mucosa) ezigoqa i-rectum engezansi (ingquza).

Izimbumbulu ze-anal zivame kakhulu ezinganeni, kepha zingavela noma ngasiphi isikhathi.

Kubantu abadala, ukuqhekeka kungadalwa ngokudlula okukhulu, izitulo ezinzima, noma ukuba nohudo isikhathi eside. Ezinye izinto zingafaka:

• Ukwehla kokugeleza kwegazi endaweni
• Ukungezwani okuningi emisipheni ye-sphincter elawula ingquza

Isimo sithinta abesilisa nabesifazane ngokulinganayo. Ama-fissure anal nawo ajwayelekile kwabesifazane ngemuva kokubeletha nakubantu abanesifo seCrohn.

I-fissure anal ingabonakala njengokuqhekeka esikhunjeni sangasese lapho indawo yeluleke kancane. I-fissure icishe ibe phakathi nendawo. Ukuqhekeka kwe-anal kungadala ukunyakaza kwamathumbu okubuhlungu nokopha. Kungaba negazi ngaphandle kwesitulo noma ephepheni lasendlini yangasese (noma izingane ezisula) ngemuva kokunyakaza kwamathumbu.

Izimpawu zingaqala ngokuzumayo noma zikhule kancane ngokuhamba kwesikhathi.

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa kwamakholomu bese ebheka izicubu zangasese. Olunye uvivinyo lwezokwelapha olungenziwa lubandakanya:

• I-Anoscopy - ukuhlolwa kwe-anus, canal anal, kanye ne-rectum engezansi
• I-Sigmoidoscopy - ukuhlolwa kwengxenye engezansi yamathumbu amakhulu
• I-Biopsy - ukususwa kwezicubu ezi-rectal ukuze zihlolwe
• I-Colonoscopy - ukuhlolwa kwekholoni

Izinsalela eziningi ziyelapheka zodwa futhi azidingi ukwelashwa.

Ukuze uvimbele noma welaphe imfucuza yakudala ezinganeni, qiniseka ukuthi ushintsha amanabukeni kaningi futhi uhlanza indawo ngobumnene.

IZINGANE NABADALA

Ukukhathazeka ngobuhlungu ngesikhathi sokunyakaza kwamathumbu kungadala ukuthi umuntu abagweme. Kodwa ukungabi nokuhamba kwamathumbu kuzobangela ukuthi izitokisi zibe nzima nakakhulu, okungenza i-fissure ye-anal ibe yimbi nakakhulu.

Vikela indle enzima nokuqunjelwa ngu:

• Ukwenza ushintsho ekudleni - ukudla ifayibha eningi noma inqwaba, njengezithelo, imifino nezinhlamvu
• Ukuphuza uketshezi oluningi
• Kusetshenziswa izithambisi zendle

Buza umhlinzeki wakho mayelana namafutha okugcoba alandelayo noma okhilimu ukusiza ukuthambisa isikhumba esithintekile:

• Ukhilimu we-numbing, uma ubuhlungu buphazamisa ukuhamba kwamathumbu okujwayelekile
• Ijeli ye-Petroleum
• I-Zinc oxide, 1% ukhilimu we-hydrocortisone, Ukulungiselela H, neminye imikhiqizo

Ukugeza kwe-sitz ukugeza okufudumele kwamanzi okusetshenziselwa ukwelashwa noma ukuhlanzwa. Hlala kubhavu izikhathi ezimbili kuya kwezi-3 ngosuku. Amanzi kufanele amboze izinkalo nezinqe kuphela.

Uma ama-fissures we-anal engahambi nezindlela zokunakekelwa ekhaya, ukwelashwa kungabandakanya:

• Imijovo yeBotox emsipheni ku-anus (anal sphincter)
• Ukuhlinzwa okuncane ukukhulula isicubu sendunu
• Okhilimu abasebenza ngemithi kadokotela, njengama-nitrate noma ama-block block e-calcium, basebenzise phezu kwesiqeshana ukusiza ukukhulula imisipha

Ama-fissures e-anal avame ukuphulukisa ngokushesha ngaphandle kwezinkinga.

Abantu abathuthukisa imifantu kanye maningi amathuba okuthi babe nayo ngokuzayo.

Ukwehlukana ku-ano; Ukuqhuma kwe-anorectal; Isilonda sendunu

• I-Rectum
• I-anal fissure - uchungechunge

I-Downs JM, i-Kulow B. Izifo ezihlanjululwayo. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 129.

IKliegman RM, iSt. Geme JW, iBlum NJ, i-Shah SS, iTasker RC, iWilson KM. Izimo zokuhlinzwa ze-anus ne-rectum. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 371.

IMerchea A, uLarson DW. Ingquza. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 52.