Ithumba lika-anorectal

Ithumba le-anorectal iqoqo lobofu endaweni ye-anus ne-rectum.

Izimbangela ezivamile zamathumba anorectal zifaka:

• Izindlala ezivinjiwe endaweni eyindunu
• Ukutheleleka kwe-fissure anal
• Ukutheleleka ngocansi (STD)
• Ukuhlukumezeka

Amathumba e-rectal ajulile angabangelwa ukuphazamiseka kwamathumbu njengesifo se-Crohn noma i-diverticulitis.

Izici ezilandelayo zandisa ubungozi bethumba elingaziwa:

• Ucansi lwendunu
• Imithi yokwelashwa ngamakhemikhali esetshenziselwa ukwelapha umdlavuza
• Isifo sikashukela
• Isifo samathumbu esivuthayo (isifo seCrohn kanye nesilonda esilimaza ulcerative)
• Ukusetshenziswa kwemithi ye-corticosteroid
• Amasosha omzimba abuthakathaka (njenge-HIV / AIDS)

Lesi simo sithinta abesilisa kakhulu kunabesifazane. Lesi simo singenzeka ezinganeni nasezinsaneni ezisenamathele futhi ezinomlando wokuqhekeka kwezinqe.

Izimpawu ezijwayelekile ukuvuvukala kuzungeze i-anus kanye nobuhlungu obungapheli, obuhlungu bokuvuvukala. Ubuhlungu bungaba bukhulu ngokuhamba kwamathumbu, ukukhwehlela nokuhlala.

Ezinye izimpawu zingafaka:

• Ukuqunjelwa
• Ukukhishwa kwe-pus kusuka ku-rectum
• Ukukhathala, umkhuhlane, ukujuluka ebusuku nokugodola
• Ububomvu, izicubu ezibuhlungu nezinzima endaweni ye-anus
• Ubumnene

Ezinganeni, ithumba livame ukuvela njengeqhubu elivuvukile, elibomvu nelithenda onqenqemeni lwendunu. Usana lungaxokozela futhi lucasuke ngenxa yokungakhululeki. Ngokuvamile azikho ezinye izimpawu.

Ukuhlolwa kwe-rectal kungaqinisekisa ithumba le-anorectal. I-proctosigmoidoscopy ingenziwa ukukhipha ezinye izifo.

Kwezinye izimo, kudingeka i-CT scan, i-MRI, noma i-ultrasound ukusiza ukuthola ukuqoqwa kobomvu.

Inkinga ayivamile ukuzihambela yodwa. Imithi elwa namagciwane iyodwa imvamisa ayikwazi ukuphatha ithumba.

Ukwelashwa kuhilela ukuhlinzwa ukuvula nokukhipha ithumba.

• Ukuhlinzwa kuvame ukwenziwa ngemithi yendawo endikindiki, kanye nemithi yokwenza ukozele. Kwesinye isikhathi, kusetshenziswa umgogodla noma i-anesthesia ejwayelekile.
• Ukuhlinzwa kuvame ukwenziwa kwenqubo yokugula, okusho ukuthi uya ekhaya ngosuku olufanayo. Udokotela ohlinzayo uvula ithumba bese ekhipha ubomvu. Kwesinye isikhathi kufakwa idreyini yokugcina imbobo ivulekile futhi idonsa, kwesinye isikhathi umgodi wamathumba ugcwele i-gauze.
• Uma ukuqoqwa kobomvu kujulile, kungadingeka ukuthi uhlale esibhedlela isikhathi eside ukuze ulawule izinhlungu nokunakekelwa kwendawo yokuhambisa amanzi.
• Ngemuva kokuhlinzwa, ungadinga izindawo zokugeza ezifudumele (ezihleli kubhavu wamanzi afudumele). Lokhu kusiza ekudambiseni izinhlungu futhi kunciphise ukuvuvukala.

Amathumba amuncu avame ukushiywa evulekile futhi akudingeki ukuthi kuthungwe.

Udokotela ohlinzayo anganikeza amaphilisi ezinhlungu nemithi elwa namagciwane.

Ukugwema ukuqunjelwa kuzosiza ukunciphisa izinhlungu. Ungadinga izithambisi zendle. Ukuphuza uketshezi nokudla ukudla okunemicu eminingi nakho kungasiza.

Ngokulashwa ngokushesha, abantu abanalesi simo bavame ukwenza kahle. Izinsana nojahidada bavame ukululama ngokushesha.

Izinkinga zingenzeka lapho ukwelashwa kubambezeleka.

Izinkinga zamathumba anorectal zingafaka:

• I-anal fistula (ukuxhumana okungavamile phakathi kwe-anus nesinye isakhiwo)
• Ukutheleleka okusakazeka egazini (sepsis)
• Ubuhlungu obuqhubekayo
• Inkinga ilokhu ibuya (ukuphindeka)

Shayela umhlinzeki wakho wezempilo uma:

• Qaphela ukukhishwa kwe-rectal, ubuhlungu, noma ezinye izimpawu ze-anorectal abscess
• Yiba nomkhuhlane, amakhaza, noma ezinye izimpawu ezintsha ngemuva kokwelashwa kwalesi simo
• Ingabe unesifo sikashukela futhi i-glucose yegazi lakho iba nzima ukuyilawula

Ukuvimbela noma ukwelashwa ngokushesha kwama-STD kungavimbela ithumba le-anorectal ekwakheni. Sebenzisa amakhondomu ngesikhathi sokuya ocansini, kufaka phakathi ucansi lwendunu, ukuvikela izifo ezinjalo.

Ezinganeni nasezinsaneni, ukuguqulwa kwamanabukeni njalo kanye nokuhlanzwa okufanele ngesikhathi sokushintshwa kwamanabukeni kungasiza ekuvikeleni kokubili ukuqhekeka kwezindunu namathumba.

Ithumba le-anal; Ithumba elibusayo; Ithumba eliqondile; Ithumba lePerianal; Ithumba lendlala; Ithumba - i-anorectal

• I-Rectum

Izigqoko WC. Izinqubo ze-anorectal. Ku: Roberts JR, Custalow CB, Thomsen TW, ama-eds. Izinqubo Zomtholampilo zikaRoberts noHedges ku-Emergency Medicine kanye ne-Acute Care. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2019: isahluko 45.

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.