Liyini ithumba le-anal, izimbangela ezinkulu nokuthi welashwa kanjani

-Delile

• Ziyini izimbangela
• Izimpawu eziyinhloko
• Yelashwa kanjani
• Ukunakekelwa ngemuva kokuhlinzwa
• Izinkinga ezingenzeka

I-anal, perianal noma i-anorectal abscess ukwakheka komgodi ogcwele ubomvu esikhumbeni esiseduze ne-anus, okungadala izimpawu ezinjengezinhlungu, ikakhulukazi lapho kuphuma noma kuhleli, ukubonakala kwesigaxa esibuhlungu endaweni yangemuva, ukuphuma kwegazi noma ukuqedwa uketshezi oluphuzi.

Imvamisa amafomu ethumba lapho amabhaktheriya engena esifundeni futhi abangele ukuvuvukala okukhulu, ngokuqoqwa kobomvu. Ukwelashwa kwenziwa ngudokotela ohlinzayo, odinga ukuphuma kwethumba futhi, kwezinye izimo, kusetshenziswe ama-antibiotic izinsuku ezimbalwa.

Ziyini izimbangela

I-Perianal abscess ibangelwa ukutheleleka kwebhaktheriya kwesikhumba se-anus kanye ne-perineum esifundeni, imvamisa ngenxa yokuvinjelwa kwezindlala ezikhiqiza amafinyila esifundeni se-anal, okusiza ukufakwa kwamagciwane. Ezinye zezimo ezidala ingozi yokwakheka kwethumba yilezi:

• Isifo samathumbu esivuthayo, esifana nesifo sikaCrohn noma i-ulcerative colitis;
• I-hidradenitis eqhubekayo;
• Ukutheleleka kwe-rectum, njenge-amoebiasis, venereal lymphogranuloma, isifo sofuba noma i-rectal schistosomiasis;
• Ukuqhuma kwe-anal;
• Umdlavuza we-anorectal;
• Ukungatheleleki komzimba;
• Njengoba uke wahlinzwa esifundeni se-anorectal, njenge-hemorrhoidectomy, i-episiotomy noma i-prostatectomy, isibonelo.

Ngokuvamile, lezi zimo zidala ukuvuvukala kwezicubu ze-rectum ne-anus, okwenza kube lula ukuqoqwa kwamagciwane nokwakheka kwe-pus. Ukuqonda kangcono izimbangela, izimpawu kanye nokwelashwa kwe-proctitis.

Izimpawu eziyinhloko

Uphawu oluyinhloko lwe-perianal abscess ubuhlungu esifundeni se-anus nase-perineum, ikakhulukazi lapho kuphuma noma kuhleli, kodwa okungaba njalo njengoba lesi sifo siba sibi. Futhi hlola ezinye izimbangela ezinkulu zobuhlungu lapho usuka.

Uma indawo ithumba lingaphandle kakhulu, kungabonakala futhi isigaxa esibuhlungu, esishisayo, esibomvu endaweni yangasese. Kwezinye izimo, kungahle kube nokopha nemfiva. Lapho ithumba lidabukile, uketshezi lwe-purulent lungaphunyuka, ngaleyo ndlela linciphise ukucindezela kwesikhumba nobuhlungu.

Ukuxilongwa kwethumba le-anal kwenziwa udokotela ohlinzayo noma i-coloproctologist, ngokuhlaziya isifunda kanye nezivivinyo ezifana ne-anoscopy, i-ultrasound, i-computed tomography noma i-resonance kazibuthe, ekhomba ubukhulu nokujula kwesilonda. Ukuhlolwa kwegazi, njengokubala okuphelele kwegazi, kungasiza ekuhloleni ubukhulu besifo.

Yelashwa kanjani

Ukwelashwa kwethumba le-anal kwenziwa ngomsele walo, ngudokotela ohlinzayo ojwayelekile noma i-coloproctologist, ngokushesha okukhulu, njengoba ukuphikelela kwethumba kukhulisa ubungozi bokutheleleka okujwayelekile.

Ngokuya ngosayizi nendawo ithumba elikhona, ukuhlinzwa kokukhipha amanzi kungenziwa nge-anesthesia yendawo noma ngezinamandla kakhulu njengomgogodla noma i-epidural. Emathumba amakhulu, kungadingeka ukuthi ushiye idreyini izinsuku ezimbalwa esizeni.

Ukwelapha i-fistula, udokotela angenza ukusika noma ukubeka okokusebenza ukukhuthaza ukuphulukiswa nokuvalwa kwendlela. Ngaphezu kwalokho, ama-antibiotic angakhonjiswa uma ithumba likhulu futhi linendawo enkulu yokuvuvukala, noma uma isiguli siveza izingozi zokutheleleka okujwayelekile, njengasesimweni sesifo sikashukela, ukuzivikela komzimba okonakele noma ukukhuluphala, ngokwesibonelo.

Ukunakekelwa ngemuva kokuhlinzwa

Ngemuva kokuhlinzwa, udokotela angancoma ukuphumula, ukusetshenziswa kwamaphilisi ezinhlungu namabhavu e-sitz ngamanzi afudumele, ngenxa yomphumela wokulwa nokuvuvukala.

Udokotela uzohlela ukuhlolwa kabusha kumaviki awu-1 kuya kwangu-2, ukubona ukwelashwa nokubona ukuthi kukhona yini uketshezi lwezimfihlo eziveza ama-fistula. Kwezinye izimo, ithumba lingabuya, ikakhulukazi uma ukwelashwa kokuqala kungenziwanga kahle noma uma kunesifo esidala ukuvuvukala kwesiza futhi sisize ukwakheka kwesilonda.

Izinkinga ezingenzeka

Kujwayelekile kakhulu ukuthi ithumba livuse i-anal fistula, okuyindlela yokwakheka kwendlela exhuma izifunda ezimbili, engavela phakathi kwendunu nesitho sangasese sowesifazane, isibeletho, umgudu womchamo noma ezinye izingxenye zamathumbu, Ngokwesibonelo. Thola ukuthi yini i-anal fistula nokuthi ungayilapha kanjani.

Ngaphezu kwalokho, ezinye izinkinga ezingabangelwa yithumba le-anal kungukubandakanyeka kwe-anal sphincter, okudala ukungasebenzi kwe-fecal, noma ukutheleleka kwe-necrotizing, okuyilapho amabhaktheriya afinyelela izicubu ezingomakhelwane, njengesikhumba, imisipha namafutha.

Ngaphezu kwalokho, uma ukwelashwa kungenziwanga kahle, kungenzeka ukuthi amabhaktheriya afinyelele egazini, kubangele ukutheleleka okujwayelekile, okungaholela nasekufeni.