Ingabe Igazi Esibayeni Sengane Yami liyimbangela Yokukhathazeka?

-Delile

• Izimpawu zegazi esitulweni sentsana
• Izimbangela zegazi esitulweni sentsana
• Ukuqhuma kwesidunu
• Ukutheleleka
• Isifo samathumbu esivuthayo
• Ithumba le-anal ne-fistula
• Ama-polyps
• Isifo sohudo negazi esitulweni sentsana
• I-Mucus negazi esitokisini sokuhamba
• Lapho kungelona igazi
• Ukwelashwa kwegazi esitulweni sentsana
• Ama-F amathathu
• Gcina indawo ihlanzekile
• Ukugeza kwe-Sitz
• Faka ukhilimu noma i-petroleum jelly
• Imithi elwa namagciwane
• Imithi ye-IBD
• Ukuhlinzwa
• Ukuhlonza imbangela
• Lapho uzobona udokotela wezingane
• Imininingwane okufanele uyiqoqe ngaphambi kocingo
• Ukudla okudlela endlini

Ukubona igazi embotsheni yengane yakho kungashaqisa, kepha izimbangela zegazi esitulweni sezingane azihlali zimbi njalo. Eqinisweni, kuvamile ngokwanele.

Izicubu zomlomo, okuyizinyembezi ezincane endunu evame ukubangelwa yizihlalo ezinzima, ziyimbangela ejwayelekile yegazi esitulweni sezingane. Lokhu kungenzeka enganeni encane equnjelwe.

Ukudla okuthile, iziphuzo, kanye nemithi kadokotela kungashintsha umbala wendle, kuyenze ibukeke njengegazi. Imvamisa, igazi esitokisini lingaba uphawu lwesimo esibi kakhulu. Sizobheka wonke amathuba lapha.

Izimpawu zegazi esitulweni sentsana

Igazi elisesitofeleni esincane lingabukeka lihlukile kuye ngesizathu. Umbala nokuqina kwawo kungasiza odokotela ukuba banciphise lapho kungenzeka ukuthi igazi livela khona.

Igazi elibomvu elikhanyayo livame ukubangelwa ukopha okuphuma emathunjini (GI) okuphansi, njengokuphuma kwe-rectal, kanti isitulo esimnyama esimnyama ngokuvamile sivela esiswini noma kwenye indawo engxenyeni ephezulu ye-GI.

Ezinye izimpawu, ezinjengobuhlungu nobumnene nokushintsha kwemikhuba yamathumbu nakho kungasiza udokotela ukuthi anqume ukuthi igazi livela kuyiphi indawo ye-GI.

Igazi esitokisini lingaba:

• okubomvu ngokugqamile phezu kwendle
• igazi elimnyama lemaroni elixutshwe esitokisini
• indle emnyama noma yokulibala

Izimbangela zegazi esitulweni sentsana

Lokhu okulandelayo kuyizimbangela zegazi esitulweni sosana kanye nezinye izimpawu okufanele uziqaphele.

Ukuqhuma kwesidunu

Ama-fissures ama-anal anesibopho segazi esitofini sezingane ezingamaphesenti angama-90 esikhathi. I-anal fissure ukudabuka okuncane ngaphakathi kwendwangu yangaphakathi ye-anus. Ukudlulisa isitulo esinzima noma esikhulu kungelula futhi kudabule ulwelwesi olubucayi lwendunu. Uhudo lungacasula ulwelwesi futhi lubangele ukuqhekeka.

Uma ingane yakho ine-fissure yangasese ungabona izigaxa zegazi elibomvu elikhanyayo esitokisini noma ephepheni lasendlini yangasese ngemuva kokusula. Ukuqhekeka kwe-anal nakho kungadala ubuhlungu nokushaywa endaweni okubi kakhulu ngesikhathi noma ngemuva kokuhamba kwamathumbu.

Ukutheleleka

Ukutheleleka ngamagciwane, amagciwane kanye nezimuncagazi ezisemgudwini wokugaya ukudla kungadala isifo sohudo esinegazi ezinganeni ezisacathula. Izifo ezivamile zebhaktheriya zifaka:

• Salmonella
• E. coli
• shigellosis

I-Rotavirus yisifo esivamile segciwane. IGiardia lamblia yisidlwana esivamile esithinta abantu bayo yonke iminyaka, kufaka phakathi izingane nojahidada.

Uma ingane yakho inesinye salezi zifo, ingaba nomkhuhlane omkhulu nobuhlungu besisu, futhi ibe yingozi futhi icasuke.

Isifo samathumbu esivuthayo

Isifo samathumbu esivuthayo (IBD) yisimo esingelapheki esidala ukuvuvukala kwamathumbu. Kunezinhlobo ezimbili eziyinhloko ze-IBD, zombili ezibandakanya ukusebenza komzimba okungavamile:

• Isifo sikaCrohn, esingathinta noma iyiphi ingxenye yomgudu wamathumbu kusuka emlonyeni kuya endunu
• ulcerative colitis, okubandakanya kuphela amathumbu amakhulu

I-IBD ivame ukutholakala ebusheni nasebantwini abadala, kepha izimpawu zibekwa ngaphambi kweminyaka yobudala emi-5 cishe ezinganeni.

Izimpawu ezivamile ze-IBD zifaka:

• uhudo olunegazi
• amafinyila esitobhini
• ukuncipha komzimba
• amazinga aphansi wamandla
• ukuqunjelwa esiswini nobuhlungu

Ithumba le-anal ne-fistula

Izingane ezinomlando wokuqunjelwa njalo noma isifo sohudo zisengozini enkulu yokuqhamuka kwamathumba ezindunu nezingxande. Amathumba enzeka lapho imbobo engquza igcwele ukutheleleka, imvamisa ibhaktheriya nobomvu. I-anal fistula ingaqala lapho ithumba lingapholi futhi livuleke ebusweni besikhumba. Kokubili kungaba buhlungu kakhulu.

Uma ingane yakho encane ine-abscess noma i-fistula, ingahle icasuke futhi ibe nesigaxa noma ukuvuvukala ezungeze ingquza, kanye nokukhishwa endunu.

Ama-polyps

Ama-polyps emathunjini ajwayelekile kubantu abadala kunezingane, kepha ayenzeka. Ama-polyps amancane uhlobo oluvame kakhulu lwama-polyp emathunjini ezinganeni. Ziyakhula kukholoni futhi zivame ukukhula zingakabi neminyaka eyi-10, ikakhulukazi phakathi kweminyaka emibili kuya kwengu-6.

Ama-polyps amancane angadala ukudlula kwegazi elibomvu nezicubu esitobhini, nobuhlungu besisu.

Isifo sohudo negazi esitulweni sentsana

Igazi esitokisini sengane yakho elihambisana nohudo lingabangelwa:

• ukutheleleka kwamagciwane noma kwegciwane
• isinambuzane
• Isifo sikaCrohn
• ukulunywa yizilonda emathunjini

I-Mucus negazi esitokisini sokuhamba

I-Mucus inkulu futhi ifana ne-jelly. Ikhiqizwa ngumzimba ukuze uthambisa futhi uvikele izicubu ekulimaleni okubangelwa amagciwane kanye namagciwane. I-Mucus negazi esitokisini kungadalwa yi:

• izifo zamathumbu
• i-fistula eyindunu noma eyindilinga
• Isifo sikaCrohn
• ukulunywa yizilonda emathunjini

Lapho kungelona igazi

Umbungu obomvu noma omnyama akusho ngaso sonke isikhathi igazi - ukudla okuningi, iziphuzo, kanye nemithi ethile kungashintsha umbala wezimbungulu futhi kuwenze ubonakale ubomvu noma umnyama.

Umbungu obomvu ungabangelwa:

• I-Kool-Aid neziphuzo ezibomvu ezifanayo
• amajikijolo
• ama-beet
• uqweqwe oluqukethe umbala obomvu wokudla
• ama-antibiotic, njenge-amoxicillin ne-cefdinir (i-Omnicef)

Umbungu omnyama ungabangelwa:

• uqweqwe oluqukethe umbala wokudla omnyama noma omnyama
• ilayisensi emnyama
• amaphilisi ensimbi
• imishanguzo esekwe kubismuth, njengePepto-Bismol

Ukufaka izinto zakwamanye amazwe njengamakhrayoni nakho kungashintsha umbala wezimbungulu zengane yakho.

Ukwelashwa kwegazi esitulweni sentsana

Ukwelashwa kuzoya ngombangela wokopha. Izindlela zokwelapha zasekhaya zingasiza ekunciphiseni ukungakhululeki okubangelwa ukuqhekeka kwezinqe nokwelapha nokuvimbela ukuqunjelwa. Imithi yokwelashwa iyatholakala kulezi zimo nezinye ezidala igazi esitokisini.

Ama-F amathathu

Indlela engcono kakhulu yokwelapha nokuvimbela ukuqunjelwa ukusebenzisa "ama-F amathathu," amele uketshezi, i-fiber nokuqina komzimba. Qinisekisa ukuthi ingane yakho iphuza uketshezi oluningi futhi idla ukudla okune-fiber eningi.

Ukuzivocavoca okuhambisana neminyaka ejwayelekile nakho kungasiza ekugcineni amathumbu ahamba njalo, okubuye kwehlise ubungozi bokuqhekeka kwezinqe.

Gcina indawo ihlanzekile

Ukuhlanza indawo ezungeze i-anus ngemuva kokuhamba kwamathumbu kungasiza ekunciphiseni ubungozi bokutheleleka uma ingane yakho ine-fissures anal. Geza ngobumnene bese uyomisa indawo ngemuva kwayo yonke iminyakazo yamathumbu.

Ukugeza kwe-Sitz

Ukucwilisa ku-sitz bath kungasiza ekunciphiseni ukungakhululeki okubangelwa yimifantu yangemuva. Ukugeza kwe-sitz ukugeza okufudumele, okungajulile okusetshenziselwa ukuhlanza i-perineum. Unganikeza ingane yakho ubhavu we-sitz kubhavu noma ngekiti yepulasitiki elingana nendlu yangasese. Usawoti noma i-baking soda kungangezwa emanzini afudumele ukuze kutholakale umoya opholile.

Faka ukhilimu noma i-petroleum jelly

Kuze kulapheke umgogodla wesinqe, sebenzisa i-petroleum jelly noma ukhilimu we-zinc oxide ezungeze ingquza. Isendlalelo sikakhilimu noma i-jelly sizosiza ukuvikela indunu ekucasukeni futhi yenze isitulo esidlulayo singabi buhlungu kangako.

Imithi elwa namagciwane

Imithi elwa namagciwane nemithi elwa namagciwane isetshenziselwa ukwelapha izifo ezithinta ukugaya ukudla ezibangelwa amagciwane kanye namagciwane, ngokulandelana. Ama-antibiotic asetshenziselwa ukwelapha amathumba abangelwa ngamagciwane kanye ne-fistula, kanye ne-IBD, ikakhulukazi i-ulcerative colitis engakwesokunxele kanye nesifo se-perianal. Azisebenzi kuma-virus.

Imithi ye-IBD

Imithi, efana nama-5-aminosalicylates, ingasetshenziswa ukwelapha izingane ezine-Crohn's disease kanye ne-ulcerative colitis. Eminye imithi esetshenziselwa ukwelapha i-IBD ihlanganisa:

• ama-corticosteroids
• izivikeli mzimba
• i-biologics

Udokotela wengane yakho angancoma uhlobo lwemithi olulawula izimpawu ezinemiphumela emibi emincane.

Ukuhlinzwa

Ukuhlinzwa kunganconywa ukuthi kususwe ama-polyps noma kuvuselele indawo lapho kuphuma khona ukopha. Kwesinye isikhathi ukopha kungamiswa ngokujova ikhemikhali endaweni eyophayo ngesikhathi se-endoscopy ephezulu noma ephansi ye-GI. I-GI endoscopy nayo isetshenziselwa ukuxilonga izimbangela zegazi esitokisini.

Ukuhlonza imbangela

Udokotela angakwazi ukuxilonga imbangela yokopha ngokuhlola ingaphandle lendunu nokwenza ukuhlolwa kwamakhorali.

Ezinye izivivinyo udokotela wengane yakho angazincoma zifaka:

• isitulo isiko
• ukuhlolwa kwegazi
• i-X-ray esiswini
• i-ultrasound yesisu
• Iskena se-CT
• ama-endoscopy aphezulu we-GI
• ikholoscopy

Lapho uzobona udokotela wezingane

Noma yiliphi igazi elisesihlalweni sengane yakho kufanele lihlolwe ngudokotela wezingane ukukhipha isimo esibi kakhulu. Xhumana nodokotela wezingane wengane yakho ngokushesha uma ingane yakho ibonakala igula kakhulu noma ine:

• indle emnyama noma yokulibala
• uhudo olunegazi
• ubuhlungu besisu
• umchamo obomvana noma ophuzi

Shayela ku-911 uma ingane yakho ibuthakathaka kakhulu ukuthi ime noma iquleke, noma uma ukholwa ukuthi isimo sayo sisongela impilo.

Imininingwane okufanele uyiqoqe ngaphambi kocingo

Udokotela kungenzeka a-ode isampula yendle. Ukuqoqa isampula lesitulo sengane yakho ngaphambi kokuthi ubize i-aphoyintimenti kungasheshisa izinto ekwenzeni ukuxilongwa kusheshe.

Ukudla okudlela endlini

Isikhathi esiningi, igazi elisesitofini sezingane ezisencane libangelwa ukuqhekeka kwezinqe okuqhamuka ekuqunjelweni, okungajwayele ukuba kubi kakhulu nokwelashwa ekhaya. Noma yiliphi igazi elisesitokisini kusamele lihlolwe udokotela wezingane wengane yakho.