I-Anus engaphelele

-Delile

• Ziyini izimpawu zedunu elibi?
• Itholakala kanjani i-anus engafanele?
• Yiziphi izindlela zokwelapha indunu engafanele?
• Uyini umbono wesikhathi eside?

Yini indunu engafanele?

Ingquza engenasici ukukhubazeka kokuzalwa okwenzeka ngenkathi ingane yakho isakhula esibelethweni. Lokhu kukhubazeka kusho ukuthi ingane yakho ine-anus engakhuli kahle, ngakho-ke ayikwazi ukudlula indle ngokujwayelekile kusuka kunxande lwayo emzimbeni wayo.

Ngokusho kweSibhedlela Sezingane SaseCincinnati, cishe ingane eyodwa kwezingu-5 000 ine-anus engafanele noma enye into engalungile ye-anus noma i-rectum. Kwenzeka kaningi kubafana kunamantombazane. Ingxenyeni, isinye, kanye nobulili bengane yesifazane ene-anus engafanele kwesinye isikhathi ihlanganyela imbobo eyodwa enkulu. Lokhu kuvulwa kuthiwa yi-cloaca.

Isimo sikhula esibelethweni phakathi nesonto lesihlanu kuya kwelesikhombisa lokukhulelwa. Imbangela ayaziwa. Izikhathi eziningi izingane ezinalesi sifo nazo zinokunye ukukhubazeka kwe-rectum.

Odokotela imvamisa bangasithola lesi sifo ngemuva nje kokuzalwa. Lesi yisimo esibi kakhulu esidinga ukwelashwa ngokushesha. Iningi lezingane lizodinga ukuhlinzekwa ukulungisa iphutha. Umbono olandelayo wokuhlinzwa muhle kakhulu.

Ziyini izimpawu zedunu elibi?

Izimpawu zendunu engafanele ngokuvamile zibonakala ngokushesha nje emva kokuzalwa. Kubandakanya:

• akukho ukuvulwa kwendunu
• imbobo yangasese endaweni engafanele, efana nokusondela kakhulu esithweni sangasese
• asikho isitulo emahoreni okuqala angama-24 kuye kwangama-48 empilo
• indle edlula endaweni engafanele, njenge-urethra, isitho sangasese sowesifazane, i-scrotum, noma isisekelo sowesilisa
• isisu esivuvukile
• ukuxhumana okungajwayelekile, noma i-fistula, phakathi kwe-rectum yengane yakho nohlelo lwayo lokuzala noma umgudu womchamo

Cishe uhhafu wazo zonke izingane ezizalwa zinomgogodla ongahlanzekile unezinye izinkinga ezingeziwe. Ezinye zazo zingaba:

• ukukhubazeka kwezinso nezomchamo
• ukungajwayelekile komgogodla
• i-windpipe, noma i-tracheal, ukukhubazeka
• ukukhubazeka kokuqopha
• ukukhubazeka kwezingalo nemilenze
• I-Down syndrome, okuyisimo se-chromosomal esihambisana nokulibaziseka kwengqondo, ukukhubazeka kwengqondo, ukubukeka kobuso obubonakalayo, nethoni yemisipha ebuthakathaka
• Isifo sikaHirschsprung, okuyisimo esihilela ukungabi khona kwamangqamuzana ezinzwa amathumbu amakhulu
• i-duodenal atresia, okuyintuthuko engafanele yengxenye yokuqala yamathumbu amancane
• ukukhubazeka kwenhliziyo okuzelwe

Itholakala kanjani i-anus engafanele?

Udokotela uvame ukuxilonga indunu engafanele ngokwenza ukuhlolwa komzimba ngemuva kokuzalwa. I-X-ray yesisu nesisu se-ultrasound ingasiza ukuveza ubukhulu bokungajwayelekile.

Ngemuva kokuhlonza indunu engaphelele, udokotela wengane yakho kufanele futhi avivinye ezinye izinto ezingajwayelekile ezihambisana nalesi simo. Ukuhlolwa okusetshenzisiwe kungafaka:

• Ama-X-ray womgogodla ukuthola ukungahambi kahle kwethambo
• i-ultrasound yomgogodla efuna ukungajwayelekile emzimbeni we-vertebral, noma emathanjeni omgogodla
• i-echocardiogram efuna ukungahleleki kwenhliziyo
• I-MRI ifuna ubufakazi bokukhubazeka okusophageal njengokwakhiwa kwe-fistulae ne-trachea, noma i-windpipe

Yiziphi izindlela zokwelapha indunu engafanele?

Lesi simo cishe ngaso sonke isikhathi sidinga ukuhlinzwa. Izinqubo eziningi kwesinye isikhathi ziyadingeka ukulungisa inkinga. I-colostomy yesikhashana ingavumela nengane yakho isikhathi sokukhula ngaphambi kokuhlinzwa.

Kwi-colostomy, udokotela ohlinzayo wengane yakho wenza ukuvuleka okuncane okubili, noma i-stoma, esiswini. Bancamathisela ingxenye engezansi yamathumbu embobeni eyodwa nengxenye ephezulu yamathumbu kwenye. Isikhwama esifakwe ngaphandle komzimba sibamba imfucuza.

Uhlobo lokuhlinzwa lokulungisa oludingekayo luzoxhomeka ekucacisweni kwesici, njengokuthi i-rectum yengane yakho yehla kangakanani, ukuthi iyithinta kanjani imisipha eseduze, nokuthi ngabe i-fistula iyabandakanyeka yini.

Ku-anoplasty ye-perineal, udokotela ohlinzayo wengane yakho uvala noma yimaphi ama-fistula ukuze i-rectum ingasabambeki kwi-urethra noma isitho sangasese sowesifazane. Bese bakha i-anus ngokuma okujwayelekile.

Umsebenzi wokudonsa lapho kulapho udokotela ohlinzayo wengane yakho edonsela i-rectum phansi bese eyixhuma endunu entsha.

Ukuvimbela i-anus ekunciphiseni, kungadingeka ukwelula i-anus ngezikhathi ezithile. Lokhu kubizwa ngokuthi yi-anal dilation. Ungadinga ukukuphinda lokhu ngezikhathi ezithile izinyanga ezimbalwa. Udokotela wakho angakufundisa ukuthi ungakwenza kanjani lokhu ekhaya.

Uyini umbono wesikhathi eside?

Udokotela wakho uzokuyalela ukuthi ungakwenza kanjani ukunwetshwa kwezindunu. Lokhu kuqinisekisa ukuthi ukuvulwa kwendunu kukhulu ngokwanele ukuvumela indle ukuthi idlule.

Ezinye izingane zizohlangabezana nezinkinga ngokuqunjelwa. Ukuqeqeshwa kwendlu yangasese kungathatha isikhashana. Izithambisi zesitulo, ama-enemas, noma ama-laxatives kungadingeka ukukhulula ukuqunjelwa kamuva empilweni. Ukuhlinzwa kuvame ukulungisa okungajwayelekile, futhi izingane eziningi zenza kahle kakhulu.

Ukudla okune-fiber eningi nokunakekelwa okujwayelekile okulandelwa njalo ebuntwaneni kunenzuzo.