I-Sphincterotomy

-Delile

• Ukubuka konke
• Inhloso
• Inqubo
• Ukubuyiselwa
• Imiphumela emibi kanye nezingozi ezingaba khona ze-sphincterotomy
• Umbono

Ukubuka konke

I-sphincterotomy yangaphakathi ye-lateral ukuhlinzwa okulula lapho i-sphincter inqunywa noma yelulwa. I-sphincter yiqembu eliyindilinga lemisipha elizungeze indunu ebhekele ukulawula ukunyakaza kwamathumbu.

Inhloso

Lolu hlobo lwe-sphincterotomy luyindlela yokwelapha abantu abahlushwa izifaca zangasese. Imifantu ye-anal ingamakhefu noma izinyembezi esikhunjeni somsele wangasese. I-sphincterotomy isetshenziswa njengesixazululo sokugcina salesi simo, futhi abantu abahlangabezana nokuqhekeka kwe-anal bavame ukukhuthazwa ukuthi bazame ukudla okuphezulu kwe-fiber, izithambisi zesitokisi, noma iBotox kuqala. Uma izimpawu zinzima noma zingaphenduli kulezi zindlela zokwelapha, i-sphincterotomy inganikezwa.

Kunezinye izinqubo eziningana ezivame ukwenziwa eceleni kwe-sphincterotomy. Lokhu kufaka phakathi i-hemorrhoidectomy, i-fissurectomy, ne-fistulotomy. Kufanele uhlole udokotela wakho ukubona kahle ukuthi yiziphi izinqubo ezizokwenziwa nokuthi kungani.

Inqubo

Ngesikhathi senqubo, udokotela ohlinzayo wenza imbobo encane ku-anal sphincter yangaphakathi. Inhloso yalesi sikweletu ukukhulula ukungezwani kwe-sphincter. Lapho ingcindezi iphezulu kakhulu, imisipha yangemuva ayikwazi ukuphola.

I-sphincterotomy ingenziwa ngaphansi kwe-anesthetic yendawo noma ejwayelekile, futhi ngokujwayelekile uvunyelwe ukubuyela ekhaya ngosuku olufanayo nokwenziwa ngalo ukuhlinzwa.

Ukubuyiselwa

Ngokuvamile kuzothatha cishe amasonto ayisithupha ukuthi indunu yakho yelapheke ngokuphelele, kepha abantu abaningi bayakwazi ukuqhubeka nemisebenzi yabo ejwayelekile kubandakanya ukuya emsebenzini kungakapheli isonto elilodwa noma amabili ngemuva kokuhlinzwa.

Iningi labantu lithola ukuthi ubuhlungu ababebuthola kusuka ku-fissure yabo yangaphambili ngaphambi kokuhlinzwa bunyamalale ezinsukwini ezimbalwa zokuba ne-sphincterotomy yabo. Abantu abaningi bakhathazeka ngokuhamba kwamathumbu abo ngemuva kokuhlinzwa, kanti ngenkathi kuyinto ejwayelekile ukuzwa ubuhlungu obuthile ngesikhathi sokuhamba kwamathumbu ekuqaleni, ubuhlungu buvame ukuba ngaphansi kunalokho obekukhona ngaphambi kokuhlinzwa. Kujwayelekile futhi ukubona igazi elithile ephepheni lasendlini yangasese ngemuva kokunyakaza kwamathumbu emasontweni ambalwa okuqala.

Kunezinto eziningi ongazenza ukusiza ekululameni:

• Thola ukuphumula okuningi.
• Zama ukuhamba kancane usuku ngalunye.
• Landela imiyalo kadokotela wakho yokuthi ungashayela nini futhi.
• Geza noma ugeze njengokujwayelekile, kepha shaya indawo yakho yangasese eyomile ngemuva kwalokho.
• Phuza uketshezi oluningi.
• Yidla ukudla okune-fiber eningi.
• Uma ulwa nokuqunjelwa, cela udokotela wakho mayelana nokuthatha isithambisi esincane se-laxative noma se-stool.
• Thatha imithi yakho yezinhlungu njengoba nje kuchaziwe.
• Hlala cishe kumasentimitha ayi-10 wamanzi afudumele (i-sitz bath) kathathu nsuku zonke bese ulandela ukunyakaza kwamathumbu kuze kubuye ubuhlungu bendawo yakho yangasese.
• Lapho uzama ukuhambisa amathumbu akho, sebenzisa isinyathelo esincane ukusekela izinyawo zakho. Lokhu kuzoguqula izinkalo zakho bese ubeka i-pelvis yakho endaweni yokuhlwitha, engakusiza ukuthi udlule indle kalula.
• Ukusebenzisa ama-baby wipes esikhundleni sephepha langasese kuvame ukunethezeka futhi akucasuli i-anus.
• Gwema ukusebenzisa insipho enamakha.

Imiphumela emibi kanye nezingozi ezingaba khona ze-sphincterotomy

I-sphincterotomy yangaphakathi ye-lateral iyindlela elula futhi eyenziwa kabanzi futhi isebenza kahle ekwelapheni izifaca zangemuva. Akujwayelekile ukuthi kube nemiphumela engemihle ngemuva kokuhlinzwa, kodwa kwenzeka esimweni esingavamile ngokweqile.

Kuyinto ejwayelekile kakhulu ukuthi abantu behlangabezane nokungavumelani okuncane kwe-fecal kanye nobunzima bokulawula ukuqothuka emasontweni adlule ngemuva kokuhlinzwa. Lo mphumela oseceleni uvame ukuzixazulula wedwa njengoba indunu yakho iphola, kepha kunezimo ezithile lapho ibilokhu iphikelela.

Kungenzeka kuwe ukopha ngesikhathi sokuhlinzwa futhi lokhu ngokuvamile kungadinga imithungo.

Kungenzeka futhi ukuthi uthuthukise ithumba le-perianal, kepha lokhu kuvame ukuhlotshaniswa ne-anal fistula.

Umbono

I-sphincterotomy yangaphakathi ye-lateral iyinqubo elula ebonakalise ukuthi iphumelele kakhulu ekwelapheni izifaca zangasese. Uzokhuthazwa ukuthi uzame ezinye izindlela zokwelashwa ngaphambi kokuhlinzwa, kepha uma lezi zingasebenzi, uzonikezwa le nqubo. Kufanele ululame ngokushesha okukhulu kusuka ku-sphincterotomy futhi kunezindlela eziningi zokududuza ongazisebenzisa ngenkathi uselapha. Imiphumela emibi ingavamile kakhulu futhi ingelashwa uma kwenzeka.