Yini Ebangela Ukuvuvukala Komzimba Futhi Ngingakuphatha Kanjani?

-Delile

• Izimbangela zokuvuvukala kwezidunu
• Isisu
• Ama-hemorrhoids angaphandle
• Ukuqhuma kwesidunu
• Ithumba le-anal
• I-anal fistula
• Isifo sePerianal Crohn
• Ucansi lwendunu nokudlala
• Indunu evuthayo ne-rectum evuvukile
• Ukuxilongwa
• Ukwelashwa
• Isisu
• Ama-hemorrhoids angaphandle
• Ukuqhuma kwesidunu
• Ithumba le-anal
• I-anal fistula
• Isifo sePerianal Crohn
• Ucansi lwendunu
• Ukubonana nodokotela nini
• Ukudla okudlela endlini

Ukubuka konke

Indunu ukuvulwa ekugcineni komsele wakho wendunu. I-rectum ihlala phakathi kwekholoni yakho ne-anus futhi isebenza njengendawo yokubamba isitulo. Lapho ingcindezi ku-rectum yakho iba nkulu kakhulu, iringi yangaphakathi yemisipha ebizwa nge-anal sphincter iyaphumula ukuvumela indle ukuthi idlule emseleni wakho we-anal, i-anus, nangaphandle komzimba wakho.

I-anus iqukethe izindlala, amapayipi, imithambo yegazi, amafinyila, izicubu, kanye neziphetho zezinzwa ezingazwela kakhulu ebuhlungwini, ukucasuka, nokunye ukuzwa. Ngokuya ngesizathu, indunu evuvukile ingazizwa ifudumele, ibangele ubuhlungu obubukhali noma obuvuthayo (ikakhulukazi ngemuva kokuhamba kwamathumbu), futhi ikhiqize ukuphuma kwegazi nobomvu.

Izimbangela zokuvuvukala kwezidunu

Ukuvuvukala kwe-anal kungaba nezimbangela eziningi. Iningi lazo alithinti kepha ezinye zingaba zimbi. Bheka udokotela ngokushesha uma une:

• ukuphuma kwegazi okungenakuphela
• ubuhlungu obukhulu
• imfiva
• ukukhishwa endunu

Isizathu asinabungozi noma singakhombisa okuthile okusongela impilo, njengomdlavuza. Izimbangela ezijwayelekile zokuvuvukala kwendunu yilezi:

Isisu

Lesi yisifo esivamile. Imvamisa kuhilela ukuvuvukala kolwelwesi lwendunu futhi kuvame ukutholwa ngokungaqondakali njengama-hemorrhoids. Izimpawu zifaka phakathi ubuhlungu nokukhipha okumanzi, kwesinye isikhathi okunegazi. I-Anusitis ivame ukubangelwa:

• ukudla okune-asidi okubandakanya ikhofi kanye nezithelo ezisawolintshi
• ukucindezeleka
• isifo sohudo ngokweqile

Ama-hemorrhoids angaphandle

Ama-hemorrhoid angaphandle avuvukile imithambo yegazi kulwelwesi lwe-mucosal lwe-anus. Zijwayelekile, zithinta abantu abadala abathathu kwabane. Zingavela ku:

• ukuhlunga ngesikhathi sokuhamba kwamathumbu
• ukudla okuphansi kwe-fiber
• isifo sohudo esingapheli noma ukuqunjelwa

Ama-hemorrhoid angaphandle angavela njengesigaxa futhi angaba buhlungu futhi ophe, yize amanye ama-hemorrhoids engalethi ukungaphatheki kahle.

Ukuqhuma kwesidunu

Ukuqhekeka kwe-anal kudabula ulwelwesi lomsele wangasese. Kubangelwa:

• ukunyakaza kwamathumbu kanzima
• uhudo olungamahlalakhona
• isifo samathumbu esicasulayo
• imisipha eqinile ye-anal sphincter
• izimila zangemva noma izifo, kuyaqabukela

Izimbumbulu ze-anal zivamile futhi zivame ukuphutha ngama-hemorrhoids. Zingadala:

• ubuhlungu ngesikhathi sokuhamba kwamathumbu okuhlala kuze kube ngamahora ambalwa
• ukopha
• isigaxa esiseduze nesikhala

Ithumba le-anal

Lapho indlala esemgudwini ivaleka bese itheleleka, ingaveza ithumba lesidunu. Lokhu kuchazwa ngobuchwepheshe njengeqoqo le-pus elizungeze izicubu ezivuthayo. Ingakhiqiza:

• ubuhlungu
• ukuvuvukala
• isigaxa esizungeze ingquza
• imfiva

NgokweHarvard Health, ngaphezu kwengxenye yamathumba ezimpundu avela kubantu abaphakathi kweminyaka engama-20 kuya kwengama-40. Abesilisa nabo bathinteka kakhulu kunabesifazane.

Indlala iyangenwa lapho amagciwane, udoti, noma okokufika kwamanye amazwe kungena ngemifantu emincane. Izimo ezithile, njenge-colitis, zingakhuphula ubungozi bakho.

I-anal fistula

Lo ngumhubhe owakheka ngaphakathi endunu uphume ngesikhumba ezinqeni. Ngokusho kweSweden Medical Center eseSeattle, uhhafu walabo abake baba nethumba elisesicongweni bazothola i-fistula. Izimpawu zifaka:

• ukuvuvukala kwendunu
• ukucasuka
• ubuhlungu
• ukulunywa
• indle ukuvuza

Isifo sePerianal Crohn

Isifo sikaCrohn yisimo esizalwa njengefa esidala ukuvuvukala okungapheli komgudu wokugaya ukudla. Isikhathi esiningi sithinta amathumbu amancane, kepha singathinta wonke umgudu wokugaya ukudla, kubandakanya nendunu.

Ngokwe-athikili ka-2017, kufika kubantu abane-Crohn's bane-perianal Crohn's. Izimpawu zifaka phakathi izigaxa zangasese kanye namafistula.

Ucansi lwendunu nokudlala

Ukuvuvukala komdlandla kungenzeka ngemuva kocansi olumunyu lwendunu noma ukufaka ithoyizi locansi endunu.

Indunu evuthayo ne-rectum evuvukile

I-rectum ixhunywe kwi-anus ngomsele omncane we-anal. Ngokusondela kwabo eduze, kunengqondo ukuthi yini ebangela ukuvuvukala endunu nakho kungadala ukuvuvukala ku-rectum. Izimo ezingadala ukuvuvukala kwe-rectal kanye ne-anal zifaka:

• ama-hemorrhoids angaphakathi
• Isifo sikaCrohn
• izifo ezithathelwana ngocansi, njenge-gonorrhea, i-herpes ne-human papillomavirus

Ukuxilongwa

Izimo ezinjengama-hemorrhoids zivame ukubonakala ngokubonakalayo noma zizwakale lapho udokotela efaka umunwe ovalwe emgodini wakho we-anal ngokuhlolwa kwedijithali. Ama-fissures noma ama-fistula angabonakali ekuhloleni okubonakalayo angabonakala nge:

• I-Anoscopy. Le ithubhu enesibani ekugcineni evumela udokotela wakho ukuthi abone ngaphakathi kwe-anus ne-rectum.
• I-sigmoidoscopy eguqukayo. Le nqubo, usebenzisa ithubhu eliguquguqukayo elinokhanyiso nekhamera, ivumela udokotela wakho ukuthi abukisise umugqa wamathumbu nangaphansi futhi abone ukuthi kukhona yini okufana nesifo sikaCrohn okunomthelela ezimpawu zakho.
• Colonoscopy. Le yinqubo esebenzisa ithubhu ende, eguquguqukayo nekhamera efakwe endunu ukuvumela ukubukwa kwe-rectum nekholoni. Lokhu ngokuvamile kusetshenziselwa ukukhipha umdlavuza.

Ukwelashwa

Ukwelashwa kuyahluka ngokuxilongwa.

Isisu

• izinguquko zokudla, kufaka phakathi ukukhipha ukudla okucasula umgudu wokugaya ukudla
• ukunciphisa ukucindezeleka
• ukuqeda indawo ngokugoqa iqhwa ngethawula
• okhilimu abanama-numbing agents
• ukhilimu we-hydrocortisone ukulwa nokuvuvukala
• okugeza okufudumalayo kwe-sitz ngokucwilisa imizuzu engama-20 kabili kuya kathathu ngosuku
• iqhwa
• ukwengeza amagremu angama-25 kuye kwangama-35 efayibha ekudleni kwakho ngosuku, kufaka phakathi izithelo nemifino emisha, okusanhlamvu okuphelele nobhontshisi
• ukudla okunemicu ephezulu
• Izithambisi ze-OTC
• okugeza okufudumele
• ukhilimu we-lidocaine

Ama-hemorrhoids angaphandle

Ukuqhuma kwesidunu

Esicwaningweni esidala, sabantu abane-fissures engaxakile baphathwa ngempumelelo ngemijovo ye-Botox, esiza ukukhulula i-anal sphincter.

Ithumba le-anal

I-drainage yokuhlinzwa ibhekwa njengokwelashwa. Ama-antibiotic anganconywa kulabo abanezifo eziyimbangela, njengesifo sikashukela, nalabo abanamasosha omzimba acindezelwe.

I-anal fistula

Umhubhe we-fistula ungavulwa, uxhunywe, noma uboshwe ngokuhlinzwa.

Isifo sePerianal Crohn

• ama-antibiotic
• ukuhlinzwa
• ukuqhwa ngezikhathi ezithile
• okugeza okufudumele
• Ukudambisa izinhlungu kwe-OTC kanye nama-anti-inflammatories

Ucansi lwendunu

Ukubonana nodokotela nini

Thola usizo lwezempilo ngokushesha uma une:

• ukopha ezimpundu okungeke kuyeke, ikakhulukazi uma uzizwa unesiyezi noma unekhanda elincane
• ukwanda kobuhlungu
• ubuhlungu bendunu ngomkhuhlane noma amakhaza

Bheka udokotela uma unezinhlungu zangasese futhi:

• izinguquko ekuhambeni kwakho kwamathumbu
• ukuphuma kwegazi
• awukutholi ukukhululeka kuzindlela zokuzinakekela

Ukudla okudlela endlini

Ezimweni eziningi, ukuvuvukala kwendunu akukhathazeki kakhulu kunokuba kuyingozi. Zama izinyathelo zasekhaya ezinjengokhilimu abathengisa amathenda, ukudla okunefayibha ephezulu, ukudambisa izinhlungu nokugeza okufudumele.

Uma ungakutholi ukukhululeka, khuluma nodokotela ngezindlela zokwelashwa ezingasiza ukunciphisa ukuvuvukala kwendunu futhi zikufake endleleni eya ekululameni.