Ukuqhekeka kwe-anal

Ukuqhekeka kwe-anal kukuqhekeka okuncinci okanye ukukrazula kwinyama ecekeceke emanzi (mucosa) efake i-rectum esezantsi (anus).

Iifissure ze-anal zixhaphake kakhulu kwiintsana, kodwa zinokwenzeka nakweyiphi na iminyaka.

Kubantu abadala, ukuqhekeka kunokubangelwa kukudlula ezinkulu, izitulo ezinzima, okanye ukuba norhudo ixesha elide. Eminye imiba inokubandakanya:

• Ukuncipha kwegazi kule ndawo
• Uxinzelelo oluninzi kwimisipha ye-sphincter elawula i-anus

Imeko ichaphazela abesilisa nabasetyhini ngokulinganayo. Ukuqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqeka nakwabasetyhini emva kokubeleka kunye nabantu abanezifo zeCrohn.

Ukuqhekeka kwe-anal kungabonwa njengokuqhekeka kolusu lwasemva xa indawo yolulwe kancinci. I-fissure ihlala isembindini. Ukuqhekeka kwe-anal kunokubangela ukuhamba kwamathumbu kunye nokuphuma kwegazi. Kunokubakho igazi ngaphandle kwesitulo okanye kwiphepha langasese (okanye usula usana) emva kokuhamba kwamathumbu.

Iimpawu zingaqala ngesiquphe okanye zikhule kancinci ngokuhamba kwexesha.

Umboneleli wezempilo uya kwenza uvavanyo lwe-rectal kwaye ajonge izicubu zangasemva. Olunye uvavanyo lwezonyango olunokuthi lwenziwe lubandakanya:

• Uvavanyo lwe-Anoscopy lwe-anus, canal anal, kunye ne-rectum esezantsi
• Sigmoidoscopy - uviwo inxalenye esezantsi yamathumbu enkulu
• I-Biopsy-ukususwa kwethambo le-rectal yoviwo
• Colonoscopy - uviwo colon

Uninzi lweefissure luyaziphilisa lodwa kwaye aludingi nyango.

Ukuthintela okanye ukunyanga iifissure zentsana kwiintsana, qiniseka ukuba utshintsha amanabukeni rhoqo kwaye ucoce indawo ngobunono.

ABANTWANA NABADALA

Ukukhathazeka ngeentlungu ngexesha lokuhamba kwamathumbu kunokubangela ukuba umntu aziphephe. Kodwa ukungabinayo intshukumo yamathumbu kuya kubangela ukuba izitulo zibe nzima nangakumbi, ezinokuthi zenze ukuba kubenzima ngakumbi ukuqaqamba.

Thintela izitulo ezinzima kunye nokuqunjelwa ngu:

• Ukwenza utshintsho kwindlela otya ngayo - ukutya ifayibha okanye izixa ezikhulu, ezifana neziqhamo, imifuno, kunye neenkozo
• Ukusela ulwelo oluninzi
• Sebenzisa izitulo zokuthambisa

Buza umboneleli wakho malunga namafutha okanye ii-cream ezilandelayo ukunceda ukuthambisa ulusu oluchaphazelekayo:

• Ikhrimu yokubala, ukuba iintlungu ziphazamisa ukuhamba kwamathumbu ngesiqhelo
• Ijeli yePetroleum
• I-Zinc oxide, 1% i-hydrocortisone cream, Ukulungiselela H, kunye nezinye iimveliso

Ibhafu ye-sitz ibhafu yamanzi ashushu asetyenziselwa ukuphilisa okanye ukucoca. Hlala ebhafini amaxesha ama-2 ukuya kwezi-3 ngosuku. Amanzi kufuneka agubungele isinqe kunye neempundu kuphela.

Ukuba iifissile zangasese azihambi kunye neendlela zokhathalelo lwasekhaya, unyango lunokubandakanya:

• Inaliti yeBotox iye kwimisipha kwi-anus (anal sphincter)
• Utyando oluncinci ukukhulula izihlunu ezimpundu
• Amafutha amiselweyo, anje ngeitrate okanye iicalcium block blockers, afakwa ngaphezulu komsizi ukunceda izihlunu

Iifissure ze-anal zihlala ziphilisa ngokukhawuleza ngaphandle kwengxaki.

Abantu abaphuhlisa iifissile kube kanye kunokwenzeka ukuba babe nazo kwixesha elizayo.

Ulungiso kwi-ano; Ukuqhekeka kwe-anorectal; Isilonda esidliwayo

• Uqikelelo
• I-fissure ye-anal - uthotho

I-Downs JM, i-Kulow B. Izifo ezalaliswayo. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 129.

IKliegman RM, iSt. Geme JW, iBlum NJ, i-Shah SS, iTasker RC, uWilson KM. Iimeko zoqhaqho lwe-anus kunye ne-rectum. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahl. 371.

IMerchea A, iLarson DW. Anus. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 52.