Ukuphuma ngasemva

I-anus engafezekanga sisiphene apho kuvulwa khona kwi-anus kulahlekile okanye kuthintelwe. I-anus kukuvulwa kwerektamu apho izitulo zishiya khona umzimba. Oku kukhona ukususela ekuzalweni (ukuzalwa).

I-anus engafezekanga inokwenzeka ngeendlela ezininzi:

• I-rectum inokuphelela kwisingxobo esingadibani nekholoni.
• I-rectum inokuba nokuvuleka kwezinye izakhiwo. Oku kunokubandakanya urethra, isinyi, isiseko seepenisi okanye isototum kubafana, okanye ubufazi kumantombazana.
• Kunokubakho ukunciphisa (stenosis) kwe-anus okanye akukho anus.

Kubangelwa kukukhula ngokungaqhelekanga kwimveku engekazalwa. Iindlela ezininzi ze-anus ezingalunganga zenzeka nezinye iziphene zokuzalwa.

Iimpawu zengxaki zinokubandakanya:

• Ukuvulwa kwe-anal kufutshane nokuvulwa kwelungu lobufazi kumantombazana
• Isitulo sokuqala asidluliswanga kwiiyure ezingama-24 ukuya kuma-48 emva kokuzalwa
• Ulahlekile okanye uhambise ukuvula kwi-anus
• I-Stool idlula kwilungu lobufazi, isiseko sobudoda, isototum, okanye urethra
• Indawo yesisu edumbileyo

Umboneleli wezempilo unokuyifumanisa le meko ngexesha lovavanyo lomzimba. Ukujonga iimvavanyo kunoku-odolwa.

Usana kufuneka luhlolwe ezinye iingxaki, ezinje ngokungaqhelekanga kwilungu lesini, umchamo kunye nomqolo.

Utyando ukulungisa isiphako luyafuneka. Ukuba i-rectum iyadibana namanye amalungu, la malungu aya kufuna ukulungiswa. I-colostomy yethutyana (edibanisa ukuphela kwethumbu elikhulu kunye nodonga lwesisu ukuze isitulo siqokelelwe engxoweni) ihlala ifuneka.

Uninzi lweziphene lunokulungiswa ngempumelelo ngotyando. Uninzi lwabantwana abaneziphene ezincinci benza kakuhle kakhulu. Nangona kunjalo, ukuqhina kunokuba yingxaki.

Abantwana abanotyando oluntsonkothileyo basenalo ulawulo lokuhamba kwamathumbu ixesha elininzi. Nangona kunjalo, bahlala befuna ukulandela inkqubo yamathumbu. Oku kubandakanya ukutya ukutya okunefayibha ephezulu, ukuthatha izitya zokuthambisa, ngamanye amaxesha usebenzisa i-enemas.

Abanye abantwana banokufuna utyando olungakumbi.

Le ngxaki ihlala ifumaneka xa usana olusandul 'ukuzalwa luvavanywa okokuqala.

Fowunela umboneleli wakho ukuba umntwana unyangwe ngenxa yokungabinanto une:

• Intlungu zesisu
• Ukuqunjelwa ekunzima ukulawulwa
• Ukusilela ekuphuhliseni nakuphi na ukulawulwa kwamathumbu kubudala beminyaka emi-3

Akukho sithintelo saziwayo. Abazali abanembali yosapho yesi siphene banokufuna ingcebiso ngemfuzo.

Ukulungiswa okungalunganga; I-anal atresia

• Ukuphuma ngasemva
• Ukulungiswa kwe-anus yokulungisa-uthotho

UDingelsein M. Ukhetho olukhethiweyo lwesisu esiswini kwi-neonate. Ku: UMartin RJ, uFanaroff AA, uWalsh MC, ii-eds. UFanaroff kunye noMartin's Neonatal-Perinatal Medicine. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2020: isahl. 84.

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.