Ithumba elingaziwayo

Ithumba elingena kuqokelelwa yingqokelela yobofu kwindawo yendlela kunye nomqolo.

Izizathu eziqhelekileyo zethumba le-anorectal ziquka:

• Amadlala athintelweyo kwindawo ezimpundu
• Usulelo lwe-fissure anal
• Usulelo olusasazeka ngesondo (STD)
• Umonzakalo

Amathumba enzonzobila anzulu anokubangelwa kukuphazamiseka kwamathumbu anje ngesifo seCrohn okanye i-diverticulitis.

Ezi zinto zilandelayo zonyusa umngcipheko we-anorectal abscess:

• Isondo lomgqundu
• Amayeza e-Chemotherapy asetyenziselwa ukunyanga umhlaza
• Seswekile
• Isifo samathumbu esivuthayo (isifo seCrohn kunye nesifo sezilonda)
• Ukusetyenziswa kwamayeza e-corticosteroid
• Amajoni omzimba abuthathaka (njenge-HIV / AIDS)

Le meko ichaphazela amadoda ngakumbi kunabafazi. Le meko inokuthi yenzeke kwiintsana kunye nabantwana abancinci abasesezikhepheni kwaye banembali yokuqhekeka kwe-anal.

Iimpawu eziqhelekileyo ziyadumba zijikeleze i-anus kunye neentlungu eziqhubekayo, ezibangela ukudumba. Ubuhlungu bunokuba nzima ngokuhamba kwamathumbu, ukukhohlela kunye nokuhlala.

Ezinye iimpawu zingabandakanya:

• Ukuqunjelwa
• Ukukhutshwa kobofu kwi-rectum
• Ukukhathala, umkhuhlane, ukubila ebusuku kunye nokubanda
• Ubomvu, izicubu ezibuhlungu nezinzima kwindawo ye-anus
• Ukuthantamisa

Kwiintsana, ithumba lidla ngokubonakala njengeqhuma elidumbileyo, elibomvu, kunye nethenda kumda we-anus. Usana lunokuba nengxabano kwaye lube nomsindo kukungonwabi. Ngokuqhelekileyo azikho ezinye iimpawu.

Uviwo lwe-rectal lunokuqinisekisa ukuba i-anorectal abscess. Iproctosigmoidoscopy inokwenziwa ukulawula ezinye izifo.

Ngamanye amaxesha, kufuneka kwenziwe i-CT scan, iMRI, okanye i-ultrasound ukunceda ekufumaneni ingqokelela yobofu.

Ingxaki kunqabile ukuba ihambe yodwa. Amayeza okubulala iintsholongwane iyodwa awanakho ukunyanga ithumba.

Unyango lubandakanya utyando ukuvula nokucoca ithumba.

• Ugqirha lwenziwa rhoqo ngamayeza endawo endikindisholo, kunye neyeza ukuze ulale. Ngamanye amaxesha, kusetyenziswa i-spinal okanye i-anesthesia ngokubanzi.
• Uqhaqho luhlala luyinkqubo yokugula, oko kuthetha ukuba uyagoduka kwangolo suku lunye. Ugqirha usika uvule ithumba kwaye ukhuphe ubofu. Ngamanye amaxesha kufakwa idreyini yokugcina incindi ivulekile kwaye ikhupha amanzi, kwaye ngamanye amaxesha ithumba lipakishwe nge-gauze.
• Ukuba ingqokelela yobofu inzulu, kungafuneka uhlale esibhedlele ixesha elide lolawulo lweentlungu kunye nokhathalelo lwendawo yokuhambisa amanzi.
• Emva kotyando, unokufuna iibhafu ezifudumeleyo (ezihleli kwibhafu yamanzi afudumeleyo). Oku kunceda ukunciphisa iintlungu kunye nokunciphisa ukudumba.

Amathumba acinywayo ahlala eshiywe evulekile kwaye akufuneki kuthungwe.

Ugqirha unokuyalela iipilisi zentlungu kunye neyeza lokubulala iintsholongwane.

Ukuphepha ukuqhina kuya kunceda ukunciphisa iintlungu. Unokufuna i-stool softeners. Ukusela amanzi kunye nokutya ukutya okuninzi kwefayibha nako kunokunceda.

Ngonyango olukhawulezileyo, abantu abakule meko bahlala besebenza kakuhle. Iintsana kunye neentsana zihlala zichacha ngokukhawuleza.

Iingxaki zinokwenzeka xa unyango lulibazisekile.

Iingxaki ze-anorectal abscess zingabandakanya:

• I-anal fistula (unxibelelwano olungaqhelekanga phakathi kwe-anus kunye nolunye ulwakhiwo)
• Usulelo olusasazeka egazini (sepsis)
• Ukuqhubeka kwentlungu
• Ingxaki ihlala ibuya (ukuphindeka)

Fowunela umboneleli wakho ukuba:

• Qaphela ukukhutshwa kwamathambo, iintlungu, okanye ezinye iimpawu ze-anorectal abscess
• Unomkhuhlane, ukugodola, okanye ezinye iimpawu emva kokunyangwa kwale meko
• Ngaba uneswekile kwaye iswekile yegazi lakho iba nzima ukulawula

Ukuthintela okanye ukunyanga ngokukhawuleza ii-STD kunokuthintela i-anorectal abscess ekwenzeni. Sebenzisa iikhondom xa usabelana ngesondo, kubandakanya nokwabelana ngesondo ezimpundwini, ukunqanda ukosuleleka.

Kwiintsana kunye nabantwana abancinci, utshintsho olwenziwe rhoqo kwi-diaper kunye nokucoca okufanelekileyo ngexesha lotshintsho lwe-diaper kunokunceda ukuthintela zombini ukungunda kunye ne-abscesses.

Ithumba le-anal; Ithumba elifihlakeleyo; Ithumba elithe ngqo; Ithumba Perianal; Ndlala ithumba; Ithumba - anorectal

• Uqikelelo

Iingubo zeWC. Inkqubo ye-anorectal. Ku: Roberts JR, Custalow CB, Thomsen TW, ii-eds. Iinkqubo zeKlinikhi zikaRoberts kunye neHedges kwiNyango kaXakeka kunye noKhathalelo oluQhelekileyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 45.

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.