Yintoni ithumba lempundu, izizathu eziphambili kunye nendlela yokunyanga

Umxholo

• Zintoni izizathu
• Iimpawu eziphambili
• Unyango lwenziwa njani
• Unonophelo lwasemva koqhaqho
• Iingxaki ezinokwenzeka

Uhlalutyo, i-perianal okanye i-anorectal abscess yindlela yokwakheka kwesisu esigcwele ubovu kulusu olujikeleze i-anus, enokubangela iimpawu ezinjengentlungu, ngakumbi xa uphuma okanye uhleli, ukubonakala kwesigaqa esibuhlungu kwindawo ye-anal, ukopha okanye ukuphelisa yemfihlo etyheli.

Ngokwesiqhelo, iifom zamathumba xa iintsholongwane zisosulela ingingqi kwaye zibangele ukudumba okukhulu, ngokuqokelela ubofu. Unyango lwenziwa ngugqirha wotyando, efuna ukufunxwa kwethumba kwaye, kwezinye iimeko, ukusetyenziswa kwee-antibiotics iintsuku ezimbalwa.

Zintoni izizathu

Ithumba lePerianal libangelwa yintsholongwane ebangelwa lulusu lwe-anus kunye nengingqi ye-perineum, ngesiqhelo ngenxa yokuthintelwa kwamadlala avelisa intshinyela kwingingqi ye-anal, ukuququzelela ukufakwa kwebhaktiriya. Ezinye zeemeko ezibangela umngcipheko wokwenziwa kwethumba zezi:

• Izifo ezikhukhulayo zesisu, ezifana nesifo sikaCrohn okanye i-ulcerative colitis;
• I-hidradenitis yokuxhasa;
• Usulelo lwe-rectum, njenge-amoebiasis, i-venereal lymphogranuloma, isifo sephepha okanye i-rectal schistosomiasis;
• Ukuqhekeka kwe-anal;
• Isifo somhlaza;
• Ukhuseleko lomngcipheko;
• Ukuba uqhaqho lwenziwa kwindawo ye-anorectal, enje nge-hemorrhoidectomy, episiotomy okanye i-prostatectomy, umzekelo.

Ngokubanzi, ezi meko zibangela ukudumba kwizihlunu ze-rectum kunye ne-anus, ukuququzelela ukuqokelelwa kweentsholongwane kunye nokwenziwa kobofu. Ukuqonda ngcono oonobangela, iimpawu kunye nonyango lweproctitis.

Iimpawu eziphambili

Uphawu oluphambili lwe-perianal abscess yintlungu kwindawo ye-anus kunye ne-perineum, ngakumbi xa uphuma okanye uhleli, kodwa enokuhlala rhoqo njengoko isilonda siba sibi. Jonga ezinye izizathu eziphambili zentlungu xa uphuma.

Ukuba indawo yethumba ingaphandle kakhulu, iqhuma elibuhlungu, elishushu, nelibomvu lingabonakala nakwindawo yangasemva. Ngamanye amaxesha, kunokubakho ukopha kunye nomkhuhlane. Xa ithumba lithe qheke, ubovu bunokubaleka, ngalo ndlela kuncitshiswe uxinzelelo kulusu nakwiintlungu.

Ukuxilongwa kwe-abscess abscess kwenziwa ngugqirha ogqithisileyo okanye i-coloproctologist, ngokuhlalutya ummandla kunye neemviwo ezifana ne-anoscopy, i-ultrasound, i-computed tomography okanye i-resonance yamagnetic, echonga ubungakanani kunye nobunzulu besilonda. Uvavanyo lwegazi, olufana nokubala okupheleleyo kwegazi, lunokunceda ukuvavanya ubuzaza bentsholongwane.

Unyango lwenziwa njani

Unyango lwethumba lempundu lwenziwa ngomsele, ngugqirha oqhelekileyo okanye ikoloproctologist, ngokukhawuleza okukhulu, njengoko ukuzingisa kwethumba kunyusa umngcipheko wosulelo ngokubanzi.

Kuxhomekeka kubungakanani kunye nendawo ekubhalwe kuyo ithumba, utyando lokuhambisa amanzi lunokwenziwa nge-anesthesia yendawo okanye ezinamandla ngakumbi ezinjenge-spinal or epidural. Kumathumba amakhulu kusenokufuneka ukuba ushiye idreyini iintsuku ezimbalwa kwindawo leyo.

Ukunyanga i-fistula, ugqirha unokwenza ukusika okanye ukubeka into ukukhuthaza ukuphilisa kunye nokuvalwa kwendlela. Ukongeza, amayeza okubulala iintsholongwane angabonakaliswa ukuba ithumba likhulu kwaye linendawo enkulu yokuvuvukala, okanye ukuba isigulana sibonisa umngcipheko wosulelo ngokubanzi, njengakwimeko yesifo seswekile, ukukhuseleka komzimba okanye ukutyeba, umzekelo.

Unonophelo lwasemva koqhaqho

Emva kotyando, ugqirha unokucebisa ukuphumla, ukusebenzisa iipilisi zentlungu kunye neebhafu zokuhlambela ngamanzi ashushu, ngenxa yempembelelo yayo echasayo.

Ugqirha uya kucwangcisa uphononongo kwakhona kwi-1 ukuya kwiiveki ezi-2, ukujonga ukuphilisa kunye nokuchonga ukuba kukho umjelo weemfihlo ezibonisa i-fistula. Ngamanye amaxesha, ithumba linokubuya, ngakumbi ukuba unyango lokuqala belungenziwanga ngokuchanekileyo okanye ukuba kukho isifo esibangela ukudumba kwesiza kwaye siququzelele ukuyilwa kwesilonda.

Iingxaki ezinokwenzeka

Kuqhelekile ukuba ithumba livelise i-anal fistula, eyindlela edibanisa imimandla emibini, enokuvela phakathi kwe-anus kunye nelungu lobufazi, isibeleko, indawo yokuchama okanye amanye amalungu emathumbu, umzekelo. Fumanisa ukuba yintoni i-anal fistula kunye nokuba uyinyanga njani.

Ukongeza, ezinye iingxaki ezinokubangelwa ngamathumba ezimpundu kukubandakanyeka kwe-anal sphincter, ebangela ukungasebenzi kakuhle kwamanyala, okanye usulelo lwe-necrotizing, kulapho iibhaktheriya zifikelela kwizicubu ezingabamelwane, ezinjengesikhumba, izihlunu kunye namafutha.

Ukongeza, ukuba unyango alwenziwanga ngokuchanekileyo, inokwenzeka ukuba intsholongwane ifike egazini, ibangele usulelo ngokubanzi, olunokubangela nokufa.