Ngaba igazi eliseMngcwabeni wam osakhasayo lingunobangela wokukhathazeka?

Umxholo

• Iimpawu zegazi kwisitulo esincinci
• Unobangela wegazi kwisitulo esincinci
• Ukuqhekeka kwe-anal
• Usulelo
• Ukudumba kwesifo
• Ithumba le-anal kunye nefistula
• Iipolyps
• Urhudo kunye negazi kwisitulo sokuhamba
• I-Mucus kunye negazi kwisitulo esincinci
• Xa ingelilo igazi
• Unyango lwegazi kwisitulo esincinci
• IiFs ezintathu
• Gcina indawo icocekile
• Ibhafu yeSitz
• Faka ukhilimu okanye ijeli yepetroleum
• Iintsholongwane
• Amayeza e-IBD
• Ugqirha
• Ukuchonga unobangela
• Nini ukubona ugqirha wabantwana
• Iinkcukacha ekufuneka uziqokelele ngaphambi komnxeba
• Yise kude

Ukubona igazi kumbungu womntwana wakho omncinci kungothusa, kodwa oonobangela begazi kwisitulo esincinci abasoloko benobuzaza. Ngapha koko, kuqhelekile.

Ukuqhekeka kwe-anal, ezinyembezi ezincinci kwi-anus zihlala zibangelwa zizitro ezinzima, zezona zinto zixhaphakileyo kwigazi kwisitulo esincinci. Oku kunokwenzeka kumntwana omncinci onesibindi.

Ukutya okuthile, iziselo, kunye nonyango lwamayeza anokutshintsha umbala we-stool, ubangele ukuba ubonakale njengegazi. Rhoqo, igazi esitulweni linokuba luphawu lwesimo esibi kakhulu. Siza kugubungela onke amathuba apha.

Iimpawu zegazi kwisitulo esincinci

Igazi kwisitulo esincinci linokubonakala lahlukile ngokuxhomekeke kwisizathu. Umbala kunye nokuqina kwawo kunokunceda oogqirha ukuba banciphise apho igazi linokuvela khona.

Igazi elibomvu eliqaqambe kakhulu lihlala libangelwa sisisu esisezantsi (GI) sokuphuma kwegazi, njengokuphuma kwegazi, ngelixa isitulo esimnyama sokuhlala sihlala sisuka esiswini okanye kwenye indawo kwiphepha eliphezulu le-GI.

Ezinye iimpawu, ezinjengentlungu kunye nokuthantamisa kunye notshintsho kwimikhwa yamathumbu kunokunceda ugqirha amisele ukuba leliphi na igazi le-GI.

Igazi esitulweni linokuba:

• bomvu ngokuqaqambileyo kwisitulo
• Igazi elimnyama leemaroni lixutywe esitulweni
• isitulo esimnyama okanye sokulinda

Unobangela wegazi kwisitulo esincinci

Oku kulandelayo kungunobangela wegazi kwisitulo sentsana kunye nezinye iimpawu ekufuneka uzazi.

Ukuqhekeka kwe-anal

Iifissure ze-anal zinoxanduva lwegazi kwisitulo esincinci seepesenti ezingama-90 zexesha. Ukuqhekeka kwe-anal kukukrazuka okuncinci ngaphakathi kwimbombo ye-anus. Ukugqitha isitulo esinzima okanye esikhulu kunokolula kwaye kukrazule ulwelwesi olubuthathaka lwe-anus. Urhudo lunokucaphukisa ulwelwesi kwaye lubangele ukugqabhuka.

Ukuba umntwana wakho une-anal fissure ungabona imigca ebomvu yegazi elibomvu esitulweni okanye kwiphepha langasese emva kokusula. Ukuqhekeka kwe-anal nako kunokubangela iintlungu kunye nokurhawuzela kwindawo ebi kakhulu ngexesha okanye kanye emva kokuhamba kwamathumbu.

Usulelo

Usulelo lwebhakteria, iintsholongwane, kunye neeparasites kwindlela yokugaya ukutya kunokubangela urhudo olunegazi ebantwaneni. Usulelo oluqhelekileyo lwebacteria lubandakanya:

• Salmonella
• E. coli
• isiqhulo

I-Rotavirus sisifo esosulelayo esiqhelekileyo. Giardia imvuba sisidleleli esixhaphakileyo esichaphazela abantu bayo yonke iminyaka, kubandakanya abantwana neentsana.

Ukuba umntwana wakho unesinye sezi zifo, banokuba nomkhuhlane ophezulu kunye neentlungu zesisu, kwaye banokuba neengxaki kunye nokucaphuka.

Ukudumba kwesifo

Isifo samathumbu esivuthayo (IBD) sisifo esinganyangekiyo esidala ukudumba kwamathumbu. Zimbini iintlobo eziphambili ze-IBD, zombini ezibandakanya ukusebenza kwamajoni omzimba ngokungaqhelekanga:

• Isifo sikaCrohn, esinokuchaphazela naliphi na icandelo lesisu ukusuka emlonyeni ukuya kwi-anus
• ulcerative colitis, ebandakanya amathumbu amakhulu kuphela

I-IBD ihlala ichongwa kulutsha nakubantu abadala, kodwa iimpawu zibekwe ngaphambi kweminyaka yobudala emi-5 phantse kubantwana.

Iimpawu eziqhelekileyo ze-IBD zibandakanya:

• Urhudo olunegazi
• Amagqabantshintshi kwisitulo
• ukuhla ukusinda
• amandla aphantsi
• ukuxinwa esiswini kunye neentlungu

Ithumba le-anal kunye nefistula

Iintsana ezinembali yokuqhinwa rhoqo okanye urhudo zisemngciphekweni omkhulu wokukhula kwamathumba angaphambili nangasemva. Amathumba enzeka xa umngxuma apha ezimpundu uzalisa usulelo, ngesiqhelo ibacteria kunye nobofu. I-anal fistula inokukhula xa ithumba lingapholi kwaye livuleke ebusweni besikhumba. Zombini zinokuba buhlungu kakhulu.

Ukuba umntwana wakho omncinci unethumba ezimpundu okanye i-fistula, banokuba nomsindo kwaye babe nesigaqa okanye ukudumba bejikeleze umva, kunye nokukhutshwa ezimpundu.

Iipolyps

Iipolyps zesisu zixhaphake kubantu abadala kunabantwana, kodwa ziyenzeka. Iipolyps zolutsha lolona hlobo luqhelekileyo lwee-polyps zamathumbu ebantwaneni. Ziyakhula kwikholoni kwaye zihlala zikhula ngaphambi kweminyaka eyi-10, ngakumbi phakathi kweminyaka emi-2 ukuya kwe-6.

Iipolyps zolutsha zinokubangela ukugqithiswa kwegazi elibomvu kunye nezicubu esitulweni, kunye nentlungu esiswini.

Urhudo kunye negazi kwisitulo sokuhamba

Igazi kwisitulo somntwana wakho esihamba kunye norhudo kunokubangelwa ngu:

• usulelo lwebhaktiriya okanye lwentsholongwane
• sisidleleleli
• Isifo sikaCrohn
• ukudumba okwenziwa sisilonda sikabhobhosi

I-Mucus kunye negazi kwisitulo esincinci

I-Mucus ityebile kwaye ifana nejeli. Iveliswa ngumzimba ukuthambisa kunye nokukhusela izicwili kumonakalo obangelwe ziintsholongwane kunye neebhaktiriya. I-Mucus kunye negazi kwisitulo kunokubangelwa ngu:

• usulelo lwamathumbu
• i-anal okanye i-rectal fistula
• Isifo sikaCrohn
• ukudumba okwenziwa sisilonda sikabhobhosi

Xa ingelilo igazi

Umbala obomvu okanye omnyama awusoloko uthetha igazi - ukutya okuninzi, iziselo, kunye namayeza athile anokutshintsha umbala wendle kwaye iwenze ubonakale ubomvu okanye umnyama.

Umbala obomvu ungabangelwa ngu:

• Uncedo lweKool kunye neziselo ezibomvu ezifanayo
• amaqunube
• beet
• icing equlathe umbala obomvu wokutya
• i-antibiotics, njenge-amoxicillin kunye ne-cefdinir (i-Omnicef)

Umbungu omnyama unokubangelwa ngu:

• icing equlathe umbala omnyama okanye mnyama wokutya
• ilayisensi emnyama
• iipilisi zentsimbi
• amayeza asekwe kwi-bismuth, anje ngePepto-Bismol

Ukungenisa izinto zangaphandle ezinje ngeekhrayoni nako kunokutshintsha umbala wombhobho wendlwana yakho encinci.

Unyango lwegazi kwisitulo esincinci

Unyango luya kuxhomekeka kwisizathu sokopha. Unyango lwasekhaya lunokunceda ekuthomalaliseni ukungaphatheki kakuhle okubangelwa ziimpazamo zangasemva kunye nokunyanga kunye nokuthintela ukuqhina. Unyango lonyango luyafumaneka kwezi kunye nezinye iimeko ezibangela igazi esitulweni.

IiFs ezintathu

Eyona ndlela yokunyanga kunye nokuthintela ukuqhina kukusebenzisa "ii-Fs ezintathu," ezimele ulwelo, ifayibha kunye nokuba sempilweni. Qinisekisa ukuba umntwana wakho usela amanzi amaninzi kwaye utya ukutya okuphezulu kwifayibha.

Ukuzilolonga rhoqo ngokweminyaka kufanelekile kunokunceda ukugcina amathumbu ehamba rhoqo, ekwehlisa nomngcipheko wokuqhekeka kwe-anal.

Gcina indawo icocekile

Ukucoca indawo ejikeleze i-anus emva kokuhamba kwamathumbu kunokunceda ukunciphisa umngcipheko wosulelo ukuba umntwana wakho uneentsimbi ezimpundu. Hlamba ngobunono uze umise loo ndawo emva kwentshukumo nganye.

Ibhafu yeSitz

Ukuntywila kwindawo yokuhlambela kunokunceda ukuthomalalisa ukungonwabi okubangelwa ziimpundu zangasemva. Ibhafu ye-sitz ibhafu efudumeleyo, engekho nzulu esetyenziselwa ukucoca i-perineum. Ungamnika umntwana wakho ibhafu ye-sitz ebhafini okanye ngekiti yeplastiki elingana nendlu yangasese. Ityuwa okanye isoda yokubhaka inokongezwa emanzini afudumeleyo ukuze kuthomalalise.

Faka ukhilimu okanye ijeli yepetroleum

Kuze kuphiliswe umsantsa ophuma emva koko, sebenzisa ipetroleum jelly okanye i-zinc oxide cream ejikeleze i-anus. Umaleko wekhrimu okanye ijeli uya kunceda ukukhusela i-anus ekucaphukeni kunye nokwenza isitulo esidlulayo sibe buhlungu kancinane.

Iintsholongwane

Amayeza okulwa ne-Antiparasitic kunye ne-antibiotic asetyenziselwa ukunyanga usulelo lokugaya ukutya olubangelwa zi-parasites kunye neebhaktheriya, ngokwahlukeneyo. Amayeza okubulala iintsholongwane asetyenziselwa ukunyanga amathumba ebhaktiriya kunye ne-fistula, kunye ne-IBD, ngakumbi i-ulcerative colitis esecaleni kunye nesifo se-perianal. Azisebenzi ngokuchasene neentsholongwane.

Amayeza e-IBD

Amayeza, anjengee-5-aminosalicylates, anokusetyenziselwa ukunyanga abantwana abanesifo sikaCrohn kunye nesilonda esibuhlungu. Olunye unyango olusetyenziselwa ukunyanga i-IBD lubandakanya:

• icorticosteroids
• izixhobo zokuzikhusela emzimbeni
• ibhayoloji

Ugqirha womntwana wakho unokucebisa irejimeni yonyango elawula iimpawu ezineziphumo ezibi ezimbi.

Ugqirha

Utyando lunokucetyiswa ukuba lususe iipolyps okanye lubangele indawo yokuphuma kwegazi. Ngamanye amaxesha ukopha kunokuyekiswa ngenaliti yemichiza kwindawo yokopha ngexesha le-endoscopy ephezulu okanye esezantsi ye-GI. I-endoscopy ye-GI ikwasetyenziselwa ukufumanisa unobangela wegazi kwisitulo.

Ukuchonga unobangela

Ugqirha unokukwazi ukufumanisa unobangela wokopha ngokuhlola umphandle we-anus kunye nokwenza uxilongo lwefonti.

Olunye uvavanyo ugqirha womntwana wakho unokucebisa ukuba lubandakanye:

• isitulo senkcubeko
• iimvavanyo zegazi
• i-X-ray esiswini
• isisu se-ultrasound
• Ukuskena i-CT
• i-endoscopy ephezulu ye-GI
• ikholoscopy

Nini ukubona ugqirha wabantwana

Naliphi na igazi kwisitulo somntwana wakho kufuneka livavanywe ngugqirha wabantwana ukulawula imeko engalunganga. Nxibelelana nogqirha wabantwana bomntwana wakho ngoko nangoko ukuba umntwana wakho ubonakala egula kakhulu okanye:

• isitulo esimnyama okanye sokulinda
• Urhudo olunegazi
• isisu esibuhlungu
• ipinki okanye umchamo wombala weti

Tsalela umnxeba ku-911 ukuba umntwana wakho ubuthathaka kakhulu ukuba angaima okanye aphelelwe ngamandla, okanye ukuba uyakholelwa ukuba imeko yabo isongela ubomi.

Iinkcukacha ekufuneka uziqokelele ngaphambi komnxeba

Ugqirha uya kuthi a-odole isampulu yesitulo. Ukuqokelela isampuli kwisitulo somntwana wakho ngaphambi kokuba ubize i-aphoyintimenti kunokukhawulezisa izinto kunye nokwenza ukuxilongwa ngokukhawuleza.

Yise kude

Uninzi lwexesha, igazi kwisitulo esincinci libangelwa ziifrentshi ezivela ekuqunjelweni, ezingasoloko zibi kwaye zinokunyangwa ekhaya. Naliphi na igazi kwisitulo kufuneka livavanywe ngugqirha wabantwana.