Yintoni ebangela i-Anus ukuba ibenzima? Unobangela kunye nonyango

Umxholo

• I-anus enzima ibangela
• Iimvumba zangaphandle
• IPerianal hidradenitis suppurativa (HS)
• I-hematoma yePerianal
• Iintsumpa ezingaqhelekanga
• IMolluscum contagiosum
• Ukuqunjelwa
• Umhlaza womhlaza
• Into yangaphandle
• Isigaxa esinzima kwi-anus kwaye akukho ntlungu
• Ukuxilongwa kwe-anus enzima
• Unyango olunzima lwe-anus
• Iimvumba zangaphandle
• IPerianal hidradenitis suppurativa (HS)
• I-hematoma yePerianal
• Iintsumpa ezingaqhelekanga
• IMolluscum contagiosum
• Ukuqunjelwa
• Umhlaza womhlaza
• Into yangaphandle
• Nini ukubona ugqirha
• Yise kude

Isigaqa esiqinileyo esimpundu

I-anus yindawo evulekileyo emazantsi endawo yokugaya. Yahlulwe kwi-rectum (apho kugcinwa khona isitulo) yi-anal sphincter yangaphakathi.

Xa isitulo sigcwalisa i-rectum, i-sphincter muscle iyancipha, ivumela isitulo sidlule kwi-anus nangaphandle komzimba. I-anal sphincter yangaphandle ivala i-anus xa isitulo sidlulile.

Amaqhuma ajikeleza i-anus-ngezizathu ezahlukeneyo-angayenza ukuba izive ilukhuni. Kukho ukubakho ukudumba, iintlungu kunye nokukhutshwa.

I-anus enzima ibangela

I-anus ibandakanya ulusu kunye nezicubu zangaphakathi zamathumbu, ezibandakanya amadlala, imithambo yegazi, i-lymph node, kunye nokuphela kwentliziyo. Xa ezi zinto zicaphuka, zisulelekile okanye zivalekile, amaqhuma anokubakho, enze i-anus ive nzima.

Kwiimeko ezininzi, amaqhuma ezimpundu awasongeli ubomi, kodwa asafuna uvavanyo. Yiya kugqirha ngoko nangoko, nangona kunjalo, ukuba ubona ukopha okungapheliyo okanye iintlungu zangasese eziya zisiba mbi, zisasazeka, okanye zenzeka ngomkhuhlane.

Ezinye zezizathu zobulukhuni be-anal okanye amaqhuma zibandakanya:

Iimvumba zangaphandle

Iimvumba zihlanjululwe yimithambo yegazi eyenza ulungelelwaniso lwasemva kwaye inokubonakala ngathi ngamaqhuma.

Ziqhelekile-enyanisweni, ngokutsho kweKholeji yaseMelika yeGastroenterology, ama-50 eepesenti amaMelika aya kuba neminyaka engama-50 ubudala.

Ihemorrhoids zibangelwa luxinzelelo oluphezulu eludongeni lwesitya, esinokuthi senzeke ngokukhulelwa, ukuxina ngexesha lokuhamba kwamathumbu, okanye ukuphakamisa okunzima. Iimpawu zibandakanya:

• idumbile, iqhuma liqhuma
• intlungu
• ukurhawuzelela
• ukopha

IPerianal hidradenitis suppurativa (HS)

I-Perianal HS sisifo sokukrala esikruthayo esichaphazela iinwele nokubila kwamadlala kwi-anus.

Kwisifundo esinye esapapashwa kwiphephancwadi Iiklinikhi eColon kunye noPhando oluSebenzayo, lwabantu ababenayo yayingamadoda, kunye namadoda ase-Afrika-aseMelika asengozini enkulu.

IPerianal HS ibonakala njengamaqhuqhuva abuhlungu nje phantsi kolusu. Bona:

• yenza ubofu kunye nephunga xa ukhutshiwe
• ukuvelisa amanxeba
• zinxulunyaniswa nezifo ezivuthayo, ezinjengesifo sikaCrohn, esibangela ukudumba kwenwebu yokwetyisa

I-hematoma yePerianal

I-hematoma ye-perianal isitya segazi kwingingqi ye-anal ethe yagqabhuka, ngesiqhelo ngenxa yokuxinana kokuhamba kwamathumbu, ukukhwehlela ngamandla, okanye ukuphakamisa okunzima. Iimpawu zezi:

• intlungu
• idumbile, budlish bulge ejikeleze i-anus, enokuba nkulu njengebaseball

Iintsumpa ezingaqhelekanga

Ikwabizwa ngokuba yi-condyloma acuminata, iintsumpa zangasemva, ezibonakala ngaphakathi nangaphandle kwe-anus, zibangelwa yintsholongwane ye-papilloma virus (HPV). I-HPV ihlala isasazeka ngokwabelana ngesondo, nangona isenokuphinda ifumaneke kulwelo lomzimba lomntu osulelekileyo.

La maqhuma athambileyo, afumileyo, anemibala yolusu anga:

• ukurhawuzelela
• ukuvelisa i-mucus
• wopha
• ziyahluka ngokobungakanani (zinokuqala ngobukhulu bepiki kwaye zikhule zikugquma yonke indunu)

IMolluscum contagiosum

Olu lusulelo lolusu olubangelwa yintsholongwane ye-molluscum contagiosum. Izilonda zinokubonakala naphina emzimbeni apho ulusu luye lwadibana nentsholongwane.

Intsholongwane ingasasazeka kwi-anus ngokuqhagamshelana ngokwesondo, ngokuthinta i-anus yakho emva kokuthinta isilonda kwenye indawo emzimbeni wakho, okanye ngokuwabelana ngamashiti okanye iitawuli ezihlaselwe ngumnye.

Izilonda zezi:

• ngokubanzi incinci, ukusukela kubungakanani bentloko nentloko yokucoca ipensile
• epinki, enemibala yenyama, okanye emhlophe, kwaye iphakanyiswe ngomgodi phakathi
• ngamanye amaxesha urhawuzelela kwaye udumbile
• ihlala ingenabungozi

Izilonda zinokuthatha ukusuka kwiinyanga ezintandathu ukuya kwiminyaka emihlanu ukuphuma.

Ukuqunjelwa

Ukuba nokuhamba kwamathumbu rhoqo okanye ukugqithisa kanzima, izitulo ezomileyo kunokudala ukugcwala kwindawo yakho engasemva enokunika umbono wokuba nomva onzima. Ukuqunjelwa kuhlala kubangelwa kukutya ukutya okune-fiber encinci kwaye ungaseli ngokwaneleyo. Ichazwa ngobuchwephesha njenge:

• ukupasa ngaphantsi kwendlu kathathu ngeveki
• ukuxina ukupasa izitulo
• enezihlalo ezilukhuni nezinamaqhuma

Umhlaza womhlaza

Umhlaza womhlaza awunqabile, uchaphazela umntu omnye kwabangama-500, ngokwe American Society of Colon and Rectal Surgeons. Ngokuthelekiswayo, 1 kwabangama-22 bayakuba nomhlaza wekolon. Nangona kunjalo, izehlo zomhlaza wangasemva ziyakhula.

Eyona nto iphambili emngciphekweni wokuba ne-HPV, kodwa ezinye izinto ezonyusa amathuba akho okufumana umhlaza wesibeleko kukutshaya, ukuba namaqabane esini amaninzi, kunye nokuba nolusu olungapheliyo, oluvuvukileyo olujikeleze i-anus. Iimpawu zomhlaza wamva zibandakanya:

• ubunzima kufutshane okanye kwi-anus
• intlungu
• ukopha ezimpundu
• ukuluma ngasemva
• utshintsho lwamathumbu

Into yangaphandle

Izinto ezinje ngamathambo aginyiweyo, iingcebiso nge-enema, iithemometha kunye nezinto zokudlala zokwabelana ngesondo zinokungaqondanga zinamathele kwi-anus, zibangele uxinzelelo kunye neemvakalelo ezinzima.

Isigaxa esinzima kwi-anus kwaye akukho ntlungu

Ayilulo lonke iqhuma kunye nesigaqa esiza kuvelisa iintlungu. Ezinye ezingaqhelekanga zezi:

• iintsumpa ezimpundu
• molluscum contagiosum
• ezinye hemorrhoids

Ukuxilongwa kwe-anus enzima

Oogqirha banezixhobo ezahlukeneyo ezikhoyo ukunceda ukuxilonga iingxaki zangasemva, kubandakanywa amaqhuma ezimpundu.

Iihemorrhoids, iintsumpa zangasemva, kunye ne-molluscum contagiosum zinokubonakala okanye zivakale ngexesha lovavanyo lomzimba. Ugqirha unokufaka umnwe osiglowusi kwi-anus yakho, ebizwa ngokuba luvavanyo lwedijithali, ukuziva ukukhula.

Kwi-anoscopy, isixhobo esiqinileyo, esikhanyisiweyo sivumela oogqirha ukuba bajonge i-anus kunye ne-rectum yakho.

Ukuba ugqirha wakho ufuna ukujonga ngakumbi indlela yakho yokwetyisa kwaye akhuphe izinto ezinje ngomhlaza wekolon, banokucebisa enye yezi nkqubo:

• i-barium enema, eyona X-ray ikholoni
• sigmoidoscopy, inkqubo esebenzisa ityhubhu ende, eguqukayo enokukhanya kunye nekhamera ukujonga umbono wakho wamathumbu asezantsi
• colonoscopy, apho ugqirha wakho esebenzisa isixhobo esikhanyisiweyo esibizwa ngokuba yi-colonoscope ukujonga ikholoni yakho kwaye ujonge izinto ezinjengezilonda kunye nokukhula

Unyango olunzima lwe-anus

Unyango luyahluka ngokuxhomekeka kwimeko echaphazela umngxuma wakho.

Iimvumba zangaphandle

• Ukunciphisa iintlungu ngaphezulu kwe-counter (OTC)
• uxinzelelo olubandayo
• izitya zokuhlambela
• iikhrim ze-hemorrhoid, eziqulethe i-arhente ebuthathaka ukunciphisa iintlungu
• usika ngotyando i-hemorrhoid, ngakumbi ukuba ine-clot yegazi
• ukubopha, apho ugqirha aza kubopha ibhendi encinci yerabha ejikeleze isiseko sehemorrhoid ukusika ukunikezelwa kwegazi kwaye ayivumele inciphe
• i-sclerotherapy, ebandakanya ukujoba i-hemorrhoid ngemichiza eyitshisayo (kwaye iyancipha)

Ngokomphando opapashwe kwiphephancwadi, i-hemorrhoid ephathwe nge-sclerotherapy inamathuba angama-30 okuphindaphinda kwiminyaka emine.

IPerianal hidradenitis suppurativa (HS)

• antibiotics ukulwa nokudumba kunye naluphi na usulelo
• i-cortisone ukunciphisa ukudumba kunye nokucaphuka
• adalimumab (Humira) ukuyithulisa impendulo yomzimba yokuvuvukala

I-hematoma yePerianal

• Iintlungu ze-OTC ziyadambisa
• uxinzelelo olubandayo
• ukukhupha utyando ukuba iintlungu zinzima okanye ziyaqhubeka

Iintsumpa ezingaqhelekanga

Kuba intsholongwane ebangela iintsumpa ezimpundu inokulala emzimbeni, ukuphindaphinda akuqhelekanga. Unokufuna iinkqubo eziphindayo njengoko kuvela iintsumpa ezintsha.

• i-cryosurgery, ebandakanya ukutofa ii-warts nge-nitrogen engamanzi ukuze iqhwaqise kwaye inciphise
• ukususwa ngotyando (kuhlala kwenziwa phantsi kwe-anesthetic yendawo kwisigulana esingaphandle)
• ukuzaliswa (usebenzisa i-frequency frequency current current to burn off the wart)
• ipodophyllin, i-trichloroacetic acid, kunye ne-bichloroacetic acid (ukuba iintsumpa zincinci kwaye zangaphandle)

IMolluscum contagiosum

• cream cream ene-imiquimod, iyeza elinceda amajoni omzimba alwe nentsholongwane ebangela ezi zilonda zifana nentsumpa

Ukuqunjelwa

• I-OTC laxatives kunye nezitulo zokuthambisa
• i-lubiprostone (Amitiza), eyongeza amanzi kwizitulo zakho, ezenza ukuba kube lula ukudlula
• ukutya ifibre ngakumbi (jolisa kuma-25 ukuya kuma-35 amagremu) ngokongeza ukutya okufana neziqhamo, imifuno, kunye neenkozo ezipheleleyo kukutya kwakho
• ukusela amanzi ngakumbi

Umhlaza womhlaza

• ukususwa ngotyando
• imitha
• ichemotherapy

Into yangaphandle

Izinto ezisezantsi zingasuswa ngesixhobo esinjenge-forceps. Izinto ezingasuswanga ngokulula ngesandla zingadinga utyando. Ukuxutywa kwe-anal phantsi kweanesthesia ngokubanzi kuhlala kwenziwa.

Nini ukubona ugqirha

Ukuqina okujikeleze i-anus kuhlala kubangelwa zizigaqa ezingenancanca kunye nokukhula. Kodwa ngenxa yokuba la maqhuma angaba buhlungu kwaye akhathaze, licebo elilungileyo ukuwakhangela. Sukulibazisa ukufumana unyango ukuba unayo:

• ukopha okungayi kuyeka
• Intlungu ebonakala isiba mandundu okanye isasazeka kwezinye iindawo zomzimba wakho
• utshintsho kwiintshukumo zakho zamathumbu
• iintlungu ezimpundu okanye ukopha okuhamba nomkhuhlane

Yise kude

Ubunzima be-anal bunokuhamba neentlungu, izigaqa, kunye nokukhutshwa kwegazi- iimpawu ezixhalabisayo kuye nabani na. Kodwa uninzi lwezizathu zobulukhuni be-anal alunabisi kwaye luyanyangeka ngamayeza, iinkqubo zotyando, kunye nonyango lwasekhaya.