Ukuphucula iAnus

Umxholo

• Zithini iimpawu zendlela yokungabinantsingiselo?
• Ifunyaniswa njani i-anus engalunganga?
• Luthini unyango lwe-anus engafakwanga?
• Ithini imbono yexesha elide?

Yintoni umngxunya ongapheliyo?

I-anus engafezekanga sisiphene sokuzalwa esenzeka ngelixa umntwana wakho esakhula esibelekweni. Esi siphene sithetha ukuba usana lwakho lune-anus engaphuhliswanga kakuhle, kwaye ngenxa yoko alunakho ukugqitha isitulo ngesiqhelo ukusuka kumqolo wabo ophuma emzimbeni wabo.

Ngokutsho kweSibhedlele saBantwana saseCincinnati, malunga nomntwana omnye kwabangama-5 000 une-anus engalunganga okanye enye into engalunganga ye-anus okanye rectum. Kwenzeka rhoqo kubafana kunamantombazana. I-rectum, i-bladder, kunye nelungu lobufazi lomntwana obhinqileyo onomngxunya ongapheliyo ngamanye amaxesha babelana ngokuvula okukhulu. Olu vulo lubizwa ngokuba yi-cloaca.

Imeko ikhula esibelekweni kwiveki yesihlanu ukuya kweyesixhenxe yokukhulelwa. Unobangela awaziwa. Amaxesha amaninzi abantwana abanale meko banazo nezinye iziphene zerectum.

Oogqirha bahlala beyichonga le meko kwakamsinya emva kokuzalwa. Le yimeko enzima kakhulu efuna unyango kwangoko. Uninzi lweentsana luya kufuna utyando ukulungisa isiphako. Imbono elandelayo yotyando intle kakhulu.

Zithini iimpawu zendlela yokungabinantsingiselo?

Iimpawu ze-anus ezingagungqiyo zihlala zibonakala kwakamsinya emva kokuzalwa. Ziquka:

• akukho kuvulwa ngasemva
• ukuvulwa ezimpundu kwindawo engafanelekanga, kufutshane kakhulu kwilungu lobufazi
• Akukho situlo kwiiyure zokuqala ezingama-24 ukuya kuma-48 zobomi
• isitulo esidlula kwindawo engeyiyo, enje nge-urethra, ubufazi, iscrotum, okanye isiseko sobudoda
• isisu esidumbileyo
• unxibelelwano olungaqhelekanga, okanye i-fistula, phakathi kwe-rectum yomntwana wakho kunye nenkqubo yawo yokuzala okanye indlela yokuchama

Malunga nesiqingatha sazo zonke iintsana ezizalwe zinomngxunya ongaziwayo zineempawu ezongezelelekileyo. Ezinye zazo zinokuba:

• ukusilela kwezintso kunye nomchamo
• ukungaqheleki komqolo
• I-windpipe, okanye i-tracheal, iziphene
• iziphene zokuqinisa umqala
• iziphene zeengalo nemilenze
• I-Down syndrome, eyimeko ye-chromosomal enxulunyaniswa nokulibaziseka kwengqondo, ukukhubazeka kwengqondo, ukubonakala kobuso, kunye nethoni yemisipha ebuthathaka
• Isifo sikaHirschsprung, yimeko ebandakanya ukungabikho kweeseli zemithambo-luvo yamathumbu amakhulu
• duodenal atresia, uphuhliso olungalunganga lwenxalenye yokuqala yamathumbu amancinci
• iziphene zentliziyo ozelwe nayo

Ifunyaniswa njani i-anus engalunganga?

Ugqirha unokuchonga ukungabinamsebenzi ngokwenza uvavanyo lomzimba emva kokuzalwa. I-X-ray yesisu kunye nesisu esiswini sinokunceda ukuveza ubungakanani bokungaqhelekanga.

Emva kokufumanisa i-anus engaginyisi mathe, ugqirha wosana lwakho kufuneka naye avavanye ezinye izinto ezingaqhelekanga ezinxulumene nale meko. Uvavanyo olusetyenzisiweyo lunokubandakanya:

• I-X-ray yomqolo ukufumana ukungahambi kakuhle kwethambo
• I-spinal ultrasound ekhangela ukungahambi kakuhle komzimba we-vertebral, okanye amathambo omqolo
• i-echocardiogram ikhangela ukungahambi kakuhle kwentliziyo
• I-MRI ikhangela ubungqina beziphene ezinjenge-fistulae kunye ne-trachea, okanye i-windpipe

Luthini unyango lwe-anus engafakwanga?

Le meko phantse ihlala ifuna utyando. Iinkqubo ezininzi ngamanye amaxesha ziyimfuneko ukulungisa ingxaki. I-colostomy yexeshana inokuvumela umntwana wakho ukuba akhule ngaphambi koqhaqho.

Kwicolostomy, ugqirha womntwana wakho wenza ukuvuleka okubini okuncinci, okanye istoma, esiswini. Zincamathelisa indawo esezantsi yamathumbu kuvuko olunye nakwinxalenye ephezulu yamathumbu kwenye. Ingxowa ebotshelelwe ngaphandle komzimba ibamba inkunkuma.

Uhlobo lotyando lokulungisa olufunekayo luya kuxhomekeka kwiziphene ezithile, ezinje ngokuba i-rectum yomntwana wakho yehla kangakanani, ichaphazela njani izihlunu ezikufutshane, nokuba ingaba i-fistula iyabandakanyeka na.

Kwi-anoplasty ye-perineal, ugqirha womntwana wakho uvala naziphi na i-fistula ukuze i-rectum ingasabambeki kwi-urethra okanye kwisini. Emva koko benza i-anus enendawo eqhelekileyo.

Umsebenzi wokutsala kuxa ugqirha womntwana wakho etsala i-rectum ezantsi kwaye ayixhume kwi-anus entsha.

Ukuthintela i-anus ekunciphiseni, kunokuba yimfuneko ukolula umngxuma ngamaxesha athile. Oku kubizwa ngokuba yi-anal dilation. Kuya kufuneka uyiphinde rhoqo le kangangeenyanga ezimbalwa. Ugqirha wakho angakufundisa ukuba ungayenza njani le nto ekhaya.

Ithini imbono yexesha elide?

Ugqirha wakho uya kukuyalela ngendlela yokwenza ukuxutywa kwe-anal. Oku kuqinisekisa ukuba ukuvulwa kwe-anal kukhulu ngokwaneleyo ukuvumela ukuba isitulo sidlule.

Abanye abantwana baya kuba neengxaki zokuqunjelwa. Uqeqesho lwendlu yangasese lungathatha ixesha elide. Izithambisi zesitulo, i-enemas, okanye i-laxatives kunokuba yimfuneko ukunciphisa ukuqhina kamva ebomini. Ugqirha lunokulungisa ukungahambi kakuhle, kwaye uninzi lwabantwana luqhuba kakuhle kakhulu.

Ukutya okuphezulu kwifayibha kunye nokunyamekelwa rhoqo kukhathalelo kubuntwana bonke kuyanceda.