Isphincterotomy

Umxholo

• Ushwankathelo
• Injongo
• Inkqubo
• Ukuchacha
• Iziphumo ebezingalindelekanga ezinokubakho kwi-sphincterotomy
• Imbonakalo

Ushwankathelo

I-sphincterotomy yangaphakathi yangaphakathi ngotyando olulula ngexesha apho i-sphincter inqunywe khona okanye yolulwe. I-sphincter liqela lesetyhula leemisipha ezijikeleze i-anus enoxanduva lokulawula ukuhamba kwamathumbu.

Injongo

Olu hlobo lwe-sphincterotomy lonyango kubantu abaphethwe ziifissure zangaphambili. Ukuqhekeka kwe-anal kukuqhekeka okanye iinyembezi kulusu lwe-canal canal. I-sphincterotomy isetyenziswa njengendawo yokugqibela kule meko, kwaye abantu abanamafissure e-anal bavame ukukhuthazwa ukuba bazame ukutya okunefayibha ephezulu, izithambisi zesitulo, okanye iBotox kuqala. Ukuba iimpawu zinzima okanye aziphenduli kwezi zonyango, i-sphincterotomy inokunikezelwa.

Kukho ezinye iinkqubo ezininzi ezihlala zisenziwa ecaleni kwesphincterotomy. Oku kubandakanya i-hemorrhoidectomy, i-fissurectomy, kunye ne-fistulotomy. Kuya kufuneka ujonge nogqirha wakho ukuze ubone ukuba zeziphi na iinkqubo eziza kwenziwa kwaye ngoba.

Inkqubo

Ngexesha lenkqubo, ugqirha wotyando wenza incision encinci kwi-anal sphincter yangaphakathi. Injongo yesi sikhokelo kukukhulula uxinzelelo lwe-sphincter. Xa uxinzelelo luphezulu kakhulu, iifissure zangasese azikwazi ukuphilisa.

I-sphincterotomy inokwenziwa phantsi kwe-anesthetic yendawo okanye eqhelekileyo, kwaye uya kuvunyelwa ukuba ubuyele ekhaya kwangolo suku lunye lotyando olwenzekayo.

Ukuchacha

Kuza kuthatha malunga neeveki ezintandathu ukuze i-anus yakho iphilise ngokupheleleyo, kodwa uninzi lwabantu luyakwazi ukuqhubeka nemisebenzi yabo yesiqhelo kubandakanya ukuya kusebenza kwiveki enye ukuya kwezimbini emva kotyando.

Uninzi lwabantu lufumanisa ukuba iintlungu ababenazo kwi-fissure yabo yangaphambili ngaphambi kotyando ziye zanyamalala kwiintsuku nje ezimbalwa zokuba ne-sphincterotomy yabo. Abantu abaninzi banexhala lokuba amathumbu abo ayahamba emva kotyando, kwaye ngelixa kuyinto eqhelekileyo ukufumana iintlungu ngexesha lokuhamba kwamathumbu ekuqaleni, iintlungu zihlala zingaphantsi kunaphambi kotyando. Kuqhelekile ukuba uqaphele elinye igazi kwindlu yangasese emva kokuhamba kwamathumbu kwiiveki zokuqala.

Zininzi izinto onokuzenza ukunceda ukunceda ekubuyiseni kwakho:

• Phumla ngokwaneleyo.
• Zama ukuhamba kancinci yonke imihla.
• Landela imiyalelo kagqirha wakho ukuba ungaphinda uqhube nini.
• Hlamba okanye uhlambe njengesiqhelo, kodwa bamba indawo yakho yangasemva eyomileyo emva koko.
• Sela amanzi amaninzi.
• Yitya ukutya okunesinga eliphezulu.
• Ukuba unengxaki yokuqhinwa, buza ugqirha wakho malunga nokuthatha isinciphisi esithomalalisayo okanye isitulo sokuthambisa.
• Thatha amayeza entlungu njengoko kuchaziwe.
• Hlala ujikeleze iisentimitha ezili-10 zamanzi afudumeleyo (ibhafu ye-sitz) kathathu yonke imihla kwaye ulandele intshukumo yamathumbu de kube kubuhlungu kwindawo yakho eyimpundu.
• Xa uzama ukuhambisa amathumbu akho, sebenzisa inyathelo elincinci ukuxhasa iinyawo zakho. Oku kuya kutshintsha isinqe sakho kwaye ubeke i-pelvis yakho kwindawo yokuqhekeza, enokukunceda ukuba udlule isitulo ngokulula.
• Ukusebenzisa izinto zosula usana endaweni yephepha langasese kuhlala kukhululekile kwaye akucaphukisi i-anus.
• Kuphephe ukusebenzisa iisepha ezinevumba elimnandi.

Iziphumo ebezingalindelekanga ezinokubakho kwi-sphincterotomy

I-sphincterotomy yangaphakathi esecaleni yinkqubo elula kwaye yenziwa ngokubanzi kwaye iyasebenza kakhulu kunyango lwefissures anal.Akuqhelekanga ukuba kubekho naziphi na iziphumo emva kokuhlinzwa, kodwa zenzeka kwiimeko ezinqabileyo kakhulu.

Yinto eqhelekileyo ukuba abantu babenamava amancinci kunye nobunzima bokulawula ukuqunjelwa kwiiveki nje emva kotyando. Esi siphumo sisecaleni sihlala sisombulula ngokwaso njengoko i-anus yakho iphilisa, kodwa kukho iimeko ezithile apho kuye kwaqhubeka khona.

Kungenzeka ukuba ukopha ngexesha lotyando kwaye oku kuya kufuna ukuthungwa.

Kwakhona kunokwenzeka ukuba uhlakulele i-perianal abscess, kodwa oku kuhlala kudibaniswa ne-anal fistula.

Imbonakalo

I-sphincterotomy yangaphakathi esecaleni yinkqubo elula ebonakalise ukuba iphumelele kakhulu kunyango lwefissures anal. Uya kukhuthazwa ukuba uzame ezinye iindlela zonyango ngaphambi kotyando, kodwa ukuba azisebenzi, uya kunikwa le nkqubo. Kuya kufuneka uphinde uchache ngokukhawuleza kwi-sphincterotomy kwaye kukho iindlela ezininzi zokuthuthuzela onokuzisebenzisa ngelixa uphilisa. Iziphumo ebezingalindelekanga zinqabile kakhulu kwaye zinokunyangwa ukuba ziyenzeka.