Yintoni ebangela ukudumba kohlalutyo kwaye ndingaNyanga njani?

Umxholo

• Ukudumba koonobangela
• Ukudumba
• Iimvumba zangaphandle
• Ukuqhekeka kwe-anal
• Ithumba le-anal
• I-anal fistula
• Isifo sePerianal Crohn
• Ukwabelana ngesondo kunye nokudlala
• I-anus edumbileyo kunye ne-rectum edumbileyo
• Uxilongo
• Unyango
• Ukudumba
• Iimvumba zangaphandle
• Ukuqhekeka kwe-anal
• Ithumba le-anal
• I-anal fistula
• Isifo sePerianal Crohn
• Isondo lomgqundu
• Nini ukubona ugqirha
• Yise kude

Ushwankathelo

I-anus kukuvula ekupheleni komsele wakho we-anal. I-rectum ihleli phakathi kwekholoni yakho kunye ne-anus kwaye isebenza njengegumbi lokubamba isitulo. Xa uxinzelelo kwi-rectum yakho lukhulu kakhulu, iringi yangaphakathi yemisipha ebizwa ngokuba yi-anal sphincter iyaphumla ukuvumela isitulo sidlule kumsele wakho we-anal, i-anus, nangaphandle komzimba wakho.

I-anus iqukethe iincindi, imijelo, imithambo yegazi, i-mucus, izicubu kunye nokuphela kwethambo okunokuthi kuthintele iintlungu, ukucaphuka kunye nolunye uvakalelo. Kuxhomekeka kwisizathu, ukudumba okuku-anus kungaziva kushushu, kubangele iintlungu ezibukhali okanye ezivuthayo (ngakumbi emva kokuhamba kwamathumbu), kwaye zivelise ukopha kunye nobofu.

Ukudumba koonobangela

Ukudumba kwe-anal kunokuba nezizathu ezininzi. Uninzi lwazo alunanto yokwenza kodwa ezinye zinokuba nzulu. Yiya kugqirha ngoko nangoko ukuba:

• ukuphuma kwegazi elingena kuyeka
• intlungu ebuhlungu
• ifiva
• ukukhutshwa ezimpundu

Isizathu asinabungozi okanye sinokubonisa into esongela ubomi, njengomhlaza. Izizathu eziqhelekileyo zokuvuvukala kwe-anal zi:

Ukudumba

Esi sisifo esiqhelekileyo. Ihlala ibandakanya ukudumba kwelinen yangasemva kwaye ihlala ichazwa gwenxa njenge-hemorrhoids. Iimpawu zibandakanya iintlungu kunye nokumanzi, ngamanye amaxesha ukuphuma kwegazi. I-Anusitis ihlala ibangelwa ngu:

• ukutya okune-asidi kubandakanya ikofu kunye ne-citrus
• uxinzelelo
• urhudo olugqithisileyo

Iimvumba zangaphandle

Iimpawu zangaphandle ezidumbileyo zemithambo yegazi kulwelwesi lwe-anus. Ziqhelekile, zichaphazela abantu abadala aba-3 kwaba-4. Zingakho ngenxa:

• ukuxina ngexesha lokuhamba kwamathumbu
• ukutya okune-fiber encinci
• urhudo olungapheliyo okanye ukuqhina

Iimvumba zangaphandle zinokubonakala njengeqhuma kwaye zinokuba buhlungu kwaye zophe, nangona ezinye iimvumba zivelisa ukungahambi kakuhle.

Ukuqhekeka kwe-anal

Ukuqhekeka kwe-anal kukukrazula kumngxunya we-canal canal. Kubangelwa:

• iintshukumo ezinzima
• urhudo olungapheliyo
• Isifo sengqondo sesifo
• imisipha eqinileyo ye-sphincter
• izilonda ezimpundu okanye usulelo, kunqabile

Iifissure ze-anal ziqhelekile kwaye zihlala ziphosakele ngenxa yeemvumba. Banokubangela:

• iintlungu ngexesha lokuhamba kwamathumbu okuhlala kude kube ziiyure ezimbalwa
• ukopha
• isigaxa esikufuphi

Ithumba le-anal

Xa i-gland kwi-anus ivalwe kwaye isuleleke, inokuvelisa i-abscess. Oku kuchazwa ngokobuchwephesha njengengqokelela yobofu ejikeleze izicwili ezivuthayo. Inokuvelisa:

• intlungu
• ukudumba
• iqhuma elijikeleze umva
• ifiva

NgokweHarvard Health, ngaphezulu kwesiqingatha samathumba ezimpundu avela kubantu abaphakathi kweminyaka engama-20 ukuya kuma-40. Amadoda nawo achaphazeleka kakhulu kunabafazi.

Idlala lisuleleka xa kungena iintsholongwane. Iimeko ezithile, ezinjenge-colitis, zinokunyusa umngcipheko.

I-anal fistula

Eli litonela elenza ngaphakathi kwi-anus kwaye liphume ngesikhumba ezinqeni. NgokweZiko Lonyango laseSweden eSeattle, isiqingatha sabo banethumba ezimpundu baya kuba nefistula. Iimpawu zibandakanya:

• ukudumba ezimpundu
• ukucaphuka
• intlungu
• ukurhawuzelela
• ilindle ukuvuza

Isifo sePerianal Crohn

Isifo sikaCrohn yimeko yelifa ebangela ukudumba okungapheliyo kwendlela yokugaya ukutya. Uninzi lwexesha lichaphazela amathumbu amancinci, kodwa inokuchaphazela yonke indawo yokugaya ukutya, kubandakanya ne-anus.

Ngokwenqaku lika-2017, ukuya kubantu abaneCrohn's bane-perianal Crohn's. Iimpawu zibandakanya i-fissures anal kunye ne-fistula.

Ukwabelana ngesondo kunye nokudlala

Ukudumba kwempumlo kunokwenzeka emva kokurhabaxa ngokwesondo okanye ukufakwa kwento yokudlala ngesondo kwi-anus.

I-anus edumbileyo kunye ne-rectum edumbileyo

I-rectum iqhagamshelwe kwi-anus nge-canal emxinwa. Ngenxa yokusondela kwabo, iyavakala into yokuba yintoni ebangela ukudumba kwi-anus kunokubangela nokudumba kwi-rectum. Iimeko ezinokubangela ukudumba kwamathambo kunye nokuqaqamba kubandakanya:

• hemorrhoids zangaphakathi
• Isifo sikaCrohn
• izifo ezidluliselwa ngeentlobano zesini ezifana ne-gonorrhea, i-herpes kunye ne-papillomavirus yabantu

Uxilongo

Iimeko ezinjenge-hemorrhoids zihlala zibonakala ngokubonakalayo okanye zivakalelwa xa ugqirha efaka umnwe ovalwe kumngxunya wakho we-anal ngovavanyo lwedijithali. Iifissula okanye iifistula ezingabonakaliyo kuvavanyo olubonakalayo zinokuchongwa nge:

• Anoscopy. Le ityhubhu enokukhanya esiphelweni evumela ugqirha wakho ukuba abone ngaphakathi kwe-anus kunye ne-rectum.
• I-sigmoidoscopy eguqukayo. Le nkqubo, usebenzisa ityhubhu eguqukayo kunye nokukhanya kunye nekhamera, ivumela ugqirha wakho ukuba ajonge ngokusondeleyo kumathambo kunye namazantsi emathumbu emathumbu ukuze abone ukuba into enje ngesifo sikaCrohn inegalelo kwiimpawu zakho.
• Colonoscopy. Le yinkqubo esebenzisa ityhubhu ende, eguqukayo kunye nekhamera efakwe kwi-anus ukuvumela ukubonwa kwe-rectum kunye nekholoni. Oku kusetyenziselwa ukukhusela umhlaza.

Unyango

Unyango luyahluka ngokuxilongwa.

Ukudumba

• Utshintsho kwindlela otya ngayo, kubandakanya nokususa ukutya okucaphukisa ukutya
• ukunciphisa uxinzelelo
• Umkhenkce wendawo ngokusonga umkhenkce ngetawuli
• Iikhrimu ezineearhente ezibonisa ukungcola
• I-hydrocortisone cream yokulwa nokudumba
• Iibhafu ezifudumeleyo ze-sitz ngokuntywila imizuzu engama-20 kabini ukuya kathathu ngemini
• umkhenkce
• ukongeza ama-25 ukuya kuma-35 amagremu efayibha ekutyeni kwakho ngosuku, kubandakanya iziqhamo kunye nemifuno, ukutya okuziinkozo kunye neembotyi
• ukutya okunefayibha ephezulu
• Izithambisi ze-OTC
• amabhafu ashushu
• cream lidocaine

Iimvumba zangaphandle

Ukuqhekeka kwe-anal

Kwisifundo esidala, sabantu abaneentsimbi ezintsonkothileyo ezanyangeka baphathwa ngempumelelo ngenaliti zeBotox, ezinceda ukukhulula i-anal sphincter.

Ithumba le-anal

Umsele wokucoca uthathwa njengonyango. Amayeza okubulala iintsholongwane anokucetyiswa kwabo banezifo ezingaphantsi kwesifo seswekile, kunye nabo banamajoni omzimba acinezelweyo.

I-anal fistula

Itonela ye-fistula inokuvulwa, iplagiwe, okanye ibotshwe ngotyando.

Isifo sePerianal Crohn

• iyeza lokubulala iintsholongwane
• utyando
• icing ngamaxesha athile
• amabhafu ashushu
• Iintlungu ze-OTC zidambisa kunye ne-anti-inflammatories

Isondo lomgqundu

Nini ukubona ugqirha

Fumana unyango ngokukhawuleza ukuba unayo:

• ukopha ezimpundu okungazukuyeka, ngakumbi ukuba uziva unesiyezi okanye intloko engenakhaphukhaphu
• iintlungu ezandayo
• iintlungu ezimpundu nefiva okanye ingqele

Jonga ugqirha ukuba uneentlungu zangasese kwaye:

• utshintsho kwiintshukumo zakho zamathumbu
• ukuphuma kwegazi
• awufumani kuphumla kwiindlela zokuzinyamekela

Yise kude

Kwiimeko ezininzi, ukudumba ezimpundu kungonwabisi kunokuba kuyingozi. Zama amanyathelo asekhaya njenge-over-counter-counter-numbing creams, ukutya okunomsoco ophezulu, ukunciphisa iintlungu kunye nokuhlamba okufudumeleyo.

Ukuba awufumani kuphumla, thetha nogqirha malunga nonyango olunokukunceda ukunciphisa ukudumba okungasemva kunye nokufumana indlela yokubuyela kwimeko yesiqhelo.