Ubuhlungu Bendawo Ye-Anal (Ubuhlungu Emathunjini): Izimbangela, Izimpawu Nokuphathwa Kwakho
Ubuhlungu obuzwa endaweni ye-anal, kuyinkinga evamile ebantwini bayo yonke iminyaka nobulili. Lokhu kubuhlungu kungaba nezimbangela eziningi ezahlukene futhi kuvame ukuthamba kalula ngezinguquko ezilula empilweni noma ngokwelashwa kwezokwelapha. Kodwa kwezinye izimo kungaba uphawu lwezifo ezinzima, ngakho kudinga ukuhlolwa ngokucophelela.
Yiziphi Izimbangela Ezivamile Zobuhlungu Be-Anal?
Izimo eziyinhloko ezingadala ubuhlungu endaweni ye-anal yilezi:
Hemorrhoid (Izinduna): Kwenzeka ngenxa yokwanda nokuvuvukala kwemithambo egudle i-anus ne-rectum. Kungabonakala ngokuluma, ukuvuvukala futhi kwesinye isikhathi izicubu ezibuhlungu.
Anal Fissure (Ukuqhekeka kwe-Anus): Imvamisa kuba imifantu ezungeze i-anus ngenxa yokukhishwa kwendle okuqinile noma isifo sohudo eside. Kungadala ubuhlungu obukhulu nobukhali.
Anal Abscess: Ukuvuvukala, ukubomvu nobuhlungu okubangelwa ukutheleleka ezicutshini ezizungeze i-anus. Kungahambisana nezimpawu zokutheleleka ezifana nomkhuhlane nokuthuthumela.
Anal Fistula: Imijondolo emincane phakathi kwengxenye yokugcina yamathumbu kanye nesikhumba esizungeze i-anus, imvamisa ivela emva kokutheleleka.
Levator Ani Syndrome: Ubuhlungu obufushane, obuphindaphindayo ngenxa yokuxinana kwemisipha ezungeze i-anus.
Isifo sohudo esingapheli noma esinzima
Umdlavuza we-anal noma we-rectum
Ezinye izifo ezithathelwana ngocansi
Ukuphenduka kwezinwele (pilonidal sinus)
Izifo zesikhumba
Proktalgia Fugax: Ubuhlungu obuqala ngokuzumayo, obufushane nobukhulu endaweni ye-rectum.
Izinguquko zehomoni nezomzimba ezilethwa ukukhulelwa nokubeletha
Impilo yokunganyakazi nokuhlala isikhathi eside
Ubuhlungu Be-Anal Buvela Kanjani? Izinhlobo Ezihlukene Zobuhlungu
Ubuhlungu obuzwa endaweni ye-anal bungahluka kuye ngezimbangela nomuntu:
Ubuhlungu obuvame ukuvela ngesikhathi noma emva kokukhishwa kwendle, kwesinye isikhathi obufana nokugwazwa, buhlobene kakhulu ne-anal fissure kanye ne-hemorrhoid.
Ubuhlungu obuqala ngokuzumayo, obuqhubekayo futhi obuphazamisa impilo yansuku zonke, kuvame ukukhombisa i-anal abscess.
Ubuhlungu obuqala ngokuzumayo, obukhulu futhi obufana nokuxinana kwemisipha buhlobene nesimo esibizwa nge-proktalgia fugax.
Ubuhlungu obungapheli, obungathambeki bungabangelwa izimbangela zezinzwa noma izinkinga emgogodleni.
Izimpawu Ezivamile Zobuhlungu Be-Anal
Ubuhlungu endaweni ye-anal kuvame ukuhambisana nalezi zinkinga:
Ukushisa, ukubaba nokuvuvukala
Ukungakhululeki noma ubuhlungu uma uhleli
Ubuhlungu obwanda ngesikhathi nangemva kokukhishwa kwendle
Ukuluma ezungeze i-anus
Ngesinye isikhathi ubuhlungu besikhumba noma ukubomvu
Izimbangela eziningi zobuhlungu be-anal zithamba ngokushesha nangokwelashwa okuphumelelayo. Kodwa uma izimpawu zinzima, zihlala isikhathi eside noma ziphazamisa impilo yansuku zonke, kufanele uthintane nodokotela.
Yiziphi Izimo Ezibangela Ubuhlungu Be-Anal Ezinganeni?
Enganeni nasebantwaneni, ubuhlungu endaweni ye-anal kuvame ukuhlotshaniswa ne-anal fissure (ukuqhekeka kwe-anus). Le mifantu ivame ukuvela emva kokukhishwa kwendle okuqinile ngenxa yokukhishwa kwendle okunzima, futhi ingaholela ebuhlungwini ngesikhathi sokukhishwa kwendle, kwesinye isikhathi kuhambisana nokopha okuncane.
Izikhalo zokuluma nokushisa nazo zivamile ezinganeni futhi lezi zimo zingathinta kabi ikhwalithi yokuphila kwengane. Ama-anal fissure angalapheka ngokwawo emasontweni ambalwa (akut fissure), kodwa uma engalapheki ngaphezu kwamasonto amathathu abizwa ngokuthi "chronic fissure" futhi kufanele kuboniswane nodokotela wezingane noma udokotela wokuhlinza.
Izimbangela Zobuhlungu Be-Anal Ngesikhathi Sokukhulelwa
Ngesikhathi sokukhulelwa, izinguquko zehomoni kanye nokwanda kwengcindezi esiswini ngenxa yokukhula kwesibeletho kungaholela ebuhlungwini endaweni ye-anal. Ukukhishwa kwendle okuqinile, hemorrhoid kanye ne-anal fissure yizimbangela ezivamile zobuhlungu be-anus ngesikhathi sokukhulelwa. Ukuze kuvikelwe impilo kanina nengane, izindlela ezingezona ezemithi zivame ukunconywa kuqala:
Ukusebenzisa izimbiza zamanzi afudumele
Ukubeka i-compress ebandayo endaweni ebuhlungu
Ukuhlanza indawo ngobumnene nokusebenzisa ama-ointment athambisa isikhumba
Kubalulekile futhi ukuhamba ngokwanele, ukugwema ukuhlala isikhathi eside nokudla ukudla okunempilo ukuze kuncishiswe ingozi yobuhlungu be-anal ngesikhathi sokukhulelwa.
Izimo Ezibangela Ubuhlungu Be-Anal Kwabesifazane Abadala
Kwabesifazane asebekhulile, enye yezimbangela ezivamile zobuhlungu be-anal ukuvela kwe-rectocele, okuwukuphuma kwe-rectum iye ku-vagina. Kuvame ukubonakala kwabesifazane abake bazala kakhulu, abake benziwa ukuhlinzwa kwesibeletho noma asebekhulile. Ukuhlolwa kodokotela kuyadingeka ukuze kutholakale lesi simo. Uma izikhalo zinciphile, ukudla okunempilo nokuzivocavoca kuyelulekwa, kodwa ezimweni ezinzima kungadingeka ukuhlinzwa.
Izindlela Ongazisebenzisa Ekhaya: Ukunciphisa Ubuhlungu Be-Anus Kwabesifazane
Kungenzeka ukusebenzisa izindlela eziningi zemvelo nezisekelayo ukunciphisa izikhalo zobuhlungu be-anus:
Ukuphuza amanzi amaningi
Ukudla ukudla okunothe ngofibra (izithelo, imifino, okusanhlamvu okuphelele)
Ukubeka i-compress ebandayo endaweni ebuhlungu
Ukusebenzisa izimbiza zamanzi afudumele
Ukuhlanza indawo ye-anal ngobumnene, ukugwema ukucasuka nokukhuhla
Ukusebenzisa imikhiqizo yemvelo efana nofutha lukakhukhunathi, uwoyela womnqumo noma i-aloe vera gel
Ukuphuza itiye le-chamomile, melissa noma jasmine
Lezi zindlela zingasiza uma izikhalo zincane, kodwa uma ziqhubeka kufanele uthintane nodokotela. Akukhuthazwa ukusebenzisa imithi ngaphandle kokwelulekwa udokotela.
Yiziphi Izivivinyo Ezenziwa Uma Kukhalwa Ngobuhlungu Be-Anal?
Uma ubuhlungu be-anal bubonakala noma buhlala isikhathi eside, kunconywa ukuthi uthintane nochwepheshe ofana ne-proctologist noma udokotela wokuhlinza we-colorectal. Ukuhlonza kungase kusebenzise lezi zivivinyo:
Ukuhlolwa ngokomzimba
Ukuhlolwa kwe-endoscopy (anoscopy, rectoscopy)
Defecography (ukubuka ukukhishwa kwendle)
Anorectal manometry (ukulinganisa ukusebenza kwemisipha)
Udokotela angase asebenzise nezinye izindlela zokuhlola noma zokuthola izithombe uma kudingeka.
Izindlela Zokwelapha Kwabesifazane Abanezinkinga Zobuhlungu Be-Anus
Kwabesifazane, izikhalo zobuhlungu be-anus zinganda emva kokubeletha noma ngesikhathi sokuphelelwa kokuya esikhathini. Lezi zindlela zilandelayo zingasiza ekunciphiseni izikhalo:
Ukuthambisa imisipha ye-anal ngezivocavoca zokuphumula noma umyego omnene
Ukuhlala ngendlela efanele (kwabesifazane ukuhlala ngemuva kwe-vagina, kwabesilisa phezu kwesisekelo sepenisi endaweni eqinile)
Izimbiza zamanzi afudumele kanye nokubeka iqhwa elibandayo
Ukuphuza amanzi anele nokudla ukudla okunothe ngofibra
Ukuzivocavoca njalo
Ukusebenzisa itiye lezitshalo (chamomile, melissa, jasmine)
Uma kudingeka, ukwelashwa ngemithi noma i-botox ngaphansi kokuqondisa kukadokotela
Uma ubuhlungu be-anal bungapheli, bunzima noma buphindaphinda, kubalulekile ukubonana nodokotela ukuze kutholakale isizathu nokwelashwa okufanele.
Imibuzo Evame Ukubuzwa
1. Yiziphi ezinye izimpawu okufanele ngizinake uma kune-anal pain?
Uma kukhona ukopha, uketshezi elinuka kabi, umkhuhlane, ukuvuvukala ngokuzumayo, ubunzima bokukhishwa kwendle noma ukwehla kwesisindo, kufanele uthintane nochwepheshe wezokwelapha.
2. Ingabe ubuhlungu be-anus njalo kuyisibonakaliso sesifo esinzima?
Cha. Imvamisa buvela ngezimbangela ezilula, kodwa kwezinye izikhathi kungaba uphawu lwezifo ezinzima. Uma buhlala isikhathi eside noma bunzima akufanele bunganakwa.
3. Kumele kwenziweni uma ingane inobuhlungu be-anus?
Imvamisa kubangelwa i-anal fissure futhi kungadlula ngokwako. Kodwa uma izimpawu ziqhubeka, zinzima noma kuhambisana nokopha, kufanele kuboniswane nodokotela wezingane.
4. Yini engasiza ubuhlungu be-anus ngesikhathi sokukhulelwa?
Izimbiza zamanzi afudumele, ukuphuza amanzi anele nokudla ukudla okunothe ngofibra, ukubeka i-compress ebandayo nokunakekela ukuhlanzeka kwendawo kungasiza. Uma izikhalo ziqhubeka, kufanele kuboniswane nodokotela.
5. Kumele ngiye kudokotela muphi uma nginobuhlungu be-anus?
Kufanele uthintane nochwepheshe wokuhlinza jikelele, ikakhulukazi udokotela onolwazi lwe-proctology noma we-colorectal surgery.
6. Yiziphi izindlela zemvelo ezingasiza ubuhlungu be-anus ekhaya?
Ukudla okunothe ngofibra, ukuphuza amanzi amaningi, izimbiza zamanzi afudumele, ukubeka i-compress ebandayo kanye nezindlela zokuhlanzeka ngobumnene kungasiza. Uma izikhalo zinganciphi, kufanele uthintane nodokotela.
7. Yini engenziwa ukuvimbela ubuhlungu endaweni ye-anal?
Ukudla okunempilo, ukuphuza amanzi anele, ukunganyakazi nokuba nemikhuba emihle yokukhishwa kwendle kungasiza ekuvikeleni.
8. Ingabe ubuhlungu besitho sangasese bungadalwa izifo zesikhumba?
Yebo. I-Eczema, izifo zesikhunta kanye nezinye izifo zesikhumba zingabangela ubuhlungu nokungakhululeki endaweni yesitho sangasese.
9. Uyini umehluko phakathi kwe-hemorrhoid kanye nokuqhekeka kwendawo yesitho sangasese?
Kokubili kungabangela ubuhlungu. Ku-hemorrhoid kuvame ukuvela ukuvuvukala nokopha, kuyilapho ekuqhekekeni kuba nobuhlungu obukhulu obuhlaba njengommese kanye nokushisa ngesikhathi sokuchama.
10. Iyini i-anal abscess? Ibonakala kanjani?
Kuvame ukuvela ukuvuvukala, ukubomvu, ubuhlungu obukhulu nobungazelelwe, kwesinye isikhathi umkhuhlane nokuthuthumela. Kudinga ukwelashwa kwezokwelapha.
Imithombo
Inhlangano Yezempilo Yomhlaba (WHO), Amakhasi Olwazi Ngezifo Ze-Colorectal
Izikhungo Zokulawula Nokuvimbela Izifo e-USA (CDC), Umhlahlandlela Wezifo Ze-Anorectal
Inhlangano YaseMelika Yabahlengikazi Bezitho Zesisu Nesisu Esincane (ASCRS) Imihlahlandlela Yezokwelapha
I-British Medical Journal (BMJ), "Ukuhlola nokuphathwa kobuhlungu besitho sangasese" (2022)
I-Mayo Clinic, Uhlolojikelele Lobuhlungu Besitho Sangasese Nezinsiza Zeziguli