Kuphulika kumatako

Chophika chakumbuyo ndikung'ambika pang'ono kapena kung'ambika muminyewa yocheperako (mucosa) yoyika m'munsi mwa rectum (anus).

Ziphuphu zamatenda ndizofala kwambiri mwa makanda, koma zimatha kuchitika zaka zilizonse.

Kwa akuluakulu, ziphuphu zimatha chifukwa chodutsa zikuluzikulu, zolimba, kapena kutsekula m'mimba kwa nthawi yayitali. Zina zingaphatikizepo:

• Kuchepetsa magazi kutuluka m'derali
• Kulimbana kwambiri mu minofu ya sphincter yomwe imayendetsa anus

Vutoli limakhudza amuna ndi akazi chimodzimodzi. Ziphuphu zamatenda zimakhalanso zofala kwa amayi akabereka komanso mwa anthu omwe ali ndi matenda a Crohn.

Chophimbidwa kumatako chitha kuwoneka ngati mng'alu pakhungu la kumatako dera likatambasulidwa pang'ono. Kutsekemera kumakhala pafupifupi nthawi zonse pakati. Ziphuphu zimatha kuyambitsa matumbo ndi magazi. Pakhoza kukhala magazi kunja kwa chopondapo kapena papepala lakachimbudzi (kapena zopukutira ana) pambuyo poyenda.

Zizindikiro zimayamba mwadzidzidzi kapena kukula pang'onopang'ono pakapita nthawi.

Wothandizira zaumoyo adzayesa ma rectal ndikuyang'ana kumatako. Mayeso ena azachipatala omwe angachitike ndi awa:

• Anoscopy - kuyesa anus, canal anal, ndi lower rectum
• Sigmoidoscopy - kuyesa m'munsi mwa matumbo akulu
• Biopsy - kuchotsedwa kwa thumbo minofu kukayezetsa
• Colonoscopy - kuwunika m'matumbo

Ziphuphu zambiri zimadzichiritsa zokha ndipo sizifunikira chithandizo.

Pofuna kupewa kapena kusamalira ziboliboli zamakanda mwa makanda, onetsetsani kuti mumasintha matewera nthawi zambiri ndikuyeretsa malowa modekha.

ANA NDI ANKULU

Kuda nkhawa ndi zowawa poyenda kumatha kupangitsa kuti munthu azipewa. Koma kusakhala ndi matumbo kumangoyambitsa zovuta kuti zizikhala zovuta kwambiri, zomwe zimatha kupangitsa kuti chimbudzi chilimbe kwambiri.

Pewani mipando yolimba ndi kudzimbidwa ndi:

• Kusintha zakudya - kudya zambiri kapena zochuluka, monga zipatso, ndiwo zamasamba, ndi mbewu
• Kumwa madzi ena ambiri
• Kugwiritsa ntchito zofewetsa pansi

Funsani omwe akukuthandizani za mafuta kapena mafuta otsatirawa kuti athetse khungu lomwe lakhudzidwa:

• Kirimu chodzitetezera, ngati kupweteka kumasokoneza mayendedwe abwinobwino
• Mafuta a mafuta
• Zinc oxide, 1% hydrocortisone kirimu, Kukonzekera H, ndi zinthu zina

Kusamba kwa sitz ndikusamba kwamadzi ofunda komwe kumagwiritsidwa ntchito pochiritsa kapena kuyeretsa. Khalani osamba kawiri mpaka katatu patsiku. Madzi ayenera kuphimba mchiuno ndi matako okha.

Ngati ziphuphu zakumaso sizichoka ndi njira zosamalirira kunyumba, chithandizo chitha kukhala:

• Majekeseni a Botox mu mnofu mu anus (anal sphincter)
• Opaleshoni yaying'ono kuti atulutse minofu ya kumatako
• Mankhwala opangira mankhwala, monga nitrate kapena calcium channel blockers, amagwiritsidwa ntchito pamwamba pa fissure kuti athandize kupumula minofu

Ziphuphu zamatenda nthawi zambiri zimachira mwachangu popanda mavuto enanso.

Anthu omwe amapanga ziphuphu kamodzi amatha kukhala nawo mtsogolo.

Kusokoneza mu ano; Kuphulika kwa anorectal; Zilonda zam'mimba

• Kuchuluka
• Kuphulika kwa anal - mndandanda

Downs JM, Kulow B. Matenda a anal. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 11th ed. Philadelphia, PA: Elsevier; 2021: chaputala 129.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Zochita za anus ndi rectum. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 371.

Malipiro A, Larson DW. Anus. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 52.