Kutupa kosadziwika

Chotupa cha anorectal ndichotolera cha mafinya m'dera la anus ndi rectum.

Zomwe zimayambitsa kuperewera kwa anorectal ndi monga:

• Zotsekemera zotsekedwa m'dera la anal
• Kutenga kachilombo ka anal
• Matenda opatsirana pogonana (STD)
• Zowopsa

Zilonda zam'mimba zimayambitsidwa ndimatenda am'matumbo monga Crohn matenda kapena diverticulitis.

Zinthu zotsatirazi zimawonjezera chiopsezo cha chotupa cha anorectal:

• Kugonana
• Chemotherapy mankhwala omwe amachiza khansa
• Matenda a shuga
• Matenda otupa (matenda a Crohn ndi ulcerative colitis)
• Kugwiritsa ntchito mankhwala a corticosteroid
• Kufooka kwa chitetezo cha mthupi (monga HIV / AIDS)

Vutoli limakhudza amuna kuposa akazi. Vutoli limatha kuchitika kwa makanda ndi ana ang'ono omwe adakali matewera komanso omwe ali ndi mbiri yaziphuphu zamkati.

Zizindikiro zodziwika ndikutupa mozungulira anus komanso kupweteka kosalekeza, kutupa. Kupweteka kumatha kukhala kovuta ndimatumbo, kutsokomola komanso kukhala.

Zizindikiro zina zitha kuphatikiza:

• Kudzimbidwa
• Kutulutsa mafinya ku rectum
• Kutopa, malungo, thukuta usiku, komanso kuzizira
• Kufiira, zopweteka komanso zolimba m'dera la anus
• Chifundo

Kwa makanda, chotupacho nthawi zambiri chimawoneka ngati chotupa, chofiira, chotupa m'mphepete mwa anus. Khanda limatha kukangana komanso kukwiya chifukwa chovuta. Nthawi zambiri palibe zizindikiro zina.

Kufufuza kwamakina kumatha kutsimikizira chotupa cha anorectal. Proctosigmoidoscopy itha kuchitidwa kuti ithetse matenda ena.

Nthawi zina, pamafunika CT scan, MRI, kapena ultrasound kuti zithandizire kupeza mafinya.

Vutoli silimangokhalako lokha. Maantibayotiki okha sangathe kuchiza chotupa.

Chithandizocho chimaphatikizapo kuchitidwa opaleshoni kuti atsegule ndi kukhetsa abscess.

• Opaleshoni nthawi zambiri imachitidwa ndimankhwala opatsirana pogonana, komanso mankhwala kuti mugone. Nthawi zina amagwiritsidwa ntchito.
• Kuchita maopareshoni nthawi zambiri kumakhala kuchipatala, zomwe zikutanthauza kuti mumapita kwanu tsiku lomwelo. Dokotalayo amadula chotupa ndikumatulutsa mafinya. Nthawi zina kukhetsedwa kumayika kuti chimbudzi chizitseguka ndikutsuka, ndipo nthawi zina chotupacho chimadzaza ndi gauze.
• Ngati kusonkhanitsa mafinya ndikozama, mungafunikire kukhala mchipatala nthawi yayitali kuti muchepetse ululu komanso kusamalira malo opumulira.
• Pambuyo pa opaleshoni, mungafunike malo osambira otentha (kukhala mu kabati lamadzi ofunda). Izi zimathandiza kuthetsa ululu komanso kuchepetsa kutupa.

Zotupitsa zothira nthawi zambiri zimasiyidwa zotseguka ndipo sizofunikira.

Dokotalayo angapereke mankhwala opha ululu komanso opha tizilombo.

Kupewa kudzimbidwa kumathandiza kuchepetsa kupweteka. Mungafunike zofewetsa pansi. Kumwa madzi ndi kudya zakudya zokhala ndi michere yambiri kungathandizenso.

Ndi chithandizo chofulumira, anthu omwe ali ndi vutoli nthawi zambiri amachita bwino. Makanda ndi ana aang'ono nthawi zambiri amachira msanga.

Zovuta zimatha kuchitika ngati mankhwala akuchedwa.

Mavuto a anorectal abscess atha kukhala:

• Anal fistula (kulumikizana kwachilendo pakati pa anus ndi mawonekedwe ena)
• Matenda omwe amafalikira kumwazi (sepsis)
• Kupitiliza kupweteka
• Vuto limangobwerera (kubwereza)

Imbani wothandizira zaumoyo wanu ngati:

• Zindikirani kutuluka kwaminyewa, kupweteka, kapena zizindikilo zina za chotupa cha anorectal
• Khalani ndi malungo, kuzizira, kapena zizindikiro zina mutalandira chithandizo cha matendawa
• Kodi muli ndi matenda ashuga ndipo magazi anu ashuga amakhala ovuta kuwongolera

Kupewa kapena kuthandizira mwachangu matenda opatsirana pogonana kumalepheretsa kuti chotupa cha anorectal chisapangidwe. Gwiritsani ntchito kondomu panthawi yogonana, kuphatikizapo kugonana kumatako, kuti mupewe matendawa.

Kwa makanda ndi ana ang'onoang'ono, kusinthasintha thewera pafupipafupi komanso kuyeretsa moyenera pakusintha kwa thewera kungathandize kupewa ziphuphu ndi zotupa zonse.

Mafinya abscess; Rectal abscess; Kutumphuka kwapadera; Perianal abscess; Kutupa kwa England; Abscess - yosakhudzidwa

• Kuchuluka

Zovala WC. Njira zosavomerezeka. Mu: Roberts JR, Custalow CB, Thomsen TW, olemba., Eds. Ndondomeko Zachipatala za Roberts ndi Hedges mu Emergency Medicine ndi Acute Care. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: mutu 45.

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.