Nchiyani Chimapangitsa Anus Kukhala Wovuta? Zimayambitsa ndi Chithandizo

Zamkati

• Anus ovuta amachititsa
• Zotupa zakunja
• Perianal hidradenitis suppurativa (HS)
• Perianal hematoma
• Zilonda zamkati
• Molluscum contagiosum
• Kudzimbidwa
• Khansa ya kumatako
• Chinthu chachilendo
• Chotupa cholimba pamphako ndipo sichimva kuwawa
• Matenda ovuta anus
• Chithandizo cholimba cha anus
• Zotupa zakunja
• Perianal hidradenitis suppurativa (HS)
• Perianal hematoma
• Zilonda zamkati
• Molluscum contagiosum
• Kudzimbidwa
• Khansa ya kumatako
• Chinthu chachilendo
• Nthawi yoti muwonane ndi dokotala
• Tengera kwina

Chotupa cholimba kumtundu

Manja ndi kutsegula mmunsi mwa gawo logaya chakudya. Imasiyanitsidwa ndi rectum (komwe kumakhala chopondapo) ndi mkodzo wamkati wamkati.

Chopondapo chikadzaza rectum, minofu ya sphincter imatsitsimuka, ndikulola chopondapo kupyola mu anus ndi kunja kwa thupi. The anal sphincter yakunja imatseka anus pomwe chopondapo chadutsa.

Ziphuphu zomwe zimapanga mozungulira anus - pazifukwa zosiyanasiyana - zimatha kupangitsa kuti zizimva kuwawa. Pangakhalenso kutupa, kupweteka, ndi kutuluka.

Anus ovuta amachititsa

Nthendayi imakhala ndi khungu komanso matumbo amkati, omwe amakhala ndi zotupa zam'mimba, mitsempha yamagazi, ma lymph node, komanso mathero am'mimba. Zinthuzi zikapsa mtima, kutenga kapena kutchinga, ziphuphu zimatha kupangika, ndikupangitsa kuti anus imve kuwawa.

Nthawi zambiri, zotupa zamatumba sizowopsa, komabe zimafunikira kuwunika. Kaonaneni ndi dokotala nthawi yomweyo, mukawona kupweteka kwa magazi kosalekeza kapena kupweteka kumatako komwe kumakulirakulira, kufalikira, kapena kupezeka ndi malungo.

Zina mwazovuta za kumatako kumatako ndi monga:

Zotupa zakunja

Ma hemorrhoids amatambasula mitsempha yamagazi yomwe imapangidwira kumatako ndipo imatha kuwoneka ngati zotupa.

Ndizofala - makamaka, malinga ndi American College of Gastroenterology, 50% aku America adzakhala atakwanitsa zaka 50.

Ma hemorrhoids amayamba chifukwa cha kuthamanga kwambiri pakhoma la chotengera, chomwe chimatha kuchitika ndi pakati, kupsinjika poyenda, kapena kukweza kwambiri. Zizindikiro zake ndi izi:

• kutupa, chotupa chotupa
• ululu
• kuyabwa
• magazi

Perianal hidradenitis suppurativa (HS)

Perianal HS ndimatenda akhungu otupa omwe amakhudza tsitsi ndi thukuta thukuta mu anus.

Mu kafukufuku wina wofalitsidwa munyuzipepala ya Clinics in Colon and Rectal Surgery, ya anthu omwe anali nayo anali amuna, ndipo amuna aku Africa-America anali pachiwopsezo chachikulu.

Perianal HS imawoneka ngati mitsempha yopweteka pansi pa khungu. Iwo:

• kupanga mafinya ndi kununkhiza mukakhetsa
• kutulutsa zipsera
• zimagwirizanitsidwa ndi matenda otupa, monga matenda a Crohn, omwe amachititsa kutupa kwam'mimba

Perianal hematoma

Perianal hematoma ndi chotengera chamagazi m'dera lamankhwala chomwe chaphulika, nthawi zambiri chifukwa chovutikira kuyenda, kutsokomola mwamphamvu, kapena kukweza kwambiri. Zizindikiro zake ndi izi:

• ululu
• kutupa, kutulutsa kotsekemera kuzungulira anus, komwe kumatha kukhala kwakukulu ngati baseball

Zilonda zamkati

Amatchedwanso condyloma acuminata, ma war war, omwe amapezeka mkati ndi mozungulira anus, amayambitsidwa ndi kachilombo ka papilloma ka anthu (HPV). HPV nthawi zambiri imafalikira kudzera mukugonana, ngakhale itha kutenga kachilombo kuchokera kumadzi amthupi a munthu yemwe ali ndi kachilomboka.

Ziphuphu zofewa, zofewa, zofiira khungu zimatha:

• kuyabwa
• kutulutsa ntchofu
• kutuluka magazi
• kukula kwake (amatha kuyamba kukula kwa mutu wa pinini ndikukula mpaka kuphimba nyerere yonse)

Molluscum contagiosum

Ichi ndi matenda akhungu omwe amachokera ku kachilombo ka molluscum contagiosum. Zilondazo zimatha kupezeka paliponse pathupi pomwe khungu lakumana ndi kachilomboka.

Tizilomboti titha kufalikira mpaka kumtunda kudzera kukhudzana ndi kugonana, pogwira anus yanu mutakhudza chotupa kwinakwake pathupi panu, kapena pogawana mapepala kapena matawulo omwe wina watenga.

Zilondazo ndi:

• zambiri zazing'ono, kuyambira kukula kwa mutu wa pini mpaka chofufutira pensulo
• pinki, wofiira mnofu, kapena woyera, ndipo anakulira ndi dzenje pakati
• nthawi zina kuyabwa ndi kutupa
• kawirikawiri yopanda vuto

Zilondazo zimatha kutenga miyezi isanu ndi umodzi mpaka zaka zisanu kuti zithe.

Kudzimbidwa

Kukhala ndi matumbo osayenda pafupipafupi kapena kudutsa mwamphamvu, ndowe zowuma kumatha kudzaza malo anu achimbudzi zomwe zingakupatseni lingaliro lokhala ndi chotupa cholimba. Kudzimbidwa nthawi zambiri kumachitika chifukwa chodya zakudya zochepa komanso kusamwa madzi okwanira. Amadziwika kuti:

• kudutsa masitepe ochepera atatu pa sabata
• kuyesetsa kudutsa chimbudzi
• okhala ndi mipando yolimba komanso yolimba

Khansa ya kumatako

Khansara ya kumatako ndiyosowa, imangokhudza 1 m'modzi mwa anthu 500, malinga ndi American Society of Colon and Rectal Surgeons. Poyerekeza, m'modzi mwa 22 adzakhala ndi khansa yam'matumbo. Komabe, kuchuluka kwa khansa ya kumatako kukukulirakulira.

Choopsa chachikulu ndi kukhala ndi HPV, koma zinthu zina zomwe zimawonjezera mwayi wanu wodwala khansa ya kumatako ndikusuta, kukhala ndi zibwenzi zingapo, komanso kukhala ndi khungu lokhalitsa, lotupa mozungulira anus. Zizindikiro za khansa ya kumatako ndi monga:

• misa pafupi kapena mu anus
• ululu
• kutuluka magazi kumatako
• kuyabwa kumatako
• Kusuntha kwa matumbo kumasintha

Chinthu chachilendo

Zinthu monga mafupa omwe amezedwa, maupangiri a enema, ma thermometer, ndi zoseweretsa zakugonana mosazindikira zimakakamira kumtunda, ndikupangitsa kukakamizidwa komanso kumverera kovuta.

Chotupa cholimba pamphako ndipo sichimva kuwawa

Sikuti bampu iliyonse ndi chotupa chimabweretsa ululu. Zina zomwe sizili motere:

• kumatako
• molluscum contagiosum
• zotupa zina

Matenda ovuta anus

Madokotala ali ndi zida zosiyanasiyana zomwe zingathandize kuzindikira zovuta zamatenda, kuphatikiza zotupa za kumatako.

Ma hemorrhoids, war war, ndi molluscum contagiosum amatha kuwonekera kapena kuwamva poyesa thupi. Dokotala akhoza kuyika chala chovekedwa mu anus yanu, yotchedwa kuyesa kwa digito, kuti mumve kukula.

Mu anoscopy, chida cholimba, chowala chimalola madotolo kuwona anus ndi rectum yanu.

Ngati dokotala akufuna kuyang'anitsitsa m'mimba mwanu ndikuwonetsa zinthu monga khansa ya m'matumbo, atha kulangiza imodzi mwanjira izi:

• barium enema, yomwe kwenikweni ndi X-ray ya colon
• sigmoidoscopy, njira yomwe imagwiritsa ntchito chubu lalitali, losasunthika lokhala ndi kuwala ndi kamera kuti muwone m'mimba mwanu m'munsi
• colonoscopy, momwe dokotala wanu amagwiritsa ntchito chida chowala chotchedwa colonoscope kuti muwone koloni yanu ndikuyang'ana zinthu monga zilonda ndi zophuka

Chithandizo cholimba cha anus

Chithandizo chimasiyanasiyana kutengera momwe zimakhudzira anus yanu.

Zotupa zakunja

• Othandiza ochepetsa ululu (OTC)
• kuzizira kozizira
• malo osambira
• ma hemorrhoid creams, omwe amakhala ndi dzanzi kuti athetse ululu
• opaleshoni kudula hemorrhoid, makamaka ngati ili ndi magazi
• kumangiriza banding, momwe dokotala amamangirira kachingwe kakang'ono ka mphira m'munsi mwa minyewa kuti achepetse magazi ake ndikulola kuti ichepetse
• sclerotherapy, yomwe imakhudza kupaka mankhwala am'mimba ndi mankhwala omwe amawotcha (ndikuwachepetsa)

Malinga ndi kafukufuku wofalitsidwa munyuzipepalayi, nthenda yotupa ndi sclerotherapy imakhala ndi mwayi woti ibwererenso patatha zaka zinayi.

Perianal hidradenitis suppurativa (HS)

• maantibayotiki olimbana ndi kutupa ndi matenda aliwonse
• cortisone kuchepetsa kutupa ndi kukwiya
• adalimumab (Humira) kuti athetse kuyankha kwamthupi kotupa

Perianal hematoma

• Kupweteka kwa OTC kumachepetsa
• kuzizira kozizira
• kukhetsa opaleshoni ngati kupweteka kuli kovuta kapena kosalekeza

Zilonda zamkati

Popeza kachilombo kamene kamayambitsa ziphuphu kumatuluka nthawi yayitali mthupi, kubwereza sizachilendo. Mungafunike kubwereza njira mukamayamba ziphuphu.

• cryosurgery, yomwe imaphatikizapo kupiritsa njerewere ndi nayitrogeni wamadzi kuti azizizira ndi kuzizira
• Kuchotsa opaleshoni (nthawi zambiri kumachitidwa pansi pamankhwala osokoneza bongo kwakanthawi)
• Kukwaniritsa (kugwiritsa ntchito mphamvu yamagetsi yamagetsi yanthawi yayitali kuti muwotche)
• podophyllin, trichloroacetic acid, ndi bichloroacetic acid (ngati ma warts ndi ochepa komanso akunja)

Molluscum contagiosum

• mankhwala okhala ndi imiquimod, mankhwala omwe amathandiza chitetezo cha mthupi kumenyana ndi kachilombo kamene kamayambitsa zilondazi

Kudzimbidwa

• OTC mankhwala otsekemera ndi zofukizira zofewa
• lubiprostone (Amitiza), yomwe imawonjezera madzi kuzimbudzi zanu, kuwapangitsa kuti azidutsa mosavuta
• kudya michere yambiri (cholinga cha magalamu 25 mpaka 35) powonjezera zakudya monga zipatso, ndiwo zamasamba, ndi mbewu zonse pa chakudya chanu
• kumwa madzi ambiri

Khansa ya kumatako

• Kuchotsa opaleshoni chotupacho
• cheza
• chemotherapy

Chinthu chachilendo

Zinthu zotsika zimatha kuchotsedwa ndi chida ngati forceps. Zinthu zomwe sizimachotsedwa mosavuta pamanja zimafunika opaleshoni. Kutsekemera kwa kumatako pansi pa anesthesia nthawi zambiri kumachitika.

Nthawi yoti muwonane ndi dokotala

Kulimba mozungulira chotulukira nthawi zambiri kumayambitsidwa ndi ziphuphu zosakula ndi zotuluka. Koma chifukwa ziphuphu zimatha kukhala zopweteka komanso zodetsa nkhawa, ndibwino kuti ziziyendera. Musachedwe kulandira chithandizo chamankhwala ngati muli:

• magazi omwe sasiya
• ululu womwe ukuwoneka ukukula kapena ukufalikira mbali zina za thupi lanu
• kusintha kwa matumbo anu
• kupweteka kumatako kapena kutuluka magazi komwe kumatsagana ndi malungo

Tengera kwina

Kuuma kumatako kumatha kutsagana ndi zowawa, zotupa, ndi kutuluka kwamwazi - zodetsa nkhawa za aliyense. Koma zifukwa zambiri zomwe zimayambitsa kuuma kumatako sizomwe zimayambitsa khansa komanso zimachiritsidwa ndi mankhwala, opaleshoni, komanso zithandizo zapakhomo.