Sphincterotomy

Zamkati
- Chidule
- Cholinga
- Ndondomeko
- Kuchira
- Zotsatira zoyipa ndi zoopsa zomwe zingachitike chifukwa cha sphincterotomy
- Chiwonetsero
Chidule
A lateral internal sphincterotomy ndi opaleshoni yosavuta pomwe sphincter imadulidwa kapena kutambasulidwa. The sphincter ndi gulu lozungulira la minofu lozungulira anus lomwe limayang'anira kuyendetsa matumbo.
Cholinga
Mtundu uwu wa sphincterotomy ndi chithandizo kwa anthu omwe ali ndi vuto laphokoso. Ziphuphu zakumaso zimathyoka kapena misozi pakhungu la ngalande. Sphincterotomy imagwiritsidwa ntchito ngati njira yomaliza pamtunduwu, ndipo anthu omwe amakumana ndi zotupa zamtunduwu amalimbikitsidwa kuti ayese kaye zakudya zopatsa mphamvu, zotsekemera, kapena Botox poyamba. Ngati zizindikiro ndizolimba kapena sizikuyankha mankhwalawa, sphincterotomy itha kuperekedwa.
Pali njira zingapo zomwe nthawi zambiri zimachitika limodzi ndi sphincterotomy. Izi zimaphatikizapo hemorrhoidectomy, fissurectomy, ndi fistulotomy. Muyenera kufunsa dokotala wanu kuti muwone bwinobwino njira zomwe zingachitike ndi chifukwa chake.
Ndondomeko
Pochita izi, dokotalayo amatumbula pang'ono mkati mwa anal sphincter. Cholinga cha izi ndikutulutsa zovuta za sphincter. Pakapanikizika kwambiri, ziboda zamatako sizimatha kuchira.
Sphincterotomy itha kuchitidwa pansi pa mankhwala oletsa ululu am'deralo kapena wamba, ndipo nthawi zambiri mumaloledwa kubwerera kwanu tsiku lomwelo opaleshoniyi ikuchitika.
Kuchira
Zimatenga pafupifupi milungu isanu ndi umodzi kuti anus yanu ichiritse bwino, koma anthu ambiri amatha kuyambiranso ntchito zawo kuphatikizapo kupita kukagwira ntchito mkati mwa sabata limodzi kapena awiri atachitidwa opaleshoni.
Anthu ambiri amapeza kuti ululu womwe anali nawo chifukwa cha kutuluka kwawo kumatako asanachitike opareshoni wasowa m'masiku ochepa atakhala ndi sphincterotomy. Anthu ambiri amakhala ndi nkhawa kuti matumbo awo amayenda pambuyo pa opaleshoniyi, ndipo ngakhale zili zachilendo kumva kuwawa poyambitsa matumbo poyamba, nthawi zambiri ululu umakhala wocheperako kuposa momwe udalili opaleshoniyo isanachitike. Zimakhalanso zachizoloŵezi kuzindikira magazi ena papepala la chimbudzi pambuyo pa kusuntha kwa milungu ingapo yoyambirira.
Pali zinthu zambiri zomwe mungachite kuti muthandizire kuchira:
- Muzipuma mokwanira.
- Yesetsani kuyenda pang'ono tsiku lililonse.
- Tsatirani malangizo a dokotala anu pa nthawi yomwe mungathe kuyendetsanso.
- Sambani kapena kusamba mwachizolowezi, koma pindani malo anu anyani pambuyo pake.
- Imwani madzi ambiri.
- Idyani zakudya zamtundu wapamwamba.
- Ngati mukulimbana ndi kudzimbidwa, funsani dokotala kuti akamwe zoziziritsa kukhosi kapena zotsekemera.
- Tengani mankhwala anu opweteka monga momwe tafotokozera.
- Khalani mozungulira masentimita 10 a madzi ofunda (sitz bath) katatu patsiku ndikutsatira matumbo mpaka kupweteka kwanuko kudutse.
- Mukamayesa kusuntha matumbo anu, gwiritsani ntchito gawo laling'ono lothandizira mapazi anu. Izi zidzasinthitsa m'chiuno mwanu ndikuyika m'chiuno mwanu mosasunthika, zomwe zingakuthandizeni kudutsa chopondapo mosavuta.
- Kugwiritsa ntchito zopukutira ana m'malo mwa mapepala achimbudzi nthawi zambiri kumakhala bwino ndipo sikukwiyitsa anus.
- Pewani kugwiritsa ntchito sopo wonunkhira.
Zotsatira zoyipa ndi zoopsa zomwe zingachitike chifukwa cha sphincterotomy
A lateral internal sphincterotomy ndi njira yosavuta komanso yochitidwa mochulukira ndipo imathandizanso kwambiri pochiza zibowo zamatako.Sizachilendo kuti pamakhala zovuta zina pambuyo poti opareshoniyo, koma zimachitika mwakamodzikamodzi.
Ndi zachilendo kwambiri kuti anthu azikhala ndi vuto lodana ndi zipsinjo zazing'ono komanso kuti azitha kuwongolera kuphulika m'masabata aposachedwa atachitidwa opaleshoni. Izi zimakonda kuthana ndi vuto lanu pomwe anus yanu imachira, koma pamakhala zochitika zina zomwe zimapitilira.
Ndikotheka kuti mutuluke magazi nthawi yochita opareshoni ndipo izi nthawi zambiri zimafunikira ulusi.
N'zotheka kuti mukhale ndi chotupa cha perianal, koma izi nthawi zambiri zimalumikizidwa ndi anal fistula.
Chiwonetsero
A lateral internal sphincterotomy ndi njira yosavuta yomwe yatsimikizira kuti ndiyabwino kwambiri pochiza ziphuphu zakumaso. Mudzalimbikitsidwa kuyesa njira zina zamankhwala musanachite opareshoni, koma ngati izi sizothandiza, mudzapatsidwa njirayi. Muyenera kuchira mwachangu kuchokera ku sphincterotomy ndipo pali zinthu zambiri zomwe mungagwiritse ntchito mukamachira. Zotsatira zoyipa ndizochepa kwambiri ndipo zimatha kuchiritsidwa ngati zingachitike.