Zomwe Zimayambitsa Kutupa Kwamasamba Ndipo Ndingazichite Motani?

Zamkati

• Kutupa kumatupa kumayambitsa
• Anusitis
• Zotupa zakunja
• Kuphulika kumatako
• Kutupa kumatako
• Matenda a fistula
• Matenda a Perianal Crohn
• Anal kugonana ndi kusewera
• Chotupa chotupa ndi zotupa zotupa
• Matendawa
• Chithandizo
• Anusitis
• Zotupa zakunja
• Kuphulika kumatako
• Kutupa kumatako
• Matenda a fistula
• Matenda a Perianal Crohn
• Anal kugonana
• Nthawi yoti muwonane ndi dokotala
• Tengera kwina

Chidule

Anus ndi kutsegula kumapeto kwa ngalande yanu ya kumatako. Thumbo limakhala pakati pa khola lanu ndi anus ndipo limakhala ngati chipinda chosungira. Mukapanikizika mu rectum yanu ikakhala yayikulu kwambiri, mphete yamkati yamkati yotchedwa anal sphincter imatsitsimuka kuti ilole chopondera kudutsa ngalande yanu, anus, ndikutuluka mthupi lanu.

Anus imakhala ndimatope, timadontho, mitsempha ya magazi, ntchofu, mafinya, ndi mathero omwe amatha kutengeka kwambiri ndi zowawa, mkwiyo, ndi zotengeka zina. Kutengera ndi zomwe zimayambitsa, anus yotupa imatha kumva kutentha, imayambitsa kupweteka kwakuthwa kapena kutentha (makamaka kutuluka kwa matumbo), ndipo ngakhale kutulutsa magazi ndi mafinya.

Kutupa kumatupa kumayambitsa

Kutupa kumatako kumatha kukhala ndi zifukwa zingapo. Zambiri mwazinthu sizikukhudzana koma zina zitha kukhala zowopsa. Onani dokotala nthawi yomweyo ngati muli:

• kutuluka kwamimba komwe sikungayime
• kupweteka kwambiri
• malungo
• kumaliseche kumatako

Choyambitsa sichingakhale chopweteketsa kapena chitha kuwonetsa china chowopseza moyo, monga khansa. Zomwe zimayambitsa kutupa kumatako ndi:

Anusitis

Ichi ndi vuto lofala. Nthawi zambiri zimakhudzana ndikutupa kwa akalowa ndipo nthawi zambiri amawazindikira ngati ma hemorrhoids. Zizindikiro zake zimaphatikizapo kupweteka komanso kunyowa, nthawi zina kumatulutsa magazi. Anusitis imayamba chifukwa cha:

• zakudya zopatsa acid kuphatikiza khofi ndi zipatso
• nkhawa
• kutsegula m'mimba kwambiri

Zotupa zakunja

Zotupa zakunja ndizotupa mitsempha yamagazi mu zotchinga za anus. Ndizofala, zimakhudza akulu atatu mwa anayi. Zitha kubwera kuchokera ku:

• kuvutika panthawi yamatumbo
• zakudya zochepa
• kutsekula m'mimba kosatha kapena kudzimbidwa

Zotupa zakunja zitha kuwoneka ngati chotupa ndipo zitha kukhala zopweteka komanso kutuluka magazi, ngakhale zotupa zina sizimabweretsa mavuto.

Kuphulika kumatako

Kuthyoka kumatako ndikung'ambika m'mbali mwa ngalande ya kumatako. Zimayambitsidwa ndi:

• kusuntha kolimba kwamatumbo
• kutsekula m'mimba
• Matenda opweteka
• minofu yolimba ya sphincter
• zotupa kapena matenda kumatako, kawirikawiri

Ziphuphu zamatenda ndizofala ndipo nthawi zambiri zimakhala zolakwika chifukwa cha zotupa. Zitha kuyambitsa:

• kupweteka pamatumbo omwe amatha mpaka maola ochepa
• magazi
• chotupa pafupi ndi chimangacho

Kutupa kumatako

Gland mu anus itatsekedwa kenako ndikutenga kachilombo, imatha kupanga chithupsa cha kumatako. Izi zimatanthauzidwa kuti ndi mafinya ozungulira minofu yotupa. Zitha kutulutsa:

• ululu
• kutupa
• bondo lozungulira anus
• malungo

Malinga ndi Harvard Health, zopitilira theka zophulika kumatako zimapezeka mwa anthu azaka zapakati pa 20 mpaka 40. Amuna amakhudzidwanso kwambiri kuposa akazi.

Matendawa amatenga kachilomboka pamene mabakiteriya, chimbudzi, kapena zinthu zakunja zimalowa ming'alu ing'onoing'ono. Zinthu zina, monga colitis, zitha kuwonjezera ngozi.

Matenda a fistula

Iyi ndi ngalande yomwe imapanga mkati mwa anus ndipo imatuluka kudzera pakhungu pamatako. Malinga ndi Swedish Medical Center ku Seattle, theka la iwo omwe adachita chotupa kumatako amayamba ndi fistula. Zizindikiro zake ndi izi:

• kutupa kumatako
• kuyabwa
• ululu
• kuyabwa
• chopondapo kutayikira

Matenda a Perianal Crohn

Matenda a Crohn ndimtundu wobadwa nawo womwe umayambitsa kutupa kosalekeza kwam'mimba. Nthawi zambiri zimakhudza matumbo ang'onoang'ono, koma zimakhudzanso gawo lonse lakugaya, kuphatikiza anus.

Malinga ndi nkhani ya 2017, mpaka anthu omwe ali ndi Crohn ali ndi perianal Crohn's. Zizindikiro zake ndizophulika kumatako ndi fistula.

Anal kugonana ndi kusewera

Kutupa kumatako kumatha kuchitika pambuyo pogonana kumatako kapena kuyika chidole chogonana mu anus.

Chotupa chotupa ndi zotupa zotupa

Thumbo limalumikizidwa ndi anus kudzera pa ngalande yopapatiza ya anal. Popeza kuyandikira kwawo, ndizomveka kuti zomwe zimayambitsa kutupa mu anus zingayambitsenso kutupa mu rectum. Zomwe zingayambitse kutupa kwamphongo ndi kumatako ndi monga:

• zotupa zamkati
• Matenda a Crohn
• matenda opatsirana pogonana, monga gonorrhea, herpes, ndi papillomavirus ya anthu

Matendawa

Zinthu monga zotupa zimatha kuwoneka zowoneka bwino kapena kumva ngati dokotala atakulowetsani chala chanu mu ngalande yanu kudzera pakuwunika kwa digito. Ziphuphu kapena fistula zomwe sizikuwoneka pakuwunika zowonekera zitha kudziwika kudzera:

• Chidziwitso. Ichi ndi chubu chokhala ndi kuwala kumapeto komwe kumalola dokotala wanu kuwona mkati mwa anus ndi rectum.
• Kusintha sigmoidoscopy. Njirayi, pogwiritsa ntchito chubu chosinthasintha chokhala ndi kuwala ndi kamera, imalola dokotala wanu kuti ayang'ane kwambiri m'matumbo ndi m'munsi mwa m'matumbo kuti muwone ngati china chake ngati matenda a Crohn chikuthandizira kuzizindikiro.
• Zojambulajambula. Imeneyi ndi njira yomwe imagwiritsira ntchito chubu lalitali, losasunthika lokhala ndi kamera yolowetsedwa mu anus kuloleza kuwona kwa rectum ndi colon. Izi zimagwiritsidwa ntchito pochotsa khansa.

Chithandizo

Chithandizo chimasiyanasiyana ndikazindikira.

Anusitis

• kusintha kwa zakudya, kuphatikizapo kuchotsa zakudya zomwe zimakhumudwitsa m'mimba
• kuchepetsa nkhawa
• icing malowa ndikukulunga ayezi thaulo
• mafuta odzola
• kirimu cha hydrocortisone chothana ndi kutupa
• malo osambira ofunda polowerera kwa mphindi 20 kawiri kapena katatu patsiku
• ayezi
• kuwonjezera magalamu 25 mpaka 35 a fiber pazakudya zanu patsiku, kuphatikiza zipatso ndi ndiwo zamasamba, mbewu zonse, ndi nyemba
• zakudya zamtundu wapamwamba
• OTC oyendetsa chimbudzi
• malo osambira ofunda
• kirimu lidocaine

Zotupa zakunja

Kuphulika kumatako

Pakafukufuku wakale, wa anthu omwe ali ndi ziboliboli zopepuka zovuta anachiritsidwa bwino ndi jakisoni wa Botox, womwe umathandiza kutulutsa anal sphincter.

Kutupa kumatako

Ngalande za opaleshoni zimawerengedwa ngati chithandizo. Maantibayotiki angalimbikitsidwe kwa iwo omwe ali ndi matenda oyambitsa, monga matenda ashuga, ndi iwo omwe ali ndi chitetezo chamthupi choponderezedwa.

Matenda a fistula

Msewu wa fistula ukhoza kutsegulidwa, kutsekedwa, kapena kumangidwa ndi opaleshoni.

Matenda a Perianal Crohn

• maantibayotiki
• opaleshoni
• icing nthawi ndi nthawi
• malo osambira ofunda
• Kupweteka kwa OTC kumachepetsa ndi anti-inflammatories

Anal kugonana

Nthawi yoti muwonane ndi dokotala

Pitani kuchipatala mwachangu ngati muli ndi:

• kutuluka magazi kumatako komwe sikungayime, makamaka ngati mukumva chizungulire kapena mutu wopepuka
• kuwonjezeka ululu
• kupweteka kwamphongo ndi malungo kapena kuzizira

Onani dokotala ngati muli ndi ululu wamphongo ndipo:

• kusintha kwa matumbo anu
• magazi akutuluka
• simukupeza mpumulo ku njira zodziyang'anira

Tengera kwina

Nthawi zambiri, kutupa kumatako kumakhala kovuta kuposa kowopsa. Yesani njira zopita kunyumba monga mafuta owonjezera owerengera, zakudya zopatsa mphamvu, zopewetsa ululu, ndi malo osambira ofunda.

Ngati simukupeza mpumulo, lankhulani ndi dokotala zamankhwala omwe angakuthandizeni kuchepetsa kutupa kumatako ndikukuyendetsani panjira yochira.