Umehluko Phakathi Kwama-Piles, Fissures, kanye Ne-Fistula

Izinqwaba kanye nemifantu yizifo ezithinta indunu ezidala izimpawu ezithile ezivamile njengokudlula indle enegazi noma ukuba nenkinga yokuphuma indle, ukulunywa nokucasuka kwendunu, nokungakhululeki lapho uhlezi isikhathi eside, phakathi kwezinye izimpawu ezinjalo. 

Indunu iyindawo yokugcina yomgudu wokugaya ukudla lapho indle (indle) ikhishwa emzimbeni. Ama-piles nama-fissures yiziphazamiso ezimbili ezivamile mayelana nesifunda sendunu. Cishe u-20% wabantu baseNdiya uhlushwa yizinqwaba kanye nemifantu. Kodwa-ke, njengoba zombili lezi zinkinga zinezimpawu ezifanayo, kubalulekile ukuqonda umehluko wenqwaba kanye nemifantu.

Siyini Isifo Senqwaba?

Ama-piles, abuye aziwe ngokuthi ama-hemorrhoids, yisimo se-anus lapho imithambo engxenyeni yokugcina ye-anus ivuvukala. Ama-piles athinta kakhulu abantu abangaphezu kweminyaka engama-50 kodwa ajwayelekile kwabesifazane abakhulelwe. Ezimweni eziningi, izinqwaba zingase ziqale ukuzipholela ngokwazo ngaphambi kokuba kuvele izimpawu.

Ama-piles angahlukaniswa kabanzi ngezigaba ezintathu:

• Izinqwaba zangaphakathi: Lolu hlobo lwe-hemorrhoid lwenzeka njengezigaxa eziqinile emgodini ongemuva we-anal passage. Kungaba khona ukopha kanye/noma ubuhlungu ngezikhathi ezithile.
• Izinqwaba zangaphandle: Lapho ama-haemorrhoids esenzeka ekugcineni kwangaphandle kwesifunda sendunu, kungase kube nobuhlungu kanye nezifo zesikhumba.
• I-Thrombosed Piles: Lapho ihlule legazi livimbela ukugeleza kwegazi, kungase kube nokuvuvukala nobuhlungu. Kwesinye isikhathi, lezi hemorrhoids zingaqhuma futhi ziqale ukopha. 

Izimpawu ze-piles zingabandakanya:

• Ukopha ngemva kokudlula indle
• Ukudlula indle enegazi
• Isigaxa noma ukuvuvukala ngaphakathi komgodi wendunu
• Ukucasuka, ukulunywa, kanye/noma ubuhlungu esifundeni sendunu
• Ukuvuza kwendle

Izimpawu zama-piles kanye nokwelashwa kuzoncika ohlotsheni lwenqwaba ekhona kumuntu othintekile kanye nobukhulu bazo. 

Ingabe Ama-Piles Ayingozi? 

Isikhathi esiningi, ama-piles angaba ngcono ngokwawo phakathi nezinsuku ezimbalwa. Kungase kube nokuluma ngezikhathi ezithile, ubuhlungu, nokuphuma kwegazi kanye nendle. Nokho, kungaba yinkinga enkulu uma kukhona:

• Ukopha endunu okuholela ku-anemia
• I-fistula ye-anal
• I-incontinence ye-Faecal
• Ihlule legazi kanye nokutheleleka 

Izinkinga zama-piles

Ukuqunjelwa okungapheli kanye nobunzima bokuhambisa amathumbu kubangela inqwaba. Kungaba nezinye izizathu ezingase ziholele ekutheni kube yinqwaba. Lokhu kubandakanya okulandelayo:

• Uhudo olungapheli
• ukukhulelwa
• Ukuzikhandla lapho udlula indle
• Ukuphakamisa izinsimbi ezinzima 

Ingabe Ama-piles Ayalapheka? 

Ama-piles avame ukuba ngcono ngokwawo uma esesigabeni sawo sokuqala. Kwesinye isikhathi, kungenzeka ukwelapha izinqwaba ngezinguquko ezilula zendlela yokuphila kanye nokwelashwa okufana nalokhu:

• Ukwenza izinguquko zokudla
• Ukunciphisa isisindo somzimba
• Ukusebenzisa imithi efana ne-corticosteroids nama-laxatives

Uma ukwelashwa okungahlanganyeli kwezinqwaba kungasebenzi, ukwelashwa okuhlinzayo okufana nokubopha, i-infrared coagulation, i-sclerotherapy, kanye ne-hemorrhoidectomy kungasiza ukulungisa le nkinga.

Yini ama-Fissures?

Imifantu yizinyembezi ezicutshini ezimanzi ze-anal region, okubangela imihuzuko ebuhlungu kanye nokuluma endaweni yendunu. Umehluko oyisisekelo phakathi kwe-anus fissure kanye nezinqwaba ukuthi, ngokungafani nezinqwaba, ubuhlungu esifundeni se-anal bungaba khona kusukela ekuqaleni kwenkinga. Imifantu ingahlukaniswa ngezinhlobo ezimbili kuye ngobunzima besimo:

• Imifantu ebukhali: Lena imifantu emisha engelapheka kalula ngemithi noma ekhaya noma engaziphilisa yona yodwa.
• Imifantu engapheli: Imifantu ehlala isikhathi esingaphezu kwamasonto ayi-8 kuya kwayi-12 idinga ukungenelela kwezokwelapha ukuze kutholakale ukwelashwa. Imifantu engapheli ibuye ibe nethegi yesikhumba kanye nokukhula okwengeziwe kwezicubu ezibizwa nge-hypertrophied papillae. 

Imifantu ingelashwa ngemithi noma ngokwenza izinguquko zokudla ngokufaka i-fiber eyengeziwe ekudleni nokuphuza amanzi amaningi, ikakhulukazi ekuseni esiswini esingenalutho, ukusiza ukuthulula amathumbu ngokushelela. Uma inkinga iqhubeka isikhathi esingaphezu kwesonto, kungcono ukubonana nodokotela.

Ungazi Kanjani Uma Unemifantu Ye-Anal?

Izimpawu zemifantu zivame ukuba khona kusukela ekuqaleni kwenkinga ngenxa yokuklebhuka kwendunu nobuhlungu obulandelayo. Kungase kube nezimpawu ezengeziwe zokuqhekeka, okungase kuhlanganise okulandelayo:

• Ukopha ngezikhathi ezithile, ikakhulukazi ngesikhathi sokudlula indle
• Ukukhipha okufana namafinyila
• Amathumba agcwele ubomvu, ngokuvamile abuhlungu
• Ukuthola imisipha ebuhlungu esifundeni sangemuva 
• Isigaxa noma umaka wesikhumba eduze komfantu wendunu

Yini Engabangela Imifantu Ye-Anal?

Izinyembezi ze-anal ezibangela imifantu ye-anal zingabangelwa izizathu ezihlukahlukene ezingase zihlanganisa okulandelayo:

• Uhudo olungapheli
• Ukuzikhandla kanzima ngesikhathi sokudlula indle
• Ukudlula indle enkulu kanye/noma eqinile
• Zokubeletha 
• Ucansi lwendunu

Ezinye zezimbangela ezingajwayelekile kakhulu kodwa ezingaba khona zokuqhekeka kwe-anal zingabandakanya okulandelayo:

• HIV
• Ugcunsula
• Isifo sikaCrohn
• Isifo sofuba
• Umdlavuza we-anal 

Yiziphi I-Fistulas? 

I-Fistulas ingesinye isimo esithinta isifunda sangemuva. Izindlala zendunu ezitholakala engxenyeni emaphakathi ye-anus zingase zitheleleke, okuholela ethumba. Lokhu kungabangela ukuthi ubomvu buqale ukuphuma futhi budale umhubhe, okuthiwa i-fistula, oya endlaleni ethelelekile; i-fistula ihlotshaniswa nokukhuluphala nokuhlala isikhathi eside. Kungase kube nobuhlungu, ukuvuvukala, ububomvu, nokuphuma kobomvu. 

Umehluko phakathi kwama-piles nama-fissures kanye ne-fistula usesifundeni esithintekile, okungukuthi ku-fistulas, izindlala ze-anal ziyathinteka, kodwa kuma-piles nama-fissures, noma iyiphi indawo esifundeni se-anal ingathinteka. I-fistula ye-anal ingelashwa ngama-antibiotics.

Ibangelwa yini i-Fistulas enal? 

I-anal fistula ibangelwa ukuvaleka kokudlula koketshezi ezindlala eziwuketshezi endunu okuholela ekwakhekeni kwamathumba agcwele ubomvu. Ukuvinjelwa okunjalo kuholela ekukhuleni kwamagciwane adala amaphakethe emathumba. Uma engelashwa, lawa mathumba angase akhule aphushele ngaphandle ukuze akhiphe ubomvu. Ezimweni eziningi, lawa mathumba aba yi-fistula. 

I-fistula yangemuva ingase ibangelwe ngenxa yezifo ezifana nesifo sofuba nangenxa yezifo ezithile ezithathelwana ngocansi. 

Indlela yokubona i-Fistulas ye-Anal? 

I-anal fistula ingase ibangele inombolo yezimpawu ezingase zihlanganise okulandelayo:

• Ubuhlungu ngezansi 
• Ububomvu nokuvuvukala endunu
• Ukopha ngezikhathi ezithile
• Ubuhlungu lapho udlula indle 
• Fever

Kunconywa ukuthi uvakashele udokotela uma izimpawu zemfiva zenzeka kanye nobuhlungu nokopha.

Umehluko Phakathi Kwama-Piles, Fissure, kanye Ne-Fistula

Kunomehluko omncane phakathi kwezinqwaba, imifantu, kanye ne-fistula endaweni okwenzeka kuyo, izimpawu, nezinye izici.

Zontathu lezi zimo zingathuthukiswa kakhulu noma zigwenywe ngokudla ukudla okunothe ngefayibha kanye nokudla okusamanzi okwengeziwe. Ukwengeza, i-fistula ingavinjelwa ngokunakekela inhlanzeko.

Isiphetho

Ukopha endunu nobuhlungu, ikakhulukazi lapho udlula indle, kuyinkomba eyinhloko yezinkinga ezinjalo, ikakhulukazi kubantu abakhuluphele kanye nalabo abaneminyaka engaphezu kwengama-50. Izinqwaba, imifantu, nama-fistula akufanele kushiywe kungelashwa, njengoba lokhu kungase kubangele izimo ezingapheli kanye nezinkinga ezingalindelekile. Nakuba lezi zinkinga zivamile, bambalwa kakhulu abantu abafuna usizo ngenxa yokuphoxeka. 

Kubalulekile ukukhumbula ukuthi lezi zingelashwa kalula ngokungenelela okuncane futhi ngaphandle kokuhlinzwa. Ngakho, ungabi namahloni okucela usizo. Odokotela be-gastroenterologist abaphezulu ezibhedlela ze-CARE baphatha izimo ezinjalo ngobuchule obukhulu kanye nemfihlo.