Isibhedlela Esihamba Phambili Sokuhlinza Ukwelashwa Kwe-Fissure e-Hyderabad

Ukuhlinzwa Okuthuthukisiwe Kokwelashwa Kwe-Fissure

Ukuhlinzwa kwe-Fissurectomy kuyindlela yokwelapha engapheli imifantu. I-fissure iba yinto engapheli ngesikhathi ithatha isikhathi esingaphezu kwamasonto ayisishiyagalombili. Iziguli zithola ukungakhululeki okukhulu okuthinta imisebenzi yazo yansuku zonke. Ukungenelela ngokuhlinzwa kuba yisixazululo esithembekile ngemva kokwehluleka kwezinye izindlela zokwelapha.

Ucwaningo lubonisa ukuthi ukuhlinzwa kusebenza kangcono kunanoma yikuphi ukwelashwa ukuphulukisa imifantu engapheli. Inqubo ye-fissurectomy ibonisa amazinga empumelelo amangalisayo. Isikhathi sokubuyisela ngokuvamile sithatha amaviki angu-4 kuya kwangu-8. Izinzuzo zenza ukungakhululeki kwesikhashana kube nenzuzo. Lesi sihloko sinikeza ulwazi olubanzi mayelana nokuhlinzwa kokwelashwa kwe-fissure. Uzofunda konke kusukela ekulungiseleleni kuya ekubuyiseleni okukusiza ukuthi wenze ukukhetha okunolwazi mayelana nale nqubo efakazelwe.

Kungani Khetha CARE?

Iziguli ezicabangela ukuhlinzwa kwe-fissurectomy ezibhedlela ze-CARE zinokufinyelela koku:

• Odokotela abahlinzayo be-colorectal onolwazi ekwelapheni izimo eziyinkimbinkimbi zokuqhekeka kwendunu
• Izinketho zokwelapha kusukela ekulawuleni okuvamile kuya kumasu okuhlinzwa
• Ubuchwepheshe besimanje bokuxilonga nokwelapha
• Izinhlelo zokunakekelwa komuntu ngamunye ezisekelwe ezidingweni ezithile zezokwelapha nezimo

Odokotela Abahlinzayo Abangcono Kakhulu e-India

Khetha indawo Hyderabad Visakhapatnam Bhubaneshwar Nagpur Raipur esilengayo I-Aurangabad Imitholampilo Nezikhungo Zezokwelapha

Khetha Isibhedlela CARE Hospitals, Banjara Hills, Hyderabad CARE Hospitals Outpatient Centre, Banjara Hills, Hyderabad CARE Hospitals, HITEC City, Hyderabad CARE Hospitals, Nampally, Hyderabad I-Gurunanak CARE Hospitals, Musheerabad, Hyderabad CARE Hospitals, Bhubaneswar I-Ganga CARE Hospital Limited, eNagpur I-Ramkrishna CARE Hospitals, eRaipur CARE Izibhedlela, Ramnagar, Visakhapatnam CARE Hospitals Outpatient Centre, HITEC City, Hyderabad CARE Hospitals, Malakpet, Hyderabad Izibhedlela ze-CARE CHL, e-Indore Izibhedlela Ezihlangene ze-CIIGMA (Iyunithi Yezibhedlela ze-CARE), Chh. Sambhajinagar CARE Izibhedlela, Health City, Arilova CARE Medical Center, Tolichowki, Hyderabad

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  UDkt. CP Kothari

  Umqondisi Womtholampilo - Jikelele, GI, Colorectal, Laparoscopic & Robotic Surgeon

  I-Laparoscopic & General Surgery

  Bhala iNqunto
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  UDkt. Karunakar Reddy

  Sr. Consultant

  Bhala iNqunto
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  UDkt Amit Ganguly

  Sr. Consultant

  Ukuhlinzwa kwe-Gastroenterology, i-Laparoscopic kanye ne-GI yokuhlinzwa

  Bhala iNqunto
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  UDkt. Biswabasu Das

  Umqondisi Womtholampilo - Umnyango Wokuhlinza I-Gastroenterology & Robotic Surgery

  I-Gastroenterology Yokuhlinza, I-Robotic Surgery

  Bhala iNqunto
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  UDkt. Hitesh Kumar Dubey

  Umxhumanisi - I-Hepatobiliary, Ukuhlinzwa Kwe-Pancreatic kanye Nodokotela Ohlinzayo Wokufakelwa Kwesibindi

  I-Gastroenterology - Ukuhlinzwa

  Bhala iNqunto
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  UDkt. Biswabasu Das

  Umqondisi Womtholampilo - Umnyango Wokuhlinza I-Gastroenterology & Robotic Surgery

  I-Gastroenterology Yokuhlinza, I-Robotic Surgery

  Bhala iNqunto
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  UDkt. Bhupathi Rajendra Prasad

  Sr. Consultant & Head Department of Surgical Gastroenterology & Robotic Surgery

  I-Surgery Gastroenterology & Robotic Surgery

  Bhala iNqunto
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  UDkt. Sandeep Kumar Sahu

  Udokotela Wokuhlinza I-Gastroenterologist

  I-Gastroenterology Yokuhlinza

  Bhala iNqunto

Izinhlobo Zezinqubo Zokwelashwa Kwe-Fissure

Lezi yizinqubo ezivame kakhulu zokwelashwa kwe-fissure:

• I-Lateral Internal Sphincterotomy (LIS): Le nqubo ime njengendlela evamile yokwelashwa kwemifantu. Udokotela ohlinzayo wenza ukusikeka okuncane emsipha wangaphakathi we-anal sphincter okunciphisa ukungezwani futhi uvumele ukuqhekeka kuphole. Inqubo yokuphulukisa ithatha amasonto angu-2-4 ezigulini eziningi.
• I-Fissurectomy: Udokotela ohlinzayo ususa umfantu kanye nezibazi ezizungezile. Le ndlela ehlukile yesimanje isebenza kahle nayo Botox umjovo ophumuza umsipha we-sphincter isikhathi esifushane.
• I-Anal Advancement Flap: Udokotela ohlinzayo usebenzisa izicubu ezinempilo ezivela ku-rectum njengesembozo se-fissure. Le nqubo isebenza kahle kakhulu emifantwini engapheli ebangelwa ukukhulelwa noma ukulimala kwendunu.
• I-Botulinum Toxin (Botox) Umjovo: Nakuba kungehli kahle impela, le ndlela isebenzisa imijovo ye-Botox emsipheni we-sphincter. Ukukhubazeka kwesikhashana kusiza ukuphulukiswa ezimweni eziningi.

Izimo Zokuhlinza Ukwelashwa Kwe-Fissure

Odokotela batusa ukuhlinzwa kulezi zimo:

• Imifantu ehlala isikhathi eside kunamaviki angu-8-12 naphezu kokwelashwa okuvamile
• Ubuhlungu buhlala bushubile futhi imithi ayisizi
• Imifantu ilokhu ibuya ngemva kokwelashwa okungahlinzeki
• Izinkinga zivela njengokutheleleka, ukwakheka kwethumba, noma i-fistula
• Indunu ikhombisa ukopha okuqhubekayo
• Izinga lempilo yesiguli kanye nemisebenzi yansuku zonke iyalimala kakhulu
• Imifantu engapheli ivela ngethoni ekhuphukile ye-sphincter

Odokotela bavame ukusikisela ukuhlinzwa njengendlela yokugcina ngemva kokuba ezinye izindlela zokwelapha zingaphumeleli. Lokhu kufaka phakathi ukudla okune-fiber ephezulu, izinto ezithambisa izihlalo, amabhavu e-sitz afudumele, nemithi yokwelapha. 

Mayelana Nenqubo

Ukulungiswa okufanele kokuhlinzwa kwe-fissure kuqinisekisa inqubo ebushelelezi kanye nokuphulukiswa okusheshayo. Iziguli kufanele zilandele iziqondiso ezithile ngaphambi kokuba zingene egunjini lokuhlinzela.

Ukulungiselela Ukuhlinzwa Kwangaphambi Kokuhlinzwa

• Iziguli kufanele ziyeke ukuphuza imithi yokunciphisa igazi ezinsukwini ezimbalwa ngaphambi kokuhlinzwa. 
• Udokotela wakho ohlinzayo uzocela ukuzila ukudla kwamahora angu-8 ngaphambi kwenqubo. 
• Ukusa kokuhlinzwa kungase kudinge ukulungiswa kwamathumbu okulula nge-enema, ngaphandle uma ukuqhekeka kubangela ubuhlungu obukhulu kakhulu. 
• Udokotela wakho udinga ukwazi nganoma yikuphi ukungezwani komzimba nezinto ezithile, imithi, noma izimo zempilo ezikhona. 

Inqubo Yokuhlinza I-Fissure

I-Lateral internal sphincterotomy (LIS) isalokhu iyinqubo evamile ephatha imifantu engapheli endunu. Lokhu kuhlinzwa kwemizuzu engama-30 kwesiguli esingaphandle kuhilela ukusikeka okuncane komsipha wangaphakathi we-anal sphincter ukunciphisa ukungezwani. Odokotela abahlinzayo bangakwenza lokhu ngokusebenzisa indlela evulekile noma evaliwe. 

Odokotela abahlinzayo bathola i-fissure besebenzisa i-anoscope futhi banqume ingxenye ye-sphincter muscle. Abanye odokotela bangase bahlanganise lokhu ne-fissurectomy ukuze basuse izicubu ezilimele.

Ukubuyisela ngemva kokuhlinzwa

Iziguli zivame ukugoduka ngalo lolo suku. Ukubuyisela kuthatha amaviki angu-3-6. Ubuhlungu nokopha okuncane kwenzeka ekuqaleni, ikakhulukazi ngesikhathi ukunyakaza kwamathumbu. Imithi yezinhlungu enqunyiwe, okugeza kwe-sitz, nezithambisa indle kusiza ukulawula ukungaphatheki kahle kwakho. 

Indawo idinga ukuhlala ihlanzekile, futhi iziguli kufanele zigweme ukuhlala isikhathi eside futhi zidle i-fiber eyengeziwe ukuze indle ihlale ithambile. Imisebenzi evamile iqala kabusha phakathi kwamaviki angu-1-2 kubantu abaningi.

Izingozi Nezinkinga

Izinkinga ezingaba khona zihlanganisa:

• Ukopha (ngokuvamile kuncane)
• Ukutheleleka 
• I-incontinence ye-Faecal 
• Ukugcinwa kwe-Urinary (isikhashana ukuchama)
• Ukuphinda (okungavamile ngokuhlinzwa okufanele)
• Ukuthuthukiswa kwe-anal fistula (akuvamile)

Izinzuzo

Izinzuzo zokuhlinzwa kwe-fissure zifanelekile izingozi zeziguli eziningi:

• Ukukhululeka kobuhlungu kuqala cishe ngokushesha
• Amazinga empumelelo aphezulu
• Ukwelapha imbangela eyinhloko, hhayi nje izimpawu
• Inikeza ukukhululeka okuhlala njalo esikhundleni sokulungiswa kwesikhashana

Usizo Lomshwalense Wokwelashwa Kwe-Fissure

Iningi lezinhlelo zomshuwalense wezempilo zihlanganisa ukuhlinzwa kwe-fissure. Ukuhlinzekwa kudlulela ezindlekweni zesibhedlela, emithini, ukubonisana nodokotela, nophenyo lwaselebhu. Umshwalense wakho uhlanganisa nezindleko zokulaliswa ngaphambi kokuya esibhedlela kanye nokunakekelwa kwangemva kokulaliswa esibhedlela. Khuluma nomhlinzeki wakho womshwalense ukuze uthole ukuqonda okuphelele.

Umbono Wesibili Wokwelashwa Kwe-Fissure

Umbono wesibili uqinisekisa ukunemba kokuxilongwa kwakho futhi uhlola zonke izinketho zokwelapha. Lokhu kubaluleka ikakhulukazi uma unezincomo zokuhlinzwa kodwa ezinye izindlela ezingavamisile zingasebenza. Izibhedlela ze-CARE zihlinzeka ngemibono yesibili ekhethekile yokwelashwa komfantu wendunu ukuze ikusize wenze izinqumo ezinolwazi.

Isiphetho

Ukuhlinzwa kokwelashwa kwe-Fissure kunikeza isisombululo esithembekile semifantu engapheli ye-anal engaphenduli kwezinye izindlela zokwelapha. Izinqubo zokuhlinza ezifana ne-Lateral Internal Sphincterotomy (LIS) zinamazinga aphezulu okuphulukisa. Odokotela batusa ukuhlinzwa ngemva kokuba ezinye izindlela zokwelapha zingasasebenzi. Lokhu kufaka phakathi ukudla okunothe i-fiber, izinto ezithambisa indle, nemithi yokwelapha. Ukubuyisela kuthatha amaviki angu-3-6 ngokwesilinganiso. Iziguli eziningi zingaphinde ziqale imisebenzi yazo evamile phakathi kwamaviki angu-1-2.

Ukuhlinzwa kokwelashwa kwe-Fissure kuhlala kuyindlela engcono kakhulu yokukhululeka okuhlala njalo kwabagulayo. Amazinga empumelelo aphezulu ahlanganiswe nokululama ngokushesha enza le nketho ibe yigugu kubantu abanemifantu eqhubekayo endunu ethinta ukuphila kwansuku zonke. Udokotela angasiza ekunqumeni ukuthi ukuhlinzwa kusifanela yini isimo sakho.