Fistila Anaali

Fistula ani — kan jedhamuunis fistula-in-ano — hoolii inni ulaaqaa irraa gara garaa balbala qarqara ulaaqichaa jidduutti uumamu dha. Ulaaqichi balbala namaa keessa jiru, qaama nyaata qaqqabeerraa qaqqabeen ba'uudha.

Fistula ani baay'een sababa dhibicha irraa kan ka'e dha, inni qarqara ulaaqichaa keessa jira. Dhibichi qarqara ulaaqichaa keessa jira. Dhibichi dhiibbaa uuma, inni ofii isaatiin ba'a, yookiin qarqara balbala ulaaqichaa biraa qal'ichaan ba'a. Hoollicha ba'ichaa banamee jira, inni qarqara ulaaqichaa yookiin ulaaqichaa wajjin walitti hidhadha, balbala garaa balbala ulaaqichaa alaa.

Yaalaa baay'inaan fistula ani fayyisuu barbaachisa. Yeroo tokko tokko yaalaa qal'ichaa hin barbaachifne filachuu danda'ama.

Mallattoowwan fistula'a anaalitti mul'atan armaan gadii dabalatu:

• Qarsaa balbala irraa naannoo anaalitti argamu
• Naannoo qullaa balbalaatti da'imaa, qal'inaa
• Dhiiga, qara, ykn gaaddisa balbala irraa ba'u
• Dhukkubbii reektaamiifi anaalitti, keessattuu yeroo taa'uu ykn gaaddisa baasuu
• Ho'i

Caalaa fiistulaalota anaalitti argaman kan uumaman akka mala anaalitti argamu qormaata irraa kan ka'e dha. Qormaatichi bubburee uuma, inni ofii isaaf ba'a, yookiin garagaraa gara biraatti qal'ichaan ba'a. Fiistulaan hoollii lafa jalaa gara biraatti uumamee dha. Hoollichi mala anaal yookiin anaal kanaalaa gara daakuuwwan alaa irraa gara biraatti walitti qabsiisa.

Daakuuwwan masqalaa sphincter kan anaala banamee irratti argaman, ba'uu bokkaa to'achuuf si gargaaru. Fiistulaan akka masqalaa sphincteritti hirmaachuu isaanii irratti hundaa'uun qooqqoodama. Qooqqoodichi doktora tarii itti fayyadamuuf gargaara.

Sababaan qarooma fiistulaa anaalitti fidu keessatti:

• Qaraanni anaal dura bahe
• Dhukkuba Kroon ykn dhukkuba gadamee qarqaraa biraa
• Miidhaa naannoo anaalitti
• Infeekshinii naannoo anaalitti
• Yaala ykn sharafa daaweeffama kaansarii anaalitti fayyadamuun

Fiistulaan anaalii umurii waggaa 40 ta'anitti baay'inaan namoota gurguddatti mul'ata, garuu dargaggoota keessattiis, keessattuu ykn seenaa dhukkuba Kroon yoo qabaatan mul'achuu danda'a. Fiistulaan anaalii dhiira irra dubartootaa caalaa hedduu mul'ata.

Ilmaan wal'aansa fiistulaa aniisaa sirriitti hojjetameyyuu illee, abseesii fi fiistulaa aniisaa deebi'uun ni danda'ama. Yaalaa qophii hojjetamaa kanatti, bokkaa qabachuu dadhabina (incontinence fecal) uumamuu danda'a.

To diagnose an anal fistula, your health care provider will discuss your symptoms and do a physical exam. The exam includes looking at the area around and inside your anus. The external opening of an anal fistula is usually easily seen on the skin around the anus. Finding the fistula's internal opening inside the anal canal is more complicated. Knowing the complete path of an anal fistula is important for effective treatment. One or more of the following imaging tests may be used to identify the fistula tunnel: MRI can map the fistula tunnel and provide detailed images of the sphincter muscle and other structures of the pelvic floor. Endoscopic ultrasound, which uses high-frequency sound waves, can identify the fistula, the sphincter muscles and surrounding tissues. Fistulography is an X-ray of the fistula that uses an injected contrast to identify the anal fistula tunnel. Examination under anesthesia. A colon and rectal surgeon may recommend anesthesia during an examination of the fistula. This allows for a thorough look at the fistula tunnel and can identify any possible complications. Other options to identify the fistula's internal opening include: Fistula probe. An instrument specially designed to be inserted through a fistula is used to identify the fistula tunnel. Anoscope. A small endoscope is used to view the anal canal. Flexible sigmoidoscopy or colonoscopy. These procedures use an endoscope to examine the large intestine (colon). Sigmoidoscopy can evaluate the lower part of the colon (sigmoid colon). Colonoscopy, which examines the full length of the colon, is important to look for other disorders, especially if ulcerative colitis or Crohn's disease is suspected. An injected dye solution. This may help locate the fistula opening. Care at Mayo Clinic Our caring team of Mayo Clinic experts can help you with your anal fistula-related health concerns Start Here

Anala fistulaa ilaalchisee wal'aansichaa, fistulaa sanaa bakka jiru fi wal'aansa isaa, akkasumas sababa isaa irratti hundaa'a. Kaayyooleen kunniin, anala fistulaa guutummaatti sirreessuun deebi'aa ittisuu fi misisoota sphincter eeguudha. Misisoota kana miidhamni irratti uumamuun, qarqaraa qurxummii (fecal incontinence) geessisa. Hojiiwwan yaalaa yeroo baay'ee barbaachisa ta'us, yeroo tokko tokko yaalaa hinta'in filatamuu danda'a.

Yaalaa hojiiwwan yaalaa keessatti:

• Fistulotomi. Yaalaan, banni fistulaa keessaa qarqaraa qoree, qaama qarqaraa qabamee fi dhiqamee, booda immoo tuullaa sana bal'inaan qabatee fi hidhamee jira. Fistulaa wal'aansa cimaa qabu ilaalchisee, yaalaan tuullaa sana keessaa tokkoof baasuun barbaachisa ta'a. Tuullaa hedduu misisoota sphincter qoree qabaachuu qabu ykn tuullaa guutummaa argachuu hin dandeenye ta'ee, fistulotomiin kutaa lamaan hojjetamuu danda'a.
• Endorectal advancement flap. Yaalaan, banni fistulaa keessaa qarqaraa baasuun dura, qarqaraa rectal irraa flap uuma. Booda immoo, walitti hidhamni sana uwwisuu irratti fayyadama. Hojii kun, misisoota sphincter qoree hedduu hir'isuun danda'a.
• Ligation of the intersphincteric fistula tract (LIFT). LIFT, wal'aansa kutaa lamaa fistulaa wal'aansa cimaa ykn gadi fagaataaf. LIFT, yaalaan misisoota sphincter gidduutti fistula sana galu fi isaan qoree ittisuu danda'a. Uf-qurxummii ykn latex (seton) jalqaba tuullaa fistula keessa kaa'ama, yeroo dheeraa itti bal'isuuf dirqisiisa. Torban hedduu booda, yaalaan qaama qarqaraa qabamee baasu fi banni fistulaa keessaa qarqaraa cufa.

Yaalaa hojiiwwan yaalaa hinta'in keessatti:

• Seton kaa'uu. Yaalaan, qarqaraa qabamee baasuuf seton fistula keessa kaa'a. Kun, tuullaa sana fayyisuuf hayyama. Hojii kun, yaalaa waliin walitti hidhamuu danda'a.
• Fibrin glue fi collagen plug. Yaalaan, tuullaa sana qulqulleessuun fi banni keessaa qarqaraa cufa. Booda immoo, protiin fibrous (fibrin) irraa uumame glue adda ta'e, banni fistulaa alaa irraa seenfama. Tuullaa anala fistulaa immoo, protiin collagen irraa uumame plug waliin cufamuu fi booda cufamuu danda'a.
• Qoricha. Crohn's disease sababa anala fistula ta'ee yoo ta'e, qoricha wal'aansa kutaa ta'uu danda'a.

Anal fistula wal'aansa cimaa qabu keessatti, hojiiwwan yaalaa cimaa barbaachisoo ta'an, keessatti:

• Ostomy fi stoma. Yaalaan, qaama qarqaraa qabamee baasuuf, qaama garaa keessatti banni yeroo muddaaf uuma. Qarqaraa garaa keessatti baagii keessa walitti qabama. Hojii kun, naannoo anala fayyisuuf yeroo kennisa.
• Muscle flap. Anal fistula wal'aansa cimaa keessatti, tuullaan, misisoota fayya qabu, ciraa, labia ykn buttoka irraa guutamuu danda'a.