Chii chinonzi Anal Fissure? Zviratidzo, Zvinokonzera, & Kurapa

Chii chinonzi anal fissure?

Anal fissure inyoro diki kana kupwanya munyama yakapfava, inonyorova inofukidza anus yako. Funga nezvazvo sekupwanya kwepepa, asi munzvimbo ine hanya kwazvo uko manyoka anopfuura.

Iyi mamiriro akajairika anokanganisa vanhu vezera rose uye anogona kuita kuti chimwe chinhu chakajairika sekuenda kuchimbuzi chive chisingafadzi. Mashoko akanaka ndeakuti mazhinji anal fissures anoporesa ega nekuchengetedza kwakakodzera, uye kune kurapa kwakakosha kunowanikwa kana asingaporesi.

Unganzwa wakavhunduka kutaura nezve mamiriro aya, asi chaizvoizvo akajairika kupfuura zvaungafunga. Vanachiremba vanoona uye vanorapira anal fissures nguva dzose, saka hapana chikonzero chekunzwa kusagadzikana pakutsvaka rubatsiro.

Ndeapi zviratidzo zve anal fissure?

Chiratidzo chinonyanya kuzivikanwa che anal fissure kurwadziwa kwakapinza, kunopwanya panguva yekubuda kwemanyoka. Iyi kurwadziwa kazhinji kunonzwa sekunge uri kupfuudza girazi kana mapanga, uye inogona kukutora mweya.

Heano zviratidzo zvaunogona kuona:

• Kurwadziwa kwakapinza, kunopfuta panguva uye mushure mekubuda kwemanyoka
• Ropa dema rakajeka pane bepa rechimbuzi kana mubhodhoro rechimbuzi
• Kupwanya kunooneka kana kupwanya kutenderera anus yako
• Kutsamwa kana kukwenya kutenderera nzvimbo ye anus
• Bumbiro diki kana ganda padhuze nekupwanya
• Kuita kwemisungo mumusungo wemhasuru kumugumo we anus yako

Kurwadziwa kazhinji kunotanga panguva yekubuda kwemanyoka uye kunogona kugara kwemaawa akati wandei mushure maizvozvo. Vamwe vanhu vanorondedzera sekutambudzika kana kupisa kunonetsa kugara.

Ropa kubva kune anal fissure kazhinji rinopenya dema uye rinooneka pamusoro pemanyoka ako kana pane bepa rechimbuzi. Kusiyana nezvimwe zvinokonzera kubuda ropa rectum, huwandu hwacho hunowanzova hushoma uye hahusiki nemanyoka pachawo.

Ndeapi marudzi e anal fissure?

Anal fissures inowira mumapoka maviri makuru zvichienderana nekuti yakagara kwenguva yakareba sei. Kunzwisisa rudzi rwaunaro kunobatsira kuona nzira yakanakisa yekurapa.

Acute anal fissures inyoro itsva dzave dziripo kwemavhiki mashoma kupfuura matanhatu. Aya mapwanya matsva ane magumo akachena, akapinza uye kazhinji anoporesa ega nekurapa kwakapfava senge kuchinja kudya uye mishonga yekunze.

Chronic anal fissures ave aripo kwemavhiki anopfuura matanhatu uye haana kuporesa kunyangwe kurapwa. Aya mapwanya akadzika kazhinji ane magumo akakwirira, tishu dzemhasuru dzakaratidzwa pazasi, uye zvinogona kunge zvakakura ganda diki rekune imwe kana kukura mukati kunonzi sentinel pile.

Chronic fissures zvakaoma kurapa nekuti mhasuru yakapoteredza inowanzoenda mukati mekuita, kuderedza ropa kunzvimbo uye kudzivirira kuporesa kwemusikirwo. Kazhinji zvinoda kurapwa kwakanyanya kupfuura acute fissures.

Chii chinokonzera anal fissure?

Anal fissures kazhinji inokura kana chimwe chinhu chikanyanya kana kukuvadza tishu dzakapfava kutenderera anus yako. Chinhu chinonyanya kukonzera kupfuudza manyoka akaoma, makuru anomanikidza kuvhurwa kwe anus kuti kureba kupfuura muganho wayo unofadza.

Zvinhu zvakati wandei zvinogona kutungamira kune anal fissures:

• Kuora mwoyo kwenguva refu uye kushandisa simba panguva yekubuda kwemanyoka
• Kuenda kuchimbuzi kwenguva refu kunokuvadza tishu dze anus
• Kubereka mwana, kunyanya kubereka vaginal
• Anal intercourse
• Zvirwere zvekuzvimba zvemudumbu senge Crohn's disease kana ulcerative colitis
• Kuderedzwa kweropa kunzvimbo ye anorectal
• Misungo ye anus sphincter yakasimba zvakanyanya

Muimwe nguva, zvinokonzera zvisingawanzoitika zvinogona kubatanidzwa. Izvi zvinosanganisira kenza ye anus, HIV, tüberkulosis, syphilis, kana herpes, kunyange aya asingawanzoitiki uye kazhinji anouya nezvimwe zviratidzo.

Dzimwe nguva, chikonzero chaicho hachizivikanwi, uye fissure inogona kukura kunyangwe muvanhu vane tsika dzekuenda kuchimbuzi dzakajairika. Musungo wemhasuru yako ye anus ungave wakasimba kupfuura avhareji, zvichikuita kuti uve munhu anokurumidza kupwanya.

Rini unofanira kuona chiremba we anal fissure?

Unofanira kuona mushandi wehutano kana ukaona kubuda ropa rectum kana kurwadziwa kwenguva refu kwe anus. Kunyangwe aya maratidzo kazhinji anoratidza anal fissure yakapusa, zvakakosha kuwana kuongororwa kwakakodzera kuti ubvise mamwe mamiriro.

Tsvaka rubatsiro rwechiremba kana zviratidzo zvako zvichitamba kwenguva yakareba kupfuura mazuva mashoma, zvichinyanya kuipa kunyangwe kurapwa kwekumba, kana ukawana fivha pamwe chete nekurwadziwa kwe anus. Chiremba anogona kusimbisa kuongororwa uye kukurudzira kurapwa kwakakodzera.

Usakurumidza kutsvaka rubatsiro kana uine kurwadziwa kwakanyanya kunodzivisa mabasa akajairika, kubuda ropa kwakanyanya, kana ukaona kuchinja mumaitiro ako ekuenda kuchimbuzi. Kurapwa kwekukurumidza kazhinji kunotungamira pakuporesa nekukurumidza uye kudzivirira matambudziko.

Kana uine nhoroondo yezvirwere zvekuzvimba zvemudumbu, matambudziko esystem yekudzivirira, kana mamwe mamiriro ekusingaperi, zvakakosha zvikuru kuti uve nezviratidzo zve anus zvichongororwa nekukurumidza nemunyanzvi wehutano.

Ndeapi njodzi dze anal fissure?

Zvinhu zvakati wandei zvinogona kuwedzera mukana wako wekuwana anal fissure. Kunzwisisa aya njodzi kunogona kukubatsira kutora matanho ekudzivirira mamiriro aya asingafadzi.

Zera rinotamba basa rakakura, nevana vaduku nevakuru vakati vakura vari kukanganiswa zvakanyanya. Muvana, kuora mwoyo uye kushushikana kwekuziva kudzora manyoka zvinokonzera fissure kukura.

Njodzi dzinowanzoitika dzinosanganisira:

• Kuora mwoyo kwenguva refu kana kushandisa simba kazhinji
• Kuenda kuchimbuzi kwenguva refu
• Zvirwere zvekuzvimba zvemudumbu (Crohn's disease kana ulcerative colitis)
• Kuopereta kwe anus kana kukuvara kwakapfuura
• Kukura mwana uye kubereka mwana
• Misungo ye anus sphincter yakasimba
• Kusachena kwe anus kana kuchenesa kwakanyanya

Zvimwe zvinhu zvemararamiro zvinogonawo kuwedzera njodzi yako. Kudya kusina fiber, kunwa mvura kusina kukwana, uye kusava nemuviri zvinogona zvose kuita kuti kuora mwoyo kuwedzere uye kukura kwe fissure.

Mamiriro ezvechiremba anokanganisa ropa, senge chirwere cheshuga kana peripheral vascular disease, anogonawo kuwedzera njodzi yako. Uyezve, mimwe mishonga inokonzera kuora mwoyo sechinhu chakaipa inogona kutungamira zvakananga kune anal fissures.

Ndeapi matambudziko anogona kuitika e anal fissure?

Kunyangwe mazhinji anal fissures anoporesa pasina matambudziko akakomba, mamwe matambudziko anogona kukura kana mamiriro acho achiva ekusingaperi kana asingarapwi zvakakodzera. Kunzwisisa aya matambudziko anogona kukubatsira kuziva kana uchifanira kutsvaka rubatsiro rwechiremba rwakawedzerwa.

Chinetso chinonyanya kuitika ndechekukura kwe fissure isingaperi isingaporesi kunyangwe kurapwa. Izvi zvinoitika kana musungo wemhasuru ye anus uchienda mukati mekuita, kuderedza ropa kunzvimbo uye kudzivirira kuporesa kwemusikirwo.

Matambudziko anogona kuitika anosanganisira:

• Kurwadziwa kwenguva refu kunokanganisa mabasa ezuva nezuva uye hupenyu hwakanaka
• Anal stenosis (kuomarara kwekuvhurwa kwe anus)
• Fissures inodzokororwa munzvimbo imwecheteyo
• Kuumbwa kwe fistula (kubatanidza kwakaipa pakati pe anal canal neganda)
• Kukura kwe abscess nekuda kwehutachiona hwembumbure
• Migumisiro yepfungwa senge kunetseka nezvekuenda kuchimbuzi

Vamwe vanhu vanowana kutya kwekuenda kuchimbuzi nekuda kwekurwadziwa, izvo zvinogona kutungamira pakubata manyoka zvisina basa. Izvi zvinoita kuti pave nechisungo apo kubata manyoka kunoita kuti zviome uye zvinokonzera kupwanya zvakanyanya.

Muimwe nguva, anal fissures isingarapwi inogona kutungamira pakukuvadzwa kwakanyanya uye kuchinja kwenguva refu kwekuvhurwa kwe anus. Nekudaro, nekurapwa kwakakodzera, vanhu vazhinji vanogona kudzivirira aya matambudziko zvachose.

Anal fissure inogona kudzivirirwa sei?

Nzira yakanakisa yekudzivirira anal fissures ndeyekuchengetedza manyoka akapfava, akajairika uye kudzivisa kushandisa simba. Mazhinji ekudzivirira anoenderera nekugara uchichengetedza sisitimu yako yekugaya ichifamba zvakanaka uye kuderedza kumanikidza munzvimbo ye anus.

Kuchinja kudya kunoumba hwaro hwekudzivirira. Kudya zvokudya zvakawanda zvine fiber senge michero, miriwo, zviyo zvizere, uye legumes kunobatsira kugadzira manyoka akapfava anopfuura nyore.

Nzira huru dzekudzivirira dzinosanganisira:

• Kunwa mvura yakawanda zuva rese (chinangwa chemakumi masere egirazi)
• Kudya magiramu makumi maviri ne mashanu kusvika makumi matatu nemashanu e fiber zuva nezuva
• Kuita zvemuviri nguva dzose kuti usimudzire kugaya kwakanaka
• Kupindura nekukurumidza kune chido chekuenda kuchimbuzi
• Kudzivisa kugara kwenguva refu pachimbuzi
• Kushandisa bepa rechimbuzi rakapfava, risina kunhuhwirira kana mapurasitiki akanyorova akagadzirirwa ganda rakapfava
• Kuita mabhati anodziya kuti uzorore misungo ye anus

Kana uri munhu anokurumidza kuora mwoyo, funga kuwedzera fiber supplement mumaitiro ako mushure mekubvunza nachiremba wako. Stool softeners inogonawo kubatsira panguva apo uri panjodzi yakanyanya, senge mushure mekuopereta kana panguva yekukura mwana.

Kutonga mamiriro ekusingaperi senge inflammatory bowel disease kana kugadzirisa kuenda kuchimbuzi kwenguva refu kunotambawo basa rinokosha mukudzivirira fissures kubva pakuumbwa kana kudzokororwa.

Anal fissure inoongororwa sei?

Kuongorora anal fissure kazhinji kunosanganisira kuongororwa kwemaziso uye kukurukura nezviratidzo zvako. Chiremba wako anogona kazhinji kuziva fissure nekungotarisa nzvimbo ye anus panguva yekuongororwa kwemuviri.

Kuongororwa kazhinji kunotanga nachiremba wako achikubvunza nezviratidzo zvako, tsika dzekuenda kuchimbuzi, uye nhoroondo yezvechiremba. Vachada kuziva nezve kurwadziwa kwaunonzwa, kubuda ropa chero kupi, uye kuti wakagara uine aya maratidzo kwenguva yakareba sei.

Panguva yekuongororwa kwemuviri, chiremba wako achaongorora zvinyoro nyoro nzvimbo ye anus paunenge uri parutivi rwako. Vanogona kazhinji kuona fissure sekupwanya diki muganda. Kuongororwa kazhinji kupfupi uye, kunyangwe kusina kunyaradza, hakuiti kurwadziwa kwakanyanya.

Muimwe nguva, chiremba wako anogona kuita digital rectal exam nekubaya chigunwe chakavharwa, chakafukidzwa mafuta mumatumbo. Nekudaro, izvi kazhinji zvinodziviswa pakutanga kana uri mukurwadziwa kwakanyanya, sezvo zvinogona kunge zvisina kunyaradza ne fissure iri kushanda.

Kuongororwa kuwedzerwa kunowanzodikanwa kune anal fissures dzakajairika. Nekudaro, kana chiremba wako achifungidzira mamiriro ekusingaperi kana fissure ichionekwa isingawanzoitika, vanogona kukurudzira anoscopy (kushandisa scope diki kutarisa mukati me anal canal) kana mamwe bvunzo dzakasarudzika.

Kurapa kwe anal fissure ndechii?

Kurapa kwe anal fissures kazhinji kunotanga nemabatiro akapfava anobatsira kupwanya kuporesa zvakasikwa. Mazhinji acute fissures anopindura zvakanaka kune aya mabatiro asingakuvadzi, anotarisa pakuderedza kurwadziwa uye kusimudzira kuporesa.

Mutsara wekutanga wekurapa unosanganisira kuita manyoka ako akapfava uye ari nyore kupfuudza. Izvi zvinoderedza kukuvara kune fissure iri kuporesa uye kuputsa chisungo chekurwadziwa uye kuita kwemisungo kunogona kudzivirira kuporesa.

Sarudzo dzekurapa dzakapfava dzinosanganisira:

• Kudya kwakawanda kwe fiber uye kuwedzera kunwa mvura
• Fiber supplements kana stool softeners
• Mishonga yekunze inodonhedza kana mafuta
• Mabhati anodziya e sitz kakawanda pazuva
• Topical nitroglycerin kana calcium channel blockers
• Botulinum toxin injections yekuita kwemisungo

Mishonga yekunze inoshanda nekudzora musungo wemhasuru ye anus, izvo zvinovandudza ropa kunzvimbo uye kunobvumira kuporesa kuitika. Aya kurapwa ane budiriro mukuporesa anenge 70-80% ye chronic fissures.

Kana kurapwa kwakapfava kuchishanda mushure memavhiki akati wandei, chiremba wako anogona kukurudzira kuopereta kwakapusa kunonzi lateral internal sphincterotomy. Izvi zvinosanganisira kuita kucheka diki mumusungo wemhasuru ye anus kuderedza kumanikidza uye kusimudzira kuporesa.

Kuopereta kazhinji kunosara kune chronic fissures dzisina kupindura kune mamwe kurapwa. Kuopereta kazhinji kunoitirwa sekuopereta kwekunze uye kune budiriro yakakwira yekuporesa fissures dzakasimba.

Maitiro ekugadzirisa anal fissure kumba?

Kurapa kwekumba kunotamba basa rinokosha mukuporesa anal fissures uye kudzivirira kudzokororwa kwavo. Kiyi ndeyekugadzira mamiriro anobvumira kupwanya kuporesa nepo uchichengetedza manyoka ako achifadza uye akajairika.

Mabhati anodziya e sitz ndiwo mishonga yekumba inonyanya kushanda. Kuve mumvura inodziya kwemaminitsi gumi kusvika gumi nemashanu kakawanda pazuva, kunyanya mushure mekuenda kuchimbuzi, kunobatsira kuzorodza misungo ye anus uye kusimudzira kuporesa.

Kutonga kudya kunokosha pakurapa kwekumba kwakabudirira:

• Kudya michero yakawanda, miriwo, nezviyo zvizere
• Kunwa magirazi masere emvura pazuva
• Funga kuwedzera psyllium husk kana methylcellulose supplements
• Dzivisa zvokudya zvinogona kukonzera kuora mwoyo kana kuenda kuchimbuzi
• Dzikisa zvokudya zvakagadzirwa uye wedzera kudya kwakawanda kwe fiber

Chengetedza nzvimbo ye anus yakachena uye yakaoma, asi dzivisa masoseji akasimba kana kupukuta kwakanyanya. Shandisa bepa rechimbuzi rakapfava, risina kunhuhwirira kana funga kushandisa bidet kana mapurasitiki akanyorova akagadzirirwa ganda rakapfava.

Mishonga inorwisa kurwadziwa inowanikwa pasina mushonga senge acetaminophen kana ibuprofen inogona kubatsira kudzora kusagadzikana. Anesthetics ekunze ane lidocaine inogona kupa zororo rekuwedzera, asi shandisa zvishoma uye sezvakarayirwa chete.

Gadzira tsika dzekuenda kuchimbuzi dzakajairika nekupindura nekukurumidza kune chido chekuenda kuchimbuzi. Usashandise simba kana kupedza nguva yakawanda pachimbuzi, sezvo izvi zvinogona kuipa mamiriro acho.

Unofanira kugadzirira sei kuenda kwako kuchiremba?

Kugadzirira kuenda kwako kuchiremba kunogona kubatsira kuve nechokwadi chekuti unowana kuongororwa kwakanyanya uye chirongwa chekurapa chakabudirira. Kuva neruzivo rwakakodzera rwuripo kuchaita kuti kushanya kuve kwakabudirira uye kusina kushushikana.

Nyora zviratidzo zvako usati waenda kuchiremba, kusanganisira kuti zvakatanga riini, zvakanyanya sei, uye chii chinoita kuti zvive nani kana zvakanyanya kuipa. Cherechedza mapateni awaona, senge kurwadziwa panguva yekubuda kwemanyoka chete kana kubuda ropa kunoitika panguva dzakatarwa.

Ruzivo rwekugadzirira rinosanganisira:

• Rondedzero yakazara yemishonga iripo uye zvinowedzerwa
• Rondedzero yetsika dzako dzekuenda kuchimbuzi uye chero kuchinja kwakaitwa munguva pfupi yapfuura
• Mashoko nezve kudya kwako uye kunwa mvura
• Chero kurapwa kwakapfuura kwaunenge wamboshandisa uye kubudirira kwavo
• Mibvunzo nezve sarudzo dzekurapa uye zvekutarisira
• Nhoroondo yezvechiremba, kusanganisira matambudziko e anus kana rectum akapfuura

Usazvidza kutaura nezvezviratidzo izvi nachiremba wako. Vakaona uye vakarapira varwere vakawanda vane mamiriro akafanana, uye kupa ruzivo rwakazara, rwechokwadi kunovabatsira kukupa hanya yakanakisa inobvira.

Funga kuuya neshamwari yakavimbika kana nhengo yemhuri kana uchizonzwa uchitya nezvekuenda kwako kuchiremba. Vanogona kukubatsira kuyeuka ruzivo rwakakosha uye kupa rutsigiro rwepfungwa panguva inogona kunzwa sehurukuro isina kunyaradza.

Chii chinonyanya kukosha nezve anal fissure?

Anal fissures mamiriro akajairika, anorapika anogona kukonzera kusagadzikana kwakanyanya asi kazhinji haana kutungamira kumatambudziko akakomba. Chinhu chinonyanya kukosha chekuyeuka ndechekuti mazhinji fissures anoporesa zvachose nekurapwa kwakakodzera uye kuchinja mararamiro.

Kuita zvinhu nekukurumidza kunoita kuti kuporesa kuwedzere nekukurumidza uye kunyaradza. Usarega zviratidzo kana kuedza kutsungirira, sezvo anal fissures isingarapwi inogona kuva yekusingaperi uye yakaoma kurapa.

Kusanganiswa kwekuchinja kudya, kuwedzera kunwa mvura, uye kuchena kwakakodzera kunoumba hwaro hwekurapa uye kudzivirira. Aya matanho ari nyore anogona kazhinji kudzivirira fissures kubva pakuumbwa uye kubatsira avo varipo kuporesa nekukurumidza.

Yeuka kuti kutsvaka rubatsiro rwechiremba nezviratidzo zve anus hachisi chinhu chekunzwa wakavhunduka nezvacho. Vanachiremba vanodzidziswa kugadzirisa aya mamiriro zvine hunyanzvi uye nerudo, uye vanoda kukubatsira kunzwa nani nekukurumidza sezvinobvira.

Mibvunzo inowanzo bvunzwa nezve anal fissure

Kwenguva yakareba sei anal fissure inotora kuti iporese?

Mazhinji acute anal fissures anoporesa mukati memavhiki mana kusvika matanhatu nekurapwa kwakakodzera. Nekudaro, chronic fissures dzave dziripo kwemavhiki anopfuura matanhatu dzinogona kutora mwedzi yakati wandei kuti dziporese zvachose, kunyanya kana dzichida kurapwa kwechiremba kana kuopereta. Nguva yekuporesa inotsamira pazvinhu senge kukomba kwe fissure, hutano hwako hwese, uye kuti unotevera sei mazano ekurapa.

Ndingaita zvemuviri here ne anal fissure?

Hongu, iwe unogona kazhinji kuramba uchiita zvemuviri ne anal fissure, asi ungada kuchinja maitiro ako. Mabasa asingakuvadzi senge kufamba, kushambira, uye yoga yakapfava kazhinji anochengeteka uye anogona kubatsira nekukurudzira kugaya kwakanaka. Dzivisa mabasa anokonzera kumanikidza zvakananga munzvimbo ye anus kana kukonzera kushandisa simba, senge kusimudza uremu hwakanyanya kana kukwira mabhasikoro pane zvigaro zvakaoma, kusvika fissure yaporesa.

Zvakajairika here kuva ne anal fissures inodzokororwa?

Kunyangwe vamwe vanhu vachiona anal fissures inodzokororwa, hazvifungidzirwi kuti zvakajairika uye kazhinji zvinoratidza dambudziko riri pasi rinoda kugadziriswa. Anal fissures inodzokororwa kazhinji inoitika kune vanhu vane kuora mwoyo kwenguva refu, inflammatory bowel disease, kana avo vasina kuchinja mararamiro anodiwa. Kushanda nachiremba wako kuti uone uye kurapa chikonzero chinokonzera kunogona kubatsira kudzivirira zviitiko zvenguva yemberi.

Chii chiri musiyano pakati pe anal fissure ne hemorrhoids?

Anal fissures inyoro muganda kutenderera anus inokonzera kurwadziwa kwakapinza, kunopwanya panguva yekubuda kwemanyoka. Hemorrhoids ndemisungo yeropa yakazvimba inogona kukonzera kutsamwa, kupisa, uye kurwadziwa kunorwadza, asi kazhinji haina kuita kurwadziwa kwakapinza, kunopwanya kwe fissure. Hemorrhoids inogonawo kukonzera kunzwa kwekuzara kana bumbiro kutenderera anus, nepo fissures ichionekwa sekupwanya kunooneka muganda.

Anal fissures inogona kutungamira kukenza here?

Kwete, anal fissures pachayo haitungamiri kukenza. Inyoro yakapusa muganda inoporesa pasina kukonzera kuchinja kwema cell kunogona kuva kenza. Nekudaro, zvakakosha kuva nezviratidzo zve anus zvichingogara zvichongororwa nachiremba wehutano, sezvo zvimwe zviratidzo zvekenza ye anus zvinogona kufanana nezve fissures. Kuongororwa kwekukurumidza uye kurapwa kwechero mamiriro e anus nguva dzose ndiyo nzira yakanakisa.