Chii chinonzi Anal Fistula? Zviratidzo, Zvinokonzera, & Kurapa

Anal fistula inzira duku inoumbwa pakati pemukati meanal canal yako neganda riri kumativi eanus yako. Funga nezvazvo sekuyambuka kwakaipa kwasingafanire kuvapo, kuchigadzira nzira kwaisina kuvapo kare.

Iyi mamiriro kazhinji anoitika mushure meanal abscess (kuunganidzwa kwemarwadzo emapfupa) kwabuda kana kurapwa. Kunyange zvazvo zvinganzwa zvichitya, anal fistulas chaizvoizvo zvakajairika uye zvinorapika nekurapa kwakakodzera kwechiremba.

Ndeapi zviratidzo zve anal fistula?

Chiratidzo chinonyanya kuoneka kazhinji kubuda kubva pakavhura duku pedyo neanus yako. Kubuda uku kungava mapfupa, ropa, kana musanganiswa wezviviri, uye kungava nekunhuhwirira kwakaipa.

Ungave nezviratidzo zvakawanda zvisina kunyaradza zvinogona kukanganisa hupenyu hwako hwezuva nezuva:

• Kubuda kwenguva refu kubva pakavhura pedyo neanus
• Kurwadziwa kana kusagadzikana, kunyanya kana wagara kana panguva yekubuda kwematumbu
• Kutemwa uye kuzvimba kumativi eanus
• Kukwenya kweganda riri kumativi eanus kubva pakunenge kwakanyorova nguva dzose
• Anal abscesses inodzokororwa munzvimbo imwecheteyo
• Fivha kana fistula yakasangana nehutachiona
• Kunetseka kudzora kufamba kwematumbu mune dzimwe nguva

Zviratidzo izvi kazhinji zvinouya uye zvinoenda, izvo zvinogona kuita kuti mamiriro ezvinhu ave akaoma kubata nazvo. Vamwe vanhu vanoona zviratidzo zvavo zvichiwedzera panguva dzekunetseka kana chirwere kana sisitimu yavo yekudzivirira yakaderera.

Ndeapi marudzi e anal fistula?

Vanachiremba vanokarisa anal fistulas zvichienderana nekwavanoumbwa uye nzira yavanofamba nayo kuburikidza nemisungo iri kumativi eanus yako. Kunzwisisa rudzi rwunobatsira kuona nzira yakanakisa yekurapa.

Marudzi makuru anosanganisira:

• Fistulas dzakapfava: Idzi ndidzo dzakajairika uye nyore kurapa, dzichifamba zvakananga kubva mukati kusvika kunze
• Fistulas dzakaoma: Idzi dzinoenda munzira yakaoma zvikuru, dzimwe nguva dzichipararira kana kusanganisira misungo yakawanda
• Intersphincteric fistulas: Idzi dzinoramba dziri mukati memakumbo emukati
• Transsphincteric fistulas: Idzi dzinopfuura kuburikidza nemaring emakumbo emukati nekunze
• Suprasphincteric fistulas: Idzi dzinokwira uye dzinopfuura pamusoro pemisungo yekunze (zvisingawanzoitika)
• Extrasphincteric fistulas: Idzi dzinopfuura sisitimu yemisungo zvachose (zvisingawanzoitika)

Chiremba wako achaona kuti uri nerudzi rupi kuburikidza nekutarisa uye zvichida bvunzo dzekuona. Iyi mhando inovabatsira kuronga kurapa kwakachengeteka uye kwakanyanya kushanda kune mamiriro ako chaiwo.

Chii chinokonzera anal fistula?

Anal fistulas yakawanda inoitika semugumisiro we anal abscess yakaputika pachayo kana kurapwa nachiremba. Kana abscess yakapora, dzimwe nguva inosiya shure iyi nzira yakaita setuneri.

Zvinhu zvakawanda zvinogona kutungamira pakugadzira fistula:

• Anal abscesses yapfuura (chinokonzera chakajairika)
• Crohn's disease kana mamwe mamiriro ezvinhu anokonzera kuzvimba kwematumbu
• Matambudziko kubva kuopereheni ye anus
• Tuberculosis inokanganisa nzvimbo ye anus (zvisingawanzoitika)
• Zvirwere zvinotapuriranwa pabonde mune dzimwe nguva
• Kurapa kenza kunokanganisa nzvimbo yepelvic
• Diverticulitis inokanganisa rectum
• Kuhuvhunduka kunzvimbo ye anus

Mune dzimwe nguva dzisina kujairika, vamwe vanhu vanoberekwa ne anal fistulas, kunyange zvazvo izvi zvisingawanzoitiki kupfuura izvo zvinoitika gare gare muhupenyu. Kunzwisisa chikonzero chinokonzera chinobatsira chiremba wako kusarudza kurapa kwakakodzera uye kudzivirira matambudziko ramangwana.

Rini unofanira kuona chiremba we anal fistula?

Unofanira kuona mushandi wehutano kana ukaona kubuda kwenguva refu kubva kumativi eanus yako, kunyanya kana kwave kuchiripo kwemazuva mashoma. Kurapa kwekukurumidza kunogona kudzivirira matambudziko uye kuderedza kusagadzikana.

Tsvaka rubatsiro rwechiremba nekukurumidza kana uine:

• Kubuda kwenguva dzose kana kunodzokororwa kubva pedyo ne anus
• Kurwadziwa kuri kuwedzera kana kuzvimba munzvimbo ye anus
• Fivha pamwe nezviratidzo zve anus
• Zviratidzo zvehutachiona senge kuwedzera kutsvuku kana kupisa
• Kunetseka kudzora kufamba kwematumbu
• Kurwadziwa kwakanyanya kunokanganisa mabasa ezuva nezuva

Usamirire kana uine nhoroondo ye Crohn's disease kana mamwe mamiriro ezvinhu anokonzera kuzvimba, sezvo izvi zvinogona kuita kuti fistulas ive yakaoma kurapa. Kuwana kurapwa kwehunyanzvi pakutanga kazhinji kunotungamira kune zvisarudzo zviri nyore zvekurapa uye zvibereko zvakanaka.

Ndeapi njodzi dze anal fistula?

Mamiriro ezvinhu akati wandei nezvinhu zvinogona kuwedzera mukana wako wekuwana anal fistula. Kunzwisisa izvi kunogona kukubatsira iwe nechikurapa chako kuramba muri vakangwarira pazviratidzo zvepakutanga.

Njodzi huru dzinosanganisira:

• Anal abscesses kana hutachiona hwapfuura
• Crohn's disease kana ulcerative colitis
• Manyoka asingaperi anokwenya nzvimbo ye anus
• Sisitimu yekudzivirira yakaderera kubva pachirwere kana mishonga
• Opereheni ye anus kana rectum yapfuura
• Kurapa kwemwaranzi kunzvimbo yepelvic
• Zvirwere zvinotapuriranwa pabonde zvakati
• Tuberculosis (munzvimbo kwaichijairika)

Kuva nenjodzi imwe kana kupfuura hazvirevi kuti iwe uchava ne fistula, asi zvinokosha kutaura nachiremba wako kana uine zvinokunetsa. Vanogona kukubatsira kunzwisisa njodzi yako pachako uye zvekutarisa.

Ndeapi matambudziko anogona kuitika e anal fistula?

Kunyangwe anal fistulas kazhinji hazvisi ngozi yehupenyu, kusiya zvisina kurapwa kunogona kutungamira kumatambudziko akawanda asingafadzi uye anogona kuva akakomba. Kunzwisisa aya matambudziko kunobatsira kutsanangura kuti nei kurapa kwakakosha.

Matambudziko akajairika anosanganisira:

• Abscesses inodzokororwa munzvimbo imwecheteyo
• Kurwadziwa kwenguva refu uye kusagadzikana
• Kukwenya kweganda uye kuputsika kubva pakubuda kwenguva dzose
• Kunetseka kuchengetedza kuchena kwakakodzera
• Kushaya kunyara kwevanhu nekuda kwekushungurudza kana kubuda
• Kurara kusina kunyaradza nekuda kwekurwadziwa kana kusagadzikana

Matambudziko akakomba asi asingawanzoitika anogona kuitika:

• Kupararira kwehutachiona kune tishu dzakadzika
• Kuumbwa kwefistulas dzakawanda dzakabatana
• Fecal incontinence kana misungo yemhasuru yakakuvadzwa
• Zvisingawanzoitika, kuchinja kwakaipa mune zviitiko zvakareba

Mashoko akanaka ndeawo ekurapa kwakakodzera kunogona kudzivirira akawanda eaya matambudziko. Kuita zvinhu pakutanga kazhinji kunotungamira kune zvibereko zvakanaka uye kuchengetedza basa rakajairika remukati.

Anal fistula inogona kudzivirirwa sei?

Kunyangwe iwe usingakwanisi kudzivirira anal fistulas dzose, kunyanya idzo dzine hukama nemamiriro ezvinhu ehutano, pane matanho aunogona kutora kuderedza njodzi yako. Kudzivirira kunonyanya kufunga nezvekudzivirira anal abscesses, iyo ndiyo inokonzera huru.

Heano mamwe mazano ekudzivirira anobatsira:

• Ita kuchena kwakanaka kwe anus pasina kuchenesa zvakanyanya
• Dzivisa kugara kwenguva refu pamusoro pezvinhu zvakaoma
• Kurapa manyoka nekukurumidza kudzivirira kushandisa simba
• Gadzira mamiriro ezvinhu akadai se Crohn's disease zvakanaka
• Tsvaka kurapwa kwekukurumidza kwekurwadziwa kwe anus kana kuzvimba
• Dzivisa mabasa anogona kukuvadza nzvimbo ye anus
• Chengetedza sisitimu yekudzivirira ine hutano kuburikidza nekudya kwakanaka uye zororo

Kana iwe wambova ne anal abscess kare, kutevera mirairo yekurapa yechiremba wako zvakanyatsonaka kunogona kubatsira kudzivirira kuumbwa kwe fistula. Kushanya kwenguva dzose kunobvumira mushandi wehutano wako kubata chero matambudziko pakutanga.

Anal fistula inoziviswa sei?

Kuziva anal fistula kazhinji kunotanga nachiremba wako achiongorora nzvimbo iri kumativi eanus yako uye achibvunza nezvezviratidzo zvako. Vachatsvaka kuvhura kunze uye vangangodzora zvinyoro nyoro kunzwisisa nzira ye fistula.

Chiremba wako angashandisa nzira dzakawanda dzekurapa:

• Kuongororwa kwemuviri kwenzvimbo ye anus
• Digital rectal examination kunzwa zvinhu zvisina kujairika mukati
• Anoscopy (kushandisa scope duku kutarisa mukati me anal canal)
• Fistulography (kuisa dye yekuona nzira ye fistula pane X-ray)
• MRI scans ye fistulas dzakaoma
• Ultrasound mune dzimwe nguva
• CT scans kana matambudziko akatarwa

Kune zviitiko zvakaoma, chiremba wako angakurudzira kuongororwa pasi peanesthesia. Izvi zvinovabvumira kuongorora fistula zvizere pasina kukukonzera kusagadzikana uye zvinovabatsira kuronga nzira yakanakisa yekurapa.

Kurapa kwe anal fistula chii?

Kurapa kwe anal fistulas kazhinji kunoda opereheni, sezvo aya matuneri asingawanzoporei pachawo. Mashoko akanaka ndeawo ekurapa kwekuvhiya kazhinji kunobudirira zvikuru kana kuitwa nachiremba ane ruzivo.

Sarudzo huru dzekuvhiya dzinosanganisira:

• Fistulotomy: Kuvhura fistula pamwero wayo wose kubvumira kupora kubva mukati kusvika kunze
• Seton placement: Kushandisa shinda chaiyo kucheka zvishoma nezvishoma kana kubudisa fistula
• Advancement flap procedures: Kushandisa tishu dzakakodzera kufukidza kuvhura mukati
• LIFT procedure: Ligation ye fistula tract munzvimbo ye intersphincteric
• Fibrin glue injection: Kuvhara fistula ne adhesive yekurapa
• Fistula plug insertion: Kudzivirira tuneri ne plug chaiyo ye biological

Chiremba wako wekuvhiya acharonga nzira yakanakisa zvichienderana nerudzi rwe fistula yako, nzvimbo, uye kuoma. Fistulas dzakapfava kazhinji dzinoda nzira imwe chete, nepo dzakaoma dzichida nhanho dzakawanda kuve nechokwadi chekupora uye kuchengetedza kudzora kwematumbu.

Nzira yekubata sei zviratidzo pamba panguva ye anal fistula?

Paunenge uchimirira kurapwa kana panguva yekupora, kune zvinhu zvakawanda zvaunogona kuita pamba kudzora kusagadzikana uye kuchengetedza kuchena. Aya matanho haazorapi fistula asi anogona kukugadzirisa zviri nani.

Mazano ekutarisira pamba anobatsira anosanganisira:

• Tora warm sitz baths kanopfuura kamwe pazuva kuti udzorere nzvimbo
• Chengeta nzvimbo yakachena uye yakaoma, uchichinja mapads kazhinji
• Shanyisa zvinhu zvisina kunhuhwirira, zvinyorerera zvekutsvaira
• Isa barrier creams kudzivirira ganda riri kumativi
• Pfeka nguo dzakasununguka, dzinopeta
• Tora over-the-counter pain relievers sezvakarayirwa
• Dya chikafu chine fiber yakawanda kudzivirira manyoka
• Rambai makanyorova

Dzivisa kushandisa masopa akasimba, zvinhu zvine kunhuhwirira, kana bepa rakasimba rekugezera rinogona kukwenya nzvimbo. Kana ukaona kurwadziwa kuri kuwedzera, fivha, kana kubuda kuri kuwedzera, taura nachiremba wako nekukurumidza.

Unofanira kugadzirira sei kusangana kwako nachiremba?

Kugadzirira kusangana kwako kunogona kubatsira kuve nechokwadi chekuti unowana zvakanyanya kubva pakushanya kwako uye kupa chiremba wako ruzivo rwavanoda. Kugadzirira kushoma kunofamba kwenguva refu mukuwana kurapwa kwakakodzera.

Usati wasangana:

• Nyora zviratidzo zvako zvese uye nguva yavakatanga
• Rondedzera chero matambudziko e anus kana kuvhiya yapfuura
• Uya ne rondedzero yakazara yemishonga uye zvinowedzerwa
• Cherechedza nhoroondo yemhuri ye inflammatory bowel disease
• Gadzira mibvunzo nezve sarudzo dzekurapa uye kupora
• Funga nezvekutora shamwari yakavimbika kana nhengo yemhuri kuti ikubatsire

Usanzwe wakanyara kutaura nezvezviratidzo izvi nachiremba wako. Vakaona aya mamiriro kakawanda kare uye varipo kukubatsira kunzwa nani. Kuva akavhurika uye akatendeseka nezvezviratidzo zvako kuno vabatsira kupa kurapa kwakanakisa.

Chii chinonyanya kukosha nezve anal fistula?

Anal fistulas ndemimwe mamiriro ezvinhu anorapika anoumbwa kana tuneri ichigadzira pakati pe anal canal yako neganda riri kumativi eanus yako. Kunyange zvazvo zvingave zvisina kunyaradza uye zvinokanganisa, hazvisi ngozi kana zvarapwa zvakakodzera.

Chinhu chakakosha chokurangarira ndechekuti aya mamiriro ezvinhu asingawanzoporei pasina kuvhiya. Nekudaro, nekurapa kwakakodzera kwechiremba ane ruzivo, huwandu hwekubudirira hwekurapa hwakakwira kwazvo, uye vanhu vakawanda vanodzoka kumabasa avo pasina matambudziko arefu.

Usarega kushaya kunyara kukudzivisa kutsvaka rubatsiro. Vashandi vehutano vanoziva aya mamiriro uye vanogona kupa sarudzo dzinoshanda dzekurapa dzichavandudza hupenyu hwako zvakanyanya.

Mibvunzo inobvunzwa kazhinji nezve anal fistula

Mubvunzo 1: Anal fistula ichapora pachayo pasina kuvhiya here?

Zvinosuruvarisa, anal fistulas asingawanzoporei zvachose pasina kuvhiya. Kunyange zvazvo zviratidzo zvingauya uye zvinoenda, nzira yakaita setuneri kazhinji inoramba iripo uye kazhinji inoda kuvhara kwekuvhiya. Fistulas dzakapfava kwazvo, dzakadzika dzisingawanzoporei nekurapa kwakapfava, asi izvi hazviwanzoitika. Zvakanaka kutaura nezvesarudzo dzekurapa nachiremba wehutano panzvimbo pekutarisa kupora kwepamoyo.

Mubvunzo 2: Kupora kunotora nguva yakareba sei mushure mekuvhiya kwe anal fistula?

Nguva yekupora inosiyana zvichienderana nerudzi rwekuvhiya uye kuoma kwe fistula yako. Nzira dzakapfava dzingada mavhiki maviri kusvika mana ekupora kwekutanga, nepo kuvhiya kwakaoma kungatora mavhiki matanhatu kusvika masere kana kupfuura. Vanhu vakawanda vanogona kudzoka kubasa remahofisi mukati memazuva mashoma kusvika pavhiki, asi kusimudza zvinorema uye mabasa anorema kazhinji anodziviswa kwemavhiki mazhinji. Chiremba wako wekuvhiya achapa nguva chaiyo zvichienderana nenhanho yako.

Mubvunzo 3: Anal fistulas inogona kudzoka here mushure mekuvhiya?

Kunyangwe kuvhiya kwe anal fistula kazhinji kunobudirira kwazvo, mukana mudiki wekudzokazve, kunyanya ne fistulas dzakaoma. Huwandu hwekudzokazve kazhinji hwakaderera (anenge 5-10%) kana kuvhiya kuitwa nachiremba ane ruzivo. Kutevera mirairo yekutarisira mushure mekuvhiya zvakanyatsonaka uye kugadzirisa chero mamiriro ezvinhu akadai se Crohn's disease kunogona kubatsira kuderedza njodzi yekudzokazve.

Mubvunzo 4: Kuvhiya kwe anal fistula kunorwadza here?

Uchapihwa anesthesia panguva yekuvhiya, saka hauzonzwi kurwadziwa panguva yekuvhiya pachayo. Kusagadzikana mushure mekuvhiya kwakajairika uye kunogona kubva pakaderera kusvika pakati, zvichienderana nehuwandu hwekuvhiya. Vanhu vakawanda vanodzora kurwadziwa zvakanaka nemishonga yakanyorwa, sitz baths, uye kutarisira kwakakodzera kwemaronda. Kusagadzikana kazhinji kunovandudzika zvikuru mukati mevhiki rekutanga.

Mubvunzo 5: Ndingaita zvekutamba here kana kushanda zvakajairika ne anal fistula usati wavhiyiwa?

Vanhu vakawanda vane anal fistulas vanogona kuramba vachiita mabasa mazhinji akajairika, kunyange zvazvo ungada kuchinja mamwe maitiro zvichienderana nekuti unonzwa sei. Kuita zvekutamba zvinyoro nyoro kazhinji kwakanaka, asi mabasa anokonzera kumanikidza munzvimbo ye anus kana kukonzera kuwedzera kwekusveta kungawedzera zviratidzo. Zvakakosha kuchengetedza kuchena kwakanaka uye kuchinja mapads anodzivirira kazhinji kana uri kubuda.