Uyini umehluko phakathi kwe-fissures ne-piles?

Uquqeba lwe-anal kanye nezinhlanzi, ezibizwa nangokuthi ama-hemorrhoids, kuyizinkinga ezivamile ezithinta indawo ezungezile i-anus. Nakuba zingaba nezimpawu ezifanayo, kubalulekile ukwazi ukuthi zihluke kanjani. I-anal fissure iyikhala elincane elukhuni olukhuni lwe-anus oluvame ukubangela ubuhlungu obukhulu nokuphuza igazi ngesikhathi sokuhamba kwesisu. Lokhu kungenzeka ngezizathu eziningi, njengokuboshwa kwesisu, ukweluka, noma ukubeletha.

Ngakolunye uhlangothi, ama-piles ayizicubu zezinhlanzi ezivuvukile endaweni ye-rectal ezingabangela ukungakhululeki nokuthimula. Angaba ngaphakathi noma ngaphandle, okuyiletha izinselele ezahlukene kulabo abanawo. Nakuba zombili izinkinga zingaba zingekho emnandi, izimbangela zazo nezinketho zokwelapha zihlukile. Kungakho kubalulekile ukuthola ukuthi iyiphi isimo onaso.

Ukuqonda umehluko phakathi kwe-anal fissures kanye nezinhlanzi kungakusiza ukuthi uqaphele izimpawu bese unquma ngokwelashwa. Isibonelo, ukwelapha ama-fissures kuvame ukubandakanya ukuthuthukisa imikhuba yesisu nokusebenzisa ama-creams, kuyilapho ama-piles angadinga ukushintsha indlela yokuphila noma ngisho nokuhlinzwa ezimweni ezinzima. Ukwazi le mihluko yisinyathelo sokuqala sokuphatha isimo sakho ngokuphumelelayo. Ukuba nomqondo wokuthi nini kufanele ufune usizo lwezokwelapha kungakhokelela empilweni engcono kanye nekhwalithi engcono yokuphila.

Ukuqonda i-Anal Fissures

I-anal fissure iyikhala elincane noma isiqephu esikhunini esizungezile i-anus, oluvame ukubangela ubuhlungu obukhulu ngesikhathi nangemva kokuthi isisu sihambe. Ama-anal fissures angahlukaniswa abe yizinhlobo ezimbili: acute kanye ne-chronic.

• Ama-Acute Anal Fissures: Lezi yizikhala zakamuva, ezibangelwa ngokudlula izisu ezinkulu, ezinzima noma ukweluka okuhlala isikhathi eside. Ubuhlungu buvame ukuba bukhulu futhi bungase buhlale imizuzu embalwa ngemva kokuthi isisu sihambe. I-fissure ingase iphulukiswe yodwa ezinsukwini ezimbalwa noma ezemva kweviki ngokunakekelwa okuqondile, okuhlanganisa nokukhulisa ukudla okune-fiber nokusebenzisa ama-creams okuthambisa indawo.

• Ama-Chronic Anal Fissures: Uma i-anal fissure ingaphuli ezinyangeni eziyisithupha, iba yi-chronic. Ama-chronic fissures angase ahambisane ne-scar tissue noma ama-muscle spasms, okwenza kube nzima ukuwaphatha. Lezi fissures zingabangela ubuhlungu obuhlala njalo, ukuthimula, nokungakhululeki, ikakhulukazi ngemva kokuthi isisu sihambe. Kwezinye izimo, angakhokelela ekwakheni i-skin tag eduze kwendawo ye-fissure.

Izimpawu:

• Ubuhlungu obukhulu ngesikhathi noma ngemva kokuthi isisu sihambe

• Izikhala ezibonakalayo noma iziqephu ezizungezile i-anus

• Ukuphuza igazi, okuvame ukuba lubomvu olukhanyayo ephepheni lesihlalo

• Ukuthimula noma ukuvuvukala okuzungezile i-anus

• I-lump noma i-skin tag eduze kwe-fissure (ezimweni ezingama-chronic)

Ukuphatha kuvame ukubandakanya ukushintsha ukudla, ukwelapha okusetshenziswa ngaphandle, futhi, ezimweni ezinzima, ukuhlinzwa.

Ukucwaninga ngePiles (Hemorrhoids)

Ama-Piles, abizwa nangokuthi ama-hemorrhoids, ayizicubu zezinhlanzi ezivuvukile e-rectum noma e-anus ezingabangela ukungakhululeki, ubuhlungu, nokuphuza igazi. Ama-Hemorrhoids angahlukaniswa abe yizinhlobo ezimbili eziyinhloko: internal kanye ne-external, ngalinye libonisa izimpawu ezahlukene.

• Ama-Internal Hemorrhoids: Lezi zithuthukisa ngaphakathi kwe-rectum futhi ngokuvamile azinabhlungu. Angabangela ukuphuza igazi ngesikhathi sokuhamba kwesisu, okuvame ukubonakala njengengazi ebomvu olukhanyayo ephepheni lesihlalo noma esibayeni se-toilet. Kwezinye izimo, ama-internal hemorrhoids angaphuka, okusho ukuthi aphuma e-anus, abangela ukungakhululeki, ukuthimula, noma ukuvuvukala.

• Ama-External Hemorrhoids: Lezi zenza ngaphansi kwesikhumba esizungezile i-anus futhi zingaba buhlungu. Izimpawu zihlanganisa ubuhlungu, ukuvuvukala, nokuthimula, ikakhulukazi uma uhleli noma ngesikhathi sokuhamba kwesisu. Ama-External hemorrhoids angase futhi akhiqize ama-blood clots (ama-thrombosed hemorrhoids), okubangela ubuhlungu obukhulu nokuvuvukala.

Izimpawu ze-Hemorrhoids:

• Ubuhlungu nokungakhululeki, ikakhulukazi ngesikhathi sokuhamba kwesisu noma ukuhlala isikhathi eside

• Ukuphuza igazi, ngokuvamile igazi elibomvu olukhanyayo ephepheni lesihlalo noma esibayeni se-toilet

• Ukuthimula noma ukuvuvukala okuzungezile i-anus

• Ukuvuvukala noma i-lump eduze kwe-anus, ikakhulukazi ngama-external hemorrhoids

• Ukuphuka noma ukuqhuma kwama-hemorrhoids ngaphandle kwe-anus (ezimweni ezinzima ze-internal)

Ukuphatha kubandakanya ukushintsha indlela yokuphila, ukulungisa ukudla, imithi yokuthengwa ngaphandle komthetho, futhi ezimweni ezinzima, ukuhlinzwa.

Ukuhlaziywa Okuqhathaniswayo: Ama-Fissures vs. Ama-Piles

Uhlangothi	Ama-Fissures	Ama-Piles (Ama-Hemorrhoids)
Uchazo	Ikhala ekuqaleni komthambo we-anal.	Izicubu zezinhlanzi ezivuvukile neziqandayo e-rectum noma e-anus.
Imbangela	Ukuqina ngesikhathi sokuhamba kwesisu, ukudlula izisu ezinzima, noma ukulimala endaweni ye-anal.	Ukuboshwa kwesisu okuhlala njalo, ukuqina, ukuhlala isikhathi eside, noma ukukhulelwa.
Indawo	Ngokuvamile ekuvuleni kwe-anal.	Internal: Ngaphakathi kwe-rectum; External: Okuzungezile i-anus.
Ubuhlungu	Ubuhlungu obukhulu, obukhulu ngesikhathi nangemva kokuthi isisu sihambe.	Ama-internal piles ngokuvamile awanabhlungu; ama-external piles angabangela ukungakhululeki nobuhlungu.
Ukuphuza igazi	Igazi elibomvu olukhanyayo esiswini noma ephepheni lesihlalo.	Igazi elibomvu olukhanyayo, kungaba esiswini noma liqothuka esibayeni se-toilet.
Izimpawu	Ubuhlungu, ukugqwala kwe-anal sphincter, ukuthimula, nokungakhululeki.	Ukuthimula, ukuvuvukala, ukuvuvukala, ubuhlungu (external), nokuphuza igazi.
Ukuphatha	Ama-ointments okuthambisa, ama-stool softeners, noma ukuhlinzwa kwama-chronic fissures.	Ukushintsha ukudla, ukwelapha okusetshenziswa ngaphandle, ukubopha, noma ukuhlinzwa ezimweni ezinzima.
Ukuhlala njalo	Kungaba yi-chronic uma kushiywa kungaphathwa.	Kungase kuqhubeke noma kubuyele uma izimbangela eziyinhloko zingaxazululwanga.
Izingozi	I-chronic fissure, ukutheleleka, noma ukwakheka kwe-abscess.	I-Thrombosis kuma-external piles, ukuphuka okukhulu, noma ukuphuza igazi okuhlala njalo.

Ukuvimbela ama-Piles kanye nama-Fissures

• Gcina ukudla okune-fiber eningi: Faka izithelo, imifino, ama-grains aphelele, nama-legumes ukuthambisa izisu nokuvimbela ukuqina.

• Hlala Uthambile: Phuza amanzi amaningi nsuku zonke ukuthuthukisa ukugaya ukudla nokuvimbela ukuboshwa kwesisu.

• Yenza imikhuba emihle yesisu: gwema ukuqina ngesikhathi sokuhamba kwesisu uphendule ngokushesha ekuthandweni kokuthi isisu sihambe.

• Zivocavoca Njalo: Hlala usebenza ngokomzimba ukuthuthukisa ukugeleza kwegazi nokusekela ukugaya ukudla okunempilo.

• Gwema Ukuhlala Isikhathi Eside: Thekisa isikhathi sokuhlala esibayeni se-toilet noma ezindaweni ezihlala njalo ukuthambisa ukucindezela endaweni ye-anal.

• Yenza Ukuhlanzeka Okuqondile: Hlanza indawo ye-anal ngobumnene ukuvimbela ukuvuvukala nokutheleleka.

Ukuphatha Okuhle Kakhulu kwama-Piles kanye nama-Fissures

• Ukushintsha Ukudla: ukudla okune-fiber eningi nokuthambile okwanele ukuthambisa izisu nokunciphisa ukuqina.

• Imithi: ama-creams, ama-ointments, noma ama-suppositories okuthengwa ngaphandle komthetho ukuthambisa ubuhlungu nokuvuvukala.

• Ama-Warm Sitz Baths: Nciphisa indawo ye-anal emanzini afudumele imizuzu engu-10-15 ukuthambisa ukungakhululeki.

• Ukushintsha Indlela Yokuphila: Ukuzivocavoca njalo nokugwema ukuhlala isikhathi eside ukuthuthukisa ukugeleza kwegazi.

• Izindlela Zokwelapha: Kwezinye izimo ezinzima, izinketho ezifana ne-rubber band ligation yama-piles noma i-lateral internal sphincterotomy yama-fissures zingase zinconywe.

• Ukuphatha nge-Laser: okungenayo ingozi futhi okuphumelelayo ezimweni eziphambili zama-piles kanye nama-fissures.
  

Isifinyezo

Ama-anal fissures kanye nama-piles ziyimibandela evamile ye-anal enezimbangela nezimpawu ezahlukene. Ama-Fissures ayizikhala ezincane ekuqaleni komthambo we-anal, ebangela ubuhlungu obukhulu, ukuphuza igazi, nokuthimula, okuvela ngokuvamile ekuqineni noma eziswini ezinzima. Ama-Piles, noma ama-hemorrhoids, ayizicubu zezinhlanzi ezivuvukile, kungaba ngaphakathi noma ngaphandle, ebangela ukungakhululeki, ukuthimula, futhi ngezinye izikhathi ukuphuza igazi. Ukuvimbela kubandakanya ukudla okune-fiber eningi, ukuthambile, ukuzivocavoca njalo, nokugwema ukuqina.

Ukuphatha kuhlanganisa ama-sitz baths kanye nama-creams okuthambisa kuya ezinkethweni eziphambili njenge-laser therapy noma ukuhlinzwa ezimweni ezinzima. Ukuqonda le miqondo nokufuna usizo lwezokwelapha ngesikhathi esifanele kuqinisekisa ukuphathwa okuphumelelayo kanye nekhwalithi engcono yokuphila.

Imibuzo Evamile

1. Uyazi kanjani uma kuyi-piles noma ama-fissures?

   Ama-Piles abangela ukuvuvukala, ukuthimula, nokuphuza igazi okungenabhlungu, kuyilapho ama-fissures ebangela ubuhlungu obukhulu nezikhala ezibonakalayo ekuqaleni komthambo we-anal.

2. Ingabe ama-piles kanye nama-fissures angenzeka ndawonye?
   Yebo, ama-piles kanye nama-fissures angenzeka ngesikhathi esifanayo, ikakhulukazi uma ukuboshwa kwesisu okuhlala njalo noma ukuqina kukhokelela kokubili ezicubwini zezinhlanzi ezivuvukile (ama-piles) kanye nezikhala ekuqaleni komthambo we-anal (ama-fissures).

3. Ingabe ama-fissures noma ama-piles abubuhlungu kakhulu?
   Ama-Fissures avame ukuba buhlungu kakhulu ngenxa yobuhlungu obukhulu ngesikhathi sokuhamba kwesisu, kuyilapho ama-piles angabangela ukungakhululeki, ukuthimula, noma ubuhlungu obuncane ngaphandle uma ku-thrombosed noma ku-prolapsed.