Kafukufuku wamthupi amachitidwa kuti apange matenda ochepetsa ziwalo
Matenda a mitsempha amachititsa manyazi kuti athetse vutoli, chifukwa chake anthu ambiri amayesa kudzipenda okha ndikupewa dokotala . Komabe, nkofunika kuona dokotala kuti apeze matenda oyenera komanso mankhwala. Matenda a mitsempha amatha kukhala ndi zizindikiro zofanana ndi zina, zovuta kwambiri, ndipo ziyenera kuweruzidwa asanatenge kuti zizindikiro zimachokera ku magazi.
Kawirikawiri, zimbudzi zimapezeka mosavuta ndi mbiri komanso thupi.
Kuyesedwa / Kuyesedwa Kwapanyumba
Pali mitundu iŵiri ya ziwalo zamkati: mkati ndi kunja. Mafupa amkati amapezeka m'matumbo ndipo sangawoneke poyang'ana m'deralo pokhapokha ngati atayambiranso (kutuluka kunja kwa anus ). Zomwe zimatuluka kunja zimakhala pafupi ndi anus ndipo zimawoneka kapena kumverera.
Komabe, pokhapokha ngati mphutsi zakhala zovuta m'mbuyomu, anthu ambiri sadziwa ngati mtanda kapena kupweteka kumene akukumva kapena kukuwonani kwenikweni ndi mimba.
Ziyeso za thupi
Kawirikawiri, magazi amapezeka kuti ali ndi mayeso a thupi omwe amawoneka kunja kwa anus kapena kafukufuku wamadzimadzi. Pakhoza kukhala zochitika zina, komabe, pakuwona mkatikati mwa ngalande ya anal akufunika kuti muzindikire kuti m'mimba mwake muli zotupa za m'mimba.
Kuyezetsa kwakukulu
Kuyezetsa magazi ndi njira yodziŵira kuti magazi amatha kutentha, ngakhale kuti anthu ambiri angakhale ndi nkhawa chifukwa chokhala ndi chiyeso chifukwa cha manyazi.
Komabe, madokotala amayesa mayesowa nthawi zonse ndipo amayesetsa kuti odwala azikhala omasuka.
Pachiyeso ichi, odwala akufunsidwa kuchotsa zovala zawo m'chiuno mpaka kusandulika ku chipatala chachipatala, kapena amapatsidwa pepala la pepala kuti liphimbe mpaka pangoyamba kuyeza.
Ndi manja opukutira, dokotala adzayang'ana anus ndi perianal dera, lomwe ndi khungu mozungulira anus.
Zingakhalenso zofunikira kuyika chala mkati mwa anus. Izi zimachitidwa kuti muzimva ziwalo mkati ndi kudziwa ngati pali ziwalo zamkati zamkati. Komabe, sikutheka kukhala kotheka kumverera mkati mwa magazi ndi chala, kotero kuti kachilombo kawirikawiri sikutanthauza nthawi zonse. Kuonjezera apo, dokotala adzawona ngati magazi kapena ntchentche zimachoka pamutu, zomwe zidzakuthandizani kupeza matenda.
Kuyezetsa magazi pang'ono sikungakhale kovuta kwa mphindi kapena ziwiri, koma mwamsanga ndipo sikuyenera kuyambitsa ululu uliwonse.
Anoscopy
Nthaŵi zina dokotala angagwiritse ntchito chipangizo chotchedwa mascope kuti ayang'ane mkati mwa rectum. Anuscope ndi kapu yaing'ono, yopapatiza yomwe ili ndi kuwala komwe ikhoza kuikidwa mu rectum. Pogwiritsira ntchito chipangizochi, dokotala akhoza kuyang'anitsitsa kwathunthu mapangidwe mkati ndikuwone ngati pali magazi omwe alipo kapena ngati pali lingaliro lina la zizindikiro.
Zojambulazo zingayambitse msanga, koma zopweteka, ndipo zatha mphindi imodzi kapena ziwiri.
Kusanthula Kusiyanasiyana
Pamene mphutsi imayambitsa kupweteka ndi kutuluka m'magazi, kungakhale kotheka kuthetsa zina zomwe zingayambitse zizindikiro zomwezo.
Izi ndi zowona makamaka kwa anthu omwe ali ndi zaka zoposa 50, chifukwa mapuloteni a khansa ndi amodzi angayambitsenso magazi, ndipo amapezeka kwambiri m'badwo uno.
Anal Fissure
Nkhono ya feteleza ndi misozi yomwe ili m'kati mwa chingwe cha anal. Zimayambitsa ululu, makamaka panthawi yamagulu, ndi magazi. Mankhwalawa amachiritsira okha ndi mankhwala apakhomo.
Anal Fistula
Matenda a fetus ndi mgwirizano wodabwitsa pakati pa matumbo ndi khungu la perianal. Zingakhale zopweteka ndipo nthawi zambiri zimayamba monga abscess , yomwe ndi pusiti pansi pa khungu. Panthawi yoyezetsa magazi, dokotala amatha kuona ngati pali fistula yomwe ilipo.
Zambiri
Mapuloteni amadziwika kwambiri m'koloni kwa anthu opitirira zaka 50, koma amatha kuchitanso kwa achinyamata. Ma polyps kawirikawiri samapanga zizindikiro ndipo amapezeka pokhapokha ngati colonoscopy, koma imayambitsanso magazi. Dokotala angasankhe kuchita zowonjezereka (monga colonoscopy kapena sigmoidoscopy, kuyesa matumbo akulu) kuonetsetsa kuti magazi aliwonse amachokera ku magazi ndipo si ochokera ku polyp.
Matenda opweteka kwambiri (IBD)
Matenda a IBD, Crohn's , ulcerative colitis , ndi kuperewera kwa matenda osapatsirana kungayambitsenso magazi m'magazi ndipo akhoza kuwonjezeredwa ndi mafinya. Ngati pali zizindikiro zina zomwe zimapezeka ndi kutuluka kwa magazi, monga kutsekula m'mimba kapena kupweteka kwa m'mimba , dokotala angasankhe kuchita mayeso ena kuti asatuluke IBD ngati chifukwa chachiwiri cha magazi.
> Chitsime:
> Mott T, Latimer K, Edwards C. "Mafupa: Kuzindikira ndi Chithandizo Chakuchiritsira." Am Fam Physician 2018; 97: 172-179.