Khungu la Periani Lingawonongeke, makamaka Pambuyo pa Kutsekula m'mimba
Perianal amatanthauza gawo la thupi lozungulira anus , makamaka khungu. Khungu la perianal limakhala lodziwika ndipo limatha kuvulazidwa ndi kuwonongeka ndi kutsekula m'mimba, kudzimbidwa, ndi matenda.
Kuwakwiyitsa kumalo a perianal kumachitika ndi kutsegula m'mimba. Kutsegula m'mimba kungakhale kosavuta ndi kutentha khungu, ndipo kupukuta mobwerezabwereza ndi pepala la chimbudzi kungayambitse mavuto ena.
Kuthetsa kutsekula m'mimba ndikusunga malo oyera ndi owuma ndi ofunika kuchiritsa khungu la perianal .
Matenda ndi Mkhalidwe Wa Perianal Area
Matenda ndi zizindikiro zomwe zingakhudze khungu la perianal ndi:
- Zomwe zimatulutsa kunja kwa thupi : Matenda otentha omwe amapezeka kunja kwa anus yomwe imakhala yopweteka, yovuta, ndipo imawoneka magazi. Mafupa amatha chifukwa cha matenda a chiwindi, kudzimbidwa, kutsekula m'mimba, kapena panthawi ya mimba. Zizindikiro zikhoza kuipiraipira panthawi yogonana. Nthawi zambiri zimbudzi zimakhala bwino ndi chithandizo chapakhomo, koma nthawi zina amafunika kuti azichiritsidwa ndi gastroenterologist kapena dokotala wochita opaleshoni. Ngati magazi amapezeka, magazi amatha kupwetekedwa, ndipo amachititsa ululu ndi kutupa.
- Matenda a Crohn: Matenda a Crohn akhoza kuchitika m'mbali iliyonse yamagetsi, ndipo malo a perianal angasokonezedwe. Pafupifupi 24 peresenti ya odwala ali ndi matenda a Crohn ali ndi matenda m'dera la perianal. Anthu omwe ali ndi matenda a Crohn amatha kukhala ndi zikopa zamatenda, ziwalo zam'mimba, kapena nthawi zambiri, khansa m'dera la perianal. Nthaŵi zambiri, dokotala wochita opaleshoni amafunika kuyang'aniridwa posamalira odwala omwe ali ndi mavuto ngati amenewa a Crohn's disease.
- Kupumula kwa Periani : Kutuluka kwa magazi ndikutengeka kwa magazi ndi mafinya omwe angathe kuchitika paliponse m'thupi, kuphatikizapo perianal. Anthu omwe ali ndi matenda opatsirana kwambiri (IBD), makamaka omwe ali ndi matenda a Crohn, ali pachiopsezo chachikulu chokhala ndi chifuwa cha perianal. Chotupitsa cham'mimba chingayambe pambuyo polira misozi, ndipo mabakiteriya ena amalowa mthupi kudzera misozi. Zizindikiro zake zimakhala kutupa, kupweteka, kutentha thupi, komanso kutaya thupi. Mavuto a m'midzi ya perianal nthawi zambiri amawatsuka powadula ndiyeno mankhwala opha tizilombo amatha kuperekedwa.
- Fistula Perianal: Njira yosaoneka bwino m'thupi pakati pa khungu ndi rectum, fistula ikhoza kuchitika ndi mtundu uliwonse wa IBD. Chinthu chimodzi chomwe chingakhale chovuta cha vuto la perianal ndi chitukuko cha fistula m'deralo, chomwe nthawi zina chingakhale chosatha. Fistula ikhoza kukhazikitsidwa pambuyo pa zovuta kapena zovuta za matenda a Crohn, matenda a khansa, khansa, mankhwala opatsirana pogwiritsa ntchito mankhwala, machitidwe a chifuwa, chifuwa chachikulu, kapena matenda a Chlamydia. Zizindikiro zimaphatikizapo kupumphuka pakhungu, kutupa, kupweteka, ndi madzi (kaya pus kapena sitolo) pamalowa. Mankhwalawa amachitidwa opaleshoni (fistulotomy) kapena kuika seti kudzera mu fistula. Mzerewu ndi ulusi umene umamangidwanso pa nthawi ndipo umachotsedwa.
Nthawi Yomwe Muwone Dokotala
Ululu, kutupa, kuyabwa, kapena mtanda kapena chifuwa mu malo a anal ayenera kupita kwa dokotala kuti adziwe zomwe zingayambitse vutolo. Dokotala adzafuna kuti ayambe kuyeza thupi ndipo akhoza kuyesera kuti aone zomwe zikuchitika. Izi ndi zoona makamaka kwa anthu omwe ali ndi IBD, makamaka Crohn's disease. Mavuto m'dera la perianal angathe kuchitika, koma kuwagwira mofulumira ndi kufunafuna chithandizo kungathandize kupewa zotsatira zowonjezereka.
Chithandizo chidzadalira kwambiri chifukwa cha zizindikiro mu perianal.
Kwa mafinya osavuta, chithandizochi chikhoza kuchitidwa kunyumba, koma mavuto ena ovuta monga fistula kapena abscess, opaleshoni yapachipatala angafunikire. Kwa anthu omwe ali ndi matenda opatsirana mofulumira, kupeza zinthu zosavuta kuzilamulira mofulumira kudzakhala chofunikira popewera mavuto aakulu pambuyo pake.
Mawu Ochokera
Mavuto ndi malo a perianal akhoza kukhala ovuta komanso ovuta kupirira chifukwa cha zotsatira zake zopita kuchimbudzi. Kuwakwiyitsa pang'ono, kuthamanga m'madzi ofunda kapena kupukuta kumbuyo pambuyo poyendetsa matumbo m'malo mopukuta kungakhale kothandiza. Komabe, ngati pali mtanda kapena kupweteka kapena kupweteka kwambiri, ndi nthawi yoti muwone dokotala ndi kupeza chithandizo kuti musamavutike.
Zotsatira:
Galandiuk S, Kimberling J, Al-Mishlab TG, Stromberg AJ. "Matenda a Purezidenti a Perian." Ann Surg . 2005 May; 241 (5): 796-802.
Safar B, Sands D. "Matenda a Katolika a Crohn." Makliniki ku Colon ndi Opaleshoni Yachilendo . 2007; 20 (4): 282-293.