Kuyabwa kwa Anus
Kudula khungu, komwe kumatchedwanso pruritus, ndi vuto lomwe anthu ambiri amakumana nalo. Kuwomba kumatha kapena sikubwera ndi mphutsi, yomwe ingakhoze kuchepetsedwa kumadera ang'onoang'ono a khungu kapena ikhoza kuchitika pa thupi lonse. Pamene kuthamanga kumachitika, kungakhale chitsimikizo pa chifukwa cha kuyabwa. Kuyamwa kungakhale kukhumudwitsa pang'ono kapena kungakhale kusokoneza kwakukulu ndipo kumakhudza kwambiri moyo wa munthu.
Pamene kuyabwa kumaphatikizapo dera lozungulira anus, limatchulidwa ku pruritus ani, ndipo lingakhale vuto lochititsa manyazi.
Pruritus ani angakhudze anthu asanu ndi atatu (5%) ndipo amapezeka kwambiri pakati pa amuna pakati pa 40 ndi 60. Pali zifukwa zambiri zomwe zimayambitsa pruritus ani, zomwe zambiri zimagwirizanitsidwa ndi vuto linalake la mankhwala, monga zotupa kapena zamatenda . Zina zomwe zimayambitsa zimaphatikizapo kukhumudwa ndi matenda, matenda, kukhudzana ndi dermatitis, kusintha kwa zakudya ndi zovala, zotsatira za mankhwala, khansa yofiira ndi khansa, matenda a dermatologic, komanso zina zamankhwala ndi zamaganizo. Chithandizo cha pruritus ani chimadalira chifukwa cha zizindikiro.
Kutentha kwa Fecal
Khungu lomwe limakhudzana ndi nyamakazi, kaya lalikulu kapena laling'ono, ndilo chifukwa chofala cha pruritus ani. Izi zikhoza kukhala chifukwa cha kukhumudwa mwachindunji kwa khungu, kapena mwinamwake ngati chifukwa chosokoneza.
Anthu omwe amakhala ndi mawere, nthawi zambiri, ndi omwe amadya khofi wambiri (zomwe zimachepetsanso mitsempha ya anal) zingakhale zoopsa kwambiri kuti chisawonongeke chikhale chifukwa cha pruritus ani. Kuwonjezeka kwachitetezo, monga kuchepa kwa khofi, kuwonjezeka kwa mawotchi, komanso kumwa mankhwala monga loperamide (kuchepetsa kutsegula m'mimba) kungapangitse zizindikiro.
Matenda
Matenda a khungu la peri-anal angayambitsenso pruritus ani. Izi zikuphatikizapo pinworms ( Enterobius vermicularis ), matenda a fungal ndi yisiti (monga Candida albicans ), ndi matenda opatsirana (monga Streptococci ndi Staphylococci ). Kufufuza kwa tchikotchi kumathandiza kuti tipeze matenda a pinworm, ndipo zikhalidwe zimathandiza kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda. Chithandizo chimadalira mtundu wa matenda omwe amapezeka.
Contact Dermatitis
Dermatitis yothandizana ndi chigawo cha anal akhoza kutenganso pruritus ani. Zina zimaphatikizapo utoto wa pepala wam'mimba ndi zonunkhira, zokupukuta, sopo, mankhwala ochapa zovala, ndi mankhwala amtundu omwe amapezeka m'derali pofuna kuyesedwa. Kuyeza kwa patch kungakhale kothandiza pozindikira kugonana kwa dermatitis, ndi mankhwala ndi ma steroids , makamaka omwe ali ndi mawonekedwe odzola, angakhale othandiza.
Zakudya ndi Mankhwala
Zakudya zosiyanasiyana zimadziwika kuti zimayambitsa zizindikiro za pruritus ani, makamaka pamene zakudyazo zimachulukitsa kuchuluka kwa mpweya wambiri kapena zimakhala zotayirira. Zitsanzo za zakudya zimenezi zimaphatikizapo zakumwa za khofi (makamaka khofi ndi tiyi), mowa, chokoleti, mankhwala a phwetekere, ndi - zosakwanira - zakudya za mkaka, mtedza, zonunkhira, zipatso zamchere, zakudya zokometsera zokoma, prunes, ndi nkhuyu.
Zambiri mwazimenezi sizimayambitsa vutoli, monga zizindikiro zina ziyenera kuyembekezera ku zakudya zowonjezera , makamaka zizindikiro za khungu monga ming'oma ndi kuyabwa pa thupi lonse. Chiyeso chochotsa zakudya zapamwambazi kuchokera ku zakudya zanu kwa milungu iwiri zingathandize kuchepetsa zizindikiro za pruritus ani.
Mankhwala ena amachititsa pruritus ani, kuphatikizapo laxatives, colchicine, mafuta a peppermint ndi ma antibiotic osiyanasiyana. Mankhwalawa amachititsa pruritus ani, osati chifukwa cha vuto linalake, koma makamaka chifukwa cha kukhumudwa mwachindunji kapena chifukwa cha kutayirira kosasunthika komanso kuchuluka kwa matumbo.
Zolakwika / Matenda a Edzi ndi Matenda Otsitsiratu
Mavuto a zachipatala a malo amtundu ndi a anal, monga ziwalo zam'mimba, akhoza kuvulaza pruritus ani. Zina zowonjezera zikuluzikulu za pruritus ani zimaphatikizapo ana komanso khansa yambiri. Matenda osiyanasiyana a khungu angachititse pruritus ani; izi zikuphatikizapo psoriasis, lichen sclerosis , ndi mitundu yosiyana ya khansara ya khungu. Mavuto amenewa amapezeka ndi chithandizo cha khungu.
Zifukwa zosiyana
Anthu ena omwe ali ndi pruritus ani akhoza kukhala ndi matenda amkati, monga matenda a shuga , matenda a chiwindi , matenda a impso , khansa ya m'magazi , lymphoma , kuchepa kwachitsulo kwa magazi , ndi hyperthyroidism. Zinthu zamaganizo zingayambitsenso pruritus ani, monga nkhawa ndi nkhawa. Kuchiza mavuto awa a zachipatala ndi a maganizo kungathandize kuti zizindikiro zanu zikhale bwino.
Chifukwa cha zifukwa zosiyanasiyana za pruritus ani, kuphatikizapo zina zomwe zingakhale zoopsa, ndi bwino kufunafuna uphungu kwa wothandizira zaumoyo m'malo moyesera kuchiza matendawa.
Phunzirani zonse zomwe munkafuna kudziwa zokhudza kuyabwa .
Chitsime:
Sididi S, Vijay V, Ward M, Mahendran R, Warren S. Pruritus Ani. Ann R Coll Surg 2008; 90: 457-63.