Mmene Chitch kapena Kupweteka Kungasonyezere Chinachake Chofunika Kwambiri
Zowawa zoopsa zomwe zimayambitsa matenda amodzi timayesetsa kunyalanyaza ndipo chiyembekezo chimatha. Nthawi zambiri tidzakhala ndi chilakolako, kupweteka, kapena zilonda kwa miyezi, ngakhale zaka zambiri panthawi yochita manyazi komanso kupewa mankhwala omwe angapangitse zinthu kukhala bwino.
Ndi mtundu wa hesitancy umene umayambitsa mavuto. Chifukwa cha ululu uliwonse kapena chinsalu chomwe chimatha kukhala chinthu choposa chifuwa chachikulu, pali nthawi zina pamene zotsatirazo zikuipiraipira.
Anatomy ya Rectum ndi Anus
Ngakhale tizilombo timene timagwiritsira ntchito mawu omwe timagwiritsira ntchito nthawi zambiri timagwiritsira ntchito mosiyana, makamaka amatchula mbali zosiyana za tsamba la m'mimba loperekera m'mimba.
Chigamulocho ndi chipinda chamkati chokhala ndi masentimita asanu ndi atatu chomwe chimagwirizanitsa colon ndi anus. Pamene chitseko chimalowa m'kati mwake, mitsempha yozungulira mkati mwake imatumiza uthenga ku ubongo umene umayambitsa yankho lopweteketsa lomwe limaponyera chitsime kudzera mu anus ndi kunja kwa thupi.
Mosiyana ndi zimenezi, kutsegula kwa mphutsi kumayambiriro kwa mapiritsi awiri omwe amachititsa kuti ziphuphu zisatuluke.
Kuyankhula momveka, ululu uliwonse womwe umapezeka mu rectum kapena anus umachitika chifukwa cha zoopsa kapena matenda. Zifukwa zisanu zowonjezera zowonjezera izi mwa amuna ndizo:
Anal Fissure
Nkhono ya feteleza imatanthauzira ngati misozi yambiri yomwe ili mkati kapena pafupi ndi anus kapena rectum. Misozi yambiri nthawi zina imakhala yovuta kuwonetsa ngati kutuluka m'mimba kungachititse kuti machiritso atsegulidwe mobwerezabwereza.
Zifukwa zimatha kukhala ndi chotupa cholimba chifukwa cha kudzimbidwa, kuponderezedwa pa nthawi ya chifuwa, kugonana kwa abambo, kapena kuyika chinthu chachilendo ku rectum. Kutsekemera kumakhala kofala.
Chithandizo chimaphatikizapo:
- zitsulo zowonongeka ndi zakumwa zamadzimadzi
- kumwa madzi ambiri
- akuyambira madzi osamba otentha kuti athetse ululu ndi kuthamanga machiritso
- chifukwa cha kuchepetsa kupweteka kwa mankhwala ndi mankhwala opatsirana
- Kuchita opaleshoni kungafunikire pa milandu yoopsa
Matenda ochepa
Chifuwa chokhala ndi kachilomboka ndi mthumba wa pus chifukwa cha matenda omwe amapezeka mkati mwa minofu. Amadzimadziwa ali ofanana ndi mafinya omwe amapezeka ndi anus ndi rectum nthawi zambiri amatsekedwa. Izi zikachitika, kutupa ndi kusungidwa kwa pus kumachitika. Chiphuphu chimapindulitsa pamene chimangoyamba chimatseguka.
Zizindikiro zimatha kuphatikizapo kupweteka ndi malungo chifukwa cha matenda, kuyenda kwa thupi, kupweteka kwa matumbo, ndi kutuluka usiku. Chiphuphu chingachiritsidwe motere:
- maantibayotiki kuti athe kuchiza matenda a bakiteriya
- chisowa chotsalira cha kuchotsa pus ndi madzi ena
- kukonza mapepala a pus ndi madzi muzochitika zazikulu kwambiri
Mafupa
Mankhwala otentha magazi ndi owonjezera, magazi ophimba mitsempha kapena mitsempha ya mitsempha mkati ndi kuzungulira phulusa. Zimayambitsa kuyabwa ndi kupweteka kwa magazi, kutuluka m'magazi, komanso kupanga mtanda mkati ndi kuzungulira anus. Zifukwa zingakhale zambiri, kuphatikizapo matumbo, kutenga mimba, kugonana kwa ana, chifuwa cha ana, matenda, chifuwa chachiwawa kapena kusanza, ndi chiwindi cha chiwindi.
Chithandizo chingakhale chosokoneza kapena chosadziwika molingana ndi kuuma kwake ndikuphatikizapo:
- akulowa m'madzi ofunda kuti achepetse ululu
- ma packs kuti asachepetse kutupa
- mankhwala odzola komanso odzola
- chitoliro chochepetseratu kuti asapitirire kudutsa
- ligation, njira yomwe mphira wa rubber kapena suture imamangiriridwa pafupi ndi magazi kuti athetse magazi, kuwapangitsa kuuma ndi kugwa mkati mwa sabata
- sclerotherapy momwe mankhwala amayiramo pafupi ndi magazi kuti asadwale magazi, kuchititsa kupopera magazi
- opaleshoni kuchotsa mimba
Colitis (Ulcerative Colitis kapena Matenda a Crohn)
Colitis ndi kutupa kwa m'mimba. Ulcerative colitis imangokhala m'mimba yaikulu pamene Matenda a Crohn angapangitse dongosolo lonse lakumagazi.
Zonsezi zimabweretsa kutupa kwa m'mimba komanso ululu wa m'mimba. Ngakhale chifukwa cha ulcerative colitis sichimvetsetsedwa kwathunthu, ambiri amakhulupirira kuti ndi njira yodzipangira yekha m'matumbo akulu, mwina ogwirizana ndi chakudya, mabakiteriya, kapena ngakhale majini.
Zizindikiro zimapweteka kwambiri, kupweteka kwa mimba (kumverera kuti muyenera kuteteza ngakhale pamene simukutero), kunyowa, kutsekula m'magazi, kutopa, kutaya thupi, ndi ntchentche komanso / kapena kuphulika. Chithandizo cha ulcerative colitis ndi Crohn's disease ndi cholinga chochepetsera kutupa ndipo chingaphatikizepo:
- Steroids kuchepetsa njira yotupa
- Mankhwala otsutsa-kutupa (pamagulu opatsirana chitetezo cha mthupi omwe ali ndi zotsatira zofanana)
- antidiarrheals kuti athetse kutsegula m'mimba
- chitsulo chothandizira kuteteza kuchepa kwa magazi m'thupi ngati kulibe magazi
- enema kuti ayambe kuyenda
- kuchitidwa opaleshoni kuti zisawonongeke m'mimba m'matenda aakulu
Zilonda Zogonana ndi Zovuta
Zilonda kapena kukula kwa anus kungayambitse ululu wamkati. Zilonda ziwiri zowonongeka kwambiri zimapezeka m'magazi am'mimba komanso herpes simplex.
Zilonda zamtunduzi zimakhala zosalala, zilonda zamitundu zozungulira zomwe zimayambitsidwa ndi papillomavirus ya anthu (HPV) . Matenda a chiberekero amayamba chifukwa cha kachilombo ka herpes simplex (HSV) ndipo amatha kupweteketsa mitsempha yowonongeka yomwe imayandikana ndi nthendayi.
Zilonda zamatenda zimakhala zopweteka koma zimatha kusokoneza matumbo. Malingaliro ake, a herpes, amatha kupweteka kwambiri ndipo nthawi zambiri amakhala ndi zizindikiro monga chimfine, kuphatikizapo malungo.
Kuchiza kwa ziwalo zogonana kungaphatikizepo zokometsera zam'mwamba kapena opaleshoni kuti zithetsedwe. Kachilombo ka mtundu wamtunduwu, amayankha bwino mankhwala oletsa tizilombo toyambitsa matenda monga acyclovir kapena valacyclovir komanso opaleshoni ya topical acyclovir.
Mawu Ochokera
Chofunika kwambiri kukumbukira ndikuti kupweteka kwapadera kumaoneka ngati mopusa, koma nthawi zambiri kumakhala chizindikiro cha chinthu china chachikulu kwambiri (kuphatikizapo khansa ya ana imene imakhudza amuna omwe ali ndi kachilombo ka HIV ndi amuna omwe ali ndi kachilombo ka HIV ). Ngati muli ndi ululu wamatenda, musalole manyazi kukuletseni kuti muwoneke. Pamapeto pake, thanzi lanu labwino ndilofunika kwambiri monga mtima, mapapo, ubongo, ndi mafupa.
> Chitsime:
> Pfenniger, J. ndi Zainea, G. "Zochita Zodziwika Zokha: Gawo I. Zizindikiro ndi Zilombo." American Family Physician. 2011; 63 (12): 2391-2398.