Kuchiza ufa ndi mafuta a azitona
Kafukufuku wambiri wasayansi wasonyeza kuti mafuta a azitona ali ndi mankhwala ochizira ming'alu ya kumatako.
Ziphuphu za anal ndi misozi yaing'ono mu mucous nembanemba yomwe imayendetsa anus ndipo nthawi zambiri imayambitsa kupweteka ndi kutuluka magazi.
Nthawi zambiri ming'aluyi imachiritsidwa ndi mafuta odzola monga Vaseline, koma mafuta a azitona amawoneka kuti amathandiza kwambiri pochiza matendawa.
Mafuta a azitona ndi mankhwala otsekemera achilengedwe omwe amathandiza kuti pakhale njira yosalala komanso yopanda vuto.
Kuphatikiza apo, kugwiritsa ntchito mafuta a azitona kumachepetsa ululu, kutuluka magazi, komanso kuyabwa komwe kumakhudzana ndi ming'alu kumatako.
Kafukufuku akuwonetsanso kuti kupaka mafuta a azitona mwachindunji kudera lomwe lakhudzidwako ndi kothandiza pochiza ming'alu kumatako.
Ndibwino kutikita minofu mofatsa ndi mafuta ochepa kwa mphindi zingapo.
Mankhwalawa ayenera kubwerezedwa kangapo patsiku kuti apeze zotsatira zabwino.
Zomwe odwala ena adakumana nazo zatsimikizira mphamvu ya mafuta a azitona pochiza ming'alu ya kumatako.
Mafuta a azitona ndi amodzi mwazinthu zachilengedwe zomwe amakonda kuchiza matenda ambiri, ndipo ali ndi maubwino angapo mthupi ndi khungu.
Ngati mukudwala ming'alu kumatako, ndi bwino kuonana ndi dokotala kuti atsimikizire za matendawo ndi kukutsogolerani ku chithandizo choyenera.Amalangizidwanso kuti musagwiritse ntchito chithandizo chilichonse popanda kukaonana ndi dokotala.
Kodi mafuta abwino kwambiri a crack ndi ati?
Anthu ambiri amadabwa za mafuta abwino kwambiri omwe angagwiritsidwe ntchito pochiza ming'alu ya kumatako.
Mafuta a Facto ndiye njira yabwino kwambiri komanso yothandiza kwambiri pankhaniyi.
Zimathandizira kuchepetsa kutupa ndi kupweteka, komanso kuchepetsa mwayi wa matenda a chilonda.
Chifukwa chake ndi chakuti lili ndi maantibayotiki komanso mafuta otsekereza njira ya calcium, omwe amachotsa ma spasms ndikupumula minofu ya anal sphincter.
Nthawi zambiri kung'ambika kumatako kumawonekera, ndipo akapimidwa moyenera, matendawa amapezeka.
Pakati pa zonona ndi mafuta omwe amagwiritsidwa ntchito pochiza ming'alu kumatako, chithandizo choyenera kwambiri chimaphatikizapo mafuta a GTN nitroglycerin 0.2%.
Tikukulimbikitsani kugwiritsa ntchito magolovesi mukamagwiritsa ntchito ku anus.
Mankhwala ochizira matendawa amaphatikizanso mafuta odzola a Faktu, omwe amakhala ndi hydrocortisone kuti achepetse zizindikiro ndikuchira msanga.
Mafutawa alinso ndi anti-inflammatory and anesthetic agents omwe amagwira ntchito pochotsa kuyabwa pakhungu.
Pofuna kuchiza zotupa, ming'alu ndi ming'alu kumatako, mafuta a Antrolin angagwiritsidwe ntchito ngati mankhwala othandiza.
Maumboni omwe alipo akuwonetsa kuti mafutawa amapereka zotsatira zogwira mtima.
Mafutawa alinso ndi hydrocortisone, yomwe imakhala ngati anti-inflammatory, yomwe imapangitsa kuti chithandizo chikhale chogwira ntchito komanso chimachepetsa kuyabwa kwa khungu.
Komabe, odwala ayenera kukaonana ndi dokotala asanagwiritse ntchito mafutawa kapena mafuta opaka.
Dokotala ndiye munthu woyenera kwambiri kuti apereke matenda olondola komanso upangiri wamankhwala oyenera pazochitika zilizonse.
Kodi ndingatani ndi crack kunyumba?
Ziphuphu m'dera lakumbuyo ndi vuto lathanzi lomwe limatha kuthandizidwa kunyumba.
Nawa maupangiri ena ochizira ndi kuthetsa ululu wammbuyo:
- Kusamba kwa madzi otentha: Ndibwino kuti muzisamba m'manja pogwiritsa ntchito madzi otentha otentha.
Madontho ochepa amafuta ofunikira otonthoza ndi zinthu zoyenera akhoza kuwonjezeredwa kuti atonthoze malo okhudzidwawo. - Pewani zakudya zomwe zimavuta kugayidwa: Ndi bwino kupewa kudya zakudya zolimba komanso zovuta kuzigayitsa, monga chimanga ndi tchipisi ta mbatata, kuti mupewe kupanikizika kwambiri pagawo la crack.
- Imwani zamadzimadzi ndikugwiritsa ntchito mankhwala otsekemera: Ndi bwino kumwa madzi okwanira okwanira komanso zofewetsa chimbudzi ngati kuli kofunikira, kuti mufewetse chimbudzi ndi kuthetsa kudzimbidwa.
- Chimbudzi nthawi zonse: Ndikofunikira kuti musachedwe kubisala ndikupita kuchimbudzi mukangomva kuti mukufuna kuchita chimbudzi.
- Wonjezerani kudya kwa fiber: Ndibwino kuti muwonjezere kuchuluka kwa fiber m'zakudya mwa kudya masamba ndi zipatso, chifukwa ulusi umathandizira kufewetsa chimbudzi ndikuwongolera matumbo.
- Kugwiritsa ntchito uchi ndi mafuta a azitona: Uchi wosakaniza ndi mafuta a azitona ukhoza kugwiritsidwa ntchito kuti ukhale wofewa.
Mukhoza kusakaniza uchi wofanana ndi mafuta a azitona ndikuwotcha mu microwave mpaka uchi utasungunuka kwathunthu.
Kusakaniza kumeneku kumayikidwa pa malo okhudzidwa kuti athetse ming'alu.
Dziwani kuti pali njira zambiri zochizira kufinya kumatako ndikuchepetsa ululu womwe umakhala nawo, kuphatikiza chithandizo chamankhwala chachikhalidwe komanso chithandizo cha laser.
Ndibwino kuti muwone dokotala wanu kuti akudziwe bwino komanso kuti akupatseni uphungu waukatswiri ngati zizindikiro zikupitirira kapena zikuipiraipira.
Pogwiritsa ntchito malangizowa ndikuwatsatira nthawi zonse, ming'alu yambiri imatha kuchiritsa pakatha milungu ingapo ndi chithandizo choyenera chapakhomo.
Kodi mchere ndi wothandiza pa ming'alu?
Magwero ena adanena kuti kugwiritsa ntchito mchere posambira pochiza ming'alu kumatako sikumapereka phindu lililonse ndipo kungapangitse ululu.
Komabe, pali zikhulupiliro zina ndi malingaliro omwe amatsimikizira kuti kugwiritsa ntchito kusamba kwa madzi ofunda ndi mchere kungathandize kuchiza ming'alu.
Kusamba m'madzi ofunda ndi mchere ndi imodzi mwa njira zomwe zimagwiritsidwa ntchito pochotsa ululu komanso kukonza vuto la kupasuka kumatako.
Mchere umachepetsa kutupa ndipo umalimbikitsa machiritso a bala.
Malinga ndi Dr. Muhammad Al-Sayed Al-Khatib, atasamba, wodwalayo amalangizidwa kuti asagwiritse ntchito mtsinje wamadzi kuti azitsuka malo, ndipo m'malo mwake amatha kugwiritsa ntchito madzi ofunda omwe ali ndi mchere kwa mphindi 20 katatu patsiku.
Kuonjezera apo, tikulimbikitsidwanso kudya zakudya zokhala ndi fiber komanso kuonjezera madzi omwe mumamwa, chifukwa zakudya ndi madziwa zimathandiza kupewa kupangika kwa zinyalala zolimba kwambiri zomwe zingayambitse zilonda m'dera lakuthako.
Komabe, munthu amene ali ndi phazi kumatako ayenera kukaonana ndi dokotala kuti adziwe chithandizo choyenera ndiponso kuti apereke malangizo oyenerera a kadyedwe koyenera malinga ndi mmene thanzi lake lilili.
Wokhudzidwayo ayenera kutsatira malangizo a dokotala ndi kugwirizana naye kuti athetse vutolo, ndipo palibe chithandizo kapena njira yomwe iyenera kugwiritsidwa ntchito popanda kufunsa dokotala.
Zimatenga masiku angati kuti mng'aluwo uchiritse?
Malingana ndi madokotala, kuphulika kumatako nthawi zambiri kumachiritsa mkati mwa nthawi yoyambira masabata angapo mpaka miyezi ingapo, malingana ndi mtundu ndi kukula kwa kupasukako.
Pakang'amba kwambiri, imatha kuchira yokha pakadutsa milungu iwiri kapena inayi.
Kwa kupasuka kosatha, nthawi yochira imatha kutenga masabata 6 mpaka 12.
Kafukufuku akuwonetsa kuti chisamaliro chosavuta chapakhomo chikhoza kufulumizitsa machiritso.
Ndikwabwino kuyeretsa malowo ndi madzi ofunda, kugwiritsa ntchito mankhwala otsekemera achilengedwe, ndikuwonjezera kuchuluka kwa fiber muzakudya.
Ngati zizindikiro zikupitirirabe kapena zikuipiraipira, ndi bwino kukaonana ndi dokotala kuti mukakambirane ndi kulandira chithandizo.
Ziphuphu zambiri kumatako zimazimiririka zokha pakapita nthawi yochepa ndipo zizindikiro zimachepa kwambiri.
Komabe, ngati zizindikiro zikupitilirabe kapena kubwerera pafupipafupi, chithandizo chowonjezera chingafunike.
Anthu omwe ali ndi vuto la zilonda zam'mimba ayenera kuonana ndi dokotala wodziwa bwino kuti awone bwinobwino vutoli ndikupeza njira zochiritsira zoyenera.
Kodi ndingathetse bwanji ululu wa mng'alu?
Ngati mkangano wa ngalandeyo wang’ambika kapena kung’ambika, anthu ambiri amamva ululu woopsa ngati wa zotupa.
Ngakhale pali kusiyana kwakukulu pakati pa kupasuka kumatako ndi zotupa, m'pofunika kuchitapo kanthu kuti muchepetse ululu wokhumudwitsawu.
Pali njira zingapo zochizira zomwe dokotala angapereke kwa wodwalayo kuti athe kuchiza kufinya kumatako ndikuchepetsa ululu.
Nawa maupangiri ochepetsera ululu wakuthako:
- Gwiritsani ntchito zochepetsera ululu wam'mutu: Zothandizira kupweteka kwam'mutu monga lidocaine zitha kuthandizira kuthetsa kusapeza bwino komanso dzanzi kuthako.
- Kumwa zofewetsa chopondapo: Zakumwa zoziziritsa kukhosi, zoziziritsa kukhosi, kapena mapiritsi zimathandizira kutulutsa matumbo ndikuchepetsa kupanikizika kwapang'onopang'ono.
- Gwiritsani ntchito mankhwala opha ululu: Ngati ululu waukulu, mankhwala ochepetsa ululu angakhale othandiza kuthetsa ululu.
- Gwiritsani ntchito mafuta oletsa kutupa: Mafuta ena odzola ndi ma suppositories ali ndi hydrocortisone, yomwe ingathandize kuchepetsa kutupa ndi kuchepetsa ululu.
- Majekeseni a Botox: Nthawi zina, dokotala akhoza kulowetsa Botox mu anal sphincter, kuti athe kuchiritsa machiritso.
Kuphatikiza apo, tikulimbikitsidwa kutsatira malangizo athanzi kuti muchepetse ululu ndikufulumizitsa kuchira kwa mng'alu, monga kupewa kudzimbidwa ndi kumwa madzi okwanira tsiku lililonse.
Ngati vutoli silikuyenda bwino ndi njirazi, muyenera kufunsa dokotala kuti mupeze malangizo ofunikira komanso chithandizo choyenera.
Osadandaula ngati mukuvutika ndi ululu wammbuyo, pali njira zingapo zothandizira zomwe zingakuthandizeni kuchotsa ululu ndikulimbikitsa machiritso a ming'alu.
Koma muyenera kuonetsetsa kuti mwaonana ndi dokotala musanamwe mankhwala kapena kugwiritsa ntchito mankhwala aliwonse.
Kodi crack amachiza yekha?
Choyambitsa chachikulu cha kuphulika kumatako ndi kudzimbidwa, ndipo kupasukako kumachiritsa mwachibadwa mkati mwa masabata 4 mpaka 6.
Komabe, ngati ng'anjoyo ipitilira kwa milungu 8, imatha kukhala matenda osachiritsika ndikufunika upangiri wamankhwala.
Mphuno yamphongo ikhoza kuchiza yokha ngati kudzimbidwa komwe kumayambitsa kupasuka kumathandizidwa.
Ziyenera kuganiziridwa kuti kudzimbidwa ndi kuphulika kwa anal kumakhudzidwa ndi wina ndi mzake.
M’nkhani yake yaumwini, mtsikana wina wazaka 20 anafotokoza kuvutika kwake ndi kupasuka kumatako kwa miyezi ingapo, pamene ululuwo unakula kwambiri ndiyeno nkuzimiririka nthaŵi ndi nthaŵi.
Mtsikana ameneyu pomalizira pake anaganiza kuti achitidwa opaleshoniyo ndi kuti anali kudalira Mulungu.
Kawirikawiri, kuphulika kwa anal kumathetsa mkati mwa masabata angapo ngati malangizo a dokotala akutsatiridwa.
Kuphulika kumatako ndi kabala kakang'ono kuthako komwe kamayambitsa kupweteka komanso mwina kutuluka magazi, komwe kumachitika pa msinkhu uliwonse, koma nthawi zambiri kumakhudza achinyamata.
Kawirikawiri, matenda ambiri a anal fissure amatha kuchiritsidwa popanda opaleshoni.
Komabe, ngati mng’aluwo suyenda bwino pakatha milungu ingapo, pangafunike opaleshoni kuchotsa mng’aluwo.
Mphuno yakuthako ikachira bwino, vutolo silingabwererenso.
Kodi ndingadziwe bwanji ngati ndili ndi zotupa kapena zotupa?
Tonsefe nthawi zina timamva kupweteka kumatako, koma tingasiyanitse bwanji ming'alu ndi zotupa? Ma anal fissures ndi zotupa ndi zinthu ziwiri zosiyana zomwe zimachitika m'dera lomwelo, koma zimasiyana ndi zizindikiro ndi chithandizo.
Apa tiwona mozama momwe tingasiyanitsire pakati pawo:
Zotupa:
Zotupa ndi kutupa ndi kukulitsa mitsempha mu anus ndi rectum, ndipo zimachitika chifukwa cha khama panthawi ya chimbudzi kapena kupanikizika kwambiri pa rectum.
Ngakhale kuti zotupa sizikhala zopweteka nthawi zonse, zizindikiro zomwe zingasonyeze kukhalapo kwawo ndi monga:
- Kumva kupweteka: Mutha kumva kuwawa m'dera lamatako, makamaka panthawi yachimbudzi kapena pakakhala kudzimbidwa komanso kupanikizika kwambiri panjira.
- Kuyabwa kapena kuyabwa: Mutha kumva kuyabwa kapena kutentha kuthako.
- Zovuta pakuyeretsa: Mutha kukumana ndi zovuta pakuyeretsa malo akuthako chifukwa chokhala ndi zotupa.
- Zotupa zotupa: Zotupa zimatha kutulukira mkati mwa kuthako panthawi yochita chimbudzi, ndipo munthu angafunikire kuzikankhira kumbuyo pamanja.
Kuphulika kumatako:
Kuphulika kumatako ndi kung'ambika pakhungu lozungulira malo akuthako, ndipo kumatha kuchitika pazifukwa zingapo, monga kudzimbidwa kosatha, matenda a chitetezo chamthupi, matenda a Crohn, kapena kubereka.
Zizindikiro zomwe zingasonyeze kukhalapo kwa anal fissure ndi:
- Ululu: Wodwala amawona ululu womwe umatsagana ndi matumbo, ndipo ululu ukhoza kukhala chifukwa cha kung'ambika kwa minofu.
- Kukhetsa magazi: Kutaya magazi kumatha kuchitika pambuyo pa chimbudzi, chifukwa pangakhale mawanga a magazi pachimbudzi.
- Kutupa ndi kutupa: Kutupa kumatako kumatha kutsagana ndi kutupa ndi kutupa kwa minofu ya kuthako.
Ngati mukuvutika ndi ululu kumatako ndipo mukukayikira zotupa kapena ming'alu kumatako, ndi bwino kupita kwa dokotala kuti mudziwe molondola matenda.
Madokotala angafunike kuyesanso mayeso owonjezera monga kuyesa kumatako kapena m'matumbo kuti adziwe matenda olondola ndikuwongolera chithandizo choyenera.
Chifukwa chiyani palibe mgwirizano wa crack?
Kuphulika kumatako ndi vuto lomwe anthu ambiri angakumane nalo.
Ngakhale kuti anthu ambiri amavutika ndi vutoli, pali nthawi zina pamene kupasuka kumatako sikuchiritsa, zomwe zimadzutsa mafunso okhudza zomwe zingayambitse kusachira.
Kuphulika kumatako ndi mng'alu wowoneka m'dera lomwe lili pafupi ndi anus, ndipo likhoza kuchitika chifukwa cha kupanikizika kwakukulu pa malowa, monga kuvulala kwachindunji kapena kutuluka kwa chopondapo cholimba.
Zitha kuchitikanso chifukwa cha matenda ena monga ulcerative colitis.
Mphuno yakuthako nthawi zambiri imadzichiritsa yokha pakapita nthawi yochepa, koma ngati siinachiritse, pakhoza kukhala zifukwa zake.
Zina mwa zifukwa izi, kudzimbidwa ndi kupsinjika kwa minofu mu ngalande ya anal kungakhale zifukwa zazikulu.
Ngati pali kupanikizika kosalekeza pa phazi la kumatako, zingakhale zovuta kuchiza.
Ngati palibe kuchira, munthu amene ali ndi phazi la kumatako ayenera kuonana ndi dokotala wodziwa bwino kuti aunike matendawa ndikupeza njira zabwino zothetsera vutoli.
Thandizo la opaleshoni lingafunike ngati pali chiphuphu chachikulu kapena chiphuphu chomwe sichichiritsa bwino.
Kuonjezera apo, wodwalayo akhoza kupatsidwa malangizo ena kuti athetse vutoli ndikuthandizira kuchira kwa ming'alu ya anal.
Pakati pa malingalirowa, tikulimbikitsidwa kutsatira zakudya zopatsa thanzi zomwe zimakhala ndi ulusi wopatsa thanzi komanso kumwa madzi okwanira, kuphatikiza kuchita masewera olimbitsa thupi pafupipafupi.
Kawirikawiri, chithandizo cha anal fissure nonunion chimafuna kuwunika mosamala ndi katswiri ndikutsatira malangizo oyenerera azachipatala.
Choncho, munthu yemwe ali ndi vuto la mphuno ayenera kuyanjana ndi dokotala ndikutsata chithandizo nthawi zonse kuti atsimikizire kuti ming'aluyo imachiritsa ndikuchotsa vutoli kwamuyaya.
