Igazi kulesi sikhundla

Igazi esitokisini lingenye yezimpawu ezihambisana nezifo eziningi. Futhi kude nezihlalo ezixegayo njalo zibonisa inkinga ngomgudu wokugaya ukudla. Ngezinye izikhathi, kanye nobuhlungu ngemva kokukhipha, kuphakamisa ukuthuthukiswa kwesimila ngokutholakala kwendawo ku-rectum.

Ngokuvamile lolu hlobo lwesibonakaliso aluzi lodwa, kodwa luhambisana nezimpawu ezengeziwe kubantu abadala nasezinganeni. Kuphela ngokuqhathanisa zonke izikhalazo zesisulu, udokotela uzokwazi ukwenza isinqumo sokuqala mayelana nesifo esithonye ukubukeka kokuphambuka okungajabulisi okunjalo.

Izimbangela eziyinhloko kanye nezimpawu ezihambisanayo

Naphezu kokuthi izizathu zokubonakala kokufakwa kwegazi emikhiqizweni yemfucuza yomuntu zingabonisa izifo eziningi ezihlukahlukene, emisebenzini yezokwelapha basafunda ukukhomba ezivame kakhulu kuzo.

Isizathu esivame kakhulu sokuxutshwa negazi elisha ngesikhathi sokunyakaza kwamathumbu kukhona imifantu etholakala ku-anus. Kubalulekile lapha ukubona ukuthi igazi liyavela ngaphandle kokuzikhulula. Uma amabala ayo atholakala ezimpahleni zangaphansi, futhi iminonjana yesici ihlala ephepheni lasendlini yangasese, khona-ke lokhu cishe kubonisa ukugula okunjalo okuvamile.

I-provocateur yalesi simo ukuqunjelwa okuvamile, okubangela umzamo omkhulu wemisipha. Ngemva kokudlula kwesitulo esinamafinyila ngale kwe-ampoule ye-rectum, ubuhlungu buzwakala endaweni yokufa kwesiguli. Izinga lokubonakaliswa kwalo ngokuqondile lixhomeke kubukhulu bomfantu, ngoba esigabeni sokuqala inqubo izokwenzeka ngaphandle kobuhlungu, kuphela ehambisana nokubona. Ngokuthuthuka kwe-pathology, abantu babhekene nokuhlaselwa okunamandla, okuhambisana nokukhululwa kwendle nge-admixture encane yegazi.

Ukuxilongwa kwe-pathology kuhlanganisa ukuhlolwa okujwayelekile okubukwayo yi-proctologist, kanye nokuhlolwa kwedijithali. Ukuze balungise isimo nokwelashwa, baphendukela osizweni lokudla okukhethekile kanye nama-laxatives, amafutha anemiphumela ye-analgesic kanye ne-antibacterial.

Abanye abantu bakholelwa ngephutha ukuthi imifantu ye-anal kanye nama-hemorrhoids yisifo esifanayo, ngoba kuzo zombili izimo, i-chor ivela ku-rectum. Eqinisweni, ama-hemorrhoids, ngokungafani nama-fissures, awavamile ezinganeni.

Isici se-symptomatology yama-hemorrhoids sihambisana nokuphuma kwegazi elimnyama kakhulu. Kulula ukuzibona phezulu kwesitulo, futhi izimpawu ezimbalwa ezengeziwe zizoqinisekisa isisulu esingabazayo sokuxilongwa:

• ukulunywa;
• ubuhlungu;
• umuzwa wokuphazamiseka.

Naphezu kwenkolelo evamile yokuthi i-venous varicose veins ye-rectum ibangela indle eqinile kakhulu, lokhu akulona iqiniso ngokuphelele. Lolu hlobo lwe-pathology luwumphumela wokuqedwa kokusebenza kwepheshana lesisu, elisebenza kuphela njenge-provocateur engaqondile, kuyilapho izimbangela eziyinhloko zokwenzeka zihlotshaniswa nokwanda kwengcindezi ezithweni zesisu. Ngokushesha nje lapho izindonga ze-vascular zilimala ngenxa yokucindezeleka okukhulu, ukuphuma kwegazi kwenzeka. Le nkinga ayibonwa enganeni.

Ukuze benze ukuxilongwa okunembile, izazi ze-proctologists zisebenzisa i-algorithm yokuhlola okubukwayo, futhi zibandakanya amasu wezinsimbi ukusiza ukunquma ukuthi kungani i-chor ifihliwe nokuthi i-streaks ebomvu ivelaphi. I-Sigmoidoscopy iyasiza kulokhu, ngokusekelwe emiphumeleni lapho isinqumo senziwe mayelana nendlela yokwelashwa.

Futhi, indlela efanayo yocwaningo isetshenziswa ukuqoqa izinto eziphilayo, uma kunesidingo, ukwenza ucwaningo ukuze kutholwe i-oncological neoplasm. Ngokusekelwe olwazini oluqoqiwe, isinqumo siyathathwa ngokuhlinzwa noma okunye ukwelashwa.

Izifo ze-Atypical ezihambisana negazi esitokisini

Okungavamile ngandlela-thile i-nonspecific ulcerative colitis, engatholakala ngisho naselusana nalapho ekhulelwe. Ibonakala ngezinqubo ezibhubhisayo ze-mucosa, i-submucosa, hhayi kuphela i-rectum, kodwa ne-colon.

Ngemva kokuthola igazi ekupheleni kokunyakaza kwamathumbu, ubomvu, amahlule, ubuhlungu besisu, nezinye izimpawu zokudakwa komzimba kungase kwengezwe kuwo ngemva kwesonto noma amabili.

Ngokuxilongwa okungazelelwe kanye nokwelashwa kokuthuthukiswa kwe-colitis, esikhathini esizayo ungase uhlangabezane nenani lalezi zinkinga ezilandelayo:

• ukuvinjelwa kwamathumbu;
• i-peritonitis;
• ukubhoboza amathumbu.

Ukuxilongwa kokugcina kunqunywa ngemva kokucabangela nokuhlaziya zonke izikhalazo, imiphumela yezifundo ze-instrumental kanye ne-histological. Esigabeni esithuthukisiwe, lapho kukhona usongo empilweni, udokotela ohlinzayo unquma ukungenelela okukhulu.

Esinye isifo sokuzivikela komzimba sibizwa ngokuthi isifo sikaCrohn. Ukwenziwa kwasendaweni kwayo kuthinta ngokuphelele zonke izingxenye zomgudu wokugaya ukudla.

Izimpawu ezivamile ezihambisanayo, ngaphezu kweqiniso lokuthi umuntu ukhathazekile ngendle emnyama exutshwe negazi, wuhambo oluvamile lokuya endlini yangasese, ukukhishwa ubovu, amafinyila, nezikhalazo zobuhlungu besisu. Ezinye izimpawu ezingavamile zihlanganisa:

• ukwanda kwezinga lokushisa;
• ubuhlungu obuhlangene;
• umkhuhlane;
• izilonda, ukuqubuka kulwelwesi lwamafinyila;
• izinkinga zokungaboni kahle.

Ukuxilongwa kuhlanganisa ngempela i-histology.

I-Pathologies evusa igazi endle

Ngokuvamile, zihlanganisa izifo zamathumbu emvelaphi ehlukahlukene, okuyisici sanoma yimuphi ubudala. Izimbangela zokubonakaliswa kwalesi sifo zingamaqembu alandelayo amagciwane:

• amagciwane, kuhlanganise rotavirus;
• amagciwane;
• izimuncagazi.

Umphumela wokutheleleka kwamathumbu angalashwa ngezinye izikhathi uba isilonda esingapheli emathunjini amancane, okubonisa i-enteritis. Lapho amathumbu amakhulu ethinteka, i-colitis iqala.

Izimpawu ezifanayo zivela ngokukhula kwe-dysbacteriosis, njengoba kuboniswa ukubuyekezwa kweziguli eziningi. Isici esiyingqayizivele se-dysbacteriosis ukuguqulwa kwe-microflora yebhaktheriya yamathumbu. Njengomthetho, lesi simo sibonakala ngemuva kokungena okungalawulwa kwama-antibiotic. Ngakho-ke, noma iyiphi into ephilayo, kokubili umuntu omdala nengane, ingabhekana ne-dysbacteriosis. Ngesikhathi esifanayo, amaconsi egazi lapha abonisa ukulimala kweClostridium.

Iziyaluyalu ezibucayi kakhulu zihlotshaniswa nama-neoplasms emvelo eyingozi noma enobungozi ngokutholakala kwendawo kuzo zonke izingxenye zamathumbu. Uma kusolwa inqubo ye-oncological, kuthathwa izinto eziphilayo, kanye nokuhlaziywa kwegazi lemimoya endle.

Ngokuvinjelwa kwamathumbu emathunjini, isiguli sikhononda ngobunzima be-defecation, ukubhujiswa okulandelayo kobuqotho bezindonga zamathumbu kanye nezilonda ze-vascular kungaholela ku-peritonitis.

Kancane kancane, isiguli siba nendle enegazi eliwumushy ebangelwa izifo ezithathelwana ngocansi. Phakathi kwazo:

• uhlobo lwama-rectal gonorrhea;
• i-herpes;
• i-anorectal syphilis;
• i-granuloma yohlobo lwe-venereal.

igazi esitulweni ezinganeni

Ngokwehlukana, ochwepheshe bacabangela izimo lapho lesi sibonakaliso sitholakala ezinganeni. Ngezihlalo eziminyene, kuhlanganise negazi, abazali akufanele "bagoogle" inkundla lapho befuna izimpendulo zemibuzo, kodwa ngokushesha babonane nodokotela. Kudingeka ukushayela ngokushesha ithimba le-ambulensi uma ingane isolwa ngobuthi.

Izingane ezingaphansi konyaka owodwa ubudala azivunyelwe ukufaka ama-enemas zodwa noma zibangele ukuhlanza ngokuzenzela kubantu abangenazo iziqu ezifanele. Ngakho-ke, ngokushesha nje lapho kuba sobala ukuthi ukudla kokuqala okuhambisanayo kubangela ukuphazamiseka kokugaya enganeni, kuyadingeka ukufuna iseluleko sikadokotela wezingane.

Ngokuvamile, isigqi esivamile sokuphila kwezinsana siphazanyiswa yi-dysbacteriosis, ehlobene ngokuqondile nokuhlolwa kwabazali ekwelapheni amanye ama-pathologies ngama-antibiotics. Odokotela bahlale bexwayisa ngokuthi isisu sezingane ezisanda kuzalwa sizwela kakhulu ezingxenyeni zezidakamizwa ezinjalo ezinamandla, ngakho-ke, ngaphandle kokubonisana nodokotela kuqala, akuvunyelwe ukunikeza ingane ama-antibiotic.

Uma kungenjalo, ingane ingase ibe ne-enterocolitis, kuhlanganise:

• ukuqunjelwa;
• i-slime;
• indle eqinile enokungcola okunegazi, noma okuphambene nalokho - isifo sohudo;
• ukwenqaba ukudla;
• i-diathesis.

Kancane kancane, izingane zitholwa ukuthi zinezithiyo zamathumbu, ukubambezeleka ekuxilongeni okusongela ukuwohloka okukhulu kwenhlalakahle. Iqembu labasengozini lingase lihlanganise izingane ezingaphansi kweminyaka emibili ubudala, lapho ukuya endlini yangasese kuhambisana nokubona, ikakhulukazi esindayo ekuseni. Kodwa ngokuvamile izingane zikhathazeka ngokopha okuncane, okubonisa ukuthi kungenzeka ukuthi kube ne-intussusception yamathumbu.

Izimbangela eziyinhloko ze-pathology yilezi:

• ukudla ngokweqile;
• ukudla kusenesikhathi;
• anomalies azalwa naso;
• ukushintsha kusuka kolunye uhlobo lwefomula yobisi iye kolunye.

Konke lokhu ndawonye noma ngokwehlukana kubangela ukunqwabelana kwe-lumen yamathumbu nenye ingxenye yawo. Lesi sifo sizenza sizizwe kokubili phakathi kwezingane ezingaphambi kwesikhathi nezigcwele, zibonakaliswa ngokuhlanza nokuwa.

Esinye isizathu esivamile singase sibe ukusabela okweqile nge-atopic dermatitis, ehambisana nendle enegazi ngemva kokudla amantongomane, imikhiqizo ye-gluten, izithelo ze-citrus, ubisi.

Ukungezwani komzimba nezithasiselo zokudla, ama-flavour, odayi kunzima kakhulu, okungabangeli kuphela amahlule egazi elikhanyayo endle, kodwa futhi nezinkinga ngendlela ye-tachycardia ne-anemia.

Izingozi zengezwa yiqiniso lokuthi ukusabela okweqile ezinganeni ezisanda kuzalwa kungenzeka ngisho nasekubunjweni kwesiraphu yokukhwehlela.

Yini okufanele uyenze lapho kutholwa uphawu lwe-alamu?

Ngaphandle kwezinguqulo ezinezifo zamathumbu, igazi kanye nemikhiqizo engcolile emadodeni kungabonisa umdlavuza wendlala yesinye. Ngendlela ethuthukisiwe yenqubo, isimila sikhula sibe yizindonga zamathumbu amakhulu, sizibhoboze ngesikhathi sokukhula. Kulokhu, ukuthuthukiswa kwesimo kungenzeka kuphela ngemva kokuhlinzwa kanye nokwelashwa okufanele.

Kwabesifazane, lezi zimpawu zingabonisa i-varicose veins yokuqala ye-perineum ngesikhathi sokukhulelwa. Kulesi simo, njengomthetho, kuzoba nezikhalazo zobuhlungu obuphindaphindiwe emuva kanye nokuwohloka kwenhlalakahle ngemva kokugibela ezokuthutha.

Uma kusolwa i-endometriosis yamathumbu, ukukhishwa okufana nokuya esikhathini kungenzeka. Umphumela ofanayo kungenzeka futhi ngenkambo ye-chemotherapy yezifo ze-oncological zezitho zokuzala.

Ngokushesha lapho ukuphambuka kutholakala, kuyadingeka ngokushesha ukufuna usizo olufanelekayo ku-proctologist, ozohlinzeka ngokusekela okufanelekile kwesiguli ngokusho komlando wakhe wezokwelapha kuze kube yilapho ululama ngempumelelo.

Ngesikhathi sokuhlolwa kokuqala, kuyadingeka ukwazisa udokotela hhayi kuphela ngazo zonke izikhalazo eziqoqiwe, kodwa futhi ukubika ukuthi izinto eziphazamisayo zilandelwe isikhathi esingakanani, yimuphi umthunzi wegazi, ukuthi uzibonakalisa kaningi kangakanani.

Ngemva kokuqoqa i-anamnesis, isiguli sithunyelwa ukuhlolwa kwelabhorethri, kuhlanganise nokuhlolwa kwegazi okulumba kanye ne-coprogram.

Ukuhlolwa okubukwayo nguchwepheshe kuhlanganisa ukuhlolwa kwesimo samanje se-anus. Uma kunesidingo, ukuhlolwa kwe-rectal ye-rectum ephansi, i-sigmoidoscopy ejwayelekile, ukuhlolwa kwe-X-ray kwepheshana lesisu kuyengezwa.

Ukuxilongwa okuxubile kuzokuvumela ukuthi uqoqe ulwazi oluphelele mayelana nesimo sempilo yesiguli. Kodwa uma udokotela ephikelela ekuqhubeni uhlobo oluthile locwaningo olungafakiwe ohlwini, kungaba yi-colonoscopy noma i-ultrasound, akufanele wenqabe ukuxilonga okwengeziwe. Kuphela ngesisekelo sesithombe somtholampilo esiphelele kungenzeka ukuphatha ngempumelelo ukungakhululeki nokulahlekelwa igazi ngesikhathi sokunyakaza kwamathumbu.

Imithombo ye