Anal fissure

Fissure yekumashure idiki kupatsanurwa kana kubvarura mune yakatetepa nyoro tisi (mucosa) inonamira iyo yepasi rectum (anus)

Anal fissures yakajairika muvacheche, asi inogona kuitika chero pazera.

Muvanhu vakuru, kuputika kunogona kukonzerwa nekupfuura hombe, dzakaoma zvituru, kana kuita manyoka kwenguva yakareba. Zvimwe zvinhu zvinogona kusanganisira:

• Kuderera kweropa kuyerera kunharaunda
• Kukakavara kwakanyanya mumhasuru dze sphincter dzinodzora anus

Mamiriro acho anokanganisa varume nevakadzi zvakaenzana. Anal fissures inowanzoitika kune vakadzi mushure mekusununguka uye muvanhu vane chirwere cheCrohn.

Iyo fissure yekumashure inogona kuonekwa sekutsemuka paganda rezve anal kana nzvimbo yakatambanudzwa zvishoma. Iyo fissure ingangoita nguva dzose iri pakati. Anal fissures inogona kukonzera kurwadza ura uye kubuda ropa. Panogona kunge paine ropa kunze kwechigaro kana pabepa repachimbuzi (kana kupukuta kwevana) mushure mekufamba ura.

Zviratidzo zvinogona kutanga kamwe-kamwe kana kukura zvishoma nezvishoma nekufamba kwenguva.

Mutapi wezvehutano anozoita rectal bvunzo uye otarisa kune anal anal tishu. Mimwe bvunzo dzekurapa dzinogona kuitwa dzinosanganisira:

• Anoscopy - kuongororwa kweiyo anus, anal canal, uye yakadzika rectum
• Sigmoidoscopy - kuongororwa kwechikamu chezasi cheura hukuru
• Biopsy - kubviswa kweturu turu yekuongorora
• Colonoscopy - kuongororwa kwekoloni

Mafissure mazhinji anoporesa pachawo uye haadi kurapwa.

Kuti udzivirire kana kurapa zvipenga zvemashure muvacheche, ive shuwa yekuchinja manapukeni kazhinji uye nekuchenesa nzvimbo zvinyoro nyoro.

VANA NEVAKURU

Kushushikana nezvekurwadziwa panguva yekufamba kwembudzi kunogona kukonzera kuti munhu avadzivise. Asi kusava nekufamba kwematumbu kunongokonzeresa kuti zvituru zvinyanye kuomarara, izvo zvinogona kuita kuti mutsipa wepanhengo uwedzere.

Dzivirira zvituru zvakaoma uye kupatirwa na:

• Kugadzira chinjo dzekudya - kudya yakawanda fiber kana yakawanda, senge michero, miriwo, uye zviyo
• Kunwa zvimwe zvinwiwa
• Uchishandisa zvinyoro nyoro

Kumbira mupiki wako nezvezvizoro zvinotevera kana mafuta ekuzora kuti ubatsire kunyaradza ganda rakakanganiswa:

• Chizere cream, kana kurwadziwa kuchikanganisa kujairika ura kufamba
• Petroleum jelly
• Zinc oxide, 1% hydrocortisone cream, Kugadzirira H, nezvimwe zvigadzirwa

Bhatiro re sitz ibhawa inodziya yemvura inoshandiswa kurapa kana kuchenesa. Gara mubhati kaviri kusvika katatu pazuva. Mvura inofanirwa kuvhara chiuno chete nemagaro.

Kana zvipenga zvekare zvisina kuenda nenzira dzekuchengeta kumba, kurapwa kunogona kusanganisira:

• Botox jekiseni mumhasuru iri mune anus (anal sphincter)
• Kuvhiya kudiki kuzorodza mhasuru yemukati
• Mishonga yekunyorera, yakadai senitrate kana calcium chiteshi blockers, yakashandiswa pamusoro peiyo fissure kubatsira kuzorodza mhasuru

Anal fissures inowanzo kupora nekukurumidza pasina chero mamwe matambudziko.

Vanhu vanogadzira zviputi kamwe vanowanzove nazvo mune ramangwana.

Fissure in ano; Anorectal fissure; Anal ulcer

• Rectum
• Anal fissure - akateedzana

Downs JM, Kulow B. Zvirwere zvekuongorora. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 11th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 129.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Kuvhiya mamiriro eanus uye rectum. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chitsiko 371.

Merchea A, Larson DW. Anus. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 52.