Amakati, njengezinye izilwane eziningi ezincelisayo, anazo amasaka endunu etholakala nhlangothi zombili zedidi yakho, imvamisa endaweni yehora lesi-4 kanye nelesi-8 ezimpondweni Lawa masaka aqukethe uketshezi olunuka kakhulu, ezimweni eziningi, oluphuma ngokwemvelo lapho uzikhulula noma lapho uzivocavoca. Kukholakala ukuthi lolu ketshezi lwalusetshenziswa okhokho babo ukumaka indawo noma njengendlela yokuzivikela ezitheni. Nakuba namuhla ngokuvamile edlala indima encane kakhulu kunezinye izinhlobo zezilwane, amakati afuywayo nawo analezi zindlala.
Izinkinga zesaka lendunu ziwathinta kanjani amakati?
Nakuba amakati amaningi ekhipha uketshezi emasakeni awo endunu ngaphandle kwezinkinga ezinkulu, ngezinye izikhathi lolu ketshezi lunganqwabelana, okungaholela ezinkingeni zempilo. Uma lokhu kwenzeka, esinye sezibonakaliso zokuqala ukuthi ikati lizodonsa isinqe salo phansi ngokuphindaphindiwe, njengokungathi linezilokazane. Lokhu kuziphatha, okwaziwa ngokuthi "i-sledding," ingenye yezimpawu zokuqala zokuthi amasaka endunu awasebenzi kahle.
Ukunqwabelana koketshezi emasakeni endunu kungabangela a ukutheleleka. Uma lokhu kwenzeka, uzobona ukuthi ikati likhotha ngokungakhathali indawo ye-anus, ehambisana nokubomvu nobuhlungu obusobala. Ezimweni ezimbi kakhulu, ukutheleleka kungaholela ethumba lapho, lapho liqhuma, likhiphe uketshezi olunegazi noma oluphuzi olunsundu. Lesi simo singaholela ekwakhekeni kwe-fistula, izilonda ezincane ku-anus ezingapholi kahle. Ngaphezu kwalokhu, ikati lingakwazi ukuthuthukisa ukuvuvukala okuningi endaweni ethintekile, okuzobangela ubuhlungu obukhulu lapho kukhishwa indle.
Amagciwane ezindlala zendunu
I-Las ukutheleleka kwezindlala ze-anal Ziyizinkinga ezivamile uma zingakhishwanga ngendlela efanele. Angase abonakale njengomphumela wezinye izici ezithinta isimiso sokugaya ukudla kwekati, njengokuhuda njalo noma ukuqunjelwa. Kulezi zimo, izindlala azikukhiphi okuqukethwe kwazo ngokwemvelo, okubangela ukuba uketshezi lunqwabelene futhi lujiye, okuvumela ukuthuthukiswa kwamagciwane.
Izimpawu zomtholampilo zokutheleleka zihlanganisa ukuhlikihla ingxenye engemuva phansi, ukukhotha indunu okuphoqelekile, ukudonsa kanzima, kanye nokubonakala kokuvuvukala, ubuhlungu, noma ukopha endaweni yangemuva. Uma ikati lakho liqala ukubonisa noma yiziphi zalezi zimpawu, kubalulekile ukuya kudokotela wezilwane ngokushesha ukuze ugweme izinkinga ezinkulu, njengokuvela kwamathumba noma ama-fistula.
Izinkinga ezinkulu kakhulu: amathumba namathumba
Enye yezinkinga ezimbi kakhulu ezingavela maqondana nezikhwama ze-anal ukwakheka kwe amathumba. Lawa mathumba amaqoqo obovu obakheka lapho ukutheleleka sekuhambe kakhulu. Kwezinye izimo, ama-abscesses angafistulize, okungukuthi, avule futhi akhulule ubomvu ngaphandle, okungadala inxeba elivulekile endaweni ye-perianal.
Amathumba kanye ne-fistula kudinga ukwelashwa futhi, kwezinye izimo, ukuhlinzwa kwe-gland ethintekile kungase kudingeke. Ukusetshenziswa kwama-antibiotics nakho kuvamile kulezi zimo ukulwa nokutheleleka. Ukwengeza, ezimweni ezinzima noma ezingapheli, kungase kudingeke ukuthi kukhishwe ngokuhlinzwa izindlala ze-anal.
Uma kungelashwanga kahle, izinkinga ezinhlangeni zendunu zingaholela ngisho nasekuthuthukisweni kwe isimila, njenge-adenocarcinomas, uhlobo lomdlavuza olunolaka oluvame ukuhlotshaniswa nezindlala zangemuva. Nakuba kuyivelakancane emakati, ukutholwa kusenesikhathi kwanoma yiziphi izinguquko ekuziphatheni kwesilwane kubalulekile ukuze kugwenywe izinkinga.
Ukwelashwa: ukuthululwa kwamasaka endunu
Ukwelashwa okuvame kakhulu kwezinkinga ze-anal gland ukukhipha mathupha wezikhwama ze-anal. Lokhu kwenziwa ngokuqondile ngokufaka ingcindezi kumasaka ukuze kukhishwe uketshezi olunqwabelene. Nakuba kunenketho yokukwenza ekhaya, kunconywa ukuthi udokotela wezilwane akufundise noma akwenzele emtholampilo wakhe ukugwema ukulimaza isilwane noma ukwenza isimo sibe sibi.
Uma kwenzeka izifo ezinzima, udokotela wezilwane angase ancoma ukusetshenziswa kwe ama-antibiotics ukulwa namagciwane akha ngaphakathi kwamasaka. Emathumba, kungadingeka ukugeleza kwamanzi ngokuhlinzwa ukuze kukhishwe ubomvu obunqwabelene futhi kuncishiswe ukuvuvukala.
Uma izinkinga zivela kaningi noma zizimbi, udokotela wakho wezilwane angase asikisele ukususwa kokuhlinzwa wezindlala zendunu. Lokhu kuhlinzwa, okwaziwa nge-sacculectomy, kuyindlela ephephile yamakati afuywayo, njengoba awadingi amasaka awo endunu ukuze aphile nsuku zonke. Kodwa-ke, njenganoma yikuphi ukuhlinzwa, ithwala izingozi okufanele zihlolwe udokotela wezilwane.
Ukuvimbela: ukudla nokunakekelwa
para vimbela izinkinga ezindlala zendunu, kubalulekile ukunakekela ukudla kwekati. Ukudla okunothe nge-fiber kungenza kube lula ukuthi izikhwama zendunu zithulule ngokwemvelo ngesikhathi sokuzikhulula, kunciphise ingozi yokwakheka koketshezi kuzo. Ukwengeza, ukugcina isisindo esinempilo nokunikeza ikati lakho amathuba okuzivocavoca njalo kungase kube yinzuzo.
Inqubo yenhlanzeko enhle nayo ibalulekile. Ezimeni zamakati amadala noma amakati anezinkinga eziphindelelayo, ukukhipha ngesandla ngezikhathi ezithile kungase kube inketho yokucabangela ukugwema izinkinga. Ngokufanayo, ukuvakashela udokotela wezilwane njalo kuzosiza ukuthola noma yiziphi izinkinga ngaphambi kokuba zibe zimbi.
Ekugcineni, isihluthulelo sokugwema izinkinga ngezindlala ze-anal emakati siwukuqapha, ukubheka, nokunakekelwa okuqhubekayo. Uma noma yiziphi izimpawu zokungaphatheki kahle zitholwa ngesikhathi, ukwelashwa kuzoba lula kakhulu futhi kungabi namandla.