Perianal Skin Inogona Kukuvadza Zvishoma, Kunyanya Pashure Pekurwisa
Perianal inoreva nzvimbo yemuviri wakakomberedza anus , uye kunyanya, ganda. Iyo perianal ganda inonzwisisika uye inogona kukuvadzwa nekukuvara kubva kumararamiro, kuvimbiswa, uye zvirwere.
Kutsamwa kunzvimbo inonzi perianal kunogona kuitika nekuramba kwezuva. Iyo chirwere ichi pachacho chinogona kukonzera uye chinopisa ganda, uye kudzokorora kuputika nemapuranga erungamire kunogona kukonzera humwe hurombo.
Kurapa chirwere uye nekuchengeta nzvimbo yakachena uye yakaoma inokosha pakuporesa perianal ganda .
Zvirwere Uye Mamiriro Ezvakaitika Perianal Area
Zvirwere uye mamiriro ezvinhu zvinogona kuchinja pa perianal ganda zvinosanganisira:
- Nhengo dzomukati dzomukati: Hemorrhoids inowanikwa kunze kwerusu inogona kuva inorwadza, inotyisa, uye inowanzobuda ropa. Hemorrhoids inogona kuitika nekuda kweswere chechiropa, kuvimbiswa, kuvhara, kana pamuviri. Zviratidzo zvingatowedzera kuwedzera panguva yekufamba kwechirwere. Muzviitiko zvakawanda zvirwere zvinokonzerwa nehumorrhoids zvichava nani nekurapwa kwemusha, asi mune dzimwe nguva vangada kurapwa ne gastroenterologist kana chiremba chiremba. Kana ropa rakavhara, zvinoita kuti ropa rive rinoputika, uye rinokonzera marwadzo uye kupfugama.
- Chirwere cheCrohn: Chirwere cheCrohn chinogona kuitika munharaunda ipi zvayo yekugadzirisa chirwere, uye nzvimbo inonzi perianal inogonawo kuchinjwa. Inenge 24% yevarwere vane Crohn's disease vane zvirwere munzvimbo ye perianal. Vanhu vane chirwere cheCrohn vanogonawo kunge vane mavara eganda, mahemorrhoids, kana, muzviitiko zvisingawanzoitiki, kenza mune dzimwe nguva. Muzviitiko zvakawanda, chirwere chinorwara chichiremba chinoda kubvunzurudzwa mukutarisa varwere vane matambudziko akadaro eCrohn's disease.
- Kubatwa kweperianal : An abscess inounganidza ropa uye pus zvinogona kuitika chero kupi mumuviri, kusanganisira perianal. Vanhu vane chirwere chechirwere chinokonzera chirwere (IBD), uye kunyanya avo vane Crohn's disease, vari panjodzi yekugadzira pamba ye perianal. Chimwe chikwata chinenge chichitanga chinotanga mushure mokunge kune misodzi mu anus, uye mamwe mabhakitiriya anopinda mumuviri kuburikidza nekuchema. Zviratidzo izvi zvinodururira, kurwadziwa, fivha, uye kurasikirwa kwemafupa. Kushushikana munzvimbo inonzi perianal inowanzobatwa nekuidha uye zvino maantibioti anokwanisa kupiwa.
- Perianal fistula: Chimbo chisina kujairika mumuviri pakati peganda uye rectum, fistula inogona kuitika chero ipi zvayo yeBD. Imwe ingangodaro kusanganisa kwebasa re perianal ndiko kukura kwe fistula munharaunda, iyo dzimwe nguva inogona kuva isingaperi. Fistula inogonawo kuitika mushure mekurwadziwa kana sechinhu chinokonzera chirwere cheCrohn, chirwere chekare, kenza, rheinheti, maitiro, maitiro, chifukidzo, kana utachiona neClamydia. Zviratidzo zvinosanganisira kuputsa mukati meganda, kupfugama, kurwadziwa, uye mvura (zvichida pus kana chigaro) panzvimbo. Kurapa ndiko kuvhiyiwa (fistulotomy) kana kuisa seton kuburikidza ne fistula. Itikoni ishinda yakasimbiswa kwenguva uye yakazobviswa.
Nguva Yokuona Chiremba
Kuchema, kuvhara, kuchenesa, kana bundu kana bump munzvimbo yakakonzera kunofanira kuita kuti kushanyira kuchiremba kunzwisise kuti chii chinokonzera dambudziko. Chiremba achange achida kuita kuongorora mumuviri uye zvichida kuongororwa kwemashure kuti aone zviri kuitika. Izvi zvinonyanya kukosha kuvanhu vane IBD, uye kunyanya, Crohn's disease. Matambudziko munharaunda inogona kuitika, asi kuvabata kare nekutsvaga kurapwa kunogona kubatsira kudzivirira zvimwe zvakakomba.
Kurapa kunobva pane zvakakonzera zviratidzo mu perianal.
Kuti zvive nyore, zvirwere zvinogona kuitika pamba, asi nokuda kwezvinetso zvakawanda zvinopesana zvakadai sefistula kana kubhekwa, chirwere chekurapa chinogona kudiwa. Kune vanhu vane chirwere chinokonzera chirwere chekudya, kuwana kunyange zvinhu nyore nyore pasi pesimba nokukurumidza kuchava chinhu chinokosha kudzivisa matambudziko akawanda akazotevera.
Shoko Rinobva
Zvinetso nepamapananal zvinogona kuva zvinorwadza uye zvakaoma kurarama nemusana pemigumisiro inayo pakuenda kugezi. Kana uchida kutsamwa, kupinda mumvura inodziya kana kuchenesa mushure mekufamba kwechirwere panzvimbo yekupukuta kunogona kubatsira. Zvisinei, kana pane bundu kana bump kana kurwadziwa kwakanyanya, inguva yekuona chiremba uye kuwana mushonga kuti urege kunyanya kunetseka.
Sources:
Galandiuk S, Kimberling J, Al-Mishlab TG, Stromberg AJ. "Perianal Crohn Disease." Ann Surg . 2005 May; 241 (5): 796-802.
Safar B, Sands D. "Zvirwere zveperianal Crohn." Makliniki muColon uye Rectal Surgery . 2007; 20 (4): 282-293.