Zvinokonzera Pruritus Ani kana Itching muAnus

Itching yeAnus

Kuora kweganda, kunonziwo pruritus, idambudziko rinowanzoonekwa nevanhu vakawanda. Izvo zvinenge zvingave kana zvisingabvi pamwe nekukurumidza, izvo zvingave zvishoma kune zviduku zveganda kana zvinogona kuitika pamusoro pemuviri wose. Kana chikafu chikaitika, chinogona kuva chizivo pamusoro pemhosva yekucheka. Kutora kunogona kuva nengozi duku kana kuti kunogona kukanganisa kukuru uye kunokanganisa hupenyu hwomunhu.

Apo kupisa kunosanganisira nzvimbo yakakomberedza anus, inotumidzwa kune pruritus ani, uye inogona kuva dambudziko rinonyadzisa.

Pruritus ani inogona kukanganisa kusvika ku5% yevanhu uye inowanzoonekwa kune varume pakati pemakore makumi mana nemakumi matanhatu emakore. Kune zvikonzero zvakawanda zve pruritus ani, iyo yakawanda iyo inogona kubatanidzwa kune imwe dambudziko rezvechiremba, rakadai sehemorrhoids kana anal fissures . Zvimwe zvikonzero zvinowanzokonzera zvinosanganisira kutsamwa kubva kumafecal, zvirwere, kubata dermatitis, kugadziriswa kwezvokudya uye zvipfeko, mishonga yemigumisiro, maharairare uye anorwara kenza, dermatologic mamiriro, pamwe chete nedzimwe mamiriro ekurapa nepfungwa. Mushonga we pruritus ani unobva pachikonzero chezviratidzo.

Fecal Contamination

Ganda rinosangana nefecal, kana muhomwe huru kana duku, ndicho chikonzero chinowanzoitwa pruritus ani. Izvi zvinogona kuva semugumisiro wokutsamwisa zvakananga kweganda, kana zvichida sechikonzero chinokonzera.

Vanhu vanowanzogara vachifamba, mahara, uye avo vanodya yakawanda yekofi (iyo inoderedza hutachiona hwemapfincin inotenderera) inogona kunge iri pangozi yakawanda yekusvibiswa kwefecal sechikonzero che pruritus ani. Kuwedzerwa kubatana kwechigadziko, zvakadai nekuderedza kuvhawa kwekofi, kuwedzera kukurumidza kuumba, uye kutora mishonga yakadai seloperamide (kuderedza chirwere) kunogona kuwedzera zviratidzo.

Zvirwere

Zvirwere zveganda rinoputika zvinogona kukonzerawo pruritus ani. Izvi zvinosanganisira pinworms ( Enterobius vermicularis ), fungal uye zvirwere zvevirusi (zvakadai neC Candida albicans ), uye zvirwere zvebhakitiriya (zvakadai seStptococci uye Staphylococci ). Sotch tape kuongorora inobatsira pakutsvaga hutachiona hwepinworm, uye tsika dzinobatsira kuongororwa kwehutachiona hwehutachiona uye hwebhakitiriya. Kurapa kunoenderana nerudzi rwehutachiwana hunowanikwa.

Bata Dermatitis

Kubata dermatitis yenharaunda yakakwanisa kunokonzerawo pruritus ani. Zvinokonzera zvinosanganisira peji yepurasitiki uye zvinonhuwira, mafuta anopisa tsvina, seseputi, mabheji ekuchenesa, uye chero mishonga yemishonga inowanikwa munharaunda muchiedza chekusunungurwa kwechiratidzo. Kuongorora kwepatch kunogona kubatsira pakutsvaga kugunzva dermatitis, uye kurapwa ne- topical steroids , kunyanya iyo iyo mufomu mafuta, inogona kubatsira.

Zvokudya neMishonga

Zvokudya zvakasiyana-siyana zvinozivikanwa kuti zvinokonzera kana kuwedzera zviratidzo zve pruritus ani, kunyanya apo izvo zvikafu zvinowedzera huwandu hwezvigaro zvepamusoro kana kuti zvinokonzera zvigaro zvakasununguka. Mienzaniso yezvokudya izvi inosanganisira zvinwiwa zveaffeine (kunyanya kofi uye tei), doro, chokoti, michero yemamatari, uye - zvisingaiti - mishonga yemakaka, nuts, zvinonhuwira, macrokerera, zvokudya zvinonaka, mapapunyu, uye maonde.

Zvizhinji zvezviitiko izvi hazvisi kubva pane zvinokonzera , sezvo zvimwe zviratidzo zvingatarisirwa kubva kune zvekudya zvekudya , kunyanya zviratidzo zvepachivi seyimisve uye kunhuwa pamusoro pemuviri wose. Chiyero chekubvisa zvokudya zvakataurwa pamusoro pekudya kwako kwevhiki mbiri zvingabatsira kuderedza zviratidzo zve pruritus ani.

Mimwe mishonga inogona kukonzera pruritus ani, kusanganisira marashi, colchicine, peppermint mafuta uye mishonga inorwisa mabhakitiriya. Iyi mishonga inokonzera pruritus ani, kwete kuburikidza nechikonzero chinokonzera, asi zvinowanzoita sechikonzero chekutsamwirwa zvakananga kana sechikonzero chekusununguka kwechibvumirano chisina kumira uye kuwedzerwa kwechirwere chekufamba kwenguva nguva.

Colorectal / Anal Diseases uye Dermatological Conditions

Zvinotarisirwa nezvinetso zvezvechiremba zveharaire uye nzvimbo yakafanana, zvakadai sehemorrhoids, zvinogona kukuvadza pruritus ani. Zvimwe zvinokonzera zvinokonzera zvipiritus ani zvinosanganisira anor uye maharareal kanzira. Kusiyana kweganda zvakasiyana-siyana kunogona kukonzera pruritus ani; izvi zvinosanganisira psoriasis, lichen sclerosis , nemhando dzakasiyana dzekenza yeganda. Aya mamiriro ezvinhu anowanzoongororwa ane rubatsiro rweganda bhiopsy.

Zvimwe zvinhu zvinokonzera

Vamwe vanhu vane pruritus ani vangave vachitambura nehutano hwemukati, zvakadai sechirwere cheshuga , chirwere chechiropa, chirwere chepvo, chirwere chemauropa , lymphoma , kuperevedza kwesimbi kusagadzikana , uye hyperthyroidism. Mafungiro epfungwa anogonawo kukonzera pruritus ani, zvakadai sokuzvidya mwoyo uye kushungurudzika. Kurapa matambudziko aya ekurapa uye mupfungwa kungabatsira zviratidzo zvako kuvandudza.

Zvichipa zvakasiyana-siyana zvezvikonzero zve pruritus ani, kusanganisira zvimwe zvinogona kuva nengozi, zvakanakisisa kutsvaga mazano kune unyanzvi hwehutano pane kuti uedze kubata chirwere ichi iwe pachako.

Dzidza zvinhu zvose zvawakamboda kuziva pamusoro pekuita .

Kunobva:

Siddiqi S, Vijay V, Ward M, Mahendran R, Warren S. Pruritus Ani. Ann R Coll Surg Eng. 2008; 90: 457-63.