I-Lateral Internal Sphincterotomy (LIS) - Iindleko, Iimpawu, Ukulungiselela, Iingozi, kunye nokuBuyisa

I-Lateral Internal Sphincterotomy (LIS) yinkqubo yotyando eyenzelwe ukunciphisa imifantu yempundu kunye nezinye iimeko ezinxulumene nayo ezichaphazela i-anal sphincter. I-anal sphincter liqela leemisipha ezijikeleza umjelo wempundu, ezilawula ukuhamba kwendle. Xa ezi zihlunu ziqinile kakhulu okanye zixineneyo, zinokukhokelela kwintlungu enkulu, ukungakhululeki, kunye nobunzima bokuhamba kwamathumbu. Inkqubo ye-LIS ibandakanya ukwenza umsikelo omncinci kwimisipha ye-anal sphincter yangaphakathi, enceda ekunciphiseni uxinzelelo kunye nokukhuthaza ukuphiliswa.

Injongo ephambili ye-Lateral Internal Sphincterotomy kukunyanga imifantu engapheliyo yempundu, edla ngokuba kukukrazuka okuncinci kulwelo lomjelo wempundu. Ezi mifantu zinokubangela iintlungu ezinzima ngexesha nasemva kokuhamba kwamathumbu, nto leyo edla ngokukhokelela kumjikelo wokuqhinwa kunye nokwakheka kwemifantu engaphezulu. Ngokunciphisa uxinzelelo kwi-anal sphincter, i-LIS ivumela ukuhamba kwegazi okungcono kuloo ndawo, okwenza kube lula ukuphiliswa kunye nokunciphisa iintlungu.

Ukongeza kwimifantu engapheliyo yempundu, i-LIS ingabonakaliswa nakwezinye iimeko ezifana ne-anal stenosis (ukuncitshiswa komjelo wempundu) kunye neentlobo ezithile ze-anal pain syndromes. Le nkqubo idla ngokwenziwa ngaphandle kwesibhedlele, oko kuthetha ukuba izigulana zinokubuyela ekhaya ngaloo mini, kwaye ngokubanzi iyanyamezela kakuhle kwaye akukho mngcipheko mkhulu weengxaki.
 

Kutheni kwenziwa i-Lateral Internal Sphincterotomy (LIS)?

I-Lateral Internal Sphincterotomy icetyiswa kakhulu kwizigulana ezineengxaki ezingapheliyo zempundu ezingasabelanga kunyango oluqhelekileyo. La manyathelo olondolozo angabandakanya utshintsho kwindlela yokutya, ukungenisa ulwelo oluninzi, amayeza asetyenziswa ekhaya, kunye nokuhlamba umzimba. Xa ezi ndlela zingaphumeleli ukunika isiqabu, i-LIS iba sisisombululo esisebenzayo.

Izigulana zihlala zifumana iimpawu ezahlukeneyo ezikhokelela kwingcebiso ye-LIS. Uphawu oluqhelekileyo ziintlungu eziqatha ngexesha lokuhamba kwamathumbu, ezinokuchazwa njengokutsha okanye ukurhawuzelela. Le ntlungu idla ngokuqhubeka emva kokuhamba kwamathumbu, nto leyo ekhokelela ekuxhalabeni malunga nokuhamba kwamathumbu kwixesha elizayo kunye nokuqunjelwa okunokwenzeka. Ezinye iimpawu zinokubandakanya ukopha ngexesha okanye emva kokuhamba kwamathumbu, ukurhawuzelela ejikeleze i-anus, kunye nokukrazuka okubonakalayo okanye ukuqhekeka kwi-anal lining.

I-LIS ikwaboniswa kwizigulana eziye zafumana imifantu yempundu ngenxa yeemeko ezingaphantsi ezifana nesifo samathumbu esibangela ukudumba (IBD) okanye abo bakhe benza utyando lwempundu ngaphambili. Kwezi meko, le nkqubo inokunceda ukunciphisa iintlungu nokuphucula umgangatho wobomi kwizigulana ezinengxaki yokungonwabi okungapheliyo.
 

Iimpawu ze-Lateral Internal Sphincterotomy (LIS)

Iimeko ezininzi zeklinikhi kunye neziphumo zokuxilongwa zingenza isigulana sibe ngumntu oza kuhlinzwa kwi-Lateral Internal Sphincterotomy. Eyona nto ixhaphakileyo kukubakho kwe-chronic anal fissure eqhubeke ixesha elingaphezu kweeveki ezisibhozo nangona kukho unyango oluhlala ixesha elide. I-chronic fissure idla ngokubonakala ngokukrazuka okungapholiyo kwaye inokukhatshwa yi-sentinel pile, eyi-skin tag encinci eyenzeka kumphetho we-fracture.

Ukongeza kwimifantu engapheliyo yempundu, i-LIS ingaboniswa kwizigulana ezine-anal stenosis, apho umjelo wempundu unciphile, okwenza ukuhamba kwamathumbu kube buhlungu kwaye kube nzima. Le meko inokubangelwa lutyando lwangaphambili, ukwenzakala, okanye iimeko zokudumba. Izigulana ezine-anal pain syndromes, ezifana ne-levator ani syndrome okanye i-proctalgia fugax, nazo zinokungenelwa kwi-LIS ukuba iimpawu zazo zinxulumene ne-sphincter spasm.

Ngaphambi kokuba bacebise i-Lateral Internal Sphincterotomy, ababoneleli bezempilo badla ngokwenza uvavanyo olucokisekileyo, kuquka uvavanyo lomzimba kunye nezifundo zomfanekiso. Olu vavanyo lunceda ukuqinisekisa ukuxilongwa nokususa ezinye izizathu ezinokubangela iintlungu zempundu, ezifana ne-hemorrhoids, amathumba, okanye iithumba. Ukuba unyango olugcina ixesha elide luye lwasilela kwaye ukuxilongwa kucacile, i-LIS inokuba linyathelo elilandelayo ekulawuleni imeko yesigulana.

Ngamafutshane, i-Lateral Internal Sphincterotomy yinkqubo yotyando ejolise ekunciphiseni iintlungu kunye nokungonwabi okunxulunyaniswa nokuqhekeka okungapheliyo kwempundu kunye nezinye iimeko ezinxulumene noko. Ihlala icetyiswa kwizigulana ezingakhange zifumane impumuzo ngamanyathelo agciniweyo kwaye ezibonisa iimpawu ezithile zeklinikhi. Ngokuqonda injongo kunye neempawu ze-LIS, izigulana zinokwenza izigqibo ezinolwazi malunga neendlela zonyango lwazo kwaye zisebenzisane ngokusondeleyo nababoneleli beenkonzo zabo zempilo ukuze zifumane iziphumo ezilungileyo.
 

Izithintelo ze-Lateral Internal Sphincterotomy (LIS)

I-Lateral Internal Sphincterotomy (LIS) yinkqubo yotyando esetyenziselwa ukunyanga imifantu yempundu kunye neemeko ezinxulumene nayo. Nangona kunjalo, kukho izinto ezithile ezinokwenza isigulana singafaneleki kule nkqubo. Ukuqonda ezi zithintelo kubalulekile kwizigulana nakubaboneleli bezempilo.

• Usulelo olusebenzayo: Izigulane ezineentsholongwane ezisebenzayo kwindawo yempundu okanye ye-rectal zisenokungafaneleki kwi-LIS. Iintsholongwane zinokwenza inkqubo yokuphiliswa ibe nzima kwaye zonyuse umngcipheko weengxaki ezingaphezulu.
• ISifo sokuDumba (IBD): Abantu abaneemeko ezifana nesifo sikaCrohn okanye i-ulcerative colitis banokujamelana neengozi ezingakumbi ngexesha nasemva kwenkqubo. Ukubakho kokuvuvukala okungapheliyo kunokuchaphazela ukuphiliswa kwaye kukhokelele kwiingxaki.
• Ukungakwazi ukuzibamba kakhulu empundu: Izigulane esele zinengxaki yokungakwazi ukuzibamba kakhulu empundu zisenokungabi ngabona bantu bafanelekileyo kwi-LIS, njengoko le nkqubo inokubangela ukuba le meko ibe mandundu.
• Utyando Lwangaphambili Lwempundu: Abo baye benza utyando lwangaphambili kwindawo yeempundu basenokuba batshintshe indlela umzimba okanye amanxeba abonakala ngayo, nto leyo enokwenza kube nzima ukwenza inkqubo ye-LIS kwaye ichaphazele iziphumo.
• Iziphazamiso zeCoagulation: Izigulane ezineengxaki zokopha okanye abo bathatha unyango lwe-anticoagulant banokujamelana nemingcipheko engakumbi yokopha ngexesha nasemva kotyando. Uvavanyo olupheleleyo lwembali yabo yezonyango lubalulekile.
• Ukukhulelwa: Abafazi abakhulelweyo ngokubanzi bayacetyiswa ukuba bangenzi i-LIS ngenxa yeengozi ezinokubakho ezinxulumene ne-anesthesia kunye notyando ngexesha lokukhulelwa.
• Isifo seswekile esingalawulekiyo: Izigulane ezinesifo seswekile esingalawulwa kakuhle zinokuba nengxaki yokuphiliswa, nto leyo eyonyusa umngcipheko weengxaki emva kotyando.
• Imiba yezengqondo: Izigulane ezinexhala elikhulu okanye iingxaki zengqondo zisenokungabi ngabo bafanelekileyo, njengoko ezi zinto zinokuchaphazela amandla azo okujamelana nenkqubo kunye nokuchacha.
• Ubukhulu: Ukutyeba kakhulu kunokwenza iinkqubo zotyando zibe nzima kwaye kwandise umngcipheko weengxaki, nto leyo enokubangela ukuba kube yinto engafanelekanga kwi-LIS.
• Ukunqongophala kweNkxaso: Izigulane ezingenazo iinkqubo zokuxhasa ezaneleyo zonyango emva kotyando zisenokungabi ngabo bafanelekileyo, njengoko ukuchacha kunokufuna uncedo.

Ukuqonda ezi zithintelo kunceda ukuqinisekisa ukuba izigulana zifumana unyango olufanelekileyo oluhambelana neemfuno zazo zempilo.
 

Indlela Yokulungiselela I-Lateral Internal Sphincterotomy (LIS)

Ukulungiselela i-Lateral Internal Sphincterotomy (LIS) linyathelo elibalulekileyo ekuqinisekiseni isiphumo esiphumelelayo. Nantsi isikhokelo sendlela yokulungiselela inkqubo:

• Uthethwano noGqirha wakho woTyando: Ngaphambi kwenkqubo, uya kuba nodliwanondlebe oluneenkcukacha nogqirha wakho otyandayo. Eli lixesha lokuxoxa ngembali yakho yezonyango, amayeza akhoyo, kunye nazo naziphi na izinto ezikuxhalabisayo. Ugqirha wakho otyandayo uya kuchaza inkqubo, iingenelo zayo kunye neengozi ezinokubakho.
• Uvavanyo lwangaphambili: Umboneleli wakho wezempilo unokucebisa uvavanyo oluthile ngaphambi kotyando. Olu vavanyo lungabandakanya uvavanyo lwegazi ukujonga impilo yakho iyonke, ukusebenza kwesibindi, kunye nokukwazi kwakho ukujiya kwegazi. I-electrocardiogram (ECG) inokwenziwa ukuvavanya impilo yentliziyo yakho, ingakumbi ukuba uneemeko ezingaphantsi kwayo.
• Uphononongo lwamayeza: Kubalulekile ukwazisa ugqirha wakho malunga nawo onke amayeza owasebenzisayo okwangoku, kuquka amayeza athengiswa ngaphandle kwemvume kagqirha kunye nezongezo. Ungacetyiswa ukuba uyeke amayeza athile, ingakumbi amayeza okunciphisa igazi, iveki ngaphambi kotyando ukuze unciphise umngcipheko wokopha.
• Ulungelelaniso lokutya: Kwiintsuku ezingaphambi kwenkqubo, unokucetyiswa ukuba ulandele ukutya okuthile. Oku kudla ngokuquka ukutya okune-fiber encinci ukuze kuncitshiswe ukuhamba kwamathumbu ngaphambi kotyando. Ugqirha wakho uza kunika imiyalelo ethile yokutya.
• Ukulungiswa kwamathumbu: Ngokuxhomekeke kwindlela yotyando lwakho, kunokufuneka ulungiselele amathumbu. Oku kunokubandakanya ukuthatha i-laxative okanye ukusebenzisa i-enema ngobusuku bangaphambi kotyando ukuqinisekisa ukuba amathumbu akho acocekile.
• Imiyalelo yokuzila ukutya: Kusenokwenzeka ukuba uya kuyalelwa ukuba uzile ukutya ixesha elithile ngaphambi kwenkqubo, ngokuqhelekileyo uqale ngobusuku bangaphambi kwayo. Oku kuthetha ukuba akunakutya okanye kusela, kuquka namanzi, ukuqinisekisa ukuba isisu sakho asinanto yokuthomalalisa.
• Ukulungiselela ezoThutho: Ekubeni i-LIS idla ngokwenziwa phantsi kwe-anesthesia, kuya kufuneka umntu oza kukuyisa ekhaya emva kwenkqubo. Yenza amalungiselelo kwangaphambili ukuqinisekisa ukuba unendlela ekhuselekileyo yokubuyela ekhaya.
• Isicwangciso soNyango lwasemva kotyando: Xoxa ngesicwangciso sakho sokhathalelo emva kotyando nogqirha wakho. Oku kuquka ulawulo lweentlungu, ukhathalelo lwamanxeba, kunye nokulandela amadinga. Ukwazi into onokuyilindela kunokunceda ekunciphiseni ixhala.
• Inkqubo yoNkxaso: Kubalulekile ukuba nenkqubo yokuxhasa kwiintsuku ezilandelayo emva kotyando. Oku kungabandakanya usapho okanye abahlobo abanokukunceda ngemisebenzi yemihla ngemihla njengoko uphila.
• Ukulungiselela Ingqondo: Ukulungiselela ngengqondo inkqubo kubaluleke njengokulungiselela ngokwasemzimbeni. Ukuqonda into onokuyilindela kunokunceda ekunciphiseni ixhala nokubeka ulindelo olusengqiqweni lokuchacha.

Ngokulandela la manyathelo okulungiselela, izigulana zinokwandisa amathuba azo okwenziwa kwenkqubo nokuchacha kakuhle.
 

I-Lateral Internal Sphincterotomy (LIS): Inkqubo yeNyathelo ngeNyathelo

Ukuqonda inkqubo yenyathelo ngenyathelo yeLateral Internal Sphincterotomy (LIS) kunokunceda ukucacisa indlela esebenza ngayo le nkqubo kwaye kunciphise naziphi na iingxaki. Nantsi into onokuyilindela ngaphambi, ngexesha, nasemva kotyando:
 

Ngaphambi kweNkqubo:

• Ukufika kwiZiko loTyando: Ngomhla wotyando, uza kufika kwiziko lotyando okanye esibhedlele. Uza kubhalisa kwaye ungacelwa ukuba unxibe ilokhwe yesibhedlele.
• UVavanyo lwangaphambili: Umongikazi uza kuthatha iimpawu zakho ezibalulekileyo aze ahlole imbali yakho yezonyango. Ungadibana nogqirha we-anesthesiologist ukuze nixoxe ngeendlela zokubulala iintlungu.
• Ulawulo lokuthomalalisa: Uza kufumana i-anesthesia, enokuba yeyokuqhelekileyo okanye yengingqi, kuxhomekeke kwingcebiso yogqirha wakho kunye nemeko yakho yempilo. Oku kuya kuqinisekisa ukuba ukhululekile kwaye awunazintlungu ngexesha lenkqubo.
   

Ngexesha leNkqubo:

• Ukubekwa: Wakuba uphantsi kwe-anesthesia, uza kubekwa ecaleni okanye kwindawo eguquliweyo ye-lithotomy ukuze ugqirha afikelele kwindawo yempundu.
• Ubuchwephesha boTyando: Ugqirha uza kwenza umsikelo omncinci kwimisipha yangaphakathi ye-anal sphincter. Olu siko luvumela ukuba imisipha isikwe kancinci, nto leyo enciphisa uxinzelelo kunye nokuxinana okunxulunyaniswa nokuqhekeka kwe-anal. Le nkqubo idla ngokuthatha malunga nemizuzu engama-30 ukuya kwengama-60.
• Ukuvalwa: Emva kokuba kwenziwe utyando, ugqirha uza kuqinisekisa ukuba akukho gazi ligqithisileyo. Utyando lunokushiywa luvulekile ukuze luphole ngokwendalo, okanye lungavalwa ngee-sutures, kuxhomekeke kwindlela yotyando kunye nemeko ethile.
   

Emva kweNkqubo:

• Igumbi lokubuyisela: Emva kotyando, uza kusiwa kwigumbi lokuchacha apho abasebenzi bezonyango baza kukujonga njengoko uvuka emva kotyando. Usenokuziva udiniwe kwaye uza kunikwa ixesha lokuchacha.
• Ulawulo lweentlungu: Unyango lwentlungu luya kubonelelwa xa kufuneka. Kuqhelekile ukuba ube nokungonwabi, kodwa iqela lakho lezonyango liya kukunceda ekulawuleni oku ngempumelelo.
• Imiyalelo yokukhupha: Wakuba uzinzile kwaye ulumkile, uza kufumana imiyalelo yokukhululwa. Oku kuza kuquka ulwazi malunga nendlela yokunyamekela indawo yotyando, iingcebiso zokutya, kunye nexesha lokuqalisa imisebenzi eqhelekileyo.
• Ingqesho yokulandela: Kuza kucwangciswa idinga lokulandelelana ukuze kujongwe ukuphiliswa kwakho kunye nokujongana nazo naziphi na iingxaki. Kubalulekile ukuya kweli dinga ukuze uphile kakuhle.

Ngokuqonda amanyathelo enkqubo, izigulana zinokuziva zikulungele kwaye zinolwazi oluthe kratya, nto leyo ekhokelela kumava athambileyo.
 

Iingozi kunye neengxaki ze-Lateral Internal Sphincterotomy (LIS)

Njengayo nayiphi na inkqubo yotyando, i-Lateral Internal Sphincterotomy (LIS) ineengozi ezithile kunye neengxaki ezinokubakho. Nangona izigulane ezininzi zifumana iziphumo eziphumelelayo, kubalulekile ukuqaphela iingozi eziqhelekileyo nezingaqhelekanga ezinxulumene nale nkqubo.
 

Imingcipheko eqhelekileyo:

• Iintlungu kunye nokungonwabi: Iintlungu emva kotyando ziqhelekile kodwa zihlala zilawuleka ngamayeza amiselweyo. Uninzi lwezigulana lufumana ukungakhululeki okuthile ngexesha lokuchacha.
• Ukuhlamba: Ukopha okuncinci kwindawo yotyando kunokwenzeka. Nangona oku kuqhele ukungabi yingozi, ukopha okukhulu kunokufuna unyango.
• Usulelo: Kukho umngcipheko wokosuleleka kwindawo yotyando. Iimpawu zokosuleleka ziquka ukuba bomvu okwenyukayo, ukudumba, okanye ukukhupha ulwelo. Kufuneka uncedo lwezonyango ngokukhawuleza ukuba ezi mpawu ziyabonakala.
• Ukungakwazi ukuzibamba kwimpundu: Enye yezona ngozi zixhalabisayo kukuba kukho ukungalawuleki kwesisu, oku kukungakwazi ukulawula ukuhamba kwamathumbu. Nangona oku kungaqhelekanga, kunokwenzeka, ingakumbi ukuba umsipha we-sphincter usike kakhulu.
• Ukunyangwa okulibazisekileyo: Ezinye izigulana zinokufumana ukuphiliswa okulibazisekileyo kwendawo yotyando, nto leyo enokubangela ukuba indawo yotyando iphole ixesha elide kwaye yonyuse umngcipheko weengxaki.
   

Imingcipheko enqabileyo:

• Ukwenziwa kweFistula: Kwiimeko ezingaqhelekanga, i-fistula (unxibelelwano olungaqhelekanga phakathi komjelo womphambili nolusu) inokukhula emva kotyando. Oku kunokufuna utyando olongezelelweyo.
• Ukuncitshiswa komjelo womqala: Izicwili zinokwakheka emva kotyando, nto leyo ekhokelela ekuncipheni komjelo womva, nto leyo enokubangela ubunzima bokuhamba kwamathumbu.
• Iimfa eziPhinda-phindayo: Nangona i-LIS yenzelwe ukunciphisa imifantu, ezinye izigulana zisenokuphinda zibuye, nto leyo ebangela ukuba kufuneke unyango olongezelelweyo.
• Iingxaki ze-Anesthesia: Njengakweyiphi na inkqubo efuna i-anesthesia, kukho iingozi ezikhoyo, kuquka ukusabela kwi-allergy okanye iingxaki ezinxulumene neemeko zempilo ezikhoyo.
• Impembelelo yezengqondo: Ezinye izigulana zinokuba nexhala okanye uxinezeleko olunxulumene notshintsho ekusebenzeni kwamathumbu okanye inkxalabo malunga nokungakwazi ukuzibamba.

Nangona iingozi ezinxulumene neLateral Internal Sphincterotomy (LIS) zihlala ziphantsi, kubalulekile ukuba izigulana zixoxe ngezi ngxaki zinokubakho nomboneleli wezempilo wazo. Ukuqonda iingozi kunokunceda izigulana zenze izigqibo ezinolwazi kwaye zilungiselele ukuchacha ngempumelelo.
 

Ukubuyiselwa Emva kweSphincterotomy yangaphakathi esecaleni (LIS)

Ukuchacha kwi-Lateral Internal Sphincterotomy (LIS) linqanaba elibalulekileyo elinokuba nefuthe elikhulu kwimpumelelo iyonke yenkqubo. Ukuqonda ixesha elilindelekileyo lokuchacha, amacebiso okhathalelo emva kotyando, kunye nokuba imisebenzi eqhelekileyo ingaphinda iqale nini kubalulekile kwizigulana.
 

Ixesha elilindelekileyo lokuBuyisa kwakhona

Ixesha lokuchacha emva kwe-LIS liyahluka ukusuka kumntu ukuya komnye, kodwa uninzi lwezigulane lunokulindela la manqanaba aqhelekileyo alandelayo:

• IVeki yokuqala: Ixesha lokuqala lokuchacha lidla ngokuthatha malunga neveki enye. Ngeli xesha, izigulana zinokuba nokungonwabi, ukudumba, nokopha. Ulawulo lweentlungu lubalulekile, kwaye oogqirha badla ngokunika amayeza okunciphisa iintlungu ukunceda ukulawula nayiphi na ingxaki.
• Iiveki ezimbini ukuya kwezine: Ekupheleni kweveki yesibini, izigulane ezininzi ziphawula ukwehla okukhulu kwentlungu kunye nokungonwabi. Uninzi lunokubuyela kwimisebenzi elula, kodwa imisebenzi enzima kunye nokuphakamisa izinto ezinzima kufuneka kuphetshwe. Amadinga okulandela kunye nogqirha wotyando adla ngokucwangciswa ngeli xesha ukuze kujongwe ukuphiliswa.
• Iiveki ezine ukuya kwezintandathu: Kwiiveki ezine ukuya kwezintandathu, izigulane ezininzi zinokuphinda ziqalise imisebenzi yazo eqhelekileyo, kuquka umsebenzi nokuzilolonga, kuxhomekeke kwinqanaba lazo lokuthuthuzela. Nangona kunjalo, kubalulekile ukumamela umzimba wakho kwaye ungakhawulezi inkqubo yokuchacha.
   

Iingcebiso zasemva kononophelo

Ukhathalelo olufanelekileyo emva kokuhlinzwa lubalulekile ukuze uphile kakuhle. Nazi ezinye iingcebiso ezibalulekileyo:

• Ulungelelaniso lokutya: Ukutya okunefayibha eninzi kuyacetyiswa ukuthintela ukuqhina, okunokuchaphazela indawo yotyando. Faka iziqhamo, imifuno, iinkozo ezipheleleyo, kunye nolwelo oluninzi ekutyeni kwakho.
• ucoceko: Gcina indawo yotyando icocekile kwaye yomile. Ukucoca ngobunono ngamanzi afudumeleyo kuyacetyiswa, kwaye kuphephe ukusebenzisa isepha okanye ii-scrubs eziqatha.
• Ulawulo lweentlungu: Landela imiyalelo kagqirha wakho malunga namayeza eentlungu. Kunokucetyiswa amayeza okunciphisa iintlungu athengiswa ngaphandle kwemvume kagqirha.
• Izithintelo zoMsebenzi: Kuphephe ukuphakamisa izinto ezinzima, ukwenza umthambo onzima, kunye nemisebenzi enokutsala indawo yeempundu ubuncinane iiveki ezine emva kotyando.
• IiMpawu zokuHlola: Hlala ujonge naziphi na iimpawu zosulelo, ezinje ngokuba bomvu, ukudumba, okanye ukukhupha ulwelo. Ukuba ufumana iintlungu eziqatha okanye ukopha, nxibelelana nomboneleli wakho wezempilo ngoko nangoko.
   

Xa Imisebenzi Yesiqhelo Inokuqalisa kwakhona

Uninzi lwezigulana lunokubuyela kwimisebenzi yalo yemihla ngemihla kwiiveki ezine ukuya kwezintandathu emva kwenkqubo. Nangona kunjalo, kubalulekile ukubonisana nomboneleli wakho wezempilo ngaphambi kokuba uqalise nayiphi na imisebenzi enzima okanye umthambo. Ukumamela umzimba wakho nokulandela iingcebiso zikagqirha wakho kuya kunceda ukuqinisekisa ukuba uyachacha ngempumelelo.
 

Iingenelo ze-Lateral Internal Sphincterotomy (LIS)

I-Lateral Internal Sphincterotomy (LIS) inika iingenelo ezininzi ezibalulekileyo, ingakumbi kwizigulana ezineengxaki zempundu okanye iintlungu ezingapheliyo zempundu. Ukuqonda ezi ngenelo kunokunceda izigulana zenze izigqibo ezinolwazi malunga neendlela zonyango lwazo.

• Uncedo Lwezinhlungu: Enye yezona nzuzo ziphambili ze-LIS kukunciphisa kakhulu iintlungu ezinxulumene nokuqhekeka kwe-anal. Izigulane ezininzi zixela ukuba ziphumla ngoko nangoko kwiintlungu ebezichaphazela umgangatho wobomi bazo.
• UkuPhilisa okuPhuculweyo: Ngokunciphisa uxinzelelo kwi-anal sphincter, i-LIS ikhuthaza ukuhamba kwegazi okungcono kuloo ndawo, inceda ukuphiliswa kweemfanta. Oku kunokukhokelela kwixesha lokuchacha ngokukhawuleza kunye neziphumo eziphuculweyo.
• Umgangatho woBomi owongeziweyo: Izigulana zihlala zifumana ukuphucuka okuphawulekayo kumgangatho wazo wonke emva kotyando. Ukukwazi ukwenza imisebenzi yemihla ngemihla ngaphandle kokoyika iintlungu okanye ukungonwabi kunokutshintsha ubomi.
• Amaxabiso aPhantsi okuNxinanisa: I-LIS idla ngokuthathwa njengenkqubo ekhuselekileyo enomngcipheko omncinci weengxaki. Uninzi lwezigulana luyayinyamezela kakuhle le nkqubo yotyando kwaye alufumani miphumo mibi kakhulu.
• Iziphumo Zexesha elide: Izigulane ezininzi zinandipha iziphumo ezihlala ixesha elide ezivela kwi-LIS, kunye nezinga eliphezulu lempumelelo ekuthinteleni ukuphinda kuqhawuke iimfanta. Olu ncedo lwexesha elide lunokuphucula kakhulu impilo-ntle yesigulana.
• Ukuhlala esibhedlele okuncinci: I-LIS idla ngokwenziwa njengenkqubo yokunyanga ngaphandle kwesibhedlele, oko kuthetha ukuba izigulana zinokubuyela emakhaya ngaloo mini inye. Olu ncedo luluncedo olukhulu kwabo bafuna ukunciphisa ukuphazamiseka ebomini babo.
   

I-Lateral Internal Sphincterotomy (LIS) vs. Inkqubo Eyenye

Nangona i-Lateral Internal Sphincterotomy (LIS) ilunyango oluqhelekileyo lwe-anal fissures, ezinye izigulana zinokucinga ngezinye iindlela, ezinje ngonyango olufakwe ngaphakathi okanye i-botulinum toxin injections. Nantsi intelekelelo ye-LIS kunye nezinye iindlela:

Iindleko zeLateral Internal Sphincterotomy (LIS) eIndiya

Ixabiso eliqhelekileyo leLateral Internal Sphincterotomy (LIS) eIndiya liqala kwi-₹30,000 ukuya kwi-₹80,000.
 

Imibuzo Ebuzwa Rhoqo Malunga neLateral Internal Sphincterotomy (LIS)

Ndifanele nditye ntoni ngaphambi nasemva kwe-LIS? 
Ngaphambi kotyando, gxila ekutyeni okunefayibha eninzi ukuqinisekisa ukuhamba kwamathumbu okuhamba kakuhle. Emva kwe-LIS, qhubeka nokutya okunefayibha eninzi, kuquka iziqhamo, imifuno, kunye neenkozo ezipheleleyo, ukuthintela ukuqhina kwesisu nokukhuthaza ukuphiliswa.

Ndiza kuhlala ixesha elingakanani esibhedlele emva kwe-LIS? 
Uninzi lwezigulane lufumana i-LIS njengenkqubo yokulaliswa ngaphandle, oko kuthetha ukuba ungagoduka ngaloo mini inye. Nangona kunjalo, kunokufuneka uhlale iiyure ezimbalwa ukuze uhlolwe ngaphambi kokuba ukhululwe.

Ndingakwazi ukuthatha amayeza am aqhelekileyo emva kwe-LIS? 
Ewe, kodwa qhagamshelana nogqirha wakho malunga namayeza owasebenzisayo ngoku. Banokukunika iingcebiso malunga namayeza omawuqhubeke nawo okanye omawuyeke ukuwasebenzisa, ingakumbi amayeza okunciphisa igazi.

Zeziphi izinto ekufuneka ndiziphephe emva kwe-LIS? 
Kuphephe ukuphakamisa izinto ezinzima, ukwenza umthambo onzima, kunye nemisebenzi enokutsala indawo yeempundu ubuncinane iiveki ezine emva kotyando. Ukuhamba kancinci kuyakhuthazwa ukukhuthaza ukuhamba kwegazi emzimbeni.

Ndingabuyela nini emsebenzini emva kwe-LIS? 
Uninzi lwezigulane zinokubuyela emsebenzini kwiveki enye ukuya kwezimbini, kuxhomekeke kuhlobo lomsebenzi wazo kunye nendlela ezivakalelwa ngayo. Nxibelelana nogqirha wakho ukuze ufumane ingcebiso elungiselelwe wena.

Ingaba kuqhelekile ukuba nokopha emva kwe-LIS? 
Kulindeleke ukuba kubekho ukopha okuthile kwiintsuku ezimbalwa zokuqala emva kotyando. Nangona kunjalo, ukuba ufumana ukopha okukhulu okanye kuyaqhubeka, nxibelelana nomboneleli wakho wezempilo.

Ndingayilawula njani intlungu emva kwe-LIS? 
Ugqirha wakho uza kukunika amayeza eentlungu ukunceda ukulawula ukungonwabi. Kunokucetyiswa amayeza okuphelisa iintlungu athengiswa ngaphandle kwemvume kagqirha. Landela imiyalelo kagqirha wakho ukuze ufumane ulawulo olufanelekileyo lweentlungu.

Zeziphi iimpawu zosulelo ekufuneka ndizijonge? 
Qaphela ukuba kukho ukubomvu okwandileyo, ukudumba, okanye ukukhupha amanzi kwindawo yotyando, kunye nomkhuhlane okanye iintlungu eziya zisiba mandundu. Ukuba ubona naziphi na kwezi mpawu, nxibelelana nomboneleli wakho wezempilo ngoko nangoko.

Ngaba ndingenza utyando emva kwe-LIS? 
Ewe, ungenza intshukumo yamathumbu emva kotyando, kodwa kusenokwenzeka ukuba akukhululeki ekuqaleni. Ukutya okunefayibha eninzi kunye nokufaka amanzi aneleyo kunokunceda ukwenza le nkqubo ibe lula.

Ngaba kukho naziphi na iziphumo zeLIS ezihlala ixesha elide? 
Uninzi lwezigulana lufumana isiqabu esibalulekileyo kwixesha elide kwiimfanta kunye neentlungu. Nangona kunjalo, ezinye zinokufumana utshintsho kwimikhwa yamathumbu okanye ukungakwazi ukuzibamba, nto leyo ekufuneka ixoxwe nogqirha wakho.

Ndingenza ntoni ukuba ndiba nokuqunjelwa emva kwe-LIS? 
Ukuba unesiphene sokuqhinwa, yongeza ifayibha oyisebenzisayo kwaye usele ulwelo oluninzi. Ugqirha wakho unokucebisa nezithambisi-situlo ukuze kube lula ukuhamba kwamathumbu.

Ingaba i-LIS ikhuselekile kwizigulane ezikhulileyo? 
Ewe, i-LIS ikhuselekile kubantu abadala. Nangona kunjalo, kubalulekile ukuxoxa ngazo naziphi na iimeko zempilo ezisisiseko nogqirha wakho ukuqinisekisa indlela efanelekileyo yotyando kunye nokuchacha.

Ngaba abantwana banokuba ne-LIS? 
Nangona i-LIS isenziwa ikakhulu kubantu abadala, inokwenziwa kubantwana abaneempundu ezingapheliyo. Nxibelelana nogqirha wabantwana ukuze ufumane iingcebiso ezithile kunye nezinto ekufuneka uziqwalasele.

Utyando luthatha ixesha elingakanani? 
Inkqubo yeLateral Internal Sphincterotomy idla ngokuthatha malunga nemizuzu engama-30 ukuya kwengama-60, kuxhomekeke kubunzima betyala kunye nendlela yogqirha otyandayo.

Ngaba ndiza kufuna amadinga okulandela emva kwe-LIS? 
Ewe, idinga lokulandelela libalulekile ukuze kujongwe inkqubela yakho yokuphiliswa kunye nokujongana nazo naziphi na iingxaki. Ugqirha wakho uza kucwangcisa olu tyelelo ngokusekelwe ekuchacheni kwakho.

Ndingaqhuba imoto emva kweLIS? 
Kucetyiswa ukuba ungaqhubi imoto ubuncinane iiyure ezingama-24 emva kotyando, ingakumbi ukuba uthatha amayeza entlungu anokuphazamisa amandla akho okuqhuba ngokukhuselekileyo.

Kuthekani ukuba ndinembali yokuqhekeka ezimpundu? 
Ukuba unembali yokuqhekeka kwe-anal, thetha nogqirha wakho ngale nto. Banokukunika iingcebiso ezifanelekileyo kwaye banokucebisa i-LIS ukuba unyango olugcina ixesha elide aluphumelelanga.

Ndingayithintela njani imifantu yempundu kwixesha elizayo? 
Ukuze uthintele ukuqhekeka kwixesha elizayo, gcina ukutya okunefayibha eninzi, hlala unamanzi aneleyo emzimbeni, kwaye uphephe ukutsala nzima ngexesha lokuhamba kwamathumbu. Ukuhlolwa rhoqo ngumboneleli wakho wezempilo nako kunokunceda.

Ingakanani izinga lempumelelo ye-LIS? 
Izinga lempumelelo ye-LIS liphezulu, apho izigulane ezininzi zifumana ukukhululeka okukhulu kwiimpawu kunye nezinga eliphantsi lokuphinda zibuyele kwi-anal crack.

Ndingahlamba emva kwe-LIS? 
Ewe, ukuhlamba ngamanzi afudumeleyo kunokunceda ukuthomalalisa ukungakhululeki nokukhuthaza ukuphiliswa. Nangona kunjalo, kuphephe ukuhlamba ngamanzi ashushu okanye ukuntywila ixesha elide de ugqirha wakho akuxelele ukuba kukhuselekile.
 

isiphelo

I-Lateral Internal Sphincterotomy (LIS) lukhetho oluxabisekileyo lotyando kubantu abanengxaki yokuqhekeka kwempundu engapheliyo kunye nentlungu ehambelana nayo. Le nkqubo inika iingenelo ezibalulekileyo, kubandakanya ukuphelisa iintlungu, ukuphiliswa okuphuculweyo, kunye nomgangatho wobomi ophuculweyo. Ukuba ucinga nge-LIS, kubalulekile ukubonisana nengcali yezonyango enokubonelela ngeengcebiso ezenzelwe wena kunye nesikhokelo esilungiselelwe iimfuno zakho ezithile. Impilo yakho kunye nentuthuzelo zibaluleke kakhulu, kwaye ukuzinika ixesha lokuqonda ukhetho lwakho kuya kukhokelela kwiziphumo ezingcono.