Izinkinga ze-Anorectal

Izinkinga ze-anorectal yizimo ezivamile ezithinta i-anal kanye ne-rectum. Lezi zinkinga zingadala ukungakhululeki okukhulu futhi zibe nomthelela eqophelweni lempilo. I-Apollo Institute of Colorectal Surgery inikeza izinketho ezithuthukisiwe zokuxilonga nezokwelashwa ezimweni ezihlukahlukene ze-anorectal, iqinisekisa ukunakekelwa komuntu siqu kanye nemiphumela emihle.

• Ama-Hemorrhoids (ama-Piles): Ama-hemorrhoids yimithambo evuvukele ku-rectum engezansi kanye ne-anus. Zingaba zangaphakathi (ngaphakathi kwe-rectum) noma zangaphandle (ngaphansi kwesikhumba esizungeze i-anus). Izimpawu zihlanganisa ukopha, ukulunywa, nobuhlungu. E-Apollo, izindlela zokwelapha zihlanganisa:
• Ukuphathwa kwe-Conservative ngezinguquko zokudla kanye nemithi yokwelapha
• Izinqubo ezihlasela kancane njenge-rubber band ligation noma i-sclerotherapy
• Izindlela zokuhlinza ezithuthukisiwe ezifana ne-stapled haemorrhoidopexy noma i-hemorrhoidectomy
• Ukusetshenziswa kwemishini yamandla athuthukisiwe ukuze kususwe okunembayo nokungebuhlungu kangako
  
   
• I-Anal Fissures: Imifantu endunu yizinyembezi ezincane olwelwesi lwe-anus, okubangela ubuhlungu lapho uphuma amathumbu. Angaba acute noma amahlalakhona. Izindlela zokwelapha zika-Apollo zihlanganisa:
• Ukuphathwa kwe-Conservative nge-softeners, imithi ye-topical, namabhavu e-sitz
• Imijovo ye-Botox ukuze uphumule i-anal sphincter
• I-Lateral internal sphincterotomy ye-fissures engapheli
• I-Fissurectomy ene-flap yentuthuko yesikhumba noma ngaphandle kwamacala ayinkimbinkimbi
• I-Anal Fistula: I-anal fistula ukuxhumana okungavamile phakathi komsele wendunu kanye nesikhumba esizungeze ididi. Ngokuvamile zibangelwa izifo ezidlule. Izindlela zokwelapha zika-Apollo zihlanganisa:
• I-VAAFT (Ukwelashwa Kwe-Anal Fistula Okusizwa Ngevidiyo) yokuvalwa kwe-fistula ehlasela kancane
• I-Fistulotomy ye-fistula elula, ephansi
• Ukubekwa kwe-Seton kwe-fistula eyinkimbinkimbi
• Inqubo ye-LIFT (Ligation of Intersphincteric Fistula Tract).
• Ukusetshenziswa kwamapulaki e-biological noma iglue ye-fibrin ukuze kuvalwe i-fistula
• Amathumba e-Perianal: Amathumba e-Perianal amaqoqo obomvu eduze kwe-anus, ngokuvamile abangela ubuhlungu nokuvuvukala. Zingaholela ku-fistula uma zingelashwa ngendlela efanele. Izindlela zokwelapha zika-Apollo zihlanganisa:
• Ukusika nokukhipha amanzi ngaphansi kwe-anesthesia yendawo noma evamile
• Ukusetshenziswa kwamasu okuthwebula athuthukile njenge-MRI noma i-endoanal ultrasound ukuze kuhlonzwe kahle
• Ukwelashwa ngama-antibiotic uma kufanele
• Ukunakekelwa kokulandelela ukuvimbela ukuphindaphinda noma ukwakheka kwe-fistula
• Izindlela zokudonsa amanzi ezingenele kancane zamathumba ajulile