Ukubuthwa kwe-Anus
Ukubheka isikhumba, okubizwa nangokuthi i-pruritus, kuyinkinga evamile eyenziwa abantu abaningi. Ukuhlunga kungase kufike noma kungafihli ukuqhuma, okungagcinwa ezindaweni ezincane zesikhumba noma kungenzeka phezu komzimba wonke. Uma kwenzeka ukuqhuma, kungase kube yinkomba mayelana nombangela wokubamba. Ukunambitha kungaba yinkinga encane noma kungaba ukuphazamiseka okukhulu futhi kuthinte kakhulu izinga lomuntu lomuntu.
Uma ukucheka kuhilela indawo ezungeze i-anus, kubhekiselwa ku-pruritus ani, futhi kungaba yinkinga ehlazo.
I-Pruritus ani ingathinta abantu abangaba ngu-5% futhi ivame kakhulu emadodeni aphakathi kweminyaka engu-40 kuya kweyengu-60 ubudala. Kunezimbangela eziningi ze-pruritus ani, iningi lalo elikwazi ukuxhunyaniswa nenkinga ethile yezokwelapha, njenge- hemorrhoids noma ama-fissures angama-anal . Ezinye izimbangela ezivamile zihlanganisa ukucasuka okuvela kumzimba wamafayili, izifo, ukuxhumana nodokotela, ukusabela kokudla nokugqoka, imiphumela emibi yezokwelapha, imithi yomdlavuza nombala, izimo ze-dermatologic, kanye nezinye izimo zezokwelapha nezengqondo. Ukwelashwa kwe-pruritus ani kuxhomeke ekubambeni kwezimpawu.
Ukungcola kwamaFecal
Isikhumba esithintana ne-fecal material, noma ngemali emikhulu noma encane, iyimbangela evamile ye-pruritus ani. Lokhu kungaba njengomphumela wokucasula ngokuqondile isikhumba, noma mhlawumbe njengesibangela sokugula.
Abantu abanezimpawu zokuhamba ngamathumbu, izihlalo ezilahlayo, nalabo abadla ikhofi enkulu (okwehlisela umthambo we-sphincter anal) kungase kube yengozi enkulu yokungcola kwe-fecal njengesizathu se-pruritus ani. Ukwenyuka kwesimo sezinyawo, njengokunciphisa ikhofi yokudla, ukwandisa ama-agent amaningi, futhi ukuthatha imithi efana ne-loperamide (ukunciphisa uhudo) kungathuthukisa izimpawu.
Izifo
Izifo zesikhumba sangasese zingase zibangele i-pruritus ani. Lezi zihlanganisa amaprotworms (i- Enterobius vermicularis ), izifo ze-fungal kanye nemvubelo (njenge- Candida albicans ), kanye nokutheleleka kwamagciwane (njenge- Streptococci no- Staphylococci ). Ukuhlolwa kwe-Scotch tape kuyasiza ekutholeni ukutheleleka kwe-pinworm, futhi amasiko ayisiza ekutholeni ukutheleleka kwe-fungal kanye ne-bacterial. Ukwelashwa kuxhomeke kuhlobo lokutheleleka olutholakala.
Xhumana noDermatitis
Uxhumano lwe- dermatitis wesifunda esifanayo lungabangela futhi ukuthi i-pruritus ani. Izimbangela zihlanganisa udoti wephepha lezindlu zangasese namafutha, ukuhlanza, ukuhlanza izingubo, amasobho, izingubo zokuhlanza izingubo, kanye nanoma yimiphi imithi yokwelashwa evezwe esifundeni ngomzamo wokuphumula kwesifo. Ukuhlolwa kwe-Patch kungasiza ekuhloleni i-dermatitis yokuxhumana, futhi ukwelashwa nge -steroid ye-topical , ikakhulukazi kulawo mafomu okugcoba, kungasiza.
Ukudla Nemithi
Ukudla okuhlukahlukene kuyaziwa ukuthi kubangela noma izimpawu ezimbi kakhulu ze-pruritus ani, ikakhulukazi uma lezo zindlo zandisa inani lemvamisa yesibalo noma ziholela ezitheni ezivulekile. Izibonelo zalokhu kudla zihlanganisa iziphuzo ze-caffeinated (ikakhulukazi ikhofi kanye netiyi), utshwala, ushokoledi, imikhiqizo yamatamatisi, kanye nemikhiqizo - yobisi, amantongomane, izinongo, ama-citrus, ukudla okunomsoco, imifuno kanye namakhiwane.
Iningi lalezi zindlela aziphenduleli ngenxa yokugula , njengoba ezinye izimpawu zingalindelwa emithonjeni yokudla , ikakhulukazi izimpawu zesikhumba ezinjengezinyosi kanye nokushaya phezu komzimba wonke. Isivivinyo sokuqeda ukudla okungenhla kusuka ekudleni kwakho amaviki amabili kungasiza ukunciphisa izimpawu ze-pruritus ani.
Imithi ethile ingabangela i-pruritus ani, kubandakanya i-laxatives, i-colchicine, i-peppermint ngamafutha kanye nama-antibiotic ahlukahlukene. Le mithi ibangelwa i-pruritus ani, hhayi ngenxa yezinkinga ezibangelwa ukwelashwa, kodwa cishe ngenxa yokucasula ngokuqondile noma ngenxa yokungahambisani okuhambisana nesibindi nokunyuka kwamagciwane okuhamba kwamathumbu.
I-Colorectal / Anal Ills kanye nezimo zeDermatological
Izinkinga zezokwelapha ezisezingeni eliphansi lezindawo ezilabalalayo nezalesi sifo, njenge-hemorrhoids, zingalimaza i-pruritus ani. Ezinye izimbangela ezinkulu kakhulu ze-pruritus ani zibandakanya amagciwane angama-anal and colorectal. Izinkinga ezihlukahlukene zesikhumba zingabangela i-pruritus ani; lezi zihlanganisa i-psoriasis, i- lichen sclerosis , nezinhlobo ezahlukene zomdlavuza wesikhumba. Lezi zimo ngokuvamile zixilongwa ngosizo lwe-biopsy yesikhumba.
Izimbangela ezihlukahlukene
Abanye abantu abane-pruritus ani bangase babe nokugula kwangaphakathi, njengesifo sikashukela , isifo sesibindi , isifo sezinso , i- leukemia , i- lymphoma , i- iron deficiency anemia , kanye ne-hyperthyroidism. Izici zengqondo zingabangela futhi i-pruritus ani, njengokukhathazeka nokucindezeleka. Ukwelapha lezi zinkinga ezibalulekile zezokwelapha nezengqondo kungasiza ukuthi izimpawu zakho zithuthuke.
Njengoba kunikezwe izimbangela eziningi ze-pruritus ani, kufaka phakathi okunye okungaba yingozi, kungcono ukufuna iseluleko somsebenzi wezempilo kunokuba uzame ukuphatha lesi simo ngokwakho.
Funda konke owake wafuna ukwazi ngokuthinta .
Umthombo:
I-Siddiqi S, i-Vijay V, i-Ward M, i-Mahendran R, i-Warren S. Pruritus Ani. U-Ann R Coll Surg Eng. 2008; 90: 457-63.