Isakhiwo esiyinkimbinkimbi seMisindvo emibili
I-sphincter engumzimba iyingxenye yemisipha ekupheleni kwe-rectum ezungeza i- anus iphinde ilawule ukukhululwa kwesitokisi, ngaleyo ndlela igcine izwekazi. Kunemisipha emibili ye-sphincter: eyodwa ingaphakathi kanti enye ingaphandle. Imisipha yangaphandle isisiza ukugcina i-continent futhi uhlale esitheni. Uma kukhona ukulahleka kokulawula imisipha ku-sphincter, ukungabi khona kwemithi kungahle kwenzeke.
Imisipha yangaphakathi ayikho ngaphansi kokulawula okuzithandela kodwa kunalokho ilawulwa yisimiso sezinzwa ezizimele. Imisipha yangaphandle ingalawulwa ngokuzithandela (igxiliwe futhi ingahlanjululwa). Imisipha yangaphakathi nangaphandle isebenza ndawonye ukuze kuqedwe isisindo emzimbeni ngokuhamba komzimba.
Izifo Nezimo Ze-Anal Sphincter Ehlobene ne-IBD
I-anal stenosis. I-anal stenosis ayijwayelekile, kodwa ingahlobene nokugula kwesifo sofuba (IBD) , nasesifo sikaCrohn ngaphezu kwesifo se-ulcerative colitis. E-stenosis ye-anal, i-sphincter engumzimba iyancipha, kuze kube yilapho kunzima ukuba nokunyakaza kwamathumbu. Ezinye izimpawu zifaka ubuhlungu nokuphuma kwegazi. Lesi simo singase senzeke ngemva kokuhlinzwa (ikakhulukazi ukususwa kwesisu) noma kuhlotshaniswa nokusebenzisa ngokweqile noma ukutheleleka kwe-laxative.
Izifo ze-Crohn's. Ngenxa yokuthi isifo sikaCrohn singathinta noma iyiphi ingxenye yegciwane lokugaya kusukela emlonyeni kuya kwi-anus, ingathinta i-sphincter yesilwane.
Kucatshangwa ukuthi iningi le-1/3 yeziguli ezine-Crohn's disease lizoba nezinkinga endaweni ye- perianal (ingxenye yomzimba ezungeze i-anus). Abantu abanesifo sikaCrohn bangase bahlakulele izixazululo ku-sphincter yesilwane, futhi lokhu kungafaka:
- Ama-abscesses : I-abscess yindawo yokubuthwa emva kokutheleleka.
- Ama-fissures : I-fissure iyinyembezi emgodini womhubhe ongaba buhlungu kakhulu.
- I-fistulae : I-fistula yisiteshi esingavamile phakathi kwezinhlangothi ezimbili zomzimba, njenge-anus nesikhumba.
- Ukuvuvukala ku-sphincter yesilwane
- Izilonda : Isilonda siwumgodi noma siwubuhlungu ekwakhekeni kwesakhiwo, njengemisipha yomzimba.
Ama-hemorrhoids (Amapholi). I-hemorrhoid ingumvuthwane ozungeze i-anus ephenduka ukuvuvukala. Cishe wonke umuntu angathuthuka isifo senhliziyo, futhi kuyinkinga ekhethekile kwabesifazane abakhulelwe, abantu abane-inflammatory disease (IBD), noma ubani obhekene nokuqwashwa okungapheli noma isifo sohudo, nabantu abangaphezu kweminyaka engu-50.
I-Incontinence. Abanye abantu abane-IBD bahlangabezana nokungahambisani nokuzikhandla, noma ukukhululwa okungekho emthethweni kwesitokisi kusuka emgqeni. Lokhu kungenzeka ngenxa yesifo esithile noma kungabangela umonakalo emisipha ye-sphincter yesilwane. Lokhu kungabacindezela kakhulu iziguli, futhi ukuthola ukuvuvukala ku-IBD ngaphansi kokulawula kubalulekile ukuvimbela ukutholakala kokungathembeki kwamafecal.
Umthombo:
UBrisinda G, Vanella S, Cadeddu F, et al. "Ukwelashwa ngokuhlinzwa kwe-anal stenosis." I-World Journal ye-Gastroenterology: I-WJG. 2009; 15: 1921-1928. 23 Nov 2015.
Lewis RT, uMaron DJ. "Isifo so-Anorectal Crohn's." Umtholampilo Wokuhlinzwa North Am . 2010 Feb; 90: 83-97. 23 Nov 2015.
I-MedlinePlus. "AmaHemorrhoids." Ilabhulali Kazwelonke Yezokwelapha yase-US. 25 Septemba 2015. 23 Nov 2015.