Farji fissure

Fissure mai rauni shine ƙaramin tsaga ko tsaga a cikin sikari mai laushi (mucosa) wanda yake rufe duburar dubura (dubura).

Yunkurin farji ya zama ruwan dare gama gari a cikin jarirai, amma suna iya faruwa a kowane zamani.

A cikin manya, ana iya samun ɓarkewar rauni ta wucewar manyan ɗakuna, sanduna masu wuya, ko gudawa na dogon lokaci. Sauran dalilai na iya haɗawa da:

• Rage kwararar jini zuwa yankin
• Tashin hankali da yawa a cikin tsokoki masu juji wanda ke sarrafa dubura

Yanayin ya shafi maza da mata daidai. Har ila yau, raunin raunin al'aura ma galibi ne ga mata bayan haihuwa da kuma mutanen da ke da cutar Crohn.

Ana iya ganin fiskar dubura kamar tsagewa a cikin fatar dubura lokacin da aka miƙa yankin kaɗan. Fissure kusan koyaushe yana tsakiya. Fuskokin farji na iya haifar da jijiyoyin mara da zub da jini. Zai iya zama jini a bayan tabin ko kan takardar bayan gida (ko shafawar jariri) bayan motsawar ciki.

Kwayar cututtuka na iya farawa farat ɗaya ko haɓaka a hankali cikin lokaci.

Mai ba da kiwon lafiyar zai yi gwajin dubura kuma ya kalli dubura. Sauran gwaje-gwajen likita da za'a iya yi sun haɗa da:

• Anoscopy - binciken dubura, dubura, da ƙananan dubura
• Sigmoidoscopy - binciken ƙananan ɓangaren babban hanji
• Biopsy - cirewar kayan dubura domin gwaji
• Colonoscopy - binciken hanji

Yawancin fatattaka sun warke da kansu kuma basa buƙatar magani.

Don kiyayewa ko magance ɓarkewar ɓarna a cikin jarirai, tabbatar cewa sauye-sauye diapers sau da yawa kuma tsabtace wurin a hankali.

YARA DA MAGABATA

Damuwa game da ciwo yayin motsawar hanji na iya sa mutum ya guje su. Amma rashin samun motsin hanji zai haifar da majina ne kawai ya zama mai wahala, wanda hakan na iya sanya jijiyar ta dubura ta zama mafi muni.

Hana katangar wuya da maƙarƙashiya ta:

• Yin canje-canje na abinci - yawan cin fiber ko girma, kamar 'ya'yan itace, kayan lambu, da hatsi
• Yawan shan ruwa
• Amfani da soften softer

Tambayi mai ba ku sabis game da waɗannan man shafawa ko mayim don shafawa fatar da ta shafa:

• Kirim mai narkarda nono, idan ciwo ya katse hanzarin hanji na al'ada
• Man jelly
• Zinc oxide, 1% hydrocortisone cream, Shiri H, da sauran kayayyakin

Wankan sitz shine wanka mai ruwan dumi wanda ake amfani dashi wajan warkewa ko kuma tsarkakewa. Zauna a cikin wanka sau 2 zuwa 3 a rana. Ruwan ya kamata ya rufe kwatangwalo da gindi kawai.

Idan ɓarna na dubura ba su tafi tare da hanyoyin kulawa na gida ba, magani na iya ƙunsar:

• Allurar Botox a cikin tsoka a cikin dubura
• Surgeryananan tiyata don shakatawa tsoka ta dubura
• Kayan shafawa na likitanci, kamar su nitrates ko masu toshe hanyar tashar alli, an shafa su akan fissure don taimakawa shakatawar tsokoki

Fuskokin farji galibi sukan warke da sauri ba tare da wasu matsaloli ba.

Mutanen da ke haifar da ɓarkewa sau ɗaya suna iya samun su a nan gaba.

Fissure a cikin ano; Fissure rashin ƙarfi; Cutar marurai

• Mahaifa
• Fussia fissure - jerin

Downs JM, Kulow B. Cutar cututtuka. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da Cututtukan Cutar hanta da na Fordtran. 11th ed. Philadelphia, PA: Elsevier; 2021: babi 129.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Yanayin tiyatar dubura da dubura. A cikin: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi na 371.

Merchea A, Larson DW. Dubura. A cikin: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Littafin Sabiston na tiyata. 20th ed. Philadelphia, PA: Elsevier; 2017: babi na 52.