Reka twige ku gice cy'ingenzi cy'urusobe rw'igogora rwawe: igice cy'inyuma.

Uyu munsi tugiye kuvuga ku gice cy'umubiri wacu cy'ingenzi cyane, ariko rimwe na rimwe kidakunze kwirengagizwa. Icyo ni igice cy'umura, cyangwa mu Cyongereza, umura. Iki ni igice kiri ku mpera y'urusobe rw'igogora. Reka turebe icyo ari cyo, uko gikora, n'indwara gishobora gutera.

Igituba cy'umura ni iki?

Mu magambo make, rectum yawe ni igice cya nyuma cy'amara yawe manini. Urabizi, amara manini ni umuyoboro muremure. Aha niho amara manini, rectum, na anus biri. Rectum yawe ni santimetero 10 za nyuma z'ibi. Hanyuma umuyoboro w'ikibuno uratangira. Aha niho ibiryo turya bihagarara mbere yuko binyura mu mibiri yacu amaherezo bikavamo imyanda. Iyo imyanda isigaye mu igogora ry'ibiryo, byitwa amase, igera mu kibuno ivuye mu kibuno, iraterana kugeza ubwo imitsi itubwira kujya mu bwiherero.

Ni irihe tandukaniro riri hagati y'uruti rw'umura n'igitereko cy'amaraso?

Agace k'umura kawe gatangirira aho umura wawe ugarukira. Byombi bigizwe n'ibintu bimwe. Ni ukuvuga ibice by'imitsi, ibice by'inyama, imyakura isohora kandi ikayikuramo ibintu biva imbere. Ariko, umura uba muremure cyane. Nanone, ibiryo bikomeza gusya uko binyura mu mura. Ariko iyo bigeze mu mura wawe, biba byarabaye imyanda ikomeye, cyangwa umwanda. Icyo umura wawe ukora ni ugufata uyu mwanda igihe gito, ukawukuramo amazi menshi n'ibinyabutabire birimo, hanyuma ukawubika kugeza igihe cyo kuwusohora kigeze.

None se itandukaniro riri hagati y'ururenda n'uruhinja ni irihe?

Umuyoboro w'ikibuno utangirira ku mpera y'umura wawe. Ni santimetero nke za nyuma z'amara yawe manini. Mu kibuno niho imitsi y'ingenzi igenzura imikorere y'amara yawe iherereye, yitwa anal sphincters . Ibi ni byo bidufasha kwifata no guca mu myanya y'inyuma igihe cyose tubishakiye.

Ni gute agahu k'inyuma gakora mu buryo bw'igogora ryacu?

Akamaro k'ingenzi k'inyuma ni ugukusanya no gufata umwanda wawe kugeza igihe cyo kuwusohora kigeze. Inyuma yawe iraruhuka kandi irakura kugira ngo ijyane n'imyanda iva mu mara yawe, nk'umupira w'amapine. Ibyo bivuze ko iwuha umwanya. Iyo ufashe umwanda wawe muri ubu buryo, inyuma ifata amazi n'amashanyarazi asigaye, bigatuma uba munini gato. Isohora kandi ikintu cyitwa amacandwe kugira ngo gifashe umwanda gutambuka byoroshye. Iyo wuzuye, imitsi yohereza ikimenyetso ku bwonko cy'uko ugomba kujya mu bwiherero ubu ngubu. Ni bwo twumva dukeneye.

Aho agace k'inyuma k'umura gaherereye ni hehe?

Urura rwawe runini ruherereye hafi y'amara mato, ku mpande z'umwobo w'inda. Urwo rurerure ruri ku mpera y'amara manini, munsi y'izindi ngingo mu nda, kandi runamye rugana ku mwenge w'ikibuno. Mu by'ukuri, ruherereye mu mwobo w'ikibuno, ari wo gice cy'inda yawe, hagati y'imitsi yo hasi y'ikibuno. Igice cyo hejuru cy'ururerure gifatanye n'urura runini rwa sigmoid, naho igice cyo hasi gifatanye n'ikibuno.

Agace k'inyuma k'umura kamara igihe kingana iki?

Ubusanzwe agace k'umura gafite uburebure buri hagati ya santimetero 10 na 15. Ni santimetero 5 cyangwa 6. Ariko aka ni akadasanzwe. Iyo imitsi ikora kugira ngo isunike umwanda, ushobora gufunga no kugabanuka, nk'igikinisho cy'igikinisho. Kimwe n'amara manini yose, afite ubugari bwa santimetero 3. Ni ukuvuga kimwe cya kabiri cy'ubugari bwawo. Ariko kandi gashobora kwaguka, cyangwa kwaguka, kugira ngo gabike umwanda urenze urugero by'agateganyo, nk'aho ari ikigega.

Ni ibihe bice by'ururenda rw'inyuma?

Agace k'umugongo gafite ishusho nk'iya 'S' nto. Gafite imiterere ibiri. Agace ko hejuru, kitwa sacral flexure , gakurikira imiterere y'umugongo wawe. Agace ko hasi, kitwa anorectal flexure , kagaragaza ihinduka kuva mu gace k'umugongo ujya mu kibuno. Uku kuntu kugonda bigufasha kugenzura imyakura yawe (continence).

Agace k'inyuma kagabanyijemo ibice, nk'ak'inyo. Ibi bice bitandukanyijwe n'imigozi itambitse mu gice cy'imbere, cyitwa valves of Houston .

Utu twumba dutatu cyangwa tune mu mfuruka y'umura tugenzura inzira y'umwanda. Icyumba cya nyuma cyitwa ampulla y'umura . Aha ni ho hantu ha nyuma ho kubika mbere yuko umwanda usohoka. Iyo uyu mwanda wuzuye, uduce tw'imyakura mu rukuta rw'umura tumenyesha uturemangingo tw'imitsi ko igihe kigeze cyo gukora imyakura. Uko umuvuduko w'amaraso ugenda wiyongera, biragorana kwifata , urabizi?

Ni izihe ndwara n'indwara zikunze kugira ingaruka ku maraso?

Indwara zo mu maraso zishobora kugira ingaruka ku gice cyo hagati y'umubiri, imitsi, cyangwa imitsi iri mu maraso. Ibi bishobora gutera ububabare no kubangamira imikorere isanzwe. Reka turebe zimwe mu ndwara zikunze kugaragara:

• Proctitis: Iyi ni indwara yo kubyimba kw'inyuma y'umura, ishobora gutera kubyimba no gutukura. Ishobora guterwa by'agateganyo n'indwara zimwe na zimwe, cyane cyane indwara zandurira mu mibonano mpuzabitsina (STIs). Ishobora kandi guterwa n'indwara yo kubyimba mu mara (IBD).Proctitis idakira ishobora no guterwa n'indwara z'igihe kirekire nka:
• Ibisebe byo mu maraso: Ibi ni ibisebe bibabaza kandi bifunguye. Hari igihe ibi bisebe bishobora kuva amaraso.
• Igisebe cya Perianal: Iki ni ikibyimba kibabaza kandi cyuzuye amabyi gitangira mu kibuno, mu mwenge w'ikibuno, cyangwa mu nkengero zacyo (perineum).
• Udukoko two mu mara: Udukoko duto kandi dufite inyama (polyps) mu mara no mu nda ni two dukunze kugaragara. Ntabwo buri gihe tuba ari akaga. Ariko, utundi dukoko dushobora kuvamo kanseri y'inkondo y'umura.
• Gutemba kw'uturemangingo: Bitewe n'intege nke z'imitsi ifata uturemangingo, uturemangingo dushobora kumanuka no kwinjira mu muyoboro w'ikibuno, nk'icyuma gikoresha ikoranabuhanga rya telesikope.
• Levator syndrome: Iyi ndwara yakomotse ku mitsi ya levator ani ifata ikibuno mu mwanya wayo. Itera ububabare rimwe na rimwe mu kibuno. Ubusanzwe ikekwa ko iterwa no kubabara mu mitsi.
• Kunanirwa kwifata mu ifu: Ibibazo by'imitsi cyangwa imitsi yo mu ifu bishobora gutuma bigorana gufata umwanda mu ifu. Ibi bishobora gutuma umwanda uva cyangwa ukagwa burundu.
• Kwituma mu buryo bugoye: Kugorwa no kubura ubwiherero bishobora guterwa n'ibintu by'umubiri n'iby'imitekerereze. Ibi bishobora guterwa no kugabanuka k'ibyiyumvo mu maraso cyangwa kutagira uburyo bwo guhuza imitsi, nko kudakora neza kw'aho hasi mu kibuno .
• Kurya impatwe no gukomeretsa umwanda: Kugorana guca umwanda no kudaca umwanda bihagije bishobora gutuma amabuye y’umwanda atangira gukwirakwira mu mara.

Ni ibihe bimenyetso bigaragaza ko hashobora kuba hari ikibazo mu gice cy'inyuma cy'umura?

Niba ufite kimwe muri ibi bimenyetso, ni byiza kuvugana na muganga ku buzima bwawe bwo mu maraso:

• Kubona amaraso yanduye ku myenda yawe y'imbere cyangwa mu musarani (kuva amaraso mu mara).
• Kubabara mu nda cyangwa mu kibuno, cyangwa kubabara mu nda yo hasi cyangwa mu kibuno.
• Kuryarya mu mwenge w'ikibuno cyangwa ibimenyetso by'ubwandu hafi y'umwenge w'ikibuno.
• Impinduka mu myenge, urugero, impinduka mu ibara ry'imyenge, imiterere yayo, cyangwa inshuro isanzwe.
• Kumva ukeneye kwituma (tenesmus) kenshi , cyangwa kubabara no kubabara mu gihe cyo kwituma (dyschezia) .
• Ikibyimba cy'inyama gisohoka mu kibuno (pelvic organ prolapse).

Ni gute abaganga bagenzura ubuzima bw'uturemangingo twanjye tw'amagi?

Hari ibizamini byinshi abaganga bakoresha mu gusuzuma agace k'umura. Reka turebe ibyo ari byo:

• Isuzuma rya digitale rectal (DRE): Ibi bisaba ko muganga ashyira urutoki mu maraso yawe rufite agapira kandi rurimo amavuta. Iyi DRE ishobora gukorwa mu isuzuma risanzwe cyangwa mu isuzuma ry’abagore. Ishobora gusuzuma rectum yawe, ndetse na prostate cyangwa nyababyeyi yawe binyuze mu rukuta rw’amaraso.
• Gupima mu maraso: Muri iki kizamini, muganga asukura imbere mu maraso yawe akoresheje agatambaro k'ipamba hanyuma agasukura icyitegererezo kugira ngo arebe niba hari bagiteri cyangwa virusi.
• Isuzuma ry'umwanda: Muganga ashobora gufata icyitegererezo cy'umwanda wawe akawusuzuma kugira ngo arebe niba hari ibimenyetso by'ubwandu, kuva amaraso, cyangwa se uturemangingo tw'umweru twinshi mu maraso.
• Manometriya y'amaraso: Iki kizamini gipima uburyo imitsi n'imitsi yawe bikora hamwe kugira ngo bisunike umwanda. Catheter ifite agapira gafatanye ishyirwa mu kibuno cyawe, hanyuma agapira gashyirwamo amazi ashyushye. Impande ya katheter ifatanye n'imashini ipima imikorere y'imitsi yawe.
• Gupima indwara z'uruhu: Muri iki kizamini, X-ray cyangwa MRI bifatwa mu ngingo zawe z'imbere mu gihe ugerageza gukora isuku. Ibi ni ukureba uburyo ingingo zitandukanye n'imitsi bikora. Umuganga atera umuti mu mara yawe, hanyuma ukawushyira mu mwanya w'inyuma. Ubikora wicaye mu cyumba cyo gufotora cyihariye. Bareba ingingo zawe kuri ecran ya mudasobwa.
• Enema ya Barium: Iyi nayo ni ubwoko bwa X-ray ya GI. Ifata amashusho ya X-ray ya fluoroscopic, cyangwa videwo, y'amara yawe manini, harimo n'amara yawe. Enema ya Barium ni ubwoko bw'irangi ritandukanye. Ishyirwa mu mara yawe nk'amara yawe. Amashusho y'umukara n'umweru agaragaza neza utwo duce.
• Proctoscopy: Proctoscopy ni uburyo bwo kureba imbere mu nda yawe y'umura ukoresheje umuyoboro mugufi kandi ukomeye (scope). Proctoscope ni umuyoboro udafite icyobo ufite urumuri na kamera ku iherezo. Iyo bibaye ngombwa, muganga ashobora kohereza igikoresho muri uwo muyoboro kugira ngo afate icyitegererezo cy'ingingo (biopsy).
• Sigmoidoscopy ihindagurika: Niba muganga akeneye kureba imbere gato, ni ukuvuga igice cya nyuma cy'amara manini, aho ahurira n'agace k'umura (agace k'umura gafite sigmoid), umuyoboro muremure gato witwa sigmoidoscopy ihindagurika ushobora gukoreshwa. Niba hari ikibazo ku mara yawe,Bishobora kuba indwara y’ububyimbirwe bw’amara (IBD) cyangwa indwara y’igifu. Iki kizamini gisaba kwitegura amara.

Ni gute nakora kugira ngo nyirinde indwara y'amara yanjye?

Nubwo indwara zose zo mu maraso zishobora kwirindwa, ushobora kugabanya ibyago byo kurwara zimwe na zimwe ukurikije izi ngeso zoroheje z’ubuzima:

• Kora imibonano mpuzabitsina mu buryo bwizewe: Indwara zandurira mu mibonano mpuzabitsina (STIs) zigira ingaruka ku mwenge w'ikibuno cyawe zishobora no kwanduza uturemangingo twawe. Suzuma umukunzi wawe apimwe indwara zandurira mu mibonano mpuzabitsina, kandi ukoreshe uburyo bwizewe niba ushidikanya.
• Indyo nziza ituma habaho imikorere myiza y'amara: Kurya ibiryo byatunganyijwe bike n'ibiribwa bisanzwe nk'ibinyampeke byuzuye, imboga n'imbuto. Ibi bishobora gufasha kwirinda impatwe no kunanirana kugira ngo utambitse, bishobora gutera ibindi bibazo byinshi.
• Shaka colonoscopy yawe: Gukoresha colonoscopy isanzwe ni uburyo bw'ingenzi cyane bwo gusuzuma polyps mu mara no kwirinda kanseri y'inkondo y'umura.
• Ntukirengagize ibimenyetso: Niba ufite ububabare budashira, impinduka mu mara, cyangwa ingorane zo kwituma, gana muganga mbere yuko indwara irushaho gukomera.

Amaherezo, ibintu byo kwibuka

Agace k'inyuma k'umubiri wawe ni nk'ikiraro cy'ingenzi cyane gihuza uturemangingo tw'igogora n'imyakura yawe. Uduce tw'inyuma tw'umubiri wawe ku ruhande rumwe n'utundi duce tw'inyuma tw'umugore wawe bishobora kugira ingaruka ku buzima bw'agace k'inyuma k'umugore wawe, kandi uturemangingo tw'inyuma tw'umugore wawe dushobora kugira ingaruka ku buzima bw'agace k'inyuma k'umugore wawe.

Ibibazo byo mu maraso bishobora kubabaza cyane ndetse bikanatera isoni. Ariko, icy'ingenzi ni ukubona ubufasha ukeneye. Inzobere mu ndwara zo mu mara cyangwa inzobere mu ndwara zo mu mara zishobora kugufasha gusuzuma no kuvura ibibazo byo mu maraso. Rero, ntugahangayike ahubwo shaka inama za muganga.

` Impyiko, umwanda, igogora, impatwe, indwara zo mu kibuno, indorerwamo y'uturemangingo