Nhasi, tiri kukurukura nezvechikamu chakakosha chemuviri wako chinowanzo onekwa kusvika chimwe chinhu chave chisina kunaka: rectum. Sechikamu chekupedzisira chegadziriro yako yekugaya, kunzwisisa mashandiro ayo nematambudziko akajairika kwakakosha pahutano hwako hwese. Ngationgororei kuti chii, kuti chinoshanda sei, uye mamiriro ezvinhu anogona kuchikanganisa pano paNirogi Lanka.
Chii chinonzi Rectum?
Zvichitaurwa zviri nyore, rectum yako ndiyo chikamu chekupedzisira cheura hwako hukuru. Ungaziva ura hukuru sechimiro chakareba, chakaita sechubhu chinosanganisira ura hukuru, rectum, uye nzira yekubuda nayo. Rectum yako ine urefu hwemasendimita matanhatu uye inoshanda se "nzvimbo yekumirira" yekupedzisira yetsvina isati yabuda mumuviri wako. Sezvo tsvina yakagayiwa—kana tsvina—ichifamba kubva muura hukuru, inoungana murectum, uko inogara kusvika tsinga dzako dzaratidza kuti yave nguva yekufamba kwetsvina.
Musiyano uripo pakati peura guru nerectum ndeupi?
Rectum yako inotangira panosvika ura hwako. Kunyange zvazvo dzine magadzirirwo akafanana enyama—akadai setsandanyama nemasero anobudisa tsvina—pane misiyano mikuru. Rectum yakareba uye inoramba ichigadzira chikafu. Panozosvika marara murectum, anenge atove tsvina. Basa guru rerectum yako nderekuchengetedza marara aya kwenguva pfupi uku uchitora mvura yasara nemaelectrolyte, uchiachengeta kusvika wagadzirira kuaburitsa.
Musiyano uripo pakati pe rectum ne anus ndeupi?
Nzira yekubuda nadzo mudumbu inotanga panogumira rectum yako, ichimirira masendimita mashoma ekupedzisira enzira yekugaya chikafu. Mudumbu mune tsandanyama dzinobatsira zvikuru dzemudumbu , idzo dzinokupa simba rekutonga mafambiro edumbu rako, zvichikubvumidza kubata kana kusunungura tsvina kana zvichidikanwa.
Rectum inoshanda sei mudumbu rako?
Basa guru remudumbu nderekuchengetera tsvina kusvika wasvika muchimbuzi. Sezvo tsvina ichipinda kubva muura, mudumbu unozorora uye unokura sebharumu kuti ugare zvakanaka. Munguva iyi yekuchengetera, unoramba uchitora mvura yasara nemaelectrolyte kuti usimbise tsvina, ukuwo uchiburitsa madzihwa kuti ipfuure zvakanaka. Kana mudumbu wazara, ma stretch receptors anozivisa kuuropi hwako kuti yave nguva yekushandisa chimbuzi.
Rectum iri kupi?
Ura hwako hukuru hunotenderera ura hudiki mukati medumbu. Rectum iri kumagumo kwenzira iyi, yakavharirwa pasi pedzimwe nhengo dzedumbu uye yakakombama yakananga kuhuro. Mumuviri, inogara muhuro , iri pakati pedumbu rako netsandanyama dzepasi pedumbu rako. Chikamu chepamusoro cherectum chinobatanidza ne sigmoid colon, nepo chikamu chepazasi chikabatana ne anal canal.
Rectum yakareba sei?
Kazhinji, rectum inenge yakareba pakati pemasendimita gumi kusvika gumi nemashanu (anenge masendimita mashanu kusvika matanhatu). Yakanyatsogadzirwa; sezvo tsandanyama dzichishanda kusundira tsvina kunze, inogona kukotama nekupfupika sechinokakama. Kufanana nedzimwe nzvimbo dzeura, yakafara masendimita matatu, asi inokwanisa kutambanudza zvakanyanya kupfuura dzimwe nzvimbo , ichishanda senzvimbo yekuchengetedza tsvina yakawanda kwenguva pfupi.
Ndezvipi zvimiro zvemukati me rectum?
Rectum ine chimiro che "S" chidiki chine makomba maviri makuru. Goko repamusoro, sacral flexure , rinotevera goko remusana wako, nepo rozasi reanorectal flexure richiratidza shanduko kuenda kunzira yekubuda kwetsvina. Makomba aya akakosha pakuchengetedza kuzvidzora , zvichikubatsira kudzora kufamba kwetsvina.
Mukati, rectum yakakamurwa nemakumbo akatambanudzwa anozivikanwa semavharuvhu eHouston . Kamuri rekupedzisira rinonzi rectal ampulla .Kana kamuri iyi yazara, ma "stretch receptors" ari mumadziro erectal anotumira zviratidzo kuhurongwa hwetsinga dzako, zvichikuudza kuti yave nguva yekushanda. Sezvo kumanikidzwa kuri kuwedzera, kuramba kuda kunowedzera kuoma.
Ndezvipi zvirwere zvinowanzo kanganisa rectum?
Kukanganisika kwemudumbu kunogona kukanganisa jira, tsandanyama, kana tsinga, zvichikonzera kurwadziwa uye kusagadzikana. Heano mamwe matambudziko anowanzoitika :
- Proctitis: Uku kuzvimba kana kuzvimba kwemukati memudumbu. Kunogona kukonzerwa nehutachiona, kusanganisira zvirwere zvepabonde, kana zvirwere zvisingaperi zvakaita seInflammatory Bowel Disease (IBD) .
- Maronda emudumbu: Aya maronda anorwadza, akavhurika anogona kukonzera kubuda ropa.
- Pundu rePerianal: Homwe inorwadza, yakazara urwa inowanikwa murectum, anus, kana nzvimbo yakapoteredza perineal.
- Mapolyps emudumbu: Matumbu madiki ari pamucheto werectum. Kunyange zvazvo akawanda acho asina njodzi, mamwe anogona kukura kuita kenza yemudumbu , saka kutariswa nenyanzvi kwakakosha.
- Kudonha kwetsvina mudumbu: Kana tsandanyama dzakabata rectum dzikashaya simba, rectum inogona kutsvedza kubva panzvimbo yayo yakajairika yobuda ichipinda kana kuti ichipfuura nemunzira yekubuda netsvina, sezvinoitwa neteresikopu.
- Levator syndrome: Ichi chirwere chinopa zita rekuti levator ani muscle inotsigira rectum, uye chinokonzera kurwadziwa kwe episodic rectal, zvichida nekuda kwemhasuru dzinorwadza.
- Kusazvidzora tsvina: Kana tsandanyama dzemudumbu kana tsinga dzemudumbu dzikakuvara, ungave nedambudziko rekudzora kufamba kwedumbu, zvichikonzera kubuda kwemvura kusingatarisirwi.
- Kubuda kwetsvina kwakavharika: Matambudziko emuviri kana ekushanda, akadai sekusashanda zvakanaka kwehudyu , apo tsandanyama dzinotadza kushanda zvakanaka, zvinogona kuita kuti zviome kubuda tsvina.
- Kuzvimba uye kubatwa netsvina: Kuoma kwetsvina kunogona kuita kuti tsvina iome, iome, uye igare mudumbu, zvichiita kuti pave nekubatsirwa nachiremba.
Ndezvipi zviratidzo zvinonyevera nezvedambudziko remudumbu?
Kana mukaona shanduko dzinogara dzichiitika mumaitiro emudumbu, kubuda ropa mudumbu, kurwadziwa kwakanyanya, kana chero zviratidzo zvinonetsa, ndapota taurai nachiremba wenyu kana kushanyira dhipatimendi rekukurumidzira riri pedyo nemi nekukasika.
Kana uine chimwe chezviratidzo zvinotevera, zvakakosha kukurukura nenyanzvi yehutano hwako hwepahuro:
- Kubuda ropa mutsvina: Kuona madonhwe eropa pahembe yako yemukati kana mundiro yechimbuzi.
- Kurwadziwa kwenhengo yemudumbu: Kunzwa kurwadziwa mukati kana pedyo netsvina, kana kunzwa kusagadzikana kunogara kuripo mudumbu rezasi kana munharaunda yehudyu.
- Kukwenya kana zviratidzo zvehutachiona: Kukwenya kunoramba kuripo kana zviratidzo zvinoonekwa zvekukwenya pedyo nepaburi rekumashure.
- Kuchinja kwemaitiro ekubvisa ura: Kuchinja kunoonekwa muruvara, kugara kwenguva refu, kana kuti kakawanda kwekufamba kweura hwako.
- Kunzwa kuda kubuda tsvina (tenesmus), kana kunzwa kuoma nekurwadziwa panguva yekubvisa tsvina ( dyschezia ).
- Kudonha kwenhengo dzepelvic: Kunzwa bundu kana kuti gonye richibuda paburi rekumashure.
Vanachiremba vanoongorora sei hutano hwe rectum yako?
Kune nzira dzakasiyana-siyana dzinoshandiswa navanachiremba pakuongorora rectum. Ngationei kuti dzinorevei:
- Kuongororwa kweDigital Rectal Exam (DRE): Mukuita uku, chiremba akapfeka girovhosi rakanyoroveswa anopinza chigunwe zvinyoro nyoro murectum yako kuti anzwe kana paine zvisina kumira zvakanaka. Iyi `(DRE)` inowanzo kuve chikamu chebvunzo yemuviri kana yevakadzi. Inobvumira chiremba kuongorora kwete rectum chete asiwo prostate (muvarume) kana cervix nechibereko (muvakadzi) kuburikidza nemadziro erectum.
- Tsika yekurapa nepamusana:Munguva yekuyedzwa uku, chiremba anoshandisa donje rekutora kuti atore sampuro kubva mukati me rectum yako, iyo inozotumirwa kurabhoritari kuti iongororwe kana paine hutachiona hwemabhakitiriya kana hwemavhairasi.
- Kuongororwa kwetsvina: Chiremba wako anogona kukumbira kuti aongorore tsvina kuti aone kana paine zviratidzo zvehutachiona, ropa remashiripiti, kana kuti masero machena eropa akakwira.
- Anorectal manometry: Bvunzo iyi inoyera kuti tsandanyama dzako netsinga zvinoshanda sei pamwe chete kuti zviite kuti ura hufambe zvakanaka. Catheter yakatetepa, inochinjika ine bharumu diki inopinzwa murectum yako. Bharumu rinozadzwa nemvura inodziya, uye catheter yacho yakabatana nekombuta kuti ione kumanikidzwa uye kubatana kwetsandanyama dzako dzepasi pechiuno.
- Defecography: Chidzidzo ichi chemifananidzo (chichishandisa X-ray kana MRI) chinobata nhengo dzemuviri wako dzichishanda paunenge uchiedza kubuda tsvina. Nyanzvi yezvemagetsi ichaisa mushonga wekuenzanisa mu rectum yako. Uchave uri panzvimbo yako wega apo chiremba anotarisa mafambiro emhasuru dzemukati mako nezvikamu pamonitor kuti aone chero matambudziko anoshanda.
- Barium enema: Iyi bvunzo ye "GI X-ray" chaiyo. Dhayi yekuenzanisa inonzi barium inoiswa mu rectum yako se enema, zvichibvumira mifananidzo ye fluoroscopic (vhidhiyo X-ray) ye rectum yako neura hukuru ine musiyano mukuru.
- Proctoscopy: Ongororo iyi inoshandisa scope pfupi, yakasimba ine chiedza nekamera kuti iongorore mukati me rectum yako. Kana zvichidikanwa, chiremba anogona kupinza michina kuburikidza ne scope iyi kuti awane biopsy yetishu.
- Kuongororwa kwe sigmoidoscopy inochinjika: Kana chiremba wako achida kutarisa mberi, anogona kushandisa scope yakareba uye inochinjika kuti aongorore chikamu chekupedzisira chemudumbu wako, chinozivikanwa se sigmoid colon. Izvi zvinobatsira kuona zvirwere zvakaita seInflammatory Bowel Disease (IBD) kana hutachiona hwemudumbu. Ndapota cherechedza kuti nzira iyi inoda kugadzirira ura (kugadzirira ura) usati watanga.
Ungachengetedza sei rectum yako iine hutano?
Kunyange zvazvo zvisiri zvese zvirwere zvepahuro zvinogona kudzivirirwa, kushandisa tsika idzi dzakanaka kunogona kuderedza njodzi dzako zvikuru:
- Ita zvepabonde zvakachengeteka: Zvirwere zvepabonde zvinogona kukanganisa nzvimbo dzekumashure nedzemudumbu. Iva nechokwadi chekuti iwe nemumwe wako munoongororwa nguva dzose uye shandisa dziviriro kudzivirira hutachiona.
- Ramba uchidya zvine fiber yakawanda: Deredza kudya zvakagadzirwa uye tarisa zviyo, miriwo, nemichero. Izvi zvinokurudzira kufamba-famba kwetsvina nguva dzose, zvichidzivirira kuvimbiwa uye kusimba zvinogona kukonzera matambudziko akawanda etsvina.
- Wana colonoscopy yako yenguva dzose: Nzira yakajairika yekuona `(Colonoscopy)` ndiyo nzira yakanakisisa yekuona masero emudumbu nekudzivirira kenza yemudumbu nedumbu isati yanyanya kuipa.
- Usaregeredza zviratidzo: Kana uine kurwadziwa kunoramba kuripo, kuchinja kwemaitiro ako emudumbu, kana kusagadzikana, ona chiremba nekukurumidza. Kuonekwa nekukurumidza ndicho chinhu chakakosha pakurapa zvinobudirira.
Pfungwa dzekupedzisira kubva kuNirogi Lanka
Funga nezve rectum yako sebhiriji rinokosha mukugaya kwako. Nekuda kwekubatana kwayo neura hwako nedumbu rako, kuchengetedza hutano hwerectum kwakakosha pahutano hwako hwese hwedumbu.
Kugadzirisa kusagadzikana kwemudumbu kunogona kunetsa uye kazhinji kunonyadzisa, asi danho rakakosha kutsvaga rubatsiro. Chiremba wezvekudya kana proctologist (nyanzvi yehutano hwemudumbu) vanogona kukupa chirwere chakarurama uye chirongwa chekurapa chinoshanda. Usatambura chinyararire—taura nenyanzvi. Kana ukasangana nekubuda ropa zvakanyanya kana kurwadziwa kwakanyanya, ndapota enda kudhipatimendi re emergency riri pedyo kana kufonera emergency services yemunharaunda yako nekukasika.
👩🏽⚕️ Mibvunzo Inowanzo bvunzwa (Mibvunzo Inowanzo bvunzwa)
💬 Ndezvipi zvirwere zvinonyanya kukanganisa rectum?
Zvirwere zvinowanzoitika munzvimbo iyi zvinosanganisira mamota, mitswe yekumashure, uye, kashoma, kenza yemudumbu.
💬 Chii chinokonzera kuvaviwa munzvimbo yerectal?
Kuvaviwa kunowanzokonzerwa nehonye muvana, nepo kuvanhu vakuru, kunowanzobatanidzwa nehemorrhoids kana kutsamwa kwemunzvimbo kunokonzerwa nedikita nehunyoro.
💬 Ropa riri mutsvina yangu rinoreva kuti ndine kenza here?
Hazvisi hazvo. Kazhinji, zvinokonzerwa nematambudziko akareruka akadai semahemorrhoids kana kuti mafinya ekumashure. Zvisinei, haufanirwe kutya; ndapota ronga musangano nevanopa hutano kuNirogi Lanka kuti vaongororwe zvakanaka.
Matagi: Rectum, Stool, Digestion, Kuzvimba, Anorectal disorders, Colonoscopy
