Ngatidzidzei nezvechikamu chakakosha chegadziriro yako yekugaya chikafu: rectum.

Nhasi tichataura nezvechikamu chemuviri wedu chakakosha, asi dzimwe nguva chisingatariswe. Ndiyo rectum, kana kuti muchirungu, rectum. Ichi chikamu chiri kumagumo egadziriro yedu yekugaya chikafu. Ngatitarisei kuti chii, kuti chinoshanda sei, uye kuti chingakonzera zvirwere zvipi.

Chii chinonzi rectum?

Zvichitaurwa zviri nyore, rectum yako ndiyo chikamu chekupedzisira cheura hwako hukuru. Unoziva, ura hukuru ichubhu refu. Apa ndipo pane ura hukuru, rectum, uye anus. Rectum yako ndiyo yekupedzisira masendimita matanhatu eizvi. Ipapo nzira yekubuda nayo kubva mudumbu inotanga. Apa ndipo panomira chikafu chekupedzisira chatinodya chisati chapfuura nemumiviri yedu uye pakupedzisira chinobuda semarara. Kana marara anosara kubva mukugaya chikafu, anonzi tsvina, asvika mudumbu kubva mudumbu, anoungana ipapo kusvika tsinga dzatiudza kuti tiende kuchimbuzi.

Ndeupi musiyano uripo pakati peColon neRectum?

Rectum yako inotangira panogumira ura hwako. Zvese zvakagadzirwa nezvinhu zvakafanana. Kureva, tsandanyama, zvidimbu zvenyama, magland anoburitsa nekupinza zvinhu kubva mukati. Zvisinei, ura hurefu. Zvakare, chikafu chinoramba chichigayiwa pachinopfuura nemuura. Asi panosvika pahuro pako, inenge yatova tsvina yakasimba, kana tsvina. Chinoita huro yako kuchengeta tsvina iyi kwenguva yakati, kunwa mvura yakawanda nema electrolytes ari mairi, uye kuichengeta kusvika yasvika nguva yekuiburitsa.

Saka musiyano uripi pakati pe rectum ne anus?

Nzira yekubuda kwetsvina inotangira pamucheto werectum yako. Ndiyo masendimita mashoma ekupedzisira eura hwako hukuru. Muhuro ndipo pane tsandanyama dzinokosha dzinodzora kufamba kwetsvina yako, dzinonzi anal sphincters . Idzi ndidzo dzinotibvumira kubata uye kubuda tsvina kana tichida.

Rectum inoshanda sei mudumbu redu?

Basa guru remudumbu nderekuunganidza nekubata tsvina yako kusvika yasvika nguva yekuibvisa. Mudumbu mako unozorora uye unotambanuka kuti ugone kubvisa tsvina inobva muura hwako, sebharumu. Izvi zvinoreva kuti zvinopa nzvimbo yayo. Paunobata tsvina yako nenzira iyi, mudumbu mako unotora mvura yasara nema electrolytes ari mairi, zvichiita kuti ive yakakora zvishoma. Inoburitsawo chinhu chinonzi mucus kuti chibatsire tsvina kuti ipfuure zviri nyore. Kana yazara, tsinga dzinotumira chiratidzo kuuropi chekuti unofanira kuenda kuchimbuzi izvozvi. Ndipo patinonzwa kuda.

Rectum iri kupi?

Ura hwako hukuru huri kutenderedza ura hudiki, kumativi edumbu. Rectum iri kumagumo kweura hukuru uhwu, pasi pedzimwe nhengo dziri mudumbu, uye yakakombama yakananga kuburi rekumashure. Kutaura chokwadi, iri mudumbu, inova nzvimbo yako yedumbu, pakati petsandanyama dzepasi pedumbu. Chikamu chepamusoro cherectum chakabatana ne sigmoid colon, uye chikamu chepazasi chakabatana ne anus.

Rectum yakareba sei?

Rectum inowanzo kureba pakati pemasendimita gumi nemashanu kusvika gumi nemashanu. Izvi zvinosvika masendimita mashanu kana matanhatu. Asi iyi inokosha. Kana tsandanyama dzichishanda kusundira tsvina kunze, inogona kukotama nekupfupika, sechitoyi chinotsvedza. Kufanana nemamwe ura hukuru, inokura masendimita matatu. Ihwohwo hunosvika hafu yehupamhi hwayo. Asi inogonawo kuwedzera, kana kuwedzera, kuti ichengete tsvina yakawandisa kwenguva pfupi, senzvimbo yekuchengetera mvura.

Ndezvipi zvikamu zve rectum?

Rectum yakaita se 'S' diki. Ine makoronga maviri. Konga yepamusoro, inonzi sacral flexure , inotevera konga yemusana wako. Konga yepasi, inonzi anorectal flexure , inoratidza kuchinja kubva murectum kuenda ku anus. Makonga aya anokubatsira kudzora mafambiro edumbu rako (continence).

Dumbu rakakamurwawo kuita zvikamu, serehonye. Zvikamu izvi zvakakamurwa nemakomba akatambanuka mukati memukati, anonzi mavharuvhu eHouston .

Makamuri matatu kana mana aya ari mu rectum anodzora kufamba kwetsvina. Kamuri rekupedzisira rinonzi rectal ampulla . Iyi ndiyo nzvimbo yekupedzisira yekuchengetera tsvina isati yabuda. Kana kamuri iyi yazara, ma stretch receptors ari mu rectal wall anoratidza system yepakati petsinga kuti yave nguva yekufamba netsvina. Sezvo kumanikidzwa kuri kuwedzera, zvinova zvakaoma kuzvidzora , unoziva?

Ndezvipi zvirwere nezvirwere zvinowanzo kanganisa rectum?

Zvirwere zvemudumbu zvinogona kukanganisa jira, tsandanyama, kana tsinga dziri mukati medumbu. Izvi zvinogona kukonzera marwadzo uye kukanganisa mashandiro emuviri. Ngatitarisei zvimwe zvezvirwere zvinowanzoitika :

• Proctitis: Uku kuzvimba kwemudumbu, uko kunogona kukonzera kuzvimba nekutsvuka. Kunogona kukonzerwa kwenguva pfupi nehutachiona hwakasiyana, kunyanya hutachiona hwepabonde (STIs). Kunogonawo kukonzerwa nechirwere chemudumbu chinozvimba (IBD).Chirwere cheproctitis chisingaperi chinogonawo kuitika nekuda kwezvirwere zvenguva refu zvakaita se:
• Maronda emudumbu: Aya maronda anorwadza, akavhurika. Dzimwe nguva maronda aya anogona kubuda ropa.
• Pundu rePerianal: Iri ibundu rinorwadza, rakazadzwa nematumbu rinoumbwa mu anus, paburi rekumashure, kana munzvimbo yakapoteredza (perineum).
• Mapolyps emudumbu: Mapolyps madiki ane nyama (polyps) muura nemurectum anowanzoitika. Haasi nguva dzose ane njodzi. Zvisinei, mamwe mapolyps anogona kukura kuita kenza yemudumbu.
• Kudonha kwetsvina mudumbu: Nekuda kwekushaya simba kwetsandanyama dzinobata rectum panzvimbo, rectum inogona kudonha yobuda mugwara rekumashure, seteresikopu.
• Levator syndrome: Chirwere ichi chakawana zita racho kubva mutsandanyama yelevator ani inochengeta anus panzvimbo. Inokonzera kurwadziwa dzimwe nguva mu anus. Inowanzo fungidzirwa kuti inokonzerwa nekupwanyika kwetsandanyama.
• Kusazvidzora patsvina: Matambudziko emhasuru kana tsinga dziri murectum anogona kuita kuti zviome kubata tsvina. Izvi zvinogona kukonzera kubuda kwetsvina kana kuti kubuda kwetsvina zvachose.
• Kubuda tsvina yakavharika: Kuomerwa nekubvisa tsvina kunogona kukonzerwa nezvinhu zvemuviri uye zvepfungwa. Izvi zvinogona kukonzerwa nekudzikira kwekunzwa mu rectum kana kusashanda zvakanaka kwetsandanyama, zvakaita sekusashanda zvakanaka kwehudyu .
• Kuzvimba uye kubatwa netsvina: Kuomerwa nekubvisa tsvina uye kusabvisa tsvina yakakwana kunogona kukonzera kuti matombo etsvina aite uye abatirire mudumbu.

Ndezvipi zviratidzo zvinoratidza kuti panogona kunge paine dambudziko nerectum?

Kana uine chimwe chezviratidzo izvi, zvakanaka kutaura nachiremba nezvehutano hwetsvina yako yemudumbu:

• Kuona mavanga eropa pahembe yako yemukati kana muchimbuzi (kubuda ropa mudumbu).
• Kurwadziwa kwemusana, kana kurwadziwa mudumbu rezasi kana muchiuno.
• Kukwenya kwepaburi rekumashure kana zviratidzo zvehutachiona zvakatenderedza paburi rekumashure.
• Kuchinja kwetsvina, semuenzaniso, kuchinja kweruvara rwetsvina, kuenderana kwayo, kana kuti kuwanda kwayo.
• Kunzwa kuda kuita tsvina kakawanda (tenesmus) , kana kuoma nekurwadziwa pakubvisa tsvina (dyschezia) .
• Bundu renyama rinobuda mu anus (pelvic organ prolapse).

Vanachiremba vanoongorora sei hutano hwe rectum yangu?

Kune bvunzo dzakawanda dzinoshandiswa navanachiremba kuongorora rectum. Ngationei kuti ndedzipi:

• Kuongororwa kweDigital Rectal (DRE): Izvi zvinosanganisira chiremba achiisa chigunwe chakaputirwa mafuta murectum yako. DRE iyi inogona kuitwa sechikamu chekuongororwa kwemuviri nguva dzose kana sechikamu chekuongororwa kwevakadzi. Inogona kuongorora kwete rectum yako chete, asiwo prostate yako kana cervix kuburikidza nemadziro erectum.
• Kucheneswa kwemasero emudumbu: Muongororo iyi, chiremba anokwesha mukati memudumbu nedonje remudumbu wobva akwesha masero emudumbu kuti aone kana paine mabhakitiriya kana mavhairasi.
• Kuongororwa kwetsvina: Chiremba anogona kutora sampuli yetsvina yako oiongorora kana paine zviratidzo zvehutachiona, kubuda ropa, kana masero machena eropa akawandisa.
• Anorectal manometry: Bvunzo iyi inoyera kuti tsandanyama dzako netsinga zvinoshanda sei pamwe chete kuti zvisundire tsvina kunze. Catheter ine bharumu yakasungirirwa inopinzwa muanus yako, uye bharumu rinozadzwa nemvura inodziya. Rimwe divi recatheter rakabatana nemuchina unoyera mashandiro etsandanyama dzako.
• Defecography: Mubvunzo uyu, maX-ray kana maMRI anotorwa nhengo dzemukati memuviri wako paunenge uchiedza kuita zvekubvisa tsvina. Izvi zvinoitirwa kuona kuti nhengo dzakasiyana dzemuviri netsandanyama dziri kushanda sei. Nyanzvi yezvekurapa inobaya mushonga wekurapa murectum yako, waunozobva waita tsvina. Unoita izvi wakagara muchitoro chemifananidzo chega. Vanoongorora nhengo dzako pakombiyuta.
• Barium enema: Iyi imhando yeGI X-ray. Inotorwa mifananidzo yeX-ray yefluoroscopic, kana vhidhiyo, yeura hwako hukuru, kusanganisira rectum. Barium enema imhando yedhayi re contrast. Inoiswa murectum yako se enema. Mifananidzo mitema nechena inoratidza nzvimbo idzi zvakajeka.
• Proctoscopy: Proctoscopy inzira yekutarisa mukati me rectum yako uchishandisa chubhu pfupi, yakasimba (scope). Proctoscope ichubhu isina chinhu ine chiedza nekamera kumagumo. Kana zvichidikanwa, chiremba anogona kupfuudza chishandiso nepachubhu kuti atore sampuro yenyama (biopsy).
• Kuongororwa kwe sigmoidoscopy inochinjika: Kana chiremba achida kutarisa mukati zvishoma, kureva chikamu chekupedzisira cheura hukuru, pahunosangana ne rectum (sigmoid colon yako), chubhu refu zvishoma inonzi flexible sigmoidoscope inogona kushandiswa. Kana paine dambudziko neura hwako, inogonaZvingave chirwere cheIBD kana chirwere chemudumbu. Bvunzo iyi inoda kugadzirira ura.

Ndingachengetedza sei rectum yangu iine hutano?

Kunyange zvazvo zvisiri zvirwere zvese zvemudumbu zvinogona kudzivirirwa, unogona kuderedza njodzi yekubatwa nezvimwe nekutevera tsika idzi dziri nyore dzehutano:

• Ita zvepabonde zvakachengeteka: Zvirwere zvepabonde zvinotapuriranwa (STIs) zvinokanganisa goko rako rekumashure zvinogonawo kukanganisa rectum yako. Edza mumwe wako kuti aongororwe zvirwere zvepabonde, uye shandisa nzira dzakachengeteka kana usina chokwadi.
• Kudya zvine hutano kunokurudzira kufamba zvakanaka kwedumbu: Idya zvekudya zvakagadziriswa zvishoma uye idya zvekudya zvechisikigo zvakaita sezviyo, miriwo, nemichero. Izvi zvinogona kubatsira kudzivirira kuvimbiwa uye kushanda nesimba kuti ubvise tsvina, izvo zvinogona kukonzera mamwe matambudziko akawanda.
• Tora colonoscopy yako: Kuongororwa kwecolonoscopy nguva dzose inzira yakakosha yekutarisa kana paine polyps muura uye kudzivirira kenza yemudumbu.
• Usaregeredza zviratidzo: Kana uine kurwadziwa kunoramba kuripo, kuchinja maitiro emudumbu, kana kuoma kubvisa tsvina, ona chiremba mamiriro acho asati aipa.

Pakupedzisira, zvinhu zvekurangarira

Rectum yako yakaita sebhiriji rinokosha pakati pegadziriro yako yekugaya chikafu nekufamba kwetsvina yako. Huru yako yemukati kune rumwe rutivi uye anus yako kune rumwe rutivi zvinogona kukanganisa hutano hwerectum yako, uye rectum yako inogona kukanganiswawo.

Matambudziko emudumbu anogona kushungurudza zvikuru uye kutonyadzisa. Zvisinei, chinhu chakakosha ndechekuwana rubatsiro rwaunoda. Chiremba wezvekudya kana proctologist anogona kukubatsira kuongorora nekurapa matambudziko emudumbu. Saka, usazvidya mwoyo uye tsvaga mazano echiremba.

` Dhuku, tsvina, kugaya chikafu, kuvimbiwa, zvirwere zvemuno, colonoscopy