Kudonha Kwemudumbu | Usanyara kutaura nezveizvi!

Dzimwe nguva unonzwa sekunge pane chimwe chinhu chinorema kana chakaita sebhora chinobuda mudumbu rako paunoenda kuchimbuzi here? Tinoziva kuti ichi chinhu chinonyadzisa uye chinonyadzisa kutaura nezvacho. Asi ichi hachisi dambudziko kwauri chete, chirwere chinogona kukanganisa vanhu vazhinji. Saka usatya kana kunyara nezvazvo. Nhasi tiri kutaura nezve rectal prolapse, kana kuti chinonzi `(Rectal Prolapse)` mukurapa.

Zvichitaurwa zviri nyore, chii chinonzi rectal prolapse?

Zvakanaka, kuti tinzwisise izvi, ngatitangei tadzidza zvishoma nezvechikamu ichi chemuviri wedu. Chikamu chekupedzisira cheura hwako hukuru ndicho chatinodaidza kuti `rectum` kana chikamu chekupedzisira cherectum. Chiri pamusoro peanus yako. Mushure mekunge chikafu chatinodya chagayiwa, tsvina yasara, inonzi tsvina, inoungana kwenguva pfupi muchikamu ichi chinonzi `rectum`. Kana chikamu ichi chazara, tinonzwa kuda kuenda kuchimbuzi. Zvadaro, tsandanyama dzakachipoteredza dzinodzvinyirirwa kuti dzisundire tsvina kuburikidza neanus.

Zvino, mu 'Rectal Prolapse', kana tsvina yangobuda, chikamu chekupedzisira cherectum chakanga chakaibata chinobudawo. Sekunge teresikopu ichipinda, chikamu ichi chinopinda chobuda mu anus. Dzimwe nguva chinogona kubuda zvishoma, dzimwe nguva chinogona kubuda chose.

"Prolapse" izwi rinoshandiswa navanachiremba. Rinoreva kuti nhengo yemuviri inodonha kubva panzvimbo yayo yakajairika. Izvi zvinowanzoitika kana tsandanyama dzinobata nhengo yacho dzichipera simba.

Ndiani anonyanya kukonzera chirwere ichi? Ndezvipi zvinokonzera?

Kunyangwe chirwere ichi chichigona kuitika chero pazera ripi zvaro, chinonyanya kuitika kuvakadzi vane makore anopfuura makumi mashanu. Pamusoro pezvo, dzimwe nguva chinogona kuitika kuvana vadiki. Chinokonzerwa nemanyoka kwenguva refu kana zvirwere zvakaita se "Cystic Fibrosis".

Zvakaoma kuziva chikonzero chaicho cheizvi, asi zvinhu zvakawanda zvinogona kukonzera izvi. Chikuru ndechekushaya simba kwetsandanyama dzinobata rectum. Zvinhu zvinokonzera izvi zvinosanganisira:

• Kukwegura: Kufanana netsandanyama dzese mumuviri, iyi inodererawo zvishoma sezvatinokura.
• Kubata pamuviri nekubereka: Kubereka kunoisa kumanikidzwa kwakawanda pamhasuru dzechiuno, izvo zvinogona kudzipedza simba.
• Kuzvimba kwechimbuzi kwenguva refu kana kuti manyoka: Kugara uchimanikidza kuti ubvise tsvina muchimbuzi kunogona kukuvadza tsandanyama idzi. Dambudziko iri rinogonawo kuitika kunyangwe ukaramba uchirwara nemanyoka.
• Kuvhiyiwa kwakamboitwa kana kukuvara muhudyu kana munzvimbo yakapoteredza.
• Zvirwere zvemudumbu.
• Kukosora kwenguva refu kana kuhotsira: Dambudziko iri rinogonawo kukonzerwa nekumanikidzwa kwedumbu kunokonzerwa nekukosora nguva nenguva nekuda kwezvirwere zvakaita seasthma.
• Kukuvadzwa kwetsinga dzemusana kana dzemuzongoza.
• Zvirwere zvemajini zvakaita seCystic Fibrosis.

Izvi zvine mamota here? Kana kuti zvimwewo? Ndingaziva sei chokwadi?

Iri ndiro dambudziko guru rine vanhu vazhinji. Vanhu vazhinji vanosanganisa dambudziko iri nemahemorrhoids. Zvakajairika kufunga kudaro nekuti zviratidzo zvezvirwere zvese zvakafanana. Mahemorrhoids itsinga dzeropa dzakazvimba dzakatenderedza huro. Dzinogona zvakare kukonzera kurwadziwa, kuvaviwa, uye kubuda ropa. Dzimwe nguva mahemorrhoids anogonawo kubuda.

Asi pane musiyano wakajeka pakati pezviviri izvi. Ngatitarisei tafura iyi kuti tinzwisise zviri nani.

Chiremba anowana sei izvi?

Paunoenda kunoona chiremba, anotanga akubvunza nezvezviratidzo zvako. Wobva aita ongororo yemuviri. Panguva iyi, anogona kukukumbira kuti uedze kuita tsvina, kuti aone kana rectum yako ichibuda panguva iyoyo.

Dzimwe nguva, unogona kutumirwa kunoongororwazve kuti usimbise chirwere chacho kana kuti uone kana paine mamwe matambudziko.

• Kuongorora Dumbu remudumbu neDigital: Chiremba anoongorora dumbu remudumbu achishandisa chigunwe chine magirovhosi.
• Kubvisa tsvina: Kuongororwa kunotora mifananidzo yeX-ray kana MRI yetsandanyama dzako paunenge uchibvisa tsvina.
• Anorectal Manometry: Muedzo unoyera simba remhasuru (sphincters) dzakakomberedza anus.
• Colonoscopy: Kuongorora mukati meura hukuru uchishandisa chubhu ine kamera yakabatana.
• Electromyography (EMG): Izvi zvinoedza mashandiro emhasuru kuti zvionekwe kana paine kukuvara kwetsinga.

Chii chinoitika kana chikasarapwa?

Ichi hachisi chirwere chekukurumidzira kana chinoisa upenyu panjodzi. Zvisinei, kana chikasarapwa, chinogona kuwedzera zvishoma nezvishoma nekufamba kwenguva. Chinogonawo kukonzera kusagadzikana kwakanyanya uye matambudziko akasiyana-siyana.

Pakutanga, kana anus yabuda, inogona kudzoserwa mukati. Vanachiremba vanokukurudzira kuti utendeuke nerutivi, uise mabvi ako pachipfuva chako, wobva wadzvanya zvinyoro nyoro mukati nejira rakanyorova. Asi iyi ingori mhinduro yenguva pfupi.

Matambudziko makuru anogona kuitika kana akasarapwa ndeaya:

• Kusazvidzora tsvina: Ichi chirwere chinoitika apo tsandanyama dziri mudumbu rako dzinoramba dzichigumburwa, zvichiita kuti urasike tsvina kana gasi usingatombozvizivi. Chirwere ichi chinokanganisa vanhu vanosvika 50% kusvika 75%.
• Kuzvimba: Kuvharika kwemudumbu kunogona kuita kuti zviome kubuda tsvina zvakanaka.
• Maronda emudumbu: Kukwiza dumbu nguva nenguva kunogona kukonzera kuti nzvimbo iyi ibude ropa uye irwadze. Kana ropa rikaramba richibuda, zvinogona kutokonzera anemia.
• Kuvharirwa uye Kudzipwa: Iri ndiro dambudziko rine njodzi zvikuru. Dhuremu rinogona kuvharika uye risingakwanise kudzoserwa mukati. Kana izvi zvikaitika, ropa rinoenda kunzvimbo iyoyo rinogona kuvharika uye nyama inogona kufa. Tinoridaidza kuti "Gangrene". Iri idambudziko rinoda kurapwa nekukurumidza.

Ndeipi mhinduro dzeizvi? (Ngatidzidzei nezvekuvhiyiwa)

Kana munhu mukuru awana chirwere ichi, hachipori chega. Mhinduro chete inogara iripo ndeyekuvhiyiwa. Muvana vadiki, chinogona kugadziriswa chega kana chikonzero chacho, senge kuvimbiwa, charapwa.

Kune mhando dzakasiyana-siyana dzekuvhiya. Chiremba wako achasarudza nzira yakakunakira zvichienderana nemamiriro ako ezvinhu, zera, uye hutano hwako hwese. Kune mhando mbiri huru dzekuvhiya.

1. Nzira yeDumbu - Rectopexy

Iyi ndiyo nzira inonyanya kushandiswa uye inobudirira. Chiremba anovhiya anoita kucheka mudumbu (kuvhiyiwa kwakavhurika) kana kuisa kamera nepaburi rakati wandei (kuvhiyiwa kwelaparoscopic), anosimudza rectum yakadonha kumashure, anoiisa pamadziro ekumashure kwechiuno, uye anoisunga netambo dzinogara dziripo kana mesh. Maitiro aya ane mwero wekubudirira weinenge 97%. Kana uinewo kuvimbiwa kwenguva refu, chiremba wako anogona kusarudza kubvisa chikamu chidiki chedumbu rako panguva yekuvhiyiwa uku.

2. Kuvhiyiwa kuburikidza ne anus (Perineal Approach)

Nzira iyi yakanakira vanhu vasingagoni kuvhiyiwa zvakanyanya nedumbu, vakwegura, kana vane zvimwe zvirwere. Munzira iyi, kuvhiyiwa kunoitwa kuburikidza neanus. Sezvo pasina mavanga makuru munzira iyi, kupora kunokurumidza. Zvisinei, pane mukana wekuti chirwere ichi chidzokezve mushure meiyi nzira.

Chii chingaitwe kudzivirira mamiriro ezvinhu aya uye kudzivirira kuti asadzokorore?

Pane zvinhu zvakati wandei zvaunogona kuita kudzivirira chirwere ichi kuti chisaitike uye kuti chisadzokorore mushure mekuvhiyiwa.

• Dzora kuvimbiwa uye manyoka: Kana uchiramba uchinetseka kana kuti uchirwara nenyoka, iva nechokwadi chekuona chiremba worapwa. Idya chikafu chine fiber yakawanda (michero, miriwo, nyemba) uye inwa mvura yakawanda.
• Simbisa tsandanyama dzepasi pechiuno chako: Unogona kusimbisa tsandanyama idzi nekuita maekisesaizi eKegel. Bvunza chiremba wako kana chiremba wezvekurovedza muviri kuti ungazviita sei.
• Chenjerera pakusimudza zvinorema: Shandisa chimiro chakakodzera pakusimudza zvinorema.

Kudonha kwetsandanyama (prolapse) chirwere chinoitika zvishoma nezvishoma nekuda kwekushaya simba kwetsandanyama. Hazviitike kamwe kamwe. Saka, usinganyare kana kutya nezvazvo, chinhu chakanakisa chaungaita ndechekutsvaga mazano echiremba nekukurumidza.