Ngaba nawe unengxaki yokuzikhupha? Makhe sithethe ngolu vavanyo lwe-(Anorectal Manometry)!

Mhlawumbi ukhe ube nohlobo oluthile lokungakhululeki xa usiya kwindlu yangasese ngamanye amaxesha, akunjalo? Mhlawumbi unesisu esomileyo, okanye uzive ngathi ubambeke kwintshukumo yokuhambisa isisu. Abanye abantu basenokuba nezinye zezi zinto. Ngoko ke namhlanje siza kuthetha ngovavanyo olukhethekileyo olunokukunceda ufumane unobangela wokungakhululeki kwakho. Oku sikubiza ngokuba yi-`(Anorectal Manometry)`.

Kutheni le nto kwenziwa olu vavanyo lwe-"Anorectal Manometry"?

Ngamafutshane, olu vavanyo lwenziwa ukuze kubonwe ukuba izihlunu ezijikeleze i-anus yakho (indlela edlula kuyo isitulo) kunye ne-rectum (indawo yokugcina isitulo okwethutyana) zisebenza kakuhle na. Cinga nje, njengokuba sisitya, ukugaya ukutya kunye nokukhupha okuseleyo emzimbeni nako kuyinkqubo ebaluleke kakhulu. Ingqondo yethu kunye nezi zihlunu zisebenza kunye ukwenza oku. Ngoko ke, ukuba unengxaki yokukhupha indle, isizathu sinokuba yingxaki ngokusebenza kwezi zihlunu.

Kukho izizathu ezininzi eziphambili zokuba ugqirha angakucela ukuba wenze olu vavanyo:

• Ukuba uziva iintlungu okanye uxinezelekile ngexesha lokuhamba kwamathumbu: Oku kukwabizwa ngokuba yi-`(Dyschezia)`. Kuvakala ngathi uzama ukukhupha ilitye.
• Ukuba uziva ngathi indle yakho ibambekile kwaye ayiphumi: Oku kubizwa ngokuba "yi-Obstructed defecation". Uziva ngathi kufuneka uye kwindlu yangasese, kodwa akukho nto iphumayo.
• Ukuqunjelwa okungapheliyo: Oku kuthetha ukuba kufuneka uye kwindlu yangasese kangangeentsuku ezininzi kunye nokuhamba kwamathumbu okunzima rhoqo. Oku kukwabizwa ngokuba yi-"Chronic constipation".
• Ukungakwazi ukulawula ukuhamba kwamathumbu: Ukulahlekelwa kukuhamba kwamathumbu ngokungazikhetheliyo. Oku kubizwa ngokuba yi-"Fecal incontinence." Oku akulunganga kakhulu kubantu abaninzi.

Ukongeza kwezi mpawu, olu vavanyo ngamanye amaxesha lusetyenziselwa ukubona indlela ezisebenza ngayo izihlunu kuloo ndawo emva kwengozi okanye utyando, okanye ukufumanisa ukuba intshukumo yezi zihlunu ichatshazelwe kukugula ixesha elide.

Olu vavanyo lwe-``(Anorectal Manometry)`` lunokuchonga ezinye zeemeko zonyango ezinokubangela ukuqhina kwesisu. Umzekelo:

• I-Anismus okanye i-dysynergic defecation: Oku kuxa izihlunu ezikwi-rectum zifinyela xa zizama ukukhupha indle, xa kufuneka ziphumle ngokwenene.
• Isifo sikaHirschsprung: Esi sisifo esidla ngokubonakala kubantwana abancinci. Sibangelwa bubuthathaka kwiiseli zemithambo-luvo kwi-rectum.

Inganceda nasekuboneni ukuba kwenzeka ntoni na kwaye ingxaki iphi xa umntu engakwazi ukuzibamba ngenxa yokungasebenzi kakuhle kwendle. Okumangalisayo kukuba ubuchwepheshe obufanayo obusetyenzisiweyo kolu vavanyo ngamanye amaxesha bunokusetyenziswa ukuqeqesha kwakhona ezi zihlunu (kwizinto ezifana ne-"Biofeedback therapy").

Lusebenza njani olu vavanyo lwe-"Anorectal Manometry"?

Ukucacisa oku kancinci ngokwesayensi, kusetyenziswa isixhobo esibizwa ngokuba yi-``Manometer`` kolu vavanyo. Esi sisiva-kuxinzelelo.`(i-pressure transducer)`. Oko kukuthi, inokulinganisa uxinzelelo oludalwa xa izihlunu ezikwi-rectum yakho nakwi-anus zifinyela. Oku kunokukunceda ubone ukuba olu xinzelelo luchanekile na, lukhulu kakhulu, luncinci kakhulu, okanye ukuba ezi zifinyezo zenzeka ngexesha elifanelekileyo.

Ugqirha okanye ilungu labasebenzi bezonyango abaqeqeshiweyo lifaka ityhubhu ebhityileyo neguquguqukayo (i-catheter) nge-anus yakho ukuya kwi-rectum yakho. Le tyhubhu ine-sensor yoxinzelelo eqhotyoshelwe kuyo. Ibhaluni encinci incamathiselwe ngaphakathi kweli tyhubhu. Xa le bhaluni ivuthelwe ngaphakathi kwi-rectum yakho, idala uhlobo olufanayo lokuvuselela imithambo-luvo esiluvayo xa sishukuma. Izihlunu zakho emva koko ziqala ukusabela ngokwemvelo. Le mpendulo yile nto ilinganiswa sisixhobo.

Ndingazilungiselela njani ngaphambi kovavanyo?

Kungcono ukuba i-rectum kunye ne-anus yakho zingenanto ngexesha lovavanyo. Ke ngoko, ugqirha wakho uza kukuxelela ukuba ungatyi iiyure ezimbalwa ngaphambi kovavanyo. Uza kukuxelela nokuba usebenzise i-``(Enema)`` (ulwelo olucoca i-rectum) ekhaya ukuze ukhuphe yonke into. Ugqirha wakho uza kukunika imiyalelo ecacileyo yokuba ungakwenza nini oku, indlela yokwenza, kunye nento omawuyisebenzise. Ngoko ke musa ukuyoyika loo nto.

Kwenzeka ntoni ngexesha lovavanyo?

Kulungile, ngoku masibone ukuba kwenzeka ntoni ngexesha lovavanyo.

• Xa usiza kuvavanyo, uza kucelwa ukuba ukhulule impahla yakho engaphantsi kwesinqe okanye unxibe ilokhwe ebonelelwe yisibhedlele.
• Emva koko bakujike ngecala etafileni baze bakulalise phantsi amadolo akho agobe esifubeni sakho.
• Ngamanye amaxesha, ngaphambi kokufaka i-catheter, ugqirha uza kufaka umnwe ogqunywe iglavu kwi-rectum yakho aze enze uvavanyo lwedijithali lwe-rectal. Oku kukujonga nantoni na engaqhelekanga ngaphakathi. Ungakhathazeki, oku kuza kuphela ngokukhawuleza.
• Emva koko, faka i-lubricant esiphelweni setyhubhu (ukuze kube lula ukuyifaka) uze uyifake kancinci nge-anus uye kwi-rectum.
• Ukufundwa koxinzelelo kubhalwa kubunzulu obahlukeneyo kwi-rectum. Oku kukunika umbono woxinzelelo lwakho lwangaphakathi oluqhelekileyo.
• Emva koko ibhaluni iyavuthelwa. Ibhaluni izaliswe ngamanani ahlukeneyo, ibekwe kwiindawo ezahlukeneyo ngaphakathi kwe-rectum, kwaye kuthathwa ukufundwa koxinzelelo.
• Uza kubuzwa nokuba uyaziva na ezi nguqu kwaye uzive ngathi kufuneka uye kwindlu yangasese.
• Kwakhona, ngamaxesha ahlukeneyo uxelelwa ukuba uqine, uphumle, utyhale (njengokuya kwindlu yangasese), kwaye ukhohlele izihlunu zakho. Ngeli xesha, izihlunu zakho ziyarekhodwa njengoko zisabela ngokuzithandela nangokuzenzekelayo.

Ngokwesiqhelo, lonke uvavanyo luthatha malunga nemizuzu engama-30 . Lungathatha imizuzu eli-15, luthathe imizuzu engama-45.

Ngaba olu luvavanyo olubuhlungu?

Le yingxaki abantu abaninzi abanayo. Inyaniso kukuba, olu ayilovavanyo lubuhlungu kakhulu.Ukuba i-rectum okanye i-anus yakho yonakele kancinci, ungaziva ungakhululekanga okanye uxinezelekile. Nangona kunjalo, uxinzelelo oluvela kwityhubhu kunye nebhaluni lufana noxinzelelo oluqhelekileyo oluvayo xa uphuma ebhedini.

Nangona kunjalo, ukuba uyoyika kakhulu okanye uxhalabile ngale nto, ungathetha nogqirha wakho malunga nokuba ungalufumana na uhlobo oluthile lwe-sedation ekhaphukhaphu (`(Sedation)`) ukuba kuyimfuneko.

Yintoni uvavanyo lokugxotha ibhaluni?

Ngamanye amaxesha ugqirha uya kwenza olunye uvavanyo ngaxeshanye novavanyo lwe-Anorectal Manometry. Lubizwa ngokuba luvavanyo lokuKhupha iiBhaluni. Oku kuquka ukufutha ibhaluni uze ubone ukuba ungayikhupha na "njengokuba ukhupha isisu" kunye nokuba kuthatha ixesha elingakanani. Uza kucelwa ukuba wenze oku ngasese, uhleli phantsi. Iisensa ezikwibhaluni zirekhoda ixesha kunye noxinzelelo.

Ngaba kukho naziphi na iingozi kolu vavanyo?

Enyanisweni, akukho mingcipheko ibalulekileyo okanye iziphumo ebezingalindelekanga ezivela kolu vavanyo. Into ekuphela kwayo kukuba, ukuba une-allergy kwi-`(Latex)` (ubisi lwerabha), kufuneka uxelele ugqirha wakho kwangaphambili. Emva koko baya kusebenzisa ibhaluni engena-`(Latex)`.

Ukuba i-rectum okanye i-anus yakho idumbile kancinci kwaye ibomvu, unokufumana amanxeba okanye ukopha kancinci emva kovavanyo. Kodwa oku kudla ngokuba ngcono ngokukhawuleza.

Zibonisa ntoni iziphumo zovavanyo?

Kulungile, ngoku into ebalulekileyo. Yintoni esinokuyifunda kwiziphumo zolu vavanyo?

Ezi ziphumo zibonisa ukuba izihlunu kunye nemithambo-luvo ebandakanyekayo kwinkqubo yokuhambisa amathumbu isebenza kakuhle na, okanye apho ingxaki ikhoyo khona.

Isiphumo esiqhelekileyo singabonisa into efana nale:

• Xa indle ingena kwi-rectum, i-rectum iyakhululeka kwaye iyanda ukuze ivumelane nayo (`(Ukuthobela i-Rectal)`).
• Imithambo-luvo esezindongeni ze-rectum (`stretch receptors`) iyavuselelwa, ithumela umyalezo engqondweni wokuba kufuneka uye kwindlu yangasese (`(Rectal sensation)`).
• Ukuphendula, i-anal sphincter yangaphakathi iphumla ngokuzenzekelayo (`(Rectoanal inhibitory reflex)`).
• Xa engaphakathi iphumla, i-sphincter yangaphandle yempundu iyaqina ize ibambe isitulo ude ulungele (`(Rectoanal contractile reflex)`). Ikwaqina xa ukhohlela (`(Cough reflex)`).
• Isangqa sangaphandle sempundu siphendula kwimiyalelo yakho yokuqinisa, ukukhulula, kunye nokutyhala.
• Xa uzama ukukhupha indle, uxinzelelo olukwi-anus luyanda, nto leyo ebangela ukuba i-anal ring yangaphandle iphumle, nto leyo evumela ukuba isitulo sidlule. Zonke ezi zinto zisebenza kunye (`(Utshintsho oludibeneyo loxinzelelo lwe-anorectal)`).

Isiphumo esingaqhelekanga singabonisa oku kulandelayo:

• Nangona indle idlula kwi-rectum, akukho mvakalelo yokuba kufuneka uye kwindlu yangasese. Mhlawumbi i-rectum ayikhuli kakuhle, okanye imithambo-luvo ayithumeli miyalezo engqondweni.
• Nangona uziva ufuna ukuya kwindlu yangasese, iimpendulo ezizenzekelayo zezihlunu zakho azisebenzi kakuhle.
• Imisipha ayiphenduli ngendlela engafanelekanga. Umzekelo, iqinisa apho kufuneka iphumle khona, ize iphumle apho kufuneka iqine khona.
• Nokuba izihlunu zenza into elungileyo, ziyenza ngexesha elingafanelekanga, okanye azisebenzisani.
• Ukushwabana kwemisipha kubuthathaka kwaye akusebenzanga kakuhle.
• Nangona ndizama ukuphumla, izihlunu zam ziqinile kakhulu.

Ngaba olu vavanyo lunokukhokelela kunyango oluphumelelayo?

Ewe, ngokuqinisekileyo! Xa ugqirha ekwazile ukufumanisa ukuba zeziphi izihlunu ezichaphazelekileyo kunye nendlela ezichaphazeleka ngayo, unokusebenzisa iindlela ezahlukeneyo zokuqeqesha ezo zihlunu kwakhona. Iindlela zonyango ezixhaphakileyo zezi:

• Unyango lwe-Biofeedback: Oku kuquka ukuzibonisa indlela ezisebenza ngayo izihlunu zakho usebenzisa isixhobo kunye nokukufundisa ukuzilawula.
• Unyango lomzimba lokungasebenzi kakuhle komgangatho we-pelvic: Oku kubandakanya ukusebenzisa izivivinyo ezikhethekileyo kunye neendlela zokuqinisa izihlunu kuloo ndawo nokwenza zisebenze kakuhle.

I-Anorectal Manometry luvavanyo olukhawulezayo nolungenabuhlungu olunokwenziwa ngugqirha wakho ukujonga ukuhamba kwamathumbu akho. Inganika ugqirha wakho ulwazi olubalulekileyo malunga nendlela ezisebenza ngayo izihlunu zakho ze-rectum kunye ne-anus. Ungaziva uneentloni kancinci ukusebenzisa ukuhamba kwamathumbu akho ngexesha lovavanyo lwezonyango. Nangona kunjalo, ukuba unengxaki yokuphuma kwendle, kubalulekile ukufumanisa unobangela. Nje ukuba unobangela uchongiwe, unyango lunokulungiswa ngokwemeko yakho.

Okokugqibela, izinto ekufuneka uzikhumbule

Ukuba usoloko unengxaki yokungakhululeki, iintlungu, okanye ukungakwazi ukuzibamba xa ukhupha indle, musa ukuyinyamezela nje loo nto. Akukho nto umele ube neentloni ngayo okanye uyoyike. Thetha nogqirha kwaye, ukuba kuyimfuneko, ufumane uvavanyo lwe-Anorectal Manometry. Wakuba usazi unobangela, unyango lulula. Kukho isisombululo sayo yonke into!

Ngamana ungafumana amandla okoyisa ezi ngxaki kwaye uphile ubomi obusempilweni nobukhululekileyo!

Ukungasebenzi kakuhle kwamathumbu , i-anorectal manometry, ukuqhina, izifo zamathumbu, inkqubo yokugaya ukutya, iimvavanyo zonyango, i-biofeedback