Inxalenye Ebalulekileyo Yenkqubo Yakho Yokugaya: Masifunde NgeRectum | Nirogi Lanka

Namhlanje, sixoxa ngendawo ebalulekileyo yomzimba wakho edla ngokungaqatshelwa de kubekho into engalunganga: i-rectum. Njengenxalenye yokugqibela yenkqubo yakho yokugaya ukutya, ukuqonda umsebenzi wayo kunye nemiba eqhelekileyo kubalulekile kwimpilo yakho iyonke. Makhe sihlolisise ukuba yintoni, isebenza njani, kunye neemeko ezinokuthi ziyichaphazele apha eNirogi Lanka.

Yintoni iRectum?

Ngamafutshane, i-rectum yakho licandelo lokugqibela lamathumbu akho amakhulu. Usenokuba uyazi i-large intestine njengesakhiwo eside, esifana netyhubhu esiquka i-colon, i-rectum, kunye nomjelo wempundu. I-rectum yakho imalunga ne -intshi ezi-6 ubude kwaye isebenza njenge "gumbi lokulinda" lokugqibela lenkunkuma ngaphambi kokuba iphume emzimbeni wakho. Njengoko inkunkuma egayiweyo—okanye indle—isuka kwi-colon, iqokelelana kwi-rectum, apho ihlala khona de imithambo-luvo yakho ibonise ukuba lixesha lokuba nentshukumo yamathumbu.

Yintoni umahluko phakathi kwekholoni kunye ne-rectum?

I-rectum yakho iqala kanye apho i-colon yakho iphela khona. Nangona zabelana ngezakhiwo ezifanayo zezicubu—ezifana neengqimba zemisipha kunye nee-secretory glands—kukho umahluko obalulekileyo. I-colon iba yinde kakhulu kwaye iyaqhubeka nokucubungula ukutya. Xa inkunkuma ifika kwi-rectum, sele yenziwe ibe yindle. Indima ephambili ye-rectum yakho kukugcina le nkunkuma okwethutyana ngelixa ufunxa amanzi aseleyo kunye nee-electrolytes, uyibambe ude ulungele ukuyidlulisa.

Yintoni umahluko phakathi kwe-rectum kunye ne-anus?

Umjelo wempundu uqala apho i-rectum yakho iphela khona, nto leyo emele iisentimitha ezimbalwa zokugqibela zendlela yokugaya ukutya. Impundu inezihlunu ze-anal sphincter ezibalulekileyo, ezikunika ulawulo lokuzithandela kwiintshukumo zakho zamathumbu, ezikuvumela ukuba ubambe okanye ukhulule isitulo njengoko kufuneka.

Isebenza njani i-rectum kwinkqubo yakho yokugaya ukutya?

Umsebenzi ophambili we-rectum kukugcina indle ude ufike kwigumbi langasese. Njengoko inkunkuma ingena isuka kwi-colon, i-rectum iyakhululeka ize ikhule njengebhaluni ukuze ikwazi ukuyigcina. Ngeli xesha lokugcina, iyaqhubeka nokufunxa amanzi aseleyo kunye nee-electrolytes ukuze iqinise indle, ngelixa ikhupha i-mucus ukuze incede idlule kakuhle. Nje ukuba i-rectum izele, ii-stretch receptors zixelela ingqondo yakho ukuba lixesha lokusebenzisa indlu yangasese.

Iphi i-rectum?

Amathumbu akho amakhulu ajikeleza amathumbu amancinci ngaphakathi kwisisu. I-rectum ikwisiphelo sale ndlela, ifihlwe ngaphantsi kwamanye amalungu esisu kwaye igobile iye kwi-anus. Ngokwe-anatomic, ihlala kwi- pelvic cavity , ibekwe phakathi kwesisu sakho kunye nemisipha yakho yomgangatho we-pelvic. Inxalenye ephezulu ye-rectum iqhagamshela kwi-sigmoid colon, ngelixa inxalenye esezantsi iqhagamshela kumjelo we-anal.

Ingakanani i-rectum?

Ngokwesiqhelo, i-rectum iphakathi kweesentimitha ezili-10 ukuya kwezili-15 ubude (malunga neesentimitha ezi-5 ukuya kwezi-6). Ikhethekile kakhulu; njengoko izihlunu zisebenza ukutyhala inkunkuma, inokufinyela kwaye imfutshane njenge-slinky. Njengezinye iindawo zamathumbu, imalunga neesentimitha ezi-3 ububanzi, kodwa iyakwazi ukolula kakhulu kunezinye iindawo , isebenza njengendawo yokugcina isitulo esikhulu okwethutyana.

Zithini izakhiwo zangaphakathi ze-rectum?

I-rectum inemilo encinci "S" enemiqolo emibini emikhulu. I-curve ephezulu, i- sacral flexure , ilandela i-curve yomqolo wakho, ngelixa i-anorectal flexure esezantsi ibonisa ukutshintshela kumjelo wempundu. Ezi migca ibalulekile ekugcineni ukuzibamba , ikuncede ukulawula ukuhamba kwamathumbu.

Ngaphakathi, i-rectum yahlulwe zii-folds ezithe tye ezaziwa ngokuba zii -valve zaseHouston . I-final chamber ibizwa ngokuba yi- rectal ampulla .Xa eli gumbi lizalisa, ii-stretch receptors ezikwi-rectal wall zithumela imiqondiso kwinkqubo yakho ye-nervous, zikuxelela ukuba lixesha lokuba uphume isisu. Njengoko uxinzelelo lusanda, ukumelana nomnqweno kuya kuba nzima ngakumbi.

Ziziphi iimeko eziqhelekileyo ezichaphazela i-rectum?

Ukuphazamiseka kwe-rectum kunokuchaphazela ulwelo, izihlunu, okanye imithambo-luvo, nto leyo ekhokelela kwiintlungu kunye nokungasebenzi kakuhle. Nazi ezinye zeemeko eziqhelekileyo :

• I-Proctitis: Oku kukudumba okanye ukudumba kwe-rectal lining. Kungabangelwa zizifo ezibangelwa zizifo ezithathelwana ngesondo, okanye izifo ezingapheliyo ezifana ne -Inflammatory Bowel Disease (IBD) .
• Izilonda ezisemathunjini: Ezi zizilonda ezibuhlungu nezivulekileyo ezinokubangela ukopha.
• Ithumba eliphuma kwi-perianal: Ipokotho ebuhlungu nezele bubomvu eyenzeka kwi-rectum, i-anus, okanye kwindawo ejikelezileyo ye-perineal.
• Iipolyps zeColorectal: Ukukhula okuncinci kulwelo lwe-rectum. Nangona uninzi lungenabungozi, olunye lunokuba ngumhlaza we-colorectal , ngoko ke ukubekwa esweni ngobuchwephesha kubalulekile.
• Ukuhla kwesisu: Xa izihlunu ezibambe i-rectum zibuthathaka, i-rectum inokutyibilika isuke kwindawo yayo eqhelekileyo ize iphume iye kwi-anal canal okanye idlule kuyo, njengeteleskopu.
• I-Levator syndrome: Ibizwa ngegama lesihlunu se-levator ani esixhasa i-rectum, le meko ibangela iintlungu ze-rectal episodic, mhlawumbi ngenxa yokuxinana kwemisipha.
• Ukungakwazi ukuzibamba: Ukuba izihlunu okanye imithambo-luvo yerectal yonakele, unokuba nobunzima bokulawula ukuhamba kwamathumbu, nto leyo ekhokelela ekuvuzeni kwamanzi ngokungazi.
• Ukuzithuma okuvalekileyo: Iingxaki zomzimba okanye zokusebenza, ezinje ngokungasebenzi kakuhle komgangatho we-pelvic , apho izihlunu zingahambelani kakuhle, zinokwenza kube nzima kakhulu ukuphuma kwendle.
• Ukuqhinwa kunye nokutsalwa lindle: Ubunzima bokuphuma kwendle bunokubangela ukuba indle ibe nzima, yome, kwaye ihlale kwi-rectum, nto leyo edinga uncedo lwezonyango.

Ziziphi iimpawu ezilumkisayo zengxaki ye-rectal?

Ukuba ufumana utshintsho oluqhubekayo kwindlela ohamba ngayo amathumbu, ukopha emqolo, iintlungu eziqatha, okanye naziphi na iimpawu ezixhalabisayo, nceda unxibelelane nomboneleli wakho wezempilo okanye undwendwele isebe likaxakeka elikufutshane nawe ngoko nangoko.

Ukuba ufumana naziphi na kwezi mpawu zilandelayo, kubalulekile ukuxoxa ngempilo yakho yangasemva nogqirha wezempilo:

• Ukopha emqolo: Ukubona amabala egazi kwimpahla yakho yangaphantsi okanye kwisitya sendlu yangasese.
• Intlungu ye-Anorectum: Ukuziva iintlungu ngaphakathi okanye ecaleni kwe-anus, okanye ukufumana ukungakhululeki okungapheliyo esiswini sakho esisezantsi okanye kummandla we-pelvic.
• Ukurhawuzelelwa yimpundu okanye iimpawu zosulelo: Ukurhawuzelelwa okungapheliyo okanye iimpawu ezibonakalayo zokurhawuzelelwa kufutshane nomnyango wempundu.
• Utshintsho kwindlela ohamba ngayo amathumbu: Utshintsho olubonakalayo kumbala, ukuhambelana, okanye ukuphindaphindwa kokuhamba kwamathumbu akho.
• I-Tenesmus okanye i-dyschezia: Ukuziva usoloko ufuna ukuphuma indle (tenesmus), okanye ufumana ubunzima kunye nentlungu xa uphuma indle (dyschezia).
• Ukuwa kwesitho sangasese somlenze: Ukuva iqhuma okanye ubunzima obuphuma emngxunyeni wempundu.

Oogqirha bayihlola njani impilo yakho yangasemva?

Kukho iindlela ezahlukeneyo zokuxilonga ezisetyenziswa ngoogqirha ukuhlola i-rectum. Makhe sijonge ukuba zithetha ukuthini:

• Uvavanyo lweDijithali lweRectal (DRE): Kule nkqubo, ugqirha onxibe iglavu ethanjiswe ngethambiso ufaka umnwe kancinci kwirectum yakho ukuze azive ukuba kukho izinto ezingaqhelekanga. Olu `(DRE)` ludla ngokuba yinxalenye yovavanyo oluqhelekileyo lomzimba okanye lwabasetyhini. Luvumela ugqirha ukuba ahlole kungekuphela nje irectum kodwa kunye neprostate (kumadoda) okanye umlomo wesibeleko kunye nesibeleko (kubafazi) ngodonga lwerectum.
• Inkcubeko ye-rectal:Ngexesha lovavanyo, ugqirha usebenzisa i-cotton swab ukuqokelela isampuli kwi-lining ye-rectum yakho, ize ithunyelwe kwilebhu ukuze ihlole usulelo lwebhaktiriya okanye lwentsholongwane.
• Uvavanyo lwesitulo: Ugqirha wakho angacela isampuli yesitulo ukuze asihlalutye ukuze abone iimpawu zosulelo, igazi elingaqhelekanga, okanye inani eliphezulu leeseli ezimhlophe zegazi.
• I-anorectal manometry: Olu vavanyo lulinganisa indlela izihlunu zakho kunye nemithambo-luvo ezisebenzisana ngayo ukuze kube lula ukuhamba kwamathumbu. I-catheter encinci, eguquguqukayo enebhaluni encinci ifakwa kwi-rectum yakho. Ibhaluni ifunxwa ngamanzi afudumeleyo, kwaye i-catheter iqhagamshelwe kwikhompyutha ukulinganisa uxinzelelo kunye nokulungelelaniswa kwezihlunu zakho zomgangatho we-pelvic.
• I-Defecography: Olu phononongo lwemifanekiso (olusebenzisa i-X-ray okanye i-MRI) lubamba amalungu akho omzimba esebenza njengoko uzama ukuphuma endle. Ingcali iza kungenisa i-contrast agent kwi-rectum yakho. Uza kuba kwindawo yangasese ngelixa ugqirha ejonga intshukumo yezihlunu zakho zangaphakathi kunye nezakhiwo kwi-monitor ukuze abone naziphi na iingxaki zokusebenza.
• I-enema yeBarium: Olu luvavanyo olukhethekileyo lwe-'GI X-ray'. Idayi yomahluko ebizwa ngokuba yi-barium ifakwa kwi-rectum yakho njenge-enema, okuvumela imifanekiso ye-X-ray yevidiyo enemibala eyahlukeneyo, enemibala ye-fluoroscopic (i-rectum yakho kunye ne-large intestine).
• I-Proctoscopy: Olu vavanyo lusebenzisa i-scope emfutshane, eqinileyo exhotyiswe ngokukhanya kunye nekhamera ukuhlola ingaphakathi le-rectum yakho. Ukuba kuyimfuneko, ugqirha angadlulisa izixhobo kule scope ukuze afumane i-tissue biopsy.
• I-sigmoidoscopy eguquguqukayo: Ukuba ugqirha wakho ufuna ukujonga ngakumbi, angasebenzisa isixhobo eside nesiguquguqukayo ukuhlola inxalenye yokugqibela yekholoni yakho, eyaziwa ngokuba yi-sigmoid colon. Oku kunceda ekuchongeni iimeko ezifana ne -Inflammatory Bowel Disease (IBD) okanye usulelo lwesisu. Nceda uqaphele ukuba le nkqubo ifuna ukulungiswa kwamathumbu (ukulungiswa kwamathumbu) kwangaphambili.

Ungayigcina njani i-rectum yakho iphilile?

Nangona ingezizo zonke izifo ezibangelwa yi-rectal ezinokuthintelwa, ukwamkela le mikhwa isempilweni kunokunciphisa kakhulu umngcipheko wakho:

• Ziqhelise ngesondo elikhuselekileyo: Izifo ezidluliselwa ngesondo (ii-STI) zinokuchaphazela lula iindawo ezimpundu nezingasemva. Qinisekisa ukuba wena neqabane lakho nihlolwa rhoqo kwaye nisebenzise ukhuseleko ukuthintela izifo.
• Yitya ukutya okunefayibha eninzi: Nciphisa ukutya okucutshungulweyo kwaye ugxile kwiinkozo ezipheleleyo, imifuno, kunye neziqhamo. Oku kukhuthaza ukuhamba kwamathumbu rhoqo, kuthintela ukuqhina kunye noxinzelelo olunokubangela iingxaki ezininzi ze-rectal.
• Fumana i-colonoscopy yakho eqhelekileyo: I-`(Colonoscopy)` yesiqhelo yindlela efanelekileyo yokubona ii-polyps kunye nokuthintela umhlaza we-rectal kunye ne-colon ngaphambi kokuba zibe yingozi.
• Musa ukuzityeshela iimpawu: Ukuba unentlungu engapheliyo, utshintsho kwindlela osebenza ngayo amathumbu akho, okanye ukungakhululeki, bona ugqirha kwangethuba. Ukufunyaniswa kwangoko kubalulekile ekulawuleni ngempumelelo.

Iingcinga zokugqibela ezivela eNirogi Lanka

Cinga nge-rectum yakho njengebhulorho ebalulekileyo kwinkqubo yakho yokugaya ukutya. Ngenxa yokunxibelelana kwayo komzimba kunye nekholoni yakho kunye ne-anus yakho, ukugcina impilo ye-rectum kubalulekile kwimpilo yakho yonke yesisu esisezantsi.

Ukujongana nokungakhululeki emqolo kunokuba nzima emzimbeni kwaye kudla ngokuba yintloni, kodwa inyathelo elibaluleke kakhulu kukufuna uncedo. Ingcali yezifo zesisu okanye ingcali ye-proctologist (ingcali kwimpilo ye-colorectal) inokubonelela ngoxilongo oluchanekileyo kunye nesicwangciso sonyango esisebenzayo. Musa ukubandezeleka buthule—qhagamshelana neengcali. Ukuba ufumana ukopha ngequbuliso, okukhulu okanye iintlungu eziqatha, nceda uye kwicandelo likaxakeka elikufutshane okanye utsalele umnxeba iinkonzo zikaxakeka zasekuhlaleni ngoko nangoko.

Iithegi: I-Rectum, I-Stool, Ukugaya ukutya, Ukuqhina, Iingxaki ze-Anorectal, I-Colonoscopy