Ngaba ukuya kwindlu yangasese ngamanye amaxesha kunzima kwaye kubuhlungu kunokuba ucinga? Ngaba uziva utshile esiswini sakho, awukwazi ukuphuma ebhedini nokuba utyhala ngamandla, okanye ngamanye amaxesha uneentshukumo zamathumbu ezingalawulekiyo? Kusenokubonakala kuhlazisa ukuthetha ngezi zinto. Kodwa ezi ziingxaki abantu abaninzi abanazo kwaye zifuna ingcebiso kagqirha. Ngoko ke namhlanje sithetha ngovavanyo olubalulekileyo olunokukunceda ufumane unobangela ochanekileyo.
Yintoni i-Anorectal Manometry?
Ngamafutshane, i-Anorectal Manometry luvavanyo olulinganisa indlela esebenza ngayo i-rectum yakho kunye nezihlunu ezijikeleze yona. Xa sisiya kwindlu yangasese, oko kukuthi, xa sikhupha inkunkuma, ezi zihlunu kunye nengqondo yethu zisebenza kunye ukulawula inkqubo.
Khawuthelekelele, ukuba unengxaki yokukhupha indle, isizathu sinokuba yingxaki ethile ekusebenzeni kwezi zihlunu. Ngoko ke olu vavanyo lulinganisa uxinzelelo oluvelayo xa ezo zihlunu zifinyela kwaye ziphumla, kwaye lubone ukuba zisebenza ngokuchanekileyo, ngexesha elifanelekileyo, nangendlela edibeneyo.
Kutheni kufuneka wenze olu vavanyo?
Ukuba unengxaki yokuphuma indle ngexesha naphi na apho ufuna khona, ugqirha wakho unokucebisa olu vavanyo. Olu vavanyo ludla ngokwenziwa ukuba unezi mpawu zilandelayo:
| Uphawu | Ingcaciso elula |
|---|---|
| Intlungu okanye ukungakhululeki ngexesha lokuhamba kwamathumbu (i-Dyschezia) | Ukuziva iintlungu ezigqithisileyo xa usiya kwindlu yangasese, kufuneka ucinezeleke ixesha elide. |
| Ukuzithuma Okuvalekileyo | Kuvakala ngathi kufuneka uphume ebhedini, kodwa akuphumi kwaye kuvakala ngathi kubambekile. |
| Ukuqhinwa Okungapheliyo | Ukuqhinwa rhoqo, isitulo esiqinileyo, nokungaphumi kwamathumbu kangangeentsuku. |
| Ukungakwazi ukulawula indle (Ukungakwazi ukuzibamba) | Ukuvuza okunganyanzelekanga, okungafunekiyo kwenxalenye okanye yonke indle. |
Ukongeza, olu vavanyo lusetyenziselwa ukujonga ukusebenza kwezihlunu zakho ze-rectal emva kwengozi okanye utyando, kunye nokujonga ukuba ezi zihlunu ziye zachaphazeleka sisifo esingapheliyo esifana nesifo seswekile.
Olu vavanyo lunokukunceda ufumane unobangela wokuqhinwa okanye ukungakwazi ukuzibamba kwamathumbu. Nje ukuba unobangela uchongiwe, indlela efanayo esetyenzisiweyo kolu vavanyo ingasetyenziselwa ukuqeqesha kwakhona ezi zihlunu njengonyango.
Lwenziwa njani olu vavanyo?
Olu vavanyo lwenziwa ngesixhobo esibizwa ngokuba yi-manometer. Silinganisa uxinzelelo oludalwa xa izihlunu zakho zifinyela. Ezi zilinganiso zinokunceda ekuqinisekiseni ukuba izihlunu zakho zisebenza nzima kakhulu, zibuthathaka kakhulu, okanye azisebenzi ngexesha elifanelekileyo.
Ukuze wenze oku, kufakwa ityhubhu encinci neguquguqukayo (catheter) nge-rectum yakho. Le tyhubhu inee-sensors ezilinganisa uxinzelelo kunye nebhaluni encinci kwelinye icala. Xa ugqirha efutha le bhaluni ngaphakathi kwe-rectum yakho, uziva ngathi kufuneka wenze intshukumo yokuthulula isisu. Esi sixhobo sirekhoda indlela izihlunu zakho ezisabela ngayo ngokwemvelo ngelo xesha.
Ufanele uzilungiselele njani ngaphambi kovavanyo?
Kungcono ukuba i-rectum yakho kunye nendawo engqongileyo ingabi nanto kwaphela ngexesha lovavanyo. Ke ngoko, ugqirha wakho uya kukucebisa ukuba ungatyi kangangeeyure ezimbalwa ngaphambi kovavanyo. Uya kukuxelela nokuba usebenzise i-enema ekhaya ukucoca i-rectum yakho.
Ungakhathazeki , ugqirha wakho uza kukunika imiyalelo ecacileyo yokuba ungakwenza njani oku kunye nento omawuyisebenzise.
Kwenzeka ntoni ngexesha lovavanyo?
Nantsi indlela uvavanyo olwenziwa ngayo inyathelo ngenyathelo:
- Okokuqala, uza kucelwa ukuba ukhulule impahla yakho engaphantsi kwesinqe uze unxibe ilokhwe yesibhedlele. Emva koko uza kucelwa ukuba ulale ebhedini, ujike kwicala elinye, uze ugobe amadolo akho.
- Ngaphambi kokufaka ityhubhu, ugqirha angasebenzisa umnwe ogqunywe iiglavu ukwenza uhlolo oluncinci ngaphakathi kwe-rectum yakho ukujonga naziphi na iingxaki.
- Emva koko, ityhubhu encinci (i-catheter) egqunywe nge-lubricant ifakwa ngobunono kwi-rectum yakho.
- Okulandelayo, ibhaluni ekwityhubhu iyavuthelwa kwaye ikhutshwe umoya ngamanani ahlukeneyo. Uyabuzwa ukuba uziva njani ngelo xesha, njengokuthi ngaba uziva ufuna ukuya kulahla inkunkuma.
- Ngeli xesha, unikwa imiyalelo eyahlukeneyo yokucinezela, ukuphumla, ukutyhala, nokukhohlela . Njengoko usenza ezi zinto, umatshini urekhoda indlela izihlunu zakho ezisabela ngayo ngokuzenzekelayo naphantsi kolawulo lwakho.
Yonke le nkqubo idla ngokuthatha malunga nemizuzu engama-30 , kodwa ingahluka ukusuka kwimizuzu eli-15 ukuya kwengama-45.
Ingaba oku kubuhlungu?
Ayibuhlungu kangako. Nangona kunjalo, ungaziva ungakhululekanga kancinci, ingakumbi ukuba unezilonda okanye amanxeba ajikeleze i-anus yakho. Uxinzelelo oluvela kwityhubhu kunye nebhaluni lufana noxinzelelo oluqhelekileyo oluvayo xa ushukuma. Nangona kunjalo, ukuba ukhathazekile kakhulu ngale nto, ungathetha nogqirha wakho ngayo kwaye ufumane i-sedation ukuba kuyimfuneko.
Zithini iziphumo zovavanyo?
Iziphumo zibonisa ngokucacileyo ukuba izihlunu kunye nemithambo-luvo ebandakanyekayo ekushukumeni kwamathumbu akho isebenza kakuhle na, okanye apho ingxaki ikhoyo.
| Iziphumo eziqhelekileyo | Iziphumo ezingaqhelekanga |
|---|---|
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Ngaba isifo esichanekileyo singafunyanwa size sinyangwe emva kolu vavanyo?
Ewe, ngokuqinisekileyo. Emva kolu vavanyo, ugqirha wakho uya kukwazi ukuqonda ukuba yeyiphi imisipha eyingxaki kunye nendlela esebenza ngayo. Emva koko, unokucwangcisa isicwangciso sonyango esilungiselelwe loo ngxaki.
Iindlela zonyango ezisetyenziswa rhoqo koku zezi:
- Unyango lwe-Biofeedback: Ukuqeqesha izihlunu kwakhona ukuze zizilawule ngokufanelekileyo.
- Unyango lomzimba lokungasebenzi kakuhle komgangatho we-pelvic: Ukuqinisa izihlunu nokuziqeqesha ukuba zisebenze kakuhle ngokuzivocavoca okukhethekileyo.
I-anorectal manometry luvavanyo olufutshane, olungathandekiyo, kodwa olungenabuhlungu olunokukunceda ubone unobangela wokuhamba kwamathumbu akho kwaye uqale unyango ukuba unengxaki yokuphuma indle.
Umyalezo Wokuya Ekhaya
- I-Anorectal Manometry luvavanyo olukhuselekileyo nolubaluleke kakhulu olunceda ekufumaneni unobangela wokuvaleka kwamathumbu.
- Olu vavanyo alubuhlungu, kodwa ungaziva ungakhululekanga. Ungakhathazeki ngaloo nto.
- Ulwazi olufunyenwe kuvavanyo luya kunceda kakhulu ugqirha ukuba akukhethele unyango olufanelekileyo.
- Musa ukuba neentloni okanye ukoyika ukuba nesisu, kodwa ngokuqinisekileyo thetha nogqirha. Kubaluleke kakhulu kubomi obusempilweni.
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