Le inokuba yingongoma enzima nehlazisayo ukuthetha ngayo. Kodwa eneneni, ukungakwazi ukuzibamba okanye ukungakwazi ukulawula ukuhamba kwakho kwamathumbu yingxaki eqhelekileyo kubantu abaninzi, ingakumbi njengoko bekhula. Ayisiyongxaki imbi kangako, kodwa inokuba nefuthe elikhulu kubomi bakho bemihla ngemihla nakubudlelwane bakho nabantu. Yiyo loo nto kubalulekile ukuba nolwazi olufanelekileyo nokufumana ingcebiso efanelekileyo.
Yintoni kanye kanye into yokungakwazi ukuzibamba kwamathumbu?
Ngamafutshane, ukulahlekelwa ngamandla akho okulawula ukuhamba kwamathumbu yinto esiyibiza ngokuba yi-bowel incontinence. Kunokubakho amanqanaba ahlukeneyo oku.
Khumbula, ngamanye amaxesha ungaphoswa yindle encinci xa ukhupha igesi. Abanye basenokungakwazi ukulawula ngokupheleleyo izinga abakhupha ngalo indle. Le inokuba yingxaki yexeshana eba ngcono okanye ibe yimeko engapheliyo.
Oku kwenza abantu abaninzi boyike ukuncokola nabantu, ukuya kwimicimbi, okanye ukudibana nabahlobo. Uloyiko kukuba, "Kuthekani ukuba oku kuyenzeka kum ndingazi nokuba ndingubani na?" Kodwa eyona nto ilungileyo kukuba kukho unyango olusebenzayo kakhulu koku. Ngoko ke endaweni yokuba uzive uneentloni kwaye udandathekile, inyathelo lokuqala omele ulithathe kukuthetha nogqirha wakho.
Zithini iimpawu zale meko?
Uphawu oluphambili lwale nto kukungakwazi ukulawula ukuhamba kwamathumbu, kodwa indlela okwenzeka ngayo inokwahluka kumntu nomntu.
- Ukunyanzelisa Ukungakwazi ukuzibamba: Ukufuna ukuya kwindlu yangasese ngequbuliso , kodwa isitulo siphuma ungekabaleki uye kwindlu yangasese.
- Ukungakwazi ukuzibamba: Awuziva unyanzelekile ukuba ukhuphe indle, kodwa uqaphela ukuba impahla yakho yangaphantsi ingcoliswe kancinci yindle.
- Ezinye iingxaki zamathumbu: Ukongeza kwezi mpawu ziphambili, unokufumana ezinye izinto. Umzekelo:
- Urhudo
- Ukuqhinwa
- Ukudumba kunye negesi
Eyona nto ibalulekileyo kukuthetha nogqirha ukuba unempawu ezifana nezi, ungafihli. Kuba ukuba unobangela ufunyenwe, kulula kakhulu ukunyanga.
Zithini izizathu zoku?
Akukho nobangela mnye kuphela wokulahlekelwa kulawulo lwamathumbu, kodwa zininzi izinto ezinokubangela le meko. Ngamanye amaxesha, zininzi izinto ezinokudibana zibangele le meko. Makhe sijonge ezona zinto ziphambili.
| Isizathu | Ingcaciso elula |
|---|---|
| Ukonakala kwemisipha ejikeleze i-anus | Le yeyona nto ixhaphakileyo. Ngexesha lokubeleka (ingakumbi ukubeleka kwilungu lobufazi), izihlunu ezijikeleze i-anus (i-anal sphincters) okanye imithambo-luvo zinokonakala. Yiyo loo nto abafazi benamathuba aphindwe kabini okufumana le meko kunamadoda. Lo monakalo unokwenzeka ngenxa yotyando olukwi-anus. |
| Urhudo | Indle ekhululekileyo kunzima ukuyilawula kunendle eqinileyo. I-diarrhea inokubangelwa zizifo okanye iimeko ezifana ne-Irritable Bowel Syndrome (IBS). |
| Ukuqhinwa okukhulu | Ukungaqhubi kakuhle iintsuku ezininzi kunokubangela ukuba indle enkulu neyomileyo (indle echaphazelekileyo) ihlale kwi-rectum. Oku kungenza buthathaka izihlunu kwaye kubangele ukuba indle enamanzi iphume. Oku kuqhelekile kubantu abadala. |
| Umonakalo wemithambo-luvo | Izifo ezifana nesifo seswekile, ukwenzakala komqolo, kunye ne-multiple sclerosis zingonakalisa imithambo-luvo elawula izihlunu ze-rectum. |
| Ezinye iimeko zonyango | Iimeko ezifana neSifo sokudumba kwamathumbu (umz., isifo sikaCrohn, i-Ulcerative colitis), unyango lwemitha yomhlaza, istroke, kunye nokubola kwamathumbu emathunjini nazo zinokubangela oku. |
Gqirha, uyixilonga njani le nto?
Xa usiya kugqirha wakho, uza kukubuza imibuzo aze enze uvavanyo lomzimba ukuze afumane umbono wento eyenzekayo. Uvavanyo lwedijithali lwerectal lunokujonga amandla ezihlunu ezijikeleze irectum. Ukongeza, banokucebisa ezinye iimvavanyo ukunceda ekufumaneni unobangela ochanekileyo.
- Uvavanyo lwesitulo: Ukuba unesifo sorhudo, lunokunceda ekufumaneni unobangela, njengosulelo.
- I-Endoscopy: Ityhubhu enekhamera eqhotyoshelweyo ifakwa nge-anus ukuze kuhlolwe ingaphakathi le-colon. Oku kungenziwa kusetyenziswa iindlela ezifana ne-``Anoscopy```, ``Sigmoidoscopy``, okanye ``Colonoscopy```.
- I-anorectal manometry: Uvavanyo olulinganisa uxinzelelo kunye namandla emisipha ekwi-rectum.
- I-Endosonography: Ityhubhu ye-ultrasound ifakwa kwi-rectum ukujonga iingxaki kwimisipha kunye nodonga.
- Uvavanyo lwe-neurological: Jonga ukusebenza kwemithambo-luvo elawula izihlunu.
- I-MRI scan: Oku kunceda ukufumana umfanekiso ocacileyo wemisipha kunye nezinye iindawo zommandla we-pelvic.
Zithini iindlela zonyango zoku?
Iindaba ezimnandi zezokuba le meko idla ngokunyangeka , kwaye kwezinye iimeko, inyangeka ngokupheleleyo. Unyango luxhomekeke kwisizathu semeko yakho kunye nobunzima bayo.
Unyango olungelulo utyando
Okokuqala, ugqirha uzama ukulawula oku ngaphandle kotyando.
- Utshintsho kwindlela yokutya:
- Yongeza malunga ne-20-30 grams yefayibha ekutyeni kwakho yonke imihla. Oku kuya kunceda ukwenza indle yakho ibe nkulu kwaye kube lula ukuyilawula.
- Nciphisa ukuthathwa kwe-caffeine (iti, ikofu).
- Sela iiglasi ezininzi zamanzi ngosuku ukuze uthintele ukuqhinwa.
- Amayeza:
- Amayeza afana ne-`(Imodium)` anciphisa ukuphindaphindeka kunye nokungxamiseka kokuhamba kwamathumbu.
- Amayeza anjenge `(Methylcellulose)` enza indle ibe nkulu.
- Kubalulekile: Naliphi na kula mayeza kufuneka asetyenziswe kuphela phantsi kwengcebiso kagqirha .
- Ukuzilolonga noqeqesho:
- Ukuzivocavoca kweKegel: Olu qheliselo luqinisa izihlunu ze-pelvic ngokuqinisa nokuphumza izihlunu ezisetyenziselwa ukubamba umchamo.
- Uqeqesho lwamathumbu: Ukuqhela ukuya kwindlu yangasese ngexesha elinye yonke imihla kunokunceda ukuthintela ukuhamba kwamathumbu ngamaxesha angafunekiyo.
- I-Biofeedback: Kusetyenziswa isixhobo senzwa, kunikwa uqeqesho lokuchonga nokuqinisa izihlunu ze-rectal ngokuchanekileyo.
Unyango lotyando
Utyando luqwalaselwa kuphela ukuba ezinye iindlela zonyango aziphumelelanga.
- Utyando lwe-sphincter: Oku kubandakanya ukubopha kwakhona nokuqinisa izihlunu zempundu ezonakeleyo (i-sphincteroplasty).
- Isishukumisi semithambo-luvo yeSacral:Isixhobo esincinci esivuselela imithambo-luvo ye-pelvic sifakwa phantsi kolusu.
- I-Colostomy: Oku kwenziwa rhoqo, kwaye kuphela xa zonke ezinye iindlela zonyango zingaphumelelanga. Kule nkqubo, amathumbu amakhulu aziswa kumphezulu wesikhumba esiswini aze avunyelwe ukuba aqokeleleke kwingxowa.
Iindlela zanamhlanje ezingezizo ezotyando
Ezi ziindlela ezintsha, ezingenabungozi kangako kunotyando.
- Ukulungiswa kwe-Radiofrequency anal sphincter: Kusebenzisa amandla obushushu ukuqinisa nokuqinisa izihlunu ze-anus.
- Izinto zebhayoloji ezinokutofwa: Izinto ezifana ne-silicone zitofwa kwizihlunu ze-rectal ukuze zonyuse ubukhulu kunye nokusebenza kwazo.
Umyalezo Wokuya Ekhaya
- Ukungakwazi ukuzibamba akuyonto ibangela iintloni. Yingxaki eqhelekileyo yempilo efunyanwa ngabantu abaninzi.
- Le meko idla ngokulawulwa ngempumelelo kwaye inyangeke, ngoko ke musa ukuphelelwa lithemba.
- Inyathelo elibalulekileyo nelokuqala ekufuneka ulithathe kukuthetha ngokukhululekileyo nogqirha wakho ngale nto.
- Kwanotshintsho olulula kwindlela yokutya nendlela yokuphila lunokwenza umahluko omkhulu.
- Musa ukubandezeleka wedwa, funa ingcebiso kagqirha kwaye ukhethe unyango olukufaneleyo.
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