Ngaba nawe unesithintelo kwikholoni yakho? (Ukuqina kwekholoni) Makhe sithethe ngale nto!

Ngaba wakha waziva ungonwabanga ngendlela engaqhelekanga esiswini sakho, njengokuziva uvuvukile, okanye ubunzima bokukhupha indle? Ezi zinto zinokwenzeka ngezizathu ezahlukeneyo. Namhlanje siza kuthetha ngemeko enye ethile enokubangela oku. Oko kukuvaleka kwamathumbu amakhulu, okanye njengoko oogqirha beyibiza, "yiColon Stricture". Akukho nto yokoyika, masithethe ngale nto ngokulula.

Yintoni i-colon stricture?

Ngamafutshane, i-colon stricture kukuncitshiswa kwamathumbu akho amakhulu, eyona ndawo inkulu yamathumbu akho enceda ekugayeni ukutya esikutyayo kwaye ikhuphe inkunkuma njengendle. Kufana nombhobho wamanzi obhajwa embindini. Oku kuncitshiswa kwenza kube nzima ukuba indle yakho idlule ngokulula, kwaye ngamanye amaxesha inokuyivala ngokupheleleyo.

Kodwa kukho iindaba ezimnandi! Le meko inokunyangeka kwaye inyangeke . Ukuba uzibona iimpawu kwangethuba, ubone ugqirha, kwaye ufumane unyango olufanelekileyo, ungaphila kwakhona. Kwaye kukho izinto onokuzenza ukuthintela oku ukuba kungenzeki kwakhona.

Ngaba kunokwenzeka ukuba umntu akhuphe indle nangona kukho ukuvaleka okunjalo?

Ewe, kuxhomekeke ekubeni ikholoni yakho inciphile kangakanani, oko kukuthi, ukuba ivalekile kangakanani.

• Ubunzima obuncinci: Usenokukwazi ukukhupha isisu ngokuqhelekileyo, kodwa kunokuba nzima kunangaphambili, okanye usenokuba nesisu rhoqo emva kweentsuku ezimbalwa.
• Ukuqina okuphakathi: Ngeli xesha, kunokwenzeka ukuba ube nokuqunjelwa. Indle yakho inokuba ithambile kunesiqhelo okanye kube nzima ukuyikhupha.
• Ubunzima obukhulu: Le yingxamiseko yezonyango kuba isitulo sisenokuvaleka ngokupheleleyo kwaye singakwazi ukuphuma kwaphela.

Zithini iimpawu zokuvaleka kwamathumbu amakhulu?

Ezi mpawu zinokwahluka ngokuxhomekeke kubukhulu bokuvaleka, kodwa kukho ezinye iimpawu eziqhelekileyo:

• Intlungu yesisu: Isenokuba yinto engapheliyo okanye ifike ize idlule.
• Ukuqhinwa: Ubunzima bokuphuma kwendle.
• Urhudo: Ngamanye amaxesha ukuqhinwa kunokutshintshana norhudo.
• Ukudumba: Ukuziva ngathi isisu sigcwele umoya kwaye sidumbile.
• Isicaphucaphu nokuhlanza: Oku kunokuza nokulahlekelwa ngumdla wokutya.
• Ukunciphisa umzimba: Ukuba unciphisa umzimba ngaphandle kwesizathu, loo nto nayo yimpawu.

Ukuba unenye okanye ngaphezulu kwezi mpawu, nceda ubone ugqirha ngokukhawuleza. Okukhona isifo sifunyanwa ngokukhawuleza, kokukhona kulula ukunyanga kwaye amathuba okuba neengxaki anciphe.

Kuvakala njani ukuvaleka kwekholoni?

Oku kuvimbeka kunokubangela iintlobo ezahlukeneyo zokungakhululeki esiswini. Kufana nento eyenzekayo xa kuvimbeka amathumbu.

• Intlungu okanye ukuqaqamba esiswini: Olu luphawu oluphambili. Ngokuqhelekileyo, le ntlungu ivakala kwisisu esisezantsi. Abanye abantu baneentlungu ezingapheliyo, ngelixa abanye benayo efikayo idlule.
• Ukudumba: Ukuqunjelwa kubangela ukuba umoya kunye nendle zivaleleke emathunjini, nto leyo ebangela ukuba isisu sidumbe. Isisu sinokuziva sixinene kwaye sixinene.
• Ukuqhinwa: Le yimeko eqhelekileyo eyenzeka xa amathumbu enciphile kwaye kunzima ukuphuma kwendle. Ungaziva uxinezelekile xa uphuma kwendle okanye uzive ngathi awukaphumi ngokupheleleyo.

Zithini izizathu zokuvaleka kwamathumbu amakhulu?

Ezi strictures aziphuhli ngequbuliso. Ngokuqhelekileyo, oku kuncipha kwenzeka xa ikholoni yonakele okanye ivuvukele ngenxa yesinye isifo. Makhe sijonge ezinye zezizathu eziphambili:

• Isifo samathumbu esidumbileyo (IBD): Izifo ezingapheliyo ezifana nesifo sikaCrohn okanye i-ulcerative colitis zibangela umonakalo wexesha elide kunye namanxeba emathunjini. Ekuhambeni kwexesha, olu xinzelelo lubangela ukuba amathumbu anciphe.
• I-Diverticulitis: Oku kwenzeka xa iingxowa ezincinci (i-diverticula) zenzeka eludongeni lwamathumbu amakhulu, ezithi zibe nesifo kwaye zivuvuke. Zinokudumba, zibe namanxeba, kwaye zivaleke.
• Ukuncamathela emva kotyando: Emva kotyando lwesisu, izicubu zinokunamathelana ngaphakathi. Sizibiza ngokuba kukunamathela. Oku kunamathela kunokubangela ukuba amathumbu acinezelwe aze avaleke. Cinga ngako njengebhanti yerabha eqinisa umbhobho.
• I-Hernia: Ngaba wakha weva nge-hernia? Yinto eqhumayo esiswini apho inxalenye yamathumbu iphuma khona kwindawo ebuthathaka. Ngamanye amaxesha, amathumbu amakhulu anokubanjwa aze anciphe.
• Umhlaza wekholoni: Ngelishwa, oku kunokubangelwa nasisimila somhlaza esakheka kwikholoni size sivale indlela yamathumbu.
• Unyango ngemitha: Xa unyango ngemitha lunikezelwa kwindawo yesisu njengonyango lomhlaza, lunokonakalisa izicwili zamathumbu amakhulu. Kukwakho nomngcipheko wokuba amanxeba aqhekeke kwaye avaleke.

Ziziphi iingxaki ezinokubakho zokuvaleka kwamathumbu amakhulu?

Ukuba oku kuvimbeka akuphathwanga kakuhle, kunokukhokelela kwiingxaki ezahlukeneyo. Yiyo loo nto kubalulekile ukufuna unyango ngokukhawuleza.

• Ukuvaleka kwamathumbu ngokupheleleyo: Le yeyona ngxaki inzima. Ukuvaleka kwamathumbu kuthintela indle ukuba ingangeni kwaphela.
• Umngcipheko okhulayo wokosuleleka: Xa indle iqokelelana phezu kwento evalelekileyo, idala indawo elungileyo yokukhula kweebhaktheriya, nto leyo enokubangela ukosuleleka kwamathumbu.
• Ukungondleki: Ukuba kukho ukuqunjelwa ixesha elide ngenxa yokuqunjelwa, okanye ukuba amathumbu avalekile ngokupheleleyo, kuba nzima ngomzimba ukufunxa izondlo ozifunayo ekutyeni.
• Ukuqunjelwa kwakhona: Nokuba unyango luphelile, ukuqunjelwa ngamanye amaxesha kunokubuya, ingakumbi ukuba unemeko efana ne-IBD okanye i-Diverticulitis.
• Ukufunxwa okunciphileyo kwamayeza: Ngamanye amaxesha, ezi ngxaki zinokuthintela ukuba amayeza owathathayo angafunxwa ngokufanelekileyo, nto leyo enokunciphisa ukusebenza kakuhle konyango.

Uyifumanisa njani into yokuba kukho ukuvaleka kwamathumbu amakhulu?

Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho, izifo zakho zangaphambili, kunye notyando owakha walwenza. Emva koko baza kwenza uvavanyo lomzimba . Oko kuthetha ukuba baza kuva isisu sakho baze bajonge ukuba akukho maqhuqhuva okanye iintlungu xa usicinezela.

Kodwa olu vavanyo lomzimba lodwa alunakuqinisekisa ukuba kukho ukuvaleka. Kodwa lunokunika ugqirha umbono othile kwaye lumncede agqibe ukuba zeziphi iimvavanyo aza kuzenza emva koko.

Zeziphi iimvavanyo ezenziwayo ukuze kufunyaniswe ukuba kukho ukuvaleka?

Kukho iimvavanyo ezininzi ezinokujonga ngaphakathi kwikholoni yakho kwaye zichonge ukuba kukho ukuvaleka:

• I-Colonoscopy: Olu luvavanyo oluqhelekileyo olusetyenziswa ukufumana imiqobo. Kolu vavanyo, ityhubhu eguquguqukayo enekhamera encinci ifakwa nge-anus yakho ize ijonge ngaphakathi kwamathumbu akho amakhulu. Ugqirha angabona ukuba imiqobo ikuphi kwaye ijongeka njani. Ukuba kuyimfuneko, iqhekeza elincinci lesicubu lingathathwa ukuze kwenziwe i-biopsy. Oku kunokunceda ekufumaneni unobangela wokuminxa.
• I-CT scan: I-CT scan isebenzisa i-X-reyi ukuthatha imifanekiso yesisu sakho kunye nendawo engqongileyo. Ukuba ugqirha wakho ukrokrela ukuba ukuvaleka kukhulu, angenza i-CT scan kuqala. Oku kungabonisa apho ukuvaleka kukhulu khona, ukuba kukhulu kangakanani, kunye nokuba izicwili ezingqongileyo zichaphazelekile na.
• I-MRI scan (Magnetic Resonance Imaging - MRI): I-MRI isebenzisa amandla emagnethi aqinileyo kunye namaza erediyo ukuvelisa imifanekiso eneenkcukacha zekholoni kunye nezicubu ezithambileyo ezijikelezileyo. Oku kunokunceda ugqirha wakho ukuba ahlole unobangela wokuvaleka kunye nobungakanani bokudumba.

Indlela yokunyanga ukuvaleka kwamathumbu amakhulu?

Indlela yonyango ixhomekeke kubukhulu bokuvaleka, unobangela wako, kunye nempilo yakho iyonke.

Kwingxaki yokuqhinwa okuncinci , ugqirha wakho unokucebisa utshintsho kwindlela yokuphila, ingakumbi utshintsho kwindlela yokutya. Ukutya okunefayibha encinci kunokunceda ukuthambisa indle kwaye kube lula ukuyikhupha. Ugqirha wakho okanye ingcali yokutya ingakunika icebiso elikhethekileyo ngale nto.

Xa kuxinana okubangelwa ziimeko zokudumba, amayeza anjenge-"Corticosteroids" okanye "Immunomodulators" anganikwa. La mayeza anokunciphisa ukudumba kwaye anciphise ukudumba.

Kwezinye iimeko, ugqirha wakho unokucebisa iinkqubo ezingafunekiyo kakhulu :

• Ukwandiswa kwebhaluni ye-endoscopic:Kule nto, kufakwa ityhubhu, njengakwi-colonoscopy, kwaye ibhaluni idluliselwa kwindawo evalekileyo ize ivuthe. Oku kubangela ukuba indawo evalekileyo ikhule kancinci. Oku kudla ngokwenziwa kwiindawo ezincinci nezifikelelekayo lula.
• Ukubekwa kwe-Stent: I-stent yityhubhu encinci, enokwandiswa enokubekwa kwindawo evalekileyo ngexesha le-colonoscopy. Oku kuvumela ikholoni ukuba ihlale ivulekile kwaye ivumele indle ukuba idlule.

Kwiimeko ezinzima ngakumbi, utyando lunokufuneka. Kukho nezinye iindlela zokwenza oko:

• I-Strictureplasty: Olu tyando alususi naliphi na icandelo lamathumbu, kodwa luyandisa kuphela indawo enciphileyo. Oku kudla ngokwenziwa nakwiindawo ezinciphileyo nezimfutshane nezilula.
• Utyando lokususa isisu: Ukuba ukuvaleka kukhulu, kunde, okanye kwindawo enzima ukufikeleleka kuyo, icandelo elichaphazelekayo lamathumbu linokufuneka lisuswe. Ugqirha uya kuphinda adibanise iziphelo ezimbini eziphilileyo zamathumbu.

Ithini ingqikelelo yomntu onengxaki yokuvaleka kwamathumbu amakhulu?

Oku kuxhomekeke kwizinto ezimbalwa:

• Yintoni unobangela wokuvaleka: Ukuba ukuvaleka kubangelwa yimeko engapheliyo efana ne-IBD okanye i-Diverticulitis, ezo meko kuya kufuneka zilawulwe rhoqo.
• Indlela ekunzima ngayo ukuvaleka: Ukuvaleka okuncinci kulula ukunyanga kwaye kuneziphumo ezingcono kuneemeko ezinzima zokuvaleka kwamathumbu ngokupheleleyo.
• Indlela osabela ngayo kunyango: Indlela umzimba wakho osabela ngayo kunyango imisela inkqubela phambili yokuchacha kwakho.
• Ukuba kuvela iingxaki: Ukuba kuvela iingxaki, ezinje ngokuvaleka kwamathumbu ngokupheleleyo, imeko inokuba nzima ngakumbi. Nangona kunjalo, ukuchacha ngokupheleleyo kunokwenzeka.

Khumbula, ukuba esi sifo sichongiwe kakuhle kwaye sinyangwa, abantu abaninzi baneziphumo ezilungileyo kwaye bayakwazi ukuphila ubomi obusemgangathweni.

Yintoni omele uyitye kwaye uyisele xa une-colon blockage?

Oku kunokwahluka ngokuxhomekeke kubukhali bokuqhinwa. Ugqirha wakho uza kukunika imiyalelo ethile. Kodwa ngokubanzi, kungcono ukutya ukutya okuninzi okunefayibha encinci kunye nokutya okuncinci okunefayibha eninzi .

Ukutya okunefayibha encinci kulula ukukugaya, kwaye isitulo asityebi kangako, ngoko ke akukho xinzelelo luninzi kwindawo evalekileyo emathunjini. Nazi ezinye zemizekelo:

• Isonka esimhlophe, irayisi emhlophe, ipasta, iinoodles
• Imifuno ephekiweyo kakuhle, ehlutshiweyo (kuphephe ukutya imifuno eluhlaza ulusu lwayo luvuliwe)
• Iziqhamo ezivuthiweyo kakuhle (ezixotyulweyo nezifakwe imingxuma)
• Inyama engenalusu, inkukhu, intlanzi
• Amaqanda
• Ijusi zeziqhamo ezithambileyo (ezo zingenazo iziqwenga)
• Iintlobo zesuphu (isuphu ekhrimu, isuphu ecacileyo)
• Iitapile ezibilisiweyo nezicoliweyo
• Ii-oats eziphekiweyo kakuhle, i-semolina
• Iyogathi (thintela i-yogurt enefayibha ephezulu)

Ukutya okunefayibha eninzi kunzima ukukugaya kwaye kunokubangela ukuqhina ngokwenza isitulo sibe sikhulu. Ziphephe izinto ezifana nezi:

• Imifuno neziqhamo ezingaphekwanga (ingakumbi ezinamagqabi nembewu)
• Iinkozo ezipheleleyo (irayisi emdaka, isonka sebran)
• Amantongomane, imbewu, iimbotyi
• Umbona
• Imifuno efana nekhaphetshu, ikholifulawa, kunye nebroccoli
• Ukutya okuneziqholo (kuba kuyavuselela amathumbu)
• Iziselo ezinekhabhoni (zinokunyusa ukudumba)
• Utywala (bunokubangela ukuphelelwa ngamanzi emzimbeni kwaye bunyuse ukuqhina kwesisu)

Ndifanele ndimbone nini ugqirha?

Ukuba uneempawu zokuvaleka kwamathumbu amakhulu (ezifana neentlungu zesisu ezingapheliyo, ukuqhina, urhudo), nceda ubone ugqirha ngokukhawuleza ukuze ufumane ukuba kwenzeka ntoni. Ukuxilongwa kwangoko kunye nonyango zezona ndlela zibalaseleyo zokufumana iziphumo ezilungileyo. Kukwanceda ukuthintela iingxaki ezifana nokuvaleka kwamathumbu.

Ndingayibuza yiphi imibuzo ugqirha wam?

Kunganceda ukubuza le mibuzo xa ubona ugqirha wakho:

• Yintoni enokubangela ukuba kube nokuvaleka kwamathumbu amakhulu?
• Ngaba kukho ezinye iimeko zempilo ezinokuchaphazela iimpawu zam?
• Ziziphi iindlela zonyango ezikhoyo kule meko?
• Angakanani amathuba okuba ukuqhinwa kwam kunyangwe ngempumelelo?
• Ngaba kufuneka ndenze naluphi na utshintsho kwindlela enditya ngayo ukuze ndilawule le meko?
• Ithini imeko yexesha elide yomntu onengxaki yokuvaleka kwamathumbu amakhulu?

Okokugqibela, into ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Ukuqina kwamathumbu kunokuba yinto eyoyikisayo ukuyiva. Nangona kunjalo, abantu abaninzi baye bafumana iziphumo ezilungileyo zexesha elide emva konyango oluphumelelayo. Ukuxilongwa kwangoko kubalulekile. Kwaye, kuba kukho iindlela ezahlukeneyo zonyango, ugqirha wakho unokukunceda uphuhlise isicwangciso sonyango esisebenza kakuhle kuwe kwaye sikuncede uphile. Unokukunceda nokulawula iimpawu zakho ngokuqaphela oko ukutyayo nokuselayo. Musa ukubandezeleka wedwa, bona ugqirha kwangoko xa uziva ungakhululekanga. Sikunqwenelela ukuchacha ngokukhawuleza!

ukuqiniswa kwamathumbu amakhulu , ukuqhina, iintlungu zesisu, inkqubo yokugaya ukutya, i-colonoscopy, isifo samathumbu