Ngaba nawe unengxaki yokukhupha indle? Masifunde ngovavanyo lweDefecography!

Ngaba unengxaki yokuya kwindlu yangasese? Okanye ngamanye amaxesha unengxaki yokubamba amathumbu akho ngaphakathi? Okanye uziva ungonwabanga ngendlela engaqhelekanga, ungonwabanga xa usiya kwindlu yangasese? Ukuba unayo nayiphi na kwezi ngxaki, ugqirha wakho unokufuna ukuba wenze uvavanyo olukhethekileyo olubizwa ngokuba yi-defecography ukuze kufunyanwe unobangela. Ngamafutshane, oku kwenzelwa ukujonga indlela ezisebenza ngayo izihlunu kunye namanye amalungu omzimba wakho xa ushukuma.

Yintoni iDefecography?

Kulungile, makhe sijonge ngokusondeleyo ukuba yintoni i-defecography. Olu luvavanyo lwe-radiology. Lujonga indlela ezisebenza ngayo izihlunu kunye namalungu omzimba wakho xa ukhupha inkunkuma, okanye njengoko oogqirha belubiza, "khupha inkunkuma." Oku kwenziwa kusetyenziswa uvavanyo olukhethekileyo lwe-"Fluoroscopic X-ray" okanye uvavanyo lwe-"MRI - Magnetic Resonance Imaging". Ngolu buchwepheshe, oogqirha banokubona ngokucacileyo indlela amalungu ahlukeneyo omzimba wakho ashukuma ngayo kunye nendlela asebenza ngayo xa ukhupha inkunkuma.

Ngoku usenokuba uzibuza ukuba ngaba kufuneka ngokwenene ukhuphe indle kolu vavanyo. Hayi, awufuni. Abasebenzi bezonyango baza kubeka intlama ekhethekileyo efana ngqo nendle kwi-rectum yakho. Ibizwa ngokuba yintlama ethi "barium". Le "barium" "yiarhente yokwahlulahlula," into eyenza ingaphakathi lomzimba wakho libonakale ngokucacileyo kwi-"X-ray" okanye "MRI." Emva koko uza kuyikhupha le ntlama ngelixa uhleli kwindlu yangasese ekhethekileyo ngaphakathi kwiskena. Into ebalulekileyo kukuba ingcali ye-radiologist ayikujongi kwindlu yangasese, kodwa ijonge imifanekiso yangaphakathi yakho kwiscreen sekhompyutha. Ngoko ke akukho nto unokuba neentloni ngayo.

Lufuneka nini olu vavanyo?

Eyona njongo yolu vavanyo kukwazisa ugqirha wakho ngakumbi ngento eyenzekayo ngaphakathi xa ukhupha indle. Oku kuya kubanceda bafumane unobangela wengxaki yakho kwaye banike unyango olufanelekileyo. Olu vavanyo lunceda oogqirha bafumanise ngezinto ezifana nezi:

• Indlela izihlunu zakho zomgangatho we-pelvic ezifinyela neziphumla ngayo.
• Indlela esebenza ngayo i-anus yakho xa ukhupha isisu.
• Indlela ohamba ngayo umathumbu wakho, i-rectum, i-vagina, kunye ne-bladder xa ukhupha inkunkuma.
• Ngaba kukho ilungu elithile emzimbeni wakho elitshintshileyo okanye elitshintshileyo?
• Mhlawumbi ukuba uceba ukwenza utyando, zeziphi izinto ekufuneka uzilumkele ngakumbi?

Zeziphi izifo ezinokufunyaniswa ngolu vavanyo?

Ukuba uneempawu ezingachazwanga ezinxulumene nokuhamba kwamathumbu akho ixesha elide, ugqirha wakho unokucebisa uvavanyo lwe-defecography ukuze kufunyanwe unobangela. Umzekelo:

• Intlungu yempundu.
• Ukuqhinwa (oko kuthetha ubunzima bokukhupha indle).
• Ukungakwazi ukulawula indlela yokuhamba kwendle (ukungakwazi ukuzibamba).
• Ukufuduka okungaphelelanga kukuziva ngathi isitulo asikakhutshwa ngokupheleleyo.

Olu vavanyo lukwasetyenziselwa ukuqinisekisa imeko yempilo ukuba ugqirha uyayikrokrela. Ezi meko ziquka:

• Ukungasebenzi kakuhle komgangatho we-pelvic: Ngamafutshane, izihlunu kunye nemithambo-luvo ekumgangatho we-pelvic yakho ayihambelani kwaye ayisebenzi kakuhle xa ukhupha inkunkuma.
• Ukuwa kwamalungu omzimba: Oku kwenzeka xa ilungu elithile emzimbeni wakho libuthathaka lize liwe endaweni yalo, okanye elinye ilungu lityhalela kwelinye. Eminye imizekelo yile:
• Ukuhla kwe-rectal.
• I-Rectocele kukuphuma kwe-rectum kwi-vagina.
• I-Enterocele kukuphuma kwamathumbu amancinci kwi-anus.

Ngubani owenza olu vavanyo?

Zonke ezi vavanyo ze-X-ray kunye ne-MRI zenziwa ngoogqirha be-radiology abaqeqeshwe ngokukodwa nabaqinisekisiweyo. I-Defecography, ngakumbi, yenziwa yingcali enolwazi olunzulu nge-rectum kunye neentshukumo ezinxulumene nayo (i-Anorectal Motility).

Lwenziwa njani olu vavanyo?

I-Defecography ingenziwa kusetyenziswa i-X-ray okanye i-MRI. Zombini ezi ndlela zinokujonga indlela esebenza ngayo imisebenzi yangaphakathi yomzimba wakho xa ukhupha inkunkuma. Indlela ye-X-ray yeyona isetyenziswa kakhulu, kodwa kwabanye abantu, ubungakanani obuncinci bemitha ekhutshwa yi-X-ray bunokuba yingozi, ngoko ke i-MRI ifanelekile ngakumbi.

Cinga ngayo njengevidiyo ye-X-reyi. Endaweni yokuthatha imifanekiso ngaxesha lithile, umsebe oqhubekayo we-X-reyi uthunyelwa emzimbeni. Emva koko ungabukela uthotho lwemifanekiso ehambayo kwiscreen ngexesha langempela. Oko kuthetha ukuba akufuneki ulinde ukuba iifoto ziphuhliswe, ungabukela amalungu akho esebenza njengevidiyo.

Uvavanyo lwe-MRI (Magnetic Resonance Imaging) lusebenza ngokusebenzisa amaza erediyo kunye nentsimi yemagnethi. Umbane udlula kwiikhoyili zesinyithi kulo lonke umatshini ukuze kudalwe intsimi yemagnethi. Oku kubangela ukuba iiathom zehydrogen emzimbeni wakho zihambe. Xa zibuyela kwiindawo zazo zokuqala, umatshini uthatha isignali abayikhuphayo ngamaza erediyo aze ayibonise njengomfanekiso kwikhompyutha.

Kwenzeka ntoni ngaphambi kovavanyo?

Ugqirha wakho uza kubhala iinkcukacha ngembali yakho epheleleyo yezonyango, kuquka naluphi na utyando olwenzileyo, iimeko zempilo onazo, amayeza owathathayo, kunye nazo naziphi na izinto ozifakelweyo. Emva koko, baya kukubuza ngokweenkcukacha malunga nokuba kwenzeka ntoni kanye kanye xa ukhupha indle.

Okulandelayo, siza kukunika ingcaciso epheleleyo yendlela olu vavanyo oluqhutywa ngayo. Siza kuchaza nendlela onokusixhasa ngayo ukuze sifumane iziphumo ezicacileyo kuvavanyo. Kuba impumelelo yolu vavanyo ixhomekeke kakhulu kwinkxaso yakho.

Ngamanye amaxesha, unokunikwa i-enema onokuyisebenzisa ekhaya ukunceda ukucoca amathumbu akho ngaphambi kovavanyo. Usenokucelwa ukuba utshintshe ukutya kwakho, amayeza, kunye nolwelo olusetyenziswayo ngaphambi kovavanyo. Le miyalelo inokwahluka kumntu nomntu, ngoko ke kubalulekile ukulandela imiyalelo kagqirha wakho ngokuchanekileyo.

Uzilungiselela njani ngosuku lovavanyo?

Nokuba wenza iFluoroscopic X-ray Defecography okanye iMRI Defecography, zombini ezi mvavanyo zifuna ukusetyenziswa kwe-contrast agent eyenza amalungu angaphakathi afunwa ngugqirha ukuba awabone ngokucacileyo. Oku kuthetha ukuba le contrast agent kufuneka ifakwe emzimbeni wakho ngaphambi kovavanyo.

Ukuze ubone inxalenye yokugqibela yenkqubo yakho yokugaya ukutya – ikholoni, i-rectum, kunye ne-anus – ngokucacileyo, iqela lezonyango liza kufaka i-contrast agent (i-Barium Sulfate) kwi-paste lize liyifake kwi-rectum yakho. I-Barium Enema inikwa emva nje kovavanyo. Nangona kunjalo, ngamanye amaxesha ugqirha unokufuna ukujonga amanye amalungu angenakufikelelwa yi-Enema.

Umzekelo, ukuba ufuna ukubona amathumbu akho amancinci, unganikwa isisombululo sokwahlulahlula ukuze usele. Oku kungadinga ukuthathwa kwiiyure ezimbalwa ngaphambi kovavanyo, kuba kuthatha ixesha ukuba isisombululo sidlule kwinkqubo yakho yokugaya ukutya. Ngelinye ixesha, ukuba ufuna ukubona udonga oluphakathi kwelungu lakho lobufazi kunye ne-rectum, i-barium paste ingafakwa kwilungu lakho lobufazi.

Injani amava ngexesha lovavanyo lwe-defecography?

Emva kokuba unxibe ilokhwe yesibhedlele, uza kusiwa kwigumbi lovavanyo. Apho, uza kulala etafileni. Emva koko, iqela lezonyango liza kufaka i-barium paste kwi-rectum yakho lisebenzisa i-caulking gun. Le enema ingakwenza uzive ugcwele okanye uvuvukile kancinci. Xa i-rectum yakho igcwele, ngokwemvelo uza kuziva ufuna ukuya ngasese. Emva koko ulungele uvavanyo.

Ukuba ukwimatshini ye-X-reyi okanye kwimashini ye-MRI evulekileyo, itafile ophezu kwayo ithambekele ngokuthe nkqo, kwaye kukho indlu yangasese ekhethekileyo phantsi kwakho. Uhlala kwindlu yangasese. Zombini ezi matshini zenzelwe ukuba zingabi namsindo, zinendawo eninzi kunye nomoya. Kodwa ukuba ukwimashini ye-MRI yendabuko, efana netyhubhu, kufuneka ulale tyaba etafileni, uze emva koko ukhululeke ungene kwi-diaper yomntu omdala. Usenokugqunywa ngengubo eneentsimbi.

Abanye abantu banokuziva bexinezelekile xa bekwi-MRI machine yesiqhelo. Ukuba oku kuyenzeka, unganikwa i-sedative ukuze uphumle. Umatshini ukhanyiswe kakuhle kwaye une-air conditioner. Ungathetha nengcali nge-intercom. Zombini ii-MRI machines ezivulekileyo nezesiqhelo zenza isandi esikhulu esithi "tock tock, click click" xa kuthathwa imifanekiso. Uza kunikwa ii-earplugs okanye ii-headphones ngaphambi kwenkqubo.

Ingcali ye-radiology eqhuba izixhobo zovavanyo iza kukunika imiyalelo engaphandle komatshini. Njengoko bethatha imifanekiso, baza kukuxelela ukuba uqinise, ubambe, kwaye uphumze izihlunu zakho. Xa utyhala, kufuneka usebenzise amandla aneleyo ukuze ingcali ibone ngokucacileyo indlela ezisebenza ngayo izihlunu zakho. Kufuneka uhlale ungashukumi ngelixa imifanekiso ithathwa rhoqo - ngesiqhelo ngaphantsi komzuzu.

Lonke uvavanyo luthatha malunga nemizuzu engama-30 ukuya kwengama-60. Lusenokuvakala ludinisa kancinci kwaye mhlawumbi luhlazisa, kodwa alulovavanyo lubuhlungu.

Kwenzeka ntoni emva kovavanyo?

Emva kokuba uvavanyo lugqityiwe, uza kusiwa kwigumbi lokuhlambela labucala apho unokuzicoca khona. Kusenokwenzeka ukuba uza kubona into emhlophe, efana netshokolethi ebizwa ngokuba yi-"Barium" iphuma esitulweni sakho kangangeentsuku ezimbini. Uza kukwazi ukuqhubeka nemisebenzi yakho yesiqhelo kunye nemikhwa yokutya ngoko nangoko.

Ngaba kukho naziphi na iingozi okanye iziphumo ebezingalindelekanga kolu vavanyo?

Ubungakanani obuncinci bemitha ekhutshwa yi-X-ray buthathwa njengokhuselekileyo, logama nje ungazivezi rhoqo kuyo. I-MRI scan ayizisi mngcipheko okanye iziphumo ebezingalindelekanga. Ukuba ukhulelwe, kucetyiswa ukuba uziphephe zombini ezi mvavanyo kangangoko kunokwenzeka, nangona umngcipheko wokwenzakalisa umntwana ongekazalwa umncinci kakhulu.

Zithini iziphumo? Ithini intsingiselo kaEva?

Ingcali ye-radiology iza kuthumela ingxelo eneenkcukacha kugqirha wakho oyintloko. Uza kukuxelela iziphumo. Ingxelo iza kutyhila ukuba kukho naziphi na iingxaki eziqhelekileyo zokuhamba kwamathumbu. Iza kukuxelela nokuba ugqirha wakho oyintloko uyalele na uvavanyo oluthile.

Khawucinge ukuba ugqirha wakho u-odole olu hlobo lovavanyo lokuya endle, oko kuthetha ukuba kusenokwenzeka ukuba ubunengxaki le ngxaki ixesha elide. Ngoko ke, ulwazi oluvela kuvavanyo lwakho lokuya endle lubalulekile kugqirha wakho ukuze enze isicwangciso sonyango esingcono sokuphucula amava akho okuya endle.

Umyalezo oya ekhaya

Ewe, olu vavanyo lusenokubonakala lungaqhelekanga, kwaye mhlawumbi lungonwabisi. Kodwa khumbula, luya kukunceda ufumane unobangela ochanekileyo wengxaki yakho kwaye uqale unyango olufanelekileyo. Ekugqibeleni, olu vavanyo lunokukuzisela isiqabu esikhulu. Ke ngoko, ukuba ugqirha wakho ucebisa olu vavanyo, kubalulekile ukuthetha ngalo ngokupheleleyo kwaye ulwenze ukuba kuyimfuneko.

"Ukuqhinwa, i-Difficography, Ubunzima bokukhupha indle, i-Barium, i-X-ray, i-MRI, umgangatho wePelvic