Ngaba nawe uyavuza indle ungaqondanga? (Ukungakwazi ukuzibamba) - Musa ukuba neentloni, masithethe ngale nto!

Ngaba ngamanye amaxesha ngempazamo uchitha indle encinci kwiimpahla zakho xa uhleka kakhulu, uzilolonga, okanye uphefumla nje? Le yingxaki abantu abaninzi abanayo, kodwa baneentloni zokuthetha ngayo esidlangalaleni. Abantu abaninzi bahlupheka bodwa ngaphandle kokuxelela mntu ngayo. Kodwa ayisiyonto ifanelekileyo ukuba neentloni ngayo. Le yimeko yezonyango. Ngoko ke masithethe ngayo ngokukhululekileyo namhlanje.

Yintoni i-Fecal Incontinence?

Ngamafutshane, ukungalawuleki kwendle kukulahlekelwa yindle okanye yindle yonke ngaphandle kokuzithandela xa ungafuni. Kwabanye, oku kunokuba yinto encinci njengokuhamba kancinci udlula umoya. Kwabanye, kunokuba nzima njengokuhamba kwamathumbu ngokupheleleyo ngaphandle kolawulo.

Inkqubo yethu yokulawula amathumbu kunye nesinyi yomzimba iyinkimbinkimbi kakhulu. Cinga ngayo njengempompo yamanzi. Izihlunu ezikumgangatho we-pelvic, i-rectum, kunye ne-anus zonke kufuneka zisebenze kunye ngokufanelekileyo. Ezi zihlunu nazo kufuneka zifumane imiqondiso efanelekileyo evela kwingqondo. Ukuba kukho ubuthathaka obuncinci okanye umonakalo naphi na kule nkqubo, olu hlobo lokungakwazi ukuzibamba lunokwenzeka.

Kukho iintlobo ezimbini eziphambili zale nto.

Le meko inokwahlulwahlulwa ibe ziintlobo ezimbini eziphambili. Ukuze uyiqonde kakuhle le nto, jonga itheyibhile engasezantsi.

Ziziphi izizathu eziphambili zale meko?

Akukho sizathu sinye sale nto. Zininzi izinto ezinokubangela oku.

• Ukuqhinwa Okungapheliyo: Umntu oqhinwa okungapheliyo unokuzibhokoxa ukuze akhuphe indle, nto leyo eyonakalisa izihlunu kunye nemithambo-luvo elawula ukuhamba kwamathumbu. Kwakhona, amasuntswana endle eqinileyo avaleleke ngaphakathi anokuvuza.
• Urhudo: Indle ekhululekileyo kunzima ukuyilawula kunendle eqinileyo. Urhudo oluhlala lusenzeka lunokwenza buthathaka izihlunu ezikwi-rectum ngokuhamba kwexesha.
• Ukonakala Kwemisipha: Ingakumbi abafazi, banokwenzakala kwimisipha ukuba kufuneka basebenzise izixhobo ezifana ne-forceps ngexesha lokuzala okunzima okanye benze i-episiotomy. Lo monakalo unokubakho nakwiinkqubo zotyando lwezifo ezifana ne-hemorrhoids.
• Ukonakala kwemithambo-luvo: Izinto ezinje ngokubeleka notyando zingonakalisa izihlunu kunye nemithambo-luvo ezilawulayo. Iimeko ezifana nesifo seswekile kunye nezifo zenkqubo yemithambo-luvo nazo zingonakalisa le mithambo-luvo.
• Ukuncipha kokuqina kodonga lwe-rectal: Iindonga ze-rectum, ezibamba indle, kufuneka zibe nokuqina kakhulu. Nangona kunjalo, iimeko ezifana nesifo sikaCrohn okanye unyango lwe-radiation lomhlaza zinokubangela amanxeba kwaye oku kuqina kunokulahleka. Emva koko, nokuba indle izele kancinci, kunokuba nzima ukuyibamba nokuphuma.
• I-Pelvic Organ Prolapse (i-POP): Xa izihlunu ezibambe amalungu omzimba kwi-pelvic cavity yethu (njengesibeleko, isinyi, kunye ne-rectum) zibuthathaka, loo malungu ayawa. Ukuba i-rectum iyehla ngale ndlela, inokubangela iingxaki ngokulawula amathumbu.

Ngubani osengozini enkulu yokuphuhlisa oku?

Nangona le meko inokwenzeka nakubani na, abanye abantu basengozini enkulu.

• Ubudala: Abantu abangaphezu kweminyaka engama-65 basengozini enkulu. Oku kungenxa yokuba izihlunu ziyabuthathaka ngokwendalo njengoko sikhula. Kodwa ungacingi ukuba le yinto eqhelekileyo yokwaluphala. Ukuba unale ngxaki, qiniseka ukuba ubonana nogqirha.
• Isini: Abafazi basengozini enkulu kunamadoda, ingakumbi emva kokubeleka kunye nokuya exesheni.
• Ezinye iimeko zonyango: Abantu abanezi meko zilandelayo zonyango nabo basengozini enkulu.
• `Isifo sika-Alzheimer` kunye `neDementia`
• 'Isifo sikaParkinson'
• `Isifo seswekile sohlobo lwesibini`
• `Isifo seSclerosis Esininzi (MS)`
• ``Isifo samathumbu esidumbileyo (IBD)''
• "Isifo samathumbu esirhawuzelelwayo (IBS)"
• Istroke

Zeziphi ezinye iingxaki ezinokubangela oku?

Ukuzithuma ngaphandle kwemvume kunokubangela iingxaki zomzimba nezengqondo.

• Usulelo lolusu: Ulusu olujikeleze i-anus ludla ngokuba manzi kwaye lugqunywe yindle, nto leyo enokubangela ukuba kube bomvu, ukudumba, ukurhawuzelelwa, kunye nentlungu . Ngamanye amaxesha, izilonda nazo zinokwenzeka.
• Impembelelo yengqondo: Abantu abaninzi baziva bexinezelekile engqondweni ngaphezu koxinzelelo lomzimba. Iintloni, ixhala, kunye noxinzelelo zinokukwenza uzive ngathi awukwazi ukuphuma endlwini, ukuchitha ixesha nabahlobo, okanye ukuya kwimicimbi. Oku kunokukwenza uzive ngathi ushiywe ngaphandle koluntu.

Uyifumana njani le nto, Gqirha?

Okokuqala, ungabi nazintloni zokuthetha nogqirha wakho ngale nto. Le yingxaki yempilo eqhelekileyo kubo. Kuphela ngokuthetha ngokukhululekileyo ngeengxaki zakho apho ungafumana unyango olufanelekileyo.

Ugqirha uza kukubuza ngeempawu zakho aze akuhlole ngokwasemzimbeni. Ukongeza, banokwenza uvavanyo ukuze bafumane unobangela ochanekileyo.

• I-Anorectal Manometry: Uvavanyo olulinganisa amandla emisipha ekwi-rectum.
• `Uvavanyo lokuKhupha iiBhaluni`: Uvavanyo olulinganisa indlela esebenza kakuhle ngayo inkqubo yokukhupha ilindle.
• `I-Endorectal Ultrasound` okanye `I-MRI`: Jonga ulwakhiwo lwemisipha yerectal kunye nokuba kukho nawuphi na umonakalo.
• `I-Anal Sphincter Electromyography (EMG):` Uvavanyo lokujonga umonakalo wemithambo-luvo.
• I-Endoscopy: Uvavanyo lwangaphakathi lwamathumbu (iColonoscopy) okanye i-rectum (iProctoscopy) kusetyenziswa ityhubhu enekhamera.

Zithini iindlela zonyango zoku?

Iindlela zonyango ziyahluka ngokuxhomekeke kwisizathu kunye nobunzima bemeko.

Utshintsho kwindlela yokutya

Ukuba ingxaki yakho ibangelwa kurhudo okanye ukuqhinwa, ukutshintsha indlela otya ngayo kunokukunceda kakhulu.

• Ukuba unesifo sorhudo: Nciphisa i-caffeine (ikofu, iti), ukutya okuneziqholo, ukutya kobisi, kunye nezinto eziswiti ezenziweyo.
• Ukuba unesisu: Yitya ukutya okuninzi okunefayibha eninzi (iziqhamo, imifuno, iinkozo ezipheleleyo). Sela ubuncinane iiglasi zamanzi ezisi-8-10 ngosuku.

Ukuzilolonga noqeqesho

• Uqeqesho lwamathumbu:Ukuqhela ukuya kwindlu yangasese ngexesha elithile yonke imihla (umz. emva kokusela ikofu yakho yasekuseni). Oku kudala umkhwa emzimbeni.
• IiKegel Exercises: Ezi zibaluleke kakhulu. Ungabuza ugqirha wakho okanye ingcali yezonyango ukuba ungayenza njani le mithambo ngokuchanekileyo ukuze uqinise izihlunu kwindawo ye-pelvic.
• I-Biofeedback: Le yindlela esebenzisa isixhobo esikhethekileyo ukuchonga nokuqinisa izihlunu ezikunceda ukulawula amathumbu akho.

Amayeza (amayeza)

Ugqirha wakho unokucebisa amayeza okulawula urhudo okanye amayeza okunyanga ukuqhina kwesisu.

Utyando

Ukuba ezinye iindlela zonyango aziphumeleli, utyando lunokufuneka. Kukho iintlobo ngeentlobo zotyando, ezifana ne-sphincteroplasty yokulungisa izihlunu ezonakeleyo okanye ukuvuselelwa kwemithambo-luvo yesacral. Kwiimeko ezinzima kakhulu, i-colostomy inokufuneka.

Izinto ekufuneka uziqwalasele xa uphila nale meko

Ngelixa ufumana unyango, kukho izinto ezininzi onokuzenza ukulawula le meko kwaye uphile kakuhle.

• Khusela ulusu lwakho:
• Hlamba ngamanzi afudumeleyo ngaphandle kwesepha emva kokuhambisa isisu rhoqo.
• Endaweni yokuzihlamba ngamandla ngephepha langasese, zicoce ngobunono ngeetowelettes ezimanzi uze uzomise kakuhle.
• Thambisa into efana nekrimu yokurhawuzelela iinwebu ('ikrimu yokuthintelwa') ukukhusela ulusu.
• Endaweni yempahla eqinileyo, nxiba impahla yangaphantsi kunye neempahla ezenziwe ngelaphu eliphefumlayo, njengekotoni.

• Cinga ngempilo-ntle yengqondo:
• Ukuba uyoyika ukuphuma, sebenzisa iphedi okanye impahla yangaphantsi elahlwayo. Oku kuya kukwandisa ukuzithemba kwakho.
• Ngaphambi kokuba uphume endlwini, yiya kwindlu yangasese uze ukhuphe amathumbu akho.
• Gcina iseti eyongezelelweyo yeempahla kunye neewipes ezimanzi ebhegini yakho. Ziya kukunika uxolo lwengqondo oluninzi.
• Soloko ujonge apho indlu yangasese ikhoyo phambi kokuba uye khona. Ngale ndlela, ukuba kukho imeko engxamisekileyo, akuyi kufuneka ukhathazeke.