Ngamanye amaxesha, xa usemoyeni, xa uhleka kakhulu, okanye xa uzilolonga, ngaba ngempazamo uchitha indle encinci kwiimpahla zakho? Okanye uziva ngathi kufuneka uye kwindlu yangasese, kodwa awukwazi ukuzibamba xa ubaleka uvula ucango? Le yingxaki abantu abaninzi abanayo, kodwa baneentloni zokuthetha ngayo kuluntu. Ngenxa yale meko, abantu abaninzi bahlala emakhaya kwaye bahlala kude noluntu ngenxa yoloyiko neentloni. Kodwa akufuneki kube njalo. Masithethe ngale nto ngokukhululekileyo namhlanje.
Ngamafutshane, yintoni ukungalawuleki kwendle?
Oku kulula kakhulu. Ngokwezonyango le meko siyibiza ngokuba yi-`(Fecal Incontinence)` okanye `(Bowel Incontinence)` xa singakwazi ukulawula ukuhamba kwendle xa sifuna. Kuthetha ukuphuma kwendle xa singafuni, singaqondanga. Kwabanye abantu, oku kunokuba yinto encinci njengokuphuma kwendle encinci xa sidlula umoya. Kwaye kwabanye, kunokuba yimeko enzima njengokuphuma kwendle eqinileyo ngaphandle kolawulo.
Cinga ngale ndlela: iintshukumo zamathumbu emzimbeni wethu zifana nomdlalo weqela odibeneyo. Izihlunu zethu zomgangatho we-pelvic, i-rectum, kunye ne-anus kufuneka zisebenzisane ukuze zibambe indle kwaye ziyikhuphe xa kufuneka. Ezi zihlunu kufuneka ziqhagamshelwe kwimithambo-luvo ukuze zithumele umyalezo engqondweni yethu wokuba kufuneka siye kwindlu yangasese. Ukuba kukho into engahambi kakuhle kule nkqubo, singaphela silahlekelwa lulawulo lweentshukumo zethu zamathumbu.
Kukho iintlobo ezimbini eziphambili zale meko.
Kukho iintlobo ezimbini eziphambili zokungakwazi ukuzibamba. Makhe sijonge ukuba ziyintoni na.
| Uhlobo lomgangatho | Icacisiwe ngokulula |
|---|---|
| Ukukhuthaza ukungakwazi ukuzibamba | Uziva ufuna ukuya kwindlu yangasese, kodwa awukwazi ukuyilawula de ubalekele kwindlu yangasese, ize ivuzele impahla yakho. Olu lolona hlobo luqhelekileyo. Lubangelwa kakhulu bubuthathaka kwimisipha elawula ukuhamba kwamathumbu. |
| Ukungakwazi ukuzibamba (ukuvuza okunganyanzelekanga) | Kulapho i-rectum yakho igcwele indle, kodwa umzimba wakho awufumani mqondiso wokuba "yiya kwindlu yangasese ngoku." Ngenxa yoko, uphuma indle ungakhange uve nto. Isizathu esiphambili soku yingxaki yonxibelelwano phakathi kwemithambo-luvo kunye nemisipha. |
Ixhaphake kangakanani le meko?
Kuqheleke kakhulu kunokuba ucinga. Uphando lubonisa ukuba umntu omnye kwabathathu uyachaphazeleka yile meko. Inyani yile, ukuya kwindlu yangasese asinto siyenza esidlangalaleni. Yiyo loo nto abantu abaninzi behlupheka yile ngxaki ngenxa yeentloni neentloni. Ngoko khumbula, le ayisiyongxaki yakho kuphela.
Zithini iimpawu zale meko?
Abanye abantu banokubona olu hlobo lwendle ekhululekileyo kuphela xa benorhudo. Kodwa kwabanye, yinto abayifumana yonke imihla. Nazi ezinye zeempawu eziphambili:
- Ukuchitha isitulo ngengozi xa udlula umoya.
- Ukuvuza kwendle xa usenza umthambo, uhamba, okanye usenza umthambo.
- Ukuziva ufuna ukuya ngasese, kodwa ungakwazi ukuzibamba ude ufike kwindlu yangasese.
- Ukufumana ilindle kwimpahla yakho yangaphantsi nokuba sele ugqibile ukukhupha indle ngendlela eqhelekileyo.
- Ukungakwazi ukulawula ngokupheleleyo ukuhamba kwamathumbu.
Yintoni enokubangela oku?
Izizathu eziphambili zoku kurhuda, ukuqhina, kunye nokonakala kwemisipha okanye imithambo-luvo enceda ekulawuleni ukuhamba kwamathumbu. Ukongeza, izinto ezifana notyando lwangaphambili nazo zinokuba negalelo koku.
- Urhudo: Kunzima ukuba izihlunu zibambe indle engamanzi kunendle eqinileyo. Urhudo oluhlala ixesha elide lunokwenza buthathaka izihlunu ezikwi-rectum nakwi-anus.
- Ukuqhina: Ukuqhina rhoqo kunokwenza buthathaka ezi zihlunu. Ukuzibhokoxa ukuze uphume esiswini kungonakalisa nemithambo-luvo. Ngamanye amaxesha, xa isitulo esiqinileyo sibhajwe kwiqhuma, ulwelo lunokuvuza.
- Ukonakala kwemisipha: Oku kunokwenzeka kubafazi, ingakumbi ngexesha lokuzala okunzima. Ukuba kusetyenziswa ii-forceps ukuzala umntwana okanye kwenziwe i-episiotomy, izihlunu ezijikelezileyo zingonakalisa. Kwakhona, utyando lwe-hemorrhoids okanye i-fistula lunokubangela umonakalo kwimisipha.
- Ukonakala kwemithambo-luvo: Izinto ezifanayo ezonakalisa izihlunu, njengokuzala okunzima okanye utyando, zingonakalisa nemithambo-luvo. Oku kuyinyani ngakumbi ukuba imithambo-luvo ekubonisa ukuba unesisu yonakele. Iimeko ezifana nesifo seswekile kunye nezifo zenkqubo yemithambo-luvo nazo ziyandisa umngcipheko.
- Ukuncipha kokuqina kwempundu:Ngokwesiqhelo, iindonga ze-rectum yethu zithambile ngokwaneleyo ukubamba indle. Kodwa ukuba ngesizathu esithile, umzekelo, isifo esifana nesifo sikaCrohn okanye unyango lwemitha yomhlaza, siba namanxeba, oku kuqina kuyaphela. Emva koko indle ayisakwazi ukubanjwa kwaye iqale ukuvuza.
- I-Pelvic Organ Prolapse (POP): Xa izihlunu ezikwi-pelvic cavity ziba buthathaka, amalungu anjenge-rectum, i-vagina, i-uterus, kunye ne-bladder awaxhaswa kakuhle. Oku kunokubangela ukuba awe phantsi. Le meko inokubangelwa kukuwela kwe-rectum kwi-anus (rectal prolapse) okanye i-rectum ityhala udonga olungasemva lwe-vagina (rectocele).
Ngubani osengozini enkulu yoku?
Nangona le meko inokwenzeka nakubani na, abanye abantu basengozini enkulu.
| Into enobungozi | Inkcazo |
|---|---|
| Ubudala | Lo mngcipheko uphezulu kubantu abangaphezu kweminyaka engama-65 ubudala. Izihlunu ziyabuthathaka ngokwendalo njengoko sikhula. Nangona kunjalo, musa ukukuthatha oku njengenxalenye "eqhelekileyo" yokwaluphala. Ukuba unale ngxaki, bonana nogqirha ngokukhawuleza. |
| Isini | Abafazi basengozini enkulu, ingakumbi emva kokubeleka kunye nokuthatha unyango lweehomoni emva kokuya exesheni. |
| Ezinye izifo | Iimeko ezonakalisa imithambo-luvo okanye izihlunu zandisa umngcipheko. Imizekelo:
|
Ziziphi iingxaki ezinokwenzeka ngenxa yale meko?
Ulusu olujikeleze i-anus lunokonakala kukuvuza kwendle. Lunokubangela ukubomvu, ukurhawuzelela, kunye nokudumba. Ekuhambeni kwexesha, izilonda zesikhumba (izilonda) nazo zinokuvela.
Kodwa, okuyingozi nangakumbi kuneengxaki zomzimba ziziphumo zengqondo nezeemvakalelo. Olu hlazo, uloyiko, kunye noxinzelelo zinokwenza kube nzima kuwe ukuba udibane okanye uchithe ixesha nabahlobo, zikushiye uzive unesizungu. Ngoko ke musa ukuvumela le meko ikugcine unesizungu.
Ugqirha uxilonga njani esi sifo?
Ukuze wenze oku, ungabonana nogqirha wezifo zamathumbu okanye ugqirha wezifo zamathumbu. Uza kukubuza ngeempawu zakho. Emva koko, baza kwenza uvavanyo lomzimba kunye novavanyo lwezifo zamathumbu. Kubalulekile ukuba ukhululeke kwaye unyaniseke ngazo zonke izinto ezikuxhalabisayo ngeli xesha.
Ukuze ufumane unobangela ochanekileyo, kunokufuneka wenze ezi mvavanyo zilandelayo:
- I-anorectal manometry: Uvavanyo olulinganisa amandla emisipha e-rectum nakwi-anus.
- I-ultrasound okanye i-MRI ye-Endorectal: Ihlola ulwakhiwo lwemisipha kunye nezicubu ezijikeleze i-rectum ukuze ibone ukuba akukho monakalo na.
- I-anal sphincter electromyography (EMG): Uvavanyo lokujonga umonakalo wemithambo-luvo.
- I-Endoscopy: Ityhubhu encinci enekhamera (i-scope) ifakwa nge-anus ukuze kuhlolwe ingaphakathi lamathumbu ukuba akukho ngxaki, ukudumba, iithumba, okanye amanxeba.
Iphathwa kwaye ilawulwa njani?
Unyango luyahluka ngokuxhomekeke kwisizathu kunye nobunzima bemeko. Ngamanye amaxesha inokulawulwa ngokutshintsha indlela yokuphila kuphela.
Utshintsho kwindlela yokutya
Ukuba le meko ibangelwa kurhudo okanye ukuqhinwa, ukutshintsha indlela otya ngayo kunokwenza umahluko omkhulu.
- Ukuba unesifo sorhudo, hlala kude nezinto ezifana ne-caffeine, utywala, ukutya okuneziqholo, iimveliso zobisi, kunye nezinto eziswiti ezenziweyo.
- Ukuba unesiphene, yitya ukutya okuninzi okunefayibha eninzi (iziqhamo, imifuno, iimbotyi, iinkozo ezipheleleyo) kwaye usele ubuncinane iiglasi zamanzi ezisi-8-10 ngosuku.
Ukuzilolonga noqeqesho
- Uqeqesho lwamathumbu: Xa usebenza nogqirha, ufunda ukukhupha isisu ngexesha elithile losuku (umz., emva kokusela ikofu yakho yasekuseni).
- Ukuzivocavoca ngeKegel: Ukuzivocavoca okuqinisa izihlunu zomgangatho we-pelvic. Oku kufanele kwenziwe yonke imihla.
- I-Biofeedback: Indlela yokuqinisa, ukuchonga, nokulawula izihlunu ezijikeleze i-anus, phantsi kolwalathiso logqirha oqeqeshwe ngokukodwa.
Amayeza
Amayeza otyando kunye nokuqhina kwesisu asetyenziselwa le njongo.
Okubaluleke kakhulu: Musa ukuthenga olu hlobo lwamayeza kwikhemesti ngaphandle kokubonisana nogqirha wakho kuqala. Ngamanye amaxesha, ukuba amayeza e-OTC awasebenzi, kunokufuneka uthathe amayeza kagqirha.
Utyando
Ukuba ezinye iindlela zonyango aziphumeleli, utyando lunokucingelwa.
- I-Sphincteroplasty: Ukuphinda uthunge izihlunu zempundu ezonakeleyo.
- Ukuvuselela imithambo-luvo yeSacral: Ukufakelwa kwesixhobo esincinci phantsi kwesikhumba ukuze kukhuthazwe imithambo-luvo elawula imisipha yempundu kunye nemisipha ye-pelvic.
- I-Colostomy: Utyando olwenziwa kuphela ukuba akukho nyango luphumelelayo. Kule meko, kwenziwa umngxuma omncinci esiswini, amathumbu amakhulu akhutshwe ngawo, kwaye kufakwa ibhegi ekhethekileyo yokuqokelela indle.
Ungazinyamekela njani?
Xa uphila nale meko, kubaluleke kakhulu ukuba ukhathalele impilo-ntle yakho yomzimba nengqondo.
Khusela ulusu lwakho
- Kuphephe ukusula ngephepha langasese ngamandla. Endaweni yoko, sebenzisa iitowelettes ezimanzi ezingenavumba.
- Emva kokuhambisa isisu rhoqo, hlamba ngamanzi afudumeleyo ngaphandle kwesepha, womise ngaphandle kokuhlikihla.
- Faka iikhrimu zokuthintela (umz. ezo ziqulethe i-zinc oxide) ezikhusela ulusu.
- Kuphephe ukunxiba impahla ebambekayo. Nxiba impahla yangaphantsi eyenziwe ngelaphu elisusa umswakama njengekotoni.
Impilo-ntle yengqondo kunye nobomi bentlalo
- Ukuba uyoyika ukuphuma, sebenzisa iphedi okanye impahla yangaphantsi elahlwayo.
- Ngaphambi kokuba uye kuhambo, qiniseka ukuba uya kwindlu yangasese kwaye ukhuphe amathumbu akho.
- Phatha iseti eyongezelelweyo yeempahla kunye nezinto zokuhlamba ebhegini yakho.
- Nanini na xa usiya ndaweni ithile, fumana apho indlu yangasese ikhoyo kwaye uyikhumbule. Ngale ndlela, ukuba kukho imeko engxamisekileyo, akuyi kufuneka ukhathazeke.
Sifundiswa kwasebuntwaneni ukuba akulunganga ukuthetha ngezinto ezifana nokuhamba kwamathumbu esidlangalaleni. Yiyo loo nto abantu abaninzi beneentloni zokuthetha ngayo xa kufikwa kule ngxaki. Kodwa inyani yile, ukuhamba kwamathumbu yinkqubo eqhelekileyo emzimbeni wethu. Ukuba kukho ingxaki ngayo, kubalulekile ukuthetha nogqirha ngayo. Ngoko ke ungabi nazintloni. Bona ugqirha wakho uze uthethe ngayo. Uza kucebisa unyango kunye neendlela eziya kukunceda uphinde ulawule ukuhamba kwamathumbu akho.
Umyalezo Wokuya Ekhaya
- Ukungakwazi ukuzibamba yindle yimeko eqhelekileyo kakhulu kunokuba unokucinga. Akunyanzelekanga ukuba ujongane nayo wedwa.
- Musa ukuba neentloni ngale nto, musa ukuyibamba, kwaye musa ukubandezeleka. Le yimeko eqhelekileyo.
- Ukuba unale mpawu, qiniseka ukuba ubonana nogqirha. Ukuba unobangela ufunyenwe, kuya kuba lula kakhulu ukunyanga.
- Le meko inokulawulwa kakhulu zizinto ezifana nokutshintsha indlela otya ngayo nokwenza umthambo olula.
- Musa ukuzahlula kuluntu okanye uzehlukanise ngenxa yesi simo. Ngolawulo olufanelekileyo nonyango, ungaphila ubomi obuqhelekileyo.
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