Ngaba nawe unengxaki yokuya kwindlu yangasese? Masifunde ngakumbi nge-Obstructed Defecation Syndrome!

Ngaba ngamanye amaxesha uziva ngathi unengxaki yokuphuma indle xa usiya kwindlu yangasese? Ngaba uziva womile, uxinene, kwaye ungagqitywanga? Okanye uyahamba ungakhange uye kwindlu yangasese kangangeentsuku ezininzi? Mhlawumbi oku akusiyo nje into eqhelekileyo yokuqhinwa. Namhlanje, masithethe ngegama lezonyango lale meko, i-Obstructed Defecation Syndrome. Nangona eli ligama elide, ngokulula, kukuthintelwa okanye ukungakhululeki okwenzeka ngexesha lokuqhinwa.

Yintoni le inzima xa ukhupha indle? (Yintoni i-'Obstructed Defecation Syndrome'?)

Ngamafutshane, i-Obstructed Defecation Syndrome (ODS) yimeko apho kufuneka ukhuphe indle kodwa ungakwazi ukwenza njalo ngokufanelekileyo. Zininzi izizathu zoku. Ezinye zibangelwa kukuphazamiseka kwemizimba emzimbeni. Ezinye zibangelwa kukuphazamiseka kwemizimba emzimbeni. Ezinye zinokuba yingozi engqondweni.

Umntu onesi sifo unokufumana oku kulandelayo:

• Ukuziva ngathi awukwazi ukuya kwindlu yangasese nanini na xa ufuna.
• Kufuneka ndiye kwindlu yangasese kanye kuphela emva kweentsuku ezimbalwa, oko kuthetha ukuba andihlali ndikhupha indle rhoqo.
• Nasemva kokuba uye kwindlu yangasese, usaziva ngathi awukayikhuphi ngokupheleleyo indle.

Oku kubangela ukuba baqunjelwe . Ngamanye amaxesha, indle ebambeke ngaphakathi ingaphuma kancinci kancinci ngaphandle kokulawula. Oku kukwabizwa ngokuba yi-'(Fecal Incontinence)'. Aba bantu bachitha ixesha elininzi kwindlu yangasese, belinde ukuba indle iphume, okanye baxinezeleke kakhulu. Ngenxa yokuxinezeleka ngolu hlobo ixesha elide kunye nokuphuma indle eyomileyo, eqinileyo, izihlunu kunye nemithambo-luvo ebandakanyekayo kwinkqubo yokukhupha indle inokonakala. Emva koko imeko iba mandundu. Khawucinge nje, ukuba uzama ukuvula ucango kwaye lubambeke, ukuba sityhala ngamandla, izinto ezifana neehinji zocango nazo zinokonakala, akunjalo? Yiloo nto eyenzekayo apha.

Le meko ichaphazela njani umzimba wakho?

I-ODS ayisosifo esinye. Ifana nesambrela. Phantsi kweso sambrela, kukho iimeko ezahlukeneyo ezibangela ukuqhina kunye nobunzima bokukhupha indle. Uphawu oluqhelekileyo lwazo zonke ezi ziimpawu zokuqhina.

Ukuze oogqirha bakwazi ukufumanisa ukuba umntu unesiphene sokuqhina, kufuneka kuhlale iintsuku ezingama-90 kwezi zilandelayo :

• Ukuzihluza ngaphezu kwama-25% amaxesha ukhupha isisu.
• Imvakalelo yokuphuma ngaphandle okungaphelelanga kwi-25% yeentshukumo zamathumbu.
• Ukuchitha indle eqinileyo neyomileyo ngaphezu kwama-25% exesha.
• Ukufuneka usebenzise izinto ezifana neminwe ukuze ukhulule ngaphezulu kwama-25% exesha.
• Ukuzithuma ngaphantsi kwezihlandlo ezithathu ngeveki.

Kodwa ezi mpawu zisenokuba yincam nje yengxaki. Kusenokubakho nezinye iimeko ezingabonakaliyo.

Ukuqunjelwa okungapheliyo kunokukhokelela kwezinye iingxaki ezininzi ekuhambeni kwexesha. Ngamanye amaxesha, kunzima ukufumanisa ukuba yintoni ebangele oku kwasekuqaleni kwaye yintoni ebangele oku kamva.

Abantu abanengxaki yokuphuma ngesitulo banokufumana ezinye iimeko ezifana nezi:

• Ukungasebenzi kakuhle komgangatho we-pelvic: Izihlunu kunye nemithambo-luvo kwindawo yakho ye-pelvic (indawo engaphantsi kwesisu sakho) azisebenzisani kakuhle ukuze ziphume indle. Cinga ngayo njengeqela elisebenza kunye, kodwa umntu ngamnye wenza izinto ezahlukeneyo.
• Ukuhla kwamalungu omzimba: Yilungu elikwindawo ye-pelvic, njengesinyi, isibeleko, okanye amathumbu, eliwela kwindawo yalo eqhelekileyo, lityhala elinye ilungu okanye lizama ukuphuma emzimbeni.
• I-Rectal hyposensation: Ukulahlekelwa yikhono lokuva ubukho bendle okanye isidingo sokukhupha indle kwi-rectum. Kufana nokulahlekelwa yimvakalelo yokurhawuzelelwa ezandleni zethu.
• Ukuxhalaba ngokuphuma kwendle: Abanye abantu basenokungaziva okanye bengazi ukuba bayakuphepha ukukhupha indle ngenxa yendle eqinileyo nebuhlungu abayivayo. Njengokuba uchukumisa into eshushu uze uzitshise, ungoyika ukuyichukumisa kwakhona.

Ixhaphake kangakanani le meko?

Malunga ne-18% yabemi behlabathi, okanye abantu abali-18 kwabali-100, banengxaki yesi sifo sixhaphakileyo esibizwa ngokuba yi-bowel incontinence. Sixhaphake kakhulu phakathi kwabasetyhini kunye nabantu abakwiminyaka ephakathi . Ngoko ke yazi ukuba awuwedwa kule ngxaki.

Zithini iimpawu zokungakwazi ukuzibamba kwamathumbu?

Umntu onesi sifo unokuziva ngolu hlobo:

• Ndifuna ukuya kwindlu yangasese, kodwa ndiziva ngathi andinakukwazi.
• Kunzima kakhulu ukukhupha indle, ngamanye amaxesha ngenxa yentlungu.
• Nokuba ndizama kangakanani na, ndivakalelwa kukuba andikagqibi ngokupheleleyo ukuhamba ngeenyawo.
• Kuvakala ngathi kukho into ebambeke endleleni yesihlalo.

Oku kunokufuna ukuba wenze oku kulandelayo:

• Ukuzibhokoxa ukuze ukhululeke.
• Kuza kufuneka ndilinde ixesha elide ukuba isitulo siphume.
• Ngamanye amaxesha kufuneka usebenzise iminwe yakho ukuze uzincede uphume endle. (Musa ukuba neentloni ngale nto, yinxalenye yemeko.)
• Ukusetyenziswa kwe -laxatives okanye i-enemas ukukhupha indle.

Le meko inokubangela ezinye izinto ezifana nezi:

• Ukuqhinwa.
• `Ukungakwazi ukuzibamba kwindle` (ukungalawuleki kokuhamba kwamathumbu).
• Ukuphazamiseka okungapheliyo.
• Iimeko zengqondo ezifana nokuxhalaba okanye ukudakumba, kuba oku kunempembelelo enkulu kubomi bemihla ngemihla.

Izikhalazo ezixhaphakileyo zezi:

• I-rectum ivakala ngathi idumbile okanye yenzakele.
• Intlungu yesisu kunye nokudumba.
• Intlungu yempundu.
• Isicaphucaphu, ukudinwa, kunye nokuphelelwa ngumdla wokutya.

Kutheni ndingakwazi ukuya kwindlu yangasese ngokufanelekileyo? Zithini izizathu?

Zininzi izinto ezibangela i-ODS. Ezi zinokuba zezendalo okanye zezoomatshini . Oko kukuthi, izinto ezifana neziphene zomzimba okanye ukuvaleka kwendlela yokungena kwendle. Kwelinye icala, kukwakho nezizathu ezisebenzayo . Ezi zinxulumene nokusebenza kwengqondo kunye nenkqubo yemithambo-luvo.

Amaxesha amaninzi, zombini ezi ntlobo zezizathu zinokuhambelana. Ngamanye amaxesha, uhlobo olunye lwesizathu lunokukhokelela kolunye.

Izizathu zoomatshini:

• I-Perineal hernia: Amalungu asesiswini sakho okanye kwindawo ye-pelvic aphuma kumgangatho we-pelvic.
• Ukuqhekeka kwamalungu esinqe: Yilungu elikwindawo yakho yesinqe eliphuma kwindawo yalo eqhelekileyo lize lityhale liye kwi-anus okanye kwi-rectum yakho. Umzekelo:
• Ukuhla kwesisu: Inxalenye yesisu iphuma ngomngxuma wempundu.
• I-Rectal intussusception: Inxalenye ephezulu ye-rectum iwela ngaphakathi njengeteleskopu.
• I-Rectocele (udonga olubuthathaka lwe-rectal): Kubafazi, udonga oluphakathi kwe-anus kunye ne-vagina luba buthathaka, nto leyo ebangela ukuba i-anus iphume iye kwi-vagina. Oku kunokubangela ukuba indle ivaleleke kwindawo ephumayo.
• Isifo sesilonda se-rectal solitary: Ukukhula kwesilonda esinye okanye ezingaphezulu kwi-rectum. Oku kunokubangelwa kukuxinana rhoqo.

Izizathu ezisebenzayo:

• I-Anismus (i-dyssynergic defecation): Ukuze kuphume indle, izihlunu ze-sphincter ezijikeleze i-anus kufuneka ziphumle. Zikwafuneka zityhalwe zizihlunu zesisu. Le nkqubo ayilungelelaniswanga kakuhle, kwaye endaweni yokuphumla, izihlunu ziyaqina. Kufana nokuzama ukuvula ucango uze uluvale ngakumbi.
• Ukungabi namvakalelo kwi-rectal: Ufanele ukwazi ukuziva uziva ngathi i-rectum yakho izaliswa sisitulo. Ukonakala kwemithambo-luvo kunokunciphisa olu mvakalelo, kuthintele ingqondo ekuthumeleni imiyalezo ekuxelela ukuba wenze intshukumo yamathumbu.
• Iingxaki zengqondo: Ixhala, ukudakumba, ii-phobias ezithile, i-OCD (isifo sokungakhathali), kunye neengxaki zokutya zonke zinokuchaphazela oku. Lo ngumzekelo omhle wendlela iingxaki zengqondo ezinokuchaphazela ngayo umzimba.

Nayiphi na kwezi inokuba yimbangela ephambili ye-ODS, okanye isiphumo sesibini esibangelwa yi-ODS.

Kwakhona, ezi zinto zilandelayo zinokuba negalelo kwezi meko:

• Ukukhulelwa kunye nokuzala.
• Utyando olwenziwe kwindawo ye-pelvic.
• Ukwenzakala okanye ukuxhatshazwa okubangelwe yingozi.

Oogqirha bayixilonga njani kanye kanye le meko?

Xa ubona ugqirha, baza kuqala bakubuze ngeempawu zakho. Basenokusebenzisa itshathi yokufumana amanqaku ukulinganisa ubukhali beempawu zakho.

Nangona ezi mpawu zinokukunceda ubone ukuba ukuqhina kwakho akuhlali ixesha elide, ukuze uxilonge ngokuchanekileyo i-ODS, ugqirha wakho kuya kufuneka aqinisekise ukuba izizathu ezilula (ezifana nokutshintsha kokutya okwethutyana) azibangeli. Oku kuya kubandakanya ukuthatha imbali yakho yezonyango kunye nokwenza iimvavanyo ezininzi.

Zeziphi iimvavanyo ezenziwayo ukuze kufunyaniswe esi sifo?

Emva kokuqonda iimpawu zakho, ugqirha wakho unokucebisa iimvavanyo ezifana nezi ukuze afunde ngakumbi:

• Uvavanyo lweDijithali lweRectal: Olu luvavanyo lokuqala oluqhutywayo. Ugqirha uza kusebenzisa umnwe ogqunywe ngeglavu, othanjiswe ngethambiso ukujonga irectum. Oku kunokukunika umbono wobukhulu berectum, unobangela wentlungu, ukuba amalungu omzimba awile, kunye nokuba izihlunu zisebenza kakuhle kangakanani. Oku kunokubonakala kungakhululeki kancinci, kodwa luvavanyo olubaluleke kakhulu.
• Ukucoca amathumbu (i-X-ray okanye i-MRI): Oku kuquka ukuthatha imifanekiso yangaphakathi yamathumbu akho. Ugqirha uza kufaka into ekhethekileyo (efana ne-barium) kwi-rectum yakho. Emva koko, uza kucelwa ukuba uyikhuphe ngokungathi uyakhupha amathumbu. Oku kwenziwa kwigumbi elikhethekileyo lokubonisa imifanekiso. Ugqirha uza kujonga amalungu akho angaphakathi kwiscreen sekhompyutha. Oku kunokunceda ekumiseleni imo ye-rectum yakho, ukusebenza kwemisipha yakho, kunye nazo naziphi na izithintelo ezinokuthi zithintele ukuhamba kwendle yakho.
• I-Anorectal Manometry: Olu vavanyo lulinganisa indlela izihlunu zakho kunye nemithambo-luvo ezisebenzisana ngayo ukukunceda uphume esitulweni. Ityhubhu encinci (i-catheter) enebhaluni encinci eqhotyoshelweyo ifakwa kwi-anus yakho, kwaye ibhaluni izaliswe ngamanzi afudumeleyo. Elinye icala letyhubhu liqhagamshelwe kumatshini olinganisa ukusebenza kwezihlunu. Oku kunokulinganisa uxinzelelo, imvakalelo, kunye nokulungelelaniswa kwe-anus yakho.

Usenokuziva usoyika okanye ungakhululekanga xa usiva ngezi mvavanyo. Kodwa zinokuba luncedo kakhulu ekufumaneni unobangela wemeko yakho. Buza ugqirha wakho nayiphi na imibuzo onokuba nayo.

Zithini iindlela zonyango zoku?

Izizathu ze-ODS zihlala zintsonkothile, zinezinto ezininzi ezinxulumeneyo, ngoko ke unyango ludla ngokuba lolwendalo yonke kwaye luhlala lugcinwe.Kwenziwa ngandlela ithile. Akunakwenzeka ukuba oku kunganyangeki ngotyando olunye nje. Nokuba utyando luyacetyiswa, kwaye lulungisa isiphene somzimba, alusoloko lubangela ukuba umntu aphile ngokupheleleyo. Iimpawu zisenokuqhubeka okanye ziphinde zibuye. Kuba kukho ezinye izinto ekufuneka zijongwe, mhlawumbi ezingekafunyanwa.

Ezi zezona zinto zokuqala oogqirha abazicebisayo kuye wonke umntu:

• Ukongeza ifayibha engakumbi ekutyeni kwakho: Malunga ne-30-40 grams ngosuku. Izinto ezifana nemifuno, imifuno, iziqhamo, kunye neenkozo ezipheleleyo.
• Sela amanzi angaphezulu: ngaphezulu kweelitha ezi-2 ngosuku.
• Izithambisi-ndlela zokuhlamba okanye zokuhambisa isisu, i-enemas yasekhaya , kunye nokunkcenkceshela nge-colonic ukuba kuyimfuneko.
• I-yoga kunye neendlela zokuphumla ezikhokelwayo zinokunceda ukukhulula izihlunu zomgangatho we-pelvic kunye nokunciphisa uxinzelelo.

Kwabo baneempawu ezibangelwa yinkqubo yemithambo-luvo okanye izizathu zengqondo (malunga nesibini kwisithathu sabantu abanale meko bachatshazelwa zezo zizathu):

• Unyango lwe-Biofeedback: Oku kuluncedo ngakumbi kwiimeko ezifana ne-anismus (ukungakwazi ukukhulula izihlunu zokuvula i-anal) kunye nokungasebenzi kakuhle komgangatho we-pelvic. Kule nto, umsebenzi womzimba wakho (njengokubhitya kwemisipha) uboniswa ngomatshini. Ungaziqeqesha ukuba ulawule loo msebenzi ngabom.
• Unyango lwengqondo: Ukuba kuyimfuneko, funa uncedo kugqirha wengqondo okanye kumcebisi. Oku kunokunyangela iimeko ezinje ngexhala, ukudakumba, kunye nokoyika ukuphuma esibhedlele.

Kwiingxaki zomzimba (ezifana neengxaki zomzimba ezifana nokuncipha kwesisu): Ukuba ezinye iindlela zonyango azincedi, oogqirha banokucebisa utyando. Kukho iintlobo ezahlukeneyo zotyando ezinokwenziwa:

• I-Posterior colporrhaphy ye-rectocele: Ukubuyisela nokuqinisa udonga lwe-rectal oluqhekekileyo.
• Ukususwa kwe-rectal transanal okufakwe kwi-stapled (STARR) kwe-rectocele kunye ne-intussusception: Utyando lokuqinisa udonga olungaphambili lwe-rectum.
• I-Rectopexy: Kwi-rectal prolapse, i-rectum ibuyiselwa kwindawo yayo eqhelekileyo kwaye ilungiswe. Ngamanye amaxesha, kusetyenziswa i-mesh koku. Ngamanye amaxesha, inxalenye yekholoni ingadinga ukususwa ngexesha lotyando.

Khumbula, utyando lusoloko luyindlela yokugqibela. Ugqirha wakho uza kuyihlola ngononophelo imeko yakho aze akucebise unyango olulungele wena.

Liza kubaphatha njani ikamva abo banale meko?

Unyango oluzinzileyo lunokunceda malunga nama-30% abantu ukuba babone unyango okanye ukuncipha kweempawu. Utshintsho kwindlela yokuphila (ukutya, amanzi, umthambo) kunye nonyango lwasekhaya (amayeza, i-enemas) kusenokufuneka kuqhutyekwe, kodwa lunokubonelela ngesiqabu ngokwenene.

Unyango olufana ne-biofeedback kunye ne-psychotherapy luthatha ixesha kunye nokuzinikela ukuvelisa iziphumo, kodwa iingenelo zazo zinokuhlala ixesha elide. Iziphumo zotyando ziyahluka. Utyando lubonakala lusebenza ngakumbi xa ludityaniswe nezinye iindlela zonyango.

Ubunzima bokuchama yingxaki efuna ingqalelo ekhawulezileyo. Kodwa kunokuba nzima ukufumanisa ukuba yintoni ebangela oku. Ungamangaliswa kukuba zingaphi iinkqubo emzimbeni wethu – nkqu nengqondo – ezibandakanyekayo kwinkqubo yokuchama!

Ngethamsanqa, uninzi lweendlela zonyango ezicetyiswayo ngoogqirha kwi-ODS zinokuba luncedo nakubani na onesifo sokuqhina rhoqo. Ungaqala ngokutshintsha indlela yokuphila, amayeza asekhaya, kunye nonyango namhlanje. Kodwa kusoloko kuyinto elungileyo ukubona ugqirha ukuze ahlolwe. Angazisusa ezinye iimeko zonyango okanye iingxaki zomzimba ezinokuba negalelo kwimeko yakho aze azinyange. Kwaye, emva kokufunda okungakumbi ngemeko yakho, angathetha nawe malunga nokuxilongwa kwakho.

Okokugqibela, khumbula oku !

Kulungile, nazi izinto ekufuneka uzikhumbule koko sithethe ngako namhlanje:

• Ukungakwazi ukuzibamba komchamo (UDI) yimeko enzima kancinci enokubangelwa zizizathu ezingaphezu kwesinye.
• Ukuba unengxaki yokuya kwindlu yangasese, amathumbu akho omile, kwaye uziva ngathi awukaphumi ebhedini, musa ukuyityeshela nje loo nto.
• Ukuba unale mpawu, ungabi nantloni okanye ungoyiki, bonana nogqirha. Ukuba ufumene unobangela kwaye ufumane unyango olufanelekileyo, ungaphuma kule meko.
• Utshintsho olulula kwindlela yokuphila (ukutya okunefayibha eninzi, amanzi, umthambo) kunokwenza umahluko omkhulu.
• Ngamanye amaxesha unyango olukhethekileyo olufana ne-'Biofeedback' okanye utyando lunokufuneka. Ugqirha wakho uya kukunika ingcebiso ngale nto.
• Awuwedwa kule ngxaki. Abantu abaninzi banengxaki yesi sifo. Ngoko ke hlala uqinile kwaye ulandele icebiso likagqirha wakho.

Ndikunqwenelela impilo entle!

Ukuqhinwa , Ubunzima bokukhupha indle, Isifo sokuphuma kwendle esithintelweyo, Isifo seRectal, Ubuthathaka bomgangatho wePelvic, Ukoma, Unyango lweSitulo