Ngaba nawe unentlungu ekhawulezileyo neqatha kwimpundu yakho? Masithethe ngeProctalgia Fugax!

Ngaba wakha wenza umsebenzi wakho okanye walala kamnandi xa ngequbuliso waziva intlungu ebukhali enganyamezelekiyo kwi-anus yakho (apho indle iphuma khona)? Iyafika ize iphele kwimizuzu embalwa, ngokungathi akukho nto yenzekileyo. Oku akukokwakho wedwa, kukungonwabi okuqhelekileyo abantu abaninzi abakufumanayo. Ngokwezonyango, oku sikubiza ngokuba yi- (Proctalgia Fugax) . Nangona igama lisenokuvakala lingaqhelekanga, kubaluleke kakhulu ukuliqaphela.

Yintoni le (Proctalgia Fugax)? Masiyiqonde ngokulula!

Ngamafutshane, iProctalgia Fugax yintlungu enzima ephuma empundu eqala ngequbuliso ize iphele yodwa kwixesha elifutshane (ngaphantsi kwemizuzu engama-30). Ayisiyonto iyenzeka kube kanye. Abanye abantu banokufumana le ntlungu rhoqo emva kweeveki ezimbalwa okanye iinyanga.

Ngaba masijonge intsingiselo yale gama?

• Igama elithi proctalgia lithetha "iintlungu kwi-rectum okanye kwi-rectum." I-rectum ligama elinikwa ii-intshi ezintandathu zokugqibela zamathumbu akho amakhulu. Ifumaneka ngqo phezu kwe-anus. I-rectum zii-intshi ezimbalwa zokugqibela zendlela yakho yokugaya ukutya (Gastrointestinal Tract - GI Tract) . Kulapho kufumaneka khona izihlunu ze-sphincter , eziqina xa kufuneka wenze intshukumo yamathumbu. Ngoko ke, le ntlungu inxulumene nemithambo-luvo kunye nezihlunu ezikule ndawo.
• I-Fugax ligama lesiLatini elithetha "ngoko nangoko" okanye "ukudlula ngokukhawuleza."

Into ebalulekileyo kukuba le ntlungu ayibangeli umonakalo kwizicubu ezikwi-rectal. Nangona kunjalo, intlungu inokuba nkulu kangangokuba ingakukhathazi kangangokuba awukwazi ukuya esikolweni okanye emsebenzini uze uhlale ekhaya.

Ingaba ixhaphake kangakanani le meko (Proctalgia Fugax)?

Kuqheleke kakhulu kunokuba unokucinga. Abaphandi baqikelela ukuba malunga ne-18 kubantu abayi-100 (okanye i-18%) yoluntu ngokubanzi baya kuba nale meko ngaxa lithile ebomini babo. Kodwa into ebuhlungu kukuba, malunga nama-20 kuphela kwabayi-100 (okanye ama-20%) aba bantu baye babona ugqirha malunga neentlungu zabo. Mhlawumbi ngenxa yokuba beneentloni okanye beneentloni zokuthetha ngento efana nale, abantu abaninzi bayabandezeleka buthule.

Zithini iimpawu ze (Proctalgia Fugax)?

Uphawu oluphambili mhlawumbi olukuphela kwalo mqathango ziintlungu ezikwi-rectum. Zikwabonakala ngezi ndlela zilandelayo:

• Ixesha elifutshane: Intlungu ihlala ingaphantsi kwemizuzu engama-30. Ngamanye amaxesha inokuphela kwimizuzwana embalwa.
• Ubuninzi bokwenzeka kwale meko buyahluka: Kwabanye, inokwenzeka kanye okanye kabini ngonyaka, ngelixa kwabanye, le meko ibuhlungu ingenzeka izihlandlo ezininzi ngenyanga.
• Uhlobo lwentlungu:
• Ihlala ivakala njengentlungu ebukhali nehlabayo , kungekhona intlungu ebuhlungu, ecinezelwayo okanye intlungu yokuqaqamba njengentlungu yesisu.
• Intlungu ivakala ngathi ivela ngaphakathi okanye kufutshane ne-anus. Ayiveli phezulu, njengangaphakathi emzimbeni.
• Iqala ngaphandle kwesizathu: Uninzi lwexesha, akukho sizathu sicacileyo sale ntlungu. Iqala ngequbuliso. Nangona kunjalo, kwabanye abantu, inokwenziwa mandundu zizinto ezithile (siza kuthetha ngaloo nto kamva).
• Emini okanye ebusuku: Le ntlungu inokubakho nangaliphi na ixesha emini. Ngamanye amaxesha, inokukuvusa ebuthongweni obunzulu .

Enyanisweni, intlungu inzima kangangokuba abanye abantu bakufumanisa kunzima ukwenza nantoni na ngelo xesha. Kumntwana oya esikolweni okanye kumntu osebenzayo, oku kunokubangela ukuba aphoswe yimisebenzi yakhe yemihla ngemihla.

(Proctalgia Fugax) Ivakala njani intlungu?

Abanye abakhe bahlangabezana nale ntlungu bathi ivakala njengehashe likaCharley, intlungu enzima kwi-anus . Xa intlungu ikhona, inzima kangangokuba awukwazi ukucinga ngenye into. Ngelo xesha, ungaziva ngathi le ntlungu ayisoze iphele. Kodwa eyona nto ibalulekileyo kukuba nokuba imbi kangakanani le ntlungu, ihlala iphela yodwa emva kwexesha elithile .

Zithini izizathu ze (Proctalgia Fugax)?

Akukho sizathu sicacileyo sifunyenweyo okwangoku, kodwa oogqirha nabaphandi bakholelwa ukuba kukho izinto ezininzi ezinokubangela oku:

• Ukuqaqamba kwemisipha: Le ntlungu inokubangelwa kukuqina ngequbuliso (ukukrwitshwa) kwemisipha ye-anal sphincter okanye eminye imisipha esezantsi kwe-pelvic yakho. Kuvakala ngathi yimisipha eshukumayo emlenzeni wakho.
• Iingxaki zemithambo-luvo: I-pudendal nerve yeyona mithambo-luvo iphambili ethwala iimvakalelo ukusuka kwindawo yakho ye-pelvic ukuya engqondweni yakho. Ukuba le mithambo-luvo yonakele nangayiphi na indlela okanye kukho utshintsho kumsebenzi wayo (okwabizwa ngokuba yi -pudendal neuralgia) , i-proctalgia fugax inokwenzeka.

Ingabangelwa nangumphumo othile wonyango olwenziwe kwindawo ye-pelvic. Umzekelo:

• I-Sclerotherapy ye- hemorrhoids lunyango olubandakanya ukufaka ikhemikhali kwi-hemorrhoids ukuze inciphe.
• Ukususwa kwesibeleko sangasese sowesifazane .

Kufunyenwe ukuba iProctalgia fugax inxulumene nezinye iimeko zonyango. Usethubeni lokuba neProctalgia fugax ukuba unenye yezi meko zilandelayo:

• I-Irritable Bowel Syndrome (IBS): Esi sisifo samathumbu. Iimpawu ziquka ukudumba, iintlungu zesisu, ukuqhina, okanye urhudo.
• Iingxaki zokuxhalaba: Iimeko zengqondo ezifana nokukhathazeka kakhulu kunye noloyiko.

Ngaba kukho naziphi na izinto ezibangela intlungu (Proctalgia Fugax)?

Uninzi lwexesha, iintlungu zeProctalgia Fugax azinanto ithile ezibangela ukuba intlungu iqale ngesiquphe. Nangona kunjalo, abanye abantu banokufumanisa ukuba iintlungu zibangelwa okanye zisiba mandundu zezi zilandelayo:

• Uxinzelelo: Izinto ezifana noxinzelelo olugqithisileyo kunye nokuxhalaba.
• Isondo.
• Ukuya exesheni/Ukuya exesheni.
• Ukuba nentshukumo yokuhambisa isisu / Ukuchitha indle.

Ngubani osengozini enkulu yoku?

I-Proctalgia fugax yimeko exhaphake kancinci kwabasetyhini kunamadoda. Ikwanobudlelwane obunxulumene nobudala. Ixhaphake kakhulu kubantu abadala abaneminyaka ephakathi kwama-30 nama-60.

Indlela yokuxilonga (iProctalgia Fugax)?

Akukho vavanyo lucacileyo lokuxilonga iProctalgia Fugax. Oogqirha bayixilonga besebenzisa indlela ebizwa ngokuba yi -'Diagnosis of exclusion' . Oko kukuthi, ugqirha uya kugqiba kwelokuba uneProctalgia Fugax kuphela emva kokuqinisekisa ukuba zonke ezinye izinto eziqhelekileyo ezibangela iintlungu ze-rectal (umzekelo, ii-hemorrhoids, ii-anal fissures) azikho ngokusekelwe kwiimpawu zakho.

Ngoko ke, xa usiya kugqirha, kubalulekile ukuba ucacelwe ziimpawu zakho. Ukuthetha ngeentlungu zempundu kunokuba nzima kancinci. Sifundiswe kwasebuntwaneni ukuba 'intetho yempundu' (malunga nokuphuma kwesisu, ukuphuma kwegesi, i-anus) yinto ebangela iintloni nehlazo.

Kodwa khumbula, akuyonto imbi ukuthetha nogqirha wakho malunga nempilo yakho, kuquka neentlungu zamathumbu. Akuyonto yokuba neentloni ngayo. Ulwazi olunika lona luya kunceda ugqirha wakho ukuba afumane isicombululo kwaye akunike isiqabu ngokukhawuleza.

Ugqirha angakubuza izinto ezifana nezi:

• Ivakala njani intlungu? (umz., ingaba ibukhali, ayicacanga, ihlaba?)
• Intlungu ibikho ixesha elingakanani?
• Ingaba le ntlungu ivela kangaphi? (Kangaphi ngemini? Ngeveki? Ngenyanga?)
• Ngaba ukhe waphawula naziphi na izinto ezenza intlungu ibe mandundu? (umz. ukutya, uxinzelelo, imisebenzi ethile)

Uvavanyo lokuxilonga

Nangona kungekho vavanyo luthile lweProctalgia Fugax, ugqirha wakho unokuyalela uvavanyo oluthile ukuze asuse ezinye iimeko ezinokubangela intlungu yakho emqolo. Ezi zinokubandakanya:

• Uvavanyo lwegazi
• Uvavanyo lwedijithali lwerectal
• Uvavanyo lwe-pelvic (ingakumbi kubasetyhini)
• I-Colonoscopy
• Uvavanyo lwenxalenye esezantsi yekholoni kuphela (i-Flexible sigmoidoscopy)
• Ukuvavanya ukusebenza kwemisipha yomgangatho we-pelvic(Uvavanyo lomgangatho wePelvic)

Iphathwa njani iProctalgia Fugax?

Iindaba ezimnandi zezokuba kukho unyango loku. Kodwa akukho nyango okwangoku . Injongo ephambili yonyango kukulawula iimpawu, ukuphepha izinto ezaziwayo ezibangela oku, kunye nokunciphisa iintlungu ngokukhawuleza xa zisenzeka.

Ngokuxhomekeke kubukhali beempawu zakho, unokukwazi ukumelana noku ekhaya, okanye ungadinga amayeza kagqirha okanye olunye unyango.

Amayeza asekhaya

Ungazama ezi zinto ekhaya ukuze ufumane isiqabu xa intlungu ifika:

• Uxinzelelo olushushu okanye olubandayo: Ungafaka i-heating pad (malunga nemizuzu eli-15-20) okanye i-ice pack (esongelwe ngelaphu elincinci) kwindawo ebuhlungu.
• Ukucwilisa emanzini ashushu: Ungacwilisa ebhafini efudumeleyo imizuzu eli-15-20 okanye ucwilise ebhafini . Ucwilise ebhafini kuquka ukuhlala esityeni esingenamanzi ashushu (hayi ashushu, kodwa afudumeleyo) umqolo wakho untywilisile.
• Iintlungu ezixhaphakileyo: Iintlungu ezisetyenziswa ngaphandle kwekhawuntara (OTC) (umz. iparacetamol, iibuprofen) zingasetyenziswa ngaphandle kwencwadi kagqirha evela kwikhemesti. Nangona kunjalo, kungcono ukubonana nogqirha ngaphambi kokuba uzisebenzise.
• Iindlela zokuphumla: Zama iindlela zokuphumla ezifana nokucamngca, i-yoga, kunye nokuzilolonga ngokuphefumla nzulu . Ezi zinokunceda ekunciphiseni uxinzelelo kunye nokuphumza izihlunu.

Unyango olufumaneka kugqirha (Imiyalelo kagqirha kunye nonyango oluseofisini)

Ukuba amayeza asekhaya awaniki ncedo, okanye ukuba intlungu iyaqhubeka, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Banokucebisa unyango olufana nolu:

• Amayeza asetyenziswa kwi-rectum: Kukho amayeza athile asetyenziswa kwi-rectum. Umzekelo, i-nitroglycerin ointment . La mayeza aphumza izihlunu kwi-rectum aze anciphise iintlungu.
• Iinaliti zeBotox: Iinaliti zeBotox ngamanye amaxesha zisetyenziselwa ukuthomalalisa izihlunu ze-anal sphincter.
• Ukuvuselelwa kombane: Oku kuquka ukusebenzisa isixhobo esikhethekileyo (iprobe) esikhupha imiqondiso yombane ukuze kuthomalaliswe ukushwabana kwemisipha kwi-rectum.
• Unyango lomzimba lomgangatho wepelvic olune-biofeedback:Olu luhlobo olukhethekileyo lonyango. Ingcali yezonyango ikufundisa ukuchonga, ukulawula, kunye nokukhulula izihlunu zakho zomgangatho we-pelvic. Kwindlela ebizwa ngokuba yi-biofeedback, uyaziswa ngeemvakalelo emzimbeni wakho (umzekelo, ukuba ziqine kangakanani izihlunu zakho). Emva koko ungafunda ukuqaphela xa izihlunu zakho zomqolo ziqinile kwaye uziphumze.
• Uncedo okanye unyango: Ukuba ucinga ukuba intlungu yakho inxulumene noxinzelelo okanye ixhala, ukufuna uncedo kunokubonelela ngoncedo.

Luhlobo luni lwekamva umntu oneProctalgia Fugax anokulilindela?

Kule meko, ayinguye wonke umntu onokulindela iziphumo ezifanayo. Abanye abantu baziva iintlungu izihlandlo ezimbalwa ebomini babo kwaye abasayi kuphinda bajongane nazo. Kwabanye, iintlungu zinokuba yinto eqhubekayo kwaye ziphazamise imisebenzi yemihla ngemihla.

Amava akho aya kuxhomekeka kubukhulu bentlungu kunye nokuba ivela kangaphi. Eyona nto ibalulekileyo kukusebenzisana nogqirha wakho ukuze ufumane unyango olufunayo. Kungenjalo, licebo elihle ukugcina izinto ezifana neejeli ezisetyenziswa ngelaphu zikufutshane ukuze zinike isiqabu ngokukhawuleza xa intlungu ifika.

Ndifanele ndimbone nini ugqirha?

Ukuba unentlungu ephindaphindayo, engapheliyo, okanye enzima emqolo, qiniseka ukuba ubona ugqirha . Musa ukulibazisa ukufumana uxilongo okanye unyango kuba uneentloni okanye ucinga ukuba "oku kuza kuphela kwixesha elifutshane." Okukhona ufuna ingcebiso kagqirha ngokukhawuleza, kokukhona uza kuziva ungcono ngokukhawuleza.

Ndingayibuza yiphi imibuzo ugqirha wam?

Xa undwendwela ugqirha, ungathandabuzi ukubuza imibuzo esengqondweni yakho. Ungabuza imibuzo efana nale:

• Zeziphi iimvavanyo ekufuneka ndizenze ukuze ndifumanise imeko yam ngokuchanekileyo?
• Yintoni enokubangela ukuba ndibe buhlungu emqolo?
• Loluphi unyango olundicebisayo?
• Zeziphi izinto endinokuzenza ekhaya?
• Ndingenza ntoni ukuze ndilungele olu hlobo lwentlungu kwixesha elizayo?
• Ngaba kufuneka ndenze naluphi na utshintsho kwindlela endiphila ngayo ukuze ndinciphise le ntlungu?

Yintoni umahluko phakathi kwe (Proctalgia Fugax) kunye ne (Chronic Proctalgia / Levator Ani Syndrome)?

Nangona zombini ezi ziintlungu kwi-rectum, kukho umahluko othile. Igama elithi "fugax" elivela kwigama elithi (Proctalgia Fugax) livela kwigama elithi "fugax" elithetha "olufutshane." Oku kuthetha ukuba intlungu ihlala ixesha elifutshane (ngaphantsi kwemizuzu engama-30).

Nangona kunjalo, ukuba intlungu yakho ihlala ixesha elingaphezulu kwemizuzu engama-30, okanye ukuba uyiva rhoqo emini, usenokuba ne -proctalgia engapheliyo . Oku kukwabizwa ngokuba yi -levator ani syndrome . I-levator ani yakho sisihlunu esibalulekileyo kumgangatho we-pelvic yakho. Kwi-levator ani syndrome, intlungu iqala kwesi sihlunu.

Ngokungafaniyo neProctalgia Fugax, iLevator ani syndrome ibonakaliswa yintlungu evakala phezulu kwi-pelvis, kungekhona kufutshane ne-anus. Isenokuba buthuntu, ibuhlungu, okanye ibe nzima kunokuba ibe bukhali. Kwakhona, intlungu idla ngokuba mandundu xa uhleli. KwiProctalgia Fugax, intlungu ayichaphazeleki kakhulu yindlela umzimba omi ngayo.

Naluphi na uhlobo lwentlungu lundwendwe olungafunekiyo ebomini bethu. Ingakumbi xa kufikwa kwindawo ebuthathaka, eyimfihlo njenge-anus, inokuba nzulu ngakumbi kwaye ixinezeleke. Amava anokuba buhlungu kwaye ahlazise. Kodwa akukho mfuneko yokuba neentloni okanye ukufihla nayiphi na intlungu oyivayo. Umzimba wakho wenziwe ngemithambo-luvo kunye nemisipha ekuncedayo ukuba usebenze kwaye ikulumkise xa kukho ingxaki. Njengalo naliphi na ilungu lomzimba wakho, la malungu ngamanye amaxesha anokungahambi kakuhle kwaye abangele ukuba ube neempawu ezifana nentlungu. Eyona nto ibalulekileyo kukwenza into ngayo. Ungaze ulibazise ukufumana uncedo olufunayo, nokuba kungenxa yeentloni okanye uloyiko.

Ezona zinto zibalulekileyo esifuna ukuzithatha kweli bali zezi

• I-Proctalgia fugax yintlungu ebukhali neqatha kwi-anus eqala ngequbuliso ize iphele emva kwexesha elifutshane (ngaphantsi kwemizuzu engama-30).
• Nangona le ingeyona imeko inzima nesongela ubomi, intlungu inokuba yingxaki kakhulu kwaye inokuphazamisana nemisebenzi yakho yemihla ngemihla.
• Ukuba le ntlungu iyenzeka rhoqo, ukuba intlungu inzima, okanye ukuba unamathandabuzo ngayo, qiniseka ukuba ubona ugqirha ukuze akunike icebiso. Musa ukuba neentloni okanye ukoyika.
• Kukho amayeza alula asekhaya okunciphisa iintlungu, kunye namayeza kunye nolunye unyango olunokufumaneka kugqirha.
• Ngoko ke, akufuneki ubandezeleke wedwa ngolu hlobo lwentlungu. Eyona nto ibalulekileyo kukwazi ulwazi olufanelekileyo nokufumana iingcebiso zonyango ezifunekayo.

I- Proctalgia Fugax, iintlungu ze-rectal, iintlungu ze-anal, iintlungu ze-anal ngequbuliso, iintlungu zokuqhina, iintlungu ze-pelvic, ukuqaqamba kwemisipha