Ngaba nawe unengxaki yokuya kwindlu yangasese? Masifunde nge-proctitis?

Ngaba ngamanye amaxesha uva iintlungu zesisu xa usiya kwindlu yangasese, okanye ngaba ubona igazi elincinci okanye i-mucus kwi-stool yakho? Okanye ngaba uziva ngathi kufuneka uye kwindlu yangasese rhoqo? Musa ukuzityeshela ezi zinto. Kuba ezi zinokuba ziimpawu zesifo esibizwa ngokuba yi-`(Proctitis)`. Namhlanje, masithethe ngokuba yintoni i-`(Proctitis)`, kutheni isenzeka, kunye nento esifanele siyenze.

Yintoni le `(Proctitis)`? Ngamafutshane...

I-Proctitis kukudumba kolwelo lwe-rectum, inxalenye yokugqibela yamathumbu amakhulu, ngaphambi nje kwe-anus. Ngokuchanekileyo, i-Procto ithetha i-rectum kwaye i-itis ithetha ukudumba. Le meko yenzeka xa ulwelo lwe-rectum lucaphuka (ludumbile, lube bomvu) ngezizathu ezahlukeneyo, ezinje ngeebhaktheriya, iikhemikhali, okanye iimeko ezifana nesifo samathumbu esidumbayo. Oku kunokubangela iimpawu ezingathandekiyo, ezinje ngentlungu, ukopha e-rectum, kunye notshintsho kwindlela yokuzilolonga.

Ngaba kukho iintlobo ezahlukeneyo ze-`(Proctitis)`?

Ewe, kuxhomekeke kwisizathu se-`(Proctitis)`, inokuba yeyokwexeshana elifutshane (ebukhali) okanye ende (engapheliyo) . `(Ebukhali)` ithetha ukuba yenzeke ngequbuliso ize inyamalale emva kwexeshana elifutshane. `(Engapheliyo)` ithetha ukuba ihlala ixesha elide. Iintlobo ze-`(Proctitis)` ezenzeka ngenxa yezizathu ezahlukeneyo ngamanye amaxesha zibizwa ngamagama ahlukeneyo. Umzekelo, leyo ibangelwa zizifo ezidluliselwa ngesondo `(Izifo ezidluliselwa ngesondo - ii-STI)` ibizwa ngokuba yi-`(infectious proctitis)`. Leyo ibangelwa lunyango lwemitha yomhlaza ibizwa ngokuba yi-`(radiation proctitis)`. Ngokufanayo, leyo ibangelwa yimeko ebizwa ngokuba yi-`(Ulcerative colitis)` ikwabizwa ngokuba yi-`(ulcerative proctitis)`.

Zithini iimpawu ze-`(Proctitis)`?

Ezi ziimpawu eziqhelekileyo ezibonwayo:

• Intlungu ye-analogue. Kusenokuba nzima nokuhlala phantsi ungashukumi.
• Intlungu kwi-quadrant yesisu sakho sasekhohlo.
• Ukuhambisa ulwelo olufana negazi okanye i-mucus kunye nendle. Le yinto yokuqala abantu abaninzi abayiqaphelayo.
• Ukuziva ngathi i-rectum idumbile kwaye igcwele.
• Ukuziva unyanzelekile ukuba ukhuphe indle rhoqo (tenesmus), kodwa ngamanye amaxesha kuphuma intwana encinci xa usiya kwindlu yangasese.
• Ubunzima okanye intlungu ngexesha lokuhamba kwamathumbu (i-dyschezia).
• Ukuqhinwa.
• Urhudo.

Ziziphi iimpawu zokuqala ze-`(Proctitis)`?

Iimpawu zokuqala zihlala zibonakala xa usiya kwigumbi lokuhlambela. Ubunzima, ukutsha, okanye ukuziva uxinezelekile xa ukhupha indle.Kungavakala ngathi. Usenokuvakalelwa kukuba kufuneka uye kwigumbi lokuhlambela ngequbuliso, kodwa kusenokwenzeka ukuba awukaquleki ngokupheleleyo. Urhudo, igazi okanye umhluzi kwindle ziimpawu eziqhelekileyo zokuqala.

Kutheni le nto `(Proctitis)` isenzeka? Zithini izizathu?

Kukho izizathu ezininzi ze-proctitis, ezinye zixhaphake kakhulu kunezinye.

Izizathu eziqhelekileyo ze-`(Proctitis)`:

• Isifo samathumbu esivuthayo (IBD): Izifo ezifana nesifo sikaCrohn kunye ne-Ulcerative colitis zibangela ukudumba okuhlala ixesha elide kwiindawo ezahlukeneyo zamathumbu. Kubantu abamalunga nama-30% abanezi zifo, ukudumba kuchaphazela kakhulu i-rectum. Le yeyona nto iphambili ebangela i-proctitis ngokubanzi.
• Izifo Ezidluliselwa Ngokwabelana Ngesondo (ii-STI): Izifo ezidluliselwa ngokwabelana ngesondo kunye nezifo ezibangelwa ziintsholongwane zinokungena kwi-anus nge-anus. Imizekelo ibandakanya:
• `(I-Gonorrhea)` (I-Gonorrhea)
• `(I-Chlamydia)` (I-Chlamydia)
• (I-Herpes simplex 2)` (I-Herpes simplex 2)
• `(I-Syphilis)` (I-Syphilis)
• `(I-Human Papillomavirus - HPV)` (I-Human Papillomavirus)

Olu sulelo lunokuchaphazela abafazi kunye namadoda abelana ngesondo ngendlela yokwamkela i-anal-reception.

• Izifo zesisu: Iintsholongwane ezibangelwa yityhefu yokutya ngamanye amaxesha zinokuchaphazela i-rectum. Imizekelo:
• `(Salmonella)` (Salmonella)
• `(Shigella)` (Shigella)
• `(Campylobacter)` (Campylobacter)

Ukuba usandula ukugqiba ikhosi yee-antibiotics, usenokuba sengozini yokufumana usulelo emathunjini akho nakwi-rectum olubangelwa yibhaktiriya ebizwa ngokuba yiClostridium difficile (C. diff). I-C. diff yibhaktiriya esele isemathunjini akho. Kodwa xa iibhaktiriya ezilungileyo emathunjini akho zibulawa zii-antibiotics, iibhaktiriya ezigcina i-C. diff ilawulwa azisekho, kwaye i-C. diff inokukhula kakhulu.

• Ukunganyamezelani kweeproteni zokutya kweentsana: Iintsana ezine-aleji kwiintlobo ezithile zobisi, ingakumbi ubisi lobisi okanye isoya, zinokuba nokuvuvukala naphi na emathunjini azo, kuquka ne-rectum. Iintsana zingazifumana ezi proteni kwifomyula okanye ngobisi lwebele ukuba umama wazo utya ukutya okuqulethe ezi proteni.
• Unyango lwemitha yomhlaza:Xa unyango lwemitha lunikezelwa kumhlaza, imeko ebizwa ngokuba yi-`(radiation mucositis)` inokwenzeka naphi na kwinkqubo yethu yokugaya ukutya. Oku kukudumba kwe-`(i-mucous lining)` ngaphakathi kwenkqubo yokugaya ukutya. `(radiation enteritis)` (ukudumba kwamathumbu amancinci) kunye ne-`(radiation colitis)` (ukudumba kwamathumbu amakhulu) zixhaphake kakhulu xa unyango lwemitha lunikezelwa kwisisu esingaphezulu okanye esisezantsi. Xa unyango lwemitha lunikezelwa kwi-`(indawo yepelvic)`, unokufumana i-`(radiation proctitis)` (ukudumba kwemitha ye-rectum).

Izizathu ezingaqhelekanga ze-`(Proctitis)`:

• I-Diversion proctitis: Le yimpembelelo engeyiyo enokwenzeka kubantu abaye batyandwa i-colostomy (inkqubo apho inxalenye yamathumbu amakhulu isuswa emzimbeni ukuze kwenziwe indlela yokuhambisa isitulo) okanye i-ileostomy (inkqubo apho inxalenye yamathumbu amancinci isuswa emzimbeni ukuze kwenziwe indlela yokuhambisa isitulo) kwaye idlule isitulo ngendlela eyahlukileyo kuneyo edlula kwi-anus. Kukholelwa ukuba ngenxa yokuba isitulo asidluli kwi-anus, i-anus ayinazo izondlo kunye nee-fatty acids ezimfutshane ezihlala zingena kwi-anus (ezinceda ukugcina i-anus imanzi kwaye isempilweni), nto leyo ebangela ukudumba kwe-anus okungasetyenziswayo. Nangona kunjalo, lincinci inani labantu elifumana iimpawu.
• I-Ischemic Syndromes yamathumbu: Njenge-ischemic colitis, i-ischemic proctitis inokwenzeka xa ukuhamba kwegazi ukuya kwi-rectum kunqunyulwa, nto leyo ethintela ioksijini kwizicubu. I-Ischemia idla ngokubangelwa kukuvaleka kwemithambo yegazi, njengokuqhekeka kwegazi, i-aneurysm, okanye i-plaque.
• Ukulimala kwe-Anorectal: Ukuba into yangaphandle okanye ikhemikhali ifakwa nge-anus, inokubangela ukudumba kwe-anus kunye ne-rectum. Iikhemikhali kwezinye iintlobo ze-enemas nazo zinokuba nale mpembelelo.
• Iingxaki zesisu ezibangelwa yi-Eosinophilic (EGID): I-Eosinophilia yimveliso ephezulu ngokungaqhelekanga yohlobo lweeseli ezimhlophe zegazi ezibizwa ngokuba zii-eosinophils. Iiseli ezimhlophe zegazi zinceda inkqubo yethu yomzimba ukuba ivelise impendulo yokudumba. Kwi-EGID, inkqubo yethu yomzimba ithumela inani eliphezulu kakhulu lee-eosinophils kwinxalenye yendlela yokugaya ukutya, nto leyo ebangela ukudumba ixesha elide. Abaphandi bacinga ukuba oku kusenokuba kukusabela okugqithisileyo kwi-allergy yokutya. I-Eosinophilic proctitis idla ngokuchaphazela abantwana abangaphantsi kweminyaka emi-2 ubudala.
• I-proctitis ekungekho sizathu sayo (`Idiopathic proctitis`):Inani elincinci labantu abane-proctitis alinasizathu saziwayo. Nangona kunjalo, basabela kakuhle kutshintsho lokutya. I-Idiopathic proctitis yimeko ehlala ixesha elide, ephindaphindayo. Malunga ne-10% yezi meko ekugqibeleni zikhula zibe yi-ulcerative colitis.

Ngaba iProctitis yimeko enzima?

Kwiimeko eziqhelekileyo, i-proctitis ayisongeli ubomi kwaye isabela kakuhle kunyango. Nangona kunjalo , ukuba inzima, ihlala ixesha elide, ayinyangwa, okanye ayiphenduli kunyango, inokukhokelela kwiingxaki ezinzulu ngakumbi.

Umzekelo, isilonda esingapholiyo sinokubangela ukopha kakhulu, okanye udonga lwe-rectal lunokutshatyalaliswa. Amaxesha amaninzi, i-proctitis inokuchaphazela imithambo-luvo ejikelezileyo, ibangele i-neuropathy.

Iingxaki ezinokubakho ngenxa yokudumba kwexesha elide:

• Ukopha kakhulu, okubangela i-anemia.
• IiFistula (imijelo edlula eludongeni lwerectal).
• Ukuqiniswa okanye ukuqiniswa kwe-stenosis (ukuncitshiswa kwe-rectum ngenxa yokuqhekeka kwezicubu).

Iingxaki ezibandakanya inkqubo yemithambo-luvo azixhaphakanga, kodwa zingabandakanya:

• Ukungasebenzi kakuhle kwesinyi se-neurogenic.
• Ukungaziva mnandi kunye nokurhawuzelela ezinyaweni zeenyawo (i-paresthesia).
• Ukungasebenzi kakuhle kwe-erectile.

Ifunyanwa njani iProctitis?

Ugqirha uza kuqala akubuze ngeempawu zakho aze emva koko ahlole i-rectum yakho ukuze abone ukuba unayo na imiqondiso ye-proctitis. Oku kungabandakanya uvavanyo lwedijithali lwe-rectal kunye ne-anoscopy . Ukuba kubonakala ngathi une-proctitis, ugqirha wakho uza kubuza imibuzo engakumbi ukuze afumanise ukuba yintoni ebangela oko kunye nohlobo lwayo. Umzekelo:

• Ngawaphi amayeza owasele kutshanje?
• Ngaba kukho nabani na kusapho onesifo sokuzikhusela komzimba?
• Ingaba ulala nomntu ongakhuselekanga okanye ulala nomntu ongavavanywanga?
• Ngaba ukhe wahamba waya kwelinye ilizwe kutshanje?

Ngokusekelwe kwezi mpendulo kunye noko kuboniswa ziimvavanyo, ugqirha wakho uya kugqiba ukuba zeziphi ezinye iimvavanyo ozifunayo.

Uvavanyo olongezelelweyo lungabandakanya:

• Uvavanyo lwegazi: Uvavanyo lwegazi lunokufumanisa usulelo kunye nezinye iimeko ezinokubangela i-proctitis. Lunokubonisa nokwehla kwegazi okanye ukwanda kwenani leeseli ezimhlophe zegazi.
• Uvavanyo lwesitulo: Ugqirha uza kuthatha isampuli yesitulo sakho aze ajonge ukuba kukho usulelo na, ukopha, okanye ukwanda kweeseli ezimhlophe zegazi.
• Ukhuliso lwe-rectal: Kolu vavanyo, ugqirha uthambisa ingaphakathi le-rectum nge-swab aze emva koko atyale isampuli ukuze abone iintsholongwane okanye iintsholongwane ezikhoyo.
• I-Proctoscopy: Olu luvavanyo lwangaphakathi lwe-rectum kusetyenziswa isixhobo esifutshane nesiqinileyo esifana netyhubhu. I-proctoscope yityhubhu engenanto enekhamera kunye nokukhanya ekupheleni. Ukuba kuyimfuneko, ugqirha unokudlulisa isixhobo kwityhubhu ukuze athathe isampuli yezicubu (i-biopsy).
• I-sigmoidoscopy eguquguqukayo: Ukuba ugqirha ufuna ukujonga ngakumbi kwi-sigmoid colon, inxalenye yokugqibela yamathumbu amakhulu edibana ne-anus, kungasetyenziswa ityhubhu ende neguquguqukayo ebizwa ngokuba yi-sigmoidoscopy eguquguqukayo. Ukuba kukho ingxaki ngamathumbu amakhulu, inokubonisa iimpawu zesifo samathumbu esivuthayo okanye usulelo kwindlela yokugaya ukutya. Ukulungiswa kwamathumbu kungenziwa ngaphambi kolu vavanyo.

Ingaba iProctitis iyaziphilisa ngokwayo?

Isenokuba njalo, kodwa akukho sizathu sokubandezeleka. Ukuba unentsholongwane, amayeza okubulala iintsholongwane okanye amayeza okulwa neentsholongwane anokukunceda uphile ngokukhawuleza. Ukuba ayibangelwanga yintsholongwane, ugqirha wakho unokukunika amayeza afana nee-steroids ukunciphisa ukudumba. Ukuba une-radiation proctitis, idla ngokuphela kwiiveki ezimbalwa emva konyango lwe-radiation. Kodwa okwangoku, amayeza eentlungu anokunceda. Ukuba une-IBD yexesha elide, i-proctitis isenokufika iphele. Kodwa ungasebenzisa amayeza athile xa ivutha.

Ihlala ixesha elingakanani i-proctitis?

Oku kuyahluka ngokuxhomekeke kwisizathu kunye nomntu. Ngonyango, kudla ngokuphela ngokukhawuleza. Ngokubanzi, kuthatha malunga neeveki ezine ukuya kwezintandathu ukuphiliswa emva kokuba imbangela yokuvuvukala isonjululwe. Ngelixa i-proctitis iphola, ungathatha amayeza e-OTC athengiswa ngaphandle kwemvume kagqirha ukuze uncede iintlungu okanye urhudo.

Ziziphi iindlela zonyango lwe-`(Proctitis)`?

Unyango luxhomekeke kwisizathu kunye nokuba imeko imbi kangakanani. Ingabandakanya:

• Ukuyeka unobangela wokudumba.
• Ii-antibiotics okanye ii-antivirals zosulelo.
• Ii-immunosuppressants ze-proctitis ezibangelwa ziimeko zokuzikhusela komzimba.
• Amayeza afana neSulfasalazine okanye iMesalamine yeUlcerative colitis/proctitis.
• Amayeza afana ne-Infliximab yeProctitis ebangelwa sisifo sikaCrohn.
• Ii-corticosteroids ezisetyenziswa kwiindawo ezingaphandle zisetyenziswa njengezithambiso zokunciphisa iintlungu kunye nokudumba.
• Ii-enema ze-sucralfate zisetyenziselwa ukunyanga izilonda ezingaphakathi kwesisu.
• Iinkqubo ze-Endoscopic zokuthintela ukopha kwindlela yokugaya ukutya.

Liyintoni ikamva ukuba ndine-`(Proctitis)`?

Uninzi lweemeko ze-proctitis zisabela kakuhle kunyango. Ukuba yimeko yexesha elifutshane (ebukhali), kufuneka iphele kwiiveki ezine ukuya kwezisibhozo kubantu abadala okanye kwiinyanga ezimbalwa kwiintsana. Ukuba une-proctitis yexesha elide enxulunyaniswa ne-IBD, unokufumanisa ukuba ukudumba kuyafika kuphele. Unganyanga ukudumba ngamayeza okulwa nokuvuvukala xa kufuneka. Inani elincinci labantu lifumana i-proctitis yemitha engapheliyo. Iimeko zexesha elide zinokubangela iingxaki kwaye kunokuba nzima ukuzinyanga.

Ngaba iProctitis ingathintelwa?

Ukuvavanya amaqabane ngaphambi kokuba nesondo kunokunciphisa umngcipheko wezifo ezidluliselwa ngesondo. Amanyathelo okuzikhusela afana neekhondom anokunceda kwezinye iimeko, kodwa ezinye izifo zinokusasazeka nangokwabelana ngesondo ngomlomo. Ukusebenzisa amadama amazinyo kunokunciphisa ukusasazeka okanye ukosuleleka kwezifo ezidluliselwa ngesondo ngomlomo. Ukuziqhelanisa neendlela zokulungiselela ukutya ezikhuselekileyo kunye nokuqaphela into oyityayo noyiselayo, ingakumbi xa uhamba uye kwelinye ilizwe, kunokunciphisa umngcipheko wosulelo lwesisu olubangelwa yityhefu yokutya. Ngelishwa, akukho ndlela yokuthintela i-IBD okanye i-radiation proctitis.

Ufanele uye nini kugqirha malunga ne-`(Proctitis)`?

Soloko ubona ugqirha ukuba uneempawu ze-proctitis. Kubalulekile ukuchonga unobangela kwaye uwunyange ukuze uthintele imeko ukuba ingabi mandundu. Ukuba ufumana unyango, kodwa alubonakali lusebenza, qhubeka unxibelelana nogqirha wakho. Ezinye iintlobo ze-proctitis zifuna umgudu othile ukuze zilawulwe ngempumelelo. Amaxesha amaninzi, ezinye iimeko zisenokungaphenduli kunyango oluqhelekileyo. Kwimeko ezinjalo, utyando lunokufuneka.

Iimpawu ze-proctitis, nokuba zezexeshana okanye eziqhubekayo, zinokuba nzima kakhulu. Unyango lwe-proctitis lugxila kwisizathu sokudumba kunye neempawu. Kwezinye iimeko, ezifana ne-radiation proctitis, ziimpawu kuphela ezinokunyangwa. Kwezinye iimeko, ezifana nosulelo, kubalulekile ukuba uvavanywe ukuze kuchongwe ibhaktheriya okanye intsholongwane ethile ebangela iimpawu zakho.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoku uyaqonda ngcono into ebesithetha ngayo, `(Proctitis)`. Eyona nto ibalulekileyo kukuba, ukuba unengxaki engaqhelekanga, iintlungu, igazi okanye i-mucus xa usiya kwindlu yangasese, musa ukuyityeshela. Bona ugqirha ngoko nangoko ukuze ufumane unobangela. Uninzi lwexesha, ezi meko zinokunyangwa kakuhle.

Ungoyiki, kodwa ungalibali! Impilo yakho isezandleni zakho.

Kwakhona, ukwenza isondo esikhuselekileyo nokutya ukutya okucocekileyo kuya kunceda ekukhuselekeni kwiimeko ezinjalo.

"I-proctitis, ukudumba kwe-rectum, ukopha kunye nendle, iintlungu zempundu, ii-STI, i-IBD, inkqubo yokugaya ukutya