Xa usiya kwigumbi lokuhlambela, ngaba uziva ngathi inxalenye yamathumbu akho iphuma kwi-anus yakho? Okanye ngaba uhlala uziva ugcwele, unzima, okanye ungakhululeki kwi-anus yakho? Abantu abaninzi abaxeleli mntu ngezi zinto ngenxa yeentloni okanye uloyiko. Kodwa namhlanje sithetha nge- 'Rectal Prolapse ', imeko echaphazela abantu abaninzi, kodwa ebangela iintloni ukuthetha ngayo, kodwa ekufuneka uyiqaphele.
Ngamafutshane, yintoni iRectal Prolapse?
Cinga ngenkqubo yethu yokwetyisa. Ukutya esikutyayo kungena emathunjini ethu, kugaywe, kwaye inkunkuma ikhutshwa emzimbeni wethu njengendle. Ngaphambi kokuba ikhutshwe, le ndle igcinwa okwethutyana kwinxalenye yokugqibela yamathumbu ethu amakhulu. Oku kubizwa ngokuba yi-rectum . Izihlunu ezingaphakathi kweli rectum ziyibamba endaweni yazo.
Ngoku, iRectal Prolapse kuxa izihlunu ezibambe irectum endaweni yazo zibuthathaka, nto leyo ebangela ukuba irectum iwele phantsi kwindawo yayo eqhelekileyo, iye empundu, kwaye ngamanye amaxesha iphume ngokupheleleyo emzimbeni. Kufana neteleskopu engena, apho inxalenye yamathumbu ingena khona kwaye inxalenye yerectum iphuma.
Kutheni oku kusenzeka? Zithini izizathu zoku?
Zininzi izizathu zokuba izihlunu ezibamba i-rectum zibe buthathaka. Isenokungabi yimbangela enye, kodwa yindibaniselwano yezinto ezininzi.
| Isizathu | Ingcaciso elula |
|---|---|
| Ukuqhinwa Okungapheliyo | Ekuhambeni kwexesha, izihlunu ezijikeleze i-anus ziba buthathaka ngenxa yokuzibhokoxa rhoqo xa usiya kwigumbi lokuhlambela. |
| Ukwaluphala | Njengazo zonke izihlunu emzimbeni, ezi zihlunu ziyawohloka ngokwendalo xa abantu bekhula. Le meko ixhaphakile kubafazi abangaphezu kweminyaka engama-50. |
| Ukukhulelwa kunye nokuzala | Lo mngcipheko uphezulu kakhulu koomama abasandula ukuzala. Uxinzelelo olugqithisileyo ngexesha lokubeleka lunegalelo koku. |
| Utyando lwangaphambili okanye iingozi | Utyando lwangaphambili okanye ukwenzakala kwindawo ye-pelvic kunokubangela umonakalo kwizihlunu. |
| Urhudo olungapheliyo | Ukuya rhoqo kwigumbi lokuhlambela nako kubeka uxinzelelo olongezelelekileyo kwezi zihlunu. |
| Ezinye iimeko zempilo | Ukukhohlela okungapheliyo, ukuthimla, usulelo lwezibungu zamathumbu, iingxaki zemithambo-luvo, kunye neemeko ezifana neCystic Fibrosis . |
Ayisiyo le hemorrhoids? Ubahlula njani aba bantu babini?
Le yingxaki enkulu kubantu abaninzi. Abantu abaninzi bayabhidanisa ezi zinto zimbini kuba iimpawu zeRectal Prolapse kunye neHemorrhoids ngamanye amaxesha ziyafana. Nangona kunjalo, ezi zimbini ziimeko ezimbini ezahlukeneyo ngokupheleleyo.
Ngamafutshane, ii-hemorrhoids zimithambo yegazi evuvukileyo ejikeleze i-anus. I-Rectal prolapse yi-protrusion yodonga lonke lwe-rectal.
Masiqonde ngokucacileyo umahluko phakathi kwezi zimbini.
| Uphawu | Ukuncipha kweRectal | IiHemorrhoids |
|---|---|---|
| kuqhubekani? | Udonga olusemqolo ngokwalo (inxalenye yamathumbu) luyatyibilika luze luphume. | Imithambo yegazi ejikeleze i-anus iyadumba kwaye ivele njengeethumba. |
| Inkangeleko | Iqhubu elibomvu, elifana nenyama elineendandatho ezijikelezileyo. | Ihlala ifana nenati encinci. Ngamanye amaxesha ingaba mfusa omnyama. Ayibonakali ngathi yimibimbi. |
| Indalo | Le yimeko eqhubekayo eqhubeka isiba mandundu ngokuhamba kwexesha. Ayibi ngcono ngokwayo. | Ixesha elininzi iba yeyokwexeshana. Ingaphola ngokwayo kwiveki okanye ezimbini ngonyango olufanelekileyo. |
Zithini iimpawu zoku?
Umntu onesi sifo unokufumana iimpawu ezahlukeneyo. Nangona ezi mpawu zisenokungabi mbi ekuqaleni, zinokukhula ngokuhamba kwexesha.
- Ukuziva okanye ukugcwala ngokungathi kukho into efana nebhola kwimpundu.
- Nokuba sele uphumile kwindlu yangasese, kuvakala ngathi awukayi kuhlamba kakuhle .
- Iqhuma elibomvu nelinomzimba liyaphuma xa usiya kwindlu yangasese. Ekuqaleni, eli qhuma liyazingenela lodwa, kodwa kamva kufuneka ulifake ngesandla.
- Ukuvuza kolwelo olufana ne-mucus, igazi, okanye ilindle eliphuma kwi-anus (i-Fecal Incontinence).
- Ukurhawuzelelwa kunye nentlungu ejikeleze i-anus.
- Ukuqhinwa okanye ubunzima bokuphuma kwendle.
Ugqirha uyifumana njani le nto?
Ukuba unezi mpawu, eyona nto ingcono onokuyenza kukubona ugqirha. Ugqirha uza kukubuza ngeempawu zakho aze akuhlole umzimba. Basenokukucela ukuba uzisule ngokungathi uya kwigumbi lokuhlambela uhlole i-rectum yakho.
Ukongeza, ungenza ezi mvavanyo zilandelayo ukuqinisekisa imeko kwaye ujonge ezinye iingxaki:
- Uvavanyo lweDijithali lweRectal: Uvavanyo oluqhelekileyo olwenziwa ngugqirha esebenzisa umnwe ogqunywe iiglavu.
- I-Anorectal Manometry: Uvavanyo olulinganisa amandla emisipha e-rectum nakwi-anus.
- I-Defecography: Uvavanyo olusebenzisa i-X-ray okanye i-MRI scan ukurekhoda ividiyo yomsebenzi we-rectum yakho ngelixa ukhupha i-defecation.
- I-Colonoscopy: Ityhubhu eguquguqukayo enekhamera ifakwa nge-anus ukuze kuhlolwe i-colon yonke.
- Uthotho lwe-GI olusezantsi (i-Barium Enema):Kunikwa ulwelo olubizwa ngokuba yi-barium, kwaye kuthathwa uthotho lweevidiyo ze-X-ray njengoko ludlula emathunjini.
- I-Electromyography (EMG): Uvavanyo olujonga umonakalo kwimithambo-luvo elawula ukusebenza kwezihlunu.
Kuza kwenzeka ntoni ukuba ayinyangwa?
Esi asisosimo sisongela ubomi, kodwa ukuba asinyangwa ixesha elide, ukungonwabi kunokwanda kwaye kubekho iingxaki ezinkulu.
- Ukungakwazi ukuzibamba: Le yimeko apho izihlunu ezikwi-rectum ziyaqina, nto leyo ebangela ukungakwazi ukulawula ukuhamba kwendle nomoya. Le ngxaki ichaphazela abantu abangama-50%-75% abanale meko.
- Izilonda Zesisu: Inxalenye yesisu esiphumayo inokucaphuka kwaye yophe ngenxa yokukhuhla impahla nokoma.
- Ukuvalelwa: Ngamanye amaxesha inxalenye ye-rectum ephumileyo ayinakubuyiselwa. Le yimeko enobungozi ngandlela thile.
Eyona nto ibalulekileyo: Ukuba ibambeka ngolu hlobo, igazi eliya kuloo ndawo liya kunqunyulwa kwaye izicubu ziya kuqala ukufa. Oku kubizwa ngokuba yiStrangulation okanye iGangrene . Le yingxamiseko yezonyango. Ukuba oku kuyenzeka, kufuneka uye kwiSebe leeNgxamiseko lesibhedlele (ETU) ngoko nangoko.
Zithini iindlela zonyango zoku?
Xa le meko isenzeka kumntu omdala, ayibi ngcono ngokwayo. Ngokwesiqhelo, unyango olungcono loku kukuhlinzwa . Ukuba le meko isenzeka kubantwana abancinci, inokuba ngcono ngokwayo xa unobangela (umz. ukuqhina kwesisu) uphelisiwe.
Kukho iintlobo ezimbini eziphambili zotyando. Ugqirha wakho uya kumisela utyando olufanelekileyo kuwe ngokusekwe kwimeko yakho yempilo kunye nohlobo lwe-prolapse.
1. Indlela Yesisu - I-Rectopexy
Oku kuquka ukwenza utyando esiswini (nokuba lutyando oluvulekileyo okanye nge-laparoscopically okanye ngotyando lwe-keyhole), ukutsala i-prolapsed rectum ibuyele phezulu, kwaye uyixhome eludongeni olungasemva lwe-pelvic cavity ngezitishi okanye into efana ne-mesh. Olu tyando luphumelele kakhulu.
2. Indlela yokuSebenza kwiPerineum
Le ndlela isetyenziswa kubantu abangakwaziyo ukwenza utyando lwesisu, abantu abadala, okanye abanezinye iingxaki zempilo. Kule ndlela, utyando lwenziwa nge-anus.
- Inkqubo ye-Altemeier: Kule nkqubo, inxalenye ephumayo yamathumbu iyasikwa ize isuswe, kwaye ezinye iindawo ezimbini eziseleyo ziyadityaniswa kwakhona.
- Inkqubo yeDelorme: Kule nkqubo, kususwa kuphela ulwelo oluqhekekileyo lwe-mucosal lwe-rectum, kwaye umaleko wemisipha ugoqwe kwaye uthungwe kunye.
Ngaba le meko ingathintelwa?
Ewe, le ngozi ingancitshiswa ngandlela ithile. Ezi zinto zibalulekile ukuthintela le meko ukuba ingaphindi ivele emva kotyando.
- Lawula ukuqhinwa: Yitya ukutya okutyebileyo kwi-fiber (iziqhamo, imifuno, iimbotyi). Sela ubuncinane iiglasi zamanzi ezi-8-10 ngosuku. Kuphephe ukuzikhama xa usiya kwigumbi lokuhlambela.
- Yomeleza izihlunu zakho zomgangatho we-pelvic: Eyona ndlela ilungileyo yokwenza oku kukuzilolonga ngeKegel . Ungacela ugqirha wakho okanye ingcali yezonyango ukuba akunike iingcebiso zendlela yokwenza oku.
- Gcina ubunzima obusempilweni: Ubunzima obugqithisileyo bubeka uxinzelelo olongezelelekileyo kwimisipha yomgangatho we-pelvic.
Umyalezo Wokuya Ekhaya
- Ukubola kwesisu okuphuma emqolo akunasizathu sokuba neentloni ngako. Yimeko yempilo leyo.
- Oku kwahlukile kwi-hemorrhoids, ngoko ke ukuba uneempawu, kubaluleke kakhulu ukuba ufumane uxilongo olufanelekileyo.
- Le meko ayibi ngcono ngokwayo kubantu abadala. Ukungonwabi kunokwanda ngokuhamba kwexesha.
- Ukuba unale mpawu, ungoyiki ukubona ugqirha kwaye ucele ingcebiso.
- Izinto ezilula ezifana nokulawula ukuqhina kwesisu kunye nokwenza umthambo weKegel zinokunceda ekuthinteleni le meko.
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