Ngaba ngamanye amaxesha ukhe uzive ngathi kukho into enzima okanye efana nebhola ephuma kwi-rectum yakho xa usiya kwindlu yangasese? Siyazi ukuba le yinto ehlazisayo nehlazisayo ukuthetha ngayo. Kodwa le ayisiyongxaki kuwe kuphela, yimeko yezonyango enokuchaphazela abantu abaninzi. Ngoko ke musa ukoyika okanye ube neentloni ngayo. Namhlanje sithetha nge-rectal prolapse, okanye into ebizwa ngokuba yi-`(Rectal Prolapse)` ngokwezonyango.
Ngamafutshane, yintoni i-rectal prolapse?
Kulungile, ukuze sikuqonde oku, masiqale sifunde kancinci ngale nxalenye yomzimba wethu. Inxalenye yokugqibela yamathumbu akho amakhulu yileyo siyibiza ngokuba yi-'rectum' okanye inxalenye yokugqibela ye-rectum. Ifumaneka ngaphezulu nje kwe-anus yakho. Emva kokuba ukutya esikutyayo kugayiwe, inkunkuma eseleyo, ebizwa ngokuba yindle, iqokelelana okwethutyana kule nxalenye ebizwa ngokuba yi-'rectum'. Xa le nxalenye igcwele, siziva sifuna ukuya kwindlu yangasese. Emva koko, izihlunu ezijikeleze yona ziyancipha ukuze zityhale indle iphume nge-anus.
Ngoku, kwi-'Rectal Prolapse', kwangoko nje ukuba isitulo siphume, inxalenye yokugqibela ye-rectum eyayisibambe nayo iyaphuma. Njengeteleskopu engena, le nxalenye iyangena ize iphume kwi-anus. Ngamanye amaxesha inokuphuma kancinci, ngamanye amaxesha inokuphuma ngokupheleleyo.
Igama elithi "Prolapse" lisetyenziswa ngoogqirha. Lithetha ukuba ilungu lomzimba liyawa lisuka kwindawo yalo eqhelekileyo. Oku kwenzeka rhoqo xa izihlunu ezibambe ilungu endaweni yalo zibuthathaka.
Ngubani onokuthi abe nale meko? Zithini izizathu?
Nangona le meko inokwenzeka nakweyiphi na iminyaka, ixhaphake kakhulu kubasetyhini abaneminyaka engaphezu kwama-50. Ukongeza, ngamanye amaxesha ingenzeka nakubantwana abancinci. Ibangelwa kurhudo oluhlala ixesha elide okanye izifo ezifana ne-"Cystic Fibrosis".
Kunzima ukucacisa unobangela woku, kodwa zininzi izinto ezinokubangela oku. Eyona nto iphambili kubuthathaka bemisipha ebambe i-rectum. Izinto ezibangela oku ziquka:
- Ukwaluphala: Njengazo zonke izihlunu emzimbeni, nalo luba buthathaka kancinci njengoko sikhula.
- Ukukhulelwa nokuzala: Ukuzala kubeka uxinzelelo olukhulu kwimisipha yesinqe, nto leyo enokubangela ukuba buthathaka.
- Ukuqhinwa okanye urhudo oluhlala ixesha elide: Ukuzibhokoxa rhoqo ukuze ukhuphe indle endlwini yangasese kungonakalisa ezi zihlunu. Le meko inokubakho nokuba unesifo sorhudo esiqhubekayo.
- Utyando lwangaphambili okanye ukwenzakala kwi-pelvic ovalwe ngaphambili okanye kwindawo engqongileyo.
- Usulelo lwezibungu zamathumbu.
- Ukukhohlela okanye ukuthimla ixesha elide: Le meko inokubangelwa kukucinezelwa kwesisu okubangelwa kukukhohlela rhoqo ngenxa yeemeko zempilo ezifana ne-asthma.
- Ukonakala kwintambo yomqolo okanye kwimithambo-luvo.
- Iimeko zemfuza ezifana neCystic Fibrosis.
Ingaba le yi-hemorrhoids? Okanye yinto eyahlukileyo? Ndingaqiniseka njani?
Le yeyona ngxaki inkulu abantu abaninzi abanayo. Abantu abaninzi babhidanisa le meko ne-hemorrhoids. Kuqhelekile ukucinga njalo kuba iimpawu zazo zombini ezi meko ziyafana. Ii-hemorrhoids zimithambo yegazi evuvukileyo ejikeleze i-anus. Zinokubangela intlungu, ukurhawuzelela, kunye nokopha. Ngamanye amaxesha ii-hemorrhoids nazo zinokuphuma.
Kodwa kukho umahluko ocacileyo phakathi kwezi zimbini. Makhe sijonge le theyibhile ukuze sikunike ukuqonda okungcono.
| Uphawu | Ukuncipha kweRectal | IiHemorrhoids |
|---|---|---|
| kuqhubekani? | Inxalenye yokugqibela ye-rectum (inxalenye yamathumbu) iyaphuma. | Imithambo yegazi ejikeleze i-anus iyadumba kwaye ivele njengeethumba. |
| Isizathu esiphambili | Ukubuthathaka kwemisipha ye-pelvic (ngenxa yezizathu ezahlukeneyo). | Ukuxinezeleka kakhulu kunye noxinzelelo ngexesha lokuhamba kwamathumbu. |
| Indalo | Imeko engapheliyo eba mandundu kancinci kancinci ngokuhamba kwexesha. Ayiziphili yodwa. | Ihlala iyinto yexeshana kwaye ingaphili ngokwayo kwiveki okanye ezimbini. |
| Iimpawu eziphambili | Iqhuma elibomvu eliphuma kwimpundu, ubunzima bokulawula ukuhamba kwamathumbu, kunye nokuziva ngathi kukho into ebambekileyo. | Ukurhawuzelela, iintlungu, kunye nokopha empundu. |
Khumbula, musa ukuqikelela nje ukuba unesifo esinjani. Eyona nto ingcono onokuyenza kukubona ugqirha uze ufumane ukuxilongwa okufanelekileyo.
Ugqirha uyifumana njani le nto?
Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho. Emva koko uza kwenza uvavanyo lomzimba. Ngeli xesha, angakucela ukuba uzame ukukhupha indle, ukuze abone ukuba i-rectum yakho iyaphuma na ngelo xesha.
Ngamanye amaxesha, ungathunyelwa kwiimvavanyo ezongezelelweyo ukuqinisekisa imeko okanye ukubona ukuba kukho ezinye iingxaki na.
- Uvavanyo lweDijithali lweRectal: Ugqirha uhlola irectum esebenzisa umnwe ogqunywe ngeglavu.
- I-Defecography: Uvavanyo oluthatha imifanekiso ye-X-ray okanye ye-MRI yezihlunu zakho ngelixa ukhupha inkunkuma.
- I-Anorectal Manometry: Uvavanyo olulinganisa amandla emisipha (ii-sphincters) ezijikeleze i-anus.
- I-Colonoscopy: Uvavanyo lwangaphakathi lwamathumbu amakhulu kusetyenziswa ityhubhu enekhamera eqhotyoshelweyo.
- I-Electromyography (EMG): Oku kuvavanya ukusebenza kwezihlunu ukuze kubonwe ukuba kukho umonakalo kwimithambo-luvo.
Kuza kwenzeka ntoni ukuba ayinyangwa?
Le ayisiyongxaki okanye imeko esongela ubomi. Nangona kunjalo, ukuba ayinyangwa, inokuba mandundu kancinci kancinci ngokuhamba kwexesha. Inokubangela ukungakhululeki okungakumbi kunye neengxaki ezahlukeneyo.
Kwinqanaba lokuqala, xa i-anus iphumile, ingaphindiselwa ngaphakathi. Oogqirha bacebisa ukuba ujike ngecala, uzise amadolo akho esifubeni sakho, uze uwabuyisele ngaphakathi kancinci ngelaphu elimanzi. Kodwa esi sisisombululo sexeshana nje.
Iingxaki eziphambili ezinokubakho ukuba azinyangwa zezi:
- Ukungakwazi ukuzibamba: Le yimeko apho izihlunu ezikwi-rectum yakho ziqhubeka zincipha, nto leyo ebangela ukuba ulahlekelwe lindle okanye yigesi ungaqondanga. Le meko ichaphazela abantu abangama-50% ukuya kuma-75%.
- Ukuqhinwa: Ukuvaleka kwe-rectum kunokwenza kube nzima ukuphuma kakuhle kwendle.
- Izilonda Zesisu: Ukuhlikihla rhoqo i-rectum kunokubangela ukuba indawo yome igazi kwaye ibe buhlungu. Ukuba ukopha kuyaqhubeka, kunokukhokelela kwi-anemia.
- Ukuvalelwa entolongweni kunye nokukrwitshwa: Le yeyona ngxaki iyingozi kakhulu. I-rectum inokubhajwa kwaye ingakwazi ukubuyiselwa ngaphakathi. Ukuba oku kuyenzeka, igazi eliya kuloo ndawo linganqanyulwa kwaye izicubu zingafa. Oku sikubiza ngokuba yi-"Gangrene". Le yimeko efuna unyango olungxamisekileyo.
Zithini izisombululo zoku? (Masifunde ngotyando)
Xa umntu omdala efumana le meko, ayipholi yodwa. Isisombululo esihlala sihleli kuphela lutyando. Kubantwana abancinci, isenokuzilungisa yodwa xa unobangela oyintloko, njengokuqhina kwesisu, unyangiwe.
Kukho iintlobo ezahlukeneyo zotyando. Ugqirha wakho uza kukhetha eyona ndlela ifanelekileyo kuwe ngokusekelwe kwimeko yakho, ubudala, kunye nempilo iyonke. Kukho iintlobo ezimbini eziphambili zotyando.
1. Indlela Yesisu - I-Rectopexy
Le yeyona nkqubo ixhaphakileyo nephumelelayo. Ugqirha wenza utyando esiswini (utyando oluvulekileyo) okanye afake ikhamera ngemingxuma eliqela (utyando lwe-laparoscopic), aphakamise i-rectum evuthulukileyo ibuyele phezulu, ayibeke eludongeni olungasemva lwe-pelvis, aze ayiqinise nge-permanent stitches okanye i-mesh. Le nkqubo inezinga lempumelelo elimalunga ne-97%. Ukuba unesifo sokuqhinwa okungapheliyo, ugqirha wakho unokugqiba ekubeni asuse inxalenye encinci ye-colon yakho ngexesha lotyando.
2. Utyando olusebenzisa i-anus (Indlela yotyando lwe-Perineal)
Le ndlela ilungele abantu abangakwaziyo ukwenza utyando olukhulu ngesisu, abalupheleyo, okanye abanezinye iingxaki zempilo. Kule ndlela, utyando lwenziwa nge-anus. Ekubeni kungekho zikrweqe zinkulu kule ndlela, ukuchacha kuyakhawuleza. Nangona kunjalo, kukho ithuba eliphezulu lokuba imeko ibuyele emva kwale ndlela.
Yintoni enokwenziwa ukuthintela le meko nokuyekisa ukwenzeka kwayo kwakhona?
Kukho izinto ezininzi onokuzenza ukuthintela le meko ukuba ingenzeki kwaye ungayiphindi ivele emva kotyando.
- Lawula ukuqhinwa kunye norhudo: Ukuba uqhinwa okanye urhudo olungapheliyo, qiniseka ukuba ubona ugqirha kwaye ufumane unyango. Yitya ukutya okunefayibha eninzi (iziqhamo, imifuno, iimbotyi) kwaye usele amanzi amaninzi.
- Yomeleza izihlunu zakho zomgangatho we-pelvic: Ungaziqinisa ezi zihlunu ngokwenza umthambo weKegel. Buza ugqirha wakho okanye ingcali yezonyango malunga nendlela yokwenza ezi zihlunu.
- Lumka xa uphakamisa iintsimbi: Sebenzisa indlela efanelekileyo yokuma xa uphakamisa iintsimbi ezinzima.
I-Prolapse yimeko eyenzeka kancinci kancinci ngenxa yobuthathaka bemisipha. Ayenzeki ngobusuku obunye. Ngoko ke, ngaphandle kokuba neentloni okanye uloyiko ngayo, eyona nto ingcono onokuyenza kukufuna ingcebiso kagqirha ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- Ukubola kwesisu yimeko eqhelekileyo kodwa enyangekayo. Musa ukuba neentloni ukuthetha ngayo.
- Musa ukubhidanisa oku ne-hemorrhoids. Ukuba uneempawu, qiniseka ukuba ubona ugqirha ukuze ufumane ukuxilongwa okufanelekileyo.
- Le meko, eyenzeka kubantu abadala, ayiziphili yodwa. Le meko inokuba mandundu ngokuhamba kwexesha.
- Le meko inganyangwa ngempumelelo ngotyando. Ugqirha wakho uza kukuchazela eyona ndlela ifanelekileyo kuwe.
- Ukulawula ukuqhina kunye nokwenza umthambo wemisipha yomgangatho we-pelvic kunokunceda ukuthintela le meko kunye nokulawula ukuphinda kwenzeke kwayo.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho