Ukuya kwindlu yangasese kunokuba yinto enzima kakhulu ngamanye amaxesha, akunjalo? Kuqhelekile ukuziva usoyika, ingakumbi ukuba ubona igazi elincinci esitulweni sakho, okanye ukuba kufuneka uzibhokoxe ukuze ukhuphe indle. Kunokuba yintloni kancinci ukuthetha ngezi zinto nabanye. Kodwa ezi zizinto ezibaluleke kakhulu ezinxulumene nempilo. Namhlanje siza kuthetha ngemeko engaqhelekanga enokubangela ezi mpawu, kodwa abantu abaninzi abakhe beva ngayo. Leyo yiSolitary Rectal Ulcer Syndrome (SRUS) .
Yintoni iSolitary Rectal Ulcer Syndrome (SRUS)?
Ngamafutshane, i-SRUS yimeko ehlala ixesha elide, engeyoyomhlaza ebangela ukuba kubekho isilonda esinye okanye ngaphezulu ngaphakathi kwe-rectum yethu. Ngoku usenokuba uzibuza, "Yintoni le rectum?" I-rectum yinxalenye yokugqibela yamathumbu ethu amakhulu (ikholoni), apho indle ihlala khona okwethutyana ngaphambi kokuba iphume emzimbeni wethu.
Kodwa eli gama linokukhohlisa kancinci. Nangona igama elithi "umntu ohlala yedwa," ngamanye amaxesha kunokubakho izilonda ezingaphezu kwesinye. Kwakhona, ezi azisoloko zizilonda. Ngamanye amaxesha zinokuba zizicubu ezibomvu, ezivuvukileyo. Ngamanye amaxesha le meko inokubonwa nakwinxalenye yekholoni engaphezulu nje kwe-anus.
Oogqirha nabaphandi basafunda lukhulu ngale meko. Uphando lusenziwa malunga nezizathu zayo kunye nonyango olungcono.
Ixhaphake kangakanani le meko?
I-SRUS yimeko engaqhelekanga kakhulu. Ichaphazela umntu omnye kwabayi-100,000. Ixhaphake kakhulu kubantu abaphakathi kweminyaka engama-30 ukuya kwengama-40 ubudala. Nangona kunjalo, inokubakho nakubantwana abancinci nakubantu abadala.
Ingaba le meko imbi kakhulu? Ngaba simele soyike?
Lo usenokuba ngumbuzo wokuqala oza engqondweni yakho. Iindaba ezimnandi zezokuba ezi zilonda azisoloko zimbi kakhulu. Oko kuthetha ukuba azibi ngumhlaza.
Nangona kunjalo, into ebalulekileyo apha kukuba ingxaki ebangela ezi zilonda isenokuba yinto efuna ukuqwalaselwa. Yiyo loo nto kubalulekile ukubona ugqirha ukuze ufumane ukuxilongwa ngokuchanekileyo ukuba unale mpawu.
Akufuneki ungayinaki into efana nale. Akuyonto ilungileyo ukucinga nje ukuba, "Iza kuphela kwiintsuku ezimbalwa." Kuba ukopha emqolo kunokubangelwa ziimeko ezinzulu kakhulu kune-SRUS.
Zithini iimpawu ze-SRUS?
Ezi mpawu zihlala zibonakala kancinci kancinci. Zinokwenza ukuya kwigumbi lokuhlambela kube yinto engathandekiyo. Makhe sijonge iimpawu eziphambili.
| Uphawu | Kalula nje... |
|---|---|
| Ukopha emqolo | Igazi elibomvu eliqaqambileyo nelitsha eliphuma kunye nendle okanye emva kokuya kwindlu yangasese. Ngamanye amaxesha iphepha lethishu linokuba negazi. |
| Ukukhupha okufana ne-mucus kunye ne-chain | Ukuziva ngathi kukho ulwelo olufana nencindi, nokuba lunendle okanye alukho. |
| Ukuzihluza ukuze ukhulule (Ukuzihluza) | Kuthatha ixesha elide, umgudu omkhulu, kunye nomgudu omkhulu ukuze uphume indle. |
| Ukunyakaza kwamathumbu okungaphelelanga | Ukuziva ngathi kusekho indle emva kokuya kwindlu yangasese, ngathi "andikagqibi." |
| Intlungu okanye ukungakhululeki kwimpundu | Ukuva iintlungu okanye ukungakhululeki kwi-anus nakwindawo engqongileyo, ingakumbi xa usiya kwindlu yangasese. |
| Ukugcwala kwepelvic | Ukuziva ubunzima kunye nokugcwala esiswini esisezantsi. |
Okumangalisayo kukuba, malunga nomntu omnye kwabane (25%) abane-SRUS abanazo iimpawu. Ifunyanwa ngengozi ngexesha lovavanyo ngesinye isizathu.
Kutheni le meko isenzeka?
Isizathu esichanekileyo sale meko asikaziwa okwangoku. Nangona kunjalo, oogqirha bakholelwa ukuba inxulumene neemeko ezininzi ezinokonakalisa udonga lwangaphakathi lwe-rectum. Oku kuthetha ukuba ezi zilonda zinokubangelwa yenye imeko yezonyango engabonakaliyo.
Kukho iimeko ezininzi eziqhele ukubonwa nge-SRUS:
- Ukuqhekeka kweRectal: Kulapho irectum iphuma khona ngempundu. Cinga ngayo njengokuguqula isokisi iphume ngaphakathi. Ukungqubana kunye noxinzelelo oluvela njengoko izicubu ziphuma kunokubangela izilonda.
- Ukungena kwesisu esiswini: Oku kwenzeka xa inxalenye ethile yesisu ityhala kwenye inxalenye yesisu esiswini, njengeteleskopu. Oku kunokubangela nomonakalo kwizicubu.
- Ukuqhinwa Okungapheliyo: Xa sinengxaki yokuphuma kwindle, siyaxina ixesha elide. Olu xinzelelo lugqithisileyo lunokonakalisa izicubu ezithambileyo ze-rectum. Abanye abantu bazama ukususa indle ngeminwe yabo xa ibambekile. Oku kukwangunobangela omkhulu wokwenzakala kwe-rectum.
- Ukungakwazi ukuzibamba ngamathumbu: Iingxaki nge-rectum zinokwenzeka nakwiimeko apho ungakwazi ukulawula ukuhamba kwamathumbu akho.
Enye yeengcamango eziphambili kukuba xa izihlunu zethu zomgangatho we-pelvic, ezisinceda ukuba siphume indle, zingasebenzi kakuhle, inkqubo yokuphuma indle ayiqhelekanga kwaye kwenzeka ukwenzakala okunje.
Uyifumana njani le nto, Gqirha?
Xa ubona ugqirha oneempawu ozikhankanyileyo apha ngasentla, uza kuqala akubuze ngeempawu zakho kunye nemikhwa yakho yokuhlamba (umz., ingaba uthatha ixesha elide ukuya kwindlu yangasese?). Emva koko, baza kwenza uvavanyo oluthile ukuqinisekisa ukuba unazo na ezi zilonda.
Uvavanyo oluphambili
- I-Endoscopy: Olu lolona vavanyo luqhelekileyo. Kolu vavanyo, kufakwa ityhubhu encinci, eguquguqukayo enekhamera eqhotyoshelweyo nge-anus ukuze kubonwe naziphi na izilonda okanye olunye utshintsho ngaphakathi kwesikrini. Kukho iintlobo ezahlukeneyo zolu vavanyo:
- I-Anoscopy: Ihlola i-anus kunye nenxalenye yokugqibela ye-rectum.
- I-Flexible Sigmoidoscopy: Ihlola i-rectum kunye nenxalenye esezantsi yekholoni.
- I-Colonoscopy: Ihlola ikholoni yonke.
Ezinye iimvavanyo ezibalulekileyo
Ugqirha wakho unokucebisa ezinye iimvavanyo ezininzi ukuqinisekisa ukuba awunazo ezinye izifo ezinzulu (umz., Isifo Samathumbu Esivuthayo (IBD) okanye Umhlaza Wamathumbu Amancinci ) ezibangela iimpawu ezifana ne-SRUS.
- I-Transrectal Ultrasound: Iprobe encinci ifakwa kwi-rectum kwaye amaza esandi asetyenziselwa ukuvelisa imifanekiso ecacileyo yodonga lwangaphakathi lwe-rectum.
- I-Defecography: Olu luvavanyo olukhethekileyo. Inkqubo yokuphuma kwendle irekhodwa kusetyenziswa umatshini we-X-ray okanye we-MRI. Oku kunceda ekuqinisekiseni ngokuchanekileyo ukuba kukho imeko efana nokuphuma kwesisu esingaphakathi.
- I-Anorectal Manometry: Uvavanyo olulinganisa umsebenzi kunye noxinzelelo lwemisipha engaphakathi nangaphandle kwempundu. Oku kunokunceda ekuqinisekiseni ukuba imisipha ebandakanyeka ekuthuthweni iyasebenza kakuhle na.
- I-Biopsy: Ngexesha le-endoscopy, kuthathwa iqhekeza elincinci kakhulu lesicubu kwisilonda lize lithunyelwe kwilebhu ukuze lihlolwe phantsi kwemakroskopu. Olu vavanyo lubalulekile ukuze kuqinisekiswe ngokupheleleyo ukuba lo mhlaza awungomhlaza.
Zithini iindlela zonyango zoku?
Unyango luxhomekeke kubukhali beempawu zakho kunye nesizathu esiyintloko sale meko. Kwiimeko ezininzi, utshintsho olulula kwindlela ophila ngayo kunye nemikhwa yakho yokuhlamba yangasese lunokunceda.
| Indlela yonyango | Inkcazo |
|---|---|
| Ukutya kunye notshintsho kwindlela yokuphila |
|
| Amayeza |
|
| Unyango lweBiofeedback | Le yindlela yonyango lokuziphatha. Ibandakanya ukuqaphela izihlunu zomgangatho we-pelvic eziqina ngexesha lokuhamba kwamathumbu nokuziqhelisa ukuziphumza endaweni yokuziqinisa. Oku kunceda kakhulu ekuyekeni umkhwa wokuzibhokoxa. |
| Utyando | Ukuba ezi nzakala zibangelwa yimeko efana nokubola kwe-rectal, utyando olubizwa ngokuba yi-rectopexy lunokufuneka ukuze kulungiswe le meko. |
Liliphi ixesha elifanelekileyo lokubona ugqirha?
Oku kubaluleke kakhulu. Kukho iimpawu ezithile esingafanele sizityeshele.
Ukuba uphuma igazi kwi-rectum yakho, ukhupha igazi okanye i-mucus kwi-stool yakho, okanye unentlungu engapheliyo xa usiya kwigumbi lokuhlambela, nceda ungayityesheli loo nto, ucinga ukuba "iza kuphela ngemini enye." Qiniseka ukuba ubona ugqirha wakho ukuze ufumane ukuba yintoni kanye kanye ebangela oko.
Umyalezo Wokuya Ekhaya
- I-Solitary Rectal Ulcer Syndrome (SRUS) yimeko engaqhelekanga, engeyoyomhlaza, kodwa ukungonwabi okubangelwa yiyo kunokubeka ubomi esichengeni.
- Ukopha okuphuma kwi-rectum akuqhelekanga. Ukuba uyakubona, qiniseka ukuba ubona ugqirha.
- Amaxesha amaninzi, kubaluleke kakhulu ukunyanga unobangela oyintloko wezi zilonda (umz., ukuqhina, ukubola kwesisu) kunokunyanga izilonda ngokwazo.
- Izinto ezilula ezifana nokusela amanzi amaninzi, ukutya ukutya okunefayibha eninzi, kunye nokuphepha ukuzibhokoxa kwigumbi lokuhlambela zinokunceda kakhulu ekulawuleni le meko.
- Landela imiyalelo kagqirha wakho ngokuchanekileyo. Fumana uvavanyo olufunekayo kwaye ufumane unyango olufanelekileyo. Ukuba uyinyanga ngomonde, ungayilawula kakuhle le meko.
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