Ngaba wakha wazibuza ukuba kwenzeka ntoni ekutyeni esikutyayo emva kokuba kungene esiswini sethu? Kufana nohambo olude. Indawo yokugqibela esima kuyo kolu hambo yi-anus. Sonke sinalo eli lungu emizimbeni yethu, kodwa liyindaba ehlazisayo esingathandi ukuthetha ngayo kakhulu, kodwa lilungu elibaluleke kakhulu kwimpilo yethu. Ngoko ke namhlanje, masithethe ngalo ngokukhululekileyo nangokunyanisekileyo.
Yintoni kanye kanye i-rectum?
Ngamafutshane, i-rectum yinxalenye yokugqibela yamathumbu akho amakhulu. Amathumbu ethu amakhulu yinxalenye ende efana netyhubhu. Iisentimitha ezi-6 zokugqibela zale nto yi-rectum. Emva kokuba ukutya esikutyayo kugayiwe, inkunkuma eseleyo iqokelelwa apha ngaphambi kokuba iphume emzimbeni. Kufana nendawo yokumisa ibhasi apho abantu bahlanganisana khona ngaphambi kokuba ibhasi ihambe. Xa ilindle liqokelelana apha, inkqubo yethu yemithambo-luvo ithumela umyalezo engqondweni, isithi, "Ndifuna ukuya kwindlu yangasese ngoku."
Yintoni umahluko phakathi kwekholoni kunye ne-rectum?
Nangona zombini ziyinxalenye yenkqubo enye, kukho umahluko omncinci.
- Ikholoni: Eli lide kakhulu. Nangona inkunkuma yokutya idlula kuyo, ezinye zeenkqubo zokugaya ukutya ziyaqhubeka, njengokufunxwa kwamanzi kunye nezondlo emzimbeni.
- I-Rectum: Xa inkunkuma evela emathunjini amakhulu ifika apha, sele ijike yaba yindle eqinileyo. Umsebenzi ophambili we-rectum kukubamba indle okwethutyana nokufunxa amanzi aseleyo kuyo emzimbeni. Emva koko iyakhutshwa emzimbeni.
Yintoni umahluko phakathi kwe-rectum kunye ne-anus?
Iisentimitha ezimbalwa zokugqibela emva kwe-rectum zibizwa ngokuba yi-anus. Kulapho kufumaneka khona izihlunu ezibalulekileyo (ii-anal sphincters) ezisinceda silawule ukuhamba kwendle. Ezi zihlunu zezona zisivumela ukuba sime kwaye siphume indle xa sifuna.
Injani imilo kunye nendawo ebekwe kuyo i-rectum?
I-rectum ifumaneka ngaphantsi kwesisu sethu, ngaphakathi kwi-pelvic cavity. Ihlala imalunga ne-10-15 centimeters (5-6 intshi) ubude. Ikwanazo nee-curves ezimbini ezincinci ezimile okwe-"S". Indlela ezi curves ezifumaneka ngayo ikwasinceda silawule ukuhamba kwethu kwamathumbu.
Inxalenye yokugqibela ye-rectum ibanzi kancinci. Ibizwa ngokuba yi-'rectal ampulla'. Indle iyafika ize iqokeleleke apha. Xa le nxalenye izaliswe yindle, iindonga zayo ziyanwebeka. Emva koko imithambo-luvo apho ('stretch receptors') ixelela ingqondo loo nto. Kulapho ke sivakalelwa kukuba kufuneka siye kwindlu yangasese .
Ziziphi iimeko eziqhelekileyo ezichaphazela i-rectum?
Ngaphandle kokuchitha ixesha, kukho iingxaki ezahlukeneyo zempilo ezinokuvela kwi-rectum. Ezinye zezi zinokuba buhlungu kwaye zingakhululeki. Makhe sijonge ezimbalwa zazo.
| Imeko | Ingcaciso elula |
|---|---|
| Iproctitis | Ukudumba kunye nokubomvu kolwelo lwe-rectum. Oku kunokubangelwa zizifo ezidluliselwa ngesondo (ii-STI) okanye ezinye iimeko ezichaphazela amathumbu. |
| Izilonda ezisemathunjini | La ngamanxeba abuhlungu. Ngamanye amaxesha anokopha. |
| Ithumba le-Perianal | Amaqhuma abuhlungu, azele bubovu aphuma phantsi kolusu olujikeleze i-anus. |
| Iipolyps zeColorectal | Amahlumela amancinci akhula eludongeni olungaphakathi lwe-rectum okanye i-large intestine. Amanye ala mahlumela anokuba ngumhlaza ngokuhamba kwexesha. |
| Ukuhla kwe-rectal | Xa izihlunu ezibambe i-rectum endaweni yazo zibuthathaka, i-rectum iphuma nge-anus. |
| Ukungakwazi ukulawula indle (ukungakwazi ukuzibamba) | Ukuhamba kwamathumbu ngokunganyanzelekanga. Oku kunokubangelwa yingxaki yemisipha okanye imithambo-luvo ekwi-rectum. |
| Ukuqhinwa kunye nokuphazamiseka kwendle | Ubunzima bokuphuma kwendle, indle iba lukhuni njengamatye, kunye nokuvaleka kwerectum. |
Ziziphi iimpawu ezibonisa ingxaki yerectum?
Ukuba unale mpawu, kubaluleke kakhulu ukubona ugqirha uze ufumane ingcebiso ngaphandle kokuba neentloni.
Khumbula, ezi mpawu azisoloko ziluphawu lwesifo esinzulu. Nangona kunjalo, kungcono ukuthetha nogqirha ngaso ukuze ufumane ukuba yintoni kanye kanye ingxaki.
| Uphawu | Oko kufuneka ukuqaphele |
|---|---|
| Ukopha emqolo | Ukubona amabala egazi kwimpahla yangaphantsi, iphepha langasese, okanye kwindlu yangasese. |
| Intlungu | Intlungu kwindawo esezantsi kwesisu, emqolo, okanye kwisisu esisezantsi. |
| Ukurhawuzelela okanye iimpawu zosulelo | Ukurhawuzelela okungapheliyo, ukuba bomvu, okanye ukudumba okujikeleze i-anus. |
| Utshintsho kwimikhwa yamathumbu | Utshintsho olukhawulezileyo kumbala, ubume (obufana nolwelo, obufana nelitye), okanye inani leentshukumo zamathumbu ngosuku. |
| Iimvakalelo ezingaqhelekanga | Ukuziva ngathi isisu sakho asikabi nanto kwaphela emva kokuya kwindlu yangasese (tenesmus) okanye ukuba nesisu esinzima nesibuhlungu kakhulu (dyschezia). |
| Into ethile iphuma iphuma | Ukuziva okanye ukubona into efana neqhuma lenyama liphuma esiphelweni sempundu. |
Ugqirha uyijonga njani impilo ye-rectum?
Xa usiya kugqirha onengxaki efana nale, unokwenza uvavanyo olwahlukeneyo ukuze afumanise imeko. Ukwazi ngezi zinto kwangaphambili kunokunceda ekunciphiseni ixhala lakho.
- Uvavanyo lweDijithali lweRectal (DRE): Kule meko, ugqirha ufaka umnwe ogqunywe ngeglavu, othanjiswe kwirectum yakho ukuze ajonge naziphi na iziqwenga okanye iingxaki ezingaphakathi.
- Uvavanyo lwesitulo: Isampulu yendle yakho iyathathwa ize ihlolwe kwilebhu ukuze kujongwe igazi, iintsholongwane, okanye ezinye iingxaki.
- I-Proctoscopy / i-sigmoidoscopy eguquguqukayo: Oku kuquka ukufaka ityhubhu encinci, eguquguqukayo enekhamera eqhotyoshelwe kwi-rectum kwaye ujonge ngaphakathi ngesikrini. Ukuba kuyimfuneko, isampuli yezicubu (i-biopsy) inokuthathwa ngeli xesha. Ugqirha wakho unokucebisa ukulungiswa kwamathumbu ngaphambi kwenkqubo.
- I-enema yeBarium: Olu luvavanyo lwe-X-ray olukhethekileyo. Ulwelo olukhethekileyo lufakwa kwi-rectum kwaye kuthathwa imifanekiso ye-X-ray yekholoni.
- I-anorectal manometry: Le ndlela ilinganisa indlela ezisebenza kakuhle ngayo izihlunu kunye nemithambo-luvo ekwi-anus.
Singenza ntoni ukugcina i-rectum iphilile?
Kukho izinto ezilula esinokuzenza ukuthintela izifo ezininzi.
- Ukutya okunempilo: Yitya ukutya okuninzi okunefayibha eninzi (iziqhamo, imifuno, iimbotyi, iinkozo ezipheleleyo). Sela amanzi amaninzi. Oku kunokunceda ekuthinteleni ukuqhina. Ukuqhina yimbangela yezifo ezininzi zamathumbu.
- Iindlela zokwenza isondo esikhuselekileyo: Ezinye izifo ezidluliselwa ngesondo (ii-STI) zinokuchaphazela i-anus, ngoko ke kubalulekile ukwenza isondo esikhuselekileyo.
- Musa ukulibazisa ukuvavanywa ngugqirha: Ingakumbi emva kweminyaka engama-45-50, fumana uvavanyo olufana ``(Colonoscopy)`` ukuba ugqirha wakho uyacebisa. Oku kunokufumanisa nokususa izinto ezifana neepolyps ngaphambi kokuba zibe ngumhlaza.
- Musa ukuzityeshela iimpawu: Ukuba unentlungu engapheliyo, utshintsho kwindlela ohamba ngayo esiswini, okanye ezinye iingxaki, musa ukulinda nje ubone ukuba "kulungile." Bona ugqirha ngokukhawuleza.
I-rectum yibhulorho ebalulekileyo phakathi kwenkqubo yethu yokugaya ukutya kunye nenkqubo yokukhupha indle. Nangona iingxaki ezinxulumene nayo zinokuba nzima, kukho unyango olufanelekileyo kuzo. Ngoko ke beka ecaleni ihlazo, cinga ngempilo yakho kwaye ufune iingcebiso zonyango ezifunekayo.
Umyalezo Wokuya Ekhaya
- I-rectum yinxalenye ebalulekileyo nebalulekileyo yenkqubo yethu yokugaya ukutya. Kubaluleke kakhulu ukunyamekela impilo yayo.
- Ungaze uzityeshele iimpawu ezifana negazi elikwisitulo, iintlungu ezingapheliyo, okanye utshintsho olukhawulezileyo kwindlela ohamba ngayo amathumbu.
- Musa ukulibazisa ukuya kugqirha kuba uneentloni okanye ukoyika ukuthetha ngengxaki efana nale. Ukufumana unyango kwangethuba kunokuthintela iimeko ezinzulu.
- Ukutya ukutya okunesondlo okutyebileyo kwi-fiber, ukusela amanzi amaninzi, kunye nokuzilolonga rhoqo kuluncedo kakhulu kwimpilo yamathumbu amakhulu.
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