Khawuthelekelele ukuba uye kwindlu yangasese waphuma ungenanto. Kodwa kwimizuzu embalwa, uziva uziva unzima kwakhona, ngokungathi ufuna ukulahla inkunkuma kwakhona. Nokuba uzama kangakanani na, akukho nto iphumayo. Ngaba nawe unengxaki yesi simo singathandekiyo? Le yinto esiyibiza ngokuba yiTenesmus kwezonyango. Oku akukokungonwabi nje kuphela, kodwa luphawu lokuba kukho into engalunganga emzimbeni wakho.
Yintoni kanye kanye i-tenesmus?
Ngamafutshane, i-tenesmus yinkanuko engapheliyo yokukhupha indle, nokuba sele ukhuphe amathumbu okanye isinyi. Usenokuba neentlungu zesisu, ukuqaqamba, ubunzima, okanye nokuba ufune ukukhupha indle ngequbuliso.
Le meko inokwenzeka ngeendlela ezimbini eziphambili:
1. I-Rectal Tenesmus: Oku kunxulumene nokukhupha indle. Kuthetha ukuba nasemva kokuba ukhuphe indle, usenoluvo lokuba kufuneka ukhuphe indle.
2. I-Vesical Tenesmus: Oku kunxulumene nokuchama. Kuthetha ukuba nasemva kokuchama, isinyi sisaziva sigcwele kwaye uzive ngathi kufuneka uphinde uchame.
Into ebalulekileyo kukuba i-tenesmus ayisiyonto iqhelekileyo. Luphawu lwenye imeko yezonyango engabonakaliyo. Ngenxa yoko, akucetyiswa ukuba ungayinaki.
Zithini izizathu ze-rectal tenesmus?
Kukho iindidi ezimbini eziphambili zezizathu ze-tenesmus ezinxulumene nendle. Ezi kukudumba kunye nokuqhina. Masizijonge ngokwahlukeneyo ezi zinto.
| Udidi lwesizathu | Inkcazo kunye nemizekelo |
|---|---|
| Ukudumba | Le meko inokwenzeka xa inxalenye esezantsi yekholoni yakho (i-rectum kunye ne-anus) idumba kwaye ibe nobuthathaka. Oku kunokukwenza uzive ugcwele xa uphuma ebhedini, kwaye kunokuvuselela imithambo-luvo ethumela imiqondiso engqondweni yakho ikuxelela ukuba uqhubeke nokuhambisa isisu. Izizathu eziphambili:
|
| Ukuqhinwa | Xa indle eqinileyo ivaleleka emathunjini ngenxa yokuqunjelwa, ihlala ivuselela iindonga zamathumbu. Oku kubangela ukuziva ufuna ukukhupha amathumbu rhoqo, nangona amathumbu engekho mdaka. Izizathu zokuqhinwa:
|
Zithini izizathu ze-urinary tenesmus (vesical tenesmus)?
Isizathu esifanayo sokuba uzive ufuna ukuchama kwakhona emva kokuba ugqibile ukuchama naso siyinyani. Le meko inokubangelwa kukusala komchamo esinyini okanye kukudumba okanye usulelo kwindlela yomchamo.
| Udidi lwesizathu | Inkcazo kunye nemizekelo |
|---|---|
| Umchamo oseleyo kwisinyi | Xa isinyi singenakukwazi ukukhupha yonke into ngenxa yesizathu esithile, umchamo oseleyo uvuselela izihlunu zesinyi kwaye ubangele ukuziva ufuna ukuqhubeka nokuchama. Izizathu:
|
| Ukudumba/usulelo lomchamo | Xa i-urethra idumbile kwaye inobuthathaka, imithambo-luvo inokuvuselelwa, nto leyo ebangela olu vakalelo. Izizathu:
|
Ngaba kukho unxibelelwano phakathi koxinzelelo kunye nale meko?
Ewe, kukho unxibelelwano. I-Tenesmus ayibangelwa luxinzelelo okanye ixhala. Nangona kunjalo, ukuba sele unemeko eyibangelayo, uxinzelelo lunokuyenza ibe mandundu. Khumbula, xa sixinezelekile, ulungelelwano lwenkqubo yethu yemithambo-luvo luyatshintsha, nto leyo eyenza kube nzima ukulawula izihlunu zethu. Oku kunokunyusa ukushwabana kwezihlunu okwenziwa yi-Tenesmus. Kwakhona, ukuba nale meko iqhubeka kunokuba yingxaki enkulu.
Iphathwa njani i-tenesmus?
Ukuba unezi mpawu, into yokuqala omawuyenze kukubona ugqirha . Ugqirha uza kukuxilonga aze azame ukufumanisa ukuba yintoni kanye kanye ebangela ezi mpawu. Banokwenza ezi vavanyo zilandelayo:
- Uvavanyo lweDijithali lweRectal: Uvavanyo lweRectum ngesandla.
- I-Anoscopy/I-Flexible Sigmoidoscopy: Uvavanyo lwe-rectum kunye ne-colon esezantsi kusetyenziswa ityhubhu enekhamera.
- I-Colonoscopy: Uvavanyo lwe-colon yonke.
Nje ukuba unobangela ufunyanwe, unyango lumiselwa ngokusekelwe kuloo nobangela.
- Ukunyanga imeko engundoqo: Ii-antibiotics zinokunikwa xa kukho usulelo, kwaye amayeza okuqhina okukhulu anganikwa. Ezinye iimeko zingadinga utyando.
- Ukunyanga ukudumba: Amayeza anjengee -corticosteroids anokunikwa ukunciphisa ukudumba.
- Unyango lweempawu ze-rectal: Amayeza anciphisa iintlungu kunye nokudumba anokunikwa njengee-suppositories ezifakwa kwi-rectum.
- Unyango olujoliswe kwizihlunu: Amayeza alawula ukushwabana kwezihlunu ngokunganyanzelekanga (i-anticholinergics) okanye (i-antispasmodics) anokunikwa.
- Ulawulo lweempawu zomhlaza: Ukunyanga i-tenesmus ebangelwa ngumhlaza kunzima. Ngamanye amaxesha iintlungu okanye utyando lunokufuneka.
Ufanele uye nini kugqirha ngoko nangoko?
Soloko uthetha nogqirha wakho ngale meko. Nangona kunjalo, ukuba unezinye zeempawu ezilandelayo eziqatha, ungalibali ukufuna ingcebiso kagqirha ngoko nangoko .
Ukuba unezinye zezi mpawu: umkhuhlane , isicaphucaphu nokuhlanza , iintlungu eziqatha , okanye igazi eliphuma kwindle/umchamo wakho , funa ingcebiso kagqirha ngokukhawuleza. Ukuba kuyimfuneko, yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
Ukuphila nolu hlobo lokungakhululeki kunokuba nzima kakhulu. Musa ukuba neentloni zokuthetha nogqirha ngaloo nto. Musa ukubandezeleka buthule. I-Tenesmus luphawu lwemeko ekufuneka inyangwe. Nokuba imeko engaphantsi kwayo ayinyangeki kwaye ayinyangeki (njenge-IBD), ngonyango olufanelekileyo, ungazilawula ezi mpawu zingathandekiyo kwaye uphile ubomi obuqhelekileyo.
Umyalezo Wokuya Ekhaya
- I-Tenesmus ayisosifo, kodwa luphawu lwenye imeko efihlakeleyo.
- Oku kungakhululeki kunokwenzeka xa umntu ekhupha indle (endlwini) okanye echama (endlwini).
- Kubalulekile ukufumana unobangela ochanekileyo nokuwunyanga. Ngoko ke musa ukuzityeshela ezi mpawu.
- Ukuba uneempawu ezinje ngomkhuhlane, iintlungu eziqatha, okanye igazi kwindle/umchamo wakho, bona ugqirha wakho ngoko nangoko.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Ngaba iikhaphu zeDisopyramide / Norpace ziyiyeza elinamandla kakhulu lesifo?
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Ukuze intliziyo ifumane umfutho wombane kwaye ibethe ngokukhawuleza, amasuntswana 'e-sodium' kufuneka angene kwiiseli! Xa le pilisi ingena entliziyweni, ivala zonke iitshaneli zesodium (iModerate Sodium channel blocker). Ukongeza, ithatha ixesha elide kwaye ilibazise ixesha elithathwayo ukuba iiseli zombane zentliziyo zitshaje kwaye ziphinde ziqalise ukusebenza (iRepolarization / Potassium blockade)! Ngazo zombini ezi zenzo, zonke iimpawu zombane ezingaqhelekanga ziyanqunyulwa kwaye intliziyo iyehla.
💬 Zeziphi izilumkiso ze-anticholinergic kunye 'nezilumkiso zebhokisi emnyama' ekufuneka abantu abasebenzisa eli yeza (iNorpace) bazi ngazo?
Eyona ngxaki inkulu ngale nto kukuba yomisa ulwelo lomzimba wonke (Severe Anticholinergic effect)! Ngenxa yoko, ulwimi/umlomo uyoma kwaye kube nzima ukuwuphatha, umchamo unamathela esinyini (Ukugcinwa komchamo), amehlo afiphale kwaye kuvela ukuqunjelwa okukhulu. Enye ingozi ebulalayo kukuba iyawunciphisa kakhulu 'umphumo ongemhle we-inotropic' wentliziyo! Ngoko ke ukuba umntu onesifo sentliziyo (Heart Failure) usela oku, intliziyo inokuyeka ize ife (Proarrhythmic effect).
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