Ingabe nawe unenkinga yokuchitha indle? Ake sixoxe ngalolu vivinyo lwe-(Anorectal Manometry)!

Mhlawumbe unenkinga ethile yokungakhululeki uma uya endlini yangasese ngezinye izikhathi, akunjalo? Mhlawumbe unesisu esomile, noma uzizwa sengathi ubhajwe ekuthuthweni. Abanye abantu bangase babe nezinye zalezi zinto. Ngakho-ke namuhla sizokhuluma ngokuhlolwa okukhethekile okungakusiza ukuthola imbangela yokungakhululeki kwakho. Yilokhu esikubiza ngokuthi `(Anorectal Manometry)`.

Kungani kwenziwa lolu vivinyo lwe-"Anorectal Manometry"?

Kalula nje, lokhu kuhlolwa kwenziwa ukuze kubonakale ukuthi imisipha ezungeze indunu yakho (indlela lapho indle idlula khona) kanye ne-rectum (indawo yokugcina indle yesikhashana) isebenza kahle yini. Cabanga nje, njengoba nje sidla, ukugaya lokho kudla nokukhipha okunye emzimbeni nakho kuyinqubo ebaluleke kakhulu. Ubuchopho bethu kanye nale misipha basebenzisana ukwenza lokhu. Ngakho-ke, uma unenkinga yokuchitha indle, isizathu kungaba yinkinga ngokusebenza kwale misipha.

Kunezizathu eziningana eziyinhloko zokuthi kungani udokotela angase akucele ukuthi wenze lokhu kuhlolwa:

• Uma uzwa ubuhlungu noma ukhandleka ngesikhathi sokuhamba kwamathumbu: Lokhu kubizwa nangokuthi `(Dyschezia)`. Kuzwakala sengathi uzama ukukhipha itshe.
• Uma uzizwa sengathi indle yakho ibambekile futhi ayiphumi: Lokhu kubizwa ngokuthi "indle evalekile". Uzizwa sengathi udinga ukuya endlini yangasese, kodwa akukho okuphumayo.
• Ukuqunjelwa okuqhubekayo: Lokhu kusho ukuthi kufanele uye endlini yangasese izinsuku eziningi ngesikhathi uhamba ngamathumbu njalo futhi kunzima. Lokhu kubizwa nangokuthi "ukuqunjelwa okungapheli".
• Ukungakwazi ukulawula ukuhamba kwamathumbu: Ukulahlekelwa ukuhamba kwamathumbu ngokungenhloso. Lokhu kubizwa ngokuthi "ukungakwazi ukuzibamba kwamathumbu." Lokhu akumnandi kakhulu kubantu abaningi.

Ngaphezu kwalezi zimpawu, lokhu kuhlolwa ngezinye izikhathi kusetshenziselwa ukubona ukuthi imisipha kuleyo ndawo isebenza kanjani ngemva kwengozi noma ukuhlinzwa, noma ukuthola ukuthi ukunyakaza kwale misipha kuye kwathinteka yini ukugula kwesikhathi eside.

Lokhu kuhlolwa kwe-``(Anorectal Manometry)`` kungakhomba ezinye izimo zezokwelapha ezingase zibangele ukuqunjelwa kwakho. Isibonelo:

• I-Anismus noma i-dysynergic yokuzikhulula: Lokhu yilapho imisipha ese-rectum ifinyela khona lapho izama ukuzikhulula, lapho kufanele iphumule khona ngempela.
• Isifo sikaHirschsprung: Lesi yisimo esivame ukwenzeka ezinganeni ezincane. Sibangelwa ubuthakathaka bamangqamuzana ezinzwa e-rectum.

Kungasiza futhi ekutholeni ukuthi kwenzekani nokuthi inkinga ikuphi uma umuntu engakwazi ukuzibamba indle. Okumangalisayo ukuthi ubuchwepheshe obufanayo obusetshenziswa kulokhu kuhlolwa ngezinye izikhathi bungasetshenziswa ukuqeqesha kabusha le misipha (ezintweni ezifana ne-"Biofeedback therapy").

Lolu vivinyo lwe-"Anorectal Manometry" lusebenza kanjani?

Ukuze kuchazwe lokhu ngokwesayensi kancane, kusetshenziswa idivayisi ebizwa ngokuthi ``Manometer`` kulolu vivinyo. Empeleni lokhu kuyinzwa yokucindezela.`(i-pressure transducer)`. Okusho ukuthi, ingalinganisa ingcindezi edalwe lapho imisipha ese-rectum yakho kanye ne-anus ifinyela. Lokhu kungakusiza ukuthi ubone ukuthi le ngcindezi ilungile yini, iningi kakhulu, incane kakhulu, noma ukuthi le misipha yenzeka ngesikhathi esifanele.

Udokotela noma ilungu labasebenzi bezokwelapha abaqeqeshiwe bafaka ipayipi elincane kakhulu neliguquguqukayo (i-catheter) nge-anus yakho liye e-rectum yakho. Leli payipi linenzwa yokucindezela enamathiselwe kulo. Ibhaluni elincane linamathiselwe ngaphakathi kwaleli payipi. Uma leli bhaluni ligcwele umoya ngaphakathi kwe-rectum yakho, lidala uhlobo olufanayo lokuvuselelwa kwemizwa esiluzwayo lapho sihamba ngamathumbu. Imisipha yakho bese iqala ukusabela ngokwemvelo. Le mpendulo yilokho okulinganiswa yidivayisi.

Kufanele ngilungiselele kanjani ngaphambi kokuhlolwa?

Kungcono ukuthi i-rectum yakho kanye ne-anus yakho zingenalutho phakathi nalolu vivinyo. Ngakho-ke, udokotela wakho uzokutshela ukuthi ungadli amahora ambalwa ngaphambi kokuhlolwa. Uzokutshela nokuthi usebenzise i-``(Enema)`` (uketshezi oluhlanza i-rectum) ekhaya ukuze ukhiphe konke endaweni. Udokotela wakho uzokunikeza imiyalelo ecacile yokuthi ungakwenza nini lokhu, ukuthi ukwenze kanjani, nokuthi usebenzise ini. Ngakho-ke ungesabi.

Kwenzekani ngesikhathi sokuhlolwa?

Kulungile, manje ake sibone ukuthi kuzokwenzekani ngesikhathi sokuhlolwa.

• Uma uza ukuhlolwa, uzocelwa ukuthi ukhumule izingubo zakho ngaphansi kwesinqe noma ugqoke ingubo enikezwe yisibhedlela.
• Bese bekuphendula ngohlangothi etafuleni bese bekwenza ulale phansi amadolo akho agobile esifubeni sakho.
• Ngezinye izikhathi, ngaphambi kokufaka i-catheter, udokotela uzofaka umunwe ogqokwe igilavu ​​​​e-rectum yakho bese enza ukuhlolwa kwe-rectum yedijithali. Lokhu kwenzelwa ukuhlola noma yini engavamile ngaphakathi. Ungakhathazeki, lokhu kuzophela ngokushesha.
• Bese ufaka ugcobo oluthile ekugcineni kwepayipi (ukuze kube lula ukulifaka) bese ulifaka kancane kancane ngendunu ungene e-rectum.
• Ukufundwa kwengcindezi kuqoshwa ngokujula okuhlukene ku-rectum. Lokhu kukunikeza umbono wengcindezi yakho yangaphakathi evamile.
• Bese ibhaluni ligcwala umoya. Ibhaluni ligcwaliswa ngamanani ahlukene, libekwe ezindaweni ezahlukene ngaphakathi kwe-rectum, bese kuthathwa ukufundwa kwengcindezi.
• Uzobuzwa futhi ukuthi uyazizwa yini lezi zinguquko nokuthi uzizwa sengathi udinga ukuya endlini yangasese.
• Futhi, ngezikhathi ezahlukene utshelwa ukuthi uqinise, uphumule, ucindezele (njengalapho uya endlini yangasese), futhi ukhwehlele imisipha yakho. Phakathi nalesi sikhathi, imisipha yakho iqoshwa njengoba isabela ngokuzithandela nangokuzenzakalela.

Ngokuvamile, lonke isivivinyo lithatha cishe imizuzu engama-30 . Kungaba imizuzu eyi-15, kungaba imizuzu engama-45.

Ingabe lokhu kuwuvivinyo olubuhlungu?

Lena inkinga abantu abaningi abanayo. Uma ngikhuluma iqiniso, lokhu akulona uvivinyo olubuhlungu kakhulu.Uma i-rectum noma i-anus yakho ilimele kancane, ungase uzizwe ungakhululekile noma uqinile. Kodwa-ke, ingcindezi evela epayipini nasebhaluni ifana nengcindezi ovame ukuyizwa lapho uphuma endle.

Kodwa-ke, uma wesaba kakhulu noma ukhathazekile ngalokhu, ungakhuluma nodokotela wakho mayelana nokuthi ungathola yini uhlobo oluthile lomuthi wokudambisa ubuhlungu uma kudingeka.

Kuyini ukuhlolwa kokuxoshwa kwebhaluni?

Ngezinye izikhathi udokotela uzokwenza olunye uvivinyo ngesikhathi esifanayo nokuhlolwa kwe-Anorectal Manometry. Kubizwa ngokuthi i-Balloon Expulsion Test. Lokhu kuhilela ukufutha ibhaluni bese ubona ukuthi ungayikhipha yini "njengokungathi uyathutha" nokuthi kuthatha isikhathi esingakanani. Uzocelwa ukuthi ukwenze lokhu ngasese, uhleli phansi. Izinzwa ebhaluni ziqopha isikhathi kanye nengcindezi.

Ingabe zikhona izingozi zalolu vivinyo?

Eqinisweni, azikho izingozi ezinkulu noma imiphumela emibi evela kulolu vivinyo. Okuwukuphela kwento ukuthi, uma une-allergy ku-`(Latex)` (ubisi lwerabha), udinga ukutshela udokotela wakho kusengaphambili. Ngemuva kwalokho bazosebenzisa ibhaluni elingenayo i-`(Latex).

Uma i-rectum noma i-anus yakho ivuvukele kancane futhi ibomvu, ungase ube nemihuzuko noma ukopha okuncane ngemva kokuhlolwa. Kodwa lokhu kuvame ukuba ngcono ngokushesha.

Imiphumela yokuhlolwa ibonisani?

Kulungile, manje into ebalulekile. Yini esingayifunda emiphumeleni yalolu vivinyo?

Le miphumela ikhombisa ukuthi imisipha nemizwa ehilelekile enkambisweni yokunyakaza kwamathumbu isebenza kahle yini, noma ukuthi inkinga ikuphi.

Umphumela ojwayelekile ungabonisa into efana nale:

• Uma indle ingena ku-rectum, i-rectum iyakhululeka futhi ikhule ukuze ivumelane nayo (`(Ukuhambisana ne-Rectal)`).
• Imizwa esezindongeni ze-rectum (`stretch receptors`) iyavuselelwa, ithumela isignali ebuchosheni yokuthi udinga ukuya endlini yangasese (`(Rectal sensation)`).
• Ukuphendula, i-sphincter yangaphakathi yendunu ikhululeka ngokuzenzakalelayo (`(Rectoanal inhibitory reflex)`).
• Uma ingaphakathi likhululeka, i-sphincter yangaphandle yendunu iyaqina futhi ibambe indle kuze kube yilapho usukulungele (`(Rectoanal contractile reflex)`). Iyaqina futhi uma ukhwehlela (`(Cough reflex)`).
• Indandatho yangaphandle yendunu iphendula emiyalweni yakho yokuqinisa, ukukhulula, nokucindezela.
• Uma uzama ukukhipha indle, ingcindezi e-anus iyanda, okubangela ukuthi i-sphincter yangaphandle yendunu ikhululeke, okuvumela indle ukuthi idlule. Zonke lezi zinto zisebenza ndawonye (`(Izinguquko zengcindezi ye-anorectal ehlanganisiwe)`).

Umphumela ongavamile ungabonisa okulandelayo:

• Ngisho noma indle idlula e-rectum, akukho mizwa yokudinga ukuya endlini yangasese. Mhlawumbe i-rectum ayikhuli kahle, noma imizwa ayithumeli izimpawu ebuchosheni.
• Ngisho noma uzizwa udinga ukuya endlini yangasese, ukusabela okuzenzakalelayo kwemisipha yakho akusebenzanga kahle.
• Imisipha ayiphenduli kahle. Isibonelo, iqinisa lapho kufanele ikhululeke khona, futhi iphumule lapho kufanele iqine khona.
• Ngisho noma imisipha yenza into efanele, ikwenza ngesikhathi esingafanele, noma ayisebenzi ndawonye.
• Ukufinyela kwemisipha kubuthakathaka futhi akusebenzi kahle.
• Ngisho noma ngizama ukuphumula, imisipha yami iqinile kakhulu.

Ingabe lokhu kuhlolwa kungaholela ekwelashweni okuphumelelayo?

Yebo, impela! Uma udokotela esekwazi ukunquma ukuthi yimiphi imisipha ethintekile nokuthi kanjani, angasebenzisa izindlela ezahlukene ukuqeqesha kabusha leyo misipha. Izindlela zokwelapha ezivame kakhulu yilezi:

• Ukwelashwa nge-biofeedback: Lokhu kuhilela ukuzibonisa ukuthi imisipha yakho isebenza kanjani usebenzisa idivayisi nokukufundisa ukuyilawula.
• Ukwelashwa ngokomzimba kokungasebenzi kahle kwephansi le-pelvic: Lokhu kuhilela ukusebenzisa izivivinyo ezikhethekile namasu okuqinisa imisipha kuleyo ndawo nokwenza isebenze kahle.

I-Anorectal Manometry iwukuhlolwa okusheshayo, okungenabuhlungu udokotela wakho angakwenza ukuhlola ukunyakaza kwakho kwamathumbu. Inganikeza udokotela wakho ulwazi olubalulekile mayelana nendlela imisipha yakho ye-rectum kanye ne-anus esebenza ngayo. Ungase uzizwe unamahloni ukusebenzisa ukunyakaza kwakho kwamathumbu ngesikhathi sokuhlolwa kwezokwelapha. Kodwa-ke, uma unenkinga yokuphuma kwendle, kubalulekile ukuthola imbangela. Uma imbangela isitholakele, ukwelashwa kungenziwa ngokwesimo sakho.

Okokugcina, izinto okufanele uzikhumbule

Uma unenkinga yokungakhululeki, ubuhlungu, noma ukungakwazi ukuzibamba lapho ukhipha indle, ungagcini nje ngokukubekezelela. Akuyona into okufanele ube namahloni ngayo noma uyesabe. Khuluma nodokotela, futhi uma kudingeka, uthole ukuhlolwa kwe-Anorectal Manometry. Uma usuyazi imbangela, ukwelashwa kulula. Kukhona ikhambi lakho konke!

Kwangathi ungathola amandla okunqoba lezi zinkinga futhi uphile impilo enempilo nekhululekile!

Ukungasebenzi kahle kwamathumbu , i-anorectal manometry, ukuqunjelwa, izifo zamathumbu, uhlelo lokugaya ukudla, ukuhlolwa kwezokwelapha, i-biofeedback