Amathumbu Amakhulu kanye neColon: Ake sixoxe ngalesi sitho esibalulekile!

Sawubona! Namuhla sizokhuluma ngengxenye ebaluleke kakhulu yomzimba wethu, kodwa ngezinye izikhathi asiyinaki kakhulu. Leyo yi-colon yethu. Ifana nohlelo lokulahla udoti endlini yethu. Yilesi sitho esisiza ukucubungula kahle okusele ekudleni esikudlayo, okungukuthi, indle, bese siyikhipha emzimbeni. Ngakho-ke, kubaluleke kakhulu ukuthi wazi ngaleli colon ngendlela efanele. Ngoba, izinkinga ezincane, njengokuqunjelwa, zingahlotshaniswa nakho, kusukela kuzo kuya ezifweni ezinkulu njengomdlavuza wamathumbu amakhulu.

Iyini ithumbu elikhulu? Kwenzekani kulo?

Kalula nje, amathumbu akho amakhulu ayingxenye yokugcina yesimiso sakho sokugaya ukudla . Ngemva kokuba ukudla esikudlayo sekugayiwe emathunjini amancane futhi izakhamzimba sezimuncwe emzimbeni, imfucuza esele yoketshezi iphelela emathunjini amakhulu. Yilapho kwenzeka khona izinto ezimangalisayo.

Cabanga nje, amanzi nosawoti kuyamuncwa emzimbeni kusuka kulo mfucuza owuketshezi. Njengoba nje isiponji simunca amanzi. Yile ndlela umfucuza owuketshezi ohlangana ngayo kancane kancane, ujiye, bese uba yindle esiyaziyo. Bese kuthi izingqimba zemisipha nezicubu emathunjini amakhulu zifinyele ukuze zikhiphe lo mfucuza emzimbeni.

Manje cishe uzibuza ukuthi lokhu kuphi nokuthi kukhulu kangakanani. Amathumbu akho amakhulu atholakala ngaphakathi kwesisu sakho, njengesiyingi esizungeze amathumbu akho amancane. Lokho kusho ukuthi aqala ethanjeni lakho lesokudla lethanga, akhuphukele ezimbanjeni zakho, bese edlula esiswini sakho ngakwesobunxele sakho, bese ebuya phansi futhi. Ngokuvamile angaba ngamafidi ayi-1.8 ubude (cishe amamitha ayi-1.8 uma kukhulunywa ngakho) futhi angaba amasentimitha ayi-3 ubukhulu (cishe amasentimitha ayi-8).

Yiziphi izingxenye zamathumbu amakhulu?

Amathumbu akho amakhulu akhiwe izingxenye ezintathu eziyinhloko: ikholoni, i-rectum, kanye ne-anus . Ingxenye ngayinye inomsebenzi othize, okuwukukhipha kahle imfucuza yokudla njengendle.

Ake sixoxe nge-colon ngokuningiliziwe.

Ithumbu elikhulu liyinxenye enkulu kunazo zonke yamathumbu amakhulu. Liphinde libe nezinye izingxenye ezinhlanu. Zonke lezi zisebenza ndawonye ukuguqula leyo mfucuza yoketshezi ibe yindle bese ziyithumela endunu.

1. I-Cecum: Lena yingxenye yokuqala yamathumbu amakhulu. Ingamasentimitha angu-8 ubude. Imfucuza yokudla egayiwe evela emathunjini amancane iqoqana lapha kuqala. Bese ithunyelwa kukholoni ekhuphukayo. Kungenzeka ukuthi uke wezwa nge -appendix . Inamathele ekugcineni kwe-cecum.

2. Ikholoni ekhuphukayo: Lena yingxenye yesibili. Ingamasentimitha angu-20 ubude. Itholakala kusukela ku-cecum kuya phezulu, iya kukholoni evundlile. Umsebenzi wayo oyinhloko ukumunca amanzi nama-electrolyte ekudleni okulahliwe . Bese isunduza imfucuza ingene kukholoni evundlile.

3. Ikholoni eguquguqukayo:Lena yingxenye ende kunazo zonke yamathumbu amakhulu, futhi ingaba ngaphezu kwamasentimitha angu-46 ubude. Itholakala engxenyeni engenhla yesisu sakho, isuka kwesokudla iye kwesobunxele. Ithwala imfucuza iye emathunjini aphansi.

4. Ikholoni eyehlayo: Lokhu kungamamitha angu-15 ubude. Kutholakala ohlangothini lwesobunxele lomzimba wakho. Inqubo yokuguqula imfucuza yokudla ibe yindle iyaqhubeka lapha.

5. Ikholoni ye-Sigmoid: Iqanjwe kanjalo ngoba ibunjwe njengohlamvu "S". Ingamasentimitha angu-35-40 ubude. Lena yingxenye yokugcina yamathumbu amakhulu. Yilapho imfucuza iqina khona ngokuphelele, yakha uhlobo lwendle ovame ukuyibona endlini yangasese .

Ingxenye yokuqala ye-rectum - i-rectum

I-rectum ingamasentimitha angu-12-15 ubude. Ngesikhathi ifika kuleli qophelo enqubweni yokugaya ukudla, cishe ingxenye yesithathu yemfucuza yoketshezi evela kwamanye amathumbu amakhulu isusiwe. Isibonelo, uma cishe ama-ounces angu-474 (474 ​​​​ml) emfucuza yokudla okuwuketshezi ingena emathunjini amakhulu, cishe ama-ounces angu-148 (148 ml) ayo ashiywa njengendle. Kulapho nje indle ifika kule rectum lapho uzizwa khona isidingo sokuya endlini yokugezela.

Indawo lapho kuphuma khona indle - i-anus (i-Anus)

Lena yindlela yokuphuma kwendle yakho emzimbeni wakho. Ingamasentimitha angu-5 ubude. Kunezindandatho ezimbili ezikhethekile zemisipha endunu, ezibizwa ngokuthi imisipha ye-sphincter . Zisebenza njengomnyango, noma umpompi wamanzi. Le misipha ilawula ukudlula kwendle.

• I-sphincter yangaphakathi: Lena ivalvu evuleka futhi ivale ngokuzenzakalelayo. Ivuleka ngokuzenzakalelayo uma kufika indle.
• I-sphincter yangaphandle: Lena yileyo ongayilawula. Uma usukulungele ukuya endlini yangasese, ungayilawula futhi ukhiphe indle.

Uma indle iqoqana e-rectum, izimpawu zemizwa zibangela ukuthi i-sphincter yangaphakathi iphumule. Yilapho-ke uzizwa sengathi udinga "ukuthola indlu yangasese."

Ithumbu elikhulu libukeka kanjani?

Ibukeka njengepayipi yerabha egobile, evulekile. Inemibimbi njengepayipi yokuhlanza i-vacuum. Kukhona umthungo oqondile ohambisana nobude bekholoni. Lo mthungo wenza izingxenye ezikolunye uhlangothi zibukeke zikhukhumele.

Yiziphi izifo ezivamile ezingase zivele ku-colon?

Kunezifo eziningi ezingavela kumathumbu amakhulu. Ezinye zazo zithinta ngqo i-colon, i-rectum, noma i-anus. Ezinye zezinkinga ezivame kakhulu yilezi:

• Izinkinga ze-anal ezifana ne -anal crush kanye ne-anal fistulas .
• Ukuqunjelwa: Lena inkinga abantu abaningi abanayo.
• Umdlavuza we-Colorectal kanye nama-polyp e-colon.
• Uhudo.
• Ukungakwazi ukulawula ukudlula kwendle (ukungakwazi ukuzibamba kwendle).
• Ama-Hemorrhoids: Lokhu futhi kuvame kakhulu.
• Isifo Sokuvuvukala Kwamathumbu (IBD).
• Isimo esibizwa ngokuthi (i-intestinal pseudo-obstruction) .
• I-Irritable Bowel Syndrome (IBS).
• Ukuvaleka kwamathumbu amakhulu.
• Ukungasebenzi kahle kwephansi le-pelvic kusho ukuthi imisipha yephansi le-pelvic ayisebenzi kahle.
• Ukopha endukwini kanye nokuwa kwendukwini.

Cabanga ngakho, uma unenkinga efana nale, into engcono kakhulu ongayenza ukungabi namahloni bese ubona udokotela.

Yiziphi izimpawu ezingabona inkinga yamathumbu amakhulu?

Uma kukhona okungahambi kahle ngekholoni lakho, umzimba wakho uzokunikeza izimpawu ezahlukahlukene zokukutshela. Nazi ezinye izimpawu ezivamile:

• Izinguquko emikhubeni yamathumbu: Lokhu kusho uhudo, ukuqunjelwa, ubunzima bokuya endlini yangasese, noma ukungakwazi ukuzibamba.
• Izinguquko zendle: Izinguquko ezifana negazi esitulweni, izinguquko embala wendle, noma izinguquko ekuqineni kwendle, njengokuba manzi noma amaqhubu.
• Ukuqunjelwa okubuhlungu kanye negesi: Lokhu kungabangelwa ukungabekezelelani nokudla.
• Ukuzizwa ukhathele njalo: Nakuba kunezizathu eziningi zalokhu, izinkinga zamathumbu zingaba esinye sazo.

Uma uqhubeka nokuba nesinye noma ngaphezulu salezi zimpawu, qiniseka ukuthi ufuna iseluleko sezokwelapha.

Yiziphi izivivinyo ezenziwayo ukuhlola impilo yamathumbu amakhulu?

Udokotela wakho angase akuncome ukuthi kwenziwe i-colonoscopy ukuze kuhlolwe umdlavuza wamathumbu amakhulu. Lokhu kubaluleke kakhulu ngemva kweminyaka engu-45. Uma unezimpawu, udokotela wakho angase akucele ukuthi uhlolwe okwengeziwe, okufana nalokhu:

• I-anorectal manometry: Ukuhlolwa okulinganisa ukusebenza kwemisipha e-rectum.
• I-enema ye-Barium: Ukuhlolwa kwe-X-ray lapho kufakwa khona isixazululo se-barium e-rectum.
• I-ultrasound ye-Endoscopic: Ukuhlolwa kwe-ultrasound okwenziwa kusetshenziswa i-endoscope.
• I-sigmoidoscopy eguquguqukayo: Ukuhlolwa okubheka ingxenye engezansi yamathumbu amakhulu.
• (Ukuhlolwa kwe-X-ray ye-GI ephansi): Ukuhlolwa kwe-X-ray engxenyeni engezansi yesistimu yokugaya ukudla.
• I-Proctoscopy: Ukuhlolwa kwe-rectum kanye nengxenye engezansi ye-anus.
• Ukuhlolwa kwendle: Ukuhlolwa okwenziwa kusampula yendle.

Yiziphi izindlela zokwelapha izifo zamathumbu amakhulu?

Ukwelashwa kuncike ohlotsheni lwesifo samathumbu amakhulu. Ezinye izindlela zokwelapha ezivamile zifaka:

• Ukususwa kwesisu: Ukususwa kwengxenye noma wonke amathumbu amakhulu ngokuhlinzwa.
• (I-Colostomy):Ukuxhuma umkhawulo owodwa wamathumbu amakhulu ebusweni besikhumba sesisu, okudala indlela ehlukile yokuphuma kwendle.
• (Ukususwa kwesisu nge-laparoscopic abdominoperineal resection)
• (I-Laparoscopic rectopexy)
• (Ukulungiswa kwe-rectocele)
• (Ukuhlinzwa kwe-Transanal endoscopic microsurgery - TEMS)

Nakuba lokhu kungase kubonakale kuyinkimbinkimbi kancane, odokotela bazokuchazela ngokucacile.

Ngingawugcina kanjani umphimbo wami uphilile?

Nokho, lena yingxenye ebaluleke kakhulu! Kunezinto eziningi ezilula esingazenza ukuze sigcine ikholoni yethu iphilile.

1. Yidla i-fiber eningi: I-fiber ifana nomshanelo oshanela amathumbu ethu. Uma lokhu kusesimweni esihle, imisipha emathunjini ethu iyashukunyiswa, futhi imfucuza yokudla yehla kalula. Futhi, iyasiza ekususeni izinto ezingadingekile eziqongeleleke emathunjini. Imifino eluhlaza, izithelo, kanye nemifino ukudla okucebile nge-fiber.

2. Yidla amafutha amahle: Amafutha agcwele , atholakala ezintweni ezifana nenyama ebomvu, atholakale ekhulisa ingozi yomdlavuza wamathumbu amakhulu. Kodwa-ke, amafutha amahle, ikakhulukazi ama-omega-3 fatty acid atholakala ezinhlanzini ezinamafutha , asiza ukukhula kwamagciwane amahle emathunjini.

3. Phuza amanzi engeziwe: Amathumbu ethu adinga amanzi amaningi – ukuhlanza, ukugcoba, nokumunca izakhamzimba. Iningi lethu aliphuzi amanzi anele. Zama ukuphuza okungenani izingilazi zamanzi ezingu-8 ngosuku.

4. Thola i-Colonoscopy: Umdlavuza wekholoni uyisifo esivame kakhulu futhi esingavinjelwa. Noma ubani angasithola. Izimpawu zingase zibe sekwephuzile enkambisweni yesifo. Ngakho-ke, ukuthola i-colonoscopy njalo kuyindlela engcono kakhulu yokuzivikela kulo mdlavuza. Khuluma nodokotela wakho ukuze uthole ukuthi uneminyaka emingaki nokuthi kufanele uhlolwe kangaki.

Ekugcineni, khumbula

Isigaba sokugcina senqubo yethu yokugaya ukudla ukwakheka nokususwa kwendle. Uma ubona noma yini ehlukile uma uya endlini yokugezela - kulungile, uma ungakwazi ukuya - kungaba yinkinga nge-colon yakho. Njengoba sesixoxile, kunezifo eziningi ezithinta i-colon. Ezinye zimbi kakhulu, ezinye azimbi kangako. Kodwa-ke, uma ubona ushintsho emikhubeni yakho yamathumbu, ushintsho kumbala wendle yakho, noma ukuqunjelwa, kungcono ukukhuluma nodokotela ngakho. Bangabe sebethola inkinga yakho futhi bakunikeze ukwelashwa uma kudingeka.

Kodwa, khumbula, izinguquko ezilula zendlela yokuphila zingagcina ikholoni lakho liphilile. Futhi, noma ungenazo izimpawu, ukuhlolwa njalo kwekholoni kungenye yezindlela ezinamandla kakhulu zokuvikela ikholoni lakho!

Ngikufisela impilo enhle!

Amathumbu amakhulu, amathumbu amakhulu, uhlelo lokugaya ukudla, indle, ukuqunjelwa, isifo sohudo, i-colonoscopy