Lokhu kungaba yindaba enzima nehlazisayo ukukhuluma ngayo. Kodwa empeleni, ukungakwazi ukuzibamba noma ukungakwazi ukulawula ukuhamba kwakho kwamathumbu kuyinkinga evamile kubantu abaningi, ikakhulukazi njengoba bekhula. Akusona isimo esibucayi, kodwa singaba nomthelela omkhulu empilweni yakho yansuku zonke kanye nobudlelwano nabantu. Yingakho kubalulekile ukuba nolwazi oluhle nokuthola iseluleko esifanele.

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Kuyini ngempela ukungalawuleki kwamathumbu?

Kalula nje, ukulahlekelwa ikhono lakho lokulawula ukuhamba kwakho kwamathumbu yilokho esikubiza ngokwezokwelapha ngokuthi ukungalawuleki kwamathumbu. Kungaba namazinga ahlukene alokhu.

Khumbula, ngezinye izikhathi ungase ukhiphe indle encane ungahlosile uma ukhipha igesi. Abanye bangase bangakwazi ukulawula ngokugcwele izinga abakhipha ngalo indle. Lokhu kungaba inkinga yesikhashana eba ngcono noma kungaba yisimo esihlala njalo.

Lokhu kwenza abantu abaningi besabe ukuhlangana nabantu, ukuya emicimbini, noma ukuhlangana nabangani. Ukwesaba ukuthi, "Kuthiwani uma lokhu kwenzeka kimi ngingazi?" Kodwa ingxenye engcono kakhulu ukuthi kunezindlela zokwelapha eziphumelela kakhulu kulokhu. Ngakho esikhundleni sokuzizwa unamahloni futhi ucindezelekile ngakho, isinyathelo sokuqala okufanele usithathe ukukhuluma nodokotela wakho.

Ziyini izimpawu zalesi simo?

Uphawu oluyinhloko lwalokhu ukungakwazi ukulawula ukuhamba kwamathumbu, kodwa indlela okwenzeka ngayo ingahluka kumuntu nomuntu.

Khuthaza Ukungakwazi Ukuzibamba: Isidingo esikhulu nesisheshayo sokuya endlini yangasese, kodwa indle iyaphuma ungakagijimeli ngisho nokuya endlini yangasese.
Ukungakwazi ukuzibamba: Awuzizwa isidingo sokuzikhulula, kodwa uyaqaphela ukuthi izingubo zakho zangaphansi zingcoliswe kancane yindle.
Ezinye izinkinga zamathumbu: Ngaphezu kwalezi zimpawu eziyinhloko, ungase ubhekane nezinye izinto. Isibonelo:
Uhudo
Ukuqunjelwa
Ukuqunjelwa kanye negesi

Into ebaluleke kakhulu ukukhuluma nodokotela uma unezimpawu ezifana nalezi, ngaphandle kokuzifihla. Ngoba uma imbangela itholakala, kulula kakhulu ukwelapha.

Yiziphi izizathu zalokhu?

Akukho imbangela eyodwa yokulahlekelwa ukulawula amathumbu, kodwa kunezici eziningana ezingaba nomthelela kulesi simo. Ngezinye izikhathi, kunezici eziningana ezingahlangana zibe imbangela yalesi simo. Ake sibheke izimbangela eziyinhloko.

Isizathu	Incazelo elula
Ukulimala kwemisipha ezungeze indunu	Lena yimbangela evame kakhulu. Ngesikhathi sokubeletha (ikakhulukazi ukubeletha kwesitho sangasese sowesifazane), imisipha ezungeze i-anus (ama-sphincters endunu) noma imizwa ingalimala. Yingakho abesifazane benamathuba aphindwe kabili okuthola lesi simo kunabesilisa. Lo monakalo ungenzeka futhi ngenxa yokuhlinzwa endunu.
Uhudo	Indle ekhululekile kunzima ukuyilawula kunendle eqinile. Isifo sohudo singabangelwa nayizifo noma izimo ezifana ne-Irritable Bowel Syndrome (IBS).
Ukuqunjelwa okukhulu	Ukungahambisi isisu izinsuku eziningi kungabangela ukuthi indle enkulu neyomile (indle ethintekile) ihlale e-rectum. Lokhu kungenza imisipha ibe buthaka futhi kubangele ukuthi indle enamanzi iphume. Lokhu kuvamile kubantu abadala.
Ukulimala kwemizwa	Izifo ezifana nesifo sikashukela, ukulimala komgogodla, kanye ne-multiple sclerosis kungalimaza imizwa elawula imisipha ye-rectum.
Ezinye izimo zezokwelapha	Izimo ezifana neSifo Sokuvuvukala Kwamathumbu (isib. isifo sikaCrohn, i-Ulcerative colitis), ukwelashwa ngemisebe yomdlavuza, isifo sohlangothi, kanye nokuncipha kwezicubu ezithambile nakho kungabangela lokhu.

Dokotela, ukuxilonga kanjani lokhu?

Uma uya kudokotela wakho, uzokubuza imibuzo futhi ahlole umzimba ukuze athole umbono wokuthi kwenzekani. Ukuhlolwa kwe-rectal yedijithali kungahlola amandla emisipha ezungeze i-rectum. Ngaphezu kwalokho, bangase batuse ezinye izivivinyo ukusiza ekutholeni imbangela eqondile.

Ukuhlolwa kwendle: Uma unesifo sohudo, kungasiza ekutholeni imbangela, njengokutheleleka.
I-Endoscopy: Ipayipi elinekhamera enamathiselwe lifakwa nge-anus ukuze kuhlolwe ingaphakathi le-colon. Lokhu kungenziwa kusetshenziswa izindlela ezifana ne-Anoscopy, Sigmoidoscopy, noma Colonoscopy.
I-anorectal manometry: Ukuhlolwa okulinganisa ingcindezi namandla emisipha e-rectum.
I-Endosonography: Ipayipi le-ultrasound lifakwa e-rectum ukuze kuhlolwe izinkinga ngemisipha nezindonga.
Ukuhlolwa kwemizwa: Hlola ukusebenza kwemizwa elawula imisipha.
Ukuskena kwe-MRI: Lokhu kusiza ukuthola isithombe esiningiliziwe semisipha nezinye izingxenye zendawo ye-pelvic.

Yiziphi izindlela zokwelapha lokhu?

Izindaba ezinhle ukuthi lesi simo sivame ukwelapheka , futhi kwezinye izimo, selapheka ngokuphelele. Ukwelashwa kuncike embangela yesimo sakho kanye nobunzima baso.

Ukwelashwa okungadingi ukuhlinzwa

Okokuqala, udokotela uzama ukulawula lokhu ngaphandle kokuhlinzwa.

Izinguquko ekudleni:
Faka cishe amagremu angu-20-30 e-fiber ekudleni kwakho nsuku zonke. Lokhu kuzosiza ekuqiniseni indle yakho futhi kwenze kube lula ukuyilawula.
Nciphisa ukuphuza i-caffeine (itiye, ikhofi).
Phuza izingilazi eziningana zamanzi ngosuku ukuze uvimbele ukuqunjelwa.

Imithi:
Imithi efana ne-(Imodium) enciphisa ukuvama kanye nokuphuthuma kokuhamba kwamathumbu.
Imithi efana ne-(Methylcellulose) eqinisa indle ewuketshezi.
Okubalulekile: Noma yimiphi yale mithi kufanele isetshenziswe kuphela ngaphansi kweseluleko sikadokotela .

Ukuzivocavoca nokuqeqeshwa:
Ukuzivocavoca kwe-Kegel: Lokhu kuzivocavoca kuqinisa imisipha ye-pelvic ngokuqinisa nokuphumuza imisipha esetshenziselwa ukubamba umchamo.
Ukuqeqeshwa kwamathumbu: Ukujwayela ukuya endlini yangasese ngesikhathi esifanayo nsuku zonke kungasiza ekuvimbeleni ukunyakaza kwamathumbu ngezikhathi ezingadingeki.
I-Biofeedback: Kusetshenziswa idivayisi yesensa, kunikezwa ukuqeqeshwa ukuze kutholakale futhi kuqiniswe imisipha ye-rectal ngendlela efanele.

Ukwelashwa ngokuhlinzwa

Ukuhlinzwa kucatshangelwa kuphela uma ezinye izindlela zokwelapha zingaphumeleli.

Ukuhlinzwa kwe-sphincter: Lokhu kuhilela ukubopha kabusha nokuqinisa imisipha yendunu eyonakele (i-sphincteroplasty).
Isikhuthazi sezinzwa ze-Sacral:Ithuluzi elincane elivuselela imizwa ye-pelvic lifakwa ngaphansi kwesikhumba.
I-Colostomy: Lokhu kwenziwa kaningi, futhi kuphela uma zonke ezinye izindlela zokwelapha zehlulekile. Kule nqubo, amathumbu amakhulu alethwa ebusweni besikhumba esiswini futhi avunyelwe ukuqoqana esikhwameni.

Izindlela zesimanje ezingezona ezokuhlinzwa

Lezi izindlela ezintsha kakhulu, ezingenangozi kakhulu kunokuhlinzwa.

Ukulungiswa kabusha kwe-radiofrequency anal sphincter: Kusebenzisa amandla okushisa ukuqina nokuqinisa imisipha yendunu.
Izinto eziphilayo ezijovwayo: Izinto ezifana ne-silicone zijovwa emisipheni ye-rectal ukuze kwandiswe ukujiya nokusebenza kwazo.

Umlayezo Wokuya Nawe Ekhaya

Ukungakwazi ukuzibamba akusho lutho olubi. Kuyinkinga yezempilo evamile abantu abaningi ababhekana nayo.
Lesi simo singaphathwa futhi selapheke ngempumelelo, ngakho ungalilahli ithemba.
Isinyathelo esibaluleke kakhulu nesiqala okufanele usithathe ukukhuluma ngokukhululekile nodokotela wakho ngalokhu.
Ngisho nezinguquko ezilula ekudleni nasendleleni yokuphila zingenza umehluko omkhulu.
Ungahlupheki wedwa, funa iseluleko sezokwelapha bese ukhetha ukwelashwa okukufanele kakhulu.