Ingabe nawe unesivimbelo kumathumbu akho amakhulu? (Ukuqina Kwekholoni) Ake sixoxe ngalokhu!

Wake wazizwa ungakhululekile esiswini sakho, njengokuzizwa uvuvukile, noma ubunzima bokukhipha indle? Lezi zinto zingenzeka ngezizathu ezahlukahlukene. Namuhla sizokhuluma ngesimo esisodwa esithile esingabangela lokhu. Lokho ukuvaleka kwamathumbu amakhulu, noma njengoba odokotela bekubiza kanjalo, "iColon Stricture". Akukho okufanele ukwesabe, ake sixoxe ngalokhu kalula.

Kuyini ukuqiniswa kwamathumbu amakhulu?

Kalula nje, ukuqina kwamathumbu amakhulu kuwukuncipha kwamathumbu akho amakhulu, ingxenye enkulu yamathumbu akho esiza ekugayeni ukudla esikudlayo futhi sikhiphe imfucuza njengendle. Kufana nepayipi lamanzi elibhajwa phakathi. Lokhu kuncipha kwenza kube nzima ukuthi indle yakho idlule kalula, futhi ngezinye izikhathi ingavimba ngisho nokuyivimba ngokuphelele.

Kodwa kunezindaba ezinhle! Lesi simo singelashwa futhi selapheke . Uma ubona izimpawu kusenesikhathi, ubonane nodokotela, futhi uthole ukwelashwa okufanele, ungaphinde ube nempilo enhle. Futhi kunezinto ongazenza ukuvimbela lokhu ukuthi kuphinde kwenzeke.

Kungenzeka yini ukuthi umuntu akhululeke ngisho noma kukhona ukuvaleka okunjalo?

Yebo, kuncike kakhulu ekutheni ikholoni yakho inciphile kangakanani, okungukuthi, ukuthi ukuvaleka kwayo kukhulu kangakanani.

• Ukuqina okuncane: Ungase ukwazi ukunyakaza kwamathumbu ngendlela evamile, kodwa kungase kube nzima kancane kunangaphambili, noma ungase ushukumise amathumbu njalo ezinsukwini ezimbalwa.
• Ukuqina okulingene: Kuleli qophelo, kungenzeka kakhulu ukuthi uqunjelwe. Indle yakho ingaba thambile kunokuvamile noma kube nzima ukuyikhipha.
• Ukuqina okukhulu: Lesi yisimo esiphuthumayo sezokwelapha ngoba indle ingase ivaleke ngokuphelele futhi ingakwazi ukuphuma nhlobo.

Ziyini izimpawu zokuvaleka kwamathumbu amakhulu?

Lezi zimpawu zingahluka kuye ngokuthi ukuvaleka kungakanani, kodwa kunezinye izimpawu ezivamile:

• Ubuhlungu besisu: Kungaba njalo noma kubuye kudlule.
• Ukuqunjelwa: Ubunzima bokukhipha indle.
• Uhudo: Ngezinye izikhathi ukuqunjelwa kungashintshwa nohudo.
• Ukuqunjelwa: Ukuzizwa sengathi isisu sigcwele umoya futhi siqunjelwe.
• Isicanucanu nokuhlanza: Lokhu kungabuye kube nokulahlekelwa yisifiso sokudla.
• Ukwehla kwesisindo: Uma wehlisa isisindo ngaphandle kwesizathu, lokho nakho kuyimpawu.

Uma unesinye noma ngaphezulu salezi zimpawu, sicela ubonane nodokotela ngokushesha okukhulu. Uma lesi sifo sisheshe sitholakale, kulula ukwelapha futhi mancane amathuba okuba nezinkinga.

Kuzwakala kanjani ukuvaleka kwekholoni?

Lokhu kuvimbeka kungabangela izinhlobo ezahlukene zokungakhululeki esiswini. Kufana nalokho okwenzekayo lapho kuvimbeka emathunjini.

• Ubuhlungu noma ukuqaqamba esiswini: Lolu uphawu oluyinhloko. Ngokuvamile, lobu buhlungu buzwakala esiswini esingezansi. Abanye abantu baba nobuhlungu obungapheli, kanti abanye baba nobuhlungu obufika bubuye budlule.
• Ukuqunjelwa: Ukuqunjelwa kubangela ukuthi umoya nendle kubambeke emathunjini, okubangela ukuthi isisu sivuvuke. Isisu singase sizizwe siqinile futhi sinciphile.
• Ukuqunjelwa: Lesi yisimo esivamile esenzeka lapho amathumbu enciphile futhi kunzima ukuphuma kwendle. Ungase uzizwe ucindezelekile uma uphuma indle noma uzizwe sengathi awukaphumi ngokuphelele.

Yiziphi izimbangela zokuvaleka kwamathumbu amakhulu?

Lezi zingqinamba aziveli ngokuzumayo. Ngokuvamile, lokhu kuncipha kwenzeka lapho ikholoni yonakele noma ivuvukele ngenxa yesinye isimo sezokwelapha. Ake sibheke ezinye zezimbangela eziyinhloko:

• Isifo Samathumbu Esivuvukalayo (IBD): Izifo ezingamahlalakhona njengesifo sikaCrohn noma i-ulcerative colitis zibangela umonakalo wesikhathi eside kanye nezibazi emathunjini. Ngokuhamba kwesikhathi, lokhu kuzibazi kubangela ukuthi amathumbu anciphe.
• I-Diverticulitis: Lokhu kwenzeka lapho kwakheka izikhwama ezincane (i-diverticula) odongeni lwamathumbu amakhulu, ezitheleleka futhi zivuvuke. Zingavuvukala, zibe nezibazi futhi zivaleke.
• Ukunamathela ngemva kokuhlinzwa: Ngemva kokuhlinzwa kwesisu, izicubu zinganamathelana ngaphakathi. Sizibiza ngokuthi ukunamathela. Lokhu kunamathela kungabangela ukuthi amathumbu acindezelwe futhi avaleke. Cabanga ngakho njengebhande lerabha eliqinisa ipayipi.
• I-Hernia: Wake wezwa nge-hernia? Kuyiqhubu esiswini lapho ingxenye yamathumbu iphuma khona endaweni ebuthakathaka. Ngezinye izikhathi, amathumbu amakhulu angabanjwa futhi anciphe.
• Umdlavuza wekholoni: Ngeshwa, lokhu kungabangelwa nayisimila somdlavuza esakheka kukholoni futhi sivale umgudu wamathumbu.
• Ukwelashwa ngemisebe: Uma ukwelashwa ngemisebe kunikezwa esiswini njengokwelashwa komdlavuza, kungalimaza izicubu zekholoni. Kukhona nengozi yokuba nezibazi nokuvaleka.

Yiziphi izinkinga ezingaba khona ngenxa yokuvaleka kwamathumbu amakhulu?

Uma lokhu kuvinjelwa kungelashwa kahle, kungaholela ezinkingeni ezahlukahlukene. Yingakho kubalulekile ukufuna ukwelashwa ngokushesha.

• Ukuvaleka kwamathumbu ngokuphelele: Lena inkinga enkulu kakhulu. Ukuvaleka kwamathumbu kuvimbela indle ukuthi ingangeni nhlobo.
• Ingozi eyengeziwe yokutheleleka: Uma indle iqoqana phezu kokuvaleka, idala indawo enhle yokukhula kwamagciwane, okungaholela ekuthelelekeni kwamathumbu.
• Ukungondleki: Uma kukhona ukuqunjelwa isikhathi eside ngenxa yokuqunjelwa, noma uma amathumbu evalekile ngokuphelele, kuba nzima ngomzimba ukumunca izakhamzimba ozidingayo ekudleni.
• Ukuphindeka kokuqunjelwa: Ngisho noma ukwelashwa, ukuqunjelwa kungabuya ngezinye izikhathi, ikakhulukazi uma unesifo esifana ne-IBD noma i-Diverticulitis.
• Ukuncipha kokumuncwa kwemithi: Ngezinye izikhathi, lokhu kuvinjelwa kungavimbela umuthi owuthathayo ukuthi umuncwe kahle, okunganciphisa ukusebenza kahle kokwelashwa.

Ukuthola kanjani ukuvaleka kwamathumbu amakhulu?

Uma uya kudokotela, uzoqala akubuze ngezimpawu zakho, izifo zakho zangaphambilini, kanye nanoma yikuphi ukuhlinzwa oke wakwenza. Ngemuva kwalokho bazokwenza ukuhlolwa ngokomzimba . Lokho kusho ukuthi bazozwa isisu sakho futhi bahlole amaqhubu noma ubuhlungu uma usicindezela.

Kodwa lokhu kuhlolwa ngokomzimba kukodwa akukwazi ukukhombisa ngokuqinisekile ukuthi kukhona yini ukuvaleka. Kodwa kunganikeza udokotela umbono futhi kumsize anqume ukuthi yiziphi izivivinyo okufanele azenze ngokulandelayo.

Yiziphi izivivinyo ezenziwayo ukuze kutholakale ukuthi kukhona ukuvaleka?

Kunezivivinyo eziningana ezingabheka ngaphakathi kwekholoni yakho bese zibona ukuthi kukhona yini ukuvaleka:

• I-Colonoscopy: Lokhu kuvame ukuba ukuhlolwa okuyinhloko okusetshenziselwa ukuthola ukuvaleka. Kulesi sivivinyo, kufakwa ipayipi eliguquguqukayo elinekhamera encane nge-anus yakho bese libheka ngaphakathi kwamathumbu akho amakhulu. Udokotela angabe esebona ukuthi ukuvaleka kukuphi nokuthi kubukeka kanjani. Uma kudingeka, kungathathwa ingcezu encane yezicubu ukuze kwenziwe i-biopsy. Lokhu kungasiza ekutholeni imbangela yokuvaleka.
• I-CT scan: I-CT scan isebenzisa i-X-rays ukuthatha izithombe zesisu sakho nendawo ezungezile. Uma udokotela wakho esola ukuthi ukuvaleka kukhulu, angenza i-CT scan kuqala. Lokhu kungabonisa ukuthi ukuvaleka kukuphi, ukuthi kukhulu kangakanani, nokuthi izicubu ezizungezile zithintekile yini.
• Ukuskena kwe-MRI (I-Magnetic Resonance Imaging - I-MRI): I-MRI isebenzisa amasimu anamandla kazibuthe kanye namagagasi omsakazo ukukhiqiza izithombe ezinemininingwane ze-colon kanye nezicubu ezithambile ezizungezile. Lokhu kungasiza nodokotela wakho ukuthi ahlole imbangela yokuvaleka kanye nobukhulu bokuvuvukala.

Indlela yokwelapha ukuvaleka kwekholoni?

Indlela yokwelapha incike ebunzimeni bokuvinjelwa, imbangela yako, kanye nempilo yakho iyonke.

Uma uqunjelwa okuncane , udokotela wakho angase ancome izinguquko zendlela yokuphila, ikakhulukazi izinguquko zokudla. Ukudla okune-fiber ephansi kungasiza ekuthambiseni indle futhi kwenze kube lula ukuyikhipha. Udokotela wakho noma isazi sokudla angakunikeza iseluleko esiqondile ngalokhu.

Uma kucinana okubangelwa yizimo zokuvuvukala, imithi efana ne-"Corticosteroids" noma i-"Immunomodulators" inganikezwa. Lokhu kunganciphisa ukuvuvukala futhi kunciphise ukucinana.

Kwezinye izimo, udokotela wakho angase asikisele izinqubo ezingangenisi kakhulu :

• Ukwandiswa kwebhaluni le-endoscopic:Kulokhu, kufakwa ithubhu, njengase-colonoscopy, bese kudluliswa ibhaluni lapho kuvimbekile khona bese livuvukala. Lokhu kubangela ukuthi ukuvimbeka kwande kancane. Lokhu kuvame ukwenziwa lapho kuvimbekile okuncane, okulula ukukufinyelela.
• Ukubekwa kwe-stent: I-stent iyithubhu elincane, elinwebekayo elingafakwa endaweni evinjiwe ngesikhathi se-colonoscopy. Lokhu kuvumela ikholoni ukuthi ihlale ivulekile futhi ivumele indle ukuthi idlule.

Ezimweni ezimbi kakhulu, kungase kudingeke ukuhlinzwa . Kukhona nezinketho zalokho futhi:

• I-Strictureplasty: Lokhu kuhlinzwa akususi noma iyiphi ingxenye yamathumbu, kodwa kwandisa indawo encishisiwe kuphela. Lokhu kuvame ukwenziwa nasezincishisweni ezimfushane nezilula.
• Ukuhlinzwa Kokususwa Kwesisu: Uma ukuvaleka kukhulu, kukude, noma kusendaweni okunzima ukuyifinyelela, ingxenye yamathumbu ethintekile ingadinga ukususwa. Udokotela ohlinzayo uzobe esexhumanisa iziphetho ezimbili zamathumbu eziphilile.

Kuyini ukubikezela komuntu onenkinga yokuvaleka kwamathumbu amakhulu?

Lokhu kuncike ezintweni ezimbalwa:

• Iyini imbangela yokuvaleka: Uma ukuvaleka kubangelwa yisimo esingamahlalakhona njenge-IBD noma i-Diverticulitis, lezo zimo kuzodingeka ziphathwe njalo.
• Ukuthi ukuvaleka kukhulu kangakanani: Ukuvaleka okuncane kulula ukukwelapha futhi kunemiphumela engcono kunezimo ezinzima zokuvaleka kwamathumbu ngokuphelele.
• Indlela osabela ngayo ekwelashweni: Indlela umzimba wakho osabela ngayo ekwelashweni inquma inqubekela phambili yokululama kwakho.
• Uma kuvela izinkinga: Uma kuvela izinkinga, njengokuvaleka kwamathumbu ngokuphelele, isimo singaba nzima kakhulu. Kodwa-ke, ukululama okuphelele kungenzeka.

Khumbula, uma lesi sifo sihlolwa kahle futhi selashwa, abantu abaningi baba nemiphumela emihle futhi bayakwazi ukuphila impilo enhle.

Yini okufanele uyidle futhi uyiphuze uma uvalekile emathunjini?

Lokhu kungahluka futhi kuye ngokuthi ukuqunjelwa kubucayi kangakanani. Udokotela wakho uzokunikeza imiyalelo ethile. Kodwa ngokuvamile, kungcono ukudla ukudla okuningi okune-fiber encane kanye nokudla okuncane okune-fiber ephezulu .

Ukudla okune-fiber encane kulula ukukugaya, kanti indle ayijiyile kangako, ngakho-ke kunengcindezi encane endaweni evalekile emathunjini. Nazi ezinye izibonelo:

• Isinkwa esimhlophe, ilayisi elimhlophe, i-pasta, ama-noodle
• Imifino ephekiwe kahle, ehlutshiwe (gwema ukudla imifino eluhlaza unesikhumba)
• Izithelo ezivuthiwe kahle (ezihlutshiwe futhi ezifakwe imigodi)
• Inyama engenasikhumba, inkukhu, inhlanzi
• Amaqanda
• Amajusi ezithelo abushelelezi (lawo angenazo izingcezu)
• Izinhlobo zesobho (isobho elikhilimu, isobho elicacile)
• Amazambane abilisiwe nacoliwe
• Ama-oats aphekiwe kahle, i-semolina
• I-yogurt (gwema i-yogurt ene-fiber ephezulu)

Ukudla okune-fiber eningi kunzima ukukugaya futhi kungabangela ukuqunjelwa ngokwenza indle ibe nkulu. Gwema izinto ezinjengalezi:

• Imifino nezithelo ezingavuthiwe (ikakhulukazi ezinamakhasi nembewu)
• Okusanhlamvu okuphelele (irayisi elinsundu, isinkwa se-bran)
• Amantongomane, imbewu, ubhontshisi
• Ukolweni
• Imifino efana neklabishi, ikholifulawa, ne-broccoli
• Ukudla okunongwe (ngoba kuvuselela amathumbu)
• Iziphuzo ezine-carbon (zingandisa ukuqunjelwa)
• Utshwala (bungadala ukuphelelwa amanzi emzimbeni futhi kwandise ukuqunjelwa)

Kufanele ngimbone nini udokotela?

Uma unezimpawu zokuvaleka kwamathumbu amakhulu (njengobuhlungu besisu obuqhubekayo, ukuqunjelwa, isifo sohudo), sicela ubonane nodokotela ngokushesha ukuze uthole ukuthi kwenzekani. Ukuxilongwa kusenesikhathi kanye nokwelashwa kuyizindlela ezinhle kakhulu zokuthola imiphumela emihle kakhulu. Kuphinde kusize ekuvimbeleni izinkinga ezifana nokuvaleka kwamathumbu.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Kungaba usizo ukubuza le mibuzo uma ubona udokotela wakho:

• Yini okungenzeka kakhulu ukuthi iyimbangela yalokhu kuvimbeka kwekholoni lami?
• Zikhona yini ezinye izimo zezokwelapha ezingathinta izimpawu zami?
• Yiziphi izindlela zokwelapha ezitholakalayo zalesi simo?
• Angakanani amathuba okuba ukuqunjelwa kwami ​​​​kulashwe ngempumelelo?
• Ingabe kudingeka ngenze noma yiziphi izinguquko ekudleni ukuze ngiphathe lesi simo?
• Iyini isimo sesikhathi eside somuntu onenkinga yokuvaleka kwamathumbu amakhulu?

Ekugcineni, into okufanele uyikhumbule (Umyalezo Wokuya Ekhaya)

Ukuqina kwamathumbu kungaba yinto eyesabekayo ukuyizwa. Kodwa-ke, abantu abaningi baye baba nemiphumela emihle yesikhathi eside ngemva kokwelashwa okuphumelelayo. Ukuxilongwa kusenesikhathi kubalulekile. Futhi, ngenxa yokuthi kunezindlela ezahlukene zokwelapha, udokotela wakho angakusiza ukuthi wakhe uhlelo lokwelashwa olusebenza kahle kuwe futhi lukusize ube ngcono. Ungasiza futhi ekulawuleni izimpawu zakho ngokuqaphela lokho okudlayo nokuphuzayo. Ungahlupheki wedwa, bona udokotela ngokushesha nje lapho uzizwa ungakhululekile. Sikufisela ukululama okusheshayo!

ukuqina kwamathumbu amakhulu , ukuqunjelwa, ubuhlungu besisu, uhlelo lokugaya ukudla, i-colonoscopy, isifo samathumbu