Ingabe nawe unenkinga yokuzikhipha indle? Ake sifunde ngokuhlolwa kwe-Defecography!

Ingabe unenkinga yokuya endlini yangasese? Noma ingabe ngezinye izikhathi unenkinga yokubamba amathumbu akho ngaphakathi? Noma uzizwa ungakhululekile ngendlela engavamile uma uya endlini yangasese? Uma unezinkinga ezinjalo, udokotela wakho angase afune ukuthi wenze ukuhlolwa okukhethekile okubizwa ngokuthi i-defecography ukuze athole imbangela. Kalula nje, lokhu kwenzelwa ukubheka ukuthi imisipha nezinye izitho zomzimba wakho zisebenza kanjani uma uthutha amathumbu.

Kuyini i-Defecography?

Kulungile, ake sibheke kabanzi ukuthi iyini i-defecography. Empeleni lokhu ukuhlolwa kwe-radiology. Kubheka ukuthi imisipha nezitho zomzimba ngaphakathi komzimba wakho zisebenza kanjani uma ukhipha indle, noma njengoba odokotela bekubiza kanjalo, "khipha indle." Lokhu kwenziwa kusetshenziswa ukuhlolwa okukhethekile kwe-"Fluoroscopic X-ray" noma ukuhlolwa kwe-"MRI - Magnetic Resonance Imaging". Ngalobu buchwepheshe, odokotela bangabona ngokucacile ukuthi izingxenye ezahlukene zomzimba wakho zihamba kanjani nokuthi zisebenza kanjani uma ukhipha indle.

Manje ungase uzibuze ukuthi kufanele ngempela yini ukhiphe indle kulolu vivinyo. Cha, awukwenzi lokho. Abasebenzi bezokwelapha bazofaka i-paste ekhethekile efana ncamashi nendle e-rectum yakho. Ibizwa ngokuthi i-paste "ye-barium". Le "barium" "iyi-ejenti yokuhlukanisa," into eyenza ingaphakathi lomzimba wakho libonakale ngokucacile ku-"X-ray" noma "i-MRI." Uzobe usukhipha le nhlanganisela ngenkathi uhleli endlini yangasese ekhethekile ngaphakathi kwesithwebuli. Into ebalulekile ukuthi udokotela we-radiologist akakubheki endlini yangasese, kodwa ubheka izithombe zangaphakathi kwakho esikrinini sekhompyutha. Ngakho-ke akukho okufanele ube namahloni ngakho.

Kudingeka nini lokhu kuhlolwa?

Inhloso eyinhloko yalolu vivinyo ukwazisa udokotela wakho okwengeziwe ngalokho okwenzekayo ngaphakathi uma ukhipha indle. Lokhu kuzobasiza ukuthola imbangela eqondile yenkinga yakho futhi bakunikeze ukwelashwa okufanele. Lolu vivinyo lusiza odokotela ukuthola ngezinto ezifana nalezi:

• Indlela imisipha yakho yaphansi ye-pelvic efinyela futhi iphumule ngayo.
• Indlela i-anus yakho esebenza ngayo uma uphuma isisu.
• Indlela okunyakaza ngayo umathumbu wakho, i-rectum, isitho sangasese sowesifazane kanye nesinye uma ukhipha indle.
• Ingabe kukhona isitho somzimba wakho esishintshile noma esishintshile?
• Mhlawumbe uma uhlela ukuhlinzwa, yiziphi izinto okufanele uziqaphele kakhulu?

Yiziphi izifo ezingatholakala ngalesi sivivinyo?

Uma unezimpawu ezingachazeki ezihlobene nokuhamba kwakho kwamathumbu isikhathi eside, udokotela wakho angase akuncome ukuthi uhlolwe i-defecography ukuze athole imbangela. Isibonelo:

• Ubuhlungu bendunu.
• Ukuqunjelwa (okusho ubunzima bokukhipha indle).
• Ukungakwazi ukulawula ukuhamba kwendle (ukungakwazi ukuzibamba kwendle).
• Ukuphuma okungaphelele kunomuzwa wokuthi indle ayikakhishwa ngokuphelele.

Lokhu kuhlolwa kusetshenziselwa futhi ukuqinisekisa isimo sezokwelapha uma udokotela esisola. Izimo ezinjalo zifaka:

• Ukungasebenzi kahle kwephansi le-pelvic: Kalula nje, imisipha nemizwa ephansi le-pelvic yakho ayihambisani futhi ayisebenzi kahle uma ukhipha indle.
• Ukuwohloka kwesitho somzimba: Lokhu kwenzeka lapho isitho emzimbeni wakho siba buthaka futhi siwa endaweni yaso, noma esinye isitho sisunduzela kwesinye. Ezinye izibonelo yilezi:
• Ukwehla kwe-rectal.
• I-Rectocele ukuvela kwe-rectum esithweni sangasese sowesifazane.
• I-Enterocele iwukuphuma kwamathumbu amancane endunu.

Ubani owenza lolu vivinyo?

Zonke izivivinyo ezinjalo ze-X-ray kanye ne-MRI zenziwa ngodokotela be-radiology abaqeqeshwe ngokukhethekile nabaqinisekisiwe. I-Defecography, ikakhulukazi, yenziwa uchwepheshe onolwazi olujulile nge-rectum kanye nokunyakaza kwayo okuhambisana nayo (i-Anorectal Motility).

Kwenziwa kanjani lokhu kuhlolwa?

Ukuhlola i-defecography kungenziwa kusetshenziswa i-X-ray ye-fluoroscopic noma i-MRI. Zombili lezi zindlela zingabheka ukuthi izindlela zangaphakathi zomzimba wakho zisebenza kanjani uma ukhipha indle. Indlela ye-X-ray iyona esetshenziswa kakhulu, kodwa kwabanye abantu, inani elincane lemisebe ekhishwa yi-X-ray lingaba yingozi, ngakho-ke i-MRI ifaneleka kakhulu.

Cabanga ngakho njenge-X-ray yevidiyo. Esikhundleni sokuthatha izithombe ngesikhathi esisodwa, kuthunyelwa umsebe oqhubekayo we-X-ray emzimbeni. Ungabe usubuka uchungechunge lwezithombe ezihambayo esikrinini ngesikhathi sangempela. Lokho kusho ukuthi akudingeki ulinde izithombe ukuthi zithuthukiswe, ungabuka izitho zakho zisebenza njengevidiyo.

Ukuhlolwa kwe-MRI (Magnetic Resonance Imaging) kusebenza ngokusebenzisa amagagasi omsakazo kanye nensimu yamagnetic. Ugesi udlula ngama-coil ensimbi kuwo wonke umshini ukuze kudalwe insimu yamagnetic. Lokhu kubangela ukuthi ama-athomu e-hydrogen emzimbeni wakho ahambe. Uma ebuyela ezindaweni zawo zokuqala, umshini uthatha isignali ayikhipha ngamagagasi omsakazo bese uyibonisa njengesithombe kukhompyutha.

Kwenzekani ngaphambi kokuhlolwa?

Udokotela wakho uzobhala ngokuningiliziwe umlando wakho wezokwelapha ophelele, okuhlanganisa noma yikuphi ukuhlinzwa oke wakwenza, izimo zezokwelapha ozenzayo, imithi oyithathayo, kanye nanoma yikuphi ukufakwa kwezicubu okwenzile. Ngemuva kwalokho, bazokubuza ngokuningiliziwe ukuthi kwenzekani ngempela uma ukhipha indle.

Okulandelayo, sizokunikeza incazelo egcwele yokuthi lolu vivinyo lwenziwa kanjani. Sizochaza nokuthi ungasisekela kanjani ukuze uthole imiphumela ecacile evela kulolo vivinyo. Ngoba impumelelo yalolu vivinyo incike kakhulu ekusekelweni kwakho.

Ngezinye izikhathi, unganikwa i-enema ongayisebenzisa ekhaya ukusiza ukuhlanza amathumbu akho ngaphambi kokuhlolwa. Ungacelwa futhi ukuthi ushintshe ukudla kwakho, imithi, kanye noketshezi olusetshenziswayo ngaphambi kokuhlolwa. Le miyalelo ingahluka kumuntu nomuntu, ngakho-ke kubalulekile ukulandela imiyalelo kadokotela wakho ngqo.

Uzilungiselela kanjani ngosuku lokuhlolwa?

Kungakhathaliseki ukuthi wenza i-Fluoroscopic X-ray Defecography noma i-MRI Defecography, zombili lezi zivivinyo zidinga ukusetshenziswa kwe-contrast agent eyenza izitho zangaphakathi udokotela afuna ukuzibona kahle. Lokhu kusho ukuthi le contrast agent kumele ifakwe emzimbeni wakho ngaphambi kokuhlolwa.

Ukuze ubone ingxenye yokugcina yesimiso sakho sokugaya ukudla – ikholoni, i-rectum, kanye ne-anus – ngokucacile, ithimba lezokwelapha lizofaka i-contrast agent (i-Barium Sulfate) ku-paste bese liyifaka ku-rectum yakho. I-Barium Enema inikezwa ngokushesha ngemva kokuhlolwa. Kodwa-ke, ngezinye izikhathi udokotela angase afune ukubheka ezinye izitho i-Enema engenakuzifinyelela.

Isibonelo, uma udinga ukubona amathumbu akho amancane, unganikezwa isixazululo sokuhlukanisa ukuze uphuze. Lokhu kungadinga ukuthathwa amahora ambalwa ngaphambi kokuhlolwa, ngoba kuthatha isikhathi ukuthi isixazululo sidlule ohlelweni lwakho lokugaya ukudla. Ngesinye isikhathi, uma udinga ukubona udonga oluphakathi kwesitho sakho sangasese sowesifazane kanye ne-rectum, i-barium paste ingasetshenziswa esitho sakho sangasese sowesifazane.

Kunjani okuhlangenwe nakho ngesikhathi sokuhlolwa kwe-defecography?

Ngemva kokugqoka ingubo yesibhedlela, uzoyiswa egumbini lokuhlolwa. Lapho, uzolala etafuleni. Ngemuva kwalokho, ithimba lezokwelapha lizofaka i-barium paste e-rectum yakho besebenzisa isibhamu sokuvala. Le enema ingakwenza uzizwe ugcwele noma uvuvukele kancane. Uma i-rectum yakho igcwele, ngokwemvelo uzozizwa unesifiso sokuya endlini yangasese. Uzobe usukulungele ukuhlolwa.

Uma usemshinini we-X-ray noma emshinini we-MRI ovulekile, itafula okulo litsheke liqonde phezulu, futhi kunendlu yangasese ekhethekile ngaphansi kwakho. Ngokuvamile uhlala endlini yangasese. Yomibili le mishini yenzelwe ukuba ingabi nomsindo, inesikhala esiningi kanye nomoya ongenisa umoya. Kodwa uma usemshinini we-MRI wendabuko, ofana kancane nepayipi, kufanele ulale phansi etafuleni, bese kufanele ukhululeke ungene endwangwini yomuntu omdala. Ungase futhi umbozwe ngengubo enezikhonkwane zensimbi.

Abanye abantu bangase bazizwe bengenaso isibindi uma bengaphakathi komshini we-MRI wendabuko. Uma lokhu kwenzeka, ungase unikezwe umuthi wokudambisa ukuze uphumule. Umshini ukhanya kahle futhi unomoya opholile. Ungakhuluma nochwepheshe nge-intercom. Imishini ye-MRI evulekile kanye neyendabuko yenza umsindo omkhulu othi "tock tock, click click" uma kuthathwa izithombe. Uzonikezwa ama-earplug noma ama-headphone ngaphambi kwenqubo.

Udokotela we-radiologist osebenzisa imishini yokuhlola uzokunikeza imiyalelo evela ngaphandle komshini. Njengoba ethatha izithombe, uzokutshela ukuthi uqinise, ubambe, futhi ukhulule imisipha yakho. Uma ucindezela, udinga ukusebenzisa amandla anele ukuze uchwepheshe abone ngokucacile ukuthi imisipha yakho isebenza kanjani. Udinga futhi ukuhlala uthule kakhulu ngenkathi izithombe zithathwa njalo - ngokuvamile isikhathi esingaphansi komzuzu.

Isivivinyo sonke sithatha imizuzu engama-30 kuya kwengama-60. Kungase kuzwakale kukhathaza kancane futhi mhlawumbe kuhlazisa, kodwa akulona isivivinyo esibuhlungu.

Kwenzekani ngemva kokuhlolwa?

Ngemva kokuphela kokuhlolwa, uzoyiswa endlini yokugezela yangasese lapho ungazihlanza khona. Cishe uzobona into emhlophe, efana noshokoledi ebizwa ngokuthi i-"Barium" iphuma esitulweni sakho cishe izinsuku ezimbili. Uzokwazi ukuqhubeka nemisebenzi yakho evamile kanye nemikhuba yokudla ngokushesha.

Ingabe kukhona izingozi noma imiphumela emibi kulokhu kuhlolwa?

Inani elincane lemisebe ekhishwa yi-X-ray libhekwa njengeliphephile, uma nje ungazivezi njalo. Ukuskena kwe-MRI akulethi zingozi noma imiphumela emibi. Uma ukhulelwe, ngokuvamile kunconywa ukuthi ugweme kokubili ukuhlolwa ngangokunokwenzeka, yize ingozi yokulimaza ingane incane kakhulu.

Iyini imiphumela? Kusho ukuthini u-Eva?

Udokotela we-X-ray uzothumela umbiko onemininingwane kudokotela wakho wokunakekelwa okuyinhloko. Uzokutshela imiphumela. Umbiko uzoveza ukuthi zikhona yini izinkinga ezivamile ngokunyakaza kwamathumbu. Uzokutshela nokuthi udokotela wakho wokunakekelwa okuyinhloko u-ode noma yiziphi izivivinyo ezithile.

Ake sithi udokotela wakho u-ode lolu hlobo lokuhlolwa kokuzikhulula, okusho ukuthi kungenzeka ukuthi usuhlushwa yile nkinga isikhathi eside. Ngakho-ke, ulwazi oluvela ekuhlolweni kwakho kokuzikhulula lubalulekile kudokotela wakho ukuze akhe uhlelo lokwelapha olungcono kakhulu lokuthuthukisa ulwazi lwakho lokuzikhulula.

Umyalezo oya nawo ekhaya

Yebo, lokhu kuhlolwa kungase kubonakale kungavamile, futhi mhlawumbe kungakhululeki. Kodwa khumbula, kuzokusiza ukuthola imbangela eqondile yenkinga yakho bese uqala ukwelashwa okufanele ngayo. Ekugcineni, lokhu kuhlolwa kungakulethela impumuzo enkulu. Ngakho-ke, uma udokotela wakho encoma lokhu kuhlolwa, kubalulekile ukukhuluma ngakho ngokuphelele futhi ukwenze uma kudingeka.

'Ukuqunjelwa, i-Difficography, Ubunzima bokukhipha indle, i-Barium, i-X-ray, i-MRI, i-Pelvic floor