Ingabe nawe uhlangabezana nokungakwazi ukuzibamba indle? (Ukungakwazi ukuzibamba indle) - Ungabi namahloni, ake sixoxe ngakho!

Ingabe ngezinye izikhathi uchitha indle encane ngengozi ezingutsheni zakho uma uhleka kakhulu, uzivocavoca, noma uphefumula nje? Lena inkinga abantu abaningi abanayo, kodwa banamahloni okukhuluma ngayo emphakathini. Abantu abaningi bahlupheka bodwa ngaphandle kokutshela muntu ngayo. Kodwa empeleni akuyona into okufanele ube namahloni ngayo. Lesi yisimo sezokwelapha. Ngakho ake sixoxe ngaso obala namuhla.

Kuyini Ukungakwazi Ukulawula Indle?

Kalula nje, ukungalawuleki kwendle kuwukulahlekelwa yindle yakho ngokungazikhetheli ingxenye noma yonke uma ungafuni. Kwabanye, lokhu kungaba yinto encane njengokudlula umoya isikhashana. Kwabanye, kungaba nzima njengokuhamba kwesisu ngokuphelele ngaphandle kokulawulwa.

Uhlelo lwethu lokulawula amathumbu kanye nesinye luyinkimbinkimbi kakhulu. Cabanga ngakho njengompompi wamanzi. Imisipha ephansi lethu le-pelvic, i-rectum, kanye ne-anus yonke idinga ukusebenza ndawonye kahle. Le misipha idinga futhi ukuthola izimpawu ezifanele ezivela ebuchosheni. Uma kukhona ubuthakathaka obuncane noma umonakalo noma kuphi kulesi simiso, lolu hlobo lokungakwazi ukuzibamba lungenzeka.

Kunezinhlobo ezimbili eziyinhloko zalokhu.

Lesi simo singahlukaniswa ngezinhlobo ezimbili eziyinhloko. Ukuze uqonde lokhu ngokucacile, bheka ithebula elingezansi.

Yiziphi izizathu eziyinhloko zalesi simo?

Akukho sizathu esisodwa salokhu. Kungase kube nezici eziningana ezihilelekile.

• Ukuqunjelwa Okungapheli: Umuntu oqunjelwa okungapheli angase asebenze kanzima ukuze akhulule indle, onakalise imisipha nemizwa elawula ukuhamba kwamathumbu. Futhi, izinhlayiya zendle eqinile ezivaleleke ngaphakathi zingase ziphume.
• Uhudo: Indle ekhululekile kunzima ukuyilawula kunendle eqinile. Uhudo oluvame ukwenzeka lungenza buthaka imisipha e-rectum ngokuhamba kwesikhathi.
• Ukulimala Kwemisipha: Abesifazane, ikakhulukazi, bangalimala imisipha uma kudingeka basebenzise izinto ezifana ne-forceps ngesikhathi sokubeletha okunzima noma benze i-episiotomy. Lo monakalo ungavela nasekuhlinzweni kwezimo ezifana nama-hemorrhoids.
• Ukulimala Kwezinzwa: Izinto ezinjengokubeletha nokuhlinzwa zingalimaza imisipha kanye nezinzwa ezilawulayo. Izimo ezifana nesifo sikashukela kanye nezifo zesimiso sezinzwa nazo zingabuthakatha lezi zinzwa.
• Ukuncipha kokuqina kodonga lwe-rectal: Izindonga ze-rectum, ezibamba indle, kufanele ziqine kakhulu. Kodwa-ke, izimo ezifana nesifo sikaCrohn noma ukwelashwa ngemisebe yomdlavuza kungabangela izibazi futhi lokhu kuqina kungalahleka. Khona-ke, noma ngabe indle igcwele kancane, kungaba nzima ukuyibamba bese uyikhipha.
• Ukuvaleka Kwezitho Zesitho Sesitho Sangasese Sowesifazane (i-POP): Lapho imisipha ebamba izitho ezisesinqeni sethu sesisu (njengesibeletho, isinyi, kanye ne-rectum) iba buthaka, lezo zitho ziyawa. Uma i-rectum yehla ngale ndlela, kungabangela izinkinga ngokulawula amathumbu.

Ubani osengozini enkulu yokuthuthukisa lokhu?

Nakuba lesi simo singaba khona kunoma ubani, abanye abantu basengozini enkulu.

• Ubudala: Abantu abangaphezu kweminyaka engu-65 basengozini enkulu. Lokhu kungenxa yokuthi imisipha iba buthaka ngokwemvelo njengoba siguga. Kodwa ungacabangi ukuthi lokhu kuyingxenye 'evamile' yokuguga. Uma unale nkinga, qiniseka ukuthi ubona udokotela.
• Ubulili: Abesifazane basengozini enkulu kunabesilisa, ikakhulukazi ngemva kokubeletha kanye nokunqamuka kokuya esikhathini.
• Ezinye izimo zezokwelapha: Abantu abanezimo zezokwelapha ezilandelayo nabo basengozini enkulu.
• `Isifo sika-Alzheimer's` kanye `ne-Dementia`
• 'Isifo sikaParkinson'
• `Isifo Sikashukela Sohlobo 2`
• `Isifo Sokuqaqamba Kwamalunga Esiningi (i-MS)`
• "Isifo Sokuvuvukala Kwamathumbu (IBD)"
• "Isifo Sokucasuka Kwamathumbu (IBS)"
• Isifo sohlangothi

Yiziphi ezinye izinkinga lokhu okungazibangela?

Ukuzikhulula ngaphandle kokuzithandela kungabangela izinkinga zomzimba nezengqondo.

• Ukutheleleka kwesikhumba: Isikhumba esizungeze indunu sivame ukuba manzi futhi simbozwe yindle, okungabangela ukubomvu, ukuvuvukala, ukulunywa, kanye nobuhlungu . Ngezinye izikhathi, izilonda nazo zingakheka.
• Umthelela Wengqondo: Abantu abaningi empeleni bazizwa becindezelekile ngokwengqondo kunokucindezeleka ngokomzimba. Amahloni, ukukhathazeka, nokucindezeleka kungakwenza uzizwe sengathi awukwazi ukuphuma endlini, ukuchitha isikhathi nabangani, noma ukuya emicimbini. Lokhu kungakwenza uzizwe sengathi ushiywe ngaphandle emphakathini.

Ukuthola kanjani lokhu, Dokotela?

Okokuqala, ungabi namahloni okukhuluma nodokotela wakho ngalokhu. Lena inkinga yezempilo evamile kakhulu kubo. Kuphela ngokukhuluma ngokukhululekile ngezinkinga zakho lapho ungathola khona ukwelashwa okufanele.

Udokotela uzokubuza ngezimpawu zakho bese ekwenza ukuhlolwa ngokomzimba. Ngaphezu kwalokho, angenza nezivivinyo ukuze kutholakale imbangela eqondile.

• I-Anorectal Manometry: Ukuhlolwa okulinganisa amandla emisipha e-rectum.
• `Ukuhlolwa Kokuxoshwa Kwamabhaluni`: Ukuhlolwa okukala ukuthi inqubo yokukhipha indle isebenza kahle kangakanani.
• `I-Ultrasound ye-Endorectal` noma `I-MRI`: Hlola isakhiwo semisipha ye-rectal nokuthi ngabe kukhona yini umonakalo.
• `I-Anal Sphincter Electromyography (EMG):` Ukuhlolwa kokuhlola umonakalo wezinzwa.
• I-Endoscopy: Ukuhlolwa kwengaphakathi lamathumbu (i-Colonoscopy) noma i-rectum (i-Proctoscopy) kusetshenziswa ipayipi elinekhamera.

Yiziphi izindlela zokwelapha lokhu?

Izindlela zokwelapha ziyahlukahluka kuye ngokuthi imbangela kanye nobunzima besimo.

Izinguquko ekudleni

Uma inkinga yakho ibangelwa uhudo noma ukuqunjelwa, ukushintsha indlela odla ngayo kungakunikeza impumuzo enkulu.

• Uma unesifo sohudo: Nciphisa i-caffeine (ikhofi, itiye), ukudla okunongwe kakhulu, ukudla kobisi, kanye nezinto ezibangela ubumnandi bokwenziwa.
• Uma unesifo sokuqunjelwa: Yidla ukudla okune-fiber eningi (izithelo, imifino, okusanhlamvu okuphelele). Phuza okungenani izingilazi zamanzi ezingu-8-10 ngosuku.

Ukuzivocavoca nokuqeqeshwa

• Ukuqeqeshwa Kwamathumbu:Ukujwayela ukuya endlini yangasese ngesikhathi esithile nsuku zonke (isib. ngemva kokuphuza ikhofi yakho yasekuseni). Lokhu kudala umkhuba emzimbeni.
• Ukuzivocavoca kwe-Kegel: Lokhu kubaluleke kakhulu. Ungabuza udokotela wakho noma uchwepheshe wezokwelapha ukuthi ungakwenza kanjani lokhu kuzivocavoca ngendlela efanele ukuze uqinise imisipha endaweni ye-pelvic.
• I-Biofeedback: Lena indlela esebenzisa ithuluzi elikhethekile ukuhlonza nokuqinisa imisipha ekusiza ukulawula amathumbu akho.

Imithi (izidakamizwa)

Udokotela wakho angase ancome imithi yokulawula isifo sohudo noma imithi yokwelapha ukuqunjelwa.

Ukuhlinzwa

Uma ezinye izindlela zokwelapha zingaphumeleli, ukuhlinzwa kungadingeka. Kunezinhlobo ezahlukene zokuhlinzwa, njenge-sphincteroplasty yokulungisa imisipha eyonakele noma ukuvuselelwa kwemizwa ye-sacral. Ezimweni ezimbi kakhulu, i-colostomy ingadingeka.

Izinto okufanele uziqaphele uma uphila nalesi simo

Ngesikhathi uthola ukwelashwa, kunezinto eziningana ongazenza ukuze uphathe lesi simo futhi uphile kahle.

• Vikela isikhumba sakho:
• Geza ngamanzi afudumele ngaphandle kwensipho ngemva kokuhamba ngakunye kokukhipha isisu.
• Kunokuba uhlanze ngokucophelela ngephepha langasese, hlanza ngobumnene ngamathawula amanzi bese womisa kahle.
• Faka into efana ne-diaper rash cream ('i-barrier cream') ukuze uvikele isikhumba.
• Esikhundleni sezingubo eziqinile, gqoka izingubo zangaphansi nezingubo ezenziwe ngezindwangu eziphefumulayo, njengokotini.

• Cabanga ngenhlalakahle yengqondo:
• Uma ukhathazekile ngokuphuma, sebenzisa iphedi noma ingubo yangaphansi elahlwayo. Lokhu kuzokwandisa ukuzethemba kwakho.
• Ngaphambi kokuphuma endlini, iya endlini yangasese bese uthulula amathumbu akho.
• Gcina isethi eyengeziwe yezingubo kanye nama-washers amanzi esikhwameni sakho. Kuzokunikeza ukuthula kwengqondo okukhulu.
• Hlola njalo ukuthi indlu yangasese ikuphi ngaphambi kokuba uye. Ngaleyo ndlela, uma kukhona isimo esiphuthumayo, ngeke kudingeke ukhathazeke.