Ingabe nawe unenkinga yokuya endlini yangasese? Ake sifunde kabanzi nge-Obstructed Defecation Syndrome!

Ingabe ngezinye izikhathi uzizwa sengathi unenkinga yokuphuma indle uma uya endlini yangasese? Ingabe uzizwa womile, uqinile, futhi ungakaqedi? Noma uyahamba ungazange uye endlini yangasese izinsuku eziningana? Mhlawumbe lokhu akuyona nje ukuqunjelwa okuvamile. Namuhla, ake sixoxe ngegama lezokwelapha lalesi simo, i-Obstructed Defecation Syndrome. Nakuba leli igama elide, ngamagama alula, kuyisithiyo noma ukungakhululeki okwenzeka ngesikhathi sokuphuma indle.

Iyini le nkinga yokuzikhulula? (Kuyini 'i-Obstructed Defecation Syndrome'?)

Kalula nje, i-Obstructed Defecation Syndrome (ODS) yisimo lapho kufanele ukhululeke khona kodwa ungakwazi ukukwenza kahle. Kungaba nezizathu eziningi zalokhu. Ezinye zingokomzimba, okusho ukuthi zibangelwa ukuvinjelwa kwemishini emzimbeni wakho. Ezinye zingaba ngokwengqondo.

Umuntu onalesi simo angase abhekane nalokhu okulandelayo:

• Ukuzizwa sengathi awukwazi ukuya endlini yangasese noma nini lapho ufuna.
• Kumelwe ngiye endlini yangasese kanye kuphela njalo ezinsukwini ezimbalwa, okusho ukuthi angivamisile ukuthulula indle.
• Ngisho nangemva kokuya endlini yangasese, usazizwa sengathi awukayikhiphi ngokuphelele indle.

Lokhu kubangela ukuthi baqunjelwe . Ngezinye izikhathi, indle ebhajwe ngaphakathi ingaphuma kancane kancane ngaphandle kokulawula. Lokhu kubizwa nangokuthi `(Ukungabi Namandla Okulawula Indle)`. Laba bantu bachitha isikhathi esiningi endlini yangasese, belinde ukuthi indle iphume, noma bacindezeleke kakhulu. Ngenxa yokucindezeleka kanje isikhathi eside nokuphuma indle eyomile, eqinile, imisipha nemizwa ehilelekile enkambisweni yokuzikhulula ingonakala. Khona-ke isimo siba sibi kakhulu. Cabanga, uma uzama ukuvula umnyango bese ubhajwe, uma sicindezela kakhulu, izinto ezifana nezihibe zomnyango nazo zingalimala, akunjalo? Yilokho okwenzekayo lapha.

Lesi simo sithinta kanjani umzimba wakho?

I-ODS ayisona isifo esisodwa. Ifana nesambulela. Ngaphansi kwaleso sambulela, kunezimo eziningi ezahlukene ezibangela ukuqunjelwa kanye nobunzima bokukhipha indle. Isici esivamile salokhu izimpawu zokuqunjelwa.

Ukuze odokotela bakwazi ukuxilonga ukuqunjelwa, izimpawu ezimbili noma ngaphezulu kwezilandelayo kumele ziqhubeke izinsuku ezingama-90 :

• Ukucindezela izikhathi ezingaphezu kuka-25% uphuma isisu.
• Umuzwa wokuphuma okungaphelele ekuthuthweni kwamathumbu okungaphezu kuka-25%.
• Ukuchitha indle eqinile neyomile isikhathi esingaphezu kuka-25%.
• Ukudinga ukusebenzisa izinto ezifana neminwe ukuze ukhulule indle isikhathi esingaphezu kuka-25%.
• Ukuzikhulula endlini yangasese okungaphansi kwezikhathi ezintathu ngesonto.

Kodwa lezi zimpawu zingase zibe yingxenyana nje yenkinga. Kungase kube nezinye izimo ezingaphansi ezingakatholakali.

Ukuqunjelwa okungapheli kungaholela kwezinye izinkinga eziningi ngokuhamba kwesikhathi. Ngezinye izikhathi, kunzima ukuthola ukuthi yini eyabangela lokhu kwasekuqaleni nokuthi yini eyabangela kamuva.

Abantu abanenkinga yokuphuma ngendle bangase babe nezinye izimo ezifana nalezi:

• Ukungasebenzi kahle kwephansi le-pelvic: Imisipha nemizwa endaweni yakho ye-pelvic (indawo engaphansi kwe-buttock yakho) akusebenzi kahle ukuze kuphume indle. Cabanga ngakho njengeqembu elisebenza ndawonye, ​​kodwa umuntu ngamunye wenza izinto ezihlukile.
• Ukuwa kwesitho: Isitho esisendaweni ye-pelvic, njengesinye, isibeletho, noma amathumbu, esiwa endaweni yaso evamile, sisunduza esinye isitho noma sizama ukuphuma emzimbeni.
• I-rectal hyposension: Ukulahlekelwa ikhono lokuzwa ukuba khona kwendle noma isidingo sokuzikhulula e-rectum. Kufana nokulahlekelwa umuzwa wokuzwa ukuqaqamba ezandleni zethu.
• Ukukhathazeka ngokukhipha indle: Abanye abantu bangase bagweme noma bengazi ukulahla indle ngenxa yendle eqinile nebuhlungu abayizwayo. Njengoba nje uma uthinta into eshisayo bese uzishisa, ungase wesabe ukuyithinta futhi.

Sivame kangakanani lesi simo?

Cishe u-18% wabantu bomhlaba, noma abantu abangu-18 kwabayi-100, bahlushwa yilesi simo esisakazekile esibizwa ngokuthi i-bowel incontinence. Sivame kakhulu kwabesifazane nabantu abaseminyakeni ephakathi . Ngakho-ke yazi ukuthi awuwedwa kule nkinga.

Ziyini izimpawu zokungakwazi ukuzibamba kwamathumbu?

Umuntu onalesi simo angase azizwe kanje:

• Ngidinga ukuya endlini yangasese, kodwa ngizizwa sengathi angikwazi.
• Kunzima kakhulu ukuyokhipha indle, ngezinye izikhathi ngenxa yobuhlungu.
• Kungakhathaliseki ukuthi ngizama kangakanani, ngizizwa sengathi angikaphumi ngokuphelele esitulweni.
• Kuzwakala sengathi kukhona okubambeke endleleni yesihlalo.

Lokhu kungadinga nokuthi wenze okulandelayo:

• Ukuzikhandla ukuze ukhululeke.
• Kuzomele ngilinde isikhathi eside ukuthi indle iphume.
• Ngezinye izikhathi kufanele usebenzise iminwe yakho ukuze uzisize uphume ngendle. (Ungabi namahloni ngalokhu, kuyingxenye yesimo.)
• Ukusetshenziswa kwemithi yokuhlanza noma i-enema ukukhipha indle.

Lesi simo singabangela ezinye izinto ezifana nalezi:

• Ukuqunjelwa.
• `Ukungakwazi ukuzibamba kwendle` (ukunyakaza kwamathumbu okungalawulwa).
• Ukuphazamiseka okuqhubekayo.
• Izimo zengqondo ezifana nokukhathazeka noma ukucindezeleka, ngoba lokhu kunomthelela omkhulu empilweni yansuku zonke.

Izikhalazo ezivame kakhulu yilezi:

• I-rectum izwakala ivuvukile noma ilimele.
• Ubuhlungu besisu kanye nokuvuleka kwamathumbu.
• Ubuhlungu bendunu.
• Ukucanuzela kwenhliziyo, ukukhathala, kanye nokulahlekelwa yisifiso sokudla.

Kungani ngingakwazi ukuya endlini yangasese kahle? Ziyini izizathu?

Kungaba nezimbangela eziningi ze-ODS. Lezi zingaba zemvelo noma ezemishini . Okusho ukuthi, izinto ezifana nokukhubazeka komzimba noma ukuvinjelwa ngokomzimba ekudluleni kwendle. Ngakolunye uhlangothi, kunezimbangela ezisebenzayo . Lezi zihlobene nokusebenza kobuchopho kanye nesistimu yezinzwa.

Ngokuvamile, zombili izinhlobo zezimbangela zingaba khona kanye kanye. Ngezinye izikhathi, uhlobo olulodwa lwezimbangela lungaholela kolunye.

Izizathu zemishini:

• I-perineal hernia: Izitho ezisesiswini sakho noma endaweni ye-pelvic ziphuma phansi kwe-pelvic.
• Ukuwa kwesitho se-pelvic: Isitho esisendaweni yakho ye-pelvic esiphuma endaweni yaso evamile bese sisunduzela endunu noma e-rectum yakho. Isibonelo:
• Ukwehla kwe-rectal: Ingxenye ye-rectum iphuma ngokuvulwa kwe-anal.
• Ukungena kwe-rectal intussusception: Ingxenye engenhla ye-rectum iwela ngaphakathi njenge-telescope.
• I-Rectocele (udonga olubuthakathaka lwe-rectal): Kwabesifazane, udonga oluphakathi kwe-anus ne-vagina luba buthakathaka, okubangela ukuthi i-anus iphumele ngaphakathi kwe-vagina. Lokhu kungabangela ukuthi indle ibambeke endaweni ephumayo.
• Isifo sesilonda se-rectal solitary: Ukukhula kwesilonda esisodwa noma ngaphezulu ku-rectum. Lokhu kungabangelwa ukucindezelwa njalo.

Izizathu zokusebenza:

• I-Anismus (i-dyssynergic yokukhipha indle): Ukuze kuphume indle, imisipha ye-sphincter ezungeze indunu idinga ukukhululeka. Idinga futhi ukusunduzwa yimisipha yesisu. Le nqubo ayihambisani kahle, futhi esikhundleni sokuphumula, imisipha iyaqina. Kufana nokuzama ukuvula umnyango bese uwuvala kanzima.
• Ukungazweli kahle kwe-rectal: Kufanele ukwazi ukuzwa umuzwa wokugcwala kwe-rectum yakho ngendle. Ukulimala kwemizwa kunganciphisa lokhu kuzwela, kuvimbele ubuchopho ekuthumeleni izimpawu zokuthi kufanele uthuthe.
• Izinkinga zengqondo: Ukukhathazeka, ukucindezeleka, ukwesaba okuthile, i-OCD (isifo sokuzikhukhumeza ngokweqile), kanye nezinkinga zokudla konke kungathinta lokhu. Lesi isibonelo esihle sendlela izinkinga zengqondo ezingathinta ngayo umzimba.

Noma yikuphi kwalokhu kungaba imbangela eyinhloko ye-ODS, noma umphumela wesibili obangelwa yi-ODS.

Futhi, izici ezilandelayo zingaba nomthelela kulezi zimo:

• Ukukhulelwa nokubeletha.
• Ukuhlinzwa okwenziwe endaweni ye-pelvic.
• Ukulimala noma ukuhlukunyezwa okubangelwe yingozi.

Odokotela basithola kanjani lesi simo?

Uma ubona udokotela, bazoqala bakubuze ngezimpawu zakho. Bangase basebenzise neshadi lokuthola amaphuzu ukuze balinganise ubukhulu bezimpawu zakho.

Nakuba lezi zimpawu zingakusiza ukuthi unqume ukuthi ukuqunjelwa kwakho kungamahlalakhona, ukuze uxilonge ngokunembile i-ODS, udokotela wakho kuzodingeka aqinisekise ukuthi izimbangela ezilula (njengokushintsha kwesikhashana ekudleni) aziyibangeli. Lokhu kuzobandakanya ukuthatha umlando wakho wezokwelapha nokwenza izivivinyo eziningana.

Yiziphi izivivinyo ezenziwayo ukuze kutholakale lesi simo?

Ngemva kokuqonda izimpawu zakho, udokotela wakho angase akuncomele ukuhlolwa okufana nalokhu ukuze afunde kabanzi:

• Ukuhlolwa Kwe-Digital Rectal: Lokhu kuvame ukuba ukuhlolwa kokuqala okwenziwayo. Udokotela uzosebenzisa umunwe ogcotshwe ngeglavu, ogcotshwe ngomunwe ukuhlola i-rectum. Lokhu kungakunikeza umbono ngobukhulu be-rectum, imbangela yobuhlungu, ukuthi izitho zomzimba ziyawa yini, nokuthi imisipha isebenza kahle kangakanani. Lokhu kungase kubonakale kungakhululekile, kodwa kuwukuhlolwa okubaluleke kakhulu.
• Ukuhlola i-Defecography (i-X-ray noma i-MRI yokuhamba kwamathumbu): Lokhu kuhilela ukuthatha izithombe zengaphakathi lokunyakaza kwamathumbu akho. Udokotela uzofaka into ekhethekile (njenge-barium) e-rectum yakho. Ngemuva kwalokho, uzocelwa ukuthi uyidlulisele njengokungathi uyakhipha indle. Lokhu kwenziwa ekamelweni elikhethekile lezithombe zangasese. Udokotela uzobuka izitho zakho zangaphakathi esikrinini sekhompyutha. Lokhu kungasiza ekunqumeni ukuma kwe-rectum yakho, ukusebenza kwemisipha yakho, kanye nanoma yiziphi izithiyo ezingase zivimbele ukuhamba kwendle yakho.
• I-Anorectal Manometry: Lokhu kuhlolwa kulinganisa ukuthi imisipha yakho kanye nemizwa yakho isebenza kahle kangakanani ukukusiza ukuthi udlule esitulweni. Ipayipi elincane (i-catheter) elinebhaluni elincane elinamathiselwe lifakwa endunu yakho, bese ibhaluni ligcwaliswa ngamanzi afudumele. Esinye isiphetho sepayipi sixhunywe emshinini olinganisa ukusebenza kwemisipha. Lokhu kungalinganisa ingcindezi, imizwa, kanye nokuxhumana kwendunu yakho.

Ungase uzizwe wesaba kancane noma ungakhululekile uma uzwa ngalezi zivivinyo. Kodwa zingasiza kakhulu ekutholeni imbangela eqondile yesimo sakho. Buza udokotela wakho noma yimiphi imibuzo ongase ube nayo.

Yiziphi izindlela zokwelapha lokhu?

Izimbangela ze-ODS zivame ukuba yinkimbinkimbi, zinezici eziningi ezihlobene, ngakho-ke ukwelashwa kuvame ukuba okuphelele futhi okunokulinganisela.Kwenziwa ngandlela thile. Akunakwenzeka ukuthi lokhu kungelapheka ngokuhlinzwa okukodwa nje. Ngisho noma ukuhlinzwa kunconywa, futhi kulungisa isici somzimba, akuhlali kuphumela ekwelapheni okuphelele. Izimpawu zingase ziqhubeke noma ziphinde zivele. Ngoba kunezinye izici okudingeka zixazululwe, mhlawumbe ezingakatholakali.

Lezi yizinto zokuqala odokotela abazincomayo kuwo wonke umuntu:

• Ukwengeza i-fiber eyengeziwe ekudleni kwakho: Cishe amagremu angu-30-40 ngosuku. Izinto ezifana nemifino, imifino, izithelo, kanye nokolweni ophelele.
• Phuza amanzi amaningi: ngaphezu kwamalitha amabili ngosuku.
• Izithambisi zendle noma imithi yokuhlanza isisu, i-enemas yasekhaya , kanye nokunisela ngenkasa yamathumbu uma kudingeka.
• I-yoga kanye namasu okuphumula aqondiswayo angasiza ekuphumuzeni imisipha yephansi le-pelvic futhi kunciphise ukucindezeleka.

Kulabo abanezimpawu ezibangelwa yizinzwa noma izimbangela zengqondo (cishe izingxenye ezimbili kwezintathu zabantu abanalesi simo bathintwa yilezi zimbangela):

• Ukwelashwa nge-biofeedback: Lokhu kuwusizo kakhulu ezimweni ezifana ne-anismus (ukungakwazi ukukhulula imisipha yokuvula indunu) kanye nokungasebenzi kahle kwephansi le-pelvic. Kulokhu, umsebenzi womzimba wakho (njengokufinyela kwemisipha) uboniswa ngomshini. Ungaziqeqesha ukuthi ulawule lowo msebenzi ngamabomu.
• Ukwelashwa kwengqondo: Uma kudingeka, funa usizo kudokotela wezifo zengqondo noma umeluleki. Lokhu kungelapha izimo ezinjengokukhathazeka, ukucindezeleka, kanye nokwesaba ukuphuma endlini yangasese.

Ngezinkinga zomzimba (njengezinkinga zomzimba ezifana nokwehla kwesisindo): Uma ezinye izindlela zokwelapha zingasizi, odokotela bangase batuse ukuhlinzwa. Kunezinhlobo eziningana zokuhlinzwa ezingenziwa:

• I-posterior colporrhaphy ye-rectocele: Ukubuyisela nokuqinisa udonga lwe-rectal oluphumile.
• Ukususwa kwe-rectal transanal okuhlanganisiwe (i-STARR) kwe-rectocele kanye ne-intussusception: Ukuhlinzwa kokuqinisa udonga lwangaphambili lwe-rectum.
• I-Rectopexy: Uma i-rectal prolapse ibuyela esimweni sayo esijwayelekile futhi ilungiswe. Ngezinye izikhathi, kusetshenziswa i-mesh kulokhu. Ngezinye izikhathi, ingxenye yekholoni ingadinga nokususwa phakathi nalokhu kuhlinzwa.

Khumbula, ukuhlinzwa kuhlale kuyindlela yokugcina. Udokotela wakho uzohlola isimo sakho ngokucophelela futhi ancome ukwelashwa okukulungele.

Lizobaphatheleni ikusasa labo abanalesi simo?

Ukwelashwa okulondolozayo kungasiza abantu abangaba ngu-30% ukuthi babone ukwelashwa noma ukuncipha kwezimpawu. Izinguquko zendlela yokuphila (ukudla, amanzi, ukuvivinya umzimba) kanye nokwelashwa ekhaya (imithi, ama-enemas) kungadingeka kuqhutshekwe, kodwa zinganikeza impumuzo ngempela.

Ukwelashwa okufana ne-biofeedback kanye ne-psychotherapy kuthatha isikhathi nokuzinikela ukukhiqiza imiphumela, kodwa izinzuzo zakho zingahlala isikhathi eside. Imiphumela yokuhlinzwa iyahlukahluka. Ukuhlinzwa kubonakala kusebenza kangcono uma kuhlanganiswa nezinye izindlela zokwelapha.

Ubunzima bokukhipha indle kuyinkinga edinga ukunakwa ngokushesha. Kodwa kungaba nzima ukuthola ukuthi yini ebangela lokhu. Ungamangala ukuthi zingaki izinhlelo emzimbeni wethu - ngisho nobuchopho - ezihilelekile enkambisweni yokukhipha indle!

Ngenhlanhla, izindlela eziningi zokwelapha ezinconywa odokotela ze-ODS zingaba usizo kunoma ubani onesifo sokuqunjelwa njalo. Ungaqala ngokushintsha indlela yokuphila, amakhambi asekhaya, kanye nokwelashwa namuhla. Kodwa kuhlale kungumqondo omuhle ukubona udokotela ukuze akuhlole. Angasusa ezinye izimo zezokwelapha noma izinkinga zomzimba ezingase zibe nomthelela esimweni sakho futhi azelaphe. Futhi, ngemva kokufunda okwengeziwe ngesimo sakho, angakhuluma nawe mayelana nokuxilongwa kwakho.

Ekugcineni, khumbula lokhu !

Kulungile, nansi ezinye izinto okudingeka uzikhumbule kulokho esikhulume ngakho namuhla:

• Ukungakwazi ukuzibamba umchamo (UDI) kuyisimo esiyinkimbinkimbi esingabangelwa yizimbangela ezingaphezu kwesisodwa.
• Uma unenkinga yokuya endlini yangasese, amathumbu akho omile, futhi uzizwa sengathi awukaphumi endle, ungamane nje ungakunaki.
• Uma unalezi zimpawu, ungabi namahloni noma wesabe, bona udokotela. Uma uthola imbangela futhi uthola ukwelashwa okufanele, ungaphuma kulesi simo.
• Izinguquko ezilula zendlela yokuphila (ukudla okune-fiber eningi, amanzi, ukuvivinya umzimba) kungenza umehluko omkhulu.
• Ngezinye izikhathi ukwelashwa okukhethekile njenge-'Biofeedback' noma ukuhlinzwa kungadingeka. Udokotela wakho uzokweluleka ngalokhu.
• Awuwedwa kule nkinga. Abantu abaningi bahlushwa yilesi simo. Ngakho-ke hlala uqinile futhi ulandele iseluleko sikadokotela wakho.

Ngikufisela impilo enhle!

Ukuqunjelwa , Ubunzima Bokukhipha Indle, Isifo Sokukhipha Indle Esivimbekile, Isifo Sangemuva, Ubuthakathaka Bephansi Le-Pelvic, Ukoma, Ukwelashwa Kwendle