Ingabe nawe unesihlungu esiphuthumayo nesinzima endunu yakho? Ake sixoxe nge-Proctalgia Fugax!

Wake wenza umsebenzi wakho noma ulele kahle lapho ngokuzumayo uzwa ubuhlungu obukhulu obungabekezeleleki endunu yakho (lapho indle iphuma khona)? Buyabuya buphele ngemizuzu embalwa, njengokungathi akwenzekanga lutho. Lokhu akusikho kuwe kuphela, kuyisifo esivamile abantu abaningi ababhekana naso. Ngokwezokwelapha, lokhu sikubiza ngokuthi (Proctalgia Fugax) . Nakuba igama lingase lizwakale lingavamile, kubaluleke kakhulu ukuliqaphela.

Kuyini lokhu (Proctalgia Fugax)? Masikuqonde kalula!

Kalula nje, i-Proctalgia Fugax ubuhlungu obukhulu endunu obuqala ngokuzumayo bese buphela bodwa phakathi nesikhathi esifushane (ngaphansi kwemizuzu engama-30). Akuyona into eyenzeka kanye kuphela. Abanye abantu bangase babhekane nalolu buhlungu njalo emavikini ambalwa noma ngisho nasezinyangeni.

Sibheke incazelo yaleli gama?

• Igama elithi proctalgia lisho "ubuhlungu ku-rectum noma ku-rectum." I-rectum yigama elinikezwa amasentimitha ayisithupha okugcina amathumbu akho amakhulu. Itholakala ngqo ngaphezu kwe-anus. I-rectum yi-intshi ezimbalwa zokugcina zomgudu wakho wokugaya ukudla (Gastrointestinal Tract - GI Tract) . Yilapho kutholakala khona imisipha ye-sphincter , eqina lapho kufanele uthuthe. Ngakho-ke, lobu buhlungu buhlobene nemizwa nemisipha kule ndawo.
• I-Fugax yigama lesiLatini elisho "okusheshayo" noma "ukudlula ngokushesha."

Into ebalulekile ukuthi lobu buhlungu abubangeli ukulimala kwezicubu ezicutshini ze-rectal. Kodwa-ke, ubuhlungu bungaba bukhulu kangangokuthi bungakhululeki kangangokuthi awukwazi ukuya esikoleni noma emsebenzini bese uhlala ekhaya.

Sivame kangakanani lesi simo (i-Proctalgia Fugax)?

Kuvamile kakhulu kunalokho ongakucabanga. Abacwaningi balinganisela ukuthi cishe abantu abayi-18 kwabayi-100 (noma u-18%) wabantu abavamile bazobhekana nalesi simo ngesikhathi esithile empilweni yabo. Kodwa into edabukisayo ukuthi, cishe abantu abayi-20 kwabayi-100 (noma u-20%) balaba bantu baya kudokotela ngobuhlungu babo. Mhlawumbe ngenxa yokuthi banamahloni kakhulu noma banamahloni okukhuluma ngento efana nale, abantu abaningi bahlupheka buthule.

Ziyini izimpawu ze-(Proctalgia Fugax)?

Uphawu oluyinhloko futhi mhlawumbe oluwukuphela kwalesi simo ubuhlungu e-rectum. Luphinde lubonakale ngezindlela ezilandelayo:

• Isikhathi esifushane: Ubuhlungu buvame ukuhlala ngaphansi kwemizuzu engama-30. Ngezinye izikhathi bungaphela ngemizuzwana embalwa nje.
• Ukuvama kokwenzeka kuyahlukahluka: Kwabanye, kungase kwenzeke kanye noma kabili ngonyaka, kanti kwabanye, lesi simo esibuhlungu singase senzeke izikhathi eziningana ngenyanga.
• Uhlobo lobuhlungu:
• Ngokuvamile kuzwakala njengobuhlungu obuhlabayo , hhayi ubuhlungu obuthuntu, obucindezelayo noma ubuhlungu bokuqaqamba.
• Ubuhlungu buzwakala sengathi buvela ngaphakathi noma eduze kwendunu. Abuveli phezulu, njengangaphakathi emzimbeni.
• Kuqala ngaphandle kwesizathu: Esikhathini esiningi, asikho isizathu esiqondile salobu buhlungu. Kuqala ngokuzumayo. Kodwa-ke, kwabanye abantu, kungandiswa izinto ezithile (sizoxoxa ngalokho kamuva).
• Emini noma ebusuku: Lobuhlungu bungenzeka nganoma yisiphi isikhathi sosuku. Ngezinye izikhathi, bungakuvusa ebuthongweni obukhulu .

Eqinisweni, ubuhlungu bukhulu kangangokuthi abanye abantu bakuthola kunzima ukwenza noma yini enye ngaleso sikhathi. Kumntwana oya esikoleni noma kumuntu osebenzayo, lokhu kungabangela ukuthi aphuthelwe yimisebenzi yakhe yansuku zonke.

(Proctalgia Fugax) Ubuhlungu buzwakala kanjani?

Abanye abake babhekana nalolu buhlungu bathi luzwakala njengehhashi likaCharley, ubuhlungu obukhulu endunu . Uma ubuhlungu bukhona, bunamandla kangangokuthi awukwazi ukucabanga nganoma yini enye. Ngaleso sikhathi, ungase uzizwe sengathi lobu buhlungu abusoze baphela. Kodwa into ebaluleke kakhulu ukuthi kungakhathaliseki ukuthi lobu buhlungu bubi kangakanani, buhlala buphela bodwa ngemva kwesikhashana .

Yiziphi izimbangela ze-(Proctalgia Fugax)?

Akukho imbangela eyodwa eqinisekile etholakele okwamanje, kodwa odokotela nabacwaningi bakholelwa ukuthi kunezici eziningana ezingaba nomthelela kulokhu:

• Ukuqaqamba kwemisipha: Lobuhlungu bungabangelwa ukuqina okungazelelwe (ukufinyela) kwemisipha ye-anal sphincter noma eminye imisipha phansi kwe-pelvic yakho. Kuzwakala sengathi imisipha iyanyakaza emlenzeni wakho.
• Izinkinga zemizwa: I-pudendal nerve iyi-nerve eyinhloko ethwala imizwa isuka endaweni yakho ye-pelvic iye ebuchosheni bakho. Uma le nzwa yonakele nganoma iyiphi indlela noma uma kukhona ushintsho emsebenzini wayo (obizwa nangokuthi i-pudendal neuralgia) , i-proctalgia fugax ingenzeka.

Kungabuye kwenzeke njengomphumela ongemuhle wezindlela ezithile zokwelapha ezenziwa endaweni ye-pelvic. Isibonelo:

• Ukwelashwa nge-sclerotherapy kwama -hemorrhoids kuyindlela yokwelapha ehilela ukufaka ikhemikhali kuma-hemorrhoids ukuze ancishiswe.
• Ukususwa kwesibeletho sangasese sowesifazane .

Kutholakale ukuthi i-Proctalgia fugax ihlotshaniswa nezinye izimo ezithile zezokwelapha. Kungenzeka kakhulu ukuthi ube ne-Proctalgia fugax uma unezinye zezimo ezilandelayo:

• I-Irritable Bowel Syndrome (IBS): Lokhu kuyisifo samathumbu. Izimpawu zifaka phakathi ukuqunjelwa, ubuhlungu besisu, ukuqunjelwa, noma uhudo.
• Izinkinga zokukhathazeka: Izimo zengqondo ezifana nokukhathazeka ngokweqile nokwesaba.

Ingabe zikhona yini izinto ezibangela ubuhlungu be-(Proctalgia Fugax)?

Esikhathini esiningi, ubuhlungu be-Proctalgia Fugax abunaso isizathu esithile. Ubuhlungu buqala ngokuzumayo. Kodwa-ke, abanye abantu bangathola ukuthi ubuhlungu buqala noma bube bubi kakhulu ngenxa yalokhu okulandelayo:

• Ukucindezeleka: Izinto ezifana nokucindezeleka ngokweqile nokukhathazeka.
• Ucansi.
• Ukuya esikhathini/Ukuya esikhathini.
• Ukuphuma kwendle/Ukuphuma kwendle.

Ubani osengozini enkulu yalokhu?

I-Proctalgia fugax yisimo esivame kakhulu kwabesifazane kunabesilisa. Iphinde ihlobane nobudala. Ivame ukutholakala kubantu abadala abaneminyaka ephakathi kuka-30 no-60.

Indlela yokuxilonga (i-Proctalgia Fugax)?

Akukho ukuhlolwa okuqondile kokuxilonga i-Proctalgia Fugax. Odokotela bayixilonga besebenzisa indlela ebizwa ngokuthi 'Ukuxilongwa kokukhishwa' . Okusho ukuthi, udokotela uzophetha ngokuthi une-Proctalgia Fugax kuphela ngemva kokuqinisekisa ukuthi zonke ezinye izimbangela ezivamile zobuhlungu be-rectal (isibonelo, ama-hemorrhoids, ama-anal fissures) azitholakali ngokusekelwe ezimpawini zakho.

Ngakho-ke, uma uya kudokotela, kubalulekile ukucacisa izimpawu zakho. Ukukhuluma ngobuhlungu bendunu kungaba yinto exakile kancane. Sifundiswe kusukela ebuntwaneni ukuthi 'ukukhuluma ngezinqe' (mayelana nokuphuma kwendle, ukuphuma kwegesi, indunu) kuyinto ehlazisayo nebangela amahloni.

Kodwa khumbula, akulona neze umqondo omubi ukukhuluma nodokotela wakho ngempilo yakho, okuhlanganisa nobuhlungu be-rectal. Akuyona into okufanele ube namahloni ngayo. Ulwazi olunikezayo luzosiza udokotela wakho kuphela ukuthi athole ukuxilongwa kanye nesisombululo esingakunikeza impumuzo ngokushesha.

Udokotela angase akubuze izinto ezifana nalezi:

• Ubuhlungu buzwakala kanjani? (isib., ingabe bubukhali, buthuntu, buhlaba?)
• Sekuyisikhathi esingakanani ubuhlungu bukhona?
• Lobuhlungu buvela kangaki? (Kangaki ngosuku? Ngesonto? Ngenyanga?)
• Uke waphawula yini ukuthi yiziphi izinto ezenza ubuhlungu bube bubi kakhulu? (isib. ukudla, ukucindezeleka, imisebenzi ethile)

Ukuhlolwa kokuxilonga

Nakuba kungekho ukuhlolwa okuqondile kwe-Proctalgia Fugax, udokotela wakho angase akucele ukuhlolwa ukuze akhiphe ezinye izimo ezingase zibangele ubuhlungu endulwini. Lokhu kungafaka:

• Ukuhlolwa kwegazi
• Ukuhlolwa kwe-rectal kwedijithali
• Ukuhlolwa kwe-pelvic (ikakhulukazi kwabesifazane)
• I-Colonoscopy
• Ukuhlolwa kwengxenye engezansi kuphela yekholoni (i-Flexible sigmoidoscopy)
• Ukuhlola ukusebenza kwemisipha yephansi le-pelvic(Ukuhlolwa kwephansi le-pelvic)

Iphathwa kanjani i-Proctalgia Fugax?

Izindaba ezinhle ukuthi kukhona ukwelashwa kwalokhu. Kodwa akukabikho ikhambi okwamanje . Umgomo oyinhloko wokwelashwa ukulawula izimpawu, ukugwema izimbangela ezaziwayo, nokunciphisa ubuhlungu ngokushesha nje lapho buvela.

Kuye ngobukhulu bezimpawu zakho, ungase ukwazi ukubhekana nalokhu ekhaya, noma ungase udinge imithi kadokotela noma ezinye izindlela zokwelapha.

Amakhambi asekhaya

Ungazama lezi zinto ekhaya ukuze uthole impumuzo lapho ubuhlungu bufika:

• Ukucindezela okushisayo noma okubandayo: Ungafaka i-heating pad (cishe imizuzu eyi-15-20) noma iphakethe leqhwa (eligoqwe ngendwangu encane) endaweni ebuhlungu.
• Ukucwilisa emanzini ashisayo: Ungacwilisa ebhavini elifudumele imizuzu eyi-15-20 noma ugeze nge-sitz . Ukucwilisa nge-sitz kuhilela ukuhlala esitsheni esingajulile samanzi afudumele (hhayi ashisayo, kodwa afudumele) umbungu wakho ucwiliswe emanzini.
• Izinhlungu ezivamile: Izinhlungu ezidayiswa ngaphandle kwemithi (OTC) (isib. i-paracetamol, i-ibuprofen) zingasetshenziswa ngaphandle kwencwadi kadokotela evela ekhemisi. Kodwa-ke, kungcono ngaso sonke isikhathi ukubonana nodokotela ngaphambi kokuzithatha.
• Amasu okuphumula: Zama amasu okuphumula njengokuzindla, i-yoga, kanye nokuzivocavoca okujulile kokuphefumula . Lokhu kungasiza ekunciphiseni ukucindezeleka futhi kuphumuze imisipha.

Ukwelashwa okutholakala kudokotela (Imithi kadokotela kanye nokwelashwa kwasehhovisi)

Uma izindlela zokwelapha zasekhaya zinganikezi impumuzo, noma uma ubuhlungu buqhubeka, kufanele nakanjani ubone udokotela. Bangase batuse izindlela zokwelapha ezifana nalezi:

• Imithi yokwelapha: Kunemithi ethile esetshenziswa e-rectum. Isibonelo, amafutha e-nitroglycerin . Le mithi ikhulula imisipha e-rectum futhi inciphise ubuhlungu.
• Imijovo ye-Botox: Imijovo ye-Botox ngezinye izikhathi isetshenziselwa ukukhulula imisipha ye-sphincter yendunu.
• Ukuvuselelwa kukagesi: Lokhu kuhilela ukusebenzisa idivayisi ekhethekile (i-probe) ekhipha izimpawu zikagesi ukuze kuthuliswe ukufinyela kwemisipha e-rectum.
• Ukwelashwa ngokomzimba phansi kwe-pelvic nge-biofeedback:Lolu uhlobo olukhethekile lokwelashwa. Uchwepheshe wezokwelapha ngokomzimba ukufundisa ukuhlonza, ukulawula, nokukhulula imisipha yakho yaphansi kwe-pelvic. Ngendlela ebizwa ngokuthi i-biofeedback, wenziwa uqaphele imizwa emzimbeni wakho (isibonelo, ukuthi imisipha yakho iqine kangakanani). Ungafunda-ke ukuqaphela ukuthi imisipha yakho yangemuva iqine kangakanani bese uyiphumuza.
• Ukwelulekwa noma ukwelashwa: Uma ucabanga ukuthi ubuhlungu bakho buhlobene nokucindezeleka noma ukukhathazeka, ukufuna ukwelulekwa nakho kungakunikeza impumuzo.

Hlobo luni lwekusasa umuntu one-Proctalgia Fugax angalulindela?

Kulesi simo, akubona bonke abantu abangalindela imiphumela efanayo. Abanye abantu babhekana nobuhlungu izikhathi ezimbalwa kuphela empilweni yabo futhi abasaphinde babhekane nabo. Kwabanye, ubuhlungu bungaba njalo futhi buphazamise imisebenzi yansuku zonke.

Okuhlangenwe nakho kwakho kuzoncika ebunzimeni bobuhlungu nokuthi buvame kangakanani. Into ebaluleke kakhulu ukusebenzisana nodokotela wakho ukuze uthole ukwelashwa okudingayo. Ngaphandle kwalokho, kungumqondo omuhle ukugcina izinto ezifana nama-gel akhethekile ziseduze ukuze unikeze impumuzo esheshayo lapho ubuhlungu bufika.

Kufanele ngimbone nini udokotela?

Uma unesihlungu esiphindaphindayo, esiqhubekayo, noma esinzima esithweni sangasese sowesifazane, qiniseka ukuthi ubona udokotela . Ungakuhlehlisi ukuthola ukuxilongwa noma ukwelashwa ngoba unamahloni noma ucabanga ukuthi "lokhu kuzophela ngesikhashana." Uma ushesha ukuthola iseluleko sezokwelapha, uzoshesha ukuzizwa ungcono.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma uvakashela udokotela, ungangabazi ukubuza imibuzo esengqondweni yakho. Ungabuza imibuzo efana nale:

• Yiziphi izivivinyo okufanele ngizenze ukuze ngithole ngokunembile isimo sami?
• Yini okungenzeka ukuthi iyimbangela enkulu yobuhlungu bami be-rectal?
• Yikuphi ukwelashwa ongincomayo?
• Yiziphi izinto engingazisebenzisa ekhaya?
• Yini engingayenza ukuze ngilungele lolu hlobo lobuhlungu esikhathini esizayo?
• Ingabe kudingeka ngenze noma yiziphi izinguquko endleleni yami yokuphila ukuze nginciphise lobu buhlungu?

Uyini umehluko phakathi kwe-(Proctalgia Fugax) kanye ne-(Chronic Proctalgia / Levator Ani Syndrome)?

Nakuba kokubili kuyizinhlungu e-rectum, kunezimo ezihlukile. Igama elithi "fugax" egameni (i-Proctalgia Fugax) livela egameni elithi "fugax" elisho "okuhlala isikhathi esifushane." Lokhu kusho ukuthi ubuhlungu buhlala isikhathi esifushane (ngaphansi kwemizuzu engama-30).

Kodwa-ke, uma ubuhlungu bakho buhlala isikhathi esingaphezu kwemizuzu engama-30, noma uma ubuzwa kaningi usuku lonke, ungase ube ne -proctalgia engapheli . Lokhu kubizwa nangokuthi i-levator ani syndrome . I-levator ani yakho iyisicubu esibalulekile phansi kwe-pelvic yakho. Ku-levator ani syndrome, ubuhlungu buqala kulo musipha.

Ngokungafani ne-Proctalgia Fugax, i-Levator ani syndrome ibonakala ngobuhlungu obuzwakala phezulu e-pelvis, hhayi eduze kwe-anus. Bungaba buthuntu, bubuhlungu, noma bunzima kunokuba bubukhali. Futhi, ubuhlungu buvame ukuba bubi kakhulu uma uhleli. Ku-Proctalgia Fugax, ubuhlungu abuthintwa kakhulu ukuma komzimba.

Noma yiluphi uhlobo lobuhlungu luyisivakashi esingadingeki empilweni yethu. Ikakhulukazi uma kukhulunywa ngendawo ebucayi, eyimfihlo njenge-anus, ingaba nzima kakhulu futhi icindezeleke. Okuhlangenwe nakho kungaba okucindezelayo futhi kube namahloni. Kodwa asikho isidingo sokuba namahloni noma ukufihla noma yiluphi ubuhlungu obuzwayo. Umzimba wakho wakhiwe yizinzwa nemisipha ezikusiza ukuthi usebenze futhi zikuxwayise lapho kunenkinga. Njenganoma iyiphi ingxenye yomzimba wakho, lezi zingxenye ngezinye izikhathi zingahamba kabi futhi zikwenze ube nezimpawu ezifana nobuhlungu. Into ebaluleke kakhulu ukwenza okuthile ngakho. Ungalokothi uhlehlise ukuthola usizo oludingayo, kungaba ngenxa yamahloni noma ukwesaba.

Izinto ezibaluleke kakhulu esifuna ukuzithatha ekhaya kule ndaba yilezi:

• I-Proctalgia fugax ubuhlungu obukhulu, obubukhali endunu obuqala ngokuzumayo bese buphela ngemva kwesikhathi esifushane (ngaphansi kwemizuzu engama-30).
• Nakuba lesi kungesona isimo esibucayi nesisongela ukuphila, ubuhlungu bungaba buhlungu kakhulu futhi bungaphazamisa imisebenzi yakho yansuku zonke.
• Uma lobu buhlungu buvela njalo, uma ubuhlungu bukhulu, noma uma ungabaza ngakho, qiniseka ukuthi ubona udokotela ukuze akunike iseluleko. Ungabi namahloni noma wesabe.
• Kunezindlela ezilula zokunciphisa ubuhlungu ekhaya, kanye nemithi kanye nezinye izindlela zokwelapha ezingatholakala kudokotela.
• Ngakho-ke, akudingeki uhlupheke wedwa ngalolu hlobo lobuhlungu. Into ebaluleke kakhulu ukwazi ulwazi olufanele nokuthola iseluleko sezokwelapha esidingekayo.

I- Proctalgia Fugax, ubuhlungu be-rectal, ubuhlungu be-anal, ubuhlungu obungazelelwe be-anal, ubuhlungu bokuqunjelwa, ubuhlungu be-pelvic, ukuqaqamba kwemisipha