Ingabe nawe unenkinga yokuya endlini yangasese? Ake sifunde nge-proctitis?

Ingabe ngezinye izikhathi uzwa ubuhlungu besisu uma uya endlini yangasese, noma ubona igazi elincane noma i-mucus esitulweni sakho? Noma uzizwa sengathi kufanele uye endlini yangasese ngaso sonke isikhathi? Ungazinaki lezi zinto. Ngoba lezi zingaba izimpawu zesimo esibizwa ngokuthi `(Proctitis)`. Namuhla, ake sixoxe ngokuthi iyini `(Proctitis)`, kungani yenzeka, nokuthi yini okufanele siyenze.

Kuyini lokhu `(Proctitis)`? Kalula nje...

I-Proctitis ukuvuvukala kolwelwesi lwe-rectum, ingxenye yokugcina yamathumbu amakhulu, ngaphambi nje kwe-anus. Ngokuqondile, i-Procto isho i-rectum kanti i-itis isho ukuvuvukala. Lesi simo senzeka lapho ulwelwesi lwe-rectum lucasuka (luvuvukele, lube bomvu) ngezizathu ezahlukahlukene, njengebhaktheriya, amakhemikhali, noma izimo ezifana nesifo samathumbu esivuvukalayo. Lokhu kungabangela izimpawu ezingakhululekile, njengobuhlungu, ukuphuma kwegazi e-rectum, kanye nokushintsha kwemikhuba yamathumbu.

Ingabe kunezinhlobo ezahlukene ze-`(Proctitis)`?

Yebo, kuye ngokuthi imbangela ye-`(Proctitis)`, ingaba yesikhashana (esibucayi) noma yesikhathi eside (esingapheli) . `(Esibukhali)` kusho ukuthi kwenzeka ngokuzumayo bese inyamalala ngemva kwesikhathi esifushane. `(Esingapheli)` kusho ukuthi ihlala isikhathi eside. Izinhlobo ze-`(Proctitis)` ezenzeka ngenxa yezimbangela ezahlukene ngezinye izikhathi zibizwa ngamagama ahlukene. Isibonelo, leyo ebangelwa izifo ezithathelwana ngocansi `(Izifo Ezithathelwana Ngocansi - Ama-STI)` ibizwa ngokuthi `(infectious proctitis)`. Leyo ebangelwa ukwelashwa ngemisebe yomdlavuza ibizwa ngokuthi `(radiation proctitis)`. Ngokufanayo, leyo ebangelwa yisimo esibizwa ngokuthi `(Ulcerative colitis)` ibizwa nangokuthi `(ulcerative proctitis)`.

Ziyini izimpawu ze-`(Proctitis)`?

Lezi yizimpawu ezivame ukubonakala:

• Ubuhlungu be-arectum. Kungase kube nzima nokuhlala unganyakazi.
• Ubuhlungu esiswini sakho sobunxele.
• Ukukhipha uketshezi olufana negazi noma i-mucus kanye nendle. Lena yinto yokuqala abantu abaningi abayiqaphelayo.
• Ukuzizwa sengathi i-rectum ivuvukele futhi igcwele.
• Umuzwa oqhubekayo wokudinga ukuthulula indle (tenesmus), kodwa ngezinye izikhathi kuphuma okuncane kuphela uma uya endlini yangasese.
• Ubunzima noma ubuhlungu ngesikhathi sokuhamba kwamathumbu (i-dyschezia).
• Ukuqunjelwa.
• Uhudo.

Yiziphi izimpawu zokuqala ze-`(Proctitis)`?

Ngokuvamile izimpawu zokuqala zivela uma uya endlini yokugezela. Ubunzima, ukusha, noma umuzwa wokucindezeleka lapho ukhipha indle.Kungazwakala sengathi. Ungase uzizwe sengathi kufanele uye endlini yokugezela ngokuzumayo, kodwa kungenzeka ukuthi awukaquleki ngokuphelele. Uhudo, igazi noma amafinyila esitulweni kuyizimpawu ezivamile zokuqala.

Kungani lokhu `(Proctitis)` kwenzeka? Ziyini izimbangela?

Kunezimbangela eziningana ze-proctitis, ezinye zivame kakhulu kunezinye.

Izimbangela ezivamile ze-`(Proctitis)`:

• Isifo Sokuvuvukala Kwamathumbu (IBD): Izifo ezifana nesifo sikaCrohn kanye ne-Ulcerative colitis zibangela ukuvuvukala kwesikhathi eside ezingxenyeni ezahlukene zamathumbu. Kubantu abangaba ngu-30% abanalezi zifo, ukuvuvukala kuthinta kakhulu i-rectum. Lena imbangela eyinhloko ye-proctitis ngokuvamile.
• Izifo Ezithathelwana Ngocansi (ama-STI): Izifo ezithathelwana ngocansi ezithelelwana ngocansi kanye nezifo ezibangelwa amagciwane zingangena endunu ngendunu. Izibonelo zifaka:
• `(I-Gonorrhea)` (I-Gonorrhea)
• `(I-Chlamydia)` (I-Chlamydia)
• `(I-Herpes simplex 2)` (I-Herpes simplex 2)
• `(I-Syphilis)` (I-Syphilis)
• `(I-Human Papillomavirus - HPV)` (I-Human Papillomavirus)

Lokhu kutheleleka kungathinta kokubili abesifazane nabesilisa abaxhumana ngokocansi ngendlela yokwamukela i-anal.

• Ukutheleleka kwesisu: Ukutheleleka kwamagciwane emathunjini okubangelwa ubuthi bokudla ngezinye izikhathi kungathinta i-rectum. Izibonelo:
• `(I-Salmonella)` (I-Salmonella)
• `(Shigella)` (Shigella)
• `(I-Campylobacter)` (I-Campylobacter)

Uma usanda kuqeda inkambo yama-antibiotic, ungase ube sengozini yokuthola ukutheleleka emathunjini akho nasema-rectum okubangelwa yibhaktheriya ebizwa ngokuthi i-Clostridium difficile (C. diff). I-C. diff iyibhaktheriya esivele isemathunjini akho. Kodwa lapho amabhaktheriya amahle emathunjini akho ebulawa ama-antibiotic, amabhaktheriya agcina i-C. diff ilawulwa ayanyamalala, futhi i-C. diff ingakhula kakhulu.

• Ukungezwani nokudla kwamaprotheni ezinsaneni: Izingane ezine-allergy ezinhlotsheni ezithile zobisi, ikakhulukazi ubisi lobisi noma i-soy, zingaba nokuvuvukala noma kuphi emathunjini azo, kufaka phakathi i-rectum. Izingane zingawathola la maprotheni efomini noma ngobisi lwebele uma unina edla ukudla okuqukethe la maprotheni.
• Ukwelashwa ngemisebe yomdlavuza:Uma kunikezwa ukwelashwa ngemisebe yomdlavuza, isimo esibizwa ngokuthi `(radiation mucositis)` singavela noma kuphi ohlelweni lwethu lokugaya ukudla. Lokhu ukuvuvukala kwe-`(ulwelwesi lwamafinyila)` ngaphakathi kohlelo lokugaya ukudla. `(radiation enteritis)` (ukuvuvukala kwamathumbu amancane) kanye `(radiation colitis)` (ukuvuvukala kwamathumbu amakhulu) kuvame kakhulu uma kunikezwa ukwelashwa ngemisebe esiswini esingenhla noma esingezansi. Uma kunikezwa ukwelashwa ngemisebe endaweni ye-`(pelvic area)`, ungaba `(radiation proctitis)` (ukuvuvukala kwe-rectum).

Izimbangela ezingavamile ze-`(Proctitis)`:

• I-Diversion proctitis: Lokhu kungumphumela ongemuhle ongenzeka kubantu abaye bahlinzwa i-colostomy (inqubo lapho ingxenye yamathumbu amakhulu ikhishwa emzimbeni ukuze kudalwe indlela yokuhamba kwendle) noma i-ileostomy (inqubo lapho ingxenye yamathumbu amancane ikhishwa emzimbeni ukuze kudalwe indlela yokuhamba kwendle) bese kudlula indle ngendlela ehlukile kunaleyo edlula endunu. Kucatshangwa ukuthi ngenxa yokuthi indle ayidluli endunu, indunu intula izakhamzimba kanye nama-fatty acid amafushane avame ukungena endunu (okusiza ukugcina indunu imanzi futhi iphilile), okubangela ukuvuvukala kwendunu okungasetshenziswa. Kodwa-ke, inani elincane kuphela labantu elithola izimpawu.
• Izimpawu ze-ischemic zamathumbu: Njenge-ischemic colitis, i-ischemic proctitis ingenzeka lapho ukugeleza kwegazi kuya e-rectum kunqanyulwa, okuncisha izicubu umoya-mpilo. I-Ischemia ivame ukubangelwa ukuvaleka kwemithambo yegazi, njengokuqhekeka kwegazi, i-aneurysm, noma i-plaque.
• Ukulimala kwe-Anorectal: Uma into yangaphandle noma ikhemikhali ifakwa nge-anus, kungabangela ukuvuvukala kwe-anus kanye ne-rectum. Amakhemikhali kwezinye izinhlobo ze-enemas nawo angaba nalomphumela.
• Izinkinga zesisu ezibangelwa yi-Eosinophilic (EGID): I-Eosinophilia iwukukhiqizwa okuphezulu ngendlela engavamile kohlobo lwamaseli amhlophe egazi abizwa ngokuthi ama-eosinophils. Amaseli amhlophe egazi asiza isimiso sethu somzimba sokuzivikela ukuba siphendule ukuvuvukala. Ku-EGID, isimiso sethu somzimba sokuzivikela sithumela inani eliphakeme kakhulu lama-eosinophils engxenyeni yomgudu wokugaya ukudla, okubangela ukuvuvukala kwesikhathi eside. Abacwaningi bacabanga ukuthi lokhu kungaba ukusabela ngokweqile kokungezwani nokudla. I-Eosinophilic proctitis ivame ukuthinta izingane ezingaphansi kweminyaka emi-2.
• I-proctitis okungatholakali imbangela yayo (`Idiopathic proctitis`):Inani elincane labantu abane-proctitis alinaso isizathu esaziwayo. Kodwa-ke, basabela kahle ezinguqukweni zokudla. I-proctitis eyi-Idiopathic iyisimo esihlala isikhathi eside nesiphindaphindayo. Cishe u-10% walezi zimo ekugcineni ziphenduka i-ulcerative colitis.

Ingabe i-Proctitis iyisimo esibucayi?

Ngaphansi kwezimo ezivamile, i-proctitis ayisongeli impilo futhi isabela kahle ekwelashweni. Kodwa-ke , uma inzima, ihlala isikhathi eside, ingelashwa, noma ingaphenduli ekwelashweni, ingaholela ezinkingeni ezinkulu kakhulu.

Isibonelo, isilonda esingapholi singabangela ukopha ngokweqile, noma udonga lwe-rectal lungabhujiswa. Akuvamile ukuthi i-proctitis ithinte imizwa ezungezile, okubangela i-neuropathy.

Izinkinga ezingase zivele ngenxa yokuvuvukala kwesikhathi eside:

• Ukopha ngokweqile, okubangela i-anemia.
• Ama-Fistula (imigudu edlula odongeni lwe-rectal).
• Ukuqina noma i-stenosis (ukuncipha kwe-rectum ngenxa yezibazi zezicubu).

Izinkinga ezihilela isimiso sezinzwa azivamile, kodwa zingafaka:

• Ukungasebenzi kahle kwesinyi okubangelwa yi-neurogenic.
• Ukungazweli kanye nokuzwa ukuthuthumela ezinyaweni zezinyawo (i-paresthesia).
• Ukungasebenzi kahle kwe-Erectile.

I-Proctitis itholakala kanjani?

Udokotela uzoqala akubuze ngezimpawu zakho bese ehlola i-rectum yakho ukuze abone ukuthi unezimpawu ze-proctitis. Lokhu kungafaka ukuhlolwa kwe-rectal digital kanye ne-anoscopy . Uma kubonakala sengathi une-proctitis, udokotela wakho uzobuza imibuzo eminingi ukuthola ukuthi yini ebangela lokhu nokuthi hlobo luni lwayo. Isibonelo:

• Yimiphi imithi oyithathile muva nje?
• Ingabe ukhona emndenini onezifo ezihlasela amasosha omzimba?
• Ingabe uya ocansini olungavikelekile noma uya ocansini nabalingani abangakahlolwa?
• Uke wavakashela kwamanye amazwe muva nje?

Ngokusekelwe kulezi zimpendulo kanye nalokho okuboniswa yizivivinyo, udokotela wakho uzonquma ukuthi yiziphi ezinye izivivinyo ozidingayo.

Ukuhlolwa okwengeziwe kungafaka:

• Ukuhlolwa kwegazi: Ukuhlolwa kwegazi kungathola izifo nezinye izimo ezingabangela i-proctitis. Kungabonisa futhi ukwehla kwegazi noma ukwanda kwenani lamaseli amhlophe egazi.
• Ukuhlolwa kwendle: Udokotela uzothatha isampula yendle yakho bese ehlola ukutheleleka, ukopha, noma ukwanda kwamaseli amhlophe egazi.
• Ukukhuliswa kwesisu: Kulolu vivinyo, udokotela ukhuhla ingaphakathi lesisu nge-swab bese ekhuhla isampula ukuze abone amagciwane noma ama-virus akhona.
• I-Proctoscopy: Lokhu ukuhlolwa kwengaphakathi le-rectum kusetshenziswa ithuluzi elifushane, eliqinile elifana nethubhu. I-proctoscope iyithubhu elingenalutho elinekhamera nokukhanya ekugcineni. Uma kudingeka, udokotela angadlulisa ithuluzi ngethubhu ukuze athathe isampula yezicubu (i-biopsy).
• I-sigmoidoscopy eguquguqukayo: Uma udokotela efuna ukubheka kabanzi ikholoni ye-sigmoid, ingxenye yokugcina yamathumbu amakhulu exhumanisa ne-anus, kungasetshenziswa ithubhu ende neguquguqukayo ebizwa ngokuthi i-sigmoidoscopy eguquguqukayo. Uma kunenkinga ngethumbu elikhulu, lingabonisa izimpawu zesifo samathumbu esivuvukalayo noma ukutheleleka endleleni yokugaya ukudla. Ukulungiswa kwamathumbu kungenziwa ngaphambi kwalolu vivinyo.

Ingabe i-Proctitis iyaziphulukisa ngokwayo?

Kungenzeka, kodwa asikho isizathu sokuhlupheka. Uma unesifo, ama-antibiotic noma ama-antiviral angakusiza ukuthi ululame ngokushesha. Uma kungabangelwa ukutheleleka, udokotela wakho angase akunikeze imithi efana nama-steroids ukunciphisa ukuvuvukala. Uma une-radiation proctitis, ivame ukuphela phakathi namasonto ambalwa ngemva kokwelashwa ngemisebe. Kodwa okwamanje, imithi yobuhlungu esetshenziswa endaweni ingasiza. Uma une-IBD yesikhathi eside, i-proctitis ingase ivele iphele. Kodwa ungasebenzisa imithi ethile uma ivutha.

I-proctitis ihlala isikhathi esingakanani?

Lokhu kuyahlukahluka kuye ngembangela nomuntu. Ngokwelashwa, kuvame ukuxazululeka ngokushesha. Ngokuvamile, kuthatha cishe amasonto amane kuya kwayisithupha ukuphulukiswa ngemva kokuba imbangela yokuvuvukala isixazululiwe. Ngenkathi i-proctitis iphola, ungathatha imithi ye-OTC ethengiswa ngaphandle kwemithi kadokotela yobuhlungu noma isifo sohudo.

Yiziphi izindlela zokwelapha `(Proctitis)`?

Ukwelashwa kuncike embangela kanye nokuthi isimo sibi kangakanani. Kungafaka:

• Ukuqeda imbangela yokuvuvukala.
• Ama-antibiotic noma ama-antiviral okwelapha izifo.
• Ama-immunosuppressants e-proctitis abangelwa yizimo zokuzivikela komzimba.
• Imithi efana ne-Sulfasalazine noma i-Mesalamine ye-ulcerative colitis/proctitis.
• Imithi efana ne-Infliximab ye-Proctitis ebangelwa yisifo sikaCrohn.
• Ama-corticosteroids asetshenziswa njengemithi yokwelapha ukunciphisa ubuhlungu nokuvuvukala.
• Ama-enema e-sucralfate asetshenziselwa ukwelapha izilonda zamathumbu.
• Izinqubo ze-Endoscopic zokuvimba ukopha endleleni yokugaya ukudla.

Liyini ikusasa uma ngine-`(Proctitis)`?

Iningi lamacala e-proctitis asabela kahle ekwelashweni. Uma kuyisimo sesikhashana (esibucayi), kufanele siphele zingakapheli amasonto amane kuya kwayisishiyagalombili kubantu abadala noma ezinyangeni ezimbalwa ezinganeni. Uma une-proctitis yesikhathi eside ehlotshaniswa ne-IBD, ungathola ukuthi ukuvuvukala kuyafika futhi kuphele. Ungelapha ukuqubuka kwesikhumba ngemithi yokulwa nokuvuvukala uma kudingeka. Inani elincane labantu liba ne-proctitis yemisebe engapheli. Amacala esikhathi eside anamathuba amaningi okuba nezinkinga futhi kungaba nzima kakhulu ukwelapha.

Ingabe i-proctitis ingavinjelwa?

Ukuhlola abalingani ngaphambi kokuya ocansini kunganciphisa ingozi yezifo ezithathelwana ngocansi. Izindlela zokuzivikela ezifana namakhondomu zingasiza kwezinye izimo, kodwa ezinye izifo zingasakazeka nangocansi lomlomo. Ukusebenzisa amadamu amazinyo kunganciphisa ukusabalala noma ukutheleleka kwezifo ezithathelwana ngocansi ngomlomo. Ukuzijwayeza imikhuba yokulungiselela ukudla okuphephile nokuqaphela lokho okudlayo nokuphuzayo, ikakhulukazi uma uhamba phesheya, kunganciphisa ingozi yokutheleleka kwamathumbu okubangelwa ubuthi bokudla. Ngeshwa, ayikho indlela yokuvimbela i-IBD noma i-radiation proctitis.

Kufanele ubonane nini nodokotela mayelana `(Proctitis)`?

Njalo bona udokotela uma unezimpawu ze-proctitis. Kubalulekile ukuthola imbangela bese uyelapha ukuze uvimbele isimo ukuba singabi sibi kakhulu. Uma uthola ukwelashwa, kodwa kubonakala sengathi akusebenzi, qhubeka nokuxhumana nodokotela wakho. Ezinye izinhlobo ze-proctitis zidinga umzamo othile ukuze ziphathwe ngempumelelo. Akuvamile, ezinye izimo zingase zingaphenduli kunoma yikuphi ukwelashwa okujwayelekile. Ezimweni ezinjalo, ukuhlinzwa kungadingeka.

Izimpawu ze-proctitis, kungakhathaliseki ukuthi zesikhashana noma ziyaqhubeka, zingaba zimbi kakhulu. Ukwelashwa kwe-proctitis kugxile embangela yokuvuvukala kanye nezimpawu. Kwezinye izimo, njenge-radiation proctitis, izimpawu kuphela ezingelashwa. Kwezinye izimo, njengokutheleleka, kubalulekile ukuhlolwa ukuze kutholakale igciwane noma igciwane elithile elibangela izimpawu zakho.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, manje usuqonda kangcono lokho ebesikhuluma ngakho, `(Proctitis)`. Into ebaluleke kakhulu ukuthi, uma unezinkinga ezingajwayelekile, ubuhlungu, igazi noma amafinyila lapho uya endlini yangasese, ungakushayi indiva. Bona udokotela ngokushesha ukuze uthole imbangela. Esikhathini esiningi, lezi zimo zingelashwa kahle kakhulu.

Ungesabi, kodwa ungaphuzi! Impilo yakho isezandleni zakho.

Futhi, ukwenza ucansi oluphephile nokudla ukudla okuhlanzekile kuzosiza ekuvikeleni ezimweni ezinjalo.

'I-proctitis, ukuvuvukala kwe-rectum, ukuphuma kwegazi kanye nendle, ubuhlungu bendunu, izifo ezithathelwana ngocansi, i-IBD, uhlelo lokugaya ukudla