Ukuya endlini yangasese kungaba yinto enzima kakhulu ngezinye izikhathi, akunjalo? Kuvamile ukuzizwa wesaba, ikakhulukazi uma ubona igazi elincane esitulweni sakho, noma uma kudingeka uzikhandle ukuze ukhululeke. Kungaba yihlazo kancane ukukhuluma ngalezi zinto nabanye. Kodwa lezi yizinto ezibaluleke kakhulu ezihlobene nempilo. Namuhla sizokhuluma ngesimo esingavamile esingadala lezi zimpawu, kodwa abantu abaningi abake bezwa ngaso. Leso yi -Solitary Rectal Ulcer Syndrome (SRUS) .
Iyini i-Solitary Rectal Ulcer Syndrome (SRUS)?
Kalula nje, i-SRUS yisimo sesikhathi eside, esingesona umdlavuza esibangela ukwakheka kwesilonda esisodwa noma ngaphezulu ngaphakathi kwe-rectum yethu. Manje ungase uzibuze, "Kuyini lokhu kwe-rectum?" I-rectum yingxenye yokugcina yamathumbu ethu amakhulu (ikholoni), lapho indle ihlala khona okwesikhashana ngaphambi kokuba iphume emzimbeni wethu.
Kodwa leli gama lingadukisa kancane. Naphezu kwegama elithi "ukuzimela," ngezinye izikhathi kungaba nezilonda ezingaphezu kwesisodwa. Futhi, lezi akuzona njalo izilonda. Ngezinye izikhathi zingaba nje izicubu ezibomvu ezivuvukele. Ngezinye izikhathi lesi simo singabonakala ngisho nasengxenyeni yamathumbu amakhulu ngaphezu kwendunu.
Odokotela nabacwaningi basafunda okuningi ngalesi simo. Ucwaningo lusenziwa ngezimbangela zaso kanye nezindlela zokwelapha ezingcono kakhulu.
Sivame kangakanani lesi simo?
I-SRUS empeleni iyisimo esingavamile kakhulu. Sithinta cishe umuntu oyedwa kwabayi-100,000. Sivame kakhulu kubantu abaneminyaka ephakathi kuka-30 no-40. Kodwa-ke, singavela nasezinganeni ezincane nakubantu asebekhulile.
Ingabe lesi simo sibi kakhulu? Ingabe kufanele sesabe?
Lona kungaba ngumbuzo wokuqala ofika engqondweni yakho. Izindaba ezinhle ukuthi lezi zilonda ngokuvamile azibi zimbi kakhulu. Lokho kusho ukuthi azibi umdlavuza.
Kodwa-ke, into ebalulekile lapha ukuthi inkinga eyisisekelo ebangela lezi zilonda ingaba yinto edinga ukunakwa. Yingakho kubalulekile ukubona udokotela ukuze uthole ukuxilongwa okunembile uma unalezi zimpawu.
Akufanele neze ungasinaki uphawu olufana nalolu. Akuwona umqondo omuhle ukucabanga nje ukuthi, "Luzophela ezinsukwini ezimbalwa." Ngoba ukuphuma kwegazi endulo kungabangelwa yizimo ezibucayi kakhulu kune-SRUS.
Ziyini izimpawu ze-SRUS?
Lezi zimpawu zivame ukubonakala kancane kancane. Zingenza ukuya endlini yangasese kube yinto engakhululekile neze. Ake sibheke izimpawu eziyinhloko.
| Isibonakaliso | Kalula nje... |
|---|---|
| Ukopha Okuvela Emqaleni | Igazi elibomvu ngokugqamile, elisha eliphuma nendle noma ngemva kokuya endlini yangasese. Ngezinye izikhathi iphepha lezicubu lingase libe negazi. |
| Ukuphuma kwamanzi okufana ne-mucus kanye nendle | Umuzwa wokuphuma koketshezi olufana ne-mucus, kungaba ngendle noma ngaphandle kwayo. |
| Ukuzikhandla ukuze ukhulule (Ukuzikhandla) | Kuthatha isikhathi eside, umzamo omkhulu, kanye nokuzikhandla okukhulu ukuze uphume indle. |
| Ukunyakaza kwamathumbu okungaphelele | Ukuzizwa sengathi kusenendle ngemuva kokuya endlini yangasese, njengokuthi "Angikaqedi okwamanje." |
| Ubuhlungu noma ukungakhululeki kwendunu | Ukuzwa ubuhlungu noma ukungakhululeki endunu nasezindaweni ezizungezile, ikakhulukazi uma uya endlini yangasese. |
| Ukugcwala Kwe-Pelvic | Ukuzwa isisindo nokugcwala esiswini esingezansi. |
Ngokumangalisayo, cishe umuntu oyedwa kwabane (25%) abane-SRUS abanazo izimpawu. Kutholakala ngengozi ngesikhathi sokuhlolwa ngesinye isizathu.
Kungani lesi simo senzeka?
Imbangela eqondile yalesi simo ayaziwa okwamanje. Kodwa-ke, odokotela bakholelwa ukuthi sihlobene nezimo eziningana ezingalimaza udonga lwangaphakathi lwe-rectum. Lokhu kusho ukuthi lezi zilonda zingase zibangelwe esinye isimo sezokwelapha esiyisisekelo.
Kunezimo eziningana ezivame ukubonakala nge-SRUS:
- Ukuwohloka Kwama-Rectal: Yilapho i-rectum iphuma khona nge-anus. Cabanga ngakho njengokuguqula isokisi lingene ngaphakathi. Ukungqubuzana kanye nokucindezela okwenzeka njengoba izicubu ziphuma kungabangela izilonda.
- Ukungena Kwangaphakathi Kwesisu: Lokhu kwenzeka lapho ingxenye eyodwa yesisu isunduzela kwenye ingxenye yesisu, njengethelesikopu. Lokhu kungabangela nokulimala kwezicubu.
- Ukuqunjelwa Okungapheli: Uma sinenkinga yokuphuma kwendle, siyakhandleka isikhathi eside. Lokhu kucindezela ngokweqile kungalimaza izicubu ezibucayi ze-rectum. Abanye abantu bazama ukususa indle ngeminwe yabo uma inamathela. Lokhu futhi kuyimbangela enkulu yokulimala kwe-rectum.
- Ukungakwazi ukuzibamba kwendle: Izinkinga nge-rectum zingavela nasezimweni lapho ungakwazi ukulawula ukuhamba kwakho kwamathumbu.
Enye yezinkolelo-mbono eziyinhloko ukuthi lapho imisipha yethu yephansi le-pelvic, esisiza ukuthi siphume indle, ingasebenzi kahle, inqubo yokuphuma indle iba engajwayelekile futhi kwenzeka ukulimala okunje.
Ukuthola kanjani lokhu, Dokotela?
Uma ubona udokotela onezimpawu ozishilo ngenhla, uzoqala ngokukubuza ngezimpawu zakho kanye nemikhuba yakho yokugeza (isib., ingabe uthatha isikhathi eside ukuyogeza?). Ngemuva kwalokho, bazokwenza izivivinyo ezithile ukuqinisekisa ukuthi unalezi zilonda.
Ukuhlolwa okuyinhloko
- I-Endoscopy: Lolu uhlobo lokuhlola oluvame kakhulu. Kulolu vivinyo, kufakwa ipayipi elincane, eliguquguqukayo elinekhamera enamathiselwe nge-anus ukuze kubonwe noma yiziphi izilonda noma ezinye izinguquko ngaphakathi kwesikrini. Kunezinhlobo eziningana zalolu vivinyo:
- I-Anoscopy: Ihlola i-anus kanye nengxenye yokugcina ye-rectum.
- I-Flexible Sigmoidoscopy: Ihlola i-rectum kanye nengxenye engezansi yekholoni.
- I-Colonoscopy: Ihlola ikholoni lonke.
Ezinye izivivinyo ezibalulekile
Udokotela wakho angase ancome ezinye izivivinyo eziningana ukuqinisekisa ukuthi awunazo ezinye izimo ezingathi sína (isib. Isifo Sokuvuvukala Kwamathumbu (IBD) noma Umdlavuza Wamathumbu Amancane ) ezibangela izimpawu ezifana ne-SRUS.
- I-Transrectal Ultrasound: Kufakwa i-probe encane e-rectum bese kusetshenziswa amaza omsindo ukuveza izithombe ezicacile zezindonga zangaphakathi ze-rectum.
- I-Defecography: Lolu luvivinyo olukhethekile. Inqubo yokuphuma kwendle iqoshwa kusetshenziswa umshini we-X-ray noma we-MRI. Lokhu kusiza ekunqumeni ngokunembile ukuthi kukhona yini isimo esifana nokuwa kwe-rectal.
- I-Anorectal Manometry: Ukuhlolwa okulinganisa ukusebenza kanye nokucindezela kwemisipha engaphakathi naseduze kwe-anus. Lokhu kungasiza ekunqumeni ukuthi imisipha ehilelekile ekukhululekeni isebenza kahle yini.
- I-Biopsy: Ngesikhathi se-endoscopy, kuthathwa ingxenye encane kakhulu yezicubu esilondeni bese ithunyelwa elabhorethri ukuze ihlolwe ngaphansi kwe-microscope. Lokhu kuhlolwa kubalulekile ukuze uqiniseke ngokuphelele ukuthi lokhu akusiwo umdlavuza.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kuncike ebunzimeni bezimpawu zakho kanye nembangela eyisisekelo yalesi simo. Ezimweni eziningi, izinguquko ezilula endleleni yakho yokuphila kanye nemikhuba yakho yokugeza zingasiza.
| Indlela yokwelapha | Incazelo |
|---|---|
| Ukudla kanye nezinguquko zendlela yokuphila |
|
| Imithi |
|
| Ukwelashwa Nge-Biofeedback | Lena indlela yokwelapha ngokuziphatha. Ihilela ukuqaphela imisipha yephansi le-pelvic eqina ngesikhathi sokuhamba kwamathumbu nokuzijwayeza ukuyiphumuza esikhundleni sokuyiqinisa. Lokhu kusiza kakhulu ekuqedeni umkhuba wokuzikhandla. |
| Ukuhlinzwa | Uma lokhu kulimala kubangelwa yisimo esifana nokuwa kwe-rectal, kungadingeka ukuhlinzwa okubizwa ngokuthi i-rectopexy ukuze kulungiswe lesi simo. |
Yisiphi isikhathi esingcono kakhulu sokubona udokotela?
Lokhu kubaluleke kakhulu. Kunezimpawu ezithile okungafanele sizishaye indiva.
Uma uphuma igazi e-rectum yakho, ukhipha igazi noma i-mucus esitulweni sakho, noma uzwa ubuhlungu obungapheli lapho uya endlini yokugezela, sicela ungakushayi indiva, ucabanga ukuthi "kuzophela ngosuku olulodwa." Qiniseka ukuthi ubona udokotela wakho ukuze uthole ukuthi yini ngempela ebangela lokhu.
Umlayezo Wokuya Nawe Ekhaya
- I-Solitary Rectal Ulcer Syndrome (SRUS) iyisimo esingavamile, esingesona umdlavuza, kodwa ukungakhululeki okubangelwa yiso kungaba yingozi empilweni.
- Ukopha okuvela e-rectum akuvamile neze. Uma ukuqaphela, qiniseka ukuthi ubona udokotela.
- Ngokuvamile, kubaluleke kakhulu ukwelapha imbangela eyinhloko yalezi zilonda (isib. ukuqunjelwa, ukuwohloka kwe-rectal) kunokwelapha izilonda zangempela ngokwazo.
- Izinto ezilula njengokuphuza amanzi amaningi, ukudla ukudla okune-fiber eningi, nokugwema ukuzikhandla endlini yokugezela kungasiza kakhulu ekulawuleni lesi simo.
- Landela imiyalelo kadokotela wakho ngqo. Thola izivivinyo ezidingekayo bese uthola ukwelashwa okufanele. Uma ukwelapha ngesineke, ungasiphatha kahle lesi simo.
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