Wake wazibuza ukuthi kwenzekani ekudleni esikudlayo ngemva kokungena esiswini sethu? Kufana nohambo olude. Indawo yokugcina kulolu hambo yi-anus. Sonke sinalesi sitho emizimbeni yethu, kodwa kuyindaba ehlazisayo esingathandi ukukhuluma ngayo kakhulu, kodwa iyisitho esibaluleke kakhulu empilweni yethu. Ngakho-ke namuhla, ake sixoxe ngakho ngokukhululekile nangokwethembeka.
Iyini ngempela i-rectum?
Kalula nje, i-rectum yingxenye yokugcina yamathumbu akho amakhulu. Amathumbu ethu amakhulu ayingxenye ende efana nethubhu. Amasentimitha angu-6 okugcina alokhu yi-rectum. Ngemva kokuba ukudla esikudlayo kugayiwe, imfucuza esele iqoqwa lapha ngaphambi kokuba iphume emzimbeni. Kufana nendawo yokumisa ibhasi lapho abantu bebuthana khona ngaphambi kokuba ibhasi lihambe. Lapho indle iqoqana lapha, isimiso sethu sezinzwa sithumela isignali ebuchosheni, sithi, "Ngidinga ukuya endlini yangasese manje."
Uyini umehluko phakathi kwekholoni kanye ne-rectum?
Nakuba zombili ziyizingxenye zesimiso esifanayo, kunomehluko omncane.
- Ikholoni: Lokhu kude kakhulu. Ngisho noma imfucuza yokudla idlula kuyo, enye inqubo yokugaya ukudla isaqhubeka, njengokumuncwa kwamanzi nezakhamzimba emzimbeni.
- I-Rectum: Uma imfucuza evela emathunjini amakhulu ifika lapha, isivele iphenduke indle eqinile. Umsebenzi oyinhloko we-rectum ukubamba indle isikhashana bese imunca noma yimaphi amanzi asele kuyo emzimbeni. Bese ikhishwa emzimbeni.
Uyini umehluko phakathi kwe-rectum ne-anus?
Amasentimitha ambalwa okugcina ngemva kwe-rectum abizwa ngokuthi i-anus. Yilapho kutholakala khona imisipha ebaluleke kakhulu (ama-anal sphincters) asisiza ukulawula ukudlula kwendle. Le misipha yiyo esivumela ukuthi sime futhi siphume indle noma nini lapho sifuna.
Injani i-rectum futhi ikuphi?
I-rectum itholakala ngaphansi kwesisu sethu, ngaphakathi komgodi we-pelvic. Ngokuvamile ingamasentimitha ayi-10-15 (amasentimitha angu-5-6) ubude. Iphinde ibe nama-curve amabili amancane anomumo "S". Indlela la ma-curve atholakala ngayo isisiza futhi ukulawula ukunyakaza kwethu kwamathumbu.
Ingxenye yokugcina ye-rectum ibanzi kancane. Ibizwa ngokuthi i-'rectal ampulla'. Indle iyafika futhi iqoqeke lapha. Uma le ngxenye igcwele indle, izindonga zayo ziyanwebeka. Khona-ke imizwa lapho ('stretch receptors') itshela ubuchopho lokho. Yilapho-ke sithola khona umuzwa wokuthi sidinga ukuya endlini yangasese .
Yiziphi izimo ezivamile ezithinta i-rectum?
Ngaphandle kokuchitha isikhathi, kunezinkinga ezahlukene zempilo ezingavela e-rectum. Ezinye zalezi zingaba nzima futhi zibe buhlungu. Ake sibheke ezimbalwa zazo.
| Isimo | Incazelo elula |
|---|---|
| I-proctitis | Ukuvuvukala nokubomvu kolwelwesi lwe-rectum. Lokhu kungabangelwa ezinye izifo ezithathelwana ngocansi (ama-STI) noma ezinye izimo ezithinta amathumbu. |
| Izilonda zangemuva | Lezi amanxeba abuhlungu. Ngezinye izikhathi angaphuma igazi. |
| Ithumba le-perianal | Amaqhubu abuhlungu, agcwele ubomvu akha ngaphansi kwesikhumba azungeze indunu. |
| Ama-polyp e-Colorectal | Ukukhula okuncane okwakheka odongeni lwangaphakathi lwe-rectum noma i-large intestine. Ezinye zalezi zingaba umdlavuza ngokuhamba kwesikhathi. |
| Ukwehla kwe-rectal | Uma imisipha ebambe i-rectum endaweni yayo iba buthaka, i-rectum iphuma nge-anus. |
| Ukungakwazi ukulawula indle (ukungakwazi ukuzibamba) | Ukunyakaza kwamathumbu okungahleliwe. Lokhu kungabangelwa inkinga yemisipha noma imizwa e-rectum. |
| Ukuqunjelwa kanye nokuthinteka yindle | Ubunzima bokuphuma kwendle, indle iba lukhuni njengamatshe, kanye nokuvaleka kwe-rectal. |
Yiziphi izimpawu ezibonisa inkinga ye-rectal?
Uma unalezi zimpawu, kubaluleke kakhulu ukubona udokotela bese ucela iseluleko ngaphandle kokuzizwa unamahloni.
Khumbula, lezi zimpawu azihlali ziyisibonakaliso sesifo esingathi sína. Kodwa-ke, kungcono ukukhuluma nodokotela ngakho ukuze uthole ukuthi yini ngempela engalungile.
| Isibonakaliso | Okufanele ukuqaphele |
|---|---|
| Ukopha kwegazi endulo | Ukubona amabala egazi ezimpahleni zangaphansi, ephepheni lasendlini yangasese, noma endlini yangasese. |
| Ubuhlungu | Ubuhlungu endaweni ye-rectum, i-anus, noma indawo engezansi kwesisu. |
| Ukuluma noma izimpawu zokutheleleka | Ukulunywa okuqhubekayo, ukubomvu, noma ukuvuvukala okuzungeze indunu. |
| Ushintsho emikhubeni yokuzilungisa | Ukushintsha okungazelelwe kombala, ukuthungwa (okufana noketshezi, okufana netshe), noma inani lokunyakaza kwamathumbu ngosuku. |
| Imizwa engavamile | Ukuzizwa sengathi isisu sakho asikapheli ngokuphelele ngemva kokuya endlini yangasese (tenesmus) noma ukunyakaza kwamathumbu okunzima kakhulu futhi okubuhlungu (dyschezia). |
| Okuthile kuyagxumagxuma | Ukuzwa noma ukubona into efana nesigaxa senyama siphuma ekugcineni kwendunu. |
Udokotela uyihlola kanjani impilo ye-rectum?
Uma uya kudokotela onenkinga efana nale, angenza izivivinyo ezahlukahlukene ukuze athole isimo. Ukwazi ngalokhu kusenesikhathi kungasiza ekunciphiseni ukukhathazeka kwakho.
- Ukuhlolwa Kwe-Digital Rectal (DRE): Kulokhu, udokotela ufaka umunwe ogcotshwe ngegilavu e-rectum yakho ukuze ahlole noma yiziphi izigaxa noma izinkinga ngaphakathi.
- Ukuhlolwa kwendle: Isampula yendle yakho iyathathwa bese ihlolwa elabhorethri ukuze kutholakale igazi, amagciwane, noma ezinye izinkinga.
- I-Proctoscopy / i-sigmoidoscopy eguquguqukayo: Lokhu kuhilela ukufaka ithubhu elincane neliguquguqukayo elinekhamera enamathiselwe ku-rectum bese ubuka ingaphakathi ngesikrini. Uma kudingeka, isampula yezicubu (i-biopsy) ingathathwa ngalesi sikhathi. Udokotela wakho angase ancome ukulungiswa kwamathumbu ngaphambi kwenqubo.
- I-enema ye-Barium: Lokhu ukuhlolwa kwe-X-ray okukhethekile. Kufakwa uketshezi olukhethekile e-rectum bese kuthathwa izithombe ze-X-ray zekholoni.
- I-anorectal manometry: Lokhu kulinganisa ukuthi imisipha nezinzwa ezise-anus zisebenza kahle kangakanani.
Yini esingayenza ukuze sigcine i-rectum iphilile?
Kunezinto ezilula esingazenza ukuvimbela izifo eziningi.
- Ukudla okunempilo: Yidla ukudla okuningi okucebile nge-fiber (izithelo, imifino, ubhontshisi, okusanhlamvu okuphelele). Phuza amanzi amaningi. Lokhu kungasiza ekuvimbeleni ukuqunjelwa. Ukuqunjelwa kuyimbangela eyinhloko yezifo eziningi zamathumbu.
- Imikhuba yocansi oluphephile: Ezinye izifo ezithathelwana ngocansi (ama-STI) nazo zingathinta indunu, ngakho-ke kubalulekile ukwenza ucansi oluphephile.
- Ungayeki ukuhlolwa kwezokwelapha: Ikakhulukazi ngemva kweminyaka engu-45-50, thola izivivinyo ezifana nokuthi ``(Colonoscopy)`` uma udokotela wakho ekuncoma. Lokhu kungabona futhi kususe izinto ezifana nama-polyp ngaphambi kokuba zibe umdlavuza.
- Ungazinaki izimpawu: Uma unezinhlungu ezingapheli, ushintsho emikhubeni yamathumbu, noma okunye ukungakhululeki, ungalindi nje ubone ukuthi "kulungile." Bonana nodokotela ngokushesha okukhulu.
I-rectum iyibhuloho elibalulekile phakathi kwesimiso sethu sokugaya ukudla kanye nenqubo yokuzikhulula. Nakuba izinkinga ezihambisana nayo zingase zingakhululeki, kunezindlela zokwelapha ezinhle zazo. Ngakho-ke beka eceleni amahloni, cabanga ngempilo yakho bese ucela iseluleko sezokwelapha esidingekayo.
Umlayezo Wokuya Nawe Ekhaya
- I-rectum iyingxenye ebalulekile futhi ebalulekile yesistimu yethu yokugaya ukudla. Kubaluleke kakhulu ukunakekela impilo yayo.
- Ungalokothi uzishaye indiva izimpawu ezifana negazi esitulweni, ubuhlungu obungapheli, noma ushintsho olusheshayo emikhubeni yamathumbu.
- Ungakuhlehlisi ukuya kudokotela ngoba unamahloni noma wesaba ukukhuluma ngenkinga efana nale. Ukuthola ukwelashwa kusenesikhathi kungavimbela izimo ezibucayi.
- Ukudla ukudla okulinganiselayo okucebile nge-fiber, ukuphuza amanzi amaningi, kanye nokuzivocavoca njalo kuzuzisa kakhulu impilo yamathumbu amakhulu.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho