Zicabange ukuthi uye endlini yangasese waphuma ungenalutho. Kodwa kungakapheli nemizuzu embalwa, uzizwa uzizwa unzima futhi, sengathi udinga ukuzikhulula futhi. Kungakhathaliseki ukuthi uzama kangakanani, akukho okuphumayo. Ingabe nawe ubhekene nalesi simo esingajabulisi? Lokhu yilokho esikubiza ngokuthi i-Tenesmus kwezokwelapha. Lokhu akukhona nje ukungakhululeki, kodwa kuyisibonakaliso sokuthi kukhona okungahambi kahle emzimbeni wakho.
Iyini ngempela i-tenesmus?
Kalula nje, i-tenesmus yisifiso esiqhubekayo sokuzikhulula, ngisho nangemva kokuba usukhiphe amathumbu noma esinyeni. Ungase uzwe ubuhlungu besisu, ukuqaqamba, ukusinda, noma ngisho nesifiso sokuzikhulula ngokuzumayo.
Lesi simo singenzeka ngezindlela ezimbili eziyinhloko:
1. I-Rectal Tenesmus: Lokhu kuhlobene nokuphuma kwendle. Kusho ukuthi ngisho nangemva kokuphuma kwendle, usenomuzwa wokuthi kufanele uphume.
2. I-Vesical Tenesmus: Lokhu kuhlobene nokuchama. Kusho ukuthi ngisho nangemva kokuchama, isinyi sisazizwa sigcwele kanye nomuzwa wokuthi kufanele uphinde uchame.
Into ebalulekile ukuthi i-tenesmus ayiyona into evamile. Iyisibonakaliso sesinye isimo sezokwelapha esiyisisekelo. Ngakho-ke, akukhuthazwa ukuyishaya indiva.
Ziyini izimbangela ze-rectal tenesmus?
Kunezinhlobo ezimbili eziyinhloko zezimbangela ze-tenesmus ezihlobene nendle. Lezi ukuvuvukala kanye nokuqunjelwa. Ake sibheke lezi ngokwehlukana.
| Isigaba sesizathu | Incazelo nezibonelo |
|---|---|
| Ukuvuvukala | Lesi simo singase senzeke lapho ingxenye engezansi yekholoni lakho (i-rectum kanye ne-anus) ivuvukala futhi izwela. Lokhu kungakwenza uzizwe usuthi uma uphuma indle, futhi kungavuselela nezinzwa ezithumela izimpawu ebuchosheni bakho ezikutshela ukuthi uqhubeke nokuhambisa isisu. Izizathu eziyinhloko:
|
| Ukuqunjelwa | Uma indle eqinile ivaleleka emathunjini ngenxa yokuqunjelwa, ivuselela njalo izindonga zamathumbu. Lokhu kubangela umuzwa oqhubekayo wokudinga ukukhipha amathumbu, yize amathumbu engekho angenalutho. Izimbangela zokuqunjelwa:
|
Yiziphi izimbangela ze-urinary tenesmus (vesical tenesmus)?
Isizathu esifanayo sokuthi kungani uzizwa udinga ukuchama futhi ngemva kokuqeda ukuchama naso siyiqiniso. Lesi simo singabangelwa ukusala komchamo esinyeni noma ukuvuvukala noma ukutheleleka emgudwini womchamo.
| Isigaba sesizathu | Incazelo nezibonelo |
|---|---|
| Umchamo osele esinyeni | Uma isinye singenakukwazi ukukhishwa ngokuphelele ngenxa yesizathu esithile, umchamo osele uvuselela imisipha yesinye futhi ubangele umuzwa wokudinga ukuqhubeka nokuchama. Izizathu:
|
| Ukuvuvukala/ukutheleleka komgudu womchamo | Uma i-urethra ivuvukala futhi izwa ubuhlungu, imizwa ingavuselelwa, okubangela lo muzwa. Izizathu:
|
Ingabe kukhona ukuxhumana phakathi kokucindezeleka nalesi simo?
Yebo, kukhona ukuxhumana. I-Tenesmus ayibangelwa ukucindezeleka noma ukukhathazeka. Kodwa-ke, uma usuvele unesifo esibangela lokho, ukucindezeleka kungenza kube kubi kakhulu. Khumbula, lapho sicindezelekile, ibhalansi yesimiso sethu sezinzwa iyashintsha, okwenza kube nzima ukulawula imisipha yethu. Lokhu kungandisa ukufinyela kwemisipha okungahleliwe okwenzeka ku-tenesmus. Futhi, ukuba nalesi simo siqhubeke kungaba yinto ecindezelayo kakhulu.
Iphathwa kanjani i-tenesmus?
Uma unalezi zimpawu, into yokuqala okufanele uyenze ukubonana nodokotela . Udokotela uzokuxilonga bese ezama ukuthola ukuthi yini ngempela ebangela izimpawu zakho. Nazi ezinye izivivinyo ezingenziwa:
- Ukuhlolwa Kwe-Digital Rectal: Ukuhlolwa ngesandla kwe-rectum.
- I-Anoscopy/I-Flexible Sigmoidoscopy: Ukuhlolwa kwe-rectum kanye ne-colon engezansi kusetshenziswa ipayipi elinekhamera.
- I-Colonoscopy: Ukuhlolwa kwekholoni lonke.
Uma imbangela isitholakele, ukwelashwa kunqunywa ngokusekelwe kuleyo nkinga.
- Ukwelapha isimo esiyisisekelo: Ama-antibiotic anganikezwa ukutheleleka, kanti nemithi yokuqunjelwa okukhulu inganikezwa. Ezinye izimo zingadinga ukuhlinzwa.
- Ukwelapha ukuvuvukala: Imithi efana ne -corticosteroids inganikezwa ukunciphisa ukuvuvukala.
- Ukwelashwa kwezimpawu ze-rectal: Imithi enciphisa ubuhlungu nokuvuvukala inganikezwa njenge-suppositories efakwa ku-rectum.
- Ukwelashwa okuqondiswe emisipheni: Imithi elawula ukufinyela kwemisipha okungahleliwe (i-anticholinergics) noma (i-antispasmodics) inganikezwa.
- Ukuphathwa kwezimpawu zomdlavuza: Ukwelapha i-tenesmus ebangelwa umdlavuza kuyinkimbinkimbi. Ngezinye izikhathi izinhlungu zobuhlungu noma ukuhlinzwa kungadingeka.
Kufanele ubonane nodokotela ngokushesha nini?
Khuluma nodokotela wakho ngaso sonke isikhathi ngalesi simo. Kodwa-ke, uma unezinye zezimpawu ezilandelayo ezinzima, ungakhohlwa ukufuna iseluleko sezokwelapha ngokushesha .
Uma unezinye zalezi zimpawu: umkhuhlane , isicanucanu nokuhlanza , ubuhlungu obukhulu , noma igazi esithweni sakho/emchameni , funa iseluleko sezokwelapha ngokushesha. Uma kudingeka, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Ukuphila nalolu hlobo lokungakhululeki kungaba nzima kakhulu. Ungabi namahloni okukhuluma nodokotela ngakho. Ungabi namahloni ngokuthula. I-Tenesmus iyisibonakaliso sesimo esidinga ukwelashwa. Ngisho noma isimo esiyisisekelo singesingapheli futhi singalapheki (njenge-IBD), ngokwelashwa okufanele, ungalawula lezi zimpawu ezingakhululekile futhi uphile impilo evamile.
Umlayezo Wokuya Nawe Ekhaya
- I-Tenesmus ayisona isifo, kodwa uphawu lwesinye isimo esiyisisekelo.
- Lokhu kungakhululeki kungenzeka ngokuphuma kwendle (i-rectal) noma ukuchama (i-vesical).
- Kubalulekile ukuthola imbangela eqondile bese uyelapha. Ngakho-ke ungazinaki lezi zimpawu.
- Uma unezimpawu ezifana nomkhuhlane, ubuhlungu obukhulu, noma igazi esithweni sakho/emchameni, bona udokotela wakho ngokushesha.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Ingabe ama-capsule e-Disopyramide / Norpace ayimithi enamandla kakhulu yesifo?
Lona akuwona umuthi ojwayelekile! Lona umuthi okhethekile onamandla (we-Class 1A Antiarrhythmic) osetshenziselwa ukulawula ama-Ventricular Arrhythmias / V-Tach / PVC asongela impilo, okuyizigqi ezisheshayo, ezingalawuleki, ezingavamile/ezisheshayo emakamelweni aphansi enhliziyo (ama-Ventricles), okubangela isiguli ukuba siwele e-coma bese sifa, nokubuyisela inhliziyo esimweni esijwayelekile!
💬 Uma inhliziyo yakho ishaya kakhulu, leli philisi (i-Disopyramide) lisiza kanjani ukuzola isigqi senhliziyo yakho?
Ukuze inhliziyo ithole umfutho kagesi futhi ishaye ngokushesha, izinhlayiya 'ze-sodium' kudingeka zingene emangqamuzaneni! Uma leli philisi lingena enhliziyweni, livimba zonke iziteshi ze-sodium (i-Moderate Sodium channel blocker). Ngaphezu kwalokho, lelula futhi libambezele isikhathi esithathayo ukuze amaseli kagesi enhliziyo ashaje futhi aqale kabusha (i-Repolarization / Potassium blockade)! Ngazo zombili lezi zenzo, zonke izimpawu zikagesi ezihlanyayo ziyanqanyulwa futhi inhliziyo yehlisa ijubane.
💬 Yiziphi izixwayiso ze-anticholinergic kanye 'nezexwayiso zebhokisi elimnyama' okufanele abantu abathatha lo muthi (i-Norpace) bazi ngazo?
Inkinga enkulu ngalokhu ukuthi komisa uketshezi lomzimba wonke (Umphumela Onzima Wokulwa Ne-cholinergic)! Ngakho-ke, ulimi/umlomo uba womile futhi kube nzima ukuwuphatha, umchamo ubhajwa esinyeni (Ukugcinwa komchamo), amehlo aba lufifi futhi kuvela ukuqunjelwa okukhulu. Enye ingozi ebulalayo ukuthi kunciphisa kakhulu 'umphumela omubi we-inotropic' wenhliziyo! Ngakho-ke uma umuntu onesifo senhliziyo (Ukwehluleka Kwenhliziyo) ephuza lokhu, inhliziyo ingayeka futhi ife (Umphumela we-Proarrhythmic).
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