Impembelelo yelindle

Impact fecal sisiqhu esikhulu esikhulu esomileyo, isitulo esinzima esihlala sibambekile kwirektamu. Ihlala ibonakala kubantu abazinzileyo ixesha elide.

Ukuqunjelwa kuxa ungadlulisi isitulo rhoqo okanye ngokulula njengesiqhelo kuwe. Isitulo sakho siba nzima kwaye somile. Oku kwenza ukuba kube nzima ukudlula.

Ukunyanzeliswa kwe-Fecal kuhlala kwenzeka ebantwini abanesifo sokuqhinwa ixesha elide kwaye bebesebenzisa laxatives. Ingxaki inokwenzeka ngakumbi xa laxatives emisiwe ngesiquphe. Izihlunu zamathumbu ziyalibala ukuhambisa ilindle okanye ilindle ngokwazo.

Usengozini enkulu yokuqhinwa okungapheliyo kunye nokuchaphazeleka kwelindle ukuba:

• Awushukumi kakhulu kwaye uchitha ixesha elininzi esitulweni okanye ebhedini.
• Unesifo sobuchopho okanye inkqubo yeemvakalelo eyonakalisa imithambo-luvo eya kwimisipha yamathumbu.

Amachiza athile acothisa ukuhamba kwesitulo emathunjini:

• I-Anticholinergics, echaphazela unxibelelwano phakathi kwemithambo-luvo kunye nezihlunu zamathumbu
• Amayeza asetyenziselwa ukunyanga urhudo, ukuba asetyenziswa rhoqo
• Iyeza leentlungu, njenge-methadone, i-codeine kunye ne-oxycontin

Iimpawu eziqhelekileyo zibandakanya:

• Ukuqunjelwa sisisu kunye nokudumba
• Ukuvuza kolwelo okanye iziqendu ngequbuliso zotyatyazo lwamanzi kumntu onesifo sokuqhinwa okungapheliyo (ixesha elide)
• Ukopha ngokufihlakeleyo
• Amancinci amancinci, amancinci amancinci
• Ukucoca xa uzama ukudlula ilindle

Ezinye iimpawu ezinokubakho zibandakanya:

• Uxinzelelo lwesinyi okanye ukulahleka kolawulo lwesinyi
• Iintlungu ezisezantsi
• Ukubetha kwentliziyo okukhawulezileyo okanye iintloko ezinobunzima ukusuka ekuxineni ukuya kudlula esitulweni

Umboneleli wezempilo uya kuvavanya indawo yakho yesisu kunye ne-rectum. Uvavanyo lwe-rectal luya kubonisa ubunzima be-stool kwi-rectum.

Kuya kufuneka ukuba ube nekholonoscopy ukuba kubekho utshintsho kutshanje kwimikhwa yakho yamathumbu. Oku kwenziwa ukujonga umhlaza wekolon okanye we-rectal.

Unyango lwale meko luqala ngokususa isitulo esichaphazelekayo. Emva koko, kuthathwa amanyathelo okuthintela iimpembelelo zexesha elizayo.

I-enema yeoyile efudumeleyo yeoyile ihlala isetyenziselwa ukuthambisa kunye nokuthambisa isitulo. Nangona kunjalo, ii-enemas zizodwa azonelanga ukuba zisuse impembelelo enkulu, enzima kwiimeko ezininzi.

Ubunzima bunokufuneka ukuba buqhekezwe ngesandla. Oku kubizwa ngokuba kukususwa ngesandla:

• Umboneleli kuya kufuneka afake iminwe emibini okanye emibini kwi-rectum kwaye ngokuthe ngcembe aqhekeze ubunzima bube ziingceba ezincinci ukuze uphume.
• Le nkqubo kufuneka yenziwe ngamanyathelo amancinci ukunqanda ukwenzakala kwi-rectum.
• Izinto ezifakwayo ezifakwe kwi-rectum zinokunikwa phakathi kwemizamo yokunceda ukucoca isitulo.

Uqhaqho alufane lufuneke ukunyanga ukungxamiseka kwendle. Ikholoni ebanzi kakhulu (megacolon) okanye ukuvaleka ngokupheleleyo kwamathumbu kunokufuna ukususwa okungxamisekileyo kwempembelelo.

Uninzi lwabantu oluye lwane-impecal impaction luya kufuna inkqubo yoqeqesho kwakhona. Umboneleli wakho kunye nomongikazi oqeqeshiweyo okanye ingcali uya:

• Thatha imbali eneenkcukacha zokutya kwakho, iipateni zamathumbu, ukusetyenziswa kwesisu, amayeza kunye neengxaki zonyango
• Kukuvavanya ngononophelo.
• Cebisa utshintsho kwindlela otya ngayo, indlela yokusebenzisa laxatives kunye nezithambisi zestool, imithambo ekhethekileyo, utshintsho kwindlela yokuphila, kunye nezinye iindlela ezizodwa zokubuyisa amathumbu akho.
• Landela ngokusondeleyo ukuqinisekisa ukuba inkqubo iyakusebenzela.

Ngonyango, umphumo ulungile.

Iingxaki zinokubandakanya:

• Iinyembezi (isilonda) sezicubu zomqala
• Ukufa kwethishu (necrosis) okanye ukwenzakala kwethishu yemithambo

Xelela umboneleli wakho ukuba unesifo sohudo esinganyangekiyo okanye ukungabinakho ukungcola emva kwexesha elide lokuqhinwa. Xelela umboneleli wakho ukuba unazo naziphi na kwezi mpawu zilandelayo:

• Intlungu zesisu kunye nokudumba
• Igazi esitulweni
• Ukuqunjelwa ngequbuliso kunye neekram zesisu, kunye nokungakwazi ukudlulisa irhasi okanye isitulo. Kule meko, sukuthatha laxatives. Shayela umboneleli wakho ngokukhawuleza.
• Zincinci kakhulu, izitulo ezifana nepensile

Ukusebenza kwamathumbu; Ukuqhina - impaction; Izibilini ze-Neurogenic-impaction

• Ukuqunjelwa - ukuzikhathalela

• Inkqubo yokwetyisa
• Inkqubo yokugaya ukutya

ILembo AJ. Ukuqunjelwa. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 19.

Zainea GG. Ulawulo lwempembelelo yelindle. Ku: Fowler GC, ed. Iinkqubo zikaPfenninger kunye neFowler zoKhathalelo oluSisiseko. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 208.