UTenesmus

I-Tenesmus yimvakalelo yokuba ufuna ukupasa izitulo, nangona amathumbu akho sele engenanto. Inokubandakanya ukuxhwaleka, iintlungu kunye nokuxinana.

I-Tenesmus idla ngokubakho kwizifo zokukrala kwamathumbu. Ezi zifo zinokubangelwa lusulelo okanye ezinye iimeko.

Kungenzeka nangezifo ezichaphazela ukuhamba okuqhelekileyo kwamathumbu. Ezi zifo zaziwa njengokuphazamiseka kwemotility.

Abantu abane-tenesmus banokutyhala nzima kakhulu (ubunzima) ukuzama ukukhupha amathumbu abo. Nangona kunjalo, baya kudlula kuphela inani elincinci lesitulo.

Le meko inokubangelwa ngu:

• Ithumba elingaziwayo
• Umhlaza omdaka okanye amathumba
• Isifo seCrohn
• Usulelo lwe-colon (isifo esithathelwanayo)
• Ukuvuvukala kwekholoni okanye i-rectum evela kwimitha (i-radiation proctitis okanye i-colitis)
• Isifo sesibindi sokuvuvukala (IBD)
• Ukuhamba (motility) ukuphazamiseka kwamathumbu
• I-ulcerative colitis okanye i-proctitis yesilonda

Ukonyusa inani lefibre kunye nolwelo ekutyeni kwakho kunokunceda ukunciphisa ukuqhina.

Nxibelelana nomboneleli wakho wezempilo ukuba uqhubeka unempawu ze-tenesmus ezingapheliyo okanye ezizayo.

Fowuna kwakhona ukuba unayo:

• Intlungu zesisu
• Igazi esitulweni
• Ukugodola
• Ifiva
• Isicaphucaphu
• Ukuhlanza

Ezi mpawu zinokuba luphawu lwesifo esinokubangela ingxaki.

Umboneleli uya kukuvavanya kwaye abuze imibuzo efana nale:

• Yenzeke nini le ngxaki? Unayo ngaphambili?
• Zeziphi iimpawu onazo?
• Ngaba ukhe watya nantoni na eluhlaza, entsha, okanye engaqhelekanga? Ngaba ukhe watya epikinikini okanye kwindibano enkulu?
• Ngaba bakho abanye kwikhaya lakho abaneengxaki ezifanayo?
• Zeziphi ezinye iingxaki zempilo onazo okanye obukhe wanazo ngaphambili?

Uvavanyo lomzimba lunokubandakanya uvavanyo olunesisu esiswini. Uvavanyo lwe-rectal lwenziwa kwiimeko ezininzi.

Uvavanyo olunokwenziwa lunokubandakanya:

• Colonoscopy ukujonga ikholoni kunye ne-rectum
• Gcwalisa ubalo lwegazi (CBC)
• Ukuvavanywa kwe-CT kwesisu (kwiimeko ezinqabileyo)
• Iproctosigmoidoscopy (uvavanyo lwamathumbu asezantsi)
• Iinkcubeko zesitulo
• X-reyi zesisu

Iintlungu - isitulo esidlulayo; Izitulo ezibuhlungu; Ubunzima bokupasa isitulo

• Umzimba wokugaya osezantsi

IKuemmerle JF. Ukudumba kunye nezifo ze-anatomic zamathumbu, i-peritoneum, i-mesentery kunye ne-omentum. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl. 133.

I-CRG ekhawulezayo, ii-Biers SM, i-Arulampalam THA. Intlungu yesisu esiswini kunye nezinye iimpawu zesisu kunye neempawu. Ku: I-CRG ekhawulezayo, ii-Biers SM, i-Arulampalam THA, ii-eds. Iingxaki ezibalulekileyo zoPhando, ukufumanisa isifo kunye noLawulo. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2020: isahl 18.

Iitanki JP, uWillett CG, uCzito BG, uPalta M. Acute kunye neziphumo ebezingalindelekanga zesisu kunyango lwe radiation. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 41.