Ukungakwazi ukuzibamba kwesisu

Ukungasebenzi kakuhle kwamathumbu kukuphulukana nolawulo lwamathumbu, okubangela ukuba udlule kwisitulo ngokungalindelekanga. Oku kunokubakho ngamanye amaxesha kuvuza isixa esincinci segesi kunye nokudlula kwerhasi, ukungakwazi ukulawula ukuhamba kwamathumbu.

Ukungasebenzi kakuhle komchamo kuxa ungakwazi ukulawula ukudlula komchamo. Ayigutyungelwanga kweli nqaku.

Kubantu abadala abaneminyaka engama-65 nangaphezulu, abasetyhini bahlala benengxaki yokulawula amathumbu rhoqo kunamadoda.

Abantwana abanengxaki yokuvuza ngenxa yeengxaki zoqeqesho lwendlu yangasese okanye ukuqhina banokuba ne-encopresis.

I-rectum, i-anus, imisipha ye-pelvic, kunye nenkqubo ye-nervous kufuneka isebenze kunye ukulawula ukuhamba kwamathumbu. Ukuba kukho ingxaki ngayo nayiphi na kwezi, inokubangela ukungangqinelani. Kuya kufuneka ukuba ubenakho ukuqonda kwaye uphendule kumnqweno wokuba nentshukumo yamathumbu.

Abantu abaninzi baziva behlazekile ngokungahambelani kwamathumbu kwaye abanako ukuxelela umboneleli wabo wezempilo. Kodwa ukunganyangeki kunokunyangwa.Ke kuya kufuneka uxelele umboneleli wakho ukuba unengxaki. Unyango olufanelekileyo lunokunceda abantu abaninzi ukuba bafumane ulawulo lwamathumbu abo. Ukuzivocavoca umzimba ukwenza imisipha ye-anal kunye ne-pelvic yomelele kunokunceda amathumbu asebenze ngokufanelekileyo.

Izizathu zokuba abantu bangakwazi ukuzibamba emathunjini kubandakanya:

• Ukuqhina okungapheliyo (okungapheliyo). Oku kubangela ukuba izihlunu zethumbu kunye namathumbu zolule kwaye zibuthathaka, kukhokelela kurhudo kunye nokuvuza kwesitulo.
• Impembelelo yelindle. Idla ngokubangelwa kukuqhinwa okungapheliyo. Oku kukhokelela ekubeni kubekho isitulo esivimba amathumbu amakhulu.
• Ukusetyenziswa kwexesha elide kwe-laxative.
• Colectomy okanye utyando.
• Ukungaboni ukuba lixesha lokuba nentshukumo yamathumbu.
• Iingxaki ngokweemvakalelo.
• I-Gynecological, i-prostate, okanye utyando lwe-rectal.
• Ukwenzakala kwezihlunu ezimpundu ngenxa yokuzala (kwabasetyhini).
• Ukonzakala kwemithambo okanye yemisipha (ukwenzakala, ithumba, okanye imitha).
• Urhudo olomeleleyo oludala ukuvuza.
• Iimpawu ezinzima okanye i-rectal prolapse.
• Uxinzelelo lokuba kwindawo engaqhelekanga.

Rhoqo, utshintsho olulula lunokunceda ukunciphisa ukungahambelani kwamathumbu. Umboneleli wakho unokucebisa olunye okanye nangaphezulu kolu nyango.

Ukutya. Landela umkhondo ukutya okutyayo ukuze ubone ukuba ngaba naluphi na uhlobo lokutya lubangela iingxaki. Ukutya okunokubangela ukungaziphathi kakuhle kwabanye abantu kubandakanya:

• Utywala
• Icaffeine
• Iimveliso zobisi (kubantu abangakwaziyo ukugaya i-lactose, iswekile efumaneka kwiimveliso ezininzi zobisi)
• Ukutya okunamafutha, okuqhotsiweyo, okanye okunamafutha
• Ukutya okunezinongo
• Inyama ephilisiweyo okanye yokutshaya
• Iiswiti ezinje nge-fructose, mannitol, sorbitol, kunye ne-xylitol

Ifayibha. Ukongeza ubuninzi ekudleni kwakho kunokubangela isitulo esivulekileyo. Ukwandisa ifayibha:

• Yitya ngakumbi ukutya okuziinkozo. Cwangcisa iigrama ezingama-30 zefayibha ngosuku. Funda iilebheli zokutya ukuze ubone ukuba ingakanani ifayibha kwizonka, iisiriyeli kunye nokunye ukutya.
• Sebenzisa iimveliso ezinjengeMetamucil ezinodidi lwefayibha ebizwa ngokuba yi-psyllium, eyongeza ubuninzi kwizitulo.

Ukuqeqeshwa kwakhona kwamathumbu kunye nokuzivocavoca kweplavic. Ezi ndlela zinokukunceda ulawule i-anal sphincter muscle yakho xa unentshukumo yamathumbu. Umboneleli wakho angakubonisa imithambo yokuqinisa umgangatho we-pelvic kunye nezihlunu zangasemva. Ukuqeqeshwa kwakhona kwamathumbu kubandakanya ukuzama ukuba nokuhamba kwamathumbu ngamaxesha athile emini.

Abanye abantu abakwazi ukuxelela xa ilixesha lokuba nokunyakaza kwamathumbu. Ngamanye amaxesha abanako ukuhamba kakuhle ngokwaneleyo ukuba bafike ngokukhuselekileyo kwindawo yokuhlambela. Aba bantu bafuna ukhathalelo olukhethekileyo. Banokuqhela ukungafikeleli kwindlu yangasese xa ilixesha lokuhamba kwamathumbu. Ukuthintela le ngxaki, bancede baye kwindlu yangasese emva kokutya naxa besiva ukuba kukho into abayifunayo. Qiniseka ukuba igumbi lokuhlambela likhuselekile kwaye likhululekile.

Ukusebenzisa iiphedi ezikhethekileyo okanye izambatho zangaphantsi kunokunceda umntu ongazinzanga azive ekhuselekile xa eshiya ikhaya. Ungazifumana ezi mveliso ezikhemesti nakwezinye iivenkile ezininzi.

UKUGQIBELA

Ukuba unyango alusebenzi, utyando lunokunceda ukulungisa ingxaki. Kukho iintlobo ezininzi zeenkqubo. Ukhetho lotyando lusekwe kwisizathu sokungabikho kwengqondo kunye nempilo yomntu ngokubanzi.

Ukulungiswa kwe-sphincter echanekileyo. Olu tyando lunokunceda abantu abanomsila wentsimbi (sphincter) ongasebenzi kakuhle ngenxa yokulimala okanye ukuguga. Imisipha ye-anal idityaniswe ukuze iqinise i-sphincter kwaye incede i-anus ivale ngokupheleleyo.

Ukufakelwa kwemisipha yeGracilis. Kubantu abaphulukene nomsebenzi we-nerve kwi-anal sphincter, ukufakelwa kwemisipha yegracilis kunokunceda. I-gracilis muscle ithathwa kwithanga langaphakathi. Kubekwe malunga ne-sphincter ukunceda ukuqinisa umsipha we-sphincter.

I-sphincter yamathumbu angengowamvelo. I-sphincter eyenziweyo inamalungu ama-3: ikhafu ehambelana ne-anus, ibhaluni elawula uxinzelelo, kunye nempompo evala ikhafu.

Ngexesha lotyando, i-sphincter yokufakelwa ibekwe ijikeleze i-rectal sphincter. Isikhafu sihlala sinomoya wokugcina ilizwekazi. Unentshukumo yamathumbu ngokuchaphazela ikhafu. Ikhofu iya kuzenzela ngokuzenzekelayo kwimizuzu eli-10.

Isikhuthazi sentliziyo. Isixhobo sinokufakwa ngaphakathi emzimbeni ukukhuthaza imithambo-luvo egcina ilizwekazi.

Ukuphambukisa ilindle. Ngamanye amaxesha, le nkqubo yenziwa kubantu abangancedwa ngezinye iindlela zonyango. Amathumbu amakhulu ancanyathiselwe kwindawo evulekileyo eludongeni lwesisu ekuthiwa yicolostomy. Ilindle lidlula kolu vulo ukuya kwingxowa ekhethekileyo. Kuya kufuneka usebenzise isikhwama se-colostomy ukuqokelela isitulo amaxesha amaninzi.

Unyango ngenaliti. Le nkqubo ifaka i-gel eshinyeneyo (Solesta) kwi-anal sphincter ukuyikhupha.

Ukuba unyango alususi ukungahambelani kwamathumbu, ungasebenzisa izixhobo ezizodwa zokuqokelela ilindle ukugcina isitulo kunye nokukhusela ulusu lwakho ekonakaleni. Ezi zixhobo zinesingxobo esinokutsalwa esidityaniswe nesonkana esincamathelayo. Isonkana esisicaba sinomngxunya osikiweyo embindini, olingana nokuvulwa kwendlela.

Xela naziphi na iingxaki ngokungahambelani nomboneleli wakho. Fowunela umnikezeli wakho ukuba:

• Umntwana oye waqeqeshwa kwindlu yangasese unokungazibambi okwenzeka esitulweni
• Umntu omdala une-stool incontinence
• Unesikhumba okanye izilonda ngenxa yokungahambelani kwamathumbu
• Unorhudo oluqatha

Umboneleli wakho uya kuthatha imbali yakho yonyango. Qiniseka ukuba uxelela umboneleli wakho ngawo onke amayeza amayeza owathethayo. Ukuthatha ii-antacids okanye i-laxatives kunokubangela ukungasebenzi kakuhle kwamathumbu, ngakumbi kubantu abadala.

Umboneleli wakho uya kwenza novavanyo lomzimba, egxile kwisisu sakho kunye nakwindawo enamaza. Umboneleli wakho uya kufaka umnwe othanjisiweyo kwi-rectum yakho ukujonga ithoni ye-sphincter kunye ne-anal reflexes, kwaye ujonge naziphi na iingxaki.

Uvavanyo lokuchonga lunokubandakanya:

• I-enema yeBarium
• Uvavanyo lwegazi
• Colonoscopy
• Umbane we-Electromyography (EMG)
• I-Rectal okanye i-pelvic ultrasound
• Isitulo senkcubeko
• Uvavanyo lwethoni ye-anal sphincter (anal manometry)
• Inkqubo ye-X-ray isebenzisa idayi ekhethekileyo ukuvavanya ukuba zenziwe njani iikhontrakthi ze-sphincter (ibhaluni sphincterogram)
• Inkqubo ye-X-ray isebenzisa idayi ekhethekileyo ukubona amathumbu ngelixa unentshukumo yamathumbu (defecography)

Indlela engalawulekiyo yelindle; Ukuphulukana nolawulo lwamathumbu; Ukungakwazi ukuzibamba; Ukungakwazi - incindi

• Ukuthintela izilonda zoxinzelelo

• Inkqubo yokwetyisa
• I-sphincter engabonakaliyo yokufakelwa

IMadoff RD. Izifo ze-rectum kunye ne-anus. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahl. 145.

IRao SSC. Ukungakwazi ukuzibamba kwelindle. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Amathumbu kunye nezifo zesibindi: iPathophysiology / Diagnosis / Management. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahl 18.