Ukuqeqeshwa kwakhona kwamathumbu

Inkqubo yokuqeqeshwa kwamathumbu, i-Kegel yokuzivocavoca, okanye unyango lwe-biofeedback ingasetyenziselwa abantu ukunceda ukuphucula ukunyakaza kwabo.

Iingxaki ezinokuthi zixhamle ekubuyiseleni amathumbu zibandakanya:

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

Ezi ngxaki zinokubangelwa:

• Iingxaki zobuchopho kunye nemithambo-luvo (enjenge-multiple sclerosis)
• Iingxaki ngokweemvakalelo
• Umonakalo wentambo yomqolo
• Utyando lwangaphambili
• Ukubeleka
• Ukusetyenziswa gwenxa kweziyobisi

Inkqubo yamathumbu ibandakanya amanyathelo aliqela ukukunceda ukuba ube nokuhamba kwamathumbu rhoqo. Uninzi lwabantu luyakwazi ukuba nokuhamba kwamathumbu rhoqo kwiiveki ezimbalwa. Abanye abantu baya kufuna ukusebenzisa i-laxatives kunye nokuqeqeshwa kwamathumbu. Umboneleli wakho wezempilo angakuxelela ukuba ufuna ukuthatha la mayeza kwaye ngawaphi akhuselekileyo kuwe.

Uya kudinga uvavanyo lomzimba ngaphambi kokuba uqale inkqubo yoqeqesho lwamathumbu. Oku kuyakuvumela umboneleli wakho ukuba afumane unobangela wokungasebenzi kakuhle kwelindle. Ukuphazamiseka okunokulungiswa njengokuchaphazeleka kwelindle okanye isifo sorhudo esosulelayo kunganyangwa ngelo xesha. Umboneleli uya kusebenzisa imbali yakho yamathumbu kunye nendlela yokuphila njengesikhokelo sokuseta iipateni ezintsha zokuhamba kwamathumbu.

UKUTYA

Ukwenza olu tshintsho zilandelayo kwindlela otya ngayo kuya kukunceda ube nezihlalo eziqhelekileyo, ezithambileyo, ezinobunzima:

• Yitya ukutya okunefayibha eninzi njengengqolowa epheleleyo, imifuno emitsha kunye neembotyi.
• Sebenzisa iimveliso eziqukethe i-psyllium, enjengeMetamucil, ukongeza isambuku kwisitulo.
• Zama ukusela iilitha ezi-2 ukuya kwezi-3 zolwelo ngosuku (ngaphandle kokuba unemeko yempilo efuna ukuthintela ukungenisa ulwelo).

UQEQESHO LWEBOWEL

Ungasebenzisa ukuvuselelwa kwedijithali ukuqala kwentshukumo yamathumbu:

• Faka umnwe othanjisiweyo kwi-anus. Yishukumise kwisangqa de ibe izihlunu ze-sphincter ziphumle. Oku kungathatha imizuzu embalwa.
• Emva kokuba wenze ukuvuselela, hlala kwindawo yesiqhelo yokuhamba kwamathumbu. Ukuba uyakwazi ukuhamba, hlala ngasese okanye ecaleni kwebhedi. Ukuba uvalelwe ebhedini, sebenzisa iphedi yokulala. Sondela kufutshane nendawo yokuhlala kangangoko. Ukuba awukwazi ukuhlala, lala ngecala lasekhohlo.
• Zama ukufumana ubumfihlo kangangoko unako. Abanye abantu bakufumanisa ukuba ukufunda behleli kwindlu yangasese kuyabanceda ukuba baphumle.
• Ukuba awunako ukuhamba kwamathumbu kwimizuzu engama-20, phinda le nkqubo.
• Zama ukubamba izihlunu zesisu kwaye uzithobele ngelixa ukhulula isitulo. Unokukufumanisa kuluncedo ukugoba phambili ngelixa uthwele phantsi. Oku kwandisa uxinzelelo ngaphakathi kwesisu kwaye kunceda ukukhupha amathumbu.
• Yenza ukhuthazo ngomnwe wakho yonke imihla de ube uqala ukuba nepateni eqhelekileyo yokuhamba kwamathumbu.
• Unako kwakhona ukukhuthaza ukuhamba kwamathumbu ngokusebenzisa i-suppository (glycerin okanye i-bisacodyl) okanye i-enema encinci. Abanye abantu bakufumanisa kuluncedo ukusela isiselo esincumisayo okanye incindi yeziqhamo.

Ukugcina kwipateni eqhelekileyo kubaluleke kakhulu ukuze inkqubo yokuqeqeshwa kwakhona kwamathumbu iphumelele. Cwangcisa ixesha eliqhelekileyo lokuhamba kwamathumbu mihla le. Khetha ixesha elilungele wena. Gcina engqondweni ishedyuli yakho yemihla ngemihla. Elona xesha lilungileyo lokuhamba kwamathumbu yimizuzu engama-20 ukuya kwengama-40 emva kwesidlo, kuba ukutya kukhuthaza ukusebenza kwamathumbu.

Uninzi lwabantu luyakwazi ukwenza inkqubo yesiqhelo yokuhamba kwamathumbu kwiiveki nje ezimbalwa.

UQEQESHO LWE KEGEL

Ukuzilolonga ukomeleza izihlunu ezixande kunokunceda kulawulo lwamathumbu kubantu abane-sphincter engafanelekanga. Ukuzivocavoca kweKegel okomeleza ithambo le-pelvic kunye ne-rectal yemisipha kunokusetyenziselwa oku. Le mithambo yaphuhliswa okokuqala ukulawula ukungalawuleki kwabasetyhini emva kokubeleka.

Ukuze uphumelele ngokuzivocavoca ngeKegel, sebenzisa ubuchule obufanelekileyo kwaye unamathele kwinkqubo yomthambo rhoqo. Thetha nomboneleli wakho ngemiyalelo malunga nendlela yokwenza le mithambo.

UKUPHILA

I-Biofeedback ikunika ingxelo evakalayo okanye ebonakalayo malunga nokusebenza komzimba. Kubantu abane-incecence incecence, i-biofeedback isetyenziselwa ukomeleza i-rectal sphincter.

Iplagi yamacangci isetyenziselwa ukubona amandla emisipha yomqala. I-electrode yokubeka iliso ibekwe kwisisu. Iplagi efakwa apha emva koko iqhotyoshelwe kwisohlo sekhompyuter. Igrafu ebonisa ukucaphuka kwemisipha yomqolo kunye nokunciphisa isisu kuya kubonakala kwiscreen.

Ukuze usebenzise le ndlela, uya kufundiswa ukuba ucofe njani umsipha osisixa ojikeleze iplagi yangaphakathi. Umboniso wekhompyuter uyakukhokela ukuze uqiniseke ukuba wenza ngokuchanekileyo. Iimpawu zakho kufuneka ziqale ukuphucula emva kweeseshoni ezi-3.

Ukuzilolonga okungafunekiyo; Izibilini ze-Neurogenic - ukuqeqeshwa kwamathumbu; Ukuqunjelwa - uqeqesho mathumbu; Ukuthintela - ukuqeqeshwa kwakhona kwamathumbu; Ukungahambelani kwamathumbu - ukuqeqeshwa kwakhona kwamathumbu

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I-Iturrino JC, iLembo AJ. Ukuqunjelwa. 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 19.

IPardi DS, iCotter TG. Ezinye izifo zekolon. 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 128.

UCamilleri M. Ukuphazamiseka kwesisu esiswini. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl. 127.