Oko Kufuneka Ukwazi Ngokungalawuleki

Umxholo

• Yintoni ukungahambi kakuhle kwelindle?
• Yintoni ebangela ukungangqinelani kwelindle?
• Impembelelo yelindle
• Urhudo
• Iimpawu
• Ukonakala kwemisipha
• Umonakalo wemithambo-luvo
• Ukungasebenzi kakuhle kwepelvic
• Ngubani osemngciphekweni wokungasebenzi kakuhle kwilindle?
• Kufunyanwa njani ukungabinakho kokungcola?
• Ukuphathwa njani kokungakwazi ukubamba ilindle?
• Ukutya
• Amayeza
• Ukuqeqeshwa kwakhona kwamathumbu
• Izambatho zangaphantsi zokungakwazi ukuzibamba
• Ukuzivocavoca kukaKegel
• Ukubuyela umva
• Ugqirha
• Solesta
• Ngaba ukuthintela ukungalawuleki kwendle kungathintelwa?

Yintoni ukungahambi kakuhle kwelindle?

Ukungasebenzi kakuhle kwe-fecal, okwabizwa ngokuba kukungasebenzi kakuhle kwamathumbu, kukuphulukana nolawulo lwamathumbu olukhokelela ekuhambeni okungafunekiyo (ukupheliswa kwamanyala). Oku kunokubakho ukusuka kwinqanaba elingaqhelekanga lokuzibandakanya kwezixa ezincinci zelahleko yokuphulukana nolawulo lwamathumbu.

Abanye abantu abane-incecence incecence baziva benomnqweno wokuba neentshukumo zamathumbu kodwa abakwazi ukulinda ukufikelela kwigumbi lokuhlambela. Abanye abantu abayiva imvakalelo yokuhamba kwamathumbu okulindile, ukugqitha isitulo ngokungazi.

Ukungasebenzi kakuhle kwe-Fecal kunokuba yimeko engathandekiyo, kodwa kunokuphucula ngonyango.

Yintoni ebangela ukungangqinelani kwelindle?

Ulawulo lwamathumbu oluqhelekileyo luxhomekeke ekusebenzeni kakuhle kwe:

• izihlunu zangasese
• i-rectum, yinxalenye yesiphelo esisezantsi samathumbu amakhulu
• imisipha ye-anal sphincter, izihlunu ezimpundu
• inkqubo yemithambo-luvo

Ukonzakala nakweyiphi na kwezi ndawo kunokubangela ukungalawuleki kakuhle kwilindle.

Izizathu eziqhelekileyo zokungahambi kakuhle kwendle kubandakanya:

Impembelelo yelindle

Ukuqhina okungapheliyo kungakhokelela kwimpembelelo yelindle. Oku kwenzeka xa isitulo esinzima sibambekile kwi-rectum. Isitulo sinokulula kwaye sinciphise i-sphincter, eyenza ukuba izihlunu zingakwazi ukuyeka ukuhamba okuqhelekileyo.

Olunye uxinizelelo lokungasebenzi kwelindle kukuvuza komchamo wolwelo olungelulo emngxunyeni.

Urhudo

Urhudo sisiphumo selindle evulekileyo okanye engamanzi. Ezi zihlalo ezivulekileyo zingabangela ukuba kubekho isidingo sokuhamba kwamathumbu. Isidingo sinokuthi ngequbuliso ungabinalo ixesha elaneleyo lokufikelela kwigumbi lokuhlambela.

Iimpawu

Iimpawu zangaphandle zingathintela i-sphincter ekuvaleni ngokupheleleyo. Oku kuvumela isitulo esivulekileyo kunye ne-mucus ukuba idlule ngokungathandabuzekiyo.

Ukonakala kwemisipha

Ukonakala kwe-anal sphincter kuya kuthintela izihlunu ekugcineni i-anus ivalwe ngokuqinileyo. Utyando ngaphakathi okanye kufutshane nommandla we-anorectal, ukwenzakala, kunye nokuqunjelwa kungonakalisa izihlunu ze-sphincter.

Umonakalo wemithambo-luvo

Ukuba iimbilini ezilawula ukunyakaza kwe-sphincter zonakaliswe, izihlunu ze-sphincter aziyi kuvala ngokufanelekileyo. Xa oku kusenzeka, unokuziva unganqweneli ukuya kwindlu yangasese.

Ezinye zezizathu zomonakalo wemithambo-luvo zibandakanya:

• umothuko ekuzaleni
• ukuqhina okungapheliyo
• ukubetha
• iswekile yemellitus
• isifo sokuqinelwa yimithambo (multiple sclerosis) (MS)

Ukungasebenzi kakuhle kwepelvic

Abasetyhini banokufumana umonakalo kwiimisipha kunye neentsholongwane kwi-pelvis yabo ngelixa bebeletha, kodwa iimpawu zomgangatho we-pelvic ukungasebenzi kakuhle kungabonakali ngokukhawuleza. Inokwenzeka emva kweminyaka. Iingxaki zibandakanya:

• ubuthathaka bemisipha ye-pelvic esetyenziswa ngexesha lokuhamba kwamathumbu
• i-rectal prolapse, kulapho i-rectum iphuma khona nge-anus
• i-rectocele, apho i-rectum igxobhoza phantsi kwilungu lobufazi

Amanye amadoda anokukhulisa ukungasebenzi kakuhle kweplavic.

Ngubani osemngciphekweni wokungasebenzi kakuhle kwilindle?

Nabani na onokufumana ukungahambi kakuhle kwendle, kodwa abantu abathile kunokwenzeka ukuba bayifumane kunabanye. Unokuba semngciphekweni ukuba:

• ungaphezu kweminyaka engama-65
• ungumfazi
• ungumfazi ozele umntwana
• ukuqhina okungapheliyo
• unesifo okanye ukwenzakala okubangele ukonakala kwemithambo-luvo

Kufunyanwa njani ukungabinakho kokungcola?

Ugqirha wakho uya kwenza imbali egqibeleleyo yezonyango kunye novavanyo lomzimba ukuze achaze ukungabinakho ukusebenza kwelindle. Ugqirha wakho uya kukubuza malunga nokuhamba rhoqo kokungasebenzi kakuhle kwaye xa kusenzeka, kunye nokutya kwakho, amayeza kunye nemicimbi yezempilo.

Olu vavanyo lulandelayo lunokunceda ukufikelela kwisifo:

• Uvavanyo lwedijithali lwendawo eyi-rectal
• isitulo senkcubeko
• i-barium enema (i-X-ray ye-fluoroscopic yamathumbu amakhulu, kubandakanya ikholoni kunye ne-rectum, ngokungafaniyo kwe-barium)
• iimvavanyo zegazi
• i-electromyography (ukuvavanya ukusebenza kwezihlunu kunye neentsholongwane ezinxulumene noko)
• i-anorectal ultrasound
• proctography (umfanekiso wevidiyo we-X-ray ngexesha lokuhamba kwamathumbu)

Ukuphathwa njani kokungakwazi ukubamba ilindle?

Unyango lokungahambi kakuhle kwendle luxhomekeke kwisizathu. Ezinye zeendlela zonyango zibandakanya:

Ukutya

Ukutya okubangela urhudo okanye ukuqhina kuyachongwa kususwe ekutyeni. Oku kunokukunceda ukulungelelanisa nokulawula ukuhamba kwamathumbu. Ugqirha wakho uninzi lucebisa ukwanda kolwelo kunye neentlobo ezithile zefayibha.

Amayeza

Ukuhanjiswa kwesisu, amayeza antidiarrhea afana ne-loperamide (Imodium), ikhodine, okanye idiphenoxylate / atropine (Lomotil) inokumiselwa ukuba icothise ukuhamba kwamathumbu amakhulu, ukuvumela ukuhamba kwesitulo ukuba kuhamba kancinci. Ugqirha wakho unokucebisa izongezo zefayibha zokuqhinwa.

Ukuqeqeshwa kwakhona kwamathumbu

Ukulandela ukuqeqeshwa kwamathumbu rhoqo kunokukhuthaza ukuhamba kwamathumbu okuqhelekileyo. Imiba yale nkqubo inokubandakanya:

• uhleli kwindlu yangasese kucwangciso oluqhelekileyo
• usebenzisa i-rectal suppositories ukukhuthaza ukuhamba kwamathumbu

Izambatho zangaphantsi zokungakwazi ukuzibamba

Unganxiba iimpahla zangaphantsi eziyilelwe ngokukhuselekileyo. Ezi zambatho ziyafumaneka kwiifom ezilahlayo nezinokuphinda zisebenze, kwaye ezinye iimveliso zisebenzisa itekhnoloji enciphisa ivumba.

Ukuzivocavoca kukaKegel

Ukuzivocavoca kukaKegel komeleza izihlunu zomgangatho we-pelvic. Le mithambo ibandakanya isiqhelo sokuphinda unikezele izihlunu ezisetyenziswayo xa usiya kwindlu yangasese. Kuya kufuneka ubonane nogqirha wakho ukuze ufunde indlela echanekileyo yokwenza imithambo.

Ukubuyela umva

I-Biofeedback yindlela enye yonyango. Ngayo, ufunda ukusebenzisa ingqondo yakho ukulawula ukusebenza komzimba wakho ngoncedo lweenzwa.

Ukuba une-incecence incecence, i-biofeedback iya kukunceda ufunde ukulawula kunye nokomeleza izihlunu zakho ze-sphincter. Ngamanye amaxesha izixhobo zonyango ezisetyenziselwa uqeqesho zibekwa kwi-anus nakwi-rectum yakho. Ugqirha wakho uya kuthi emva koko avavanye i-rectum yakho kunye ne-anal sphincter muscle function.

Ithoni yemisipha elinganisiweyo iboniswa ngokubonakalayo kwiscreen sekhompyuter ukuze ujonge ukomelela kwentshukumo yemisipha. Ngokubukela ulwazi ("ingxelo"), ufunda indlela yokuphucula ulawulo lwezihlunu ezixande ("bio").

Ugqirha

Unyango lotyando ngokubanzi lugcinelwe iimeko ezinzima zokungahambi kakuhle kwendle. Kukho iindlela ezininzi zotyando ezikhoyo:

• Isphincteroplasty. Iziphelo eziqhekekileyo ze-anal sphincter zibuyiselwa kunye ukuze i-muscle iqiniswe kwaye i-anal sphincter iqiniswe.
• Ukufakelwa kwemisipha yeGracilis. I-gracilis muscle idluliselwa ukusuka kwithanga langaphakathi kwaye ibekwe ijikeleze umsipha we-anal sphincter ukongeza amandla kunye nenkxaso.
• I-sphincter eyenziweyo. I-sphincter eyenziweyo yiringi ye-silicone efakwe ecaleni kwe-anus. Uyicofe ngesandla i-sphincter eyenziweyo ukuvumela ukuya kwi-defecation kwaye uyifakele ukuvala i-anus, ethintela ukuvuza.
• IColostomy. Abanye abantu abanesifo esibi se-fecal incontinence bakhetha ukwenza utyando lwe-colostomy. Ngexesha lotyando lwe-colostomy, ugqirha wakho wotyando uqondisa kwakhona ukuphela kwamathumbu amakhulu ukuba kudlule kudonga lwesisu. Ingxowa elahlwayo incanyathiselwe kwisisu esijikeleze istoma, esiyinxalenye yamathumbu encanyathiselwe kuvulo olwenziwe ngesisu. Emva kokuba utyando lugqityiwe, izitulo azisadluli kwi-anus kodwa endaweni yoko zingenanto ukusuka kwisistoma ukuya kwingxowa elahlwayo.

Solesta

I-Solesta yijeli enesitofu eyavunywa yi-Food and Drug Administration (i-FDA) ngo-2011 kunyango lokungabinakho ukungabinako ukusebenza. Injongo yonyango lweSolesta kukonyusa inani lezihlunu ezixande.

Ijeli itofelwe eludongeni lwe-anus kwaye iyanciphisa ngokufanelekileyo okanye inyange ngokupheleleyo ukungasebenzi kakuhle kwelindle kwabanye abantu. Isebenza ngokubangela ukwanda kobuninzi kunye nobukhulu bethishu yentsimbi, enciphisa ukuvulwa kwe-anal kwaye iyanceda ukuba ihlale ivalwe ngokuqinileyo.

ISolesta kufuneka ilawulwe yingcali yezempilo.

Ngaba ukuthintela ukungalawuleki kwendle kungathintelwa?

Ukwaluphala, ukwenzakala okudlulileyo, kunye neemeko ezithile zonyango zinokukhokelela ekungahambini kakuhle kwendle. Le meko ayisoloko ithintelwa. Umngcipheko, nangona kunjalo, unokuncitshiswa ngokugcina ukuhamba kwamathumbu rhoqo kunye nokugcina izihlunu zepelvic zomelele.