Zithini iingxaki zexesha elide zokuqhinwa okungapheliyo? Kutheni Imiba yonyango

Umxholo

• Iimpawu
• Ukuqhekeka kwe-anal
• Ukudlula okungafakwanga
• Impembelelo yelindle
• Uthintelo
• Yise kude

Ukuqunjelwa okungapheliyo kwenzeka xa usoloko uhambisa isisu okanye ubunzima bokudlula isitulo kangangeeveki ezininzi okanye nangaphezulu. Ukuba akukho sizathu saziwayo sokuqhinwa kwakho, kubhekiswa kuko njengokuqhinwa okungapheliyo kwe-idiopathic.

Ixesha elingaphezulu, ukuba uhlala uziva nokuqunjelwa, usengozini yeengxaki ezithile. Ingxaki ngumcimbi owongezelelweyo wezonyango ohambelana nemeko yakho. Ukunyanga ukuqhina kwangoko xa kukhula kunokukunceda uphephe iingxaki ezinzulu.

Thatha umzuzwana ufunde ngeminye yemingcipheko yokunganyangeki okungapheliyo, kunye nendlela onokuyiphepha ngayo.

Iimpawu

Xa uqunjelwe, unokuzibona usokola ukudlula isitulo. Ukucoca ngexesha lokuhamba kwamathumbu kunokubangela ukuba imithambo kwi-anus yakho kunye ne-rectum esezantsi idumbe. Le mithambo idumbileyo yaziwa njengeehemorrhoids okanye iimfumba.

Iimvumba zingabangela:

• ukucaphuka okanye ukurhawuzelela umjikelezo wakho
• ukungonwabi okanye iintlungu ezingqonge umngxuma wakho
• ukudumba ujikeleze umva wakho
• ukopha ngexesha lokuhamba kwamathumbu

Ukunceda ukunqanda ama-hemorrhoids ekuphuhliseni okanye ekuwohlokeni:

• ukunyanga ukuqhina okungapheliyo kwangethuba
• zama ukunqanda ukuxinana ngexesha lokuhamba kwamathumbu
• thintela ukuhlala ixesha elide kwindlu yangasese, enokuthi ibeke uxinzelelo kwimithambo ejikeleze umngxuma wakho

Ukulawula iimpawu ze-hemorrhoids, kunokunceda:

• Faka i-cream ye-hemorrhoid ekhawuntareni, uthambise, okanye iphedi
• Sebenzisa i-suppository ye-hemorrhoid ekhawuntarini
• thatha isiqabu sentlungu
• cwina kwindawo yokuhlambela eshushu, amaxesha ngamaxesha ngemini

Ukuba uhlakulela iimpawu okanye iimpawu ze-hemorrhoids ezingahambi ngcono ngeveki, yenza idinga kunye nogqirha wakho. Kwezinye iimeko, banokusebenzisa inkqubo engeyiyo yokuhlinzwa okanye yokuhlinzwa ukunciphisa okanye ukususa i-hemorrhoids.

Ukuqhekeka kwe-anal

I-fissure ye-anal yinyembezi encinci kwithishu ebeka umgca kwi-anus yakho. Esi sihlunu sinokukrazuka xa ugqitha isitulo esinzima okanye uxinzelelo ukuze ube nokuhamba kwamathumbu, zombini ziqhelekile kubantu abanokuqunjelwa.

Iimpawu ezinokubakho kunye neempawu zentsimbi ebandayo zibandakanya:

• iinyembezi ezibonakalayo ezingqonge umngxuma wakho
• iqhuma okanye ithegi yolusu kufutshane neenyembezi
• iintlungu ngexesha okanye emva kokuhamba kwamathumbu
• igazi elibomvu eliqaqambileyo kwiphepha lakho langasese okanye isitulo emva kokuhamba kwamathumbu

Ukuthintela nokunyanga i-anal fissures, kubalulekile ukunyanga ukuqhina okungapheliyo kwaye uzame ukunqanda ukuxinana ngexesha lokuhamba kwamathumbu. Ukuntywila kwindawo yokuhlambela efudumeleyo amatyeli amaninzi ngemini kunokunceda ukukhuthaza ukuphilisa kunye nokuthomalalisa iimpawu zentsimbi.

Kwezinye iimeko, ugqirha wakho unokuncoma unyango olongezelelweyo, njengale:

• Unyango lwezihloko nge-nitroglycerin (Rectiv)
• Unyango lwezihloko kunye nezithambisi ezibulala iintlungu, ezinje nge-lidocaine hydrochloride (Xylocaine)
• iinaliti zohlobo lwe-botulinum toxin yohlobo A (Botox), ukukunceda ukhulule i-anal sphincter yakho
• unyango lomlomo okanye olungamayeza kunye noxinzelelo lwegazi, ukunceda ukukhulula i-sphincter yakho

Ukuba uhlakulela i-fissure engapheliyo engaphenduliyo kwezinye iindlela zonyango, ugqirha wakho unokuncoma ukuhlinzwa.

Ukudlula okungafakwanga

Ixesha elingaphezulu, kunokwenzeka ukuba ukuqhina okungapheliyo kubangele ukuba i-rectal prolapse. Ukuphindaphindeka okwenzeka ngokuRectal kwenzeka xa inxenye yamathumbu amakhulu eyaziwa ngokuba yi-rectum iwa kwindawo yayo yesiqhelo. Ukuba oku kuyenzeka, inxenye ye-rectum inokuphuma ngaphandle kwe-anus.

Iimpawu ezinokubakho kunye neempawu zokuqengqeleka kwamathambo zibandakanya:

• imvakalelo yokugcwala ezibilini zakho
• uvakalelo lokuba awukwazi ukukhupha amathumbu akho ngokupheleleyo
• ukurhawuzelela, ukucaphuka, okanye iintlungu ezingqonge umngxuma wakho
• ukuvuza kwelindle, i-mucus, okanye igazi kwi-anus yakho
• izicwili ezibomvu ezibonakalayo eziphuma kwi-anus yakho

Ukuba uhlakulela iimpawu okanye iimpawu ze-rectal prolapse, yenza idinga kunye nogqirha wakho.

Kwiimeko ezinobuzaza be-rectal prolapse, ugqirha wakho unokucebisa utshintsho kwindlela otya ngayo, ukuzilolonga kukaKegel, okanye olunye unyango lwasekhaya. Kodwa kwiimeko ezininzi, utyando luyafuneka ukunyanga le meko.

Impembelelo yelindle

Ukuqhina okungapheliyo kungakhokelela kwimpembelelo yelindle. Oku kwenzeka xa ubunzima obunzima be-stool bunamathela kwikholoni yakho. Kukwaziwa njengethumbu elinempembelelo okanye ilindle elinempembelelo.

Iimpawu ezinokubakho kunye neempawu zokungxamiseka kwendle zibandakanya:

• ukungonwabi, ukubamba, okanye iintlungu esiswini sakho, ngakumbi emva kokutya
• ukudumba kwesisu okanye ukudumba
• ubunzima bokudlula isitulo okanye irhasi
• ukuhamba kwesitulo samanzi
• Ukuphelelwa ngumdla wokutya
• isicaphucaphu
• ukugabha
• intloko ebuhlungu

Ukuba uvelisa iimpawu okanye iimpawu zokungabikho kwelindle, yenza idinga nogqirha wakho. Kuxhomekeka kwimeko yakho, banokucebisa olunye okanye nangaphezulu kwezi ndlela zonyango zilandelayo:

• i-enema yokuthambisa isitulo kunye nokukhuthaza ukuphambana kwamathumbu
• ukungahambelani ngesandla, apho ugqirha wakho afaka umnwe osigcini kwi-rectum yakho ukuzama ukususa isitulo esiqinileyo
• Unkcenkceshelo lwamanzi, apho ugqirha afaka umbhobho omncinci kwi-rectum yakho kwaye asebenzise amanzi ukukhupha ilindle emathunjini akho

Ngaphandle konyango, ukungqubana kwendle kunokubangela iinyembezi eludongeni lwekholoni yakho. Oku kunokukhokelela kusulelo olusongela ubomi.

Uthintelo

Ukuthintela iingxaki ezinokubakho, kubalulekile ukuthintela nokunyanga ukuqhina okungapheliyo.

Ukuziqhelanisa nendlela yokuphila esempilweni kunokunceda. Umzekelo:

• yiya kwigumbi lokuhlambela nanini na uziva unomdla, kunokuba ulinde
• yitya ukutya okutyebileyo, okufana neziqhamo, imifuno, iimbotyi, amandongomane, iimbewu, kunye neenkozo ezipheleleyo
• hlala uphethe amanzi kakuhle ngokusela ubuncinci iikomityi ezintandathu ukuya kwezisibhozo zamanzi okanye olunye ulwelo yonke imihla
• Yenza umthambo rhoqo kwaye unciphise ixesha olichitha ekuziphatheni kokuhlala
• Thatha amanyathelo okunciphisa uxinzelelo lweemvakalelo kunye nokuzilolonga

Ngamanye amaxesha, ugqirha wakho unokukukhuthaza ukuba:

• Thatha izongezo zefayibha
• thatha iisoftware ezithambisa izitulo
• sebenzisa ii-laxatives zomlomo ezingaphezulu kwekhawuntareni, ii-suppositories ezi-rectal, okanye i-enemas

Enye indlela yokunyanga ukuqhina okungapheliyo kukuqeqeshwa kwamathumbu. Ugqirha wakho unokucebisa ukuba:

• zama ukuya kwindlu yangasese ngexesha elifanayo yonke imihla, ngesiqhelo imizuzu eli-15 ukuya kwengama-45 emva kokutya
• zama unyango lwe-biofeedback ukubuyisela izihlunu ezichaphazelekayo ekuhambeni kwamathumbu

Ukuba utshintsho lwendlela yokuphila kunye neemveliso ezingathengiswayo azizinciphisi iimpawu zakho, ugqirha wakho unokucebisa ukhetho lonyango. Iindidi ezahlukeneyo zamayeza amiselweyo ziyafumaneka ukunyanga ukuqhina okungapheliyo.

Ngamanye amaxesha, ukuqhina okungapheliyo kunokuba luphawu lwemeko yonyango efuna unyango olongezelelweyo. Ugqirha unokukunceda uchonge oonobangela bokuqhinwa okungapheliyo kwaye uphuhlise isicwangciso sonyango.

Yise kude

Ukuba ukushiywa kunganyangwa, ukuqhina okungapheliyo kunokubangela iingxaki, ezinye zazo zinokuba nzulu. Ngethamsanqa, unyango oluninzi luyafumaneka ekuqunjelweni okungapheliyo.

Ukuba ufumana iimpawu okanye iimpawu zokuqunjelwa rhoqo, yenza idinga nogqirha wakho. Banokukunceda uchonge izizathu ezinokubangela ukuqhina kunye nokuphuhlisa isicwangciso sokunyanga. Banokukunceda ufunde ngendlela yokuthintela nokunyanga iingxaki ezinokubakho.