Impaction fecal

Ukungqubuzana kwendle kuyisigaxa esikhulu esomile, esinzima esihlala sinamathele ku-rectum. Kuvame ukubonakala kubantu abaqunjelwe isikhathi eside.

Ukuqunjelwa lapho ungadlulisi indle kaningi noma kalula njengokujwayelekile kuwe. Indle yakho iba nzima futhi yomile. Lokhu kwenza kube nzima ukudlula.

Ukushaywa indle kuvame ukwenzeka kubantu asebenesikhathi eside bequnjelwa futhi abebesebenzisa imishanguzo. Inkinga iba sengozini enkulu lapho ama-laxatives emiswa kungazelelwe. Imisipha yamathumbu iyakhohlwa ukuthi ingahambisa kanjani indle noma indle iyodwa.

Usengozini enkulu yokuqunjelwa okungapheli nokukhubazeka kwendle uma:

• Awuhambi kakhulu futhi uchitha isikhathi sakho esiningi esihlalweni noma embhedeni.
• Unesifo sobuchopho noma sezinzwa ezilimaza izinzwa eziya ezicutshini zamathumbu.

Imithi ethile yehlisa ukudlula kwesitulo emathunjini:

• I-Anticholinergics, ethinta ukuxhumana phakathi kwezinzwa nemisipha yamathumbu
• Imithi esetshenziswa ukwelapha isifo sohudo, uma iphuzwa kaningi
• Umuthi wezinhlungu we-narcotic, njenge-methadone, i-codeine, ne-oxycontin

Izimpawu ezivamile zifaka:

• Ukuqunjelwa nokuqunjelwa esiswini
• Ukuvuza kweziqephu zoketshezi noma zamanzi ezingazelelwe kumuntu onesifo sokuqunjelwa okungapheli (isikhathi eside)
• Ukuphuma kwegazi
• Izitulo ezincane ezakhiwe kancane
• Ukuqina lapho uzama ukudlula indle

Ezinye izimpawu ezingaba khona zifaka:

• Ukucindezela kwesinye noma ukulahleka kwesilawuli sesinye
• Ubuhlungu obuphansi emuva
• Ukushaya kwenhliziyo okusheshayo noma ikhanda elikhanyayo ukusuka ekuhlushweni ukudlula indle

Umhlinzeki wezokunakekelwa kwempilo uzohlola indawo yakho yesisu kanye ne-rectum. Ukuhlolwa kwe-rectal kuzobonisa ubunzima obukhulu bendle ku-rectum.

Ungadinga ukuba ne-colonoscopy uma kube noshintsho lwakamuva emikhubeni yakho yamathumbu. Lokhu kwenziwa ukuhlola umdlavuza wekoloni noma we-rectal.

Ukwelashwa kwalesi simo kuqala ngokususwa kwesitulo esinomthelela. Ngemuva kwalokho, kuthathwa izinyathelo ukuvimbela umthelela wezindlala wesikhathi esizayo.

Kuvame ukusetshenziselwa i-enema kawoyela efudumele ukuthambisa nokugcoba isitulo. Kodwa-ke, ama-enemas kuphela akwanele ukususa ukuthinteka okukhulu, okunzima ezimweni eziningi.

Isisindo kungadingeka ukuthi sephulwe ngesandla. Lokhu kubizwa ngokususwa mathupha:

• Umhlinzeki uzodinga ukufaka umunwe owodwa noma emibili ku-rectum bese ephula kancane isisindo sibe yizicucu ezincane ukuze sikwazi ukuphuma.
• Le nqubo kufanele yenziwe ngezinyathelo ezincane ukugwema ukudala ukulimala kwi-rectum.
• Ama-suppositories afakwe ku-rectum anganikezwa phakathi kwemizamo yokusiza ukusula indle.

Ukuhlinzwa akuvamile ukuthi kudingeke ukwelapha ukungasebenzi komzimba. Ikholoni ekhuliswe ngokweqile (megacolon) noma ukuvinjelwa okuphelele kwamathumbu kungadinga ukususwa okuphuthumayo kwalokho okwenzekile.

Iningi labantu abake bathinteka yindle bazodinga uhlelo lokuqeqeshwa kabusha kwamathumbu. Umhlinzeki wakho kanye nomhlengikazi noma umelaphi oqeqeshwe ngokukhethekile bazo:

• Thatha umlando oningiliziwe wokudla kwakho, amaphethini wamathumbu, ukusetshenziswa kwe-laxative, imithi, nezinkinga zezokwelapha
• Akuhlole ngokucophelela.
• Ncoma izinguquko ekudleni kwakho, ukuthi ungazisebenzisa kanjani izithambisi nezithambisi zendle, ukuzivocavoca okukhethekile, izinguquko kwendlela ophila ngayo, namanye amasu akhethekile okubuyisa amathumbu akho.
• Landela eduze ukuze uqiniseke ukuthi uhlelo luyakusebenzela.

Ngokwelashwa, umphumela muhle.

Izinkinga zingafaka:

• Izinyembezi (izilonda) zezicubu zomzimba
• Ukufa kwezicubu (necrosis) noma ukulimala kwezicubu zomzimba

Tshela umhlinzeki wakho uma unesifo sohudo esingapheli noma ukungasebenzi komfutho ngemuva kwesikhathi eside sokuqunjelwa. Tshela nomhlinzeki wakho uma unezinye zalezi zimpawu ezilandelayo:

• Ubuhlungu besisu nokuqunjelwa
• Igazi esitokisini
• Ukuqunjelwa okungazelelwe okunamajaqamba esiswini, nokungakwazi ukwedlulisa igesi noma indle. Kulokhu, ungathathi noma yimaphi laxatives. Shayela umhlinzeki wakho ngokushesha.
• Izitulo ezincane ezinjengepensela

Ukuthinteka kwamathumbu; Ukuqunjelwa - impaction; Isibilini se-neurogenic - impaction

• Ukuqunjelwa - ukuzinakekela

• Uhlelo lokugaya ukudla
• Izitho zohlelo lokugaya ukudla

ULembo AJ. Ukuqunjelwa. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 19.

Zainea GG. Ukuphathwa kokungenzi kahle kwendle. Ku: Fowler GC, ed. Izinqubo zikaPfenninger noFowler zokuNakekela okuyisisekelo. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 208.