UTenesmus

I-Tenesmus ingumuzwa wokuthi udinga ukudlula indle, yize amathumbu akho engenalutho. Kungabandakanya ukuhlunga, ubuhlungu, nokucinana.

I-Tenesmus ivame ukwenzeka ngezifo ezivuthayo zamathumbu. Lezi zifo zingabangelwa ukutheleleka noma ezinye izimo.

Kungenzeka futhi ngezifo ezithinta ukunyakaza okujwayelekile kwamathumbu. Lezi zifo zaziwa njengokuphazamiseka kwemotility.

Abantu abane-tenesmus bangacindezela kanzima (ubunzima) ukuzama ukukhipha amathumbu abo. Kodwa-ke, bazodlula kuphela inani elincane lesitokisi.

Isimo singabangelwa:

• Ithumba lika-anorectal
• Umdlavuza ocacile noma izicubu
• Isifo seCrohn
• Ukutheleleka kwekholoni (isifo esithathelwanayo)
• Ukuvuvukala kwekholoni noma i-rectum kusuka emisebeni (i-radiation proctitis noma i-colitis)
• Izifo zamathumbu ezivuthayo (IBD)
• Ukuhamba (motility) ukuphazamiseka kwamathumbu
• I-ulcerative colitis noma i-ulcerative proctitis

Ukwandisa inani le-fiber noketshezi ekudleni kwakho kungasiza ekunciphiseni ukuqunjelwa.

Thintana nomhlinzeki wakho wezokunakekelwa kwempilo uma uqhubeka unezimpawu ze-tenesmus ezingaguquguquki noma ezizayo.

Shayela futhi uma une:

• Ubuhlungu besisu
• Igazi esitokisini
• Amakhaza
• Imfiva
• Isicanucanu
• Ukuhlanza

Lezi zimpawu zingaba wuphawu lwesifo esingahle sidale inkinga.

Umhlinzeki uzokuhlola abuze imibuzo efana nale:

• Yenzeka nini le nkinga? Wake waba nayo phambilini?
• Iziphi izimpawu onazo?
• Uke wadla noma yikuphi ukudla okuluhlaza, okusha, noma ongakujwayele? Uke wadla epikinikini noma embuthanweni omkhulu?
• Ngabe kukhona abanye ekhaya lakho abanezinkinga ezifanayo?
• Yiziphi ezinye izinkinga zempilo onazo noma oke waba nazo esikhathini esedlule?

Ukuhlolwa komzimba kungafaka ukuhlolwa okuningiliziwe kwesisu. Ukuhlolwa kwamakholomu kwenziwa ezimweni eziningi.

Ukuhlolwa okungenziwa kufaka phakathi:

• Colonoscopy ukubheka ikholoni kanye ne-rectum
• Qedela ukubalwa kwegazi (CBC)
• Ukuhlolwa kwesisu kwe-CT (ezimweni ezingavamile)
• I-Proctosigmoidoscopy (ukuhlolwa kwamathumbu aphansi)
• Amasiko endle
• I-X-ray yesisu

Ubuhlungu - indle edlulayo; Izitulo ezibuhlungu; Kunzima ukudlula indle

• I-anatomy yokugaya engaphansi

I-Kuemmerle JF. Izifo zokuvuvukala kanye ne-anatomic zamathumbu, i-peritoneum, i-mesentery, ne-omentum. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 133.

I-CRG esheshayo, i-Biers SM, i-Arulampalam THA. Ubuhlungu besisu obungebuhlungu nezinye izimpawu nezimpawu zesisu. Ku: I-CRG esheshayo, i-Biers SM, i-Arulampalam THA, ama-eds. Izinkinga Zokuhlinzwa Okubalulekile, Ukuxilongwa Nokuphathwa. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 18.

I-Tanksley JP, i-Willett CG, i-Czito BG, i-Palta M. Imiphumela emibi futhi engapheli yamathumbu emathunjini we-radiation therapy. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 41.