Ukuqeqeshwa kabusha kwamathumbu

Uhlelo lokuqeqeshwa kabusha kwamathumbu, ukuzivocavoca kweKegel, noma ukwelashwa kwe-biofeedback kungasetshenziswa ngabantu ukusiza ukuthuthukisa ukunyakaza kwabo kwamathumbu.

Izinkinga ezingase zizuze ekuvuseleleni amathumbu zifaka:

• Ukungalawuleki kwe-fecal, okuwukulahlekelwa kokulawulwa kwamathumbu, okwenza ukuthi udlule indle ngokungalindelekile. Lokhu kungahle kusuka kwesinye isikhathi kuvuza inani elincane lesitokisi kanye negesi edlulayo, ukungakwazi ukulawula ukuhamba kwamathumbu.
• Ukuqunjelwa okukhulu.

Lezi zinkinga zingabangelwa:

• Izinkinga zobuchopho nezinzwa (ezinjenge-multiple sclerosis)
• Izinkinga ezingokomzwelo
• Ukulimala komgogodla
• Ukuhlinzwa kwangaphambilini
• Ukubeletha
• Ukusetshenziswa ngokweqile kwama-laxatives

Uhlelo lwamathumbu lufaka izinyathelo ezimbalwa zokukusiza ukuthi ube nokuhamba kwamathumbu njalo. Iningi labantu liyakwazi ukuba nokuhamba kwamathumbu njalo emasontweni ambalwa. Abanye abantu bazodinga ukusebenzisa ama-laxatives kanye nokuqeqeshwa kabusha kwamathumbu. Umhlinzeki wakho wezokunakekelwa kwempilo angakutshela uma udinga ukuthatha le mithi nokuthi yimiphi ephephile kuwe.

Uzodinga ukuhlolwa komzimba ngaphambi kokuqala uhlelo lokuqeqeshwa kwamathumbu. Lokhu kuzovumela umhlinzeki wakho ukuthi athole imbangela yokungavumelani kwendle. Ukuphazamiseka okungalungiswa njengokungenwa indle noma isifo sohudo esithathelwanayo kungalashwa ngaleso sikhathi. Umhlinzeki uzosebenzisa umlando wakho wemikhuba yamathumbu nendlela yokuphila njengesiqondiso sokusetha amaphethini amasha wokuhamba kwamathumbu.

UKUDLA

Ukwenza ushintsho olulandelayo ekudleni kwakho kuzokusiza ube nezitulo ezivamile, ezithambile nezikhulu:

• Yidla ukudla okune-fiber eningi okusanhlamvu okusanhlamvu, imifino emisha nobhontshisi.
• Sebenzisa imikhiqizo equkethe i-psyllium, efana neMetamucil, ukwengeza inqwaba ezihlalweni.
• Zama ukuphuza amalitha amabili kuya kwamathathu ketshezi ngosuku (ngaphandle kwalapho unesimo sempilo esidinga ukuthi unciphise ukungena kuketshezi).

UKUQEQESHWA KWESISHA

Ungasebenzisa ukugqugquzela kwedijithali ukuqala ukunyakaza kwamathumbu:

• Faka umunwe othanjisiwe endunu. Hambisa umbuthano kuze kube yilapho imisipha ye-sphincter ikhululeka. Lokhu kungathatha imizuzu embalwa.
• Ngemuva kokuthi wenze ukukhuthazeka, hlala endaweni ejwayelekile yokunyakaza kwamathumbu. Uma ukwazi ukuhamba, hlala ethoyilethi noma eceleni kombhede. Uma uvalelwe embhedeni, sebenzisa ingubo yokulala. Ngena eduze nendawo yokuhlala ngangokunokwenzeka. Uma ungakwazi ukuhlala, lala ngohlangothi lwakho lwesobunxele.
• Zama ukuthola ubumfihlo ngangokunokwenzeka. Abanye abantu bathola ukuthi ukufunda behleli ethoyilethi kuyabasiza baphumule.
• Uma ungenakho ukunyakaza kwamathumbu kungakapheli imizuzu engama-20, phinda inqubo.
• Zama ukuqinisa imisipha yesisu bese uthwala phansi ngenkathi ukhipha indle. Ungakuthola kusiza ukugoba uye phambili ngenkathi uthwala phansi. Lokhu kwandisa ingcindezi ngaphakathi esiswini futhi kusiza ukukhipha amathumbu.
• Yenza ukugqugquzela ngomunwe wakho nsuku zonke uze uqale ukuba nephethini ejwayelekile yokuhamba kwamathumbu.
• Ungakhuthaza nokuhamba kwamathumbu ngokusebenzisa i-suppository (glycerin noma i-bisacodyl) noma i-enema encane. Abanye abantu bakuthola kuwusizo ukuphuza umpe ofudumele noma umpe wezithelo.

Ukugcina iphethini ejwayelekile kubaluleke kakhulu ukuze uhlelo lokuqeqeshwa kabusha kwamathumbu luphumelele. Setha isikhathi esijwayelekile sokunyakaza kwamathumbu nsuku zonke. Khetha isikhathi esivumelana nawe. Gcina isimiso sakho sansuku zonke. Isikhathi esihle sokunyakaza kwamathumbu imizuzu engama-20 kuye kwengama-40 ngemuva kokudla, ngoba ukudla kuvusa umsebenzi wamathumbu.

Iningi labantu liyakwazi ukusungula inqubo ejwayelekile yokuhamba kwamathumbu emasontweni ambalwa.

UKUQEQESHA KEGEL

Ukuzivocavoca ukuqinisa imisipha engunxande kungasiza ngokulawulwa kwamathumbu kubantu abane-sphincter engasebenzi kahle. Ukuzivocavoca kweKegel okuqinisa ithoni ye-pelvic kanye ne-rectal muscle kungasetshenziselwa lokhu. Lezi zivivinyo zaqala ukwenziwa ukulawula ukungabekezeleleki kwabesifazane ngemuva kokubeletha.

Ukuze uphumelele ngokuzivocavoca ngeKegel, sebenzisa inqubo efanele bese unamathela ohlelweni lokuzivocavoca njalo. Khuluma nomhlinzeki wakho ngemiyalo yokuthi ungakwenza kanjani lokhu kuvivinya umzimba.

I-BIOFEEDBACK

I-Biofeedback ikunikeza impendulo ezwakalayo noma ebonakalayo mayelana nokusebenza komzimba. Kubantu abane-incecence incecence, i-biofeedback isetshenziselwa ukuqinisa i-rectal sphincter.

Ipulaki elingunxande lisetshenziselwa ukuthola amandla emisipha engunxande. I-electrode yokuqapha ibekwa esiswini. Ipulaki eliyi-rectal bese linamathiselwa esweni sekhompyutha. Igrafu ekhombisa ukucindezelwa kwemisipha engunxande nezinciphiso zesisu izovela esikrinini.

Ukuze usebenzise le ndlela, uzofundiswa ukuthi ungayikhama kanjani imisipha engunxande ezungeze ipulaki elingunxande. Isibonisi sekhompyutha sikuqondisa ukuthi uqiniseke ukuthi sikwenza kahle. Izimpawu zakho kufanele ziqale ukuthuthuka ngemuva kwezikhathi ezintathu.

Ukuzivocavoca kwe-Fecal incontinence; Neurogenic wamathumbu - ukuqeqeshwa kabusha kwamathumbu; Ukuqunjelwa - ukuqeqeshwa kabusha kwamathumbu; Ukuvinjelwa - ukuqeqeshwa kabusha kwamathumbu; Ukungalingani kwamathumbu - ukuqeqeshwa kabusha kwamathumbu

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

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

UCamilleri M. Ukuphazamiseka kokuhamba kwamathumbu emathunjini. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 127.