Okudingeka Ukwazi Ngokungalawuleki Kwe-Fecal

-Delile

• Kuyini ukungavumelani kwe-fecal?
• Yini ebangela ukungavumelani kwe-fecal?
• Ukungenwa yindle
• Uhudo
• Ama-hemorrhoids
• Ukulimala kwemisipha
• Ukulimala kwemizwa
• Ukungasebenzi kahle kwepelvic
• Ngubani osemngciphekweni wokungabambeki kwe-fecal?
• Kutholakala kanjani ukungahambisani nokungcola?
• Kuphathwa kanjani ukungavumelani kwe-fecal?
• Ukudla
• Imithi
• Ukuqeqeshwa kabusha kwamathumbu
• Izingubo zangaphansi ze-incontinence
• Ukuzivocavoca kukaKegel
• I-Biofeedback
• Ukuhlinzwa
• USolesta
• Ngabe ukuvinjelwa kokungcola kungavinjelwa?

Kuyini ukungavumelani kwe-fecal?

Ukungalawuleki kwe-fecal, okubizwa nangokuthi ukungasebenzi kwamathumbu, ukulahleka kokulawulwa kwamathumbu okuholela ekunyakazeni kwamathumbu okungazibandakanyi (ukuqedwa kwe-fecal). Lokhu kungahle kusuka ekuhambeni okungazibandakanyi kokuzibandakanya kwamathumbu amancane kuya ekulahlekelweni okuphelele kokulawulwa kwamathumbu.

Abanye abantu abane-incecence incontence bazizwa benesifiso sokuba nokunyakaza kwamathumbu kepha abakwazi ukulinda ukufinyelela endlini yangasese. Abanye abantu abayizwa imizwa yokuhamba kwamathumbu okulindile, ukudlula isitulo ngokungazi.

Ukungaziphathi kahle kwe-fecal kungaba yisimo esingakhululekile, kepha kungathuthuka ngokwelashwa.

Yini ebangela ukungavumelani kwe-fecal?

Ukulawulwa kwamathumbu okujwayelekile kuncike ekusebenzeni okufanele kwe:

• imisipha okhalo
• i-rectum, ingxenye yengxenye engezansi yamathumbu amakhulu
• imisipha ye-anal sphincter, imisipha endunu
• isimiso sezinzwa

Ukulimala kunoma iyiphi yalezi zindawo kungaholela ekunqandeni ukungasebenzi.

Izimbangela ezivamile zokungavumelani kwezindle zibandakanya:

Ukungenwa yindle

Ukuqunjelwa okungamahlalakhona kungaholela ekwenziweni kwendle. Lokhu kwenzeka lapho isitokisi esinzima sibambeka ku-rectum. I-stool ingakwazi ukwelula futhi inciphise i-sphincter, eyenza imisipha ingakwazi ukuyeka ukuhamba okujwayelekile.

Okunye ukuphazamiseka kokungcola kwendle ukuvuza kwezinto ezingamanzi ezimanzi ngendunu.

Uhudo

Uhudo luwumphumela wezitulo ezixegayo noma ezingamanzi. Lezi zitulo ezikhululekile zingadala isidingo ngokushesha sokunyakaza kwamathumbu. Isidingo singazuma kangangokuthi ungabi nesikhathi esanele sokufinyelela endlini yangasese.

Ama-hemorrhoids

Ama-hemorrhoids angaphandle angavimba i-sphincter ekuvaleni ngokuphelele. Lokhu kuvumela indle engalawuleki kanye namafinyila ukudlula ngokungaqondile.

Ukulimala kwemisipha

Ukulimala kwe-anal sphincter kuzovimbela imisipha ekugcineni i-anus ivalwe ngokuqinile. Ukuhlinzwa ngaphakathi noma eduze kwesifunda se-anorectal, ukuhlukumezeka, nokuqunjelwa kungalimaza imisipha ye-sphincter.

Ukulimala kwemizwa

Uma izinzwa ezilawula ukunyakaza kwe-sphincter zilimele, imisipha ye-sphincter ngeke ivaleke kahle. Uma lokhu kwenzeka, ungahle ungazizwa unesifiso sokuya endlini yangasese.

Ezinye izimbangela zomonakalo wezinzwa zibandakanya:

• ukuhlukumezeka kusukela ekubelethweni
• ukuqunjelwa okungapheli
• unhlangothi
• isifo sikashukela
• i-multiple sclerosis (MS)

Ukungasebenzi kahle kwepelvic

Abesifazane bangalimala emisipheni nasemithanjeni yamathambo okhalweni lwabo ngenkathi bebeletha, kepha izimpawu zokungasebenzi kahle kwe-pelvic floor zingase zingabonakali ngokushesha. Kungenzeka zenzeke ngemuva kweminyaka. Izinkinga zifaka:

• ubuthakathaka bemisipha ye-pelvic esetshenziswa ngesikhathi sokuhamba kwamathumbu
• i-rectal prolapse, okuyilapho i-rectum iphuma khona nge-anus
• i-rectocele, okuyilapho i-rectum igxumela khona ngaphakathi esithweni sangasese

Amanye amadoda nawo angakhula ukungasebenzi kahle kwe-pelvic floor.

Ngubani osemngciphekweni wokungabambeki kwe-fecal?

Noma ngubani angathola ukungazinzi kwe-fecal, kepha abantu abathile kungenzeka ukuthi bakuthole kunabanye. Ungaba sengozini uma:

• ungaphezu kweminyaka engama-65
• ungumuntu wesifazane
• ungowesifazane ozele
• unokuqunjelwa okungapheli
• unesifo noma ukulimala okwenze ukulimala kwezinzwa

Kutholakala kanjani ukungahambisani nokungcola?

Udokotela wakho uzokwenza umlando ophelele wezokwelapha kanye nokuhlolwa komzimba ukuthola ukuxilonga ukungcola. Udokotela wakho uzokubuza mayelana nokuvama kokungavumelani nokuthi kwenzeka nini, kanye nokudla kwakho, imishanguzo, nezinkinga zezempilo.

Ukuhlolwa okulandelayo kungasiza ekufinyeleleni ukuxilongwa:

• ukuhlolwa kwedijithali kwendawo engunxande
• isitulo isiko
• i-barium enema (i-X-ray ye-fluoroscopic yamathumbu amakhulu, kufaka phakathi i-colon ne-rectum, ngokuqhathanisa kwe-barium)
• ukuhlolwa kwegazi
• i-electromyography (ukuhlola umsebenzi wemisipha nezinzwa ezihlobene)
• i-anorectal ultrasound
• proctography (i-X-ray video imaging ngesikhathi sokunyakaza kwamathumbu)

Kuphathwa kanjani ukungavumelani kwe-fecal?

Ukwelashwa kokungahambi kahle kwendle kuncike embangela. Ezinye zezinketho zokwelashwa zifaka:

Ukudla

Ukudla okubanga uhudo noma ukuqunjelwa kuyakhonjwa futhi kususwe ekudleni. Lokhu kungasiza ekujwayeleni nasekulawuleni ukunyakaza kwamathumbu. Udokotela wakho utusa ukwanda koketshezi nezinhlobo ezithile ze-fiber.

Imithi

Ukuze uhudo, imishanguzo yokulwa nesifo sohudo efana ne-loperamide (Imodium), i-codeine, noma i-diphenoxylate / atropine (i-Lomotil) ingahle inqunyelwe ukunciphisa ijubane ukunyakaza okukhulu kwamathumbu, okuvumela ukuhamba kwendle ukuhamba kancane. Udokotela wakho angancoma izithasiselo ze-fiber zokuqunjelwa.

Ukuqeqeshwa kabusha kwamathumbu

Ukulandela inqubo yokuqeqeshwa kwamathumbu kungakhuthaza ukunyakaza okuvamile kwamathumbu. Izici zale nqubo zingafaka:

• ukuhlala ethoyilethi ngokujwayelekile
• usebenzisa ama-suppository we-rectal ukukhuthaza ukuhamba kwamathumbu

Izingubo zangaphansi ze-incontinence

Ungagqoka izingubo zangaphansi eziklanywe ngokukhethekile ukuze uvikeleke. Lezi zingubo zitholakala ngezindlela ezilahlwayo nezingaphinde zisebenze, kanti eminye imikhiqizo isebenzisa ubuchwepheshe obunciphisa iphunga.

Ukuzivocavoca kukaKegel

Ukuzivocavoca kweKegel kuqinisa imisipha yaphansi ye-pelvic. Lezi zivivinyo zihilela inqubo yokuphindaphinda ukuthola imisipha esetshenziswayo lapho uya endlini yangasese. Kufanele uthintane nodokotela wakho ukuze ufunde indlela eyiyo yokwenza izivivinyo.

I-Biofeedback

I-Biofeedback ingenye inqubo yezokwelapha. Ngayo, ufunda ukusebenzisa ingqondo yakho ukulawula ukusebenza komzimba wakho ngosizo lwezinzwa.

Uma une-incecence incence, i-biofeedback izokusiza ukuthi ufunde ukulawula nokuqinisa imisipha yakho ye-sphincter. Kwesinye isikhathi imishini yezokwelapha esetshenziselwa ukuqeqeshwa ibekwa endunu nasengxenyeni yakho. Udokotela wakho uzobe esehlola i-rectum yakho ne-anal sphincter muscle function.

Ithoni yemisipha elinganisiwe iboniswa ngamehlo esikrinini sekhompyutha ukuze ukwazi ukubona amandla ezinyakaziso zemisipha. Ngokubheka imininingwane ("impendulo"), ufunda ukuthi ungakuthuthukisa kanjani ukulawulwa kwemisipha engunxande (i- "bio").

Ukuhlinzwa

Ukwelashwa okuhlinzekwayo kuvame ukubekelwa amacala abucayi okungahambi kahle kwendle. Kunezinketho eziningi zokuhlinzwa ezitholakalayo:

• I-Sphincteroplasty. Imikhawulo edabukile ye-anal sphincter ibuyiselwa ndawonye ukuze imisipha iqiniswe futhi i-sphincter yangemuva iqiniswe.
• Ukufakelwa kwemisipha ye-Gracilis. Imisipha ye-gracilis idluliswa isuka ethangeni elingaphakathi futhi ibekwe ezungeze imisipha ye-anal sphincter ukwengeza amandla nokusekelwa.
• I-sphincter yokufakelwa. I-sphincter yokufakelwa yindandatho yesilicone efakwa ngasendunu. Ususa ngesandla i-sphincter yokufakelwa ukuze uvumele uketshezi bese uyifaka ukuze uvale indunu, evimbela ukuvuza.
• I-Colostomy. Abanye abantu abanokungavumelani okukhulu kwe-fecal bakhetha ukuhlinzwa nge-colostomy. Ngesikhathi sokuhlinzwa kwe-colostomy, udokotela wakho ohlinzayo uqondisa kabusha ukuphela kwamathumbu amakhulu ukuze kudlule udonga lwesisu. Isikhwama esilahlwayo sinamathiselwe esiswini esizungeze i-stoma, okuyingxenye yamathumbu enamathiselwe embobeni eyenziwe ngesisu. Ngemuva kokuhlinzwa sekuqediwe, indle ayisadluli emgodini wesikhala kepha isivele ingenalutho isuka esitokisini iye esikhwameni esilahlwayo.

USolesta

ISolesta iyijeli elinomjovo elagunyazwa yiFood and Drug Administration (FDA) ngo-2011 ekwelapheni ukungasebenzi komlomo. Inhloso yokwelashwa kweSolesta ukukhulisa inani lezicubu zomzimba.

Ijeli lifakwa odongeni lwendunu futhi linciphisa ngempumelelo noma liphathe ngokuphelele ukungazinzi komuntu kwabanye abantu. Isebenza ngokubanga ukwanda kwenqwaba nobukhulu bezicubu zangasese, okunciphisa ukuvulwa kwendunu futhi kuyisize ukuthi ihlale ivalwe ngokuqinile.

ISolesta kumele ilawulwe nguchwepheshe wezempilo.

Ngabe ukuvinjelwa kokungcola kungavinjelwa?

Ukuguga, ukuhlukumezeka kwangaphambilini, kanye nezimo ezithile zezokwelapha kungaholela ekungabambekeni komkhuhlane. Isimo asivikeleki ngaso sonke isikhathi. Ingozi, nokho, ingancishiswa ngokugcina ukunyakaza kwamathumbu njalo nangokugcina imisipha ye-pelvic iqinile.