Kungani Umbala Wami Uvuza?

-Delile

• Izimpawu zesinqe esivuzayo
• Izimbangela zesidunu esivuzayo
• Uhudo
• Ukuqunjelwa
• Ama-hemorrhoids
• Izifo zemizwa
• Ukulimala kwemizwa
• I-Rectal prolapse
• I-Rectocele
• Uzokhuluma nini nodokotela wakho
• Ukwelapha isinqa esivuzayo
• Ukwelashwa kwasekhaya kufaka:
• Izinguquko zokudla
• Imithi ye-OTC
• Ukuzivocavoca kwemisipha yomzimba we-pelvic
• Ukuqeqeshwa kwamathumbu
• Imithi yokwelashwa:
• Ukudla okudlela endlini

Unaso isibunu esivuzayo? Ukubhekana nalokhu kubizwa ngokuthi ukungavumelani kwe-fecal, ukulahleka kokulawulwa kwamathumbu lapho izinto ezingcolile zivuza ngokungathí sina kusuka ku-butt yakho.

Ngokwe-American College of Gastroenterology, ukungavumelani kwendle kuvamile, kuthinta abantu baseMelika abangaphezu kwezigidi ezi-5.5.

Izimpawu zesinqe esivuzayo

Kunezinhlobo ezimbili zokungavumelani kwendle: ukunxusa kanye nokwenziwa.

• Nge nxusa ukungaziphathi kahle kwendle, uzwa ukufuna ukungcolisa kodwa awukwazi ukukulawula ngaphambi kokufika endlini yangasese.
• Nge ukungavumelani kwe-fecal, awazi amafinyila noma indle ekhona ingquza yakho.

Abanye ochwepheshe bezokwelapha bahlanganisa ukungcola njengophawu lokungasebenzi kahle kwendle. Ukungcola kulapho kuvela khona amafinyila noma ubhuqu ezingutsheni zakho zangaphansi.

Izimbangela zesidunu esivuzayo

Isinqe esivuzayo singadalwa yizinkinga eziningi zokugaya ukudla nezifo ezingamahlalakhona, kufaka phakathi:

Uhudo

Ngoba ukungcola okumanzi nokunamanzi kunzima ukubamba kunokungcola okuqinile, isifo sohudo siyingozi ejwayelekile yesinqe esivuzayo.

Uhudo lungabangelwa amagciwane, amagciwane, izimuncagazi, imishanguzo ethile, kanye nezinye izimbangela.

Ngenkathi wonke umuntu ethola isifo sohudo ngezikhathi ezithile, kufanele ukhulume nodokotela uma unesifo sohudo esingapheli.

Ukuqunjelwa

Ukuqunjelwa kungaholela poop enkulu, enzima okunzima ukuyidlulisa futhi ingelula futhi ekugcineni ithikameze imisipha yakho engunxande. Lapho-ke leyo misipha ingaba nenkinga yokubamba umchamo wamanzi ovame ukwakha ngemuva kwendle eqinile.

Ukuqunjelwa kungabangelwa izingqinamba eziningi ezibandakanya ukuphazamiseka kwamathumbu njenge-IBS, imishanguzo ethile, izinkinga zokudla, nokuningi.

Ukuqunjelwa ngezikhathi ezithile kungenzeka, kepha khuluma nodokotela uma unezikhathi zokuqunjelwa isikhathi eside.

Ama-hemorrhoids

Ama-hemorrhoids angavimbela imisipha ezungeze indunu yakho ukuthi ingavali ngokuphelele, okuvumela inani elincane le-mucus noma i-poop ukuthi liphume.

Izifo zemizwa

Izifo ezithile ze-neurologic - kufaka phakathi i-multiple sclerosis kanye nesifo sikaParkinson - zingathinta izinzwa ze-rectum, i-anus, noma i-pelvic floor, okuholela ekungangeni komgogodla.

Ukulimala kwemizwa

Uma kulimele, izinzwa ezilawula i-rectum yakho, i-anus, noma i-pelvic floor zingaphazamisa imisipha esebenza ngendlela efanele.

Imithambo ingalimala ngobuchopho noma ukulimala komgogodla noma umkhuba wesikhathi eside wokuzikhandla uswidi.

I-Rectal prolapse

I-Rectal prolapse yisimo esibangela ukuthi i-rectum yakho yehle nge-anus yakho. Lokhu kungagcina indunu yakho ingavali ngokuphelele, ivumele inani elincane lobulongwe noma amafinyila ukuba abaleke.

I-Rectocele

I-Rectocele, uhlobo lokuqhuma kwesitho sangasese sowesifazane, yisimo esibangela ukuthi i-rectum yakho iphume ngaphakathi esithweni sakho sangasese. Kubangelwa ukwehliswa kongqimba oluncane lwemisipha phakathi kwesitho sakho sangasese kanye nengxenyeni yakho.

Uzokhuluma nini nodokotela wakho

Uma ukungaziphathi kahle kwakho kwendle kunzima noma kwenzeka kaningi, bheka udokotela, ikakhulukazi uma kubangela ukungakhululeki kwezenhlalo noma ngokomzwelo noma kuthinta ikhwalithi yempilo yakho.

Uma ukholwa ukuthi unezimbangela ezingalapheki noma izimo ezibucayi ezingaholela ekungangeni komfutho, khuluma nodokotela ngokuxilongwa.

Ukwelapha isinqa esivuzayo

Ngokusho kwendatshana yango-2016, ukwelashwa okulula kuyisinyathelo sokuqala. Imithi, ushintsho ekudleni, ukuzivocavoca ukuqinisa imisipha yaphansi, nokuqeqeshwa kwamathumbu kungaholela ekunyukeni kwamaphesenti angama-60 ezimpawu futhi kumise ukungasebenzi kahle komuntu oyedwa kwabahlanu.

Ukwelashwa kwasekhaya kufaka:

Izinguquko zokudla

Uma uxoxa ngezimpawu zakho nodokotela wakho, bangaphakamisa izinguquko ezahlukahlukene zokudla uma isitho sakho esivuzayo siwumphumela wohudo lokuqunjelwa.

Iziphakamiso eziningi zizogxila ku-fiber noma ukungena ketshezi. Isibonelo, uma ukungalingani kwakho kwe-fecal kungumphumela wama-hemorrhoids, udokotela wakho angase asikisele ukuphuza iziphuzo eziningi nokudla i-fiber eningi.

Imithi ye-OTC

Udokotela angancoma imishanguzo ye-over-the-counter (OTC) kuye ngokuthi yini ebanga ukungazinzi kwakho kwe-fecal.

Ngokwesifo sohudo, bangaphakamisa ukuthi i-bismuth subsalicylate (Pepto-Bismol) noma i-loperamide (Imodium). Ngokuqunjelwa, bangaphakamisa izithasiselo ze-fiber (njengeMetamucil), ama-osmotic agents (afana neMiralax), izithambisi zesitulo (njengeColace), noma izikhuthazi (njengeDulcolax).

Ukuzivocavoca kwemisipha yomzimba we-pelvic

Udokotela wakho angancoma izivivinyo ezibandakanya ukuqinisa nokuphumuza imisipha yakho yezitho zangasese ukuze uqinise imisipha ku-anus naku-rectum yakho kanye naphansi kwethanga lakho.

Ukuqeqeshwa kwamathumbu

Ukuqeqeshwa kwamathumbu (noma ukuphinda uqeqeshe) kubandakanya ukuziqeqesha ukubhuqa ngezikhathi ezithile emini, njengasemuva kokudla. Lokhu kungaqeqesha umzimba wakho ukuba nokunyakaza kwamathumbu njalo.

Imithi yokwelashwa:

Ngokungavumelani okukhulu kwe-fecal, udokotela wakho angancoma ukwelashwa okukodwa noma ngaphezulu okufana nalokhu:

• Ukwelashwa kwe-Biofeedback. Lolu hlobo lwezokwelapha lusebenzisa izinzwa ukukala imisebenzi esemqoka yomzimba. Ingasetshenziselwa ukusiza ukufunda ukuzivocavoca kwe-pelvic floor noma ukubona lapho indle igcwalisa i-rectum yakho noma ilawula ukuphuthuma. I-rectal ballon noma i-anal manometry kwesinye isikhathi nayo isetshenziselwa ukusiza ukuqeqeshwa.
• Ama-Bulking agents. Ama-ejenti e-bulking angenakudonswa ajovwa ukuze aqinise izindonga zangasese.
• Imithi kadokotela. Udokotela wakho angakunikeza imishanguzo enamandla kunezinketho ze-OTC ukubhekana nezimbangela zokungavumelani kwe-fecal njenge-IBS.
• Ukuhlinzwa. Ukwelapha ukulimala kwe-anal sphincter noma imisipha ye-pelvic floor, udokotela wakho angase asikisele i-sphincteroplasty, i-colostomy, ukulungiswa kwe-sphincter noma ukushintshwa, noma ukulungiswa kokuhlinzwa kwama-hemorrhoids, i-rectocele, noma i-rectal prolapse.

Ukudla okudlela endlini

Isinqe esivuzayo, esaziwa kangcono njenge-fecal incontinence, ukwehluleka okwejwayelekile ukulawula ukunyakaza kwamathumbu okuholela ekutheni kuvuleke ubulongwe kungalindelekile kusuka ku-rectum yakho.

Yize kungabonakala kunamahloni, khuluma nodokotela wakho uma unenkinga yokulawula indle yakho. Kunezimbangela eziningi ezahlukahlukene ezingelashwa ngudokotela wakho, imvamisa kalula nje.