Faduwar Farji Ta Baya (Rectocele)

Fitar da farji na baya, wanda kuma aka sani da rectocele, yana faruwa ne lokacin da bangon nama da ke raba dubura daga farji ya yi rauni ko ya fashe. Idan hakan ta faru, nama ko tsarin da ke bayan bangon farji - a wannan yanayin, dubura - na iya kumbura zuwa cikin farji.

Fitar da farji na baya kumburi ne na nama zuwa cikin farji. Yana faruwa ne lokacin da nama da ke tsakanin dubura da farji ya yi rauni ko ya fashe. Wannan yana sa dubura ta tura zuwa bangon farji. Ana kuma kiran fitar da farji na baya da rectocele (REK-toe-seel).

Tare da fitar da nama mai girma, za ku iya lura da kumburi na nama wanda ke tura ta cikin budewar farji. Don fitar da najasa, kuna iya buƙatar tallafawa bangon farji da yatsun ku. Wannan ana kiransa splinting. Kumburi na iya zama ba dadi, amma ba ya da zafi.

Idan an buƙata, matakan kula da kai da sauran zabin da ba na tiyata ba yawanci suna da tasiri. Don fitar da farji na baya mai tsanani, kuna iya buƙatar tiyata don gyara shi.

Karamar karyewar farji ta baya (rectocele) na iya rashin haifar da wata alama.

Idan ba haka ba, za ki iya lura da:

• Ƙumburi mai laushi a farji wanda zai iya fitowa ta budewar farjin
• Matsala wajen yin najasa
• Ji kamar dubura bai gama kwashe ba bayan yin najasa
• Damuwa game da jima'i, kamar jin kunya ko jin sassauci a cikin farji

Mata da yawa da ke fama da karyewar farji ta baya suna kuma fama da karyewar wasu gabobin ƙashin ƙugu, kamar fitsari ko mahaifa. Likitan tiyata zai iya tantance karyewar kuma ya tattauna zaɓuɓɓukan tiyata don gyara shi.

A wasu lokutan, baya na farji ba ya haifar da matsala. Amma matsakaicin ko mummunan baya na farji na iya zama ba dadi. Ka ga likita idan alamun sun shafi rayuwarka ta yau da kullum.

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Kowane mutum da ke da farji na iya kamuwa da kamuwar farji ta baya. Duk da haka, abubuwan da ke ƙasa na iya ƙara haɗarin kamuwa da wannan cuta:

• Yanayin Haihuwa. Wasu mutane an haife su da ƙarancin ƙwayoyin haɗin kai a yankin ƙashin ƙugu. Wannan yana sa su fi kamuwa da kamuwar farji ta baya.
• Haihuwa. Haihuwar yara da yawa ta hanyar farji yana ƙara haɗarin kamuwa da kamuwar farji ta baya. ɓarkewar nama tsakanin budewar farji da dubura (ɓarkewar perineal) ko yankewa da ke ƙara girman budewar farji (episiotomies) a lokacin haihuwa na iya ƙara haɗari. Haihuwar farji ta hanyar tiyata, musamman ma amfani da forceps, yana ƙara haɗarin kamuwa da wannan cuta.
• Tsofawa. Tsofawa yana haifar da asarar ƙwayar tsoka, sassauƙa da aikin jijiya, wanda ke haifar da ƙwayar tsoka su yi ƙanƙanta ko raunana.
• Kiba. Ƙarin nauyin jiki yana ƙara damuwa ga nama na ƙashin ƙugu.

Don don tsaya da baya na farji daga lalacewa, zaka iya gwada waɗannan:

• Yi motsa jiki na Kegel akai-akai. Wadannan motsa jiki zasu iya ƙarfafa tsokoki na ƙasan ƙugu. Wannan abu ne mai muhimmanci musamman bayan haihuwa.
• Magance da hana maƙarƙashiya. Sha ruwa mai yawa kuma ku ci abinci mai fiber, kamar 'ya'yan itatuwa, kayan marmari, wake da hatsi.
• Guji ɗaukar nauyi mai nauyi da kuma ɗaukar nauyi daidai. Yi amfani da kafafu maimakon kugu ko baya don ɗauka.
• Sarrafa tari. Samun magani don tari na kullum ko bronchitis, kuma kada ku yi shan sigari.
• Guji ƙaruwar nauyi. Tambayi likitan ku don taimaka muku san nauyin da ya dace da ku. Tambayi shawara kan yadda za a rage nauyi, idan an buƙata.

Likitan mata sau da yawa yana gano matsalar baya ta farji yayin binciken farji da dubura.

Binciken farjin na iya haɗawa da:

• Tura ƙasa kamar dai za ki yi najasa. Tura ƙasa na iya sa matsalar ta fito waje, ta nuna girmanta da wurin da take.
• Matse tsokokin ƙugu kamar dai za ki tsayar da fitsari. Wannan gwajin yana duba ƙarfin tsokokin ƙugu.

Za ki iya cika tambayoyi don tantance yanayin ki. Amsoshin ki za su iya gaya wa likitan ki nisa da matsalar ta kai a farjin ki da kuma yadda ta shafi rayuwar ki. Wannan bayani yana taimakawa wajen yanke shawara game da magani.

Ba sau da yawa ba, za ki iya buƙatar gwajin hoto:

• MRI ko X-ray na iya tantance girman ƙumburi.
• Defecography gwaji ne na duba yadda duburar ki ke fitar da najasa. Tsarin yana haɗa amfani da abu mai banbanta launi tare da binciken hoto, kamar X-ray ko MRI.

Magungunan da ake saka a farji suna da siffofi da girma dabam dabam. Na'urar tana shiga farji kuma tana tallafawa tsire-tsire na farji da suka yi kasa saboda kamuwar gabobin ciki. Mai ba da kulawar lafiya zai iya saka magungunan da kuma taimakawa wajen bayar da bayanai game da irin wanda zai fi dacewa.

Maganin ya dogara da tsananin kamuwar ku. Maganin na iya haɗawa da:

• Kallo. Idan kamuwar bayan farji ba ta haifar da alamun ko kaɗan, matakan kula da kai - kamar yin motsa jiki na Kegel don ƙarfafa tsokoki na ciki - na iya ba da sauƙi.
• Magungunan da ake saka a farji. Magungunan da ake saka a farji na silikone ne wanda za ku saka a cikin farji. Na'urar tana taimakawa wajen tallafawa tsire-tsire masu kumbura. Dole ne a cire magungunan akai-akai don tsaftacewa.

Aikin tiyata don gyara kamuwar na iya zama dole idan:

• Motsa jiki na ƙarfafa ƙasan ciki ko amfani da magungunan da ake saka a farji bai sarrafa alamun kamuwar ku sosai ba.
• Sauran gabobin ciki sun kamu tare da dubura, kuma alamun ku suna damun ku sosai. Aikin tiyata don gyara kowane gabobi da suka kamu ana iya yi a lokaci guda.

Aikin tiyata akai-akai yana haɗawa da cire ƙarin nama, wanda ya yi yawa, wanda ke samar da kumburi a farji. Sai a saka dinki don tallafawa tsarin ciki. Idan mahaifa kuma ta kamu, ana iya buƙatar cire mahaifa (hysterectomy). Ana iya gyara fiye da nau'i ɗaya na kamuwa a lokacin aikin tiyata ɗaya.

Wasu lokutan, hanyoyin kula da kai suna ba da sauƙi daga alamomin prolapse. Zaka iya ƙoƙarin yin haka:

• Yin motsa jiki na Kegel don ƙarfafa tsokoki na ƙashin ƙugu
• Guji maƙarƙashiya ta hanyar cin abinci masu fiber mai yawa, shan ruwa mai yawa kuma, idan ya zama dole, shan ƙarin fiber
• Guji yin ƙarfi yayin motsin hanji
• Guji ɗaukar nauyi mai nauyi
• Kula da tari
• Samu kuma kiyaye nauyi mai kyau

Motsa jiki na Kegel yana ƙarfafa tsokoki na ƙashin ƙugu. Ƙarfin ƙashin ƙugu yana ba da tallafi mafi kyau ga gabobin ƙashin ƙugu. Hakanan yana iya rage alamun kumburi da prolapse na farji na baya zai iya haifarwa.

Don yin motsa jiki na Kegel:

• Nemo tsokoki masu dacewa. Don nemo tsokoki na ƙashin ƙugu, gwada dakatar da fitsari a tsakiyar hanya lokacin da kake amfani da bayan gida. Da zarar ka san inda waɗannan tsokoki suke, zaka iya yin waɗannan motsa jiki. Zaka iya yin motsa jiki a kowane matsayi, kodayake zaka iya samun sauƙin yin su yayin kwanciya a farkon.
• Inganta dabararka. Don yin Kegels, yi tunanin kana zaune akan lu'u-lu'u kuma ka matse tsokoki na ƙashin ƙugu kamar dai kana ɗaga lu'u-lu'un. Gwada shi na tsawon daƙiƙa uku a lokaci ɗaya, sannan ka huta na ƙidaya uku.
• Kiyayye mayar da hankalinka. Don samun sakamako mafi kyau, mayar da hankali kan matse tsokoki na ƙashin ƙugu kawai. Ka kula kada ka lankwashe tsokoki a cikin ciki, cinyoyinka ko gindi. Guji riƙe numfashinka. Madadin haka, numfashi kyauta yayin motsa jiki.
• Maimata sau uku a rana. Ka yi ƙoƙari ka yi aƙalla saiti uku na maimaitawa 10 zuwa 15 a rana.

Motsa jiki na Kegel na iya samun nasara sosai lokacin da likitan motsa jiki ko likitan mata ya koya kuma ya ƙarfafa shi tare da biofeedback. Biofeedback yana amfani da na'urorin sa ido don sanar da kai cewa kana matse saitin tsokoki daidai da hanya mafi kyau.