Kungani Isibunu Sami Sishisa Lapho Ngiyazikhupha? Umhlahlandlela Wezimbangela, Ukudambisa, Nokuthi Ngesikhathi Kufanele Ukhathazeke

Izimbangela Ezilula: Lokho Okudlayo Nokuthi Uyolala Kanjani

Ngaphambi kokuthi singene ezimweni zezokwelapha, ake siqale ngezigebengu ezivame kakhulu: ukudla kwakho nemikhuba yakho yokugezela. Isizathu se kukhutshwa okushisayo kungase kube lula kunalokho ocabanga ukuthi kungenzeka.

Ukudla Okubabayo Nokunamandla

Uma ungumuntu othanda izimpiko ezishisayo, ikhukhi, noma noma yini enokubaba, cishe uzizwe "ukushisa komlilo." Leli cala elijwayelekile lokudla okubabayo okushisayo libangelwa into ebizwa nge-capsaicin. Yilokho okunikeza upelepele ukushisa kwawo.

Uhlelo lwakho lokugaya ukudla alukwazi ukuhlakaza ngokuphelele i-capsaicin. Njengoba ihamba emathunjeni akho iphuma ngaseceleni, ama-capsaicin molecule anamathisela ezindaweni ezibuhlungu ezilinganisweni ezibucayi ze-rectum ne-anus yakho—ezifanayo nezindawo ezithola ukushisa umthombo. Ubuchopho bakho buchaza lesi siginali njengomuzwa wokushisa, okwenza lokhu kungakhululeki okujwayelekile.

Ezinye izidlo zingase futhi zibe nomthelela ekukhutshweni okunamandla nasekuphazamisekeni, kufaka phakathi:

• Utamatisi kanye nezoso ezisekelwe utamatisi
• Izithelo ezimuncu (olintshi, ilamula, i-grapefruit)
• Ikhofi nezinye iziphuzo ezine-caffeine
• Ugarlic oluhlaza kanye no-onion
• Ukudla okucutshungulwe kakhulu

Ukuqunjelwa

Izigameko zokuqunjelwa okushisayo yizimbangela eziye kakhulu zokuphazamiseka kwe-anal. Ukuqunjelwa kuphusha isikhumba sakho ngohlelo lwakho lokugaya ukudla ngokushesha kakhulu, okusho ukuthi ngokuvamile siphethe ama-enzyme okugaya ukudla anamandla nama-bile acids. Lezi zinto zilungele ukuhlakaza ukudla ngaphakathi kwesisu sakho, kodwa zibuye zilimaze kakhulu isikhumba esibucayi esizungeze i-anus yakho umthombo. Ukusula njalo okuhambisana nokuqunjelwa kwengeza ukungqubuzana nokungakhululeki, kudala isiphepho esihle sokushisa kwe-anal ngemuva kokudla.

Ukucindezela Kokuqiniswa

Ngakolunye uhlangothi lomugqa, ukuqiniswa kungase futhi kube umthombo wobuhlungu lapho ulala. Lapho uqinisile, isikhumba sakho ngokuvamile siyakokho, siyasuka, futhi kunzima ukusidlula. Ukucindezela okungaphezulu okudingekayo ukudla kungabangela izinyembezi ezincane, ezibuhlungu ezilinganisweni ze-anal (ezingaphezulu ngalokhu ngokulandelayo) nokuphazamiseka okujwayelekile okuzwakala njengokushisa.

Izimo Zezokwelapha Ezijwayelekile Ezibangela Ukushisa Kwe-anal

Uma izimpawu zakho ziqhubeka ngisho nangemva kokulungisa ukudla kwakho, kungase kube isikhathi sokucabanga ngezinye izimo zezokwelapha ezijwayelekile ezingabangela umuzwa wokushisa.

Izinyembezi Ze-anal

I-anal fissure yinyembezi encane noma ukusika ezindaweni ezincane, ezimanzi ezihlanganisa i-anus. Lezi zivame kakhulu futhi ngokuvamile zibangelwa ukudlula izikhumba eziqinile ngesikhathi sokuqiniswa noma, ngezinye izikhathi, ukuqunjelwa okuhlala njalo.

Izimpawu eziyinhloko zihlanganisa ubuhlungu obubukhali, obunzima lapho ulala, okulandelwa ubuhlungu obujulile, obushisayo obungahlala amahora amaningana. Ungase futhi uqaphele inani elincane legazi elibomvu kuphaperi lakho lokuhlanza noma ebhodweni lokugezela umthombo. Ubuhlungu ngokuvamile budala umzimba we-anal sphincter ukuthi ukhonkothe, okungenza ukudla okulandelayo kube buhlungu kakhulu futhi kuphazamise inqubo yokwelapha.

Ama-Hemorrhoids (Ama-Piles)

Ama-hemorrhoids yimithambo egugile, evuvukile ku-anus yakho noma e-rectum yakho ephansi. Angaba ngaphakathi (ngaphakathi kwe-rectum) noma angaphandle (ngaphansi kwesikhumba ezungeze i-anus). Ziyimbangela ejwayelekile kakhulu yokungakhululeki kwe-anal futhi ngokuvamile ziyimiphumela yokucindezela ngesikhathi sokudla, ukukhulelwa, noma ukuqiniswa okuhlala njalo.

Izimpawu ezijwayelekile ze-hemorrhoids zihlanganisa:

• Ukulunywa, ukuphazamiseka, nokuvuvukala ezungeze i-anus
• Ubuhlungu noma ukungakhululeki, ikakhulukazi lapho uhlezi
• Umbono weqhubu elibucayi eduze kwe-anus yakho
• Ukopha okungenabuhlungu ngesikhathi sokudla (ungase ubone igazi elibomvu kuphaperi lokuhlanza)

Ngenkathi umuzwa oyinhloko ngokuvamile ukulunywa noma ubuhlungu obubuthuntu, ama-hemorrhoids avuvukile angadala umuzwa wokushisa, ikakhulukazi ngemuva kokudla.

Isifo Samathumbu Esibucayi (IBS)

I-IBS yisifo esingalapheki esithinta isisu esikhulu. Asibangeli ukuvuvukala noma ukulimala unomphela esiswini, kodwa singabangela izimpawu eziningi ezingakhululeki, ezihlanganisa ukuhlinzwa, ubuhlungu besisu, ukuqunjelwa, igesi, kanye—uphumelele—ukuqunjelwa kanye/noma ukuqiniswa. Uma i-IBS yakho ivame ukudala izigameko zokuqunjelwa okushisayo, ukuphazamiseka okubangelwa lokhu kungaholela kumuzwa wokushisa ongahlala njalo.

Isifo Samathumbu Esivuvukalayo (IBD)

Ngokungafani ne-IBS, i-IBD iyisigaba sezifo ezimbili—isifo sikaCrohn nesi-ulcerative colitis—ezibonakala ngokuvuvukala okuhlala njalo kohlelo lokugaya ukudla (GI). Lokhu kuvuvukala kungabangela ukuqunjelwa okunzima, ubuhlungu besisu, ukopha kwe-rectal, kanye nesidingo esivamile, esiphuthumayo sokudla. Ukuvuvukala okuqhubekayo nokudla okuvamile, okuningi okunamandla, kungaholela ekushiseni okukhulu nokubuhlungu kwe-anal ngemuva kokudla.

I-Proctitis

I-Proctitis ukuvuvukala ezindaweni ze-rectum. Lokhu kuvuvukala kungabangelwa izinto eziningi, kufaka phakathi i-IBD, izifo ezidluliselwa ngokocansi (STIs), i-radiation therapy, noma ezinye izifo umthombo. Izimpawu ngokuvamile zihlanganisa ubuhlungu be-rectal, umuzwa ongahlala njalo wokuthi udinga ukudla, nomuzwa wokushisa.

Ezinye Izimbangela Ezingenzeka Okufanele Zicatshangwe

Ngenkathi zingavamile, kubalulekile ukuqaphela ezinye izimbangela ezingenzeka.

• Izifo Ezidluliselwa Ngocansi (STIs): Izifo ezifana ne-herpes, i-gonorrhea, i-chlamydia, ne-HPV zingabangela ukuvuvukala namabala endaweni ye-anal, okwenza ubuhlungu nokushisa, ikakhulukazi ngesikhathi sokudla.
• Izimo Zesikhumba: Izimo zesikhumba ezihlala njalo ezifana ne-eczema noma i-psoriasis zingathinta isikhumba se-perianal, zibangele ukoma, ukulunywa, nomuzwa wokushisa okwengezwe ukusula.
• Umkhuhlane Wamakholoni/We-anal: Ake sicace bha: le yimbangela engavamile yokushisa. Kodwa-ke, kubalulekile ukwazi. Umkhuhlane we-anal ne-colorectal ngokuvamile unezimpawu ezivelele kakhulu "ezibomvu," njengokushintsha okukhulu emikhubeni yakho yokudla, ukuncipha okungachazekile, ubuhlungu besisu obuhlala njalo, kanye nokopha okukhulu kwe-rectal.

Indlela Yokumisa Ukukhutshwa Okushisayo: Ukupholisa Ukushisa Ekhaya

Eziningi zezimbangela ezijwayelekile, ungathola ukudambisa okukhulu ngohlelo lokunakekela ekhaya kanye namasu okuvimbela. Nansi indlela yokumisa ukukhutshwa okushisayo.

1. Lungisa Ukudla Kwakho

• Khulisa i-Fiber: I-fiber yisibuko sakho esihle sokudla okunempilo. Iyakokisa isikhumba, yenze kube lula ukusidlula futhi inciphise isidingo sokucindezela. Zama amagremu angu-25-35 ngosuku kusuka emithonjeni efana nezithelo, imifino, okusanhlamvu okuphelele, nemifino umthombo.
• Hlala Umathene Namanzi: Amanzi asiza i-fiber ukuthi yenze umsebenzi wayo. Phuza izindebe zamanzi ezingu-8-10 ngosuku ukuze ugcine isikhumba sakho sikokho.
• Chaza Futhi Gwema Izimbangela: Uma ucabanga ukuthi ukudla okubabayo okushisayo kuyinkinga yakho, zama ukugcina idayari yokudla ukuze uchaze izimbangela zakho. Ungase ungadingi ukuzikhipha ngokuphelele kodwa ukulawula ukudla kwakho kungenza umehluko omkhulu.

2. Sebenzisa Ukugeza Okubucayi

• Bhucabhuce, Ungasuli: Ukusula ngamandla ngephaperi lokuhlanza elomile kungaphazamisa kakhulu isikhumba. Esikhundleni salokho, bhucabhuce endaweni ngokucophelela.
• Sebenzisa Amanzi: I-bidet iyithuluzi elihle lokuhlanza okucophelela, okugcwele. Kungenjalo, ungasebenzisa ibhodlela le-peri (ibhodlela lokufafaza elincane) ngamanzi afudumele.
• Khetha Amashayi Anganawevuli: Uma usebenzisa amashayi, qiniseka ukuthi awanawo iveli futhi awanawo utshwala nezinye izinto zamakhemikhali ezinzima ezingabangela ukuphazamiseka okwengeziwe.
• Yigcine Yomile: Ngemuva kokuhlanza, yomise indawo ngendwangu ethambile. Umswakama obanjiswe ungadlula ukuphazamiseka.

3. Thatha Ibhavu Lokuhlala

Ibhavu lokuhlala yibhavu elifudumele, elingajulile elihlanzayo futhi lipholise i-perineum (indawo ephakathi kwe-rectum ne-genitals yakho). Ukucwilisa imizuzu engu-15-20 emanzini afudumele amsulwa, izikhathi ezimbili kuya kwezintathu ngosuku, kungadambisa ukulunywa, ukuphazamiseka, kanye nama-muscle spasms, ikakhulukazi ezinyembezi ze-anal nama-hemorrhoids.

4. Cacisa Izinsiza Zokuthengwa Ngaphandle Kwekhawunta (OTC)

• Ama-Stool Softeners & Ama-Fiber Supplements: Ezinkingeni ezihlobene nokuqiniswa, imikhiqizo efana ne-psyllium husk (Metamucil) noma i-docusate sodium (Colace) ingasiza.
• Ama-Cream Aseceleni: Ezimweni ze-hemorrhoids, ama-cream e-OTC aqukethe i-hydrocortisone anganciphisa ukuvuvukala nokulunywa, ngenkathi imikhiqizo ene-witch hazel noma i-lidocaine inganikeza ukudambisa okubandayo.

Isiphetho: Ngesikhathi Kufanele Ubonane Nodokotela Ngebuhlungu Be-anal

Ngenkathi izigameko eziningi zokukhutshwa okushisayo zixazululwa ngesizo lasekhaya, ezinye izimpawu akufanele zidukiswe. Kubalulekile ukucela usizo lodokotela ukuze kuqinisekiswe izimo ezibi kakhulu futhi uthole ukwelashwa okulungile.

Hlela isikhathi nodokotela wakho uma uzwa noma yikuphi kwalokhu okulandelayo:

• Ubuhlungu noma ukushisa okubucayi, okuhlala isikhathi esingaphezu kwezinsuku ezimbalwa, noma okubi nakakhulu naphezu kwezindlu zokwelapha.
• Ukopha okukhulu kwe-rectal (okungaphezu kokungamaphethe ambalwa ephepheni) noma igazi elingene esikhumbeni sakho.
• Izikhumba ezibukeka zimnyama noma njenge-tar, okungakhombisa ukopha phezulu ohlelweni lokugaya ukudla.
• Ukuqunjelwa okuhlala isikhathi esingaphezu kwezinsuku ezintathu.
• Iqhubu elibonakalayo noma amamassa ngaphakathi noma eduze kwe-anus yakho.
• Noma yiluphi uhlobo lwe-pus-like noma umgazi ophuma e-anus yakho.
• Umkhuhlane, ukubanda, noma ukuncipha okungachazekile okuhambisana nezimpawu zakho zokudla.

Isiphetho

Ukuzwa ubuhlungu lapho ulala kuyadabukisa, kodwa ukuqonda izimbangela ezingenzeka kuyisinyathelo sokuqala sokuthola ukudambisa.

Ngokuzama izindlu zokwelapha ezilula ekhaya nokwenza izinguquko ezihleliwe zokuphila, ungakwazi ukuphatha ukungakhululeki ngokwakho. Kodwa-ke, ungawahlukanisi ukuxhumana nomondli wezempilo. Udokotela wakho angakwazi ukuhlinzeka ngokuxilongwa okufanele, ukwelashwa okusebenzayo, futhi akunike ukuthula kwengqondo. Ukuthatha izimpawu zakho ngokungathi sína yinto enhle ongayenzela impilo yakho.