Ukuqina Kwezinhlanzi: Izimpawu, Izimbangela, Nokwelashwa

Ukuqina kwezinhlanzi kuyizitho zegazi ezivuvukile ezikhona ngaphakathi nangaphandle kwesigxobo sakho nesikhumba esingaphandle. Lokhu kungabangela ukungakhululeki, ubuhlungu, nokuphuma kwegazi. Cabanga ngazo njengezinhlanzi ezinqamile, kodwa endaweni ebuhlungu emzimbeni wakho.

Cishe ingxenye yabantu abadala bayohlangana nokuqina kwezinhlanzi ngaphambi kokuba babe neminyaka engama-50, okwenza lokhu kube yingxaki evamile yokugaya ukudla abantu abayibhekana nayo. Izindaba ezinhle ukuthi ukuqina kwezinhlanzi akunakubangela ubuhlungu obukhulu futhi kuvame ukuthuthuka ngokwelashwa okulula ekhaya.

Kuyini ukuqina kwezinhlanzi?

Ukuqina kwezinhlanzi kuyizitho zegazi ezinkulu, ezivuvukile ezikhula ngaphakathi kwesigxobo sakho nangaphandle kwesikhumba esingaphandle. Wonke umuntu unezi zitho zegazi ngokwemvelo, kodwa ziyaba yingxaki lapho zolula futhi ziqhuma ngaphansi kokucindezeleka.

Ungacabanga ngokuqina kwezinhlanzi njengezinqamule zezicucu zezicubu ezigcwele izitho zegazi ezisiza ekulawuleni ukunyakaza kwesisu. Lapho lezi zinqamule ziqhuma ngenxa yokucindezeleka okukhulu, ziyaguquka yilokho esikubiza ngokuthi ukuqina kwezinhlanzi noma ama-piles.

Le ngxaki ithonya izigidi zabantu emhlabeni jikelele futhi iba yinto evamile njengoba siqhubeka sikhulile. Nakuba kungakhululeki, ukuqina kwezinhlanzi ngokuvamile akubi futhi kungaphathwa kahle ngokunakekelwa okufanele.

Ziyini izinhlobo zokuqina kwezinhlanzi?

Kunezinhlobo ezimbili eziyinhloko zokuqina kwezinhlanzi, ezihlukaniswe ngokuthi zikhula kuphi. Ukuqina kwezinhlanzi kwangaphakathi kuyakheka ngaphakathi kwesigxobo, kuyilapho ukuqina kwezinhlanzi kwangaphandle kuyakheka ngaphansi kwesikhumba esingaphandle kwesikhumba esingaphandle.

Ukuqina kwezinhlanzi kwangaphakathi ngokuvamile akubangeli ubuhlungu ngoba le ndawo inezinzwa ezimbalwa zokuzwa ubuhlungu. Ungase ungazi ukuthi unazo ngaphandle kokuthi ziphume igazi noma ziwe (ziwe phansi ngesikhumba esingaphandle). Lezi zihlukaniswe kusuka ku-1 kuya ku-4 ngokuthi ziphuma kangakanani.

Ukuqina kwezinhlanzi kwangaphandle kuyakheka ngaphansi kwesikhumba esingaphandle kwesikhumba esingaphandle lapho kukhona khona izinzwa eziningi zokuzwa ubuhlungu. Lezi zivame ukuba buhlungu kakhulu futhi zingabangela ukungakhululeki okukhulu, ikakhulukazi lapho uhleli noma ngesikhathi sokuya esikhumulweni.

Ngezinye izikhathi, i-blood clot ingakha ekuqineni kwezinhlanzi kwangaphandle, idale lokho odokotela abakubiza ngokuthi i-thrombosed hemorrhoid. Lokhu kubonakala njengoba lump eqinile, ebuhlungu futhi ngokuvamile kubangela ubuhlungu obukhulu izinsuku ezimbalwa zokuqala.

Ziyini izimpawu zokuqina kwezinhlanzi?

Izimpawu ozibhekana nazo zincike ekutheni unekuqina kwezinhlanzi kwangaphakathi noma kwangaphandle. Abantu abaningi baphawula ukuphuma kwegazi njengophawu lwabo lokuqala, okungaba ukukhathazeka kodwa ngokuvamile akuyona into ebuhlungu.

Nawa ama-symptom avamile ongawabhekana nawo:

• Igazi elibomvu elikhanyayo ephepheni lesikhumulo noma esikhumulweni emva kokunyakaza kwesisu
• Ubuhlungu noma ukungakhululeki, ikakhulukazi ngesikhathi sokuya esikhumulweni noma lapho uhleli
• Ukukhahlela noma ukucasuka ngaphandle kwesikhumba esingaphandle
• Ukukhula noma ama-lumps ngaphandle kwesikhumba esingaphandle ongazwelayo
• Ukuzwa ukuthi awukaqedi ukukhulula isisu sakho
• Ukuphuma komucus emva kokunyakaza kwesisu

Ukuqina kwezinhlanzi kwangaphakathi kungabangela ukuphuma kwegazi okungenabuhlungu, kuyilapho okuphuma kwangaphandle ngokuvamile kubangela ubuhlungu nokungakhululeki okukhulu. Uma ukuqina kwezinhlanzi kuwe, ungase uzwe i-bump ebushelelezi, ebushelelezi enombala obomvu kunendawo ezungezile.

Abanye abantu bazwa sengathi banesifiso esiqhubekayo sokuya esikhumulweni, ngisho noma besanda kuya. Lokhu kwenzeka ngoba ukuqina kwezinhlanzi okuvuvukile kungenza umzimba wakho uzwe sengathi kukhona isisu esisadinga ukuphuma.

Ziyini izimbangela zokuqina kwezinhlanzi?

Ukuqina kwezinhlanzi kuyakheka lapho izitho zegazi endaweni yesigxobo sakho zivuvukile ngenxa yokucindezeleka okukhulu. Lokhu kucindezeleka kungakha ngenxa yemisebenzi yansuku zonke nezinye izimo zempilo.

Izimbangela ezivamile zihlanganisa:

• Ukucindezela ngesikhathi sokuya esikhumulweni, ikakhulukazi ngokuxakeka
• Ukuhlala esikhumulweni isikhathi eside
• Ukuxakeka okungapheli noma ukuxakeka
• Ukukhulelwa nokukhulelwa ngenxa yokucindezeleka okukhulu esiswini
• Ukuphakamisa izinto ezisindayo noma ezinye imisebenzi eyandisa ukucindezeleka esiswini
• Ukuhlala isikhathi eside, ikakhulukazi ezindaweni ezinzima
• Ukukhuluphala, okwandisa ukucindezeleka ezithweni zegazi ze-pelvic

Ubudala buphinde bube nomthelela ngoba izicubu ezisekela izitho zegazi esigxobeni sakho nesikhumba esingaphandle zingaphuka ngokuhamba kwesikhathi. Lokhu kwenza ukuqina kwezinhlanzi kube lula njengoba ukhula.

Lokhu kushiwo, abanye abantu babonakala bekhona kakhulu ekuqineni kwezinhlanzi ngenxa yezakhiwo. Uma abazali bakho babe nokuqina kwezinhlanzi, ungase ube nethuba elikhulu lokuthuthukisa.

Nini okufanele ubona udokotela ngokuqina kwezinhlanzi?

Kufanele ubona umhlinzeki wezempilo uma uqaphela ukuphuma kwegazi kwesigxobo, ngisho noma ucabanga ukuthi kuvela ekuqineni kwezinhlanzi. Nakuba ukuqina kwezinhlanzi kuyimbangela evamile yokuphuma kwegazi kwesigxobo, ezinye izimo zingabangela izimpawu ezifanayo.

Hlela i-appointment uma ubhekana nobuhlungu obuqhubekayo obungathuthuki ngokwelashwa ekhaya ngemva kweviki. Ubuhlungu obukhulu, ikakhulukazi uma buqala ngokuzumayo, bungase bukhombise ukuqina kwezinhlanzi okuyimfihlo okudinga ukunakekelwa kwezokwelapha.

Funani ukunakekelwa kwezokwelapha ngokushesha uma unegazi elinzima, izimpawu zokutheleleka njengoba ubushushu, noma uma uzwa ubuthakathaka noma ukhuluphala kanye nokuphuma kwegazi kwesigxobo. Lezi zimpawu zingase zikhombise isimo esibuhlungu esidinga ukwelashwa ngokushesha.

Kuhle futhi ukubona udokotela uma lokhu kuyisikhathi sakho sokuqala sokubhekana nalezi zimpawu. Bangakuqinisekisa ukuxilongwa futhi bakhiphe ezinye izimo ezingase zibangele ukungakhululeki okufanayo.

Ziyini izinto ezingase zikhulise amathuba okuqina kwezinhlanzi?

Izinto eziningi zingase zikhulise amathuba okuqina kwezinhlanzi. Ukuqonda lezi zinto ezingase zikhulise amathuba kungakusiza ukuthi uthathe izinyathelo zokuvimbela noma ulawule ezikhona kangcono.

Izinto ezibaluleke kakhulu ezingase zikhulise amathuba zihlanganisa:

• Ubudala obungaphezu kweminyaka engama-50, njengoba izicubu zibuthakathaka ngokuhamba kwesikhathi
• Ukukhulelwa, ikakhulukazi esigabeni sesithathu
• Ukuxakeka okungapheli noma ukucindezela ngesikhathi sokuya esikhumulweni
• Ukuhlala isikhathi eside, ikakhulukazi esikhumulweni
• Ukukhuluphala noma ukukhuluphala
• Ukuba nomlando womndeni wokuqina kwezinhlanzi
• Ukuphakamisa izinto ezisindayo njalo
• Ukuba nokuqina okungapheli

Ukukhulelwa kufanele kukhulunywe ngokukhethekile ngoba ingane ekhula iyacindezela izitho zegazi e-pelvis. Izinguquko ze-hormonal ngesikhathi sokukhulelwa zingase futhi zenze izitho zegazi zibe lula ukuqhuma.

Abantu abanezimisebenzi ezithile babhekene nezingozi eziphezulu. Uma umsebenzi wakho udinga ukuhlala isikhathi eside noma ukuphakamisa izinto ezisindayo, ungase ube nethuba elikhulu lokuqina kwezinhlanzi ngokuhamba kwesikhathi.

Ziyini izinhlanganisela ezingase zenzeke ngokuqina kwezinhlanzi?

Ukuqina kwezinhlanzi okuningi akubangeli izinhlanganisela ezinkulu, kodwa ezinye izimo zingase zenzeke ezidinga ukunakekelwa kwezokwelapha. Lezi zinhlanganisela azivamile kodwa kufanele uzibone.

Izinhlanganisela ezingase zenzeke zihlanganisa:

• I-anemia evela ekubeni igazi liphuma njalo, nakuba lokhu kuyinto engavamile
• Ukuqina kwezinhlanzi okuyimfihlo lapho ukunikezwa kwegazi kuqediwe
• Ama-blood clots ekuqineni kwezinhlanzi kwangaphandle (thrombosis)
• Ukutheleleka, ikakhulukazi uma le ndawo ilimala
• Ukuqina kwezinhlanzi kwangaphakathi okuwe olukhulu olungakwazi ukubuyiselwa

Ukuqina kwezinhlanzi okuyimfihlo kwenzeka lapho ukunikezwa kwegazi ekuqineni kwezinhlanzi kwangaphakathi kuqediwe, kubangele ubuhlungu obukhulu. Lokhu kuyisimo esiphuthumayo sezempilo esidinga ukwelashwa ngokushesha.

Ukuqina kwezinhlanzi kwangaphandle okuyimfihlo kungaba buhlungu kakhulu kodwa ngokuvamile kuya kuphela ngokwalo phakathi nezinsuku ezimbalwa kuya emavikini. Noma kunjalo, udokotela ngezinye izikhathi anganikeza usizo ngokususa i-clot.

Ukuqina kwezinhlanzi kungavikeleka kanjani?

Indlela engcono kakhulu yokuvimbela ukuqina kwezinhlanzi ukugcina isisu sakho silithambile futhi ugweme ukucindezela ngesikhathi sokuya esikhumulweni. Ukushintsha indlela yokuphila okulula kungenza umehluko omkhulu ekuvimbeleni ukuqina kwezinhlanzi noma ukuvimbela ukuba kubi kakhulu.

Nawa amasu okuvimbela okuphumelelayo:

• Dla ukudla okuningi okunamafutha amaningi njengezithelo, imifino, nokuhlanganiswa kwamagxolo
• Phuza amanzi anele usuku lonke
• Zivocavoca njalo ukuthuthukisa ukugaya ukudla okunempilo
• Ungalihlisi ukuya esikhumulweni uma uzwa isidingo
• Gwema ukucindezela noma ukubamba umoya ngesikhathi sokuya esikhumulweni
• Unguhlali esikhumulweni isikhathi eside kunokudingekayo
• Gcina isisindo esinempilo

Ukuthuthukisa amagremu angama-20-30 amafutha ekudleni kwakho kancane kancane kungasiza ekuthambiseni isisu nokwenza kube lula ukuphuma. Qala kancane ngokwanda kwamafutha ukuze ugweme igesi nokukhuluphala.

Ukuzivocavoca njalo kusiza ekuqhubeni umsebenzi wesisu futhi kunganciphisa isikhathi isisu esichitha esiswini sakho. Ngisho nokuhamba imizuzu engama-20 nsuku zonke kungenza umehluko empilweni yakho yokugaya ukudla.

Ukuqina kwezinhlanzi kuhlonzwa kanjani?

Udokotela wakho ngokuvamile angakwazi ukuhlonzwa ukuqina kwezinhlanzi ngokuhlolwa komzimba nokuxoxa ngezimpawu zakho. Inqubo ilula futhi ikusiza ukukhipha ezinye izimo ezingase zibangele izimpawu ezifanayo.

Ngesikhathi sokuvakasha kwakho, udokotela wakho uzobuza ngezimpawu zakho, imikhuba yesisu, nomlando wezokwelapha. Bayofuna ukwazi nganoma yiluphi ubuhlungu, ukuphuma kwegazi, noma izinguquko endleleni yakho yokugaya ukudla.

Ukuhlolwa komzimba ngokuvamile kuhlanganisa ukubuka ngeso lengqondo endaweni yesikhumba esingaphandle nokwenza i-digital rectal exam. Udokotela wakho uzobeka ngobumnene umunwe ogqokwe, ogcotshwe ngamafutha esigxobeni sakho ukuze azwe ukungavamile.

Uma kudingeka, udokotela wakho angase asebenzise i-anoscope, i-tube emfushane yepulasitiki evumela ukubona ngaphakathi kwesigxobo. Le nqubo ngokuvamile iyashesha futhi ibangela ukungakhululeki okuncane.

Ezimweni ezithile, ikakhulukazi uma uneminyaka engaphezu kwama-50 noma unezimpawu ezinkulu, udokotela wakho angase akukhuthaze ukwenza i-colonoscopy ukuhlola isisu sakho sonke futhi ukhiphe ezinye izimo.

Kuyini ukwelashwa kokuqina kwezinhlanzi?

Ukuqina kwezinhlanzi okuningi kuphendula kahle ekwelapheni okuqondile ongakwenza ekhaya. Umgomo ukunciphisa izimpawu nokuvimbela ukuqina kwezinhlanzi ukuba kubi kakhulu.

Ukwelashwa okuqala kuhlanganisa:

• Ukukhulisa ukudla kwamafutha ukuthambisa isisu
• Ukuthatha izimpahla ezishisayo isikhathi esingama-10-15 imizuzu izikhathi eziningi ngosuku
• Ukusebenzisa ama-creams noma ama-suppositories okuqina kwezinhlanzi
• Ukuthatha ama-pain relievers njenge-acetaminophen noma i-ibuprofen
• Ukusebenzisa ama-cold compresses ukunciphisa ukukhula
• Ukugcina indawo yesikhumba esingaphandle ihlanzekile futhi yomile

Uma ukwelashwa okuqondile kungakusizi ngemva kweviki noma ezimbili, udokotela wakho angase akukhuthaze izinqubo ezincane. Lokhu kuhlanganisa ukubopha i-rubber band, lapho ibhendi encane iqedela ukunikezwa kwegazi ekuqineni kwezinhlanzi.

Ezinye izinqubo ze-office zihlanganisa i-sclerotherapy (ukubeka isisombululo sokuncipha ukuqina kwezinhlanzi) noma i-infrared coagulation (ukusebenzisa ukushisa ukubhubhisa izicubu zokuqina kwezinhlanzi). Lezi zinqubo ngokuvamile zenziwa ehhovisi lika-dokotela ngokungakhululeki okuncane.

Ukuhlinzwa akunakudingeka kodwa kungase kukhuthazwe ngokuqina kwezinhlanzi okukhulu, obuhlungu obungaphenduli kwezinye izindlela zokwelapha. Izinqubo zanamuhla zokwelapha zenza lezi zinqubo zibe lula kakhulu kunakuqala.

Ungalawula kanjani ukuqina kwezinhlanzi ekhaya?

Ukwelashwa ekhaya kungalawula izimpawu zokuqina kwezinhlanzi futhi kusheshisa ukululama. Ikhona ukunciphisa ukucindezeleka endaweni ethintekile nokugcina ihlanzekile.

Izimpahla ezishisayo yiyona imithi yasekhaya ephumelelayo. Gcwalisa ibhafu ngama-intshi angama-3-4 amanzi afudumele bese uhlala kuwo imizuzu engama-10-15, ikakhulukazi ngemva kokunyakaza kwesisu. Lokhu kusiza ekuqedeni ukukhula futhi kunikeze impumuzo.

Gcina indawo yesikhumba esingaphandle ihlanzekile usebenzisa izindwangu ezingenamoya, ezingenamathumbu noma ugeze ngobumnene ngamanzi afudumele ngemva kokunyakaza kwesisu ngakunye. Shaya le ndawo yomile ngetawuli ebushelelezi kunokugcoba.

Faka ama-ice packs agqokwe ngendwangu encane imizuzu engama-10-15 ngesikhathi ukunciphisa ukukhula nokuqeda ubuhlungu. Landela lokhu nge-compress efudumele ukuthuthukisa ukunikezwa kwegazi nokululama.

Gqoka i-underwear ebushelelezi, ephumula futhi ugweme ukuhlala ezindaweni ezinzima isikhathi eside. Sebenzisa i-cushion enesimo se-donut uma udinga ukuhlala isikhathi eside.

Kufanele ulungiselele kanjani i-appointment yakho yokuya kudokotela?

Ukulungiselela i-appointment yakho kungakusiza ukuthi uthole okuningi ekuhambeni kwakho futhi kuqinisekise ukuthi udokotela wakho unemininingwane edingekayo ukukusiza. Bhala izimpawu zakho nemibuzo ngaphambili.

Gcina ulandelela ukuthi izimpawu zakho zaqala nini, yini eyenza zibe ngcono noma zibe zimbi, nanoma yiluphi ukwelashwa osele ulizamile. Qaphela ubukhulu nobukhulu bokuphuma kwegazi, ubuhlungu, noma ezinye izimpawu.

Yenza uhlu lwawo wonke ama-medications, ama-supplements, nemikhiqizo ye-over-the-counter oyithathayo. Ezinye izidakamizwa zingathinta ukuphuma kwegazi noma ukululama, ngakho-ke le mininingwane ibalulekile.

Bhala imibuzo ofuna ukuyibuza, njengokuthi zithini izindlela zokwelapha ezitholakalayo, isikhathi esingakanani sokukhulula kungathatha, nezimpawu zokuqaphela okumele uzibone.

Ungajabuli ukuxoxa ngezimpawu zakho ngokukhululekile. Khumbula ukuthi ukuqina kwezinhlanzi kuyinto evamile kakhulu, futhi udokotela wakho cishe usele elaphile abantu abaningi abanezimo ezifanayo.

Yini okufanele uyikhumbule ngokuqina kwezinhlanzi?

Ukuqina kwezinhlanzi kuyisimo esivamile, esingelashwa esithinta cishe ingxenye yabantu abadala. Nakuba kungakhululeki futhi ngezinye izikhathi kuhlungu, akunakubangela ubuhlungu obukhulu futhi ngokuvamile kuphendula kahle ekwelapheni okulula.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukwelashwa kwasekuqaleni nokushintsha indlela yokuphila kungavimbela ukuqina kwezinhlanzi ukuba kubi kakhulu. Abantu abaningi bathola impumuzo enkulu ngemithi yasekhaya nemithi ye-over-the-counter.

Ungavumeli ukuhlanya kukuvimbele ekuthola usizo uma ulikhona. Abahlinzeki bezempilo banolwazi ekwelapheni ukuqina kwezinhlanzi futhi bangakunikeza izixazululo eziphumelelayo ukukusiza uzwe kangcono.

Ngokunakekelwa okufanele namasu okuvimbela, ungalawula ukuqina kwezinhlanzi kahle futhi unciphise amathuba okuqina kwezinhlanzi kwesikhathi esizayo. Gxila ekuqondeni imikhuba emihle yesisu nendlela yokuphila enempilo ukuze uthole imiphumela emihle yesikhathi eside.

Imibuzo evamile mayelana nokuqina kwezinhlanzi

Ukuqina kwezinhlanzi kungaphela ngokwalo?

Yebo, ukuqina kwezinhlanzi okuningi kuya kuphela ngokwalo, ikakhulukazi uma kuyinto encane futhi uqaphela izimbangela eziyinhloko njengokuxakeka noma ukucindezela. Ukuqina kwezinhlanzi okuncane ngokuvamile kuya kuncipha phakathi nezinsuku ezimbalwa kuya emavikini ngokunakekelwa okufanele ekhaya. Noma kunjalo, ukuqina kwezinhlanzi okukhulu noma okuqhubekayo kungase kudinge ukwelashwa kwezokwelapha ukuze kuphele ngokuphelele.

Ukuqina kwezinhlanzi kuyatheleleka?

Cha, ukuqina kwezinhlanzi akutheleleki nhlobo. Kubangelwa ukucindezeleka okukhulu ezithweni zegazi endaweni yesigxobo sakho, hhayi ngamabhaktheriya noma ama-viruses angasakazeka kubantu. Awukwazi ukuthola ukuqina kwezinhlanzi komunye umuntu noma ukudlulisela kwabanye ngokuthinta.

Ngingazivocavoca ngokuqina kwezinhlanzi?

Ukuzivocavoca okulula kuya kokulinganiselwe ngokuvamile kuwusizo ekuqineni kwezinhlanzi njengoba kuqhubela ukugaya ukudla okunempilo futhi kunciphisa ukuxakeka. Ukuhamba, ukubhukuda, nokuzivocavoca okulula kuyizikhetho ezinhle. Noma kunjalo, gwema ukuphakamisa izinto ezisindayo noma imisebenzi enkulu engase ikhulise ukucindezeleka esiswini kuze kube yilapho izimpawu zakho ziqhubeka.

Ukuqina kwezinhlanzi kuvame ukuphela isikhathi esingakanani?

Isikhathi sihluka kuye ngokubaluleka nohlobo lokuqina kwezinhlanzi. Ukuqina kwezinhlanzi okuncane kungase kuphele phakathi nezinsuku ezimbalwa ngokwelashwa ekhaya, kuyilapho izimo ezinzima kakhulu zingase zithathe amaviki amaningana. Ukuqina kwezinhlanzi kwangaphandle okuyimfihlo ngokuvamile kubangela ubuhlungu obukhulu izinsuku ezingu-2-3, bese kancane kancane kuya kuphela phakathi kweviki eli-1-2.

Yikuphi ukudla engingakugwema uma nginoqina kwezinhlanzi?

Linganisa ukudla okungase kubi kakhulu ukuxakeka noma kukucasule isisu sakho, njengokudla okuhlanganisiwe, ubisi oluningi, ukudla okunoshukela, notshwala. Esikhundleni salokho, gxila ekudleni okunamafutha amaningi, amanzi amaningi, nokudla okulula, okulula ukugaya. Wonke umuntu uhlukile, ngakho-ke qaphela ukuthi umzimba wakho uyaphendula kanjani ekudleni okuhlukile.