Ukuqunjelwa Kwesisu? Izimpawu, Izimbangela, & Ukwelashwa

Kuyini ukuqunjelwa kwesisu?

Ukuqunjelwa kwesisu kwenzeka lapho ingxenye noma yonke i-rectum yakho iphuma futhi icindezela ngaphandle kwesisu sakho, iphenduke ngaphakathi njengesoke. Cabanga ngakho njengengxenye yokugcina yesisu sakho esikhulu elahlekelwe isikhundla sayo esijwayelekile futhi isuka lapho ingafanele khona.

Lesi simo sithinta abantu bazo zonke izigaba, nakuba sivame kakhulu kubantu abadala, ikakhulukazi abesifazane abangaphezu kweminyaka engama-50. Nakuba kungase kuzwakale kukhulunywa ngokwethusa, ukuqunjelwa kwesisu kuyisimo esingelashwa esingabi yingozi ngqo empilweni yakho.

Ukuqunjelwa kungaba kusuka kokuncane, lapho nje ukugqoka kwangaphakathi kuphuma, kuya kokugcwele, lapho ubukhulu bonke bodonga lwe-rectum luvela ngaphandle komzimba wakho. Ukuqonda ukuthi kwenzekani kungakusiza uzizwe ukhulukazi ngokuphishekela ukunakekelwa okufanele.

Ziyini izinhlobo zokuqunjelwa kwesisu?

Kunezinhlobo ezintathu eziyinhloko zokuqunjelwa kwesisu, ngayinye ihilela izigaba ezahlukene zodonga lwe-rectum yakho. Udokotela wakho uzokunquma ukuthi yiluphi uhlobo olukhona ukuhlela indlela yokwelapha engcono kakhulu.

Ukuqunjelwa okungaphelele (ukuqunjelwa kwe-mucosal) kwenzeka lapho nje ukugqoka kwangaphakathi kwe-rectum yakho kuphuma. Lona uhlobo oluthambile futhi ngokuvamile kwenzeka ngesikhathi sokuya esikhungweni, bese buyela endaweni yalo ngokwalo.

Ukuqunjelwa okugcwele (ukuqunjelwa okugcwele) kuhilela zonke izigaba zodonga lwe-rectum yakho oluphuma ngaphandle kwesisu. Lo mbono ngokuvamile uhlala ngaphandle komzimba wakho futhi udinga ukucindezelwa ngesandla noma ukungenelela kwezokwelapha.

Ukuqunjelwa kwangaphakathi (intussusception) kwenzeka lapho i-rectum yakho iphenduka ngaphakathi kodwa ingaphumuli ngaphandle komzimba wakho. Nakuba ungakwazi ukubona, ungase uzizwe nezimpawu ezifana nokungagcwalisi noma ukucindezela.

Ziyini izimpawu zokuqunjelwa kwesisu?

Izimpawu zokuwa komgudu zingase zikhule kancane kancane futhi zingase zihluke kuye ngokuthi isimo sakho sibuhlungu kangakanani. Abantu abaningi baphawula ukushintsha kwemikhuba yabo yokukhishwa kwesisu ngaphambi kokubona noma yiziphi izimpawu ezibonakalayo.

Nawa zimpawu ezivame kakhulu ongazihlangabezana nazo:

• Ukukhula okubonakalayo noma isigxobo esiphuma esiphundu sakho, ikakhulukazi ngesikhathi sokuya esikhungweni
• Ukuzizwa sengathi awukwazi ukuhlanza ngokuphelele izisu zakho
• Ukuphuma komgudu noma igazi esiphundwini sakho
• Ubuhlungu noma ukungakhululeki endaweni yesiphundu sakho
• Ubunzima bokulawula ukukhishwa kwesisu kwakho
• Ukucindezela kakhulu kunokujwayelekile ngesikhathi sokuya esikhungweni
• Ukuzizwa kokukhulu noma ukucindezela emathangeni akho

Abanye abantu nabo bahlangabezana nezimpawu ezingavamile ezingathinta impilo yansuku zonke kakhulu. Lezi zingase zihlanganise ukuvimbela okungapheli, ukufuna okuvamile ukuya esikhungweni ngisho noma izisu zakho zingenalutho, noma ubuhlungu obungaphansi kwemva olukhanya oluhlobene nezinkinga zakho zokugaya ukudla.

Kwezinye izimo ezingavamile, ungase ube nezimpawu ezinzima njengokuphuma kwegazi okukhulu, ubuhlungu obukhulu, noma ukungakwazi ngokuphelele ukulawula izisu zakho. Lezi zimpawu zidinga ukunakekelwa kwezokwelapha ngokushesha, njengoba zingase zibonise ubunzima obudinga ukwelashwa ngokushesha.

Yini ebangela ukuwa komgudu?

Ukuwa komgudu kuvela lapho imisipha nemisipha eqinisa umgudu wakho endaweni iye yaqina noma yasabela. Lokhu kuqina kuvumela umgudu wakho ukuthi ulahle amaphuzu akhe okuqina futhi uphume endaweni.

Izici eziningi zingase zifake isandla kulokhu kuqina ngokuhamba kwesikhathi:

• Ukucindezela okuqhubekayo ngesikhathi sokuya esikhungweni okuvela ekuvimbeleni
• Ukubeletha, ikakhulukazi ukubeletha okuningi kwesigxobo
• Ukuhlinzwa kwangaphambili kwesigxobo noma esiphundwini
• Ukuhlanza okuqhubekayo okuvela ezimweni ezinjenge-COPD
• Isimo sezifo zezinzwa esithinta ukulawulwa kwezinzwa
• Ukuguga, okuqina ngokwemvelo imisipha yokusekela
• Ukuhlanza okuqhubekayo okucindezela imisipha yesiphundu

Ezinye izimo zezokwelapha zingakwandisa nezingozi zakho. I-cystic fibrosis kubantwana ivame ukubangela ukuqhuma kwesisu ngenxa yokukhokha okuvamile nezingqinamba zokugaya. Ukuphazamiseka kokusebenza kwemisipha yengqondo njenge-multiple sclerosis noma ukulimala komgogodla kungathinta izibonakaliso zezinzwa ezisiza ekulawuleni imisipha yesisu.

Kweminye imicimbi engavamile, izimo ezingokuzalwa ezikhona kusukela ekuzalweni zingenza izakhiwo ezisekelayo ezizungezile isisu sibuthakathaka kunokujwayelekile. Ngaphezu kwalokho, izimo ezibangela ukwanda okuqhubekayo kokucindezela esiswini, njengokuphakamisa okuqhubekayo okukhulu noma ukugcinwa okuqhubekile kokungcola, kungase kuqhubeke kancane kancane nokuqhuma.

Nini kufanele ubone udokotela ngokuqhuma kwesisu?

Kufanele uhlele i-aphoyintimenti nodokotela wakho uma ubona noma iyiphi inyama ephuma esiswini sakho noma uhlangabezana nezinguquko eziqhubekayo emikhwenyoni yakho yokuya esikhungwini. Ukubheka kwangaphambi kwesikhathi kungasiza ukuvimbela isimo sokuba sibi fuka futhi kuthuthukise imiphumela yokwelashwa.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nokuphuma kwegazi esiswini sakho, ikakhulu uma libomvu okhanya noma lixubile ne-mucus. Izinguquko ekulawuleni kwesisu, imizwa eqhubekayo yokungagcwalisi ngokuphelele, noma ukucindezela okuqhubekile kwesisu nakho kufanele kuhlolwe ochwepheshe.

Cabanga ngokunakekelwa kwezokwelapha okuphaphandayo uma uthuthukisa ubuhlungu obukhulu, awukwazi ukususa inyama ephumile ngaphakathi, noma uqaphela ukuthi inyama ephumile ishintshe umbala ibe bomvu obumnyama noma oluhlaza. Lezi zibonakaliso zingabonisa izinkinga ezinjengokuvalwa, lapho ukugeleza kwegazi kwinyama kuyeka khona.

Ungazizwa uhluphekile ngokuxoxa ngalezi zimpawu nodokotela wakho. Ukuqhuma kwesisu kuyisimo esivamile esiyihlola futhi siphatha ngokuqhubekayo odokotela, futhi ukungenelela kwangaphambi kwesikhathi kuvame ukubangela imiphumela emihle ngokwelashwa okungenayo ukungena.

Ziyini izimbangela zengozi zokuqhuma kwesisu?

Ukuqonda izimbangela ezingase zikubangele ukuqunjelwa kwesisu kungakusiza ukuthi uthathe izinyathelo zokuvimbela ukuqunjelwa kwesisu noma ukukubona kusenesikhathi. Ezinye izimbangela ungazithinta ngokushintsha indlela ophila ngayo, kanti ezinye azikwazi ukulawulwa.

Izimbangela ezihlobene nobudala ziyaqina njengoba ukhula:

• Ukuba neminyaka engaphezu kuka-65, lapho izicubu ezisekelayo zibuthakathaka ngokwemvelo
• Ubulili besifazane, ikakhulukazi ngemva kokuphela kwesikhathi lapho ukushintsha kwamahomoni kuchaphazela amandla ezicubu
• Umlando wokukhulelwa okuningi noma ukubeletha okunzima
• Ukungasebenzi kahle kwemisipha yomlomo wesisu noma ukuqunjelwa kwamanye amalungu

Isimo sezempilo kanye nezici zendlela yokuphila ezandisa ingozi yakho zihlanganisa ukuvimbela okungapheli okudinga ukuqina njalo, isifo sokuphefumula esivalekile esinekhukhula elijwayelekile, nezinye izimo zezinzwa ezihlupha ukulawula amabele. Ukuhlanza okungapheli nezifo ezivuvukalayo zamathumbu zingabuye zibuthakathe izicubu ezisekela isisu isikhathi eside.

Ezinye izimo ezingavamile zezakhiwo zofuzo zingakwenza ube sengozini yokuqunjelwa kwesisu kusukela ebuntwaneni. Lezi zihlanganisa izifo zezicubu ezihlanganisa amandla ezicubu zakho ezisekelayo, nezinye izimo ezifana ne-cystic fibrosis ebangela izimpawu ezingapheli zokugaya nokuphefumula.

Umlando womndeni wakho ungase ube nomthelela, njengoba abanye abantu bafa bahlanganisa izicubu ezibuthakathaka ezenza ukuqunjelwa kube lula. Kodwa-ke, ukuba nezimbangela akusho ukuthi uzokuthola ukuqunjelwa kwesisu, futhi izimo eziningi zenzeka kubantu abangenazo izimbangela ezicacile.

Ziyini izinkinga ezingase zenzeke ngokuqunjelwa kwesisu?

Nakuba ukuqunjelwa kwesisu ngokwako kungabi yingozi ngokushesha, ukushiya kungaphathwa kungabangela izinkinga eziningi ezichaphazela ikhwalithi yokuphila nempilo yakho. Ukuqonda lezi zinkinga ezingase zenzeke kungakusiza ukukhuthaza ukufuna ukwelashwa okufanele.

Izinkinga ezivamile zivela kancane kancane futhi zihlanganisa:

• Ukungenhlaziywa okungapheli komgudu, okwenza kube nzima ukulawula ukuhamba kwesisu
• Ukutheleleka okuphindaphindayo kwezinso ngenxa yokushintsha komzimba oseduze
• Ukuvuvukala kwesikhumba nokuwohloka komzimba eduze kwesikhumba sakho ngenxa yobunye obuhlala bukhona
• Ukuvimbeka kwesisu okubi kakhulu njengoba ukuqhuma kuhlupha umsebenzi ojwayelekile wesisu
• Ukuzihlukanisa komphakathi nokukhathazeka ngenxa yokulahlekelwa yizimpawu

Kungase kube khona izinkinga ezinzima uma ingxenye eqhubekile ilimala noma ukunikezwa kwayo kwegazi kuqediwe. Ingxenye yesisu evelile ingase ithuthukise izihlamba ngenxa yokusulela okuqhubekayo ngokumelene nezingubo noma iphepha lesikhumba, okuholela ekopha nasekungandeni komngcipheko wokutheleleka.

Kwezinye izimo ezingavamile, isisu eliqhuma lingase lihlukunyezwe, okusho ukuthi ukunikezwa kwayo kwegazi kuqediwe. Lokhu kudala isimo esiphuthumayo sezokwelapha esidinga ukusebenta ngokuphuthumayo ukuvimbela ukufa kwesicubu. Izimpawu zihlanganisa ubuhlungu obukhulu, ingxenye eguqula ubomvu obumnyama noma oluhlaza, nokungakwazi ukucindezela ukuqhuma ngaphakathi.

Abanye abantu baye bathuthukisa nezinkinga zengqondo ezivela ekubhekaneni nezimpawu eziqhubekayo. Ukudideka, ukukhathazeka, nokuzisula emphakathini kuyinto evamile lapho izinkinga zokulawula isisu zihlupha imisebenzi yansuku zonke nobuhlobo.

Kungenzeka kanjani ukuvimbela ukuqhuma kwesisu?

Nakuba ungakwazi ukuvimbela zonke izimo zokuqhuma kwesisu, ikakhulukazi lezo ezihlobene nobudala noma izici zezinto eziphilayo, amasu amaningi okuziphila anganciphisa kakhulu ingozi yakho. Ukugxila ekugcineni imikhuba enempilo yesisu kuyisisekelo sokuvimbela.

Ukuvimbela ukuvimbeka kwesisu yisinyathelo sakho esibaluleke kakhulu. Dlala ukudla okunokuningi kwefayibha njengizithelo, imifino, nama-grain aphelele ukuze ugcine izisu zakho zithambile futhi kulula ukuzithatha. Phuza amanzi anele usuku lonke, uqonde cishe ama-8 ama-glasi ngaphandle uma udokotela wakho ekweluleka ngenye indlela.

Gwema ukucindezela uma uya ehlathini ngokungazami ukuphoqa noma ukubamba umoya uma uzama ukukhishwa. Uma uzizwa unesifiso, phendula ngokushesha kunokulibala. Cabanga ngokusebenzisa isihlalo esincane sokuhlala ngezinyawo ukuze uphakamise amadolo akho kancane ngaphezu kwezinqindi zakho uma uhleli esitulini, lokhu kwenza kube lula ukukhishwa.

Qinisisa imisipha yakho yasesiqwini ngokuzivocavoca njalo njengeKegels. Le miqondo ihilela ukucindezela nokuphumula imisipha oyisebenzisayo ukuyeka ukuthamba phakathi. Imisipha eqinile yesiqwini inikeza ukusekela kangcono i-rectum nezinye izitho zesigxina.

Gcina impilo yakho yonke ilungile ngokuhlala usebenza ngokomzimba, lokhu kuqhuba ukugaya ukudla okunempilo futhi kuvimba i-constipation. Uma une-cough ehlala njalo evela ezimweni ezinjenge-asthma noma i-COPD, sebenzisana nodokotela wakho ukuze uyilawule kahle ukuze unciphise ukucindezela endaweni yesiqwini.

I-rectal prolapse ibonakala kanjani?

Ukuxilongwa kwe-rectal prolapse kuqala ngokuthi udokotela wakho athathe umlando ophelele wezimpawu zakho bese enza ukuhlolwa komzimba. Ezimweni eziningi, i-prolapse ibonakala ngesikhathi sokuhlolwa, okwenza ukuxilongwa kube lula.

Udokotela wakho uzokubuza ngezindlela zakho zokuya ehlathini, noma iyiphi ubuhlungu noma ukungakhululeki okuhlangenwe nakho, nokuthi uqaphele isikhathi esingakanani izimpawu. Bazofuna futhi ukwazi ngomlando wakho wezokwelapha, ukuhlinzwa kwangaphambili, nanoma yimiphi imithi oyithathayo engase ithonye isistimu yakho yokugaya ukudla.

Ngesikhathi sokuhlolwa komzimba, udokotela wakho angase akucele ukuba ucindezele noma ubeke phansi njengokungathi uya ehlathini ukuze abone ukuthi i-prolapse ivela yini. Bangase benze futhi ukuhlolwa kwe-digital rectal, ngokufaka unywili oluhlanganisiwe esiqwini sakho ukuhlola ithoni yemisipha nokuhlola ukungajwayelekile okunye.

Kungenzeka ukuthi kuzodingwa ezinye izivivinyo ukuhlola ubunzima be-prolapse yakho nokukhipha ezinye izimo. Lezi zingafaka i-colonoscopy ukuhlola i-colon yakho yonke, izithombe ze-X-ray ezikhethekile ebizwa ngokuthi i-defecography ezibonisa ukuthi i-rectum yakho isebenza kanjani ngesikhathi sokuhamba kwamathumbu, noma i-anal manometry ukuqapha amandla ezinzwa zakho zesifuba.

Kweminye imicimbi, udokotela wakho angase ayalele i-MRI ye-pelvis yakho ukuthola izithombe ezinemininingwane yemisipha yakho ye-pelvic floor nezindawo ezizungezile. Lokhu kubasiza ukuthi baqonde ubunzima be-pelvic floor dysfunction futhi bahlele ukwelashwa olufanele kakhulu.

Iyini ukwelashwa kwe-rectal prolapse?

Ukwelashwa kwe-rectal prolapse kuncike ebunzimeni besimo sakho, impilo yakho yonke, nokuthi izimpawu zikuthinta kangakanani impilo yakho yansuku zonke. Udokotela wakho uzosebenza nawe ukukhetha indlela enikeza ithuba elihle kakhulu lokuba impumelelo ngengozi encane.

Kwimeko emaphakathi, ikakhulukazi i-prolapse engaphelele, ukwelashwa okuqondisiwe kuvame ukuzama kuqala. Lokhu kufaka ukushintsha ukudla ukuvimba i-constipation, ukuzivocavoca kwemisipha ye-pelvic floor ukuqinisa imisipha yokusekela, kanye ne-stool softeners ukunciphisa ukucindezela ngesikhathi sokuhamba kwamathumbu.

Izindlela ezingelona ubuhlinzwa ezingasiza zifaka:

• Ukudla okunamafutha aphezulu nokwanda kokungenisa amanzi
• Ukuzivocavoca njalo kwemisipha ye-pelvic floor
• Ukuqeqeshwa kwe-biofeedback ukuthuthukisa ukulawula kwamathumbu
• Imithi yokuphatha i-constipation noma i-diarrhea
• Amadivayisi asekelayo ezimweni ezingavamile ukuthola impumuzo yesikhashana

Uma ukwelashwa okuqondisiwe kungabi nakho ukunikeza impumuzo eyanele, ubuhlinzwa buyaba yindlela ecetywayo. Kunezindlela eziningi zokwelapha, futhi udokotela wakho uzokhetha ngokususelwa esimweni sakho esithile, iminyaka, kanye nesimo sakho sempilo yonke.

Ukuhlinzwa kwesisu kuhilela ukwenza isiqeshana esiswini sakho ukuze ufike futhi ulungise ukuqhekeka okuvela phezulu. Lezi zinqubo ngokuvamile zinezinga eliphansi lokuphinda zenzeke kodwa zidinga ukulaliswa phansi ngokuphelele kanye nesikhathi eside sokuphulukiswa. Udokotela angase asuse ingxenye yekholoni yakho uma ihlanganyela kule nkinga.

Ukuhlinzwa kwe-perineal kwenziwa ngendlela ezungezile umlomo wakho wokukhishwa futhi kungase kukhethwe kulabo abaphethe iminyaka noma labo abanezinhlungu zempilo. Ngenkathi ukuphulukiswa kuvame ukuba ngokushesha, lezi zinqubo ngezinye izikhathi zinezinga eliphezulu lokuphinda zenzeke kunendlela yesisu.

Ezimeni ezingavamile lapho ukuhlinzwa kungenakwenzeka ngenxa yezimo zempilo ezinzima, udokotela wakho angase akukhuthaze ukwenza i-colostomy. Lokhu kwenza ukuvulwa odongeni lwesisu lakho ukuze kususwe ukhukhwini, ugweme indawo yerekthamu enenkinga ngokuphelele.

Indlela yokuphatha ukuqhekeka kwekhekthamu ekhaya?

Ngenkathi ukuphathwa ekhaya kungenakuyelapha ukuqhekeka kwekhekthamu, amasu ambalwa angakusiza uzizwe ukhululekile futhi uvikele ukuba sibi ngenkathi ulinde noma uphulukiswa ngokwelashwa kwezokwelapha. Lezi zindlela zigxile ekunciphiseni ukucindezela nokusekela izinqubo zokwelapha zemvelo zomzimba wakho.

Ukuphatha imikhuba yakho yokukhishwa kuyisisekelo sokukhathalela ekhaya. Misa izikhathi zokugeza eziqondile, ikakhulukazi ngemva kokudla lapho uhlelo lwakho lokugaya ukudla luqhamuka ngokwemvelo. Ungalokothi ucindezele noma ugcine umoya wakho ngesikhathi sokuya esikhumulweni, njengoba lokhu kukhuphula ukucindezela phansi kwesifuba sakho.

Ukwenza izinguquko ekudleni kungenza umehluko omkhulu ezingeni lakho lokuphumula:

• Dla ukudla okunamafutha aphezulu njengebhinsi, ukudla okugcwele, nezithelo ezintsha
• Phuza amanzi amaningi usuku lonke
• Khawukhawule ukudla okungabangela i-constipation njengokudla okuqoshiwe kanye nokudla okuningi kwemikhiqizo yobisi
• Cabanga nge-prunes noma ijusi le-prune njengomthambisi wemfucuza wemvelo
• Dla ukudla okuncane, okuvamile ukuze kulula ukugaya

Zama ukulungisa isimo sakho esigumbini sokugezela ngokusebenzisa isitulo esincane sokuphumula izinyawo ukuze uqine amadolo akho kancane ngaphezu kwezinqe zakho njengoba uhleli eceleni kwesikhulu. Lesi simo siqondise ngokwemvelo i-rectum yakho futhi kwenze kube lula ukukhishwa ngaphandle kokucindezela.

Gcina indawo ezungezile i-anus yakho ihlanzekile futhi yomile ukuvimbela ukucasuka kwesikhumba. Sebenzisa izicubu ezithambile, ezingenasono noma ugeze ngamanzi afudumele ngemva kokukhishwa kwesisu. Faka ama-cream okuvikela uma uhlangabezana nokuvuza ukuvikela isikhumba sakho.

Uma ungakwazi ukususa ngokuphepha inyama ephumileyo, geza izandla zakho kahle kuqala bese usebenzisa ukucindezela okuthambile ngelaphu elihlanzekile, elinamile. Ungalokothi uyiphoqe, futhi funa ukunakekelwa kwezokwelapha ngokushesha uma ungakwazi ukunciphisa ukuphuma noma uma kuqala ukuba buhlungu.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho kungasiza ukuqinisekisa ukuthi uthola ukuxilongwa okuchane kakhulu nelenani lokwelapha elifanele. Ukuqoqa ulwazi olufanele kusengaphambili kuwonga isikhathi futhi kusiza udokotela wakho ukuqonda isimo sakho ngokuphelele.

Gcina idayari yezimpawu okungenani isonto ngaphambi kwe-aphoyintimenti yakho. Qaphela ukuthi izimpawu zenzeka nini, yini ezibangela, nokuthi zikuthinta kanjani imisebenzi yakho yansuku zonke. Faka imininingwane mayelana nokukhishwa kwesisu, noma iyiphi ubuhlungu noma ukungakhululeki, nokuthi ungasusa yini ukuphuma ngaphakathi.

Yenza uhlu lwawo wonke ama-meds owathatha, kufaka phakathi imithi yokwelapha, imithi yokuthengwa ngaphandle kwesikripthi, kanye nezinye izinto. Eminye imithi ingathinta umsebenzi wesisu noma ihlanganise izinketho zokwelapha, ngakho ukunemba okuphelele kubalulekile.

Bhala imibuzo ofuna ukuyibuza udokotela wakho, efana nale:

• Ngingumuphi uhlobo lwe-rectal prolapse enayo?
• Ziyini izinketho zokwelapha ezitholakalayo endabeni yami?
• Ziyini izingozi nezinzuzo zokuhlinzwa ngokumelene nokuphathwa okuqondile?
• Kuzokuthatha isikhathi esingakanani ukuphulukiswa uma ngidinga ukuhlinzwa?
• Yini engingayenza ekhaya ukulawula izimpawu zami?

Butha ulwazi mayelana nomlando wakho womndeni, ikakhulukazi noma imuphi umuntu ohlobene nawe oye waba ne-rectal prolapse, ezinye izinkinga ze-pelvic organ prolapse, noma izinkinga zokugaya ukudla ezingapheli. Lolu lwazi lungasiza udokotela wakho ukuthi aqonde izici ezingaba khona ze-genetic.

Cabanga ngokuletha umngane othembekile noma ilungu lomndeni wakho ekuqokweni kwakho. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi banikeze ukwesekwa ngokomzwelo ngesikhathi esingase sizizwe sengathi kuyinkulumo engakhululekile.

Iyini into ebalulekile mayelana ne-rectal prolapse?

I-Rectal prolapse iyisimo esingaphatheka esingakhululekile futhi ngezinye izikhathi sihlupha, kodwa asiyona ingozi eqondile empilweni yakho. Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukufuna ukunakekelwa kwezokwelapha ngokushesha kuvame ukubangela imiphumela emihle ngezindlela zokwelapha ezingenasiphepho.

Abantu abaningi baphatha ngempumelelo izimpawu zabo ngezindlela ezingagcinwanga njengokushintsha ukudla nokuzivocavoca kwe-pelvic floor, ikakhulukazi uma i-prolapse ibambekele kusenesikhathi. Ngisho noma ukucutshungulwa kube yinto edingekayo, amasu anamuhla aphelele kakhulu ngemiphumela emihle yesikhathi eside.

Ungavumeli ukuhlupheka kukuvimbele ekutholeni ukunakekelwa okudingayo. Abahlinzeki bezempilo banolwazi ekuxilongeni nasekuphatheni i-rectal prolapse, futhi baqonda ukuthi lezi zimpawu zingathinta kangakanani ikhwalithi yokuphila kwakho. Ngokwelashwa okufanele, abantu abaningi babuyela emisebenzini evamile futhi babona ukuthuthuka okukhulu ezimpawu zabo.

Khumbula ukuthi i-rectal prolapse ivame ukuthuthuka kancane kancane ngenxa yezinto ezakha ngokuhamba kwesikhathi. Lokhu kusho ukuthi izinguquko zendlela yokuphila ozizenzayo namuhla, njengokugcina imikhuba yokugaya ukudla enempilo nokuqina imisipha yakho ye-pelvic floor, kungasiza ukuvimbela izinkinga zesikhathi esizayo nokusekela impilo yakho yonke ye-pelvic.

Imibuzo evame ukubuzwa mayelana ne-rectal prolapse

Ingabe i-rectal prolapse ingaphela yodwa?

Ukuqunjelwa kwesisu akunambi lutho oluphulukisayo ngokuphelele ngaphandle kokwelashwa, ikakhulu kubantu abadala. Izimo ezilula zingase ziphulukiswe okwesikhashana ngezindlela zokwelapha ezingathinti lutho njengokushintsha ukudla kanye nokuzivocavoca kwemisipha yasepelvic, kodwa ubuthakathaka obukhona obubangele ukuqunjelwa kuvame ukuhlala khona.

Ezinganeni ezincane kakhulu, ikakhulu izinsana, ukuqunjelwa kwesisu ngezinye izikhathi kuphulukana njengoba ingane ikhula futhi imisipha yayo yasepelvic iqinile. Noma kunjalo, izimo zabantu abadala ngokuvamile zidinga ukuphathwa okuqhubekayo ukuvimbela ukuba sibi kakhulu nokuthuthukisa izimpawu.

Ingabe ukuqunjelwa kwesisu kufana ne-hemorrhoids?

Cha, ukuqunjelwa kwesisu ne-hemorrhoids ziyimibandela ehlukile, nakuba ngezinye izikhathi zingadideka ngoba zombili zingabangela ukuthi inyama iphume esiswini. I-hemorrhoids yizitho zegazi ezivuvukile endaweni yakho yesisu, kuyilapho ukuqunjelwa kwesisu kuhilela udonga lwesisu oluqunjelwe oluphuma endaweni yalo.

I-hemorrhoids ngokuvamile izizwa zithambile futhi zithambile, kuyilapho inyama equnjelwe yesisu izizwa iqinile futhi inamandla. Udokotela wakho angakwazi ukwahlukanisa kalula phakathi kwalezi zombili ngesikhathi sokuhlolwa futhi ancome ukwelashwa okufanele isimo sakho esithile.

Ingabe ngizodinga ukuhlinzwa ngenxa yokuqunjelwa kwesisu?

Ukuhlinzwa akuhlale kudingekile ngenxa yokuqunjelwa kwesisu, ikakhulu ezimweni ezilula noma lapho ukwelashwa okungathinti lutho kuphatha kahle izimpawu zakho. Udokotela wakho uzokuzama kuqala izindlela ezingathinti lutho njengokushintsha ukudla, ukuzivocavoca kwemisipha yasepelvic, kanye nezinye izidakamizwa ukuthuthukisa ukusebenza kwesisu.

Ukuhlinzwa kuya kunconywa lapho ukwelashwa okungathinti lutho kungabi nakusiza ngokwanele, lapho ukuqunjelwa kuchaphazela kakhulu ikhwalithi yokuphila kwakho, noma lapho kuvela izinkinga. Kunezindlela eziningi zokwelapha, futhi udokotela wakho uzokhetha indlela efanele isimo sakho esithile nempilo yakho yonke.

Kuthatha isikhathi esingakanani ukuphulukana ngemuva kokuhlinzwa kokuqunjelwa kwesisu?

Isikhathi sokuphulukisa sihluka kuye ngohlobo lokuhlinzwa okwenziwe nokuthi impilo yakho jikelele iphi. Ukuhlinzwa kwe-perineal kuvame ukuthatha amasonto ama-2-4 ukuze kuphulukiswe ekuqaleni, kuyilapho ukuhlinzwa kwesisu kungathatha amasonto ama-4-6 ngaphambi kokuba ubuyele emisebenzini yakho evamile.

Abantu abaningi bangabuyela emisebenzini elula ezinsukwini ezimbalwa kuya kwesonto elilodwa ngemuva kokuhlinzwa, kodwa kuzodingeka ugweme ukuphakamisa izinto ezisindayo nokuzivocavoca okunzima amasonto amaningana. Udokotela wakho ohlinzayo uzokunikeza imiyalelo ekhethekile ngokuya ngenqubo yakho nokuthuthuka kokwelashwa.

Ingabe ukuqhekeka kwesisu kungabuya ngemuva kokwelashwa?

Ukuqhekeka kwesisu kungabuya ngemuva kokwelashwa, nakuba amanani okuphinda kube khona ehluka kuye ngendlela yokwelashwa esetshenzisiwe. Izinqubo zokwelapha ezingelona ukuhlinzwa zinamanani aphezulu okuphinda kube khona kunokuhlinzwa, kodwa zisasebenza ekuphatheni izimpawu futhi zingase zilibale noma zivimbele isidingo sokuhlinzwa.

Amanani okuphinda kube khona ngemuva kokuhlinzwa ahluka kuye ngenqubo ethile eyenziwe, ngokuhlinzwa kwesisu ngokuvamile kunamanani aphansi okuphinda kube khona kunendlela ye-perineal. Udokotela wakho ohlinzayo uzoxoxa ngamanani okuphumelela okulindelekile esimweni sakho esithile futhi akusize ukhethe ukwelashwa okunethemba elihle elide.