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October 10, 2025
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Ukuphuma kwegazi emathunjini kusho ukuthi igazi liphuma emthanjeni wakho noma emgodini wakho wangemuva, futhi kuvamile kakhulu kunalokho ongase ukucabange. Ngenkathi ukubona igazi kungase kuzizwe kuthusa, amacala amaningi avela ezindabeni ezincane ezinjenge-hemorrhoids ezisabela kahle ekwelashweni okulula.
Umzimba wakho wenzelwe ukuphulukisa ezimweni eziningi zalezi ngokwemvelo. Ukuqonda ukuthi kwenzekani kungakusiza ukuthi uzizwe uqiniseka ngokwengeziwe ngokuthi uzinakekele nini ekhaya nokuthi uzofinyelela nini ukuthola usizo lwezokwelapha.
Ukuphuma kwegazi emathunjini yigazi elivela lapho uba nokuhamba kwamathumbu noma livela ephepheni lasendlini yangasese ngemuva kokusula. Igazi lingahluka kusuka kokubomvu okukhanyayo kuya kokumnyama, kuye ngokuthi livela kuphi ohlelweni lwakho lokugaya ukudla.
Lokhu kuphuma kwegazi kwenzeka lapho imithambo yegazi emincane ngaphakathi noma ezungeze umthambo wakho iba nentukuthelo noma ilimala. Cabanga ngakho njengokusikeka okuncane kwenye indawo emzimbeni wakho - indawo iba nobumnene futhi ingase iphume igazi kuze kube yilapho iphilile.
Inani lingahluka kusuka kumaconsi ambalwa nje owabona ethishini kuya egazini elibonakala kakhulu esitsheni sendlu yangasese. Zombili lezi zimo zifanelwe ukunakwa, kodwa akukho noyedwa osho ngokuzenzakalelayo ukuthi kukhona okungahambi kahle.
Ungase uqale uqaphele ukuphuma kwegazi emathunjini njengegazi elibomvu elikhanyayo ephepheni lasendlini yangasese uma usula. Abanye abantu babona imigqa ebomvu esitulweni sabo noma baqaphele amanzi anombala obomvana esitsheni sendlu yangasese.
Ukuphuma kwegazi ngokwalo ngokuvamile akubuhlungu, kodwa ungase uzwe ezinye izimpawu kuye ngokuthi yini ebangela. Lokhu kungabandakanya ukushisa, ukuluma eduze komgodi wakho wangemuva, noma ukuzwa sengathi awukawakhumuli ngokuphelele amathumbu akho.
Uma ama-hemorrhoids eyimbangela, ungase uzwe iqhubu elithambile eduze komgodi wakho wangemuva noma uhlangabezane nokungakhululeki lapho uhlezi. Abanye abantu baqaphela ukuthi ukuphuma kwegazi kwenzeka ikakhulukazi ngesikhathi noma ngemuva kokuhamba kwamathumbu.
Izimo eziningi zingaholela ekuphumeni igazi ngendlela yesitho sangasese, kusukela ezintweni ezivamile nezilashwa kalula kuya ezinkingeni ezingavamile ezidinga ukunakekelwa kwezokwelapha. Ake sihambe ngezimbangela ezingenzeka kakhulu ukuze uqonde kangcono ukuthi yini engase yenzeke.
Nazi izimbangela ezivamile ongase uhlangane nazo:
Lezi zimbangela ezivamile zibangela amacala amaningi okuphuma igazi ngendlela yesitho sangasese futhi ngokuvamile zithuthuka ngokunakekelwa okumnene nokulungiswa kwendlela yokuphila.
Izimbangela ezingavamile kodwa ezingathi sína zihlanganisa isifo samathumbu esivuvukalayo, izifo, noma umdlavuza we-colorectal. Nakuba lokhu kungavamile, ikakhulukazi kubantu abadala abasebancane, kubalulekile ukukukhipha ngaphandle ngokuhlola okufanele kwezokwelapha.
Ukuphuma igazi ngendlela yesitho sangasese kungakhomba ezimweni eziningi ezingaphansi, okuningi kwazo okulawulekayo ngokunakekelwa okufanele. Okubalulekile ukuqonda ukuthi yiziphi izimo ezivamile uma kuqhathaniswa nalezo ezidinga ukunakekelwa kwezokwelapha ngokushesha.
Ngokuvamile, ukuphuma igazi ngendlela yesitho sangasese kubonisa lezi zimo ezilawulekayo:
Lezi zimo, ngenkathi zingakhululeki, zivame ukuphendula kahle ekwelashweni nasezinguqukweni zokuphila.
Ngezinye izikhathi ukuqhumisa igazi ngamathumbu kungabonisa izimo ezingathi sína ezidinga ukuhlolwa kwezokwelapha:
Ngenkathi lezi zimo zizwakala zikhathaza, ukutholwa kwasekuqaleni nokwelashwa kuvame ukuholela emiphumeleni emihle. Udokotela wakho angasiza ekunqumeni ukuthi yisiphi isigaba izimpawu zakho eziwela kuso.
Yebo, amacala amaningi okuqhumisa igazi ngamathumbu ayaxazululwa ngokwawo, ikakhulukazi uma kubangelwa izinkinga ezivamile njengamahemorrhoids amancane noma ukuqhekeka okuncane kwangasese. Umzimba wakho unamakhono amangalisayo okuphulukisa uma unikezwa izimo ezifanele.
Ukuphuma igazi kuma-hemorrhoids kuvame ukuyeka phakathi nezinsuku ezimbalwa kuya emavikini njengoba izicubu ezivuvukile ziphola. Ngokufanayo, ama-anal fissures amancane ngokuvamile aphola ngokwemvelo njengoba uthambisa izihlalo zakho futhi unciphisa ukucindezela ngesikhathi sokuhamba kwamathumbu.
Nokho, ukopha kungase kubuye uma imbangela engaphansi ingalungiswa. Isibonelo, uma ukuqina kwamathumbu kubangele ama-hemorrhoids akho, cishe uzobona ukopha futhi ngaphandle kokuthi uthuthukise imikhuba yakho yamathumbu.
Noma ngabe ukopha kuyeka ngokwako, kuhle ukuqapha izimpawu zakho. Uma ukopha kubuya njalo noma uba nezimpawu ezintsha njengobuhlungu obukhulu noma izinguquko emikhubeni yamathumbu, ukuhlolwa kwezokwelapha kubalulekile.
Ukwelashwa okuningi okumnene ekhaya kungasiza ukunciphisa ukuphuma igazi ngemuva futhi kukhuthaze ukuphola, ikakhulukazi ezimbangela ezivamile njengama-hemorrhoids nama-anal fissures. Lezi zindlela zigxila ekunciphiseni ukucasuka nokusekela inqubo yokuphulukisa yemvelo yomzimba wakho.
Nawa amakhambi asekhaya asebenzayo ongawazama:
Lezi zinyathelo ezilula zivame ukunikeza impumuzo phakathi nezinsuku ezimbalwa kuya emavikini. Okubalulekile ukuqina nokubekezela njengoba umzimba wakho uphola.
Ungazama futhi ukwelashwa okungathengwa ngaphandle kwemvume kadokotela njengemithi ethambisa indle noma okokugcoba ama-hemorrhoid, kodwa qala ngezinguquko ezithambile zendlela yokuphila kuqala. Ngezikhathi ezithile izindlela ezilula zisebenza kahle kakhulu emzimbeni wakho wokuphulukisa ngokwemvelo.
Ukwelashwa kwezokwelapha kokopha kwamathumbu kuncike embangweni obangela, kodwa odokotela bavame ukuqala ngezindlela eziqondayo ngaphambi kokucabangela ezinye izindlela ezinzima. Umhlinzeki wakho wezempilo uzolungisa ukwelashwa esimweni sakho esithile.
Ezimbangweni ezivamile njengama-hemorrhoid, odokotela bavame ukuncoma:
Uma ukwelashwa okuqondayo kungasebenzi, udokotela wakho angase asikisele izinqubo ezingahlaseli kakhulu njengokubopha ngebhande lenjoloba lama-hemorrhoid noma ezinye izindlela zokwelashwa ezingaphandle.
Ezimweni ezingathi sína, ukwelashwa kuba okukhethekile kakhulu. Isifo samathumbu esivuvukalayo singase sidinge imithi elwa nokuvuvukala noma izithomalalisi zesimiso somzimba sokuzivikela. Ama-polyps ngokuvamile adinga ukususwa ngesikhathi se-colonoscopy.
Izindaba ezinhle ukuthi ukwelashwa okuningi kusebenza kahle kakhulu, futhi izinqubo eziningi zingenziwa ngaphandle kwesiguli. Udokotela wakho uzohlala eqala ngokwelashwa okuthambile okusebenzayo esimweni sakho.
Kufanele uthinte udokotela wakho uma ukopha kwamathumbu kuqhubeka izinsuku ezingaphezu kwezimbili noma uma uhlangabezana nezimpawu ezikhathazayo kanye nokopha. Ngenkathi izimo eziningi zingezona eziphuthumayo, ezinye izimo zidinga ukunakekelwa kwezokwelapha okusheshayo.
Hlela i-aphoyintimenti ngokushesha uma uqaphela:
Lezi zimpawu zizasiza udokotela wakho ukuthi athole imbangela futhi anikeze ukwelashwa okufanele ngaphambi kokuba izinkinga zibe zimbi kakhulu.
Funana nosizo lwezokwelapha ngokushesha uma uzwa isiyezi, ukuquleka, ukushaya kwenhliziyo okusheshayo, noma ubuhlungu obukhulu besisu kanye nokuphuma kwegazi ngendlela yomlomo. Lezi zimpawu zingase zibonise ukulahlekelwa okukhulu kwegazi noma ezinye izimo eziphuthumayo.
Izici eziningana zingakhuphula amathuba akho okuba nokopha ngendlela yomlomo, nakuba ukuba nalezi zici eziyingozi akusho ukuthi nakanjani uzothuthukisa izinkinga. Ukuziqonda kungakusiza ukuthi uthathe izinyathelo zokuvimbela.
Izici eziyingozi ezivamile zihlanganisa:
Eziningi zalezi zinto eziyingozi zihlobene nezindlela zokuphila ongazishintsha ukuze unciphise amathuba akho okuthuthukisa ukopha kwe-rectal.
Ezinye izinto eziyingozi zingaphandle kokulawula kwakho, njengomlando womndeni wezimo ze-colorectal noma izici ezithile zofuzo. Kodwa-ke, ukugcina imikhuba enempilo kunganciphisa kakhulu ingozi yakho iyonke.
Ngenkathi ukopha okuningi kwe-rectal kulungiswa ngaphandle kwezinkinga, ezinye izimo zingathuthuka zibe izinkinga ezingathi sína uma zingelashwa. Ukuqonda izinkinga ezingaba khona kukusiza ukuthi ubone ukuthi unini okufanele ufune ukunakekelwa kwezokwelapha.
Izinkinga ezingenzeka ekuphumeni kwegazi kwe-rectal ezingelashwanga zihlanganisa:
Lezi zinkinga azivamile, ikakhulukazi uma ubhekana nokuphuma kwegazi ngokushesha ngokunakekelwa okufanele.
Inkinga enkulu kakhulu ukulahlekelwa yisimo esibucayi esidinga ukwelashwa. Yingakho ukuphuma kwegazi okuqhubekayo noma okuphindaphindayo kufanele kuhlolwe ngudokotela, ngisho noma kubonakala kungabalulekile.
Ukuphuma kwegazi kwamathumbu ngezinye izikhathi kungadidaniswa nezinye izimo, ikakhulukazi uma ukuphuma kwegazi kuncane noma kuqhubeka ngezikhathi ezithile. Ukuqonda lezi zinto ezingafani kungakusiza ukuthi unikeze ulwazi olungcono kumhlinzeki wakho wezempilo.
Ukuphuma kwegazi kwamathumbu kungase kuthathwe njengokuthile:
Ukuphuma kwegazi ngempela ngemuva kwendunu kuvame ukuvela njengegazi elibomvu ngqayizivele ephepheni lasendlini yangasese, ngaphezulu kwezihlalo, noma emanzini endlini yangasese ngemuva kokuchama.
Uma ungaqiniseki ukuthi okubonayo kungukuphuma kwegazi ngempela ngemuva kwendunu, unganqikazi ukuxhumana nomhlinzeki wakho wezempilo. Bangakusiza ukuthi unqume umthombo nokuthi ngabe ukuhlolwa okuqhubekayo kuyadingeka yini.
Akudingeki, yize ama-hemorrhoids eyimbangela evame kakhulu yokuphuma kwegazi elibomvu ngqayizivele ngemuva kwendunu. Ama-anal fissures, ama-polyps, nezinye izimo nazo zingabangela ukuphuma kwegazi elibomvu ngqayizivele. Indawo nezici zokuphuma kwegazi zingahluka ngisho nasesimweni esifanayo.
Ukucindezeleka akuqondile ukubangela ukuphuma kwegazi ngemuva kwendunu, kodwa kungaqinisa izimo eziholela ekuphumeni kwegazi. Ukucindezeleka kungase kuqale ukuqubuka kwesifo samathumbu esivuvukalayo noma kuqinise ama-hemorrhoids ngokuthinta uhlelo lwakho lokugaya ukudla nemikhuba yamathumbu.
Ukuzivocavoca okukhulu noma ukuphakamisa izinto ezinzima kungakwenza kube kubi okwesikhashana ukuphuma kwegazi okuhlobene nama-hemorrhoid ngokwandisa ingcindezi endaweni yakho yesisu. Kodwa-ke, ukuzivocavoca okulula njengokuhamba empeleni kuyasiza ngokuthuthukisa ukujikeleza kwegazi nokukhuthaza ukusebenza kwamathumbu okunempilo.
Gxila ekudleni ukudla okunothile nge-fiber kunokugwema ukudla okuthile. Kodwa-ke, uma unesifo samathumbu esivuvukalayo, udokotela wakho angase ancome ukugwema ukudla okuthile okubangela ukuthi izimpawu zakho nokuphuma kwegazi kube kubi.
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