Izingozi zebhalethi zingenzeka kodwa azikho ithemba
Abantu abanezifo zesifo sofuba (IBD) bangase bathole ingozi yokugezela ngezizathu ezihlukahlukene. Thola iqembu labantu abane-IBD ndawonye futhi uzozwa "cishe akenzanga" futhi "akenzanga" futhi "izindawo ezibucayi kakhulu engizithuthele kuzo". Uma kuvulekile, kungenzeka ukuzwa ukungabi khona kwe-fecal (ukuthungwa kwamafecal, noma izingozi zangasese), kodwa ngokuvamile kuyinkinga yesikhashana exazulula lapho ukuphawula kutholakala ngaphansi kokulawula.
Abantu abaningi bacabanga ukuthi ukungathembeki kuyinkinga echaphazela abantu abadala kuphela. Iqiniso liwukuthi ukungahambisani nakho kungenzeka kunoma ubani, kunoma yisiphi isigaba sokuphila. Kulinganiselwa ukuthi abantu abangaba yizigidi ezingu-18 e-United States babhekana nokungahambi kahle kwe-fecal. Ngisho nabantu abanempilo bangase bathathe ukungathandwa kwamathuba okwesikhashana uma benesifo sengculaza (njengokungathi inyama ephucukile) noma igciwane lesisu (ngezinye izikhathi elibizwa ngokuthi "isisu somkhuhlane").
I-incontinence yinkinga enzima ukukhuluma ngayo, futhi ngisho nokukhungatha ukubhekana nayo, kodwa noma kunjalo, akufanele inganakwa. Lesi sihloko sizogxila ikakhulukazi ezimbangela kanye nezimo zokungathembeki kwama-fecal okuhlobene ne-IBD.
Kuyini Ukungasebenzi?
I-incontinence yilapho isitolishi sishiya umzimba ngokungabandakanyeki. Lokhu kubandakanya ukukhathazeka okuhlukahlukene-noma yini esukela esitokisini esincane esivela ku- anus (njengokuthi igesi liyadlula) kuhudo olungalawuleki.
I-incontinence ingabangela inkinga ngemisipha endaweni yezilwane, noma ngenxa yokulimala kwamantombazane okuphazamisa ikhono lokubona uma sekuyisikhathi sokuhambisa amathumbu.
Sifunda njengabantwana indlela yokuphatha imfucuza yomzimba wethu futhi sihlale sihlanzekile. Ukuhlukunyezwa kuyinto, iningi lethu lifundiswa, kwenziwe ngasese endlini yangasese.
Ngakho-ke, ukungaziphathi kahle kungenye yezihloko ezengeziwe emasikweni ethu, futhi abantu abamukela esidlangalaleni bayakhonona. Ngeshwa, iningi labantu alike lixoxe ngenkinga nomhlinzeki wezempilo.
Ubani Othole Ukungahambi?
I-incontinence ingenzeka kunoma ubani, nakuba ijwayelekile ngokwengeziwe kwabesifazane kunamadoda. Eminye yemibandela ehlotshaniswa ne-fecal incontinence ihlanganisa isifo sohlangothi nesifo sesistimu. Abantu abanezifo ezinzima ezingapheli kanye nalabo abaneminyaka engaphezu kwengu-65 banamathuba amaningi okuzwa ukungabi nalutho. Abesifazane bangase bathuthukise ukungabikho komzimba ngenxa yokulimala emgodini wezinwele ngesikhathi sokubeletha .
Izimbangela
Uhudo. I-incontinence ehlobene ne-IBD ingabangela ukuphuthuma kwamafecal, okuyisidingo esincane sokusebenzisa indlu yangasese. Iningi labantu abane-IBD lingathintana nesidingo sokugibela indlu yangasese, ikakhulukazi uma i- flare-up iphinde ibhekane nesifo sohudo. Kulezi zinsuku izingozi zokugezela zingakwazi, futhi zenzeke. I-incontinence kusuka ehudo ingumphumela wokuvuvukala kwi-anus kanye ne-rectum ebangelwa i-IBD, kanye nokuthi i-stool ye-liquor (isifo sohudo) sinzima kakhulu ukuthi i- sphincter engumlenze ibambe kunesihlalo esiqinile.
Ukuphuthumisa ukuhambisa amathumba kufanele kuthuthuke lapho kuphazamiseka ukuphazamiseka futhi isifo sohudo siqala ukwehlisa.
Ama-abscesses. Abantu abane-IBD, ikakhulukazi labo abanesifo sikaCrohn, basengozini yezinsizi . I-abscess isifo esithinta iqoqo le-pus, elingenza isikhala endaweni yokutheleleka. I-abscess ku-anus noma i-rectum ingabangela ukungabi khona, nakuba lokhu kungavamile. Kwezinye izimo, i-abscess ingabangela i- fistula . I-fistula umhubhe owenza phakathi kwezigxobo ezimbili zomzimba noma phakathi kwesitho emzimbeni nasesikhumba. Uma i-fistula ifaka phakathi kwe-anus noma i-rectum nesikhumba, isitokisi singase siphumele nge-fistula.
Ukuthuka. Ukufiphaza emgodleni kungenye imbangela yokuhlukumezeka kwamafecal. I-IBD ebangela ukuvuvukala emgodleni ingabangela ukuhlukumeza kwezicubu kule ndawo. Uma i-rectum ibonakaliswe ngale ndlela, ingabangela ukuba izicubu zibe nokusibeka kancane. Ngokulahlekelwa ukuqina, i-rectum ayikwazi ukubamba isitoreji esiningi, futhi lokhu kungabangela ukungabi khona.
Ukuhlinzwa. Ukwelashwa endaweni yangasese kungalimaza imisipha ku-anus. Inkinga ejwayelekile kubantu abadala abaningi, nalabo abane-IBD abahlukile, yizifo ezincane. Ama-hemorrhoids yizitsha zegazi ezandisiwe ezingxenyeni ezingenayo noma ezingabangela ezinye izimpawu. Nakuba ama-hemorrhoids ajwayele ukuphathwa ngezinyathelo zasekhaya ezifana nokudla ama-fiber amaningi, ukuphuza amanzi amaningi, nokusebenzisa ama-creams amaningi ngaphezulu, ukuhlinzwa kusetshenziselwa amacala amabi kakhulu. Uma imisipha e-sphincter ibonakaliswe ngesikhathi sokuhlinzwa kwegazi, ingabangela ukungabi khona kwe-intontinence.
Ukwelapha
Kunezinhlobo eziningi zokwelashwa kokungathembeki kwe-fecal, okuvela emakhambi asekhaya kuya ekukhandeni okuhlinzekwa kwemisipha yomzimba kanye nomzimba. Uma imbangela eyinhloko inqunywa ukuthi ibe yi-IBD, ukwelashwa bekuyokwenza ukuthi i-IBD ilawulwe. Isixazululo sokuvuvukala ku-anus kanye ne-rectum nokunciphisa isifo sohudo kungasiza ukuyeka ukukhubazeka.
Imithi. Kwabanye abantu, imithi ingahle ibekwe ukuba iphathe ukungabi nalutho. Ukuze uthole isifo sohudo, umshini wokulwa nesifo sohudo angasetshenziswa, nakuba lezi zinhlobo zemithi ngokuvamile zingasetshenziselwa abantu abane-IBD (ikakhulukazi i-ulcerative colitis). Esimweni lapho ukungabi khona kwe-fecal kuhlanganiswa nokuqothulwa, ama- laxatives angase abekwe (futhi, lokhu akuvamile ukuthi abantu abane-IBD).
Imithi engajoqayo. Iminyaka yakamuva ibonile ukuthuthukiswa kwejelisi le-dextranomere lokungahlambuluki elijatshelwe ngqo emdongeni wamanqamu. Ijeli liqinisa udonga lomsele wamanzi. Ukuphathwa kwalo muthi kwenziwa ehhovisi likadokotela emaminithini ambalwa, futhi ngokuvamile iziguli zingabuyekeza imisebenzi evamile cishe ngesonto ngemuva kokuthola umjovo.
I-Biofeedback. Olunye ukwelashwa kubantu abanokukhubazeka kwesilonda kuyinto biofeedback. I-Biofeedback iyindlela yokufundisa kabusha umqondo nomzimba ukusebenza ndawonye. Liye labonisa ukusebenza okuphumelelayo ekwelapheni izifo ezithile zegciwane kwezinye iziguli, kanti ngokuvamile zisetshenziselwa ngemuva kwezinye izindlela zokwelashwa ezifakazelwe ukuthi aziphumeleli. I-Biofeedback yindlela yokwelashwa ephulukiswayo evame ukwenziwa ngaphezu kwamasonto. Ezikhathini ze-biofeedback, iziguli zifunda ukungena ekuthinteni nemisipha yesitezi sabo socansi futhi zikwazi ukulawula kangcono.
I-Bowel ivuselela . Kwabanye abantu, kungasiza ukugxila emikhondweni yemilenze enempilo. Lapho kuhlaziywa isilwane, iziguli zigxila ekunyameni kwazo esikhathini esizayo ngosuku, ukuze kube lula ukwenza njalo. Lokhu kuvame ukukhushulwa yizinguquko ekudleni, njengokuphuza amanzi amaningi noma ukudla i-fibre ngaphezulu.
Ukuhlinzwa. Uma inkinga inqunywa ukuthi ibe yenyama (njengezinzwa kanye nezicubu ezonakaliswa ukuvuvukala noma ukubeletha), ukuhlinzekwa ukulungisa imisipha kungasetshenziswa. Kuhlobo lokuhlinza olubizwa ngokuthi i-sphincteroplasty, imisipha eyonakalisiwe ku-sphincter yesilonda isusiwe, kanti imisipha esele iqinisiwe. Ukuhlinzwa ukukhanda kwe-Sphincter kwenziwa ngokuthatha imisipha kusuka kwenye ingxenye yomzimba (njengamathanga), futhi ukuyisebenzisa ukuze ubuyisele imisipha ewonakele ku-sphincter. Kwezinye izimo, ukushintshwa kwe-sphincter kungenziwa. Kulesi ukuhlinzwa, i-tube inflatable ifakwe emgodini owenziwe. Iziguli zisebenzisa ipompo ukuze zivule ukuze zidlule phansi, bese zivale futhi emva kokuchasisa. Ukuhlinzwa okukhulu kakhulu okuhlinzekwa ukwelapha ukungahlambuluki kwe-fecal yi- colostomy , okuyilapho lapho ikholoni ingeniswa ngodonga lwesisu (ukwakha i- stoma ) kanye nesitoreji kuqoqwe kuhlelo lokusebenza lwangaphandle olubekwe eceleni komzimba. I-colostomy ivame ukwenza kuphela lapho zonke ezinye izindlela zokwelapha sezihlulekile.
Imithombo:
I-American Society of Colon & Rectal Abahlinzayo. "Ukunyuka kwe-Bowel Incontinence." FACRS.org. 2012.
I-Ansari P. "I-Absorption Absorctal." I-Merck Manual Home Health Handbook. Meyi 2012.
Ukuphila Ne-IBD. "Ukuziphuthuma Nokungabi Nakho Ukungena." I-European Federation ye-Crohn's ne-Ulcerative Colitis Associations (i-EFCCA). 2013.
I-Palsson OS, i-Heyman S, i-Whitehead WE. "Ukwelashwa kwe-biofeedback yezifo eziphathelene nokusebenza kwemithi: ukubuyekezwa okunembile kokusebenza." Appl Psychophysiol Biofeedback . 2004 Sep; 29: 153-174.
US. Izikhungo zezempilo zikazwelonke. UMnyango wezeMpilo kanye nezinsizakalo zabasebenzi. "Ukungathandwa kwe-Fecal Incontinence." I-National Digestive Diseases Information Clearinghouse. 20 Apr 2012.