Uma unesifo sofuba sesibindi njenge Crohn's noma isimo esifanayo, cishe uyazi kahle i-tenesmus, ngisho noma ungakaze uzwe leli gama. I-Tenesmus yomuzwa wokuthi udinga ukukhipha isilonda noma isilonda esivele singenalutho. Ngokuvamile kuhilela ukuchotshozwa okuphindaphindiwe nokukhulelwa kwesisu, noma ukuzwa ukuphuma okuphelele, okungukuthi, umuzwa wokuthi kusekhona isobho noma umchamo okufanele udluliselwe.
Ngisho noma ukunyakaza kwamathumba kukhiqiza, kungabangela kuphela amancane amancane, izitshalo ezinzima.
Uma igama elithi tenesmus lisetshenziselwa ukuma elilodwa elilodwa lisho ngokuvamile libhekisela ku-rectal tenesmus. I-vestibule tenesmus ibizwa nangokuthi i-vesical tenesmus.
Izimpawu
I-Rectal tenesmus ihlotshaniswa nezimo ezihlukahlukene zezokwelapha, kufaka phakathi izimbongolo ezinama-anorectal noma ama-colorectal noma izicubu, i- gastroenteritis , isifo sofuba esithathelwanayo, isifo se-diverticular, isifo se-celiac, kanye ne-proctitis kusuka ekwelapheni kwemisebe
Kubantu abane-ulcerative colitis nesifo sikaCrohn, i-rectal tenesmus yinto ejwayelekile ngeshwa. Kuyabonakala kubantu abaningi abanesifo sofuba esiswini ( IBS ), kokubili i-IBS-C, lapho ukuqothulwa kwesinye isibonakaliso esikhulu, ne-IBS-D, lapho uhudo luvame kakhulu.
Njengoba kokubili i-Crohn's ne-ulcerative colitis ibangela isilonda esiswini sezinsini, kungenzeka ukuthi abantu abanezimo bangase babe nobunzima emgodini, i-rectum noma emathunjini ngenxa yalokho.
Ukwehluleka okunjalo kungenza kube nzima ukudlula ukunyakaza kwamathumbu, okungaholela ekunciphiseni i-tenesmus.
Ukwelapha
Imithi ephumelela kakhulu ye-tenesmus izohlukahluka kuye ngokuthi isimo esingaphansi. Esinye isilingo esincane somtholampilo sathola ukuthi ama-anti-depressant dose aphansi ayenciphisa iziguli ezithile.
Kukhona ucwaningo oluningi olubonisa uxhumano phakathi kobuchopho nokusebenza kwamathambo, futhi ukuthi lezi zithandana zithinta kangakanani, ngakho-ke kunengqondo ukuthi i-anti-depressant ingase ihlinzeke ngokukhululeka kwe-tenesmus. Kodwa lokhu kuyinto okuzoxoxa ngayo nomhlinzeki wakho wezempilo ngoba izidakamizwa zokudambisa izidakamizwa zinemiphumela emibi yazo.
Uma i-tenesmus yakho iyimpawu yokutheleleka kwamathumbu noma ukuvuvukala, njenge-diverticulitis, ama-antibiotic angadingeka.
Ngokuvamile, noma kunjalo (futhi futhi kuye ngokuthi kunesizathu esiyimbangela), i-tenesmus iyisimpawu esingakhululwa ngokuphuza amanzi amaningi noma ukwengeza i-fibre ekudleni kwakho. Njengoba ngokuvamile kuvamise uphawu lwesimiso se-motility empofu , noma yikuphi okuthola inqubo yokugaya ukudla okungcono kungasiza ekunciphiseni i-tenesmus.
Kuyini i-Vesical (Isambiso) se-Tenesmus?
I-vesical tenesmus yinto ezwayo yokuzwa isidingo esiqhubekayo sokuvuthwa ngisho nalapho isilasha sesilahliwe. Lesi sifo singase sihambisane nenkinga eqondile yokutheleleka kwe- urinary tract (UTI) noma isimo esingapheli se- cystitis yangaphakathi .
Njenge-rectal tenesmus, ukwelashwa kwesizathu esiyisisekelo se-vesical tenesmus kufanele kusize ekunciphiseni uphawu.
Okufanele Ukwenze Uma Unayo Tenesmus
Nakuba kungase kube namahloni ukukhuluma nge-tenesmus, ngoba ngokuvamile ibonisa isimo esibucayi, kubalulekile ukukusho kumhlinzeki wakho wezempilo.
Angabe esebenza ukuze abone ukuthi yini engabangela isibonakaliso bese iqala ukuthi ufunde ngendlela efanele yokwelapha.
Imithombo:
Livovsky, D., et. al. "I-Tricyclic anti-depressants ekwelapheni i-tenesmus ehlobene ne-rectal prolapse" I- Colorectal Disease 2015 17: 1094-1099.
> Meerveld BG-V, uJohnson AC, Grundy D. "Imizimba Yezinambuzane a > Ngomsebenzi" Incwadi Yokuzivocavoca Kwemithi . 2017.
> Ford, A., Sainsbury, A. "Ukwelashwa kwe-syndrome eyathukuthela: ngaphesheya kwe-fibre kanye nama-antispasmodic" Ukuthuthukiswa Kwempilo Ye-Gastroenterology March 2011
"Tenesmus" I-New York Times .