Ukuhlaselwa okufushane kwezinhlungu endaweni yakho yangasese kungahle kubangelwe isimo esaziwa njenge-proctalgia fugax. Lesi yisifo esijwayelekile esijwayelekile samathumbu (GI) esithinta abantu abadala futhi sanda kakhulu kubantu besifazane.
Uma ubuzwa ubuhlungu ku-anus yakho, kuyinto yokuxoxa nodokotela wakho. Kodwa-ke, izimpawu ze-proctalgia fugax zichazwe kahle futhi ngokuvamile akuzona isimo sokukhathazeka ngazo.
Kuyini i-Proctalgia Fugax?
I-proctalgia isho ubuhlungu obudala ngaphandle kwesizathu esibonakalayo. I-proctalgia engapheli ingabonakaliswa njenge-proctalgia fugax, i- levator ani syndrome , noma ubuhlungu obungacacisiwe bokuzibulala. Lokhu kungokwemigomo ye-IV IV yezinkinga ze-GI kanti inguqulo yangaphambilini yayine-diagnostic ehlukile ye- proctalgia engapheli .
I-Proctalgia fugax yisimo lapho umuntu abhekana nakho ngeziqephu zobuhlungu obusheshayo obukhulu. Ubuhlungu bubhekwa njengokungapheli, ngoba kungase kuthathe imizuzwana embalwa noma imizuzu embalwa ngaphambi kokuhamba ngokuphelele.
Nakuba kungaqondakali ngokuphelele, imbangela yobuhlungu ingase ibe ngenxa yezinselele zemisipha ye-pelvic floor, i-rectum, noma i- sphincter yangaphambili . Kukhona nesinye isibonakaliso sokuthi ukucindezeleka kwe-nerve oyinhloko esifundeni sesilwane nesandulela ngculazi - okuthiwa i-nervousal nervous - kungabangela izinhlungu ezincane neziphakathi.
Kubantu abaningi abane-proctalgia fugax, lezi zihlaselo zivame kakhulu futhi zenzeka ngaphansi kwezikhathi ezinhlanu ngonyaka.
I-Proctalgia fugax kulinganiselwa ukuthi iyothinta noma yikuphi ukusuka kumaphesenti angu-4 kuya ku-18 wabantu. Nakuba kuthinta kokubili abesilisa nabesifazane, kufana nakakhulu kubantu besifazane. Ngokuvamile kuthinta abantu abaphakathi kweminyaka engu-30 no-60 ubudala.
Izimpawu
Ubuhlungu be-proctalgia fugax buyatholakala ku-anus noma i-rectum. Ungabhekana nalolu buhlungu njenge-ache noma uqweqwe futhi abanye abantu bayichaza njengokuhlunguphaza noma ukugwaza.
Ubukhulu bezinhlungu buyahlukahluka futhi ngokuvamile abuveli ngaphesheya kwendawo yokuphilisa.
Izimbangela
Ngokuvamile, ubuhlungu buvela ngaphandle kwebala elihlaza okwesibhakabhaka futhi iziguli azikwazi neze ukunciphisa phansi. Kodwa-ke, ngezinye izikhathi kungase kube nezimbangela ezibonakalayo ezifana nokuqothulwa noma ngenkathi unomzimba ovamile wokuhamba. Kungaba nakho ngesikhathi noma ngemuva kocansi noma ngenkathi unesikhathi sakho. Kwabanye abantu, kwenzeka ngesikhathi sokukhathazeka okukhulu noma ukucindezeleka.
I-proctalgia fugax ingenzeka ngemva kokuthola i- sclerotherapy ye-hemorrhoid noma i- hysterectomy . Abantu abanesifo sofuba esiswini (IBS) nabo bangase babe engozini enkulu yokuthola i-proctalgia fugax.
Ukuxilongwa
Njengesiyaluyalu somzimba esisemsebenzini (i-FGD), i-proctalgia fugax itholakale kuphela ngemva kokuba zonke ezinye izifo ezithintekile zikhishwe ngaphandle. Udokotela wakho uzokwenza ukuhlolwa ngokomzimba. Kungase futhi batuse ukuhlolwa kokuhlola okuzofaneleka ukuqiniseka ukuthi akukho into engalungile kakhulu.
Kungenzeka ukuthi bangabuze impilo yakho yengqondo. Kunezinye izinkomba zokuthi ukucindezeleka nokukhathazeka kungabangela i-proctalgia fugax kwabanye abantu.
Njengoba i-FGD, i-proctalgia fugax itholakale isekelwe ezimpawu nezimiso ezisungulwa yi-IV IV.
Ukuhlangabezana nalezi zinqubo:
- Kufanele ubike izimpawu okungenani amasonto angu-12 wokuphindaphinda iziqephu zobuhlungu e-rectum yakho. Lokhu akudingeki ukuba kube okulandelanayo.
- Iziqephu kufanele zibe zesikhathi esifushane kakhulu - zingaphezu kwamaminithi ambalwa.
- Akumelwe uzwe noma yikuphi ubuhlungu kule ndawo phakathi kweziqephu.
Ukwelapha
Njengoba izimpawu ze-proctalgia fugax zihamba kancane, akudingi ukwelashwa okuphawulekayo. Ngokuvamile, odokotela bakhuthazwa ukuba basekele futhi bachaze uhlobo lwe-syndrome ukubeka ingqondo yakho kalula.
Ezinye zezokwelapha zokuphumula zincoma ukuthi kungaba ngamanzi okugeza afudumele ukuphumula imisipha yakho.
Ukuphumelela kwemithi efana ne diltiazem (umuthi ovamile wokuguliswa ngokweqile) kanye ne-glyceryl nitrate engama-topical ayinayo ubufakazi obanele be-proctalgia fugax.
Imithombo:
Foxx-Orenstein AE, Umar SB, Crowell MD. Ukuphazamiseka Okuvamile Kwezintuthwane. I-Gastroenterology & Hepatology. 2014; 10 (5): 294-301.
Jeyarajah S, Purkayastha S. Proctalgia Fugax. I-Canadian Medical Association Journal. 2013; 185: 417.
USmmulson MJ, uDrossman DA. Yini Okusha ERoma IV Journal of Neurogastroenterology and Motility. 2017; 23 (2): 151-163.