Uma uke waba nezingozi zokugezela ezihlobene namathumba akho ( ukungabi naso kwe-fecal ), ungathola induduzo ngoba awuyedwa. Kucatshangwa ukuthi lezi zingozi ezithuthumayo zithola abantu abayisithupha kuya ku-15%. I-incontinence yenzeke kubo bobabili besilisa nabesifazane futhi akuyona ingxenye evamile yokuguga, nakuba ingozi yakho yokuthola ukungathembeki ikhula njengoba ukhula.
Ukuthola ulwazi mayelana nezimbangela zokungaziphathi kwakho kubalulekile ukukusiza ukuthola ukwelashwa okungcono kakhulu. Lapha sizohlanganisa izizathu eziyinhloko ukuthi kungani lokhu kungase kwenzeke kuwe.
Uhudo
Ukuphuthumayo kanye nesivinini esisheshayo sokunyakaza kwamathumbu kungadlulela ikhono lemisipha ye- sphincter e-rectum ukubamba isithunzi endaweni. Abantu ababhekene nezimo ezibangelwa ukuhuda isifo esingavamile, njengesihlungu samathumbu (i-IBS) noma isifo sofuba , singathola iziqephu ze-incontinence. Isifo sesibindi sokuvuvukala singabangela ukuhlukunyezwa kwamagciwane, okungaholela ekungeneni.
Ukuqokwa
Nakuba kubonakala sengathi iyahamba ebusweni be-logic, kungenzeka ukuthi uzwe ukuthuka uma uqedile. Lokhu kwenzeka lapho isitshalo samanzi siphambuka ngendlela eyayizungeze ubunzima obunzima, obuhlanganisiwe nesitokisi. Umlando omude wokuhlukumeza ukukhiqiza isitoli (ngokuvamile umkhiqizo wokuphela wokuqotshwa okungapheli), ungalimaza izinzwa emisipha ye-rectum, obangela ubuthakathaka nokuhluleka ukuqukatha isitela.
Kunezinye izimo ezimbili ezihlobene nokuqothulwa okungabangela ukungahambi kahle kwe-fecal:
- Impact Impaction
- Ukusetshenziswa kwe-laxative yesikhathi eside
Ukubeletha
Kwabesifazane, ukubeletha kuyimbangela ehamba phambili yokungaziphathi kahle. Kungenzeka ukuthi kulandelwe ukulethwa okunzima, ikakhulukazi lapho kusetshenziswe i-forceps noma i-episiotomy.
I-episiotomy yinkqubo lapho udokotela echitha khona indawo yangasese ukuze kuvinjelwe ukuthi indawo ingabhidlizwa. Ingozi lapha yukuthi imisipha ye-sphincter - imisipha engaphansi kwe-rectum enomsebenzi wokuqukethe isisindo - yonakaliswe kule nqubo. Lokhu kungabavimbela ukuba bakwazi ukugcina isitokisi ngokwanele, okuholela ekungeneni. Ukubeletha kwama-vaginal futhi kuphakamisa ingozi yowesifazane yokuthola ukungasebenzi komzimba, njengoba uzobona ngezansi, kuyimbangela yokungahlambuluki kwe-fecal.
Ukuze ufunde kabanzi mayelana nobuhlobo phakathi kwezinkinga zokubeletha nezokugezela, bheka:
Ipholivic Floor Ukungasebenzi
Igama elithi "floor pelvic" libhekisela eqenjini lezinhlanzi esifundeni sezintambo ezibandakanyeka enkambisweni yokunyakaza kwesisu. Ukungasebenzi kanye nokulimala kwamantombazane emisipha yomzimba kungaba umphumela wokukhulelwa, ukubeletha kwesisu, kanye nokuhlinzwa kwe-pelvic. Ukungasebenzi kwamapulisi kumzimba kubangela ubuthakathaka obukhulu kanye nokwehliswa emisipha ye-pelvic, ikhono elinciphile lezinzwa ze-rectum ukuzwa ukutholakala kwesitokisi, nokukhubazeka ekuhambeni kwemisipha ehilelekile ekuqhutshweni kwe-defecation - konke okuyiyo kungabangela ukungabikho.
Chofoza ngezansi ukuze ufunde kabanzi mayelana nokukhubazeka phansi kwe-pelvic:
Ukwelashwa Okuvamile
Noma yiluphi uhlobo lwe-rectal operation, kungakhathaliseki ukuthi lukhona umdlavuza wekoloni noma i- hemorrhoid s, kuphakamisa ingozi yakho yokuthola ukungathandeki. Eqinisweni, ukuhlinzwa kwangasese kuyimbangela ehamba phambili yokungahloniphi kwamadoda. Ukwelashwa, njengokubeletha, kungabangela ukulimala kwemisipha kanye nemisipha okuphazamisa inqubo evamile yokuhlonza . Ukwelapha futhi kubeka ingozi yokuqothula izindonga zamagceke, okwenza ukuba balahlekelwe amandla. Ukwehluleka kwe-rectum ukuwelula kungabangela ubunzima obuqukethe isitembu futhi ngenxa yalokho ukungabikho kuvele kwenzeka.
Izinkinga ezibonakalayo zesakhiwo
Njengoba ubona, uma kukhona isimo esingaba nokusebenza okujwayelekile kwemisipha ye-sphincter, ingozi yokugezela ingenzeka. Ngezinye izikhathi imbangela yinto udokotela wakho angayibona ngesikhathi sokuhlolwa komzimba:
- I-hemorrhoids enamandla
- I-prolapse ejwayelekile
- I-Rectocele (i-rectum i-bulk in the vagin)
I-Cancer Radiation Treatment
Ngokufanayo nokuhlinzekwa emaceleni, ukwelashwa kwemisebe kungabangela ukulimala nokuqedwa kwezindonga zamacembe okuholela ekungeneni.
Izimo Zezinzwa
Izifo nezimo ezilimaza izicubu zezinzwa nazo zingabangela ukungaziphathi kahle, ikakhulukazi uma zithinta izinzwa ezilawula ukuhlukunyezwa. Lezi zimo zihlanganisa ukuphefumula okuningi, ukushaya isisu, ukulimala komgogodla, nesifo sikashukela.
Okufanele Ukwenze Uma Unayo Izingozi Zesebhedlele
Into ebaluleke kakhulu ukuyenza ukutshela udokotela wakho. Ungavumeli ukuhlazeka kufike endleleni! Lokhu akuyona into engavamile inkinga futhi udokotela wakho uzokwazi ukuthi yini okufanele akwenze. Udokotela wakho uzosebenza ukuze akhombe inkinga ngemuva kwezingozi zakho futhi akusize ukuba uhlele uhlelo lwezokwelapha.
Imithombo:
"I-Bowel Incontinence" Iwebhusayithi ye- Medline Plus .
"I-Fecal Incontinence" I- National Institute for Diabetes kanye ne-Digestive and Kidney Diseases Iwebhusayithi.
Landefeld, C. et.al. Isitatimende Senkomfa Yezempilo Esifundweni Sezizwe Zikazwelonke: Ukuvinjelwa Kwe-Incecinence Ye-Fecal ne-Urinary Kwamanye Amalengiso Wama- Internal Medicine 2008 148: 449-458.
Lunniss, P. et.al. "Izingozi zokuthola ukungathandwa kwabathelisi esikubona ngokoqobo" Journal of the Royal Society of Medicine 2004 97: 111-116.