Ukuba unesifo sesibilini sokuvuvukala njenge-Crohn's okanye imeko efanayo, mhlawumbi uyazi kakuhle i-tenesmus, nokuba awuzange ulive ixesha. I-Tenesmus yoluvo lokuba kufuneka ukhulule isilwanyana okanye isilwanyana esingekho. Ngokuqhelekileyo kubandakanyeka ukunyanzelwa kwesisu kunye nesisu esisisigxina, oko kukuthi, ukuziva ukuba kusekhona isitofu okanye umchamo ukuba udluliselwe.
Nangona ukunyakaza kwebilini kuya kuvelisa, kungabangela kuphela amancinci amancinci, izitshixo ezinzima.
Xa igama elithi tenesmus lisetyenziswe njengegama elide eliqhelekileyo libhekisela kwi-tenesmus ye-rectal. I-bladder tenesmus iyaziwa nangokuthi i-vesical tenesmus.
Iimpawu
I-Rectal tenesmus inxulumene neemeko ezahlukeneyo zonyango, kubandakanywa ama-absental or colorectal abscesses okanye i-tumors, i- gastroenteritis , i-colitis echaphazelekayo, izifo ezithintekayo, izifo zeliliac, kunye ne-proctitis ukusuka kwonyango
Kubantu abanesifo sesilonda kunye nesifo sikaCrohn, i-rectal tenesmus yinto eqhelekileyo eyenzekayo. Kwakhona kubonakala kubantu abaninzi abanesifo esilumkileyo esiswini ( IBS -C), zombini i-IBS-C, apho ukutyunjwa kukunye uphawu olukhulu, kunye ne-IBS-D, apho isifo sohudo sixhaphake.
Ekubeni iCrohn kunye ne-ulcerative colitis ibangela isilonda kwisiginci sesisu, kunokwenzeka ukuba abantu abanezo meko banokuba nekhanda, i-rectum okanye amathumbu ngenxa yoko.
Ukutshatyalaliswa okunjalo kunokukwenza kube nzima ukunqumla intshukumo yokuhamba, oku kunokukhokelela ekuxineni kwe-tenesmus.
Unyango
Unyango olululo ngakumbi lwe-tenesmus luyahlukahluka kuxhomekeke kwimeko ephantsi. Olunye uvavanyo oluncinci lwezonyango lufumene ukuba i-dose ephantsi i- tricyclic antidepressants yaphucula izibonakaliso zesifo kwezinye izigulane.
Kukho uphando oluninzi olubonisa uxhulumaniso phakathi kobuchopho nomsebenzi wegulane, kwaye indlela ekubambisene ngayo iimbini zichaphazela, ngoko kuyacaca ukuba u-anti-depressant angabangela ukukhululeka kwe-tenesmus. Kodwa oku kuyinto enokuxoxa ngayo nomniki-nkonzo wakho wezempilo ngenxa yokuba abaxinzelelekileyo baneziphumo zabo zecala ukuba baqwalasele.
Ukuba i-tenesmus yakho iyimpawu yentsholongwane yesisu esiswini okanye ukuvuvukala, njenge-diverticulitis, i-antibiotics ingafuneka.
Ngokuqhelekileyo, nangona kunjalo (kunye kwakhona ngokuxhomekeke kwisisiseko esiyimbangela), i-tenesmus iyimpawu enokukhutshwa ngamanzi amaninzi okanye ukongeza i-fiber ekudleni kwakho. Ekubeni kudla ngokubakho uphawu lwesibini lwemoji ephosakeleyo ye-gut , nantoni na eyenza inkqubo yokugaya inyama ihamba kakuhle iyakunceda ukuphucula i-tenesmus.
Yintoni iVesical (Bladder) Tenesmus?
I-tenesmus ye-Vesical iyona nto ivakalelwa kukuba kufuneka iqhubeke xa i-vestile ichithwe. Iimpawu zihamba neengxaki eziphambili ze- urinary infection (UTI) okanye imeko engapheliyo ye- cystitis yangaphakathi .
Njengoko i-tenesmus ye-rectal, unyango lweyona nto ebangela i-vesical tenesmus kufuneka incede ekunciphiseni uphawu.
Yintoni ongayenza Ukuba unayo iTenesmus
Nangona kunokuba neentloni ukuthetha malunga ne-tenesmus, ekubeni ngokuqhelekileyo ibonisa imeko ephantsi, kubalulekile ukuyikhankanya kumboneleli wakho wezempilo.
Uyakwazi ukusebenza ngokokufumanisa oko kunokubangela ukuba kubekho uphawu kwaye uqalise kwiklasi efanelekileyo yokonyango.
Imithombo:
Livovsky, D., kunye. al. "I-Tricyclic antidepressants ekwenzeni unyango lwe-tenesmus ehambelana ne-proctal prolapse" I- Colorectal Disease 2015 17: 1094-1099.
> Meerveld BG-V, uJohnson AC, uGrundy D. "Ukuzinyuliswa kwezilwanyana > Imisebenzi" Incwadi ye-Pharmacology yokuhlola . 2017.
> Ford, A., Sainsbury, A. "Ukwelashwa kwesifo sengqondo sesifo esilumkileyo: ngaphaya kwe-fiber kunye nama-antispasmodic agents" Uphuhliso lwezonyango lwe-Gastroenterology Matshi 2011
"Tenesmus" I-New York Times .