Ukuba uye waba neengozi zokuhlambela emathunjini akho (u- incecinence fecal ), unokufumana induduzo ekubeni ungeyedwa. Kuqikelelwa ukuba ezi ntlobo zengozi yokuhlalisa zifumana ama-6 ukuya ku-15% wabemi. Ukunyuka kwe-incontinence kwenzeka kubabhinqa kunye nabasetyhini kwaye akuyona into eqhelekileyo yokuguga, nangona umngcipheko wokufumana ukunganyaniseki ukwanda njengoko ukhula.
Ukufumana ulwazi malunga nezizathu ezibangelwa ukungaziphathi kwakho kubalulekile ukukunceda ufumane unyango olungcono. Apha siza kubhala izizathu eziphambili zokuba kutheni oku kwenzeka kuwe.
Uhudo
Ukukhawuleza kunye nokukhawuleza ngokukhawuleza kweentshukumo zokugaya kungakwazi ukugqithisa ubuchule bemisipha ye- sphincter kwi-rectum ukubamba isitulo endaweni. Abantu abajamelene nezimo ezibangela isifo sohudo esingapheliyo, njengesihlungu sesisu (IBS) okanye isifo sesibindi esisifo , sinokufumana iziganeko zokungabikho. Isifo sesibindi sokuvuvukala sinokubangela ukutshabalalisa emzimbeni, oko kungaholela ekungabikho komzimba.
Ukutyunjwa
Nangona kubonakala ngathi ibhabha ebusweni beengcamango, kunokwenzeka ukuba ufumane ukucwiliswa xa ugqityiwe. Oku kwenzeka xa isityana samanzi sivuleka ngendlela ejikelezayo, ubunzima be-stool. Umlando omde wokuxhatshaza ukuvelisa isitoli (ngokuqhelekileyo umphumela wokuphela kwengubo), inokulimaza iimbulunga kwimisipha yecandecum, ebangela ubuthathaka kunye nokungakwazi ukugcina isitoli.
Kukho ezinye iimeko ezimbini ezihambelana nokuqothulwa okungabangela ukungahlambuluki kwe-fecal:
- Impembelelo yeFecal
- Ukusetyenziswa kwexesha elide
Ukuzala
Kubafazi, ukubeletha kuyona nto ibangela ukungahambisi. Kungenzeka ukuba kulandelwe ukuhanjiswa okunzima, ngakumbi xa kusetyenziswa i-forceps okanye i-episiotomy.
I-episiotomy yinkqubo apho ugqirha enqumla khona indawo yangasese ekukhuseleni indawo ukuba ingabhidlizwa. Umngcipheko apha kukuba i-sphincter muscle - izihlunu ezantsi kwe-rectum enomsebenzi wokuba ne-stool - zonakaliswe kwinkqubo. Oku kunokubathintela ukugcina ngokwaneleyo isitulo, okubangelwa ukungabikho. Ukubeleka komzimba ngokuvakalayo kuphakamisa umngcipheko wesifazane wokufumana ukungasebenzi komgangatho weplavic, njengoko uya kubona ngezantsi, kubangelwa ukungabikho komzimba.
Ukuze ufunde okungakumbi malunga nobudlelwane phakathi kokubeleka kunye nezingozi zokuhlambela, bonani:
Umgangatho wePelvic
Igama elithi "iplasvic floor" libhekisela kwiqela leemisipha kwingingqi ye-pelvic echaphazelekayo kwinkqubo yokuhamba. Ukungasebenzi kunye nomonakalo wesondlo kwimisipha yomzimba ye-pelvic kungaba ngumphumo wokukhulelwa, ukubeleka kwesisu, kunye nokuhlinzwa kwe-pelvic. Ukungasebenzi komgangatho wepelvic kubangela ubuthathaka obuninzi kunye nokuguqulwa kwiimisipha ze-pelvic, amandla okunciphisa ama-nerb of rectum ukuqonda ubukho be-stool, kunye nokuphazamiseka ekuhambeni kwemisipha ebandakanyekayo kwinkqubo yokuchasana - yonke into kunokukhokelela ekungabikho.
Cofa apha ngezantsi ukuze ufunde kabanzi malunga nokusetyenziswa komgangatho weplavic:
Utyando oluthile
Naluphina uhlobo lwe-rectal surgery, nokuba luba ngumhlaza wekolon okanye isifo somzimba , kuphakamisa umngcipheko wakho wokufumana ukunganyaniseki. Enyanisweni, utyando lwabalandelayo luyimbangela ebangela ukungahambisani namadoda. Ukuhlinzwa, njengokubeletha, kunokubangela ukulimala kwemisipha kunye nemisipha ephazamisa inkqubo eqhelekileyo yokuchasana . Uphando luya kuba nomngcipheko wokuqhawulwa kweendonga zamacangca, obangela ukuba baphelelwe amandla. Ukubangakho ukuphumelela kwe-rectum ukusolula kunokubangela ubunzima obuqukethe isitoli kwaye ngoko-ke ukungabikho komsebenzi kwenzeka.
Iingxaki zobume ezingabonakaliyo
Njengoko uyakubona, ukuba kukho imeko ephazamisa ukusebenza ngokuqhelekileyo kwezidumbu ze-sphincter zangaphambili, ingozi yokuhlambela ingenzeka. Ngamanye amaxesha isizathu sokuba ugqirha wakho akwazi ukubona ngexesha lokuhlola:
- Iimvumba ezinzima
- Prolapse ephezulu
- I-Rectocele (i-rectum i-bulk in the vaginal)
Ngonyango lweMhlaza
Efana nokuhlinzwa ngokugqithisileyo, unyango lwamayeza lungabangela umonakalo kunye nokukhawulwa kweendonga ezixakile ezikhokelela ekungabikho.
Iimeko zeeurological
Izifo kunye neemeko eziwonakalisa izicubu zentlungu nazo zingabangela ukungaziphathi kakuhle, ingakumbi xa zichaphazela iintsholongwane ezilawula ukuchasana. Le miqathango ibandakanya ukubola kwesifo, isifo, ukulimala kwentambo yomgudu, kunye nesifo sikashukela.
Yintoni ongayenza Ukuba Unayo izingozi zeBathole
Into ebaluleke kakhulu ukuyenza kukuxelela ugqirha wakho. Musa ukuhlazisa ihlazo! Oku akuqhelekanga ingxaki kwaye ugqirha wakho uyazi ukuba yintoni okumele ukwenze. Ugqirha wakho uya kusebenza ukuze anikezele ingxaki emva kweengozi zakho kwaye akuncede ufike necebo lokunyanga.
Imithombo:
"I-Incwelinence ye-Bowel" Iwe- Medline Plus Website.
"I-Fecal Incontinence" Isizwe seSizwe soSifo sikashukela kunye neNgcaciso yeSifo seNtsholongwane.
Landefeld, C. et.al. IiNkcazo zeSizwe zezeMpilo kwiNkcazo yeNzululwazi: Ukuthintela ukungabikho kwe-Fecal ne-Urinary Incontinence kuma-Adal Annals of Medicine Internal 2008 148: 449-458.
Lunniss, P. et.al. "Izinto ezinobungozi ekungeneni kwefeecal" Journal of the Royal Society of Medicine 2004 97: 111-116.