Izimbangela Ezivamile Ezi-5 Zokopha Ngerectal (Igazi Esitokisini Sakho)

Iyaqaphela igazi esitulweni sakho noma ukubona igazi elibomvu eligqamile ephepheni lasendlini yangasese kungase kube indida. Nakuba ukopha ngodoti kunezinhlobonhlobo zezimbangela ezingase zibe khona, eziningi zazo zelapheka kalula ekhaya noma ngosizo lwezokwelapha olulula. Kuhlale kuwumqondo omuhle ukuzifundisa, ulandelele izimpawu zakho, futhi uxhumane nodokotela othintekayo ukuze uthole ukuxilongwa okufanele kanye nohlelo lokwelapha. Masiqonde lesi simo sezempilo.

Kuyini Kahle Ukukopha kweRectal?

Ukopha edongeni kubhekisela ekuphumeni kwegazi elibonakalayo ngesikhathi sokunyakaza kwamathumbu, esitulweni sakho ngokwaso, noma nje endunu yakho noma i-rectum. Ungase uqaphele amaconsi ambalwa egazi elibomvu ngokugqamile, igazi elibomvu elimnyama, noma indle emnyama ye-tarry, ebonisa igazi eligaywe. Igazi lingavela ngezindlela ezahlukene:

• Ephepheni lasendlini yangasese lapho usula
• Endishini yasendlini yangasese, uphendulela amanzi abebomvu
• Kuhlanganiswe nesitulo sakho - imivimbo ebomvu, amahlule, njll.
• Ukuconsa endunu yakho ungalindele

Nakuba kuthiwa ukopha “okungamarectal”, igazi lingaphuma noma yikuphi emgudwini wakho wokugaya ukudla - i-rectum, ikholoni, ithumbu elincane, noma isisu. Njengoba lihamba liphuma emzimbeni, ama-enzyme okugaya ukudla kanye nama-asidi ashintsha umbala nokwakheka. Ake sibheke kabanzi izimbangela zokopha kwe-rectal.

Izimbangela Ezivamile Zokopha Ngama-Rectal

1. Ama-hemorrhoids

• Ukuvuvukala, imithambo ecasukile engxenyeni ephansi ye-rectum/anus iyimbangela evame kakhulu yokopha okuncane kwe-rectal.
• Imithambo iyakhukhumala futhi iqhume ngenxa yokucindezela, imvamisa ngenxa yokudonsa kanzima lapho uphuma amathumbu, ukuqunjelwa, isifo sohudo, ukukhuluphala, noma ukukhulelwa. 
• Angase aqhume futhi ophe, ikakhulukazi kusukela ekuphumeni kwamathumbu aqinile noma ukwesula. 
• Ukopha kwe-hemorrhoid ngokuvamile kubomvu ngokugqamile futhi kuncane. 
• Ubuhlungu, ukulunywa, nokuvuvukala kuvamile. 

Ama-hemorrhoids avame ukuxazulula lapho ingcindezi evuselelayo isiphelile.

2. I-Anal Fissures

• Izinyembezi ezincane kulwelwesi oluncane lwe-anus zingavela ngokudlula indle eqinile, eyomile. 
• Izinyembezi zivame ukuba buhlungu kakhulu
• Opha ngamanani amancane egazi elibomvu ngokugqamile, ikakhulukazi ngesikhathi sokuphuma kwamathumbu. 

Imifantu eminingi iphola emasontweni ambalwa uma indle isithamba futhi imikhuba yamathumbu iba ngokwejwayelekile. Ukucwiliswa emanzini afudumele kunganikeza ukukhululeka kwezimpawu.

3. Isifo Samathumbu Esivuvukalayo (IBD)

• I-IBD ibhekisela ezimweni ezivuthayo ezingapheli ezifana nesifo sika-Crohn kanye ne-ulcerative colitis ebangelwa ukusabela okungavamile kokuzivikela komzimba kuhlasela umgudu wokugaya ukudla. 
• I-IBD ibangela isifo sohudo njalo, ukumelwa yisisu, ukopha ngodoti, ukuncipha komzimba, nokukhathala. 

Ukopha kubangelwa izilonda ezibangelwa ukuvuvukala eduze kodonga lwamathumbu, izicubu ezigugulekayo nezilimazayo. I-IBD idinga ukwelashwa nokuqapha impilo yonke.

4. Izifo

• Izifo ezithile zebhaktheriya ezifana ne-C. diff, E. coli, i-salmonella, i-shigella, ne-campylobacter zingangena emathunjini, kubangele isifo sohudo esinegazi njengoba amagciwane ehlasela ngokuqondile futhi abangele ulwelwesi lwamathumbu. 
• Amagciwane afana ne-norovirus awavamile ukubangela ukopha. 

I-colitis ethelelekayo ixazululeka ngokuphumula kanye ne-hydration, kwesinye isikhathi idinga ama-antibiotics aqondise uhlobo oluthile lwebhaktheriya.

5. Imiphumela Yemithi Yokwelashwa

• Imithi eminingi evamile efana nama-NSAID, ama-steroids, nama-anticoagulants angacasula isisu/ulwelwesi lwamathumbu okwanele ukuze kubangele ukopha okuncane, ikakhulukazi ngokuhamba kwesikhathi. 

Ukumisa imithi evuselelayo ngokuvamile kuxazulula lokhu, kodwa kungase kudingeke eminye imithi ukuze kwelashwe isimo esiwumsuka.

Izimbangela Ezincane Ezivamile

1. Izifo ze-Diverticular

• Izikhwama ezincane, ezivuvukele ezibizwa ngokuthi i-diverticula zingakheka ezindongeni zekholoni, ngokuvamile kukholoni ye-sigmoid. 
• Lezi zikhwama ngokuvamile azibangeli izinkinga kodwa ngezinye izikhathi zingavuvuka (i-diverticulitis) ngenxa yokutheleleka noma indle ethintekile. 
• Lokhu kuholela ekopheni kwama-rectal, ama-cramping, izinhlungu, kanye imfiva. 
• Ukopha ngokuvamile kuncane, kodwa kungaba kukhulu.
• Amacala amaningi axazululwa ngama-antibiotics kanye nokuphumula.

2. I-Colon Polyps / Umdlavuza

• Ama-polyp ama-colon yizimila zezicubu ezingavamile ezakha ulwelwesi lwekholoni kanye ne-rectum. 
• Nakuba ngokuvamile engenawo umdlavuza, amanye ama-polyp angaba nomdlavuza eminyakeni eminingi. 
• Ama-polyp amakhulu anemithambo yegazi ecebile futhi ngaleyo ndlela evame ukopha ngezikhathi ezithile. 
• Ama-polyps anomdlavuza anengozi enkulu yokopha. 
• Wonke ama-polyps kufanele asuswe nge-colonoscopy. 
• Umdlavuza we-cororectal ubangela ukopha kwe-rectal, ikakhulukazi kamuva, njengoba isimila sikhula.

3. Izifo Ezithathelwana Ngocansi (STIs)

• Izifo ezithathelwana ngocansi ezibangelwa amagciwane afana negonorrhoea, i-chlamydia, kanye ne-syphilis zingangena kulwelwesi lwamafinyila njenge-rectum. 
• Lokhu kuholela ekuvuvukeni, ukucasuka, izilonda, kanjalo nokopha okuncane okungavamile, kanye nokuphuma ezinduneni nobuhlungu. 
• Idinga ukwelashwa kwama-antibiotic kanye nokwelashwa kozakwethu ukuze kuxazululwe.

Libukeka Kanjani Igazi?

Umbala nokwakheka kwegazi olidlulayo kunganikeza izinkomba mayelana nemithombo engaba khona:

• Igazi elibomvu elikhanyayo - Ngokujwayelekile libonisa ukopha okuphansi kwe-GI kusuka ku-rectum, ikholoni ye-sigmoid noma ikholoni yesokunxele. Igazi alikabi naso isikhathi sokugaya.
• Igazi elibomvu elimnyama noma elimaroon - Liphakamisa ukopha phezulu phezulu kukholoni noma ngezinye izikhathi ukusuka emathunjini amancane, okuvumela ukugayeka kokudla okuthile endleleni.
• Indle emnyama noma ephuzile (melena) - Igazi eligayiwe elikhomba umthombo we-GI ongase ube phezulu njengesisu noma umminzo. Idinga ukuhlolwa okusheshayo.
• Igazi elishubile - Igazi elingabonakali, elitholwe ngokuhlola igazi elisebenza ngendle lesampula lendle. Iphakamisa ukopha okuhamba kancane, nezikhawu ngokuhamba kwesikhathi.

Kufanele Ngimbone Nini Udokotela?

Bheka udokotela wakho uma:

• Ukopha kaningi, kuyasinda, noma kuthatha iviki elingu-1
• Ukopha kuhambisana nobuhlungu obukhulu
• Uzizwa unesiyezi/uquleka ngenxa yokulahlekelwa igazi
• Awuyazi imbangela

Imibuzo ebalulekile kadokotela wakho:

• Yini ebangela ukopha kwami, futhi yiziphi izivivinyo engizidingayo?
• Ingabe ngidinga imithi noma okunye ukwelashwa?
• Ngingazivimba kanjani iziqephu zokopha esikhathini esizayo?

Isiphetho

Ukopha kwe-rectal kungaba uphawu olushaqisayo. Kodwa-ke, izimbangela eziningi ezingaba khona kusukela ku-hemorrhoids kuye kwezinyembezi zendunu, zivame ukuzixazulula ngokwazo noma ngokwelashwa okulula ekhaya. Kusabalulekile ukuqonda izimbangela ezingase zibe khona futhi uxhumane nodokotela wakho, ikakhulukazi uma ukopha kuvame noma kuhambisana nezimpawu. Ukulandelela imininingwane ezungeze ukopha kwakho nokusebenza eduze ochwepheshe bezokwelapha izoqinisekisa ukuxilongwa nokunakekelwa okufanele. Nakuba kusabisa, ukopha ngodoti akubonisi ukugula okubi kakhulu, kodwa ukuqwashisa okwengeziwe nokusebenza ngokuzikhandla kukulungiselela umphumela ongcono kakhulu ongakhona.