Siyakwamukela, msebenzisi we-inthanethi osebenza naye, kulesi sikhala esikhethekile kakhulu sokuhlinzwa kokugaya ukudla, i-physiology ye-colorectal, kanye nempilo yokuvimbela.
Ukuphendula umbuzo wokuthi kuyini ukuqunjelwa ngokuzimisela kwesayensi kuhilela ukucacisa umqondo wokuthi ukuya endlini yangasese kaningi kuyinto evamile; kudinga ukuqonda ubudlelwano obuseduze phakathi kokuhamba kwekholoni lakho, ukuguquguquka kwamahomoni, kanye ne-biomechanics yemisipha yakho yephansi le-pelvic.
Njengodokotela ohlinzayo onguchwepheshe kanye noprofesa wezokuhlinzwa eyunivesithi, ukuzibophezela kwami okuyinhloko ukukufundisa ukuthi ubone nini lapho ukunyakaza kwamathumbu okungajwayelekile sekuqalile ukuqeda amanzi emzimbeni wakho futhi kugcwalise imisipha yesisu sakho ngokweqile.
Ngaphambi kokuhlaziya ukuthi ukuqina kwendle kushintsha kanjani i-microbiota yakho futhi kubangele izinqubo zokuvundisa ezibolayo, kuqedwe ama-alamu omtholampilo adinga ukubuyekezwa okusemthethweni, noma kuchazwe ukuthi inqubo yethu yanamuhla ibuyisela kanjani ukunyakaza kwamaseli unomphela, ngiyakumema ukuthi uthathe indima ebalulekile ekuzinakekeleni kwakho.
Ngaphansi kwesiqondiso sezemfundo sikaDkt. Jorge Delgado, sibhekana nenhlalakahle yakho ngobufakazi obuqinile bezokwelapha.
Imibuzo evamile
Yiziphi izindlela zezokwelapha ezichaza ukuqunjelwa?
Ngokwezokwelapha, ukuqunjelwa noma ukuqunjelwa okusebenzayo kutholakala lapho isiguli sihlala sithutha okungaphansi kwezintathu ngesonto. Kodwa-ke, ukuxilongwa kufaka phakathi nezindlela zokwenziwa kanye nokuhambisana: isidingo sokuzikhandla ngokweqile ngaphezu kwama-25% okuthutha kwamathumbu, umuzwa oqhubekayo wokukhipha okungaphelele, noma ukudlula kwendle eqinile, eyomile.
Kungani abesifazane behlushwa yilesi sifo njalo?
Imbangela ihlanganisa izinto eziningi futhi ihlanganisa i-biology yama-hormone kanye nokwakheka kwe-pelvic. Ngesikhathi sesigaba sesibili somjikelezo wokuya esikhathini (isigaba se-luteal) kanye nangesikhathi sokukhulelwa, amazinga e-progesterone akhuphuka kakhulu.
Le hormone isebenza njengesiphumuli semisipha esibushelelezi, inciphisa ukufinyela kwemvelo (i-peristalsis) yamathumbu amancane futhi inciphise ukuhamba kwamathumbu.
Ngaphezu kwalokho, ukubeletha kungenza buthaka noma kuhlukanise imisipha ehilelekile ekukhululekeni.
Isikali se-Bristol Stool sithinta kanjani ukuhlolwa kokunyakaza kwamathumbu ami?
Isikali saseBristol siyithuluzi lokuxilonga elisetshenziswa kakhulu emakilasini ezokwelapha ukuhlola isikhathi sokuhamba kwamakholoni.
Uma indle yakho ifana nezingcezu eziqinile, ezihlukene, njengamantongomane (Uhlobo 1), noma imise okwesoseji kodwa yenziwe ngezingcezu (Uhlobo 2), kusho ukuthi le nto igcinwe emathunjini isikhathi eside kakhulu.
Amathumbu ayaqhubeka nokumunca amanzi njalo, okufinyeza indle futhi kwenze kube nzima ukukhipha amanzi ngomshini.
Iyiphi indlela efanele yokuvimbela izifo ngaphambi kokusebenzisa imithi?
Ukuphathwa okuqondile kuqukethe ukuvuselela amandla amathumbu ngaphandle kokudala ukuthembela emithini yokuhlanza ecasulayo eyenza ikholoni ihambe kancane.
Kubalulekile ukuqinisekisa ukuthi amanzi anele anele emangqamuzaneni, ukudla i-fiber yezitshalo eziphilayo enezela ubukhulu endle, nokwenza umsebenzi womzimba olinganiselayo ukuze kukhuthazwe ukuhamba kwamathumbu.
Njengoba sifundisa ngokuqinile esihlalweni sezokwelapha, igumbi lokuhlinza lixazulula izinkinga ezithuthukile zokuxineka okungapheli (njenge-hemorrhoids noma i-hernias enzima); kodwa ukufundisa kabusha umkhuba wansuku zonke kuwukuphela komuthi osebenza ngempela.
Ukuqunjelwa yisimo esibonakala ngokunyakaza kwamathumbu okungajwayelekile noma okunzima. Kwenzeka lapho umuntu ephuma amathumbu angaphansi kwezintathu ngesonto futhi indle iqinile, yomile, noma kunzima ukuyikhipha.
Lesi sihloko sizokhuluma ngezimbangela, izimpawu, kanye nokwelashwa kokuqunjelwa, okuhlanganisa izici ezifana nokudla okune-fiber ephansi, ukuphelelwa amanzi emzimbeni, ukuntuleka kokuzilolonga ngokomzimba, kanye nokunganaki isidingo sokuzikhulula.
Sizohlola nezifo ezingahlotshaniswa nokuqunjelwa, njenge-irritable bowel syndrome, isifo sikashukela, kanye ne-hypothyroidism. Ukwelashwa okufanele kokuqunjelwa kubalulekile ekugcineni impilo kanye nenhlalakahle iyonke.
Kuyini ukuqunjelwa?
Ukuqunjelwa kuyinkinga evamile yokugaya ukudla lapho abantu bebhekana nokunyakaza kwamathumbu okungajwayelekile futhi okunzima. Ngokuvamile kubonakala ngokuba nokunyakaza kwamathumbu okungaphansi kwezintathu ngesonto, yize imvamisa ingahluka kumuntu nomuntu.
Ezimweni eziningi, ukuqunjelwa kubangelwa izinguquko endleleni yokuphila noma ekudleni, njengokudla okune-fiber eningi, ukuphelelwa amanzi emzimbeni, noma ukuntuleka kokuvivinya umzimba.
Ezinye izimbangela zifaka phakathi imithi ethile, izifo ezifana ne-irritable bowel syndrome noma isifo sikashukela, kanye nokucindezeleka.
Izimpawu zokuqunjelwa zihlanganisa ukukhandleka okubuhlungu ukuze ukhululeke, indle eqinile neyomile, ubuhlungu besisu kanye nokuqunjelwa ngezinye izikhathi, kanye nomuzwa wokuphuma ngokuphelele ngemva kokukhipha indle.
Izinkinga zokuqunjelwa okungalashwanga zingaholela ekuqhekekeni kwama-hemorrhoids noma emifantwini yendunu ngenxa yokucindezeleka okwengeziwe emzimbeni; kwezinye izimo, indle ethintekile ingadinga ukuhlinzwa ukuze isuswe emathunjini.
Kubalulekile ukubonisana nodokotela wendawo uma uhlangabezana nanoma yiziphi izimpawu eziqhubekayo zokuqunjelwa, ukuze bakwazi ukubona imbangela futhi banikeze ukwelashwa okufanele.
Incazelo
Ukuqunjelwa yisimo esibonakala ngobunzima kanye nokungahambi kahle kwamathumbu. Kuchazwa njengokuhamba kwamathumbu okungaphansi kwezintathu ngesonto, ukuba nendle eqinile, eyomile, noma enamaqhubu, kanye nokulwela noma ukucindezela ukuze ukhululeke.
Abantu abaningi abahlushwa ukuqunjelwa babika nomuzwa wokuphuma ngokuphelele, kanti abanye bathola nokuthi kudingeka basebenzise ukunyakaza ngesandla ukuze kube lula ukuphuma endlini yangasese.
Konke lokhu kuyizimpawu zokuthi umzimba awusebenzi kahle ekususeni imfucuza, okuyimbangela yokukhathazeka ngempilo kanye nenhlalakahle jikelele.
Ukuqunjelwa kungahlukahluka ngokuvama nangohlobo, futhi kuvame ukuba umthombo wokungakhululeki okukhulu kulabo abakuhluphayo. Kwezinye izimo, kungaba yinkinga ebukhali, yesikhashana, kanti kwezinye, kungaba yisimo esingamahlalakhona esibangela izimpawu eziqhubekayo nezikhathazayo.
Kubalulekile ukuqaphela nokubhekana nezimpawu ezahlukene zokuqunjelwa ukuze kusetshenziswe amasu okwelapha afanele futhi asebenzayo.
Izici kanye nokuvama kokunyakaza kwamathumbu
Ukuvama kokuhamba kwamathumbu kungahluka kumuntu nomuntu, futhi kubalulekile ukuqonda ukuthi izinga elijwayelekile libanzi impela. Nakuba abanye abantu bengase babe nephethini evamile yokuhamba kwamathumbu kwansuku zonke, abanye bangase bathole ukuthi bahamba kanye kuphela njalo ngemva kosuku olulodwa, noma njalo ngemva kwezinsuku ezintathu.
Kodwa-ke, uma kucatshangelwa izici zokuqunjelwa, akukhona nje kuphela ukuthi imvamisa ibalulekile, kodwa futhi nohlobo lwendle kanye nomzamo owenziwayo wokukhipha indle.
Indle eqinile, eyomile, noma eqinile, kanye nesidingo sokucindezela ngesikhathi sokuzikhulula, kuyizimpawu ezivamile zokuqunjelwa futhi kungabangela ukungakhululeki kanye nomuzwa wokuthi awukawususi ngokuphelele umathumbu.
Ngaphezu kwalokho, umuzwa wokudinga ukuzikhulula kodwa ungakwazi ukwenza kanjalo, kanye nokudinga ukusebenzisa umuthi wokuhlanza noma okunye ukungenelela ngesandla ukuze kuxazululwe inkinga, kungachaza kabanzi uhlobo lokuqunjelwa.
Lezi zonke izici ezibalulekile okufanele uzicabangele lapho uhlola umthelela wokuqunjelwa empilweni yomuntu kanye nekhwalithi yempilo yakhe.
⚠️ INOTHI EBALELEKILE:
Lokhu okuqukethwe kungokwezinjongo zolwazi kuphela. Ukuze uthole iseluleko sezokwelapha noma ukuxilongwa, xhumana nochwepheshe wezempilo endaweni yakini.
Izimbangela ezivamile zokuqunjelwa
Izimbangela zokuqunjelwa zingahlukahluka futhi zibe nezinhlangothi eziningi futhi zivame ukubangelwa yinhlanganisela yezici ezihlobene nendlela yokuphila, ukudla, kanye nokusebenza komzimba.
Phakathi kwezimbangela ezivame kakhulu yimikhuba yokuphila efana nokudla ukudla okune-fiber eningi , ukungaphuzi uketshezi olwanele, ukungazivocavoci umzimba, kanye nokungazinaki izimpawu zokuzikhulula.
Zonke lezi zici ezingathinta kakhulu ukusebenza kohlelo lokugaya ukudla futhi zinegalelo ekuthuthukisweni kokuqunjelwa.
Ngaphezu kwalezi zimbangela ezihlobene nendlela yokuphila, imithi ethile, njengemithi yokunciphisa ubuhlungu, imithi yokucindezeleka, kanye nemithi yokulwa namagciwane, ingadlala indima ebalulekile ekuqaleni kokuqunjelwa kubantu abasengozini.
Ukudla okuphansi kwe-fiber
Ukudla okungenayo i-fiber kuyimbangela evamile yokuqunjelwa. I-fiber, etholakala kakhulu ezithelweni, emifino, okusanhlamvu okuphelele, kanye nemifino, idlala indima ebalulekile ekugcineni ukuhamba kwamathumbu njalo ngokufaka inqwaba endle futhi ilula ukudlula kwayo emathunjini.
Ngaphandle kokudla i-fiber eyanele, indle ingaba nzima futhi kube nzima ukuyikhipha, okuholela ezinkingeni ezahlukahlukene ngesikhathi sokuya endlini yangasese.
Ngaphezu kwalokho, ukudla okune-fiber ephansi akugcini nje ngokuvimbela ukuhlala njalo kodwa futhi kungenza indle ingabi manzi kangako ngakho-ke kube nzima ukuyikhipha. Lokhu kungadala umjikelezo wokuqunjelwa okuqhubekayo futhi kubeke isisekelo sokungakhululeki okuqhubekayo kokugaya ukudla kanye nezinkinga ezingaba khona.
Ukomisa
Ukuntuleka kwamanzi emzimbeni kungenye into evamile ebangela ukuqunjelwa. Uma umzimba ungatholi uketshezi olwanele, ikholoni limunca umswakama owengeziwe esitulweni, okwenza kube manzi futhi kube nzima ukudlula.
Lokhu kungaholela endle eqinile, enamaqhubu, kanye nokwehla kokuvama kokuhamba kwamathumbu. Ngaphezu kwalokho, uketshezi olungenele esitulweni kungenza kube kubi kakhulu ukuqunjelwa ngokwandisa umzamo odingekayo ukuze kube nokuhamba kwamathumbu okuvamile. Kunconywa ukulandela uhlelo lokuvuselela ukuhamba kwamathumbu .
ukuntula umsebenzi womzimba
Ukungawuvivinyi umzimba kanye nendlela yokuphila yokuhlala phansi nakho kuhlotshaniswa nokwanda kwesibalo sokuqunjelwa.
Ukuvivinya umzimba njalo kubalulekile ekuvuseleleni ukufinyela kwemvelo kwamathumbu, okwaziwa ngokuthi i-peristalsis, okubalulekile ekuhambiseni indle ngendlela yokugaya ukudla.
Uma ukunyakaza nokuzivocavoca kungekho, lokhu kufinyela kungancipha, kunciphise ukuhamba kwamathumbu futhi kwandise amathuba okuqunjelwa.
Ukunganaki isifiso sokuzikhulula
Umkhuba wokungazinaki isidingo sokuzikhulula, ikakhulukazi ngezikhathi ezimatasa noma ezicindezelayo, ungathinta kabi ukusebenza okuvamile kohlelo lokugaya ukudla.
Uma lesi sifiso singanakwa njalo, i-rectum ingaba buthakathaka ekuboneni ukuthi kukhona indle, okwandisa ingozi yokuqunjelwa. Ngaphezu kwalokho, ukucindezela njalo isifiso semvelo sokuzikhulula kungabangela ukuthi indle ibe lukhuni futhi yome, okwenza inkinga ibe nkulu nakakhulu.
Imithi
Imithi ethile ingaba yingxenye ebalulekile ekuthuthukiseni ukuqunjelwa. Isibonelo, ukusetshenziswa kwemithi yokubulala izinhlungu ye-opioid, esebenza ngokuvimbela izimpawu ezithile zobuhlungu emzimbeni, kuvimbela nokuqunjelwa kwamathumbu, okungaholela ekuqunjweni.
Uma kwenzeka imithi yokucindezeleka kanye nemithi yokubulala amagciwane, ingaphazamisa ukusebenza kahle kwamathumbu, okubangela ukuba kube nomthelela omkhulu ekukhuleni kokuqunjelwa njengomphumela ongemuhle.
Ukuze iziguli zethu zikwazi ukuzihlola impilo yazo yokugaya ukudla ekhaya, ezokwelapha zisebenzisa indinganiso yokubona ebanzi. Isikali esilandelayo sezokwelapha sivumela ukuhlobana kokuvumelana kwendle nesikhathi sokuhamba kwamathumbu:
Isikali Sendle SaseBristol: Isibonakaliso somtholampilo sokuhamba kwamathumbu. Umthombo: ⓇJavier Ríos-uDocz
Njengoba ubona ekuhlukanisweni kwezithombe, izinhlobo 1 no-2 zimelela izimo ezicacile zokuqunjelwa, lapho ukuntuleka kokugcoba namanzi kudala ukungqubuzana ezindongeni ze-rectum.
Umgomo wohlelo lwethu lokuvimbela ukugaya ukudla ukuqinisa ukugaya kwakho ukuze uhambise amathumbu akho njalo ezinhlotsheni 3 no-4 , okubhekwa njengezinga lokulinganisela okuphelele kwe-metabolic.
Izimo zezokwelapha ezihambisana nokuqunjelwa
Ngaphezu kwezindlela zokuphila ezivamile kanye nezici zokudla, izimo eziningana zezokwelapha zingahlotshaniswa nokuqunjelwa. Isibonelo, abantu abane-irritable bowel syndrome (IBS) bangase babhekane neziqephu zokuqunjelwa njengophawu oluyinhloko lwalesi simo.
Ngaphezu kwalokho, izifo ezifana nesifo sikashukela, i-hypothyroidism, kanye nezinye izifo zezinzwa, okuhlanganisa nesifo sikaParkinson, zingaphazamisa ukusebenza okuvamile kwemisipha yamathumbu futhi zifake isandla ekukhuleni kokuqunjelwa.
I-Irritable bowel syndrome (IBS)
I-IBS iyisifo esivamile samathumbu esingabonakala ngokuqunjelwa, isifo sohudo, nezinye izimpawu ezicindezelayo, njengokuqunjelwa kanye nokungakhululeki kwesisu.
Imbangela eqondile ye-IBS iyinkimbinkimbi futhi inezici eziningi, futhi yize izindlela ezithile zingaqondakali ngokugcwele, kukholakala ukuthi ihilela inhlanganisela yezici, njengokushintsha kokunyakaza kwamathumbu, ukuzwela okuphezulu kwe-visceral, kanye nokungasebenzi kahle kokuxhumana okuyinkimbinkimbi phakathi kwesistimu yezinzwa ephakathi kanye nesistimu yezinzwa yamathumbu.
Diabetes
Abantu abanesifo sikashukela, ikakhulukazi labo abanesifo sohlobo lwesibili, basengozini enkulu yokuqunjelwa. Lokhu kungenxa yokuthi lesi sifo singaba nomthelela ohlelweni lwezinzwa oluzimele, olulawula ukunyakaza kwamathumbu okungahleliwe.
Ngaphezu kwalokho, ukulimala kwemizwa okungenzeka ohlelweni lwezinzwa olungaphandle ngenxa yesifo sikashukela kungaphazamisa kakhulu ukusebenza kwamathumbu futhi kufake isandla ekukhuleni kokuqunjelwa.
I-Hypothyroidism
I-Hypothyroidism, noma i-thyroid engasebenzi kahle, yisimo esibonakala ngokukhiqizwa okunganele kwama-hormone e-thyroid, okudlala indima ebalulekile ekulawuleni imisebenzi ehlukahlukene ye-metabolic, okuhlanganisa nokunyakaza komgudu wokugaya ukudla.
Kubantu abane-hypothyroidism, amazinga aphansi ama-hormone e-thyroid angabangela ukwehla kokufinyela kwamathumbu, okuholela ekugcinweni kwendle kanye nokukhula kokuqunjelwa njengophawu oluyinhloko.
Ukuhlaziywa kwenani
Ukuphathwa kwe-Pelvic Dyssynergia:
UDkt. Delgado unikeza inani elibalulekile lokuhlukanisa ngokwethula umqondo ongavamile ukukhulunywa ngawo kuma-portal e-inthanethi ajwayelekile: i-pelvic floor dyssynergia noma i-anismus.
Ukuchaza ngokuningiliziwe ukuthi abesifazane abaningi bayahluleka ukuphuma ngoba imisipha etholakala phansi kwe-pelvis (njengemisipha ye-puborectalis) iyafinyela ngokumangalisayo esikhundleni sokuphumula ngesikhathi sokucindezeleka kushintsha ngokuphelele umbono wesiguli.
Umfundi uyaqonda ukuthi inkinga yakhe kungenzeka ukuthi akuyona ukuntuleka kwe-fiber, kodwa ukuntuleka kokuxhumana kwemishini okudinga ukwelashwa okukhethekile kwe-physiotherapy.
Umbono Wezemfundo kanye Nendlela Yobulili:
Umehluko usekufundiseni ngokuvimbela udonga lwesisu . Njengoprofesa baseyunivesithi bezokuhlinzwa, sifundisa ukuthi ukuqunjelwa okungalashwanga kuyinjini ethule ebhubhisa izicubu ezisekelayo.
Ukuxwayisa umphakathi wesifazane ngokuthi ukuzikhandla njalo kusebenza kanjani njenge-piston enomfutho ophezulu ebuthakathaka phansi kwe-pelvic (okubangela ukuqubuka) noma ukudabula i-inguinal muscle fascia kuphakamisa kakhulu indinganiso yesayensi yebhulogi.
Isiphetho
Ekuphetheni, ukuqunjelwa yisimo esivamile esingabangelwa yizici ezahlukene, okuhlanganisa ukudla okune-fiber eningi, ukuphelelwa amanzi emzimbeni, ukuntuleka kokuzilolonga ngokomzimba, kanye nokusetshenziswa kwemithi ethile.
Kungahlotshaniswa nezimo zezokwelapha eziyisisekelo. Izimpawu eziyinhloko zokuqunjelwa zihlanganisa ukunyakaza kwamathumbu okungajwayelekile nokunzima, kanye nomuzwa wokuphuma ngokuphelele.
Ukwelashwa kuvame ukuhilela izinguquko zendlela yokuphila, njengokwandisa ukudla i-fiber nokuhlala umanzi, kanye nemithi uma kudingeka. Uma izimpawu ziqhubeka noma ziba yizifo ezingamahlalakhona, kubalulekile ukubona udokotela ukuze uthole ukuxilongwa okufanele kanye nokwelashwa.
UDkt. Jorge Delgado, Udokotela Ohlinzayo. Kuyini ukuqunjelwa?
📌 Ukufundwa okunconyiwe:
✅ Izindlela ezijwayelekile ze-pathophysiological zokuhamba kancane kwamathumbu amakhulu
✅ Ukugaya amafutha kabi kuphazamisa ukubiliswa kwamagciwane emathunjini
✅ Indlela ukucindezeleka okungapheli okuphula ngayo imisipha yodonga lwesisu