Okuvame kakhulu kubantu asebekhulile, ukungqubuzana kwendle kuyisigaxa se-fecal matter eqinile, evame ukunqwabelana engxenyeni yokugcina ye-rectum. Yenza kube nzima i-stool reflex ngesikhathi sokuzikhulula. Izincazelo.

Kubantu asebekhulile, abalele futhi ngokuvamile kwabesifazane, ukuhamba kwamathumbu kuncipha kakhulu futhi amathumbu amunca uketshezi oluningi olukhona esinqeni esingaphakathi emathunjini kunangesikhathi sokuhamba okuvamile. Lezi ndle ezomile zinqwabelana engxenyeni yokugcina yamathumbu amakhulu (i-rectum) futhi kancane kancane zigcine zenze ibhola le-fecal matter eliphazamisa ukuphuma okungokwemvelo kwendle. Leli bhola, uma selakhiwe, lizodala isithiyo esikhulu esizokwenza ukukhishwa kwendle kube nzima futhi kube buhlungu. Kuzophinde kucasule izindonga ze-rectum ngokubangela ukukhishwa okuvuthayo nokusebenzayo kwezindonga futhi ngezinye izikhathi kuholele ekuhudo okungamanga.

I-Pathologies kanye ne-fecaloma

Ama-pathologies amaningana angaholela ekwakhekeni kwe-fecaloma, ngokuvamile ngokukhuthaza ukunensa kokuhamba. Phakathi kwezinto ezivame kakhulu:

• Isifo sikaParkinson, ngaphezu kokuzamazama, singanciphisa ukunyakaza kwamathumbu (i-intestinal peristalsis);
• i-hypothyroidism, exhunyaniswe nokuntuleka kwamahomoni egilo, ibambezela yonke imisebenzi yomzimba futhi ikakhulukazi ukuhamba kwamathumbu;
• isimila esingavimba ukuqhubekela phambili kwendle emathunjini kodwa futhi singahleleli ukunyakaza kwaso ukuze indle ihambe iye engxenyeni yaso yokugcina (rectum);
• izidakamizwa ezithile ezinemiphumela emibi yokunciphisa ukuhamba kwamathumbu. Phakathi kwalezi zidakamizwa, singathola ama-anti-depressants athile, ama-neuroleptics, ama-chemotherapies athile, ukwelashwa kobuhlungu okusekelwe ku-codeine noma i-morphine, njll.

Izimbangela ezahlukahlukene

Ezinye zezizathu ezingenzeka zokushayisana kwe-fecal:

• ukungakwazi ukuhamba, ukuhamba ngendiza, isitimela noma imoto;
• ukudla okuphansi kwe-fiber;
• ukuntuleka kwe-hydration okwanele oketshezini;
• iminyaka kanye nomlando wokuqunjelwa.

Okokugcina, ngezinye izikhathi, ukudla okudala nokudlulele kwama-laxatives kuzocasula amathumbu futhi kancane kancane kube kubi kakhulu ukuqunjelwa (isifo esibuhlungu).

Izimpawu ze-fecal impaction okufanele zixwayise isiguli yilezi:

• umuzwa wobunzima ku-rectum;
• isifiso esiqhubekayo sokuya endlini yokugezela;
• ukuqunjelwa okungamahlalakhona;
• ngezinye izikhathi isifo sohudo "samanga";
• indle ibuhlungu futhi ngezinye izikhathi ihambisana negazi elincane ngenxa yokucasuka kodonga lwe-rectum kanye ne-anal canal. 

Lezi zimpawu ziye zazwakala izinsuku ezimbalwa naphezu kokuthatha ngokweqile ama-laxatives. 

Ukuxilongwa kwe-fecal impaction kwenziwa ekuhlolweni kwe-digital rectal okuzothola inqwaba yezinto eziqinile phezu komunwe. 

Uma imbangela isitholakele futhi selashwe, kunganikezwa iseluleko, ikakhulukazi mayelana nokudla, okufana nalokhu:

• ukuqinisa ukudla nge-fiber yokudla;
• gwema ukusetshenziswa kwelayisi elimhlophe;
• futhi gwema ukudla okusanhlamvu okucolisisiwe njengesinkwa esimhlophe, okusanhlamvu kwasekuseni, amakhukhi athengwa esitolo namakhekhe. 

Yiba nempilo enempilo 

Izincomo zempilo yenhlanzeko ekusetshenzisweni kwezokwelapha kodwa ezingaboniswa izifundo (izincomo ze-French Society of Coloproctology) yilezi:

• hamba isigamu sehora nsuku zonke (okungenani uma kungenzeka);
• ube ne-hydration enhle yansuku zonke (okungenani ilitha nengxenye ngosuku.

Ukuvimbela kuhilela nokuhlela isimiso esikuvumela ukuba uye endlini yangasese ngokushesha nje lapho kuvela isifiso sokugwema ukuncishiswa kokuzwa kwe-reflex yokukhishwa kwesihlalo.

Ukwelashwa

Ukwelashwa kuzokwenziwa ngendlela eyimishini ngokuyisusa kaningi ngomunwe ngemva kokwenza i-enema nge-laxative yendawo. Ukuthatha i-laxative ye-dose ephezulu ngaphambi kokuhlinzwa kohlobo lwe-Macrogol kungase futhi kuboniswe uma kwenzeka kuba ne-fecal impaction enkulu, ukukhishwa okungase kube buhlungu. I-enema yokuhlanza ingenziwa futhi uma ukususwa kweminwe kungenakwenzeka.