Ukuqunjelwa okungapheli noma ngezikhathi ezithile

La ukuqunjelwa ukubambezeleka noma ubunzima bokudlula indle. Kungaba ngezikhathi ezithile (ukuhamba, ukukhulelwa, njll.) noma okungamahlalakhona. Sikhuluma ngayo ukuqunjelwa okungapheli lapho inkinga ithatha okungenani izinyanga eziyisi-6 kuya kweziyi-12, ibe nezimpawu eziphawuleka kakhulu.

Imvamisa yeukuphuma kwendle kuyahlukahluka kumuntu nomuntu, kusukela izikhathi ezi-3 ngosuku kuye kwezi-3 ngesonto. Singakhuluma ngokuqunjelwa lapho indle iqinile, yomile futhi kunzima ukudlula. Ngokuvamile lokhu kwenzeka uma kukhona ukuhambisa amathumbu ngaphansi kuka-3 ngesonto.

Ukuqunjelwa kungaba noma ukuhamba (noma ukuqhubeka), okungukuthi, indle imile isikhathi eside kukholoni, noma Isikhumulo (noma ukuphuma), okungukuthi, zinqwabelana ku-rectum. Izinkinga ezi-2 zingahlala ndawonye kumuntu oyedwa.

ENyakatho Melika, kulinganiselwa ukuthi i-12% kuya ku-19% yabantu, kokubili izingane kanye nabantu abadala, bahlushwa ukuqunjelwa okungapheliyo⁹.

Izimbangela

Amathumbu ukuthi isivumelwano

Ngesikhathi sokugaya, amathumbu ayafinyela ukuze ahambise ukudla emgudwini wokugaya ukudla. Lo mkhuba wokufinyela ubizwa ngokuthi i-peristalsis. Uma kwenzeka ukuqunjelwa, i-peristalsis iyancipha futhi indle ihlala kukholoni isikhathi eside kakhulu. Ezimweni eziningi, akukho sizathu se-organic esitholakalayo futhi ukuqunjelwa kuthiwa "kuyasebenza".

Imikhuba emibi yokudla

Isikhathi esiningi, ukuqunjelwa okusebenzayo kubangelwa imikhuba emibi yokudla, ukungenzi lutho ngokomzimba, ukucindezeleka, ukukhathazeka, noma ukuba khona kwama-hemorrhoids noma imifantu yendunu ebangela ukuba umuntu azibambe ekukhipheni amathumbu.

Ukuqunjelwa kungase kubangele ukungezwani nokudla noma ukungabekezelelani, ikakhulukazi ku-lactose ku-lactose ubisi lwenkomo, isimo esiyivelakancane kunendlela umuntu angase acabange ngayo ezinganeni ezincane ezinokuqunjelwa okungapheli1,2.

Ezibamba ukuya endlini yokugezela

Libazisa ukukhishwa kwendle lapho isifiso sizwakala esinye isizathu esivamile sokuqunjelwa. Lapho behlala isikhathi eside ekoloni, kulapho indle iqina khona njengamatshe futhi kube nzima ukudlula. Lokhu kungenxa yokuthi umzimba uphinda umunca amanzi amaningi esitulweni ngokusebenzisa ikholoni. Ukubamba ukuphuma kwabo nakho kungabangela ubuhlungu kanye nemifantu yendunu.

Ukuncipha kwe-sphincter

Kwabanye abantu, ngesikhathi sokunyakaza kwamathumbu, umsipha ku-anus (i-anal sphincter) inkontileka esikhundleni sokuphumula, okuvimbela ukudlula kwendle.^{14, I-15}. Ukuchaza lokhu ukuvumelanisa okungalungile kwe-reflexes, imibono ngokuvamile ikhomba izici ezingokwengqondo¹⁶. Ezimweni eziningi, noma kunjalo, akukho sizathu noma i-trigger.

Umphumela

La ukuqunjelwa kungabangelwa futhi isifo esiyinkimbinkimbi noma ihambisane nayo (i-irritable bowel syndrome, ikakhulukazi). Kungase futhi kube yi-diverticulitis, isilonda esiphilayo sekholoni (umdlavuza we-colorectal, isibonelo), ukungahambi kahle kwemetabolism (hypercalcemia, hypokalemia), noma inkinga ye-endocrine (hypothyroidism) noma i-neurological (isifo sikashukela). , isifo sikaParkinson, isifo somgogodla).

Ukuvinjwa kwamathumbu

Ezimweni ezingavamile, ukuqunjelwa kubangelwa ukunyuka (noma ukuvimbela) amathumbu, ahambisana nokuvaleka okuphelele kokuhamba kwamathumbu. Ukuqunjelwa ke kwenzeka ngokuzumayo futhi kuhambisana oluhlanzayo. Kudinga ukubonisana okuphuthumayo.

Abaningi izidakamizwa kungadala futhi ukuqunjelwaNgokuxakayo, ama-laxatives athile lapho ethathwa isikhathi eside, ama-anxiolytics, ama-antidepressants, i-morphine, i-codeine namanye ama-opiates, ama-antispasmodics athile (ama-anticholinergic), ama-anti-inflammatories, ama-relaxants wemisipha, ama-antihypertensives athile (ikakhulukazi ama-calcium channel blockers afana ne-diltiazem), ama-diuretics, ama-antacid aqukethe i-aluminium, njll. Ezinye izithasiselo ze-iron nazo zingabangela ukuqunjelwa, kodwa akubona bonke abanalo mphumela.

Ekugcineni, ezimweni ezingavamile, ku izingane kanye ukuqunjelwa kungase kube uphawu lwesifo sikaHirschsprung, isifo esikhona kusukela ekuzalweni okuhlobene nokungabikho kwamangqamuzana ezinzwa athile emathunjini.

Ukubonisana nini?

La ukuqunjelwa, ikakhulukazi uma ifika ngokuzumayo, ingaba uphawu lwesifo esibi kakhulu, njengomdlavuza wamathumbu. Ngakho-ke lesi sibonakaliso akufanele sishaywe indiva. Kunconywa ukuthi uthintane nodokotela kulezi zimo ezilandelayo.

• Ukuqunjelwa kwakamuva noma kuhambisane igazi esitulweni.
• Ukuvimbela, ubuhlungu, noma ukuqunjelwa okuhambisana nesifo sohudo.
• Ukwehla kwesisindo.
• Indle ehlala incipha ngosayizi, okungase kube uphawu lwenkinga yamathumbu embi kakhulu.
• Ukuqunjelwa okuhlala isikhathi esingaphezu kwamaviki ama-3.
• Ukuqunjelwa okuqhubekayo ezinganeni ezisanda kuzalwa noma izingane ezincane kakhulu (ngoba isifo sika-Hirschsprung kumele sikhishwe).

Izinkinga ezingenzeka

Ngokuvamile, ukuqunjelwa ilungile futhi izihambela yodwa phakathi nezinsuku ezimbalwa, sibonga a Ukudla kushintshile. Kodwa-ke, uma iqhubeka, ezinye izinkinga zingenzeka ngezinye izikhathi:

• ama-hemorrhoids noma imifantu ye-anal;
• ukuvinjwa kwamathumbu;
• incontinence ye-fecal;
• i-fecal impaction, okuwukunqwabelana nokuhlanganiswa kwendle eyomile ku-rectum, okwenzeka ikakhulukazi kubantu asebekhulile noma abalele embhedeni;
• ukusetshenziswa kabi kwama-laxatives.