Tenesmus

Tenesmus ndikumverera kuti muyenera kudutsa chimbudzi, ngakhale matumbo anu alibe kale. Zitha kuphatikizira kupsyinjika, kupweteka, ndi kuphwanya.

Tenesmus nthawi zambiri imachitika ndimatenda otupa amatumbo. Matendawa amatha chifukwa cha matenda kapena zinthu zina.

Zitha kuchitika ndi matenda omwe amakhudza kuyenda kwamatumbo. Matendawa amadziwika kuti zovuta za motility.

Anthu omwe ali ndi tenesmus amatha kukankha mwamphamvu (kupsyinjika) kuti ayese kutulutsa matumbo awo. Komabe, amangodutsa pang'ono chopondapo.

Vutoli litha kuyambitsidwa ndi:

• Kutupa kosadziwika
• Khansa yoyipa kapena zotupa
• Matenda a Crohn
• Kutenga kachilombo (matenda opatsirana)
• Kutupa kwa colon kapena rectum kuchokera ku radiation (radiation proctitis kapena colitis)
• Matenda otupa (IBD)
• Kusuntha (motility) kwamatumbo
• Ulcerative colitis kapena ulcerative proctitis

Kuchulukitsa kuchuluka kwa fiber ndi madzi mu zakudya zanu kumathandizira kuchepetsa kudzimbidwa.

Lumikizanani ndi omwe amakuthandizani ngati mukupitiliza kukhala ndi zizindikilo za tenesmus zomwe zimakhalapo kapena zimabwera.

Imbani foni ngati muli ndi:

• Kupweteka m'mimba
• Magazi pansi
• Kuzizira
• Malungo
• Nseru
• Kusanza

Zizindikiro izi zitha kukhala chizindikiro cha matenda omwe angayambitse vutoli.

Wothandizira adzakufunsani ndikufunsani mafunso monga:

• Kodi vutoli lidachitika liti? Kodi mudakhalapo kale?
• Kodi muli ndi zisonyezo ziti?
• Kodi mudadya zakudya zosaphika, zatsopano, kapena zosazolowereka? Kodi mudadyako pikiniki kapena pamsonkhano waukulu?
• Kodi pali ena m'nyumba mwanu omwe ali ndi mavuto ofananawo?
• Ndi mavuto ena ati omwe mumakhala nawo m'mbuyomu?

Kuyezetsa thupi kumatha kuphatikizira mayeso am'mimba mwatsatanetsatane. Kuyezetsa magazi kumachitika nthawi zambiri.

Mayeso omwe angachitike ndi awa:

• Colonoscopy kuyang'ana m'matumbo ndi rectum
• Kuwerengera kwathunthu kwa magazi (CBC)
• Kujambula kwa CT m'mimba (nthawi zina)
• Proctosigmoidoscopy (kuyezetsa matumbo apansi)
• Chikhalidwe chopondapo
• X-ray pamimba

Ululu - chopondapo chopondapo; Chimbudzi chopweteka; Zovuta kudutsa chopondapo

• Kutaya m'mimba pang'ono

Kuemmerle JF. Matenda otupa komanso anatomic amatumbo, peritoneum, mesentery, ndi omentum. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 133.

Mofulumira CRG, Biers SM, Arulampalam THA. Kupweteka kosavomerezeka m'mimba ndi zizindikilo zina zam'mimba ndi zizindikilo. Mu: Mofulumira CRG, Biers SM, Arulampalam THA, eds. Mavuto Ofunika Opaleshoni, Kuzindikira ndi Kuwongolera. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2020: chap.

Tanksley JP, Willett CG, Czito BG, Palta M. Zovuta komanso zoyipa zam'mimba zoyipa za radiation. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 11th ed. Philadelphia, PA: Elsevier; 2021: chaputala 41.