Tenesmus: ndi chiyani, zomwe zimayambitsa komanso chithandizo

Zamkati

• Zomwe zingayambitse
• 1. Matenda otupa
• 2. Matenda matumbo
• 3. Kutupa kumatako
• 4. Khansa ya m'matumbo
• 5. Diverticulosis
• 6. Matumbo osakwiya
• Kodi matendawa ndi ati?
• Momwe mankhwalawa amachitikira
• Chithandizo chachilengedwe
• Kodi pali kusiyana kotani pakati pa thumbo tenesmus ndi chikhodzodzo tenesmus

Rectal tenesmus ndi dzina la sayansi lomwe limapezeka munthuyo atakhala ndi chidwi chofuna kutuluka, koma sangathe, chifukwa chake palibe kutuluka kwa ndowe, ngakhale atafuna. Izi zikutanthauza kuti munthuyo amadzimva kuti sangakwanitse kutulutsa bwino m'matumbo akulu, ngakhale atakhala opanda mipando yoti atulutsire.

Vutoli limalumikizidwa ndimatenda am'matumbo, monga matenda am'matumbo, diverticulosis kapena matenda am'mimba, ndipo amatha kutsagana ndi zizindikilo zina monga kupweteka m'mimba ndi kukokana.

Chithandizocho chimadalira matenda omwe amayambitsa tenesmus, ndipo amatha kuchitika ndi mankhwala kapena kungokhala ndi moyo wathanzi.

Zomwe zingayambitse

Pali zifukwa zingapo zomwe zimatha kuyambitsa rectal tenesmus:

1. Matenda otupa

Matenda opatsirana otupa, monga Ulcerative Colitis kapena Matenda a Crohn, amatha kuyambitsa matenda monga kuphulika, malungo, kutsegula m'mimba kwambiri ndi tenesmus. Dziwani zambiri za Matenda a Crohn ndi Ulcerative Colitis.

2. Matenda matumbo

Zizindikiro za matenda am'matumbo zimasiyanasiyana kutengera tizilombo tomwe timayambitsa matendawa, koma nthawi zambiri zimayambitsa kukokana ndi kupweteka m'mimba, kutsegula m'mimba, kusowa kwa njala, malungo ndipo nthawi zina, tenesmus. Dziwani momwe mungadziwire matenda amatumbo ndi zomwe mungadye.

3. Kutupa kumatako

Kutupa kumatako kumapangidwa ndi mapangidwe a mafinya pakhungu la dera lozungulira anus, komwe kumatha kuyambitsa zizindikilo monga kupweteka, makamaka mukamachoka kapena kukhala, mawonekedwe a chotupa chowawa m'dera la kumatako, kutuluka magazi kapena kuchotsa kutsekemera kwachikasu, komwe kumatha kubwerekanso kumachitika. Phunzirani momwe mungadziwire nkhaniyi.

4. Khansa ya m'matumbo

Khansa ya m'matumbo imatha kuyambitsa zizindikilo monga kutsegula m'mimba pafupipafupi, magazi mu chopondapo, kupweteka m'mimba kapena tenesmus, zomwe zimatha kukhala zovuta kuzizindikira chifukwa ndi zizindikilo zomwe zimatha kuchitika chifukwa cha zovuta wamba, monga matenda am'mimba kapena zotupa m'mimba. Dziwani zizindikiro zina za khansa yamatumbo.

5. Diverticulosis

Ichi ndi matenda amatumbo omwe amadziwika ndi mapangidwe a diverticula, omwe ndi matumba ang'onoang'ono omwe amapezeka m'matumbo am'matumbo, omwe amapangidwa pomwe mfundo pakhoma la matumbo ndizofooka, ndipo zimatha kuwonetsedwa kunjaku chifukwa cham'mimba. Nthawi zambiri, sizimayambitsa zizindikiro, kupatula zikayatsa kapena kupatsira, zomwe zimayambitsa diverticulitis. Phunzirani momwe mungadziwire ndikuchiza diverticulitis.

6. Matumbo osakwiya

Matenda owopsa am'mimba ndimatenda am'mimba omwe amatha kupweteka m'mimba, kudzimbidwa kapena kutsekula m'mimba ndipo, nthawi zina, tenesmus. Anthu omwe ali ndi matendawa amakhudzidwa kwambiri ndi zovuta, monga kupsinjika, zakudya, mankhwala kapena mahomoni, zomwe zingayambitse matumbo osavomerezeka m'matumbo kapena kwina kulikonse m'mimba. Dziwani zambiri za Irritable Bowel Syndrome.

Kuphatikiza pa izi, palinso zifukwa zina zomwe zimatha kuyambitsa thumbo lamatumbo, monga kutupa kwa kholingo chifukwa cha cheza, nkhawa, kuyenda kosavomerezeka kwa chakudya m'mimba, kukhala ndi chotupa chofalikira, chotupa chamatenda kapena chizonono, chomwe ndi matenda opatsirana pogonana.

Kodi matendawa ndi ati?

Nthawi zambiri, kupezeka kwa ma rectal tenesmus kumakhala ndi kuwunika kwakuthupi, kuwunika matumbo ndi zizolowezi, zakudya, moyo ndi mavuto azaumoyo, kuyesa magazi ndi chikhalidwe cha chopondapo, X-ray kapena CT scan ya m'mimba, colonoscopy, sigmoidoscopy ndikuzindikira matenda matenda opatsirana pogonana.

Momwe mankhwalawa amachitikira

Chithandizocho chimadalira chifukwa kapena matenda omwe amayambitsa tenesmus. Chifukwa chake, chithandizo chitha kuchitidwa pogwiritsa ntchito mankhwala osagwiritsa ntchito zotupa kapena pakamwa kapena thumbo corticosteroids, yomwe imachepetsa kutupa; mankhwala osokoneza bongo, omwe amalepheretsa chitetezo cha mthupi, chomwe chimayambitsa kutupa; maantibayotiki kapena mankhwala opatsirana pogonana, omwe amalimbana ndi matenda, pakakhala matenda opatsirana pogonana kapena matenda am'mimba.

Kuphatikiza apo, adotolo amalimbikitsanso kugwiritsa ntchito mankhwala otsegulitsa m'mimba, kwa anthu omwe akudwala tenesmus yokhudzana ndi kudzimbidwa kapena kwa iwo omwe ali ndi vuto la m'mimba motility, analgesics kuti athetse ululu ndikupewa zakudya zina zomwe zingayambitse matumbo kusintha.

Chithandizo chachilengedwe

Kuphatikiza pa chithandizo chamankhwala, pali njira zina zomwe zingathandize kuthetsa kapena kuthana ndi tenesmus. Pachifukwa ichi, ndikofunikira kwambiri kudya zakudya zopatsa thanzi, zonenepa, monga masamba, zipatso, nyemba ndi mphodza, mbewu ndi mtedza, kumwa madzi ambiri, kuchita masewera olimbitsa thupi pafupipafupi, kuti mukhale ndi matumbo abwino ndikuchepetsa nkhawa.

Kodi pali kusiyana kotani pakati pa thumbo tenesmus ndi chikhodzodzo tenesmus

Ngakhale rectal tenesmus imadziwika ndikulakalaka kutuluka, ndikumverera kuti chimbudzi chimatsalira mu rectum, chikhodzodzo tenesmus ndichikhalidwe chosiyana, chomwe chimakhudzana ndi chikhodzodzo, ndiye kuti, anthu omwe ali ndi chikhodzodzo, amamva kuti, atakodza, sangathe kutulutsa chikhodzodzo kwathunthu, ngakhale mulibe kanthu.