Tenesmus

Tenesmus waa dareenka aad ugu baahan tahay inaad saxarada ka gudubto, in kastoo calooshaadu mar horaba madhan tahay. Waxay ku lug yeelan kartaa murugo, xanuun, iyo casiraad.

Tenesmus badanaa wuxuu ku dhacaa cudurada caabuqa ee mindhicirka. Cudurradan waxaa sababi kara infekshan ama xaalado kale.

Waxay sidoo kale ku dhici kartaa cuduro saameeya dhaqdhaqaaqa caadiga ah ee mindhicirada. Cuduradan waxaa loo yaqaana xanuunada dhaqdhaqaaqa.

Dadka qaba tenesmus ayaa laga yaabaa inay aad u cadaadiyaan (culeys) si ay isugu dayaan inay faarujiyaan caloosha. Hase yeeshe, waxay dhaafi doonaan qadar yar oo saxaro ah.

Xaaladda waxaa sababi kara:

• Barar aan caadi ahayn
• Kansarka mindhicirka ama burooyinka
• Cudurka 'Crohn'
• Caabuqa xiidanka (colitis faafa)
• Barar ku dhaca xiidanka ama malawadka shucaaca (shucaaca proctitis ama colitis)
• Cudurka mindhicirka ee caabuqa (IBD)
• Dhaqdhaqaaqa (dhaqdhaqaaqa) khalkhalka mindhicirada
• Cudurka 'ulcerative colitis' ama 'proctitis'

Kordhinta xaddiga fiberka iyo dareeraha cuntadaada ayaa kaa caawin kara fududeynta calool istaagga.

La xiriir daryeel caafimaad bixiyahaaga haddii aad sii waddo astaamaha cagaarshowga musqusha oo joogto ah ama yimaada oo taga.

Sidoo kale wac haddii aad leedahay:

• Calool xanuun
• Saxarada oo dhiig ka yimaado
• Qabow
• Qandho
• Lallabbo
• Matagid

Calaamadahaasi waxay calaamad u noqon karaan cudur sababi kara dhibaatada.

Bixiyaha ayaa ku baari doona oo ku weydiin doona su'aalo sida:

• Goorma ayay dhibaatadan dhacday? Miyaad horay u haysatay?
• Astaamo noocee ah ayaad isku aragtaa?
• Ma cuntay cunno ceyriin ah, mid cusub, ama mid aadan aqoon? Miyaad wax ku cuntay tamashleyn ama kulan weyn?
• Ma jiraan dad kale oo qoyskaaga ka mid ah oo dhibaatooyinkaas oo kale qaba?
• Maxay yihiin dhibaatooyinka kale ee caafimaad ee ku haysta ama horay u soo maray?

Imtixaanka jirka waxaa ku jiri kara baaritaan caloosha oo faahfaahsan. Baadhitaanka malawadka ayaa inta badan la sameeyaa.

Tijaabooyinka la qaadi karo waxaa ka mid ah:

• Colonoscopy si loo eego xiidanka iyo malawadka
• Tirinta dhiigga oo dhameystiran (CBC)
• Baadhitaanka CT ee caloosha (xaalado naadir ah)
• Proctosigmoidoscopy (baaritaanka mindhicirka hoose)
• Dhaqamada saxarada
• Raajooyinka caloosha

Xanuun - saxaro gudub; Saxaro xanuun badan; Saxarada oo adkaata

• Jirka anatomy

Kuemmerle JF. Cudurrada caabuqa iyo anatomic ee mindhicirka, peritoneum, mesentery, iyo omentum. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: cutubka 133.

Quick CRG, Biers SM, Arulampalam THA. Xanuun aan caadi ahayn oo caloosha ah iyo astaamo iyo astaamo kale oo caloosha ku dhaca Gudaha: Degdeg CRG, Biers SM, Arulampalam THA, eds. Dhibaatooyinka Qalliinka Aasaasiga ah, Ciladda iyo Maareynta. 6aad ed. Philadelphia, PA: Elsevier; 2020: cutubka 18.

Tanksley JP, Willett CG, Czito BG, Palta M. Dhibaatooyinka daran ee caloosha iyo mindhicirka ee daaweynta shucaaca. Gudaha: Feldman M, Friedman LS, Brandt LJ, eds. Cudurka caloosha iyo beerka ee Sleisenger iyo Fordtran. 11aad. Philadelphia, PA: Elsevier; 2021: cutubka 41.