Tasirin tasiri

Tasirin hanji babban dunƙulen bushe ne, tabbatacce kantako wanda yake makale a cikin dubura. Mafi yawancin lokuta ana ganinta a cikin mutanen da ke fama da ciwon ciki na dogon lokaci.

Maƙarƙashiya ita ce lokacin da ba ku wucewa ta bayan gida kamar sau da yawa ko a sauƙaƙe kamar yadda ya saba muku. Tabon ka ya zama mai tauri kuma ya bushe. Wannan yana sa wahalar wucewa.

Tasirin hanji yakan faru ne a cikin mutanen da suka dade suna fama da maƙarƙashiya kuma sun kasance suna amfani da laxatives. Matsalar ta fi yiwuwa lokacin da aka dakatar da masu shayarwa ba zato ba tsammani. Tsokokin hanjin hanji sun manta yadda ake motsa sandar ko najasa da kansu.

Kun fi zama mafi haɗari ga maƙarƙashiya na yau da kullun da tasirin tasiri idan:

• Ba kwa motsawa sosai kuma kuna yawan cinye lokacinku a kujera ko gado.
• Kuna da cuta na ƙwaƙwalwa ko tsarin juyayi wanda ke lalata jijiyoyin da ke zuwa tsokar hanjin hanji.

Wasu kwayoyi suna jinkirta wucewar kujerun mara ta cikin hanji:

• Anticholinergics, wanda ke shafar hulɗa tsakanin jijiyoyi da tsokoki na hanji
• Magungunan da ake amfani dasu don magance gudawa, idan an sha su sau da yawa
• Maganin ciwo na narcotic, kamar methadone, codeine, da oxycontin

Kwayar cutar ta yau da kullun sun haɗa da:

• Cutar ciki da kumburin ciki
• Fitar ruwa ko aukuwa kwatsam na gudawa mai ruwa a cikin wanda ke fama da maƙarƙashiya mai ɗorewa (na dogon lokaci)
• Zuban jini na bayan gida
• Ananan, kujerun kafa-rabi-kafa
• Turewa lokacin da ake ƙoƙarin wuce kujerun

Sauran alamun bayyanar sun haɗa da:

• Matsalar fitsari ko asarar iko na mafitsara
• Backananan ciwon baya
• Saurin bugun zuciya ko saukin kai daga damuwa zuwa wucewar mara

Mai ba da lafiyar zai bincika yankin ciki da dubura. Jarrabawar dubura za ta nuna matsin lamba mai yawa a cikin dubura.

Kila iya buƙatar a yi maka gyaran fuska idan an sami canji a kwanan nan a cikin yanayin hanji. Ana yin wannan don bincika kansar hanji ko ta dubura.

Jiyya don yanayin yana farawa tare da cirewar tasirin tasirin. Bayan wannan, ana ɗaukar matakai don hana tasirin tasirin gaba.

Ana amfani da man kitsen mai mai ɗumi mai laushi sau da yawa don laushi da shafa mai a cikin kujerun. Koyaya, enemas kadai basu isa su cire babban tasiri mai ƙarfi a mafi yawan lokuta ba.

Yawan taro na iya zama an fasa shi da hannu. Ana kiran wannan cirewar hannu:

• Mai ba da sabis zai buƙaci saka yatsu biyu ko biyu a cikin dubura kuma a hankali ya rarraba abun a ƙananan ƙananan ta yadda zai iya fitowa.
• Dole ne ayi wannan aikin a ƙananan matakai don kaucewa haifar da rauni ga dubura.
• Arafan da aka saka a cikin dubura na iya bayarwa tsakanin yunƙurin taimakawa share durin.

Ba a buƙatar yin aikin tiyata don magance tasirin rashin ƙarfi. Coarin faɗaɗa kan hanji (megacolon) ko toshewar hanji gaba ɗaya na iya buƙatar cirewar gaggawa na tasirin.

Mafi yawan mutanen da suka yi tasiri a jiki zasu buƙaci shirin sake dawowa cikin hanji. Mai ba ku sabis da kwararren likita ko likita mai ilimin likita za su:

• Aauki cikakken tarihin abincinku, tsarin hanji, amfani da laxative, magunguna, da matsalolin likita
• Yi nazari a hankali.
• Ba da shawarar canje-canje a cikin abincinku, yadda za ku yi amfani da mayukan shafawa da na saka, motsa jiki na musamman, sauye-sauyen rayuwa, da sauran fasahohi na musamman don horar da hanjinku.
• Ku bi ku a hankali don tabbatar shirin ya yi muku aiki.

Tare da magani, sakamakon yana da kyau.

Matsaloli na iya haɗawa da:

• Hawaye (ulceration) na dubura
• Mutuwar nama (necrosis) ko rauni na dubura

Faɗa wa mai ba ka sabis idan kana da cutar zazzaɓi mai saurin ciwan jiki ko rashin saurin fitsari bayan dogon lokacin maƙarƙashiya. Har ila yau, gaya wa mai ba da sabis idan kana da ɗayan waɗannan alamun alamun masu zuwa:

• Ciwon ciki da kumburin ciki
• Jini a cikin buta
• Baƙar ciki mai ɗorewa tare da ciwon ciki, da kuma rashin izinin wuce gas ko ɗakuna. A wannan yanayin, kar a ɗauki kowane laxatives. Kira mai ba da sabis kai tsaye.
• Siriri matuka, kamar sandar fensir

Tasirin hanji; Maƙarƙashiya - tasiri; Neurogenic hanji - tasiri

• Maƙarƙashiya - kula da kai

• Tsarin narkewa
• Gabobin tsarin narkewar abinci

Lembo AJ. Maƙarƙashiya A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da Cututtukan Cutar hanta da na Fordtran. 10 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 19.

Zainea GG. Gudanar da tasirin tasiri. A cikin: Fowler GC, ed. Hanyoyin Pfenninger da Fowler don Kulawa da Firamare. 4th ed. Philadelphia, PA: Elsevier; 2020: babi na 208.