Chofala kwambiri mwa okalamba, ndowe ndi chimbudzi cholimba, chowuma chomwe nthawi zambiri chimawunjikana m'chigawo chapakati cha rectum. Zimasokoneza chopondapo reflex panthawi yachimbudzi. Mafotokozedwe.

Kwa okalamba, ogona komanso nthawi zambiri azimayi, matumbo amayenda pang'onopang'ono ndipo matumbo amamwa madzi ambiri omwe amapezeka m'chimbudzi mkati mwa matumbo kuposa momwe amayendera. Zimbudzi zowumazi zimawunjikana m'chigawo chapakati cha matumbo akuluakulu (rectum) ndipo pamapeto pake zimapanga mpira wa ndowe zomwe zimasokoneza kutuluka kwachilengedwe kwa chimbudzi. Mpira uwu ukangopangidwa, upanga chopinga chachikulu chomwe chimapangitsa kutulutsa chimbudzi kukhala kovuta komanso kowawa. Zimakwiyitsanso makoma a rectum poyambitsa kutulutsa kotupa komanso kokhazikika kwa makoma ndipo nthawi zina kumayambitsa kutsekula m'mimba kwabodza.

Pathologies ndi fecaloma

Ma pathologies angapo angayambitse kupanga fecaloma, nthawi zambiri polimbikitsa kuchedwetsa kuyenda. Zina mwazofala kwambiri:

• Matenda a Parkinson omwe kuwonjezera pa kunjenjemera amatha kuchepetsa kusuntha kwamatumbo (intestinal peristalsis);
• hypothyroidism, yolumikizidwa ndi kuchepa kwa mahomoni a chithokomiro, imachepetsa ntchito zonse za thupi komanso makamaka kuyenda kwamatumbo;
• chotupa cham'matumbo chomwe chimatha kulepheretsa chimbudzi m'matumbo komanso kusokoneza kayendetsedwe kake kuti chimbudzicho chiziyenda kumalo ake omaliza (rectum);
• mankhwala ena omwe ali ndi zotsatirapo zochepetsera kuyenda kwa matumbo. Pakati pa mankhwalawa, titha kupeza anti-depressants, neuroleptics, chemotherapies, mankhwala opweteka opangidwa ndi codeine kapena morphine, ndi zina zotero.

Zoyambitsa zosiyanasiyana

Zina mwazifukwa zomwe zingayambitse vuto la chimbudzi:

• posachedwapa, kuyenda pa ndege, sitima kapena galimoto;
• zakudya zopanda fiber;
• kusakwanira kwamadzimadzi kuchokera kumadzi;
• zaka ndi mbiri ya kudzimbidwa.

Pomaliza, nthawi zina, kudya kwakale komanso mopitirira muyeso kwa mankhwala ofewetsa tuvi tomwe kumakwiyitsa matumbo ndipo pang'onopang'ono kumawonjezera kudzimbidwa (matenda a laxative).

Zizindikiro za kugunda kwa ndowe zomwe ziyenera kuchenjeza wodwalayo ndi:

• kumverera kwa kulemera mu rectum;
• kukhumba kosalekeza kupita kuchimbudzi;
• kudzimbidwa kosalekeza;
• nthawi zina "zabodza" kutsegula m'mimba;
• chopondapo ndi chowawa ndipo nthawi zina limodzi ndi magazi pang`ono chifukwa cha mkwiyo khoma la rectum ndi kumatako ngalande. 

Zizindikirozi zakhala zikudziwika kwa masiku angapo ngakhale kuti nthawi zina mumamwa kwambiri mankhwala otsekemera. 

Kuzindikira kwa kukhudzidwa kwa chimbudzi kumapangidwa kuchokera ku kuyezetsa kwa digito komwe kumapeza unyinji wa zinthu zolimba pa chala. 

Choyambitsa chikadziwika ndikuchiza, malangizo angaperekedwe, makamaka okhudza zakudya, monga:

• kulimbitsa chakudya ndi ulusi wamafuta;
• pewani kumwa mpunga woyera;
• Pewaninso kudya zakudya zambewu zoyengedwa bwino monga mkate woyera, chimanga cham'mawa, makeke ogulidwa m'sitolo ndi makeke. 

Khalani ndi moyo wathanzi 

Malingaliro a ukhondo wa moyo pazachipatala koma osawonetsedwa ndi maphunziro (malangizo a French Society of Coloproctology) ndi awa:

• kuyenda kwa theka la ola tsiku lililonse (ngati kuli kotheka);
• kukhala ndi madzi okwanira tsiku lililonse (osachepera lita imodzi ndi theka patsiku.

Kupewa kumaphatikizaponso kukonza ndondomeko yomwe imakulolani kuti mupite kuchimbudzi mwamsanga mukangofuna kuti mupewe kutengeka kwa kumverera kwa reflex ya exoneration ya chopondapo.

chithandizo

Mankhwalawa adzachitika mwamakina pochotsa nthawi zambiri ndi chala pambuyo popanga enema ndi mankhwala am'deralo. Kutenga mankhwala ofewetsa tuvi tolimba pamaso pa opaleshoni ya mtundu wa Macrogol kungasonyezedwenso pakachitika chiwombankhanga chachikulu, kuthamangitsidwa komwe kungakhale kowawa. Enema yoyeretsa ingathenso kuchitidwa ngati kuchotsa chala sikutheka.