Kusadziletsa m'matumbo

Kusadziletsa kumataya matumbo, zomwe zimakupangitsani kudutsa chimbudzi mosayembekezereka. Izi zitha kuyambira nthawi zina kutulutsa pang'ono chopondapo ndikudutsa gasi, mpaka kulephera kuyendetsa matumbo.

Kusadziletsa kwamikodzo ndi pamene simungathe kuyendetsa mkodzo. Sikunenedwa m'nkhaniyi.

Akuluakulu azaka 65 kapena kupitilira apo, azimayi amakhala ndi vuto loyendetsa matumbo pafupipafupi kuposa amuna.

Ana omwe ali ndi mavuto otuluka chifukwa chazovuta zophunzitsira chimbudzi kapena kudzimbidwa atha kukhala ndi encopresis.

Matendawa, anus, minofu ya m'chiuno, ndi dongosolo lamanjenje ziyenera kugwirira ntchito limodzi kuti ziwongole matumbo. Ngati pali vuto ndi izi, zimatha kuyambitsa kusadziletsa. Muyeneranso kuzindikira ndi kuyankha pakulakalaka kokhala ndi matumbo.

Anthu ambiri amachita manyazi chifukwa cha kusagwirizana kwa m'mimba ndipo mwina sangauze omwe amawapatsa zaumoyo. Koma kusadziletsa kumatha kuchiritsidwa.Chifukwa chake muyenera kuuza omwe akukuthandizani ngati mukukumana ndi mavuto. Chithandizo choyenera chitha kuthandiza anthu ambiri kuwongolera matumbo awo. Kuchita masewera olimbitsa thupi kuti minofu ya kumatako ndi m'chiuno ikhale yolimba kumatha kuthandiza matumbo kugwira bwino ntchito.

Zifukwa zomwe anthu ali ndi vuto lodzitetezera ndi monga:

• Kudzimbidwa kosalekeza (kwanthawi yayitali). Izi zimapangitsa kuti minofu ndi matumbo a anus zitambasuke ndikufooka, zomwe zimayambitsa matenda otsekula m'mimba ndi chopondapo.
• Zochita zachimbudzi. Nthawi zambiri zimayambitsidwa ndi kudzimbidwa kosalekeza. Izi zimabweretsa chotupa chomwe chimatsekereza m'matumbo akulu.
• Kugwiritsa ntchito mankhwala ofewetsa tuvi tolimba kwa nthawi yayitali.
• Colectomy kapena opaleshoni yamatumbo.
• Osazindikira kuti nthawi yakwana yakuchita matumbo.
• Mavuto am'mutu.
• Matenda achikazi, prostate, kapena ma rectal.
• Kuvulaza minofu ya kumatako chifukwa chobereka (mwa akazi).
• Mitsempha kapena kuwonongeka kwa minofu (kuchokera kuvulala, chotupa, kapena radiation).
• Kutsekula m'mimba kwambiri komwe kumayambitsa kutayikira.
• Minyewa yambiri kapena kuphulika kwapadera.
• Kupsinjika kokhala pamalo achilendo.

Nthawi zambiri, kusintha kosavuta kumathandizira kuchepetsa kutopa kwa m'mimba. Wopereka chithandizo atha kupereka chithandizo chimodzi kapena zingapo zamankhwalawa.

Zakudya. Tsatirani zakudya zomwe mumadya kuti muwone ngati zakudya zilizonse zimayambitsa mavuto. Zakudya zomwe zitha kuyambitsa kusadziletsa mwa anthu ena ndi monga:

• Mowa
• Kafeini
• Zakudya za mkaka (mwa anthu omwe sangathe kugaya lactose, shuga yemwe amapezeka mumkaka wambiri)
• Zakudya zamafuta, zokazinga, kapena zonona
• Zakudya zokometsera
• Zakudya zochiritsidwa kapena zosuta
• Zokometsera monga fructose, mannitol, sorbitol, ndi xylitol

CHIKWANGWANI. Kuonjezera zochuluka pazakudya zanu kumatha kukolera chopondapo. Kuonjezera fiber:

• Idyani mbewu zonse. Ganizirani magalamu 30 a fiber tsiku lililonse. Werengani malembedwe azakudya kuti muwone kuchuluka kwa michere mu buledi, chimanga, ndi zakudya zina.
• Gwiritsani ntchito mankhwala monga Metamucil omwe ali ndi mtundu wa fiber yotchedwa psyllium, yomwe imawonjezera zambiri pamipando.

Kuphunzitsanso matumbo ndi masewera olimbitsa thupi. Njirazi zitha kukuthandizani kuti muchepetse minofu yanu yamphako mukamayenda. Wopereka wanu akhoza kukuwonetsani zolimbitsa thupi kuti mulimbitse pansi m'chiuno ndi minofu ya kumatako. Kuphunzitsanso matumbo kumaphatikizapo kuyesera kuyendetsa matumbo nthawi zina masana.

Anthu ena sangadziwe ngati nthawi yakwana yakuchita matumbo. Nthawi zina sangathe kuyenda bwino mokwanira kuti akafike ku bafa paokha. Anthuwa amafunikira chisamaliro chapadera. Atha kuzolowera kusafika kuchimbudzi ikafika nthawi yoyenda matumbo. Pofuna kupewa vutoli, athandizeni kupita kuchimbudzi mukatha kudya komanso pamene akumva kufuna kwawo. Komanso, onetsetsani kuti bafa ndi yabwino komanso yabwino.

Kugwiritsa ntchito zikwangwani kapena malaya amkati apadera kumathandiza munthu wosadzidalira kumva kuti ndi wotetezeka akachoka panyumba. Mutha kupeza izi m'masitolo ndi m'masitolo ena ambiri.

KUGWIDWA

Ngati mankhwala sakugwira ntchito, opareshoni angathandize kukonza vutolo. Pali mitundu yambiri ya njira. Kusankha maopareshoni kumadalira zomwe zimayambitsa kusadziletsa komanso thanzi la munthuyo.

Kukonzanso kwa sphincter. Kuchita opaleshoniyi kumatha kuthandiza anthu omwe mphete yawo ya anal anal (sphincter) sikugwira ntchito bwino chifukwa chovulala kapena ukalamba. Minofu ya kumatako imamangiridwanso kuti imange sphincter ndikuthandizira anus kutseka kwathunthu.

Kuika minofu ya Gracilis. Mwa anthu omwe ataya mitsempha mu anal sphincter, ma gracilis muscle transplants atha kuthandiza. Minofu ya gracilis imachotsedwa pa ntchafu yamkati. Imaikidwa mozungulira sphincter kuti ithandizire kulimbitsa minofu ya sphincter.

Wopanga matumbo sphincter. Chopangira sphincter chimakhala ndi magawo atatu: khafu yomwe imakwanira mozungulira anus, bulloon yoyeserera, komanso pampu yomwe imakolera khafu.

Pa opaleshoni, sphincter yokumba imayikidwa mozungulira rectal sphincter. Cuff amakhalabe wolimbikitsidwa kuti azitha kupitilira. Muli ndi mayendedwe am'matumbo posokoneza khafu. Khofu limangobwezeretsanso mphindi 10.

Chosangalatsa cha mitsempha ya Sacral. Chida chitha kuikidwa mkati mwathupi kuti chilimbikitse mitsempha yomwe imasunga Continence.

Zosintha zamatsenga. Nthawi zina, njirayi imachitika mwa anthu omwe sanathandizidwe ndi mankhwala ena. Matumbo akulu amamangiriridwa pachitseko cham'mimba chotchedwa colostomy. Chopondapo chimadutsa kutsegulira uku kupita ku thumba lapadera. Muyenera kugwiritsa ntchito thumba la colostomy kuti musonkhanitse chopondapo nthawi zambiri.

Chithandizo cha jekeseni. Njirayi imayika gel osakaniza (Solesta) mu anal sphincter kuti ikule.

Ngati mankhwala sakuchotsa matumbo osagwiritsidwa ntchito, mutha kugwiritsa ntchito zida zapadera zosonkhanitsira zinyalala kuti mukhale ndi chopondapo ndikuteteza khungu lanu kuti lisawonongeke. Zipangizozi zimakhala ndi thumba lokhazikika lomwe limalumikizidwa ndi chotchinga chomata. Chofukizacho chimadula pakati, chomwe chimakwanira kutsegula kwa anus.

Nenani zavuto lililonse chifukwa chodziletsa kwa omwe akukuthandizani. Itanani omwe akukuthandizani ngati:

• Mwana yemwe waphunzitsidwa chimbudzi samatha kudziletsa
• Wamkulu amakhala ndi chimbudzi
• Mumakhala ndi khungu kapena zilonda zam'mimba chifukwa chamatumbo
• Muli ndi kutsegula m'mimba kwambiri

Wothandizira anu atenga mbiri yanu yazachipatala. Onetsetsani kuti mukuwuza omwe akukuthandizani za mankhwala onse omwe mumamwa. Kutenga maantibayotiki kapena mankhwala otsegulitsa m'mimba kumatha kuyambitsa matenda am'mimba, makamaka okalamba.

Wothandizira anu amayesetsanso thupi, moyang'ana m'mimba mwanu ndi rectum. Wothandizira anu amalowetsa chala chamafuta mu rectum yanu kuti muwone kamvekedwe kake ka sphincter ndi ma anal, ndikufufuza zovuta zilizonse.

Mayeso ozindikira atha kuphatikizira:

• Enema wa Barium
• Kuyesa magazi
• Zojambulajambula
• Electromyography (EMG)
• Rectal kapena m'chiuno ultrasound
• Chopondapo chikhalidwe
• Kuyesedwa kwa kamvekedwe ka anal sphincter (anal manometry)
• Ndondomeko ya X-ray pogwiritsa ntchito utoto wapadera kuti muwone momwe sphincter imagwirizanirana (balloon sphincterogram)
• Ndondomeko ya X-ray pogwiritsa ntchito utoto wapadera kuti muwone m'matumbo mukamayendetsa matumbo (defecography)

Njira yosalamulirika ya ndowe; Kutaya kwamatumbo; Kusadziletsa; Kusadziletsa - matumbo

• Kupewa zilonda zamagetsi

• Dongosolo m'mimba
• Kufufuma yokumba sphincter

Madoff RD. Matenda a rectum ndi anus. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 145.

Rao SSC. Kusadziletsa kwazinyalala. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Fordtran's Mimba ndi Matenda a Chiwindi: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: mutu 18.