Zomwe Muyenera Kudziwa Zokhudza Kusadziletsa

Zamkati

• Kodi kusadziletsa kwachinyengo ndi chiyani?
• Nchiyani chimayambitsa kusadziletsa?
• Zochita zachimbudzi
• Kutsekula m'mimba
• Minyewa
• Kuwonongeka kwa minofu
• Kuwonongeka kwa mitsempha
• Pelvic pansi kukanika
• Ndani ali pachiwopsezo chazisakasa?
• Kodi matenda osokoneza bongo amapezeka bwanji?
• Kodi kusagwirizana kwachinyengo kumachitidwa bwanji?
• Zakudya
• Mankhwala
• Kuphunzitsanso matumbo
• Malaya amkati osadziletsa
• Zochita za Kegel
• Zowonjezera
• Opaleshoni
• Solesta
• Kodi kusadziletsa kwachinyengo kumatha kupewedwa?

Kodi kusadziletsa kwachinyengo ndi chiyani?

Kusadziletsa kwa fecal, komwe kumatchedwanso matumbo osadziletsa, ndiko kuchepa kwa matumbo komwe kumabweretsa mayendedwe am'matumbo (kuchotsa fecal). Izi zitha kuyambira pamayendedwe ang'onoang'ono osadzitetezera pang'ono mpaka kuwonongeka konse kwa matumbo.

Anthu ena omwe ali ndi vuto lodzitchinjiriza amadzimva kukhala ndi chidwi chokhala ndi matumbo koma amalephera kudikirira kuti akafike kubafa. Anthu ena samva kutulutsa kwa matumbo omwe akudikira, akudutsa chopondapo mosadziwa.

Kusadziletsa kwa fecal kumatha kukhala kosasangalatsa, koma kumatha kusintha ndi chithandizo.

Nchiyani chimayambitsa kusadziletsa?

Kuwongolera kwamatumbo kumadalira ntchito yoyenera ya:

• minofu ya m'chiuno
• rectum, gawo lakumapeto kwa m'matumbo akulu
• minofu ya anal sphincter, minofu mu anus
• dongosolo lamanjenje

Kuvulala kumadera aliwonsewa kumatha kubweretsa kusadziletsa.

Zomwe zimayambitsa kusadziletsa ndizo:

Zochita zachimbudzi

Kudzimbidwa kosalekeza kumatha kubweretsa kuyambitsa kwachinyengo. Izi zimachitika chimbudzi cholimba chikakakamira mu rectum. Chopondacho chimatha kutambasula ndi kufooketsa sphincter, zomwe zimapangitsa kuti minofu isalephere kuyendetsa bwino.

Vuto lina lakukhudzidwa kwazinyalala ndikutuluka kwa zonyansa zamadzimadzi kudzera mu anus.

Kutsekula m'mimba

Kutsekula m'mimba ndi chifukwa cha zotchinga kapena zotchinga zamadzi. Malo otayirirawa amatha kuyambitsa matumbo posachedwa. Chosowacho chitha kukhala chodzidzimutsa kotero kuti mulibe nthawi yokwanira kuti mufikire bafa.

Minyewa

Zotupa zakunja zimatha kulepheretsa sphincter kutseka kwathunthu. Izi zimalola chopondera chotseguka ndi ntchofu kudutsa mosafunikira.

Kuwonongeka kwa minofu

Kuwonongeka kwa anal sphincter kumalepheretsa minofu kusunga anus kutsekedwa mwamphamvu. Kuchita opaleshoni m'dera la anorectal, kuvulala, ndi kudzimbidwa kumatha kuwononga minofu ya sphincter.

Kuwonongeka kwa mitsempha

Ngati mitsempha yomwe imayendetsa kayendedwe ka sphincter yawonongeka, minofu ya sphincter siyitsekera bwino. Izi zikachitika, mwina simungafune kupita kuchimbudzi.

Zina mwazimene zimawononga mitsempha ndi izi:

• zoopsa kubereka
• kudzimbidwa kosalekeza
• sitiroko
• matenda ashuga
• multiple sclerosis (MS)

Pelvic pansi kukanika

Amayi amatha kuwonongeka minofu ndi mitsempha m'chiuno mwawo akamabereka, koma zizindikiro zakusokonekera kwapakhosi sikuwoneka msanga. Zitha kuchitika patapita zaka. Zovuta zimaphatikizapo:

• kufooka kwa minofu ya m'chiuno yomwe imagwiritsidwa ntchito poyenda matumbo
• Kuphulika kwapadera, komwe ndi pamene rectum imatulukira kudzera mu anus
• rectocele, ndipamene rectum imafalikira mpaka kumaliseche

Amuna ena amathanso kukhala ndi vuto la m'chiuno.

Ndani ali pachiwopsezo chazisakasa?

Aliyense atha kukhala ndi vuto lodana ndi zonyansa, koma anthu ena amatha kuzipeza kuposa ena. Mutha kukhala pachiwopsezo ngati:

• muli ndi zaka zopitilira 65
• ndiwe mkazi
• ndiwe mkazi amene wabereka
• mumakhala ndikudzimbidwa kosatha
• muli ndi matenda kapena kuvulala komwe kudawononga mitsempha

Kodi matenda osokoneza bongo amapezeka bwanji?

Dokotala wanu adzalemba mbiri yakale ya zamankhwala ndikuwunika kwakuthupi kuti mupeze kusadziletsa kwazinyalala. Dokotala wanu adzakufunsani za kuchuluka kwa kusadziletsa komanso momwe zimachitikira, komanso zakudya zanu, mankhwala, komanso thanzi.

Mayesero otsatirawa angathandize kupeza matenda:

• kusanthula kwa digito kwamalo ozungulira
• chopondapo chikhalidwe
• barium enema (fluoroscopic X-ray yamatumbo akulu, kuphatikiza m'matumbo ndi m'matumbo, mosiyana ndi barium)
• kuyesa magazi
• electromyography (kuyesa ntchito ya minofu ndi mitsempha yokhudzana)
• anorectal ultrasound
• proctography (Kujambula kanema wa X-ray poyenda matumbo)

Kodi kusagwirizana kwachinyengo kumachitidwa bwanji?

Kuchiza kwachisokonezo chachimbudzi kumadalira chifukwa chake. Zina mwazomwe mungasankhe ndi monga:

Zakudya

Zakudya zomwe zimayambitsa kutsegula m'mimba kapena kudzimbidwa zimadziwika ndikuchotsedwa pazakudya. Izi zitha kuthandiza kuwongolera ndikuwongolera matumbo. Dokotala wanu ambiri amalimbikitsa kuwonjezeka kwamadzimadzi ndi mitundu ina ya fiber.

Mankhwala

Pa kutsekula m'mimba, mankhwala ochepetsa m'mimba monga loperamide (Imodium), codeine, kapena diphenoxylate / atropine (Lomotil) atha kulembedwa kuti achepetse kuyenda kwamatumbo akulu, kulola kuti chopondapo chizengere pang'onopang'ono. Dokotala wanu angakulimbikitseni zowonjezera mavitamini za kudzimbidwa.

Kuphunzitsanso matumbo

Kutsatira njira yophunzitsira matumbo kumatha kulimbikitsa kuyenda kwamatumbo. Zina mwazinthu izi zitha kuphatikizira izi:

• kukhala pachimbudzi nthawi zonse
• ntchito suppositories thumbo zolimbikitsira matumbo kuyenda

Malaya amkati osadziletsa

Mutha kuvala zovala zamkati zopangidwa mwaluso kuti mutetezedwe. Zovala izi zimapezeka m'njira zokhoza kutayika komanso zotheka kugwiritsidwanso ntchito, ndipo mitundu ina imagwiritsa ntchito ukadaulo womwe umachepetsa fungo.

Zochita za Kegel

Zochita za Kegel zimalimbitsa minofu ya m'chiuno. Zochitikazi zimaphatikizapo chizolowezi chogwiranso ntchito minofu yomwe imagwiritsidwa ntchito popita kubafa. Muyenera kufunsa dokotala kuti adziwe njira yolondola yochitira masewera olimbitsa thupi.

Zowonjezera

Biofeedback ndi njira ina yachipatala. Ndicho, mumaphunzira kugwiritsa ntchito malingaliro anu kuwongolera momwe thupi lanu limagwirira ntchito mothandizidwa ndi masensa.

Ngati muli ndi vuto lodzitchinjiriza, biofeedback ikuthandizani kuphunzira momwe mungawongolere ndikulimbitsa minofu yanu ya sphincter. Nthawi zina zida zamankhwala zomwe zimagwiritsidwa ntchito pophunzitsira zimayikidwa mu anus ndi rectum yanu. Dokotala wanu adzayesa ntchito yanu ya rectum ndi anal sphincter muscle.

Phokoso laminyewa lomwe amayeza limawonetsedwa pakompyuta kuti mutha kuwona kulimba kwa kusuntha kwa minofu. Pakuwonera zomwe zanenedwa ("mayankho"), mumaphunzira momwe mungapangire kuwongolera kwamitsempha yam'mbali ("bio").

Opaleshoni

Chithandizo cha opaleshoni nthawi zambiri chimasungidwa chifukwa cha zovuta zazing'ono zosadziwika. Pali njira zingapo zopangira maopareshoni zomwe zingapezeke:

• Sphincteroplasty. Mapeto ake a anal sphincter amabwereranso palimodzi kuti minofu ilimbikitsidwe ndipo anal sphincter imalimbitsidwa.
• Kuika minofu ya Gracilis. Minofu ya gracilis imasunthidwa kuchokera ntchafu yamkati ndikuyikidwa mozungulira minofu ya anal sphincter kuti iwonjezere mphamvu ndi chithandizo.
• Wopanga sphincter. Sphincter yokumba ndi mphete ya silicone yomwe imayikidwa mozungulira anus. Mumachotsa pamanja sphincter kuti mupange chimbudzi ndikuchiyikira kuti mutseke anus, yomwe imalepheretsa kutuluka.
• Colostomy. Anthu ena omwe ali ndi vuto lonyansa kwambiri amasankha kuchitidwa opaleshoni ya colostomy. Pochita opaleshoni ya colostomy, dokotalayo amawongolera kumapeto kwa matumbo akulu kuti adutse kudzera m'mimba. Chikwama chotayika chimamangiriridwa pamimba mozungulira stoma, chomwe ndi gawo la m'matumbo lomwe limalumikizidwa kutsegulira komwe kumachitika m'mimba. Opaleshoniyo ikamalizidwa, chimbudzi sichidutsanso kudzera mu anus koma m'malo mwake chimadzaza ndi stoma kupita mchikwama chotayika.

Solesta

Solesta ndi jekeseni wa jakisoni yemwe adavomerezedwa ndi Food and Drug Administration (FDA) mu 2011 kuti athe kuchiza matenda osokoneza bongo. Cholinga cha mankhwala a Solesta ndikuchulukitsa minofu yamatenda.

Gel ya jakisoni imayikidwa pakhoma la anus ndipo imachepetsa kapena imathandizira kutayika kwachimbudzi mwa anthu ena. Zimagwira ntchito poyambitsa kuchulukitsa ndi makulidwe a minofu ya kumatako, yomwe imachepetsa kutseguka kumatako ndikuthandizira kuti ikhale yotseka kwambiri.

Solesta amayenera kuperekedwa ndi akatswiri azaumoyo.

Kodi kusadziletsa kwachinyengo kumatha kupewedwa?

Kukalamba, kupwetekedwa m'mbuyomu, komanso matenda ena atha kubweretsa kusadziletsa. Mkhalidwewo sungalephereke nthawi zonse. Kuopsa kwake, komabe, kumatha kuchepetsedwa mwa kusunga matumbo nthawi zonse ndikusunga minofu ya m'chiuno mwamphamvu.