He paʻakikī nō hoʻi iā ʻoe ke hele i ka lua? He ʻano maʻi anei kēia i kapa ʻia he anismus? E kamaʻilio kākou e pili ana i kēia!

Ke manaʻo nei ʻoe i kekahi manawa he paʻakikī iā ʻoe ke kipaku a i ʻole he manaʻo paʻa kou ke hele ʻoe i ka lua? Ke manaʻo nei ʻoe ʻaʻole e hoʻokahe ana kou ʻōpū no nā lā, a i ʻole ke manaʻo nei ʻoe ʻaʻole ʻoe i hemo loa ma hope o ka hoʻopaʻa ʻana no ka manawa lōʻihi? He mau pilikia kēia e ʻike ʻia e ka poʻe he nui. Akā inā hoʻomau kēia mau mea, aia paha ke kumu no ia. ʻO ke kūlana a mākou e kamaʻilio nei i kēia lā ua kapa ʻia ʻo anismus . I kekahi manawa ua kapa ʻia kēia he dyssynergic defecation .

E nānā mua kākou i ke ʻano o Anismus.

I ka ʻōlelo maʻalahi, ʻo ka anismus kahi kūlana kahi e hana pono ʻole ai nā ʻiʻo ma kou wahi pelvic, e pilikia ai ka hele ʻana i ka ʻōpala. ʻO kekahi inoa no kēia he ʻano hana ʻole o ka papahele pelvic .

I kēia manawa, e noʻonoʻo, ʻo kou wahi pelvic ka wahi ma lalo o kou pihi ʻōpū. Nui nā ʻiʻo ma laila. E like me ka ʻupena, a i ʻole ke kīʻaha liʻiliʻi, hoʻopaʻa pū kēia mau ʻiʻo i nā ʻōpū e like me ko kākou ʻōpū mimi, ka uterus (i nā wahine), a me ka rectum. Kāhea mākou i kēia hui o nā ʻiʻo ʻo ka papahele pelvic . He mea nui loa kēia mau ʻiʻo. No ka mea, i ka wā e kahe ai a mimi ai mākou, ʻūlū kēia mau ʻiʻo a hoʻomaha e kōkua i kēlā kaʻina hana.

No laila, i ke ʻano o ka anismus, ke hoʻāʻo ʻoe e kiola i ka ʻōpū, pono e hoʻomaha nā ʻiʻo ma ka papahele pelvic, ʻoi aku hoʻi a puni ka anus. ʻO ia ka manawa e puka maʻalahi ai ka ʻōpala. Akā i loko o ke kanaka me ka anismus, ma kahi o ka hoʻomaha ʻana, ʻo kēia mau ʻiʻo e paʻa (paradoxical contraction) , a i ʻole ʻaʻole lākou e hoʻomaha iki (hypertonic pelvic floor) . E noʻonoʻo e like me ka wā e makemake ai ʻoe e wehe i ka puka, pani ʻia me ka paʻakikī. No kekahi poʻe, ʻaʻole hiki i kēia mau ʻiʻo ke hoʻoulu i ka ikaika e hoʻokuke aku i ka ʻōpala.

ʻO kekahi mea ʻē aʻe, ʻo ka hapalua o ka poʻe me kēia maʻi e emi ana ka manaʻo o ka neʻe ʻana o ka ʻōpū a i ʻole ka emi ʻana o ka manaʻo o ka pono e neʻe i ka ʻōpū. No laila, ke puka ʻole nā ​​​​​​ʻōpala i ka manawa kūpono, paʻa lākou i loko o nā ʻōpū, lilo i maloʻo loa, paʻakikī ke hele, a ʻoi aku ka paʻakikī ke hele. ʻO kēia kekahi o nā kumu o ka paʻa mau .

Pehea ka maʻamau o kēia maʻi? ʻO wai ka mea hiki ke loaʻa?

Ma ka honua holoʻokoʻa, ua manaʻo ʻia he 15% a 25% o ka poʻe me ka paʻa mau o ka ʻōpū e loaʻa paha i ka anismus. He mea maʻamau loa ka paʻa ʻana o ka ʻōpū, e pili ana i kahi 10% a 20% o ka poʻe. ʻOi aku ka pālua o ka loaʻa ʻana o nā wāhine ma mua o nā kāne. ʻOi aku ka maʻamau i ka poʻe ma luna o 65 mau makahiki.

ʻO ka mea kupanaha, ma kahi o ka hapakolu o ka poʻe me kēia maʻi i loaʻa i ka wā kamaliʻi.Hoʻomaka kēia. Hiki i kekahi hapakolu ke loaʻa iā ia ma hope o ka hānau ʻana a i ʻole kahi ulia. No ke koena 40%, ʻaʻohe kumu maopopo i loaʻa. ʻO ka hapa nui o ka manawa, ua manaʻo ʻia he ʻano i loaʻa.

No ke aha e ulu ai ka anismus? He aha nā kumu pilikia?

ʻO ka ʻoiaʻiʻo, he maʻi hana ka anismus. ʻO ia hoʻi, ʻaʻohe maʻi kino a maʻi neurological paha i loaʻa ke kumu. He pane paha ia i ke kaumaha, ka trauma, a i ʻole ka paʻa mau ʻana o ka ʻōpū, a i ʻole hiki ke hana ʻia e nā ʻiʻo e lilo ana i mea ʻē.

ʻOiai ʻaʻohe kumu kikoʻī no kēia, hiki ke ʻike ʻia ka anismus me kekahi mau kūlana. ʻO ia hoʻi, ʻoi aku ka nui o ka poʻe me kēia mau mea e loaʻa ai ka anismus:

• Nā ʻeha rectum
• IBS-C (Irritable Bowel Syndrome me ka constipation) - Hōʻike ʻia kēia e ka ʻōpū ʻeha me ka constipation.
• Ka manawa hele lohi o ke kolona - ʻO ia hoʻi, neʻe mālie ka meaʻai ma o nā ʻōpū.
• Ka paʻa mau ʻana mai ka wā kamaliʻi mai.
• ʻAʻole ʻike ka rectal hyposensitivity - ʻaʻole i ka manaʻo o ka hele ʻana o ka ʻōpala.
• Nā maʻi noʻonoʻo.
• Ka hoʻohana ʻana i kekahi mau lāʻau ʻeha (hoʻohana ʻana i ka Opioid).

He aha nā hōʻailona e ʻike ai ke kanaka me ka anismus?

ʻO ka poʻe me ka anismus e ʻike pinepine i nā hōʻailona like me nā mea i ʻike ʻia i ka paʻa ʻana o ka ʻōpū nui. Eia nā hōʻailona maʻamau:

• Ka emi ʻana o ka wai kahe ma mua o ʻekolu manawa o ka pule.
• Ke kaumaha nui nei i ka wā o ka neʻe ʻana o ka ʻōpū.
• ʻO ka manaʻo ʻaʻole i puka mai nā ʻōpala a pau ma hope o ka pau ʻana o ke kahe ʻana.
• Nā neʻe ʻana o ka ʻōpū paʻakikī a ʻeha .
• I kekahi manawa pono ʻoe e hoʻohana i kou mau manamana lima e kōkua iā ʻoe e hoʻokuʻu i ka ʻōpū .
• ʻŌpū pehu.
• ʻEha ʻōpū.
• ʻEha anal.

Hiki paha iā ʻoe ke hilahila a hilahila paha e kamaʻilio e pili ana i kēia mau hōʻailona. Eia nō naʻe, he mau hōʻailona maʻamau kēia o kēia maʻi. ʻO ka haʻi ʻana i kāu kauka e pili ana i kēia mau mea me ke kānalua ʻole e kōkua iā lākou e kōkua pono iā ʻoe.

Pehea e ʻike ʻia ai kēia maʻi anismus?

Ke ʻike ʻoe i ke kauka, e nānā mua lākou e ʻike inā he mau kumu maʻamau ʻē aʻe kāu no ka paʻa ʻana o ka ʻōpū (e like me nā kīnā kūkulu, nā pilikia metabolic). Hiki i kēia ke komo pū me kekahi mau hoʻokolohua rectal maʻamau.

• ʻo ka mea mua loaE noi ʻia paha ʻoe e hana i kahi hoʻokolohua rectal digital (DRE). Pili kēia i ke kauka e kau i nā mīkina lima, e kau ana i kahi lubricant, a me ke komo ʻana i kahi manamana lima i loko o kou rectum.
• A laila, hiki ke hana ʻia kahi hoʻāʻo sigmoidoscopy , ʻo ia hoʻi ke hoʻokomo ʻana i kahi ʻōmole (scope) me kahi kāmela liʻiliʻi i loko.

Inā ʻaʻole i loaʻa i kēia mau hoʻokolohua kahi kumu maopopo, ʻo ka hana aʻe e hana i kekahi mau hoʻokolohua kikoʻī e ʻike ai inā loaʻa ka anismus.

He aha nā hoʻokolohua kūikawā i hoʻohana ʻia e ʻike ai i ka anismus?

Ua hōʻoia ʻia ʻo Anismus inā loaʻa nā hopena maʻamau ʻole ma kahi o ʻelua o kēia mau hoʻokolohua.

1. Manometry Anorectal:

Pili kēia i ke ana ʻana i ke ʻano o ka ʻaelike ʻana a me ka hoʻomaha ʻana o nā ʻiʻo i loko o kou anus a me ka sphincter anal. Hoʻokomo ʻia kahi paipu liʻiliʻi a palupalu (catheter) i loko o kou anus. A laila hoʻopiha kahi loea olakino i ka catheter. Hoʻopaʻa kahi mīkini i ke ʻano o ka pane ʻana o kou mau ʻiʻo, me he mea lā ua piha lākou i ka ʻōpala. Hiki i kēia hoʻāʻo ke ʻike:

• Hiki anei ke hana i ka ikaika e lawa ai e hoʻokuke aku i nā feces?
• Ke hoʻomaha pono nei nā ʻiʻo o ka sphincter anal ke kaomi ʻoe?
• A i ʻole, e paʻa ana kēlā mau ʻiʻo ke paʻi ʻoe?
• He mea maʻamau anei kou ʻike ʻana i loko o ka rectum?

2. Hoʻāʻo kipaku ʻana i ka pōpō:

Ke ana nei kēia i ka lōʻihi o kou hoʻokomo ʻana i kahi mea e like me ka ʻōpala ma kou anus. I mea e like ai me kahi ʻōpala, hoʻokomo ʻia kahi pōpō i piha i ka wai mahana i loko o kou anus a hoʻopiha ʻia i kahi nui. A laila e noi ʻia ʻoe e noho ma ka lua a hoʻokuʻu iā ia. Inā ʻoi aku kēia ma mua o hoʻokahi minuke , hiki ke hōʻike i kahi pilikia me ka hana o kou mau ʻiʻo papahele pelvic.

3. Defecography:

Ma kēia hoʻāʻo, hiki ke hoʻohana ʻia nā kukuna X a i ʻole MRI e ʻike pehea e hana ai nā ʻiʻo i loko o kou kino i kou hoʻāʻo ʻana e hoʻohele i kahi neʻe ʻōpū. Hoʻokomo ʻia kahi mea hoʻopili e like me ka ʻōpala i loko o kou rectum, a noi ʻia ʻoe e noho ma ka lua a hoʻohele iā ia. A laila hōʻike ʻia nā kiʻi X-ray a MRI paha ma kahi pale. Hiki i kēia ke kōkua i ka ʻike ʻana i nā pilikia me ka hana ʻana o kou papahele pelvic, a me nā pilikia kūkulu ʻē aʻe.

4. Haʻawina māka Sitz:

Ana kēia i ka wikiwiki o ka neʻe ʻana o ka meaʻai ma kou ʻōpū. ʻO ka mea mua, e hāʻawi kāu kauka iā ʻoe i kahi pila e lawe ai. Aia i loko o ka pila nā māka liʻiliʻi e ʻike ʻia ma kahi X-ray. ʻElima mau lā ma hope o ka lawe ʻana i ka pila, e loaʻa hou iā ʻoe kahi X-ray. Inā aia nō nā māka i loko o kou kolona ma ka X-ray, ʻo ia hoʻi, ʻaʻole e neʻe maʻamau nā huahana ʻōpala ma kou kolona.

He aha nā lāʻau lapaʻau no kēia maʻi i kapa ʻia ʻo anismus?

ʻO ka nūhou maikaʻi, aia kahi lāʻau lapaʻau no kēia! ʻO ka lāʻau lapaʻau kūpono loa i loaʻa i kēia manawa ʻo ia ka biofeedback . He 80% ka nui o ka holomua. ʻO kēia ke kumu nui o ka lāʻau lapaʻau. Eia nō naʻe, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau ʻē aʻe a i ʻole nā ​​​​​​mea ʻē aʻe inā ʻaʻole holo pono ka biofeedback iā ʻoe.

Eia kekahi mau koho lapaʻau:

1. Ka lāʻau lapaʻau Biofeedback:

He ʻano hana physiotherapy psycho-physical kupaianaha kēia. Ua like ia me ka hoʻomaʻamaʻa ʻana i ka kaohi ʻana i nā ʻiʻo o kou kino me kou noʻonoʻo. Hoʻokomo ʻia nā mea liʻiliʻi, ʻeha ʻole i kapa ʻia ʻo electrodes ma kou ʻili, a hōʻike ʻia kou helu puʻuwai, ke ʻano hanu, ka mahana o ka ʻili, ka ʻūlū ʻana o nā ʻiʻo, a me ka hana o ka lolo ma kahi pale no ʻoe a me ka mea hoʻōla e ʻike.

A laila, e aʻo aku ke kauka lapaʻau iā ʻoe i nā hoʻomaʻamaʻa like ʻole, nā ʻūlū ʻiʻo, a me nā ʻano hana hoʻomaha. I kāu hana ʻana i kēia mau hoʻomaʻamaʻa, hiki iā ʻoe ke nānā i nā hopena ma ka pale a aʻo pehea e hoʻomalu pono ai i kou mau ʻiʻo. Ma ka hoʻomaʻamaʻa ʻana i kēia ʻano, e hiki iā ʻoe ke paʻi pono e hele i ka ʻōpala a hoʻomaha pono i nā ʻiʻo a puni kou anus.

Hiki i ka Biofeedback ke kōkua iā ʻoe e hoʻonui i kou ʻike sensory. Loaʻa i kekahi poʻe ka hyposensitivity rectal. Me kēia hoʻomaʻamaʻa, e hoʻomaka ʻoe e manaʻo i ka pono e defecate wikiwiki.

2. Nā lāʻau lapaʻau nohona:

Inā ʻoe e hele nei i ka lāʻau lapaʻau biofeedback a i ʻole, e haʻi pinepine kāu kauka iā ʻoe e hana i kekahi mau hoʻololi i ke ʻano o ka nohona, e like me kēia, e kōkua i ka maʻalahi o ke kaʻina hana neʻe ʻana o ka ʻōpū:

• E pale i nā lāʻau lapaʻau paʻa.
• E inu i ka wai lawa i ka lā a pau.
• E ʻai i nā meaʻai waiwai i ka fiber (nā mea kanu, nā huaʻai, nā legumes, nā palaoa piha).
• E hele wāwae pōkole ma hope o kēlā me kēia ʻai ʻana.
• E hele i ka lua i ka wā e manaʻo ai ʻoe e pono e kahe. Mai hoʻopaneʻe.
• E ho'āʻo e hele i ka lua i ka manawa like i kēlā me kēia lā (no ka laʻana, ma hope o ka ʻaina kakahiaka).

3. Nā lāʻau lapaʻau no ka ʻōpū paʻa:

Inā ʻaʻole holo pono nā ʻano hana ʻē aʻe, hiki i kāu kauka ke kuhikuhi i kahi laxative ( laxative ) e hōʻoluʻolu i ka constipation.Hiki ke kuhikuhi ʻia nā lāʻau lapaʻau ʻē aʻe. ʻAʻole i hoʻolālā kūikawā ʻia kēia mau lāʻau lapaʻau no ka anismus. Eia nō naʻe, hāʻawi pinepine lākou i ka hōʻoluʻolu no ka paʻa ʻana o ka ʻōpū no ka manawa lōʻihi. ʻOiai inā ʻaʻole i hoʻoponopono ʻia ka pilikia o nā ʻiʻo, hiki iā lākou ke kōkua i ka pale ʻana i ka ʻōpala mai ka lilo ʻana i mea paʻakikī loa a paʻakikī hoʻi e hele.

4. Nā inikini Botox®:

Ua hoʻohana ʻia nā inikini toxin botulinum e mālama i ka anismus, akā ua hui pū ʻia nā hopena. Hoʻohana pinepine ʻia ka Botox e hoʻomaha i nā ʻiʻo (e like me ka hoʻohana ʻia ʻana e hōʻemi i nā wrinkles). Eia naʻe, he 50% wale nō ka hopena o kēia no ka anismus. Malia paha no ka mea ʻoi aku ka paʻakikī o ka anismus ma mua o ka ʻūlū ʻana o nā ʻiʻo. Eia naʻe, me he mea lā ʻoi aku ka hopena i nā keiki.

He aha ka wā e hiki mai ana no ka poʻe e noho nei me Anismus? (Outlook)

Inā loaʻa iā ʻoe ke komo ʻana i ka lāʻau lapaʻau biofeedback, he mea kōkua paha ia. Eia nō naʻe, ʻōlelo nā kauka ʻaʻole i loaʻa koke kēia lāʻau lapaʻau i nā mea āpau. Ke hoʻomohala ʻia nei nā mea hana biofeedback i loko o ka home. Hiki iā ʻoe ke loaʻa i kahi hōʻoluʻolu me nā lāʻau lapaʻau no ka paʻa ʻana o ka ʻōpū a me nā hoʻololi ʻana i ke ʻano o ka nohona.

Manaʻo mau nā kauka i ka paʻa ʻana o ka ʻōpū, ʻoiai inā he maʻi mau loa ia, me ke koʻikoʻi loa. Inā loaʻa iā ʻoe nā hōʻailona o ka anismus, e ʻike koke i ke kauka . He kumuhana paʻakikī paha kēia e kamaʻilio e pili ana, akā ʻoi aku ka maikaʻi ma mua o ka mālama ʻana i ka maʻi iā ʻoe iho.

E kamaʻilio ākea me kāu kauka e pili ana i kāu mau hōʻailona. E hoʻomanaʻo, ʻo lākou ka poʻe e lohe a ʻike i kēia mau mea i kēlā me kēia lā. Inā hiki iā ʻoe, e mālama i kahi "moʻolelo poop" ma mua o kou ʻike ʻana i kāu kauka. ʻO ia hoʻi, e kākau i lalo i nā mea i hana ʻia i kēlā me kēia manawa āu i hele ai i ka lua, pehea ka lōʻihi, a pehea ka paʻakikī. ʻO ka nui o ka ʻike āu e hāʻawi ai, ʻoi aku ka maʻalahi o ke kōkua ʻana o kāu kauka iā ʻoe.

Leka Lawe-Home

• ʻO Anismus kahi maʻi e pili ana i ka paʻa ʻana i ka ʻōpū i hoʻokumu ʻia e ka hoʻomaha ʻole ʻana o nā ʻiʻo papahele pelvic i ka wā o ka neʻe ʻana o ka ʻōpū a me ka paʻa ʻana.
• Hiki ke ulu kēia i loko o kekahi o nā makahiki āpau, akā ʻoi aku ka maʻamau i waena o nā wahine a me ka poʻe ʻelemakule.
• ʻO nā hōʻailona e komo pū ana me ka hoʻoluhi nui ʻana, ka hoʻokuʻu piha ʻole ʻana o ka ʻōpala, nā ʻōpala paʻakikī, a me ka ʻeha o ka ʻōpū.
• Mai hopohopo, aia nā hoʻokolohua kūikawā e ʻike ai i kēia, a he mea kūpono loa ka lāʻau i kapa ʻia ʻo biofeedback.
• Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​he mea nui e ʻimi i ke aʻo lapaʻau me ka ʻole o ka hilahila a me ka hilahila ʻole. ʻO ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau lapaʻau, ʻo ka wikiwiki o kou hoʻōla ʻana.

ʻAnismus , dyssynergic defecation, constipation, nā ʻiʻo papahele pelvic, biofeedback, nā pilikia toilet, nā neʻe ʻana o ka ʻōpū