Toilet kal pawh i harsat em? Hei hi anismus an tih dinhmun a ni em? Hemi chungchang hi han sawi ila!

Toilet i kal dawnin ek chhuah harsa emaw, tightness emaw i nei fo thin em? Ni tam tak chhung chu i ril chu a hring lo ang maiin i hria em, a nih loh leh rei tak i vawn hnuah pawh i rilru a buai vek lo ang maiin i inhria em? Hengte hi mi tam takin an tawn thin harsatna a ni. Mahse heng thilte hi a kal zel chuan a chhan a awm mai thei. Vawiin a kan sawi tur condition hi anismus an ti a . A chang chuan hei hi dyssynergic defecation an ti bawk .

Anismus chu eng nge a nih i lo en hmasa phawt ang u.

A awlsam zawngin sawi ila, anismus hi i pelvic area chhunga muscle te hnathawh that loh vang a ni a, chu chuan stool passing harsatna a thlen thin. Hei hi a hming dang chu pelvic floor dysfunction chi khat a ni .

Tunah chuan han ngaihtuah teh, i pelvic area chu i belly button hnuai lam a ni. Chutah chuan taksa ruh a tam hle. Mesh emaw, cup tlemte emaw ang maiin heng ruhte hian kan bladder, uterus (hmeichhiaah), leh rectum ang chi organ te chu an vawng tlat a ni. He taksa peng hrang hrangte hi pelvic floor kan ti a . Heng muscle te hi a pawimawh hle. A chhan chu, kan ek leh kan zun hian heng taksa pengte hi an inzawm khawm a, an relax a, chu process-ah chuan pui turin.

Chuvangin, anismus chungchangah chuan, bawlhhlawh paih i tum hian pelvic floor-a taksa ruh, a bik takin hnute chhehvel (anus) vel chu a hahdam tur a ni. Chutah chuan stool chu awlsam takin a rawn chhuak thin. Mahse anismus vei tan chuan chawlh hahdam ai chuan heng ruh te hi an tikhauh (paradoxical contraction) , a nih loh leh an relax lo (hypertonic pelvic floor) . Kawngkhar hawn duh hunah a khar nasa zawk ang maiin han ngaihtuah teh. Mi thenkhat tan chuan heng ruhte hian bawlhhlawh paih chhuah theihna tur chakna an siam chhuak thei lo.

Thil dang pakhat chu he natna vei zinga a chanve vel chuan an rilru a buai emaw, an rilru a buai emaw a, an rilru a buai hle. Chuvangin, bawlhhlawh chu a hun taka a pass out loh chuan intestine-ah a tang a, a vawt lehzual a, pass a harsa zawk a, pass a harsa zawk bawk. Hei hi chronic constipation thlentu pakhat a ni .

Hetiang dinhmun hi engtiang chiahin nge a awm? Tuin nge dawng thei ang?

Khawvel pumah chuan chronic constipation nei zinga 15% atanga 25% velin anismus an vei thei niin an chhut. Constipation hi a tam hle a, mi 10% atanga 20% velin an vei a ni. Hmeichhiain mipa aiin a let hnih zetin an nei tam zawk. Kum 65 chunglam ah pawh a tam zawk bawk.

Mak tak maiin, he natna vei hmun thuma ṭhena hmun khat vel chuan naupan laiin an nei a ni.Hei hi a intan a ni. Pathumna dang chuan nau an neih hnuah emaw, accident hnuah emaw an nei thei bawk. A bak 40% tan chuan a chhan chiang tak hmuh a la ni lo. A tam zawkah chuan thil neih (acquired behavior) anga ngaih a ni.

Engvangin nge anismus hi a lo awm? Risk factors te chu engte nge ni?

Dik tak chuan, anismus hi hnathawhna lama harsatna a ni . Chu chu taksa lam emaw, thluak lam natna bik emaw, a thlentu hmuhchhuah a la ni lo tihna a ni. Stress, trauma emaw, chronic constipation emaw avanga lo awm a ni thei a, a nih loh leh taksa ruh (muscles) a inthlak danglam vang pawh a ni thei.

Hei hi a chhan chiang tak awm lo mah se, anismus hi dinhmun thenkhat nen inzawmin hmuh theih a ni. Chu chu a hnuaia mite hi anismus an vei tam zawk tihna a ni:

• Rectal ulcer a awm thin
• IBS-C (Irritable Bowel Syndrome with constipation) – Hei hi chaw ei kham rualin pum na a awm bawk.
• Slow colonic transit time – Hei hian ei tur chu intestine kaltlangin zawi zawiin a kal tihna a ni.
• Naupan lai atanga chronic constipation.
• Rectal hyposensitivity – bawlhhlawh kal chhuak ang maia hriat loh .
• Rilru lama harsatna awm thei.
• Painkiller thenkhat hman (Opioid hman).

Anismus vei hian eng symptoms nge a neih?

Anismus vei te hian constipation na tak a hmuh ang chi symptoms an nei tlangpui. Hengte hi a lan chhuah dan tlangpui chu an ni:

• Kar khatah vawi thum aia tlem lo efecation.
• Bowel movement laiin straining lutuk .
• Ek chhuah hnuah pawh bawlhhlawh zawng zawng a chhuak vek lo tih hriatna .
• Bowel movement khauh tak, na tak tak .
• A chang chuan i kut zungtang hmangin i stool chhuah tir a ngai thin .
• Pum a puak chhuak.
• Pum natna.
• Anal natna.

Heng symptoms chungchang sawi hi i zak emaw, i zak emaw a ni thei. Mahse, hengte hi he natna lan chhuah dan tlangpui a ni. Heng thilte hi hreh lova doctor hnena hrilh chuan dik takin a pui ang che.

Engtin nge he anismus natna hi an hriat theih?

Doctor i hmuh chuan constipation thlentu dang (structural defects, metabolic problems ang chi) i neih leh neih loh an enfiah hmasa ang. Hei hian basic rectal exam thenkhat a huam thei bawk.

• A hmasa berinDigital rectal exam (DRE) tih tir i ni thei bawk. Hei hian doctor-in kutkawr a bun a, lubricant a hnawih a, i rectum-ah kut zungtang a dah tel a ni.
• Tichuan, sigmoidoscopy test tih theih a ni a, chu chu tube (scope) dahin a chhungah camera te tak te dah a ni.

Heng test-te hian a chhan chiang tak an hmuh loh chuan a dawt leh tur chu anismus a awm leh awm loh enfiah nan test bik engemaw zat tih a ni.

Anismus hmuhchhuahna atana special test hmante chu engte nge ni?

Heng test zinga pahnih tal result mumal lo a awm chuan Anismus hi a dik tih finfiah a ni.

1. Anorectal manometry hmanga thil tih dan: 1.1 .

Hei hian i hnute leh i hnute kawng (anus) leh i hnute kawng (anal sphincter)-a ruh (muscles) te chu engtin nge an inzawm khawm a, an hahdam dan tehna a huam a ni. I hnute chhungah tube te tak te, flexible tak (catheter) dah a ni. Chumi hnuah healthcare professional chuan catheter chu a inflate leh ta a ni. Machine chuan i taksa ruhte chhân lêt dân chu a record a, chu chu bawlhhlawh a khat ang maiin a ni. He test hian:

• Feces paih chhuah theihna tur pushing force tling siam theih a ni em?
• I nawr hian anal sphincter chhunga muscle te hi a relax tha em?
• A nih loh leh, chu ruhte chu i nawr chuan a nghet zawk em?
• I rectal sensation hi a normal em?

2. Balloon hnawhchhuah dan test:

Hei hian i hnute chhunga bawlhhlawh ang chi thil i pass theih hun chhung a teh a ni. Stool ang maia a lan theih nan balloon tui lum nen i hnute chhungah dahin, a size engemaw zatah inflated a ni. Chumi hnuah chuan toilet-ah thuin pass turin an ti che a ni. If this takes more than a minute , i pelvic floor muscle hnathawh danah harsatna a awm tih a tilang thei.

3. Defecography chungchang: 1.1.

He test-ah hian X-ray emaw MRI emaw hmangin i taksa chhunga thau (muscles) te hnathawh dan chu i rilru natna (bowel movement) pass i tum laiin i hmu thei a ni. I rectum-ah hian stool ang maia paste dah a ni a, toilet-ah thuin pass turin an ti che a ni. Chumi hnuah chuan X-ray emaw MRI emaw thlalak chu screen-ah a lang leh thin. Hei hian i pelvic floor hnathawh danah harsatna awm apiang a hriat theih nan a pui thei a, chubakah structural problem dang pawh a awm thei bawk.

4. Sitz marker zirchianna: 1.1.

Hei hian i intestines kal tlanga chaw a kal chak dan a teh a ni. A hmasa berin i doctor chuan pill ei tur a pe ang che. Pill-ah hian X-ray-a hmuh theih tur marker te te a awm a. Pill i ei atanga ni nga hnuah X-ray dang i nei leh ang. X-ray-a marker te chu i colon chhungah a la awm a nih chuan bawlhhlawh chu i colon chhungah a kal tlangpui lo tihna a ni.

He anismus an tih hi eng enkawlna nge ni?

Thu lawmawm tak chu, hei hi enkawl dan tur a awm! Tuna enkawlna tha ber chu biofeedback a ni . 80% hlawhtlinna rate a nei. Hei hi enkawlna bulpui ber a ni. Mahse, biofeedback hian i tan a tha lo a nih chuan i doctor chuan enkawlna dang emaw, a dang emaw a rawn rawt thei ang.

Enkawl dan tur thenkhat chu hetiang hi a ni:

1. Biofeedback hmanga enkawlna:

Hei hi psycho-physical physiotherapy method mak tak a ni. I taksa ruhte chu i rilru hmanga control dan practice ang mai a ni. I vunah electrode an tih hmanrua te tak te, natna nei lo tak tak dah a ni a, i heart rate, thawk dan, vun lumna, taksa ruh tension leh thluak hnathawh te chu nang leh therapist in hmuh theih turin screen-ah a lang a ni.

Tichuan, therapist chuan exercise hrang hrang, taksa ruh inzawm dan leh chawlh hahdam dan hrang hrang a zirtir ang che. Heng exercise i tih lai hian screen-ah result i en thei a, i taksa ruh (muscle) te uluk taka control dan tur i zir thei bawk. Chutianga i practice chuan stool pass turin i nawr tha thei ang a, i hnute chhehvel thau te chu uluk takin i relax thei bawk ang.

Biofeedback hian i sensory awareness a tipung thei bawk. Mi thenkhat chuan rectal hyposensitivity an nei thin. He training hmang hian bawlhhlawh paih thuai a ngai tih i hre tan ang.

2. Nunphung damdawi: 1.1.

Biofeedback therapy i nei emaw, i ei lo emaw, i doctor chuan nunphung tihdanglamna engemaw zat, heng ang chi hi siam turin a hrilh tlangpui ang che, chu chu bowel movement process awlsam zawka siam turin a pui ang che:

• Constipating damdawi ei loh tur.
• Nilengin tui tlem in tur a ni.
• Fiber tamna ei tur (thlai, thei, legumes, whole grains) ei tam rawh.
• Chaw ei apiangin rei vak lo kal thin ang che.
• Ek chhuah a ngai nia i hriat veleh toilet-ah kal nghal rawh. Tihkhawtlai suh.
• Nitin (entir nan, chawhmeh ei zawhah) toilet-ah hun khata kal tum ang che .

3. Constipation damdawi: 1.1.

Thil dangin a tihlawhtling lo a nih chuan i doctor chuan chaw ei khamna tihziaawm nan laxative ( laxative ) a pe thei ang .Damdawi dang pawh pek theih a ni. Heng damdawi te hi anismus tan bik siam a ni lo. Mahse, hun rei tak chhunga chaw ei khamna (constipation) tan chuan tihdamna an pe tlangpui thung. Muscle problem siamthat loh pawhin stool kha a khauh lutuk loh nan leh pass harsa lutuk lo turin an pui thei a ni.

4. Botox® injection te hi a hnuaia mi ang hian a ni.

Anismus enkawlna atan hian Botulinum toxin injection hman a ni tawh a, mahse a result a inang lo hle. Botox hi taksa ruh tih hahdam nan hman a ni tlangpui (wrinkles tihziaawmna atana hman ang bawkin). Mahse, hei hi anismus tan chuan 50% vel chauh a ni. Hei hi anismus hi taksa ruh inzawmkhawm mai ni lovin a buaithlak zawk vang pawh a ni thei. Mahse, naupangte tan chuan a hlawk zawkin a lang.

Anismus nena khawsa mekte hmalam hun chu eng nge ni? (Hmuh dan tur) .

Biofeedback therapy i neih chuan a \angkai hle mai thei. Mahse, doctor-te chuan he damdawi hi mi zawng zawng tan awlsam taka hmuh theih a ni lo niin an sawi. In-home biofeedback device siam mek a ni bawk. Constipation leh nunphung thlak danglamna damdawi hmangin hahdamna engemaw chen i hmu thei bawk.

Doctor te chuan constipation hi an ngai pawimawh hle a, a bik takin a chronic a nih chuan an ngai pawimawh hle. Anismus symptoms i neih chuan doctor pan nghal rawh . Hei hi thupui sawi harsa tak a ni thei a, mahse natna chu mahni chauha dah ai chuan a tha zawk.

I natna lan chhuah dan tur chu i doctor nen zalen takin sawipui rawh . Heng thute hi nitin ngaithlatu leh hmutu an ni tih hre reng ang che. I theih chuan doctor i hmuh hmain “poop journal” ziak hmasa phawt ang che. Chu chu, toilet i kal apianga thil thlengte, eng chen nge a rei tih leh a harsat zia te ziak chhuak rawh. Thu i ​​pek tam poh leh i doctor tan a puih a awlsam zawk ang.

Take-Home Thuchah a ni

• Anismus hi constipation-related condition a ni a, chu chu pelvic floor muscle-te a relax tha lo va, bowel movement leh tightening-ah a awm thin.
• Hei hi kum eng pawhah a lo awm thei a, mahse hmeichhia leh tar zingah a tam zawk.
• A lan chhuah dan chu straining lutuk, stool chhuah kim loh, stool khauh, leh pum na te a ni.
• Ngaihtuah buai suh, hei hi hriat theih nan test bik a awm a, biofeedback an tih enkawlna pawh a hlawk hle.
• Heng symptoms te hi i neih chuan mualpho leh mualpho lovin damdawi lam thurawn lak a pawimawh. Enkawl i tan hma poh leh i dam thuai thei ang.

` Anismus, dyssynergic defecation, constipation, pelvic floor muscles, biofeedback, toilet harsatna, riltam