Kodi inunso mumavutika kuchita chimbudzi? Tiyeni tikambirane za mayeso awa a (Anorectal Manometry)!

Mwina nthawi zina mumamva kusasangalala mukapita kuchimbudzi, sichoncho? Mwina muli ndi m'mimba mouma, kapena mumamva ngati mwatsekeredwa m'mimba. Anthu ena angakhale ndi zinthu zina zambiri. Kotero lero tikambirana za mayeso apadera omwe angakuthandizeni kupeza chomwe chikukupangitsani kusasangalala. Ichi ndi chomwe timachitcha `(Anorectal Manometry)`.

N’chifukwa chiyani mayeso a ``Anorectal Manometry'' amachitika?

Mwachidule, mayesowa amachitika kuti aone ngati minofu yozungulira mphuno yanu (njira yomwe chopondapo chimadutsa) ndi rectum (malo osungiramo chopondapo kwakanthawi) ikugwira ntchito bwino. Tangoganizani, monga momwe timadyera, kugaya chakudyacho ndikutulutsa chotsalacho m'thupi ndi njira yofunika kwambiri. Ubongo wathu ndi minofu imeneyi zimagwirira ntchito limodzi kuti zichite izi. Chifukwa chake, ngati mukuvutika kuchita chimbudzi, chifukwa chake chingakhale vuto ndi kugwira ntchito kwa minofu iyi.

Pali zifukwa zingapo zazikulu zomwe dokotala angakupempheni kuti muyesedwe izi:

• Ngati mukumva kupweteka kapena kutopa mukamapita kuchimbudzi: Izi zimatchedwanso `(Dyschezia)`. Zimakhala ngati mukuyesera kutulutsa mwala.
• Ngati mukumva ngati chopondapo chanu chatsekeka ndipo sichikutuluka: Izi zimatchedwa "Kutsekeka kwa chimbudzi koletsedwa". Mukumva ngati mukufunika kupita kuchimbudzi, koma palibe chomwe chikutuluka.
• Kudzimbidwa kosalekeza: Izi zikutanthauza kuti muyenera kupita kuchimbudzi kwa masiku ambiri ndi matumbo ovuta komanso oyenda pafupipafupi. Izi zimatchedwanso "Kudzimbidwa kosatha".
• Kulephera kulamulira mayendedwe a m'mimba: Kutaya mayendedwe a m'mimba mwadala. Izi zimatchedwa "kulephera kudziletsa m'mimba." Izi zimakhala zovuta kwambiri kwa anthu ambiri.

Kuwonjezera pa zizindikiro zimenezi, nthawi zina mayesowa amagwiritsidwa ntchito kuona momwe minofu m'dera limenelo ikugwirira ntchito pambuyo pa ngozi kapena opaleshoni, kapena kudziwa ngati kuyenda kwa minofu imeneyi kwakhudzidwa ndi matenda a nthawi yayitali.

Mayeso a ``(Anorectal Manometry)`` awa angakuthandizeni kuzindikira matenda ena omwe angayambitse kudzimbidwa. Mwachitsanzo:

• Kutuluka kwa madzi m'thupi (anismus) kapena dyssynergic: Apa ndi pamene minofu ya m'matumbo imakokana ikafuna kutsuka, ndipo iyenera kupumula.
• Matenda a Hirschsprung: Imeneyi ndi vuto lomwe limapezeka kwambiri mwa ana aang'ono. Limayamba chifukwa cha kufooka kwa maselo amitsempha m'malo olumikizirana mafupa.

Zingathandizenso kudziwa bwino zomwe zikuchitika komanso komwe vuto lili pankhani ya kusadziletsa kwa ndowe. Chodabwitsa ndichakuti ukadaulo womwewo womwe umagwiritsidwa ntchito poyesa uku nthawi zina ungagwiritsidwe ntchito kuphunzitsanso minofu iyi (mu zinthu monga ``Biofeedback therapy'').

Kodi mayeso a "Anorectal Manometry" awa amagwira ntchito bwanji?

Kuti tifotokoze izi pang'ono mwasayansi, chipangizo chotchedwa ``Manometer`` chimagwiritsidwa ntchito poyesa uku. Ichi kwenikweni ndi sensa yokakamiza.`(pressure transducer)`. Izi zikutanthauza kuti, imatha kuyeza kuthamanga komwe kumachitika pamene minofu ya rectum ndi anus yanu ikugwedezeka. Izi zingakuthandizeni kuona ngati kuthamanga kumeneku kuli koyenera, kochuluka kwambiri, kochepa kwambiri, kapena ngati kupweteka kumeneku kukuchitika panthawi yoyenera.

Dokotala kapena wogwira ntchito zachipatala wophunzitsidwa bwino amaika chubu chopyapyala komanso chosinthasintha (catheter) kudzera mu anus yanu kupita mu rectum yanu. Chubu ichi chili ndi sensa yokakamiza yomwe imalumikizidwa nayo. Baluni yaying'ono imalumikizidwa mkati mwa chubu ichi. Baluni iyi ikadzaza mkati mwa rectum yanu, imapanga mtundu womwewo wa kukondoweza kwa mitsempha komwe timamva tikamayendetsa matumbo. Kenako minofu yanu imayamba kuyankha mwachibadwa. Yankho ili ndi lomwe chipangizocho chimayesa.

Kodi ndiyenera kukonzekera bwanji mayeso asanayambe?

Ndi bwino kukhala ndi rectum ndi anus yanu yopanda kanthu panthawi yoyezetsa iyi. Chifukwa chake, dokotala wanu adzakuuzani kuti musadye kwa maola angapo mayeso asanachitike. Adzakuuzaninso kuti mugwiritse ntchito ``(Enema)`` (madzi oyeretsera rectum) kunyumba kuti muchotse madzi m'derali. Dokotala wanu adzakupatsani malangizo omveka bwino a nthawi yochitira izi, momwe mungachitire, komanso zomwe mungagwiritse ntchito. Choncho musachite mantha nazo.

Kodi chimachitika ndi chiyani panthawi ya mayeso?

Chabwino, tsopano tiyeni tiwone zomwe zimachitika panthawi ya mayeso.

• Mukabwera kudzayesedwa, mudzapemphedwa kuti muvule zovala zanu pansi pa chiuno kapena kuvala diresi yoperekedwa ndi chipatala.
• Kenako amakutembenuza chagada patebulo ndikukugoneka pansi mawondo ako atawerama molunjika pachifuwa pako.
• Nthawi zina, asanaike catheter, dokotala amaika chala chovala magolovesi m'malo mwanu a rectum ndikuyesa rectum pogwiritsa ntchito digito. Izi ndi zoti aone ngati pali chilichonse chachilendo mkati mwake. Musadandaule, izi zimatha msanga.
• Kenako, pakani mafuta kumapeto kwa chubu (kuti mulowe mosavuta) ndipo pang'onopang'ono mulowetseni kudzera mu anus kupita mu rectum.
• Kuwerengera kwa kuthamanga kwa magazi kumalembedwa mozama mosiyanasiyana mu rectum. Izi zimakupatsani lingaliro la kuthamanga kwa magazi kwanu kwabwinobwino.
• Kenako baluniyo imadzazidwa ndi mpweya. Baluniyo imadzazidwa ndi kuchuluka kosiyanasiyana, kuyikidwa pamalo osiyanasiyana mkati mwa rectum, ndipo kuyesedwa kwa kuthamanga kwa magazi kumayesedwa.
• Mudzafunsidwanso ngati mukumva kusintha kumeneku komanso ngati mukumva ngati mukufunika kupita kuchimbudzi.
• Komanso, nthawi zosiyanasiyana mumauzidwa kuti mudzikakamize, mupumule, mukankhire (monga mukupita kuchimbudzi), ndikukoka minofu yanu. Panthawiyi, minofu yanu imalembedwa pamene ikuchitapo kanthu mwakufuna komanso mwachibadwa.

Kawirikawiri, mayeso onse amatenga pafupifupi mphindi 30. Akhoza kukhala mphindi 15, kapena mphindi 45.

Kodi iyi ndi mayeso opweteka?

Ili ndi vuto lomwe anthu ambiri ali nalo. Kunena zoona, ili si mayeso opweteka kwambiri.Ngati rectum kapena anus yanu yavulala pang'ono, mungamve kusasangalala pang'ono kapena kulimba. Komabe, kupanikizika kuchokera ku chubu ndi baluni kumafanana ndi kupsinjika komwe mumamva nthawi zambiri mukachita chopondapo.

Komabe, ngati mukuopa kwambiri kapena mukuda nkhawa ndi izi, mutha kulankhula ndi dokotala wanu ngati mungapeze mtundu wina wa mankhwala ochepetsa ululu (`(Sedation)`) ngati pakufunika kutero.

Kodi mayeso ochotsa baluni ndi chiyani?

Nthawi zina dokotala amachita mayeso ena nthawi imodzi ndi mayeso a Anorectal Manometry. Amatchedwa Balloon Expulsion Test. Izi zimaphatikizapo kudzaza baluni ndikuwona ngati mungathe kuitulutsa "ngati kuti mukutuluka m'mimba" komanso nthawi yomwe imatenga. Mudzafunsidwa kuti muchite izi mwachinsinsi, mutakhala pansi. Masensa omwe ali pa baluni amalemba nthawi ndi mphamvu.

Kodi pali zoopsa zilizonse pa mayesowa?

Ndipotu, palibe zoopsa zazikulu kapena zotsatirapo zoyipa kuchokera ku mayesowa. Chinthu chokhacho ndichakuti, ngati muli ndi vuto la `(Latex)` (mkaka wa rabara), muyenera kuuza dokotala wanu pasadakhale. Kenako adzagwiritsa ntchito buluni yopanda `(Latex).

Ngati rectum kapena anus yanu yatupa pang'ono komanso yofiira, mutha kumva mabala kapena kutuluka magazi pang'ono mutayesa. Koma nthawi zambiri izi zimachira msanga.

Kodi zotsatira za mayeso zikusonyeza chiyani?

Chabwino, tsopano chinthu chofunikira. Kodi tingaphunzire chiyani kuchokera ku zotsatira za mayesowa?

Zotsatirazi zikusonyeza ngati minofu ndi mitsempha yomwe imakhudzidwa ndi njira yoyendetsera matumbo ikugwira ntchito bwino, kapena vuto lili kuti.

Zotsatira zabwinobwino zingawonetse chinthu chonga ichi:

• Chimbudzi chikalowa m'matumbo, m'matumbo mumayamba kumasuka ndikukulirakulira kuti chigwirizane ndi izi (`(Kutsatira malamulo a rectum)`).
• Mitsempha yomwe ili m'makoma a rectum (`stretch receptors`) imalimbikitsidwa, kutumiza chizindikiro ku ubongo kuti muyenera kupita kuchimbudzi (`(Rectal sensation)`).
• Poyankha, sphincter yamkati ya anal imapumula yokha (`(Rectoanal inhibitory reflex)`).
• Pamene chamkati chimasuka, sphincter yakunja ya anal imalimba ndikusunga chopondapo mpaka mutakonzeka (`(Rectoanal contractile reflex)`). Imalimbanso mukamatsokomola (`(Cough reflex)`).
• Mphete yakunja ya kumatako imayankha malamulo anu odziwa bwino kuti amange, amasulire, ndi kukankhira.
• Mukayesa kuchita chimbudzi, kuthamanga kwa magazi m'chimbudzi kumawonjezeka, zomwe zimapangitsa kuti mphete yakunja ya m'chimbudzi ipumule, zomwe zimapangitsa kuti chopondapo chizidutsa. Zonsezi zimagwira ntchito limodzi (`(Kusintha kwa kuthamanga kwa magazi kogwirizana)`).

Zotsatira zachilendo zingasonyeze zotsatirazi:

• Ngakhale kuti ndowe zimadutsa m'matumbo, palibe kumva ngati ukufunika kupita kuchimbudzi. Mwina m'matumbo simukukula bwino, kapena mitsempha siitumiza uthenga ku ubongo.
• Ngakhale mukumva kufunika kopita kuchimbudzi, minofu yanu sikugwira ntchito bwino.
• Minofu imayankha molakwika. Mwachitsanzo, imalimbitsa malo omwe iyenera kumasuka, ndipo imapumula malo omwe iyenera kukhala yolimba.
• Ngakhale minofu ingachite bwino, imachita bwino panthawi yolakwika, kapena sizigwira ntchito limodzi.
• Kupweteka kwa minofu kumakhala kofooka ndipo sikugwira ntchito bwino.
• Ngakhale ndimayesetsa kupumula, minofu yanga ndi yolimba kwambiri.

Kodi mayesowa angathandize kuti chithandizo chikhale chopambana?

Inde, ndithudi! Dokotala akatha kudziwa bwino minofu yomwe yakhudzidwa ndi momwe imakhudzidwira, akhoza kugwiritsa ntchito njira zosiyanasiyana kuti aphunzitsenso minofuyo. Mankhwala odziwika bwino ndi awa:

• Chithandizo cha Biofeedback: Izi zimaphatikizapo kudziwonetsa momwe minofu yanu imagwirira ntchito pogwiritsa ntchito chipangizo ndikukuphunzitsani kulamulira minofuyo.
• Kuchiza thupi chifukwa cha vuto la pansi pa chiuno: Izi zimaphatikizapo kugwiritsa ntchito masewera olimbitsa thupi apadera kuti alimbikitse minofu m'dera limenelo ndikupangitsa kuti igwire bwino ntchito.

Anorectal Manometry ndi mayeso achangu komanso osapweteka omwe dokotala wanu angachite kuti aone momwe matumbo anu amayendera. Ingapatse dokotala wanu chidziwitso chofunikira chokhudza momwe minofu yanu ya rectum ndi anus imagwirira ntchito. Mungamve manyazi pang'ono kugwiritsa ntchito matumbo anu poyezetsa. Komabe, ngati mukuvutika kuchotsa ndowe, ndikofunikira kudziwa chomwe chikuyambitsa. Choyambitsa chikadziwika, chithandizo chingathe kukonzedwa kuti chigwirizane ndi vuto lanu.

Pomaliza, zinthu zoti muzikumbukira

Ngati mukumva kusasangalala, kupweteka, kapena kusadziletsa nthawi zonse mukamachita chimbudzi, musamangopirira. Sikoyenera kuchita manyazi kapena kuopa. Lankhulani ndi dokotala ndipo, ngati kuli kofunikira, pitani ku Anorectal Manometry test. Mukadziwa chomwe chikuyambitsa, chithandizo chimakhala chosavuta. Pali yankho la chilichonse!

Mupeze mphamvu zothana ndi mavuto awa ndikukhala ndi moyo wathanzi komanso womasuka!

Kusagwira bwino ntchito kwa matumbo , manometry ya anorectal, kudzimbidwa, matenda a rectal, dongosolo logaya chakudya, mayeso azachipatala, biofeedback