Kodi inunso mumavutika kupita kuchimbudzi? Kodi vuto limeneli limatchedwa anismus? Tiyeni tikambirane za izi!

Kodi nthawi zina mumamva ngati mukuvutika kuchita chimbudzi kapena mukumva kupsinjika mukapita kuchimbudzi? Kodi mumamva ngati matumbo anu sakutuluka kwa masiku ambiri, kapena mumamva ngati simunatuluke konse ngakhale mutasunga kwa nthawi yayitali? Awa ndi mavuto omwe anthu ambiri amakumana nawo. Koma ngati zinthuzi zikupitirira, pakhoza kukhala chifukwa chake. Vuto lomwe tikambirana lero limatchedwa anismus . Nthawi zina izi zimatchedwanso dyssynergic defecation .

Choyamba tiyeni tiwone chomwe Anismus ndi.

Mwachidule, anismus ndi vuto lomwe minofu ya m'chiuno mwanu sigwira ntchito bwino, zomwe zimapangitsa kuti zikhale zovuta kutuluka chopondapo. Dzina lina la izi ndi mtundu wa vuto la pansi pa chiuno .

Tangoganizani, dera lanu la m'chiuno ndi dera lomwe lili pansi pa mimba yanu. Pali minofu yambiri pamenepo. Monga mesh, kapena kapu kakang'ono, minofu iyi imagwira ziwalo monga chikhodzodzo chathu, chiberekero (mwa akazi), ndi rectum. Gulu la minofu iyi timalitcha kuti pansi pa m'chiuno . Minofu iyi ndi yofunika kwambiri. Chifukwa, tikamatsuka ndi kukodza, minofu iyi imakokana ndikupumula kuti izithandiza pa izi.

Choncho, pankhani ya anismus, mukayesa kuchita chimbudzi, minofu ya pansi pa chiuno, makamaka mozungulira anus, iyenera kumasuka. Pamenepo ndiye kuti ndowe imatuluka mosavuta. Koma mwa munthu amene ali ndi anismus, m'malo momasuka, minofu imeneyi imalimba (paradoxical contraction) , kapena siimamasuka konse (hypertonic pelvic floor) . Taganizirani ngati mukufuna kutsegula chitseko, chimatseka kwambiri. Kwa anthu ena, minofu imeneyi singathe kupanga mphamvu zokwanira kutulutsa ndowe.

Chinanso n’chakuti pafupifupi theka la anthu omwe ali ndi vutoli amakhala ndi vuto lochepa la kusayenda bwino kwa matumbo kapena kusamva bwino kofunikira kusayenda bwino kwa matumbo. Choncho, ngati chimbudzi sichikutuluka pa nthawi yake, chimakakamira m’matumbo, chimauma kwambiri, chimakhala chovuta kutuluka, komanso chimakhala chovuta kutuluka. Ichi ndi chimodzi mwa zifukwa zomwe zimayambitsa kudzimbidwa kosatha .

Kodi vutoli ndi lofala bwanji? Ndani angalipeze?

Padziko lonse lapansi, akuti anthu 15% mpaka 25% omwe ali ndi vuto la kudzimbidwa kosatha akhoza kukhala ndi vuto la kudzimbidwa. Kudzimbidwa kumachitika kawirikawiri, ndipo kumakhudza anthu pafupifupi 10% mpaka 20%. Akazi ali ndi mwayi wowirikiza kawiri matendawo kuposa amuna. Komanso amapezeka kwambiri mwa anthu azaka zopitirira 65.

Chodabwitsa n'chakuti, pafupifupi gawo limodzi mwa magawo atatu a anthu omwe ali ndi vutoli ali ndi vutoli ali ana.Izi zimayamba. Gawo lina lachitatu likhoza kudwala pambuyo pobereka kapena ngozi. Pa 40% yotsalayo, palibe chifukwa chomveka chomwe chapezeka. Nthawi zambiri, amaganiziridwa kuti ndi khalidwe lobadwa nalo.

Kodi n’chifukwa chiyani matenda a anismus amayamba? Kodi zinthu zoopsa ndi ziti?

Ndipotu, anismus ndi matenda ogwirira ntchito . Izi zikutanthauza kuti, palibe matenda enieni amthupi kapena amitsempha omwe apezeka kuti amayambitsa izi. Zingakhale yankho la kupsinjika maganizo, kuvulala, kapena kudzimbidwa kosatha, kapena zitha kuchitika chifukwa cha minofu kukhala yosazolowereka.

Ngakhale palibe chifukwa chenicheni cha izi, anismus imatha kuwoneka limodzi ndi matenda ena. Izi zikutanthauza kuti, anthu omwe ali ndi zotsatirazi ali ndi mwayi waukulu wokhala ndi anismus:

• Zilonda za m'mimba
• IBS-C (Irritable Bowel Syndrome yokhala ndi kudzimbidwa) - Izi zimadziwika ndi kusokonezeka kwa m'mimba limodzi ndi kudzimbidwa.
• Nthawi yoyenda pang'onopang'ono m'matumbo - Izi zikutanthauza kuti chakudya chimayenda pang'onopang'ono kudzera m'matumbo.
• Kudzimbidwa kosatha kuyambira ali mwana.
• Kusamva bwino kwa rectal - kusamva ngati munthu akuchita chopondapo.
• Matenda a maganizo.
• Kugwiritsa ntchito mankhwala ena ochepetsa ululu (kugwiritsa ntchito opioid).

Kodi munthu amene ali ndi matenda a anismus amakumana ndi zizindikiro ziti?

Anthu omwe ali ndi vuto la kudzimbidwa nthawi zambiri amakumana ndi zizindikiro zofanana ndi zomwe zimawonedwa mu kudzimbidwa kwambiri. Zizindikiro zodziwika kwambiri ndi izi:

• Kuchotsa chimbudzi kosakwana katatu pa sabata.
• Kudzikakamiza kwambiri panthawi yoyenda m'mimba.
• Kumva ngati kuti si ndowe zonse zomwe zatuluka ngakhale mutachita chimbudzi.
• Kuyenda m'mimba movutikira komanso kopweteka .
• Nthawi zina mumayenera kugwiritsa ntchito zala zanu kuti zikuthandizeni kutulutsa ndowe .
• Mimba yotupa.
• Kupweteka m'mimba.
• Kupweteka kwa m'makoswe.

Mungamve manyazi kapena manyazi kulankhula za zizindikiro izi. Komabe, izi ndi zizindikiro zofala za vutoli. Kuuza dokotala wanu za izi mosazengereza kudzawathandiza kukuthandizani moyenera.

Kodi matenda a anismus amenewa amawapeza bwanji?

Mukapita kwa dokotala, choyamba adzayang'ana ngati muli ndi zifukwa zina zomwe zimayambitsa kudzimbidwa (monga zolakwika m'thupi, mavuto a kagayidwe kachakudya). Izi zitha kuphatikizapo mayeso oyambira a rectal.

• ChoyambiriraMungapemphedwe kuti muyesedwe ndi dokotala pogwiritsa ntchito digito ya rectal exam (DRE). Izi zimaphatikizapo kuvala magolovesi, kugwiritsa ntchito mafuta odzola, ndikuyika chala m'malo mwa rectum.
• Kenako, mayeso a sigmoidoscopy angachitike, omwe amaphatikizapo kuyika chubu (scope) chokhala ndi kamera yaying'ono mkati.

Ngati mayesowa sakupeza chifukwa chomveka bwino, sitepe yotsatira ndikuchita mayeso angapo apadera kuti muwone ngati pali anismus.

Kodi mayeso apadera omwe amagwiritsidwa ntchito pozindikira anismus ndi ati?

Anismus imatsimikiziridwa ngati mayeso awiri mwa awa ali ndi zotsatira zosazolowereka.

1. Manometri ya Anorectal:

Izi zimaphatikizapo kuyeza momwe minofu ya m'malo olumikizirana mafupa ndi m'malo olumikizirana mafupa imagwirira ntchito ndikupumula. Kachipangizo kakang'ono, kosinthasintha (catheter) kamalowetsedwa mumalo olumikizirana mafupa. Kenako katswiri wazachipatala amadzaza catheter. Makina amalemba momwe minofu yanu imayankhira, ngati kuti yadzaza ndi ndowe. Kuyesaku kumatha kuzindikira:

• Kodi n'zotheka kupanga mphamvu zokwanira zokankhira kuti zitulutse ndowe?
• Kodi minofu ya m'chibwano cha anal imamasuka bwino mukakankha?
• Kapena, kodi minofu imeneyo imalimba kwambiri mukakankhira?
• Kodi kumva kwanu kwa m'matumbo n'kwachibadwa?

2. Mayeso ochotsa mabaluni:

Izi zimayesa nthawi yomwe zimakutengerani kuti mutulutse chinthu chonga chopondapo kudzera mu chopondapo chanu. Kuti chiwoneke ngati chopondapo, baluni yodzazidwa ndi madzi ofunda imayikidwa mu chopondapo chanu ndikudzazidwa mpaka kukula kwina. Kenako mumapemphedwa kuti mukhale pa chimbudzi ndikuchitulutsa. Ngati izi zitenga mphindi imodzi , zingasonyeze vuto ndi kugwira ntchito kwa minofu ya pansi pa chiuno chanu.

3. Kuchotsa maliseche:

Mu mayeso awa, ma X-ray kapena ma MRI angagwiritsidwe ntchito kuwona momwe minofu mkati mwa thupi lanu imagwirira ntchito pamene mukuyesera kutuluka m'mimba. Phala lomwe limaoneka ngati ndowe limayikidwa mu rectum yanu, ndipo mumapemphedwa kuti mukhale pa chimbudzi ndikutuluka. Zithunzi za X-ray kapena MRI zimawonetsedwa pazenera. Izi zingathandize kuzindikira mavuto aliwonse okhudzana ndi kugwira ntchito kwa pansi pa chiuno chanu, komanso mavuto ena a kapangidwe kake.

4. Kafukufuku wa Sitz:

Izi zimayesa momwe chakudya chimayendera mofulumira m'matumbo mwanu. Choyamba, dokotala wanu adzakupatsani piritsi loti mumwe. Piritsili lili ndi zizindikiro zazing'ono zomwe zingawonekere pa X-ray. Patatha masiku asanu mutamwa piritsili, mudzapatsidwa X-ray ina. Ngati zizindikirozo zikadali m'matumbo mwanu pa X-ray, zikutanthauza kuti zinyalala sizikuyenda bwino m'matumbo mwanu.

Kodi mankhwala a matenda amenewa otchedwa anismus ndi ati?

Nkhani yabwino ndi yakuti, pali chithandizo cha izi! Chithandizo chogwira mtima kwambiri chomwe chilipo pakadali pano ndi biofeedback . Chimapambana ndi 80%. Ichi ndiye chithandizo chachikulu. Komabe, dokotala wanu angakupatseni mankhwala ena kapena njira zina ngati biofeedback sikugwira ntchito kwa inu.

Nazi njira zina zochiritsira:

1. Chithandizo cha biofeedback:

Iyi ndi njira yabwino kwambiri yogwiritsira ntchito psychophysiotherapy. Zili ngati kuchita masewera olimbitsa thupi polamulira minofu ya thupi lanu pogwiritsa ntchito ubongo wanu. Zipangizo zazing'ono, zopanda ululu zotchedwa ma electrode zimayikidwa pakhungu lanu, ndipo kugunda kwa mtima wanu, momwe mumapumira, kutentha kwa khungu, kupsinjika kwa minofu, ndi momwe ubongo umagwirira ntchito zimawonetsedwa pazenera kuti inu ndi katswiri wa zamaganizo muwone.

Kenako, katswiri wa zamaganizo adzakuphunzitsani masewera olimbitsa thupi osiyanasiyana, kukokana kwa minofu, ndi njira zopumulira. Mukachita masewera olimbitsa thupi awa, mutha kuwona zotsatira zake pazenera ndikuphunzira momwe mungalamulire minofu yanu moyenera. Mwa kuchita izi, mudzatha kukankha bwino kuti mutulutse ndowe ndikupumula minofu yozungulira ntchafu yanu moyenera.

Biofeedback ingakuthandizeninso kuwonjezera chidziwitso chanu cha kumva. Anthu ena ali ndi vuto la kusamva bwino kwa rectal. Ndi maphunziro awa, mudzayamba kumva kufunika kochita chimbudzi mwachangu.

2. Kusintha kwa moyo (Machiritso a moyo):

Kaya mukuchita chithandizo cha biofeedback kapena ayi, dokotala wanu nthawi zambiri amakuuzani kuti musinthe moyo wanu, monga izi, kuti muthandize njira yoyendetsera matumbo kukhala yosavuta:

• Pewani mankhwala oletsa kudzimbidwa.
• Imwani madzi okwanira tsiku lonse.
• Idyani zakudya zambiri zokhala ndi ulusi wambiri (masamba, zipatso, nyemba, ndi tirigu wonse).
• Yendani pang'ono mukatha kudya chakudya chilichonse.
• Pitani kuchimbudzi mukangomva kuti mukufuna kuchita chimbudzi. Musazengereze.
• Yesani kupita kuchimbudzi nthawi yomweyo tsiku lililonse (monga, mutatha kudya kadzutsa).

3. Mankhwala oletsa kudzimbidwa:

Ngati njira zina sizikugwira ntchito, dokotala wanu angakulembereni mankhwala otsekula m'mimba ( otsekula m'mimba ) kuti muchepetse kudzimbidwa.Mankhwala ena angapatsidwe. Mankhwalawa sanapangidwe mwachindunji kuti athandize munthu kukhala ndi vuto la kudzimbidwa kwa nthawi yayitali. Komabe, nthawi zambiri amapereka mpumulo ku kudzimbidwa kwa nthawi yayitali. Ngakhale vuto la minofu silinakonzedwe, lingathandize kupewa ndowe kuti zisaume kwambiri komanso kuti zikhale zovuta kudutsa.

4. Jakisoni wa Botox®:

Jakisoni wa poizoni wa botulinum wagwiritsidwa ntchito pochiza matenda a anismus, koma zotsatira zake zakhala zosakanikirana. Botox nthawi zambiri imagwiritsidwa ntchito kupumula minofu (monga momwe imagwiritsidwira ntchito pochepetsa makwinya). Komabe, izi zimagwira ntchito pafupifupi 50% yokha pa matenda a anismus. Izi zitha kukhala chifukwa anismus ndi yovuta kwambiri kuposa kungochepetsa minofu. Komabe, zikuwoneka kuti imagwira ntchito bwino kwa ana.

Kodi tsogolo la anthu okhala ndi Anismus ndi lotani? (Outlook)

Ngati muli ndi mwayi wopeza chithandizo cha biofeedback, chingakhale chothandiza. Komabe, madokotala amati chithandizochi sichipezeka kwa aliyense. Zipangizo zoperekera chithandizo cha biofeedback kunyumba zikupangidwanso. Mungapezenso mpumulo ndi mankhwala ochizira kudzimbidwa ndi kusintha moyo.

Madokotala nthawi zonse amaona kudzimbidwa kukhala koopsa, makamaka ngati ndi kosatha, makamaka ngati ndi vuto lalikulu. Ngati muli ndi zizindikiro za matenda a anismus, pitani kwa dokotala nthawi yomweyo . Nkhani imeneyi ikhoza kukhala yovuta kukambirana, koma ndi bwino kuposa kungosunga matendawa kwa inu nokha.

Lankhulani momasuka ndi dokotala wanu za zizindikiro zanu. Kumbukirani kuti, iwo ndi omwe amamva ndi kuona zinthuzi tsiku lililonse. Ngati mungathe, sungani "buku lolembamo za uchi" musanapite kwa dokotala wanu. Izi zikutanthauza kuti, lembani zomwe zinachitika nthawi iliyonse mukapita kuchimbudzi, nthawi yomwe zinatenga, komanso momwe zinalili zovuta. Mukapereka zambiri, zimakhala zosavuta kuti dokotala wanu akuthandizeni.

Uthenga Wopita Nawo Kunyumba

• Anismus ndi matenda okhudzana ndi kudzimbidwa komwe kumachitika chifukwa cha minofu ya pansi pa chiuno yomwe siimapumula bwino panthawi yoyenda m'mimba komanso kumangika.
• Izi zitha kuchitika kwa aliyense wa msinkhu uliwonse, koma zimachitika kwambiri pakati pa akazi ndi okalamba.
• Zizindikiro zake ndi monga kutopa kwambiri, kusatulutsa ndowe mokwanira, kutsekeka kwa ndowe zolimba, komanso kupweteka m'mimba.
• Musadandaule, pali mayeso apadera oti azindikire izi, ndipo chithandizo chotchedwa biofeedback ndi chothandiza kwambiri.
• Ngati muli ndi zizindikiro izi, ndikofunikira kufunafuna upangiri wa dokotala popanda kuchita manyazi kapena manyazi. Mukayamba chithandizo mwachangu, mutha kuchira mwachangu.

Anismus , dyssynergic chimbudzi, kudzimbidwa, minofu ya pansi pa chiuno, biofeedback, mavuto a chimbudzi, mayendedwe am'mimba