Kodi inunso mumavutika kupita kuchimbudzi? Tiyeni tiphunzire zambiri zokhudza matenda a Obstructed Defecation Syndrome!

Kodi nthawi zina mumamva ngati mukuvutika kutuluka ndowe mukapita kuchimbudzi? Kodi mumamva kuti muli ouma, omangika, komanso osamaliza? Kapena mumapita osapita kuchimbudzi kwa masiku angapo? Mwina izi si kudzimbidwa wamba. Lero, tiyeni tikambirane za mawu azachipatala a vutoli, Obstructed Defecation Syndrome. Ngakhale ili ndi dzina lalitali pang'ono, mwachidule, ndi kutsekeka kapena kusasangalala komwe kumachitika mukapita kuchimbudzi.

Kodi vuto limeneli ndi chiyani pakuchita chimbudzi? (Kodi 'Obstructed Defecation Syndrome' ndi chiyani?)

Mwachidule, Obstructed Defecation Syndrome (ODS) ndi vuto lomwe muyenera kuchita chimbudzi koma simungathe kuchita bwino. Pakhoza kukhala zifukwa zambiri za izi. Zina ndi zakuthupi, zomwe zikutanthauza kuti zimachitika chifukwa cha kutsekeka kwa makina mkati mwa thupi lanu. Zina zingakhale zamaganizo.

Munthu amene ali ndi vutoli angakumane ndi zotsatirazi:

• Kumva ngati simungathe kupita kuchimbudzi nthawi iliyonse yomwe mukufuna.
• Ndimayenera kupita kuchimbudzi kamodzi kokha masiku angapo, zomwe zikutanthauza kuti sindimachita ndowe pafupipafupi.
• Ngakhale mutapita kuchimbudzi, mumamvabe ngati simunachite chimbudzi chonse.

Izi zimapangitsa kuti azidzimbidwa . Nthawi zina, ndowe yomwe yalowa mkati imatha kutuluka pang'onopang'ono popanda kulamulira. Izi zimatchedwanso `(Fecal Incontinence)`. Anthu awa amakhala nthawi yayitali kuchimbudzi, akuyembekezera kuti ndowe ituluke, kapena amavutika kwambiri. Chifukwa chodzikakamiza motere kwa nthawi yayitali ndikutuluka ndowe youma, yolimba, minofu ndi mitsempha yomwe imakhudzidwa ndi njira yodziyimira payokha imatha kuwonongeka. Kenako zinthu zimaipiraipira. Tangoganizirani, ngati mukuyesera kutsegula chitseko ndipo chatsekedwa, ngati titakankhira mwamphamvu, zinthu monga ma hinges a chitseko zimathanso kuwonongeka, eti? Ndicho chimene chimachitika apa.

Kodi vutoli limakhudza bwanji thupi lanu?

Matenda a ODS si matenda amodzi okha. Ali ngati ambulera. Pansi pa ambulera imeneyo, pali matenda osiyanasiyana omwe amayambitsa kudzimbidwa komanso kuvutika kuchita chimbudzi. Chizindikiro chofala cha zonsezi ndi zizindikiro za kudzimbidwa.

Kuti madokotala adziwe ngati ali ndi vuto la kudzimbidwa, zizindikiro ziwiri kapena zingapo zotsatirazi ziyenera kukhalapo kwa masiku 90 :

• Mukadzikakamiza nthawi zoposa 25% mumakhala ndi vuto la matumbo.
• Kumva kusatuluka m'mimba kosakwanira m'matumbo opitilira 25%.
• Kutuluka ndowe zolimba komanso zouma nthawi zoposa 25%.
• Kugwiritsa ntchito zinthu monga zala kuti munthu achite chimbudzi nthawi zoposa 25%.
• Kuchotsa chimbudzi kosakwana katatu pa sabata.

Koma zizindikiro zimenezi mwina ndi gawo lochepa chabe la vuto lalikulu. Pakhoza kukhalanso matenda ena omwe sanadziwikebe.

Kudzimbidwa kosatha kungayambitse mavuto ena ambiri pakapita nthawi. Nthawi zina, zimakhala zovuta kudziwa chomwe chinayambitsa vutoli poyamba komanso chomwe chinayambitsa pambuyo pake.

Anthu omwe ali ndi vuto lochita chopondapo angakumanenso ndi mavuto ena monga:

• Kusagwira bwino ntchito kwa pansi pa chiuno: Minofu ndi mitsempha ya m'chiuno mwanu (dera lomwe lili pansi pa mimba yanu) sizigwira ntchito bwino kuti zitulutse ndowe. Taganizirani ngati gulu logwirira ntchito limodzi, koma munthu aliyense akuchita zinthu zosiyana.
• Kutuluka kwa ziwalo: Chiwalo chomwe chili m'chiuno, monga chikhodzodzo, chiberekero, kapena matumbo, chomwe chimagwa kuchokera pamalo ake abwinobwino, kukankhira chiwalo china kapena kuyesera kutuluka m'thupi.
• Kuchepa kwa mphamvu ya m'mimba: Kutaya mphamvu yozindikira kuti pali chopondapo kapena kufunikira kochita chimbudzi m'mimba. Mofanana ndi kutaya kumva kunjenjemera m'manja mwathu.
• Nkhawa yokhudza kutaya ndowe: Anthu ena angapewe kuchita chimbudzi mwadala kapena mosadziwa chifukwa cha ndowe zolimba komanso zopweteka zomwe amakumana nazo. Monga momwe mungakhudzire chinthu chotentha ndikuchiwotcha nokha, mungaope kuchikhudzanso.

Kodi vutoli ndi lofala bwanji?

Pafupifupi 18% ya anthu padziko lonse lapansi, kapena anthu 18 pa anthu 100 aliwonse, ali ndi vuto lofala lotchedwa bowel incontinence. Limafala kwambiri pakati pa akazi ndi anthu azaka zapakati . Choncho dziwani kuti simuli nokha amene ali ndi vutoli.

Kodi zizindikiro za kusadziletsa m'mimba ndi ziti?

Munthu amene ali ndi vutoli nthawi zambiri angamve motere:

• Ndikufunika kupita kuchimbudzi, koma ndikumva ngati sindingathe.
• N'kovuta kwambiri kuchita chimbudzi, nthawi zina ndi ululu.
• Kaya ndiyesetsa bwanji, ndimamva ngati sindinathe kuchotsa chopondapo.
• Zikumveka ngati chinachake chatsekeredwa panjira ya chopondapo.

Izi zingafunikenso kuti muchite izi:

• Kudzikakamiza kuti uchite chimbudzi.
• Kudikira nthawi yayitali kuti chopondapo chituluke.
• Nthawi zina mumayenera kugwiritsa ntchito zala zanu kuti muzitha kuchita chopondapo. (Musachite manyazi ndi izi, ndi gawo la vutoli.)
• Kugwiritsa ntchito mankhwala otseketsa kapena enemas kuti mutulutse ndowe.

Vutoli likhoza kuyambitsa zinthu zina monga:

• Kudzimbidwa.
• `Kusadziletsa kwa chimbudzi` (kusayenda bwino kwa matumbo).
• Kusokonezeka kosalekeza.
• Matenda amisala monga nkhawa kapena kuvutika maganizo, chifukwa izi zimakhudza kwambiri moyo watsiku ndi tsiku.

Madandaulo ofala kwambiri ndi awa:

• Chimbudzi chimamva kutupa kapena kuvulala.
• Kupweteka m'mimba ndi kutupa.
• Kupweteka kwa m'makoswe.
• Kusanza, kutopa, komanso kusowa chilakolako cha chakudya.

N’chifukwa chiyani sindingathe kupita kuchimbudzi bwino? Kodi zifukwa zake ndi ziti?

Pakhoza kukhala zifukwa zambiri zomwe zimayambitsa matenda a ODS. Izi zitha kukhala zachilengedwe kapena zamakaniko . Izi zikutanthauza kuti, zinthu monga zolakwika m'thupi kapena kutsekeka kwa ndowe. Kumbali ina, palinso zifukwa zomwe zimagwira ntchito . Izi zimagwirizana ndi kugwira ntchito kwa ubongo ndi dongosolo lamanjenje.

Nthawi zambiri, mitundu yonse iwiri ya zifukwa imatha kukhalapo nthawi imodzi, koma nthawi zina, mtundu umodzi wa zifukwa ukhoza kuyambitsa china.

Zifukwa zamakina:

• Hernia ya m'mimba mwanu kapena m'chiuno mwanu imatuluka m'chiuno mwanu.
• Kutuluka kwa ziwalo za m'chiuno: Chiwalo chomwe chili m'chiuno mwanu chomwe chimatuluka pamalo ake abwinobwino ndikukankhira mu anus kapena rectum yanu. Mwachitsanzo:
• Kutuluka kwa rectal: Gawo lina la rectum limatuluka kudzera m'malo otseguka a anal.
• Kulowa m'mimba mwa rectum: Gawo lapamwamba la rectum limagwera mkati ngati telesikopu.
• Rectocele (khoma lofooka la rectum): Mwa akazi, khoma pakati pa anus ndi nyini limakhala lofooka, zomwe zimapangitsa kuti anus ituluke mu nyini. Izi zingayambitse ndowe kutsekeka pamalo otuluka.
• Matenda a zilonda zam'mimba zokha: Kutuluka kwa zilonda chimodzi kapena zingapo m'matumbo. Izi zitha kuchitika chifukwa chodzikakamiza pafupipafupi.

Zifukwa zogwirira ntchito:

• Anismus (dyssynergic defecation): Kuti chopondapo chituluke, minofu ya sphincter yozungulira anus iyenera kumasuka. Imafunikanso kukankhidwa ndi minofu ya m'mimba. Izi sizikugwirizana bwino, ndipo m'malo momasuka, minofu imalimba. Zili ngati kuyesa kutsegula chitseko ndikuchitseka mwamphamvu.
• Kusamva bwino kwa matumbo: Muyenera kumva ngati matumbo anu akudzaza ndi ndowe. Kuwonongeka kwa mitsempha kungathandize kuchepetsa vutoli, zomwe zingalepheretse ubongo kutumiza zizindikiro zoti uchite matumbo.
• Matenda a maganizo: Nkhawa, kuvutika maganizo, mantha ena, OCD (obsessive-compulsive disorder), ndi matenda okhudzana ndi kudya zonse zingakhudze izi. Ichi ndi chitsanzo chabwino cha momwe mavuto amisala angakhudzire thupi.

Chilichonse mwa izi chikhoza kukhala chifukwa chachikulu cha ODS, kapena zotsatira zina zomwe zimayambitsidwa ndi ODS.

Komanso, zinthu zotsatirazi zingayambitse izi:

• Mimba ndi kubereka.
• Maopaleshoni ochitidwa m'dera la m'chiuno.
• Kuvulala kapena nkhanza zomwe zachitika chifukwa cha ngozi.

Kodi madokotala amazindikira bwanji vutoli?

Mukapita kwa dokotala, adzakufunsani kaye za zizindikiro zanu. Angagwiritsenso ntchito tchati chowerengera kuti aone kuopsa kwa zizindikiro zanu.

Ngakhale zizindikirozi zingakuthandizeni kudziwa ngati kudzimbidwa kwanu ndi kosatha, kuti mudziwe bwino matenda a ODS, dokotala wanu ayenera kuonetsetsa kuti zifukwa zosavuta (monga kusintha kwakanthawi kwa zakudya) sizikuyambitsa vutoli. Izi zidzaphatikizapo kutenga mbiri yanu yachipatala ndikuchita mayeso angapo.

Ndi mayeso ati omwe amachitidwa kuti adziwe vutoli?

Pambuyo pomvetsetsa zizindikiro zanu, dokotala wanu angakulangizeni mayeso ngati awa kuti mudziwe zambiri:

• Kuyeza kwa Digital Rectal: Nthawi zambiri iyi ndi mayeso oyamba omwe amachitidwa. Dokotala amagwiritsa ntchito chala chopakidwa magolovesi komanso chopaka mafuta kuti aone rectum. Izi zingakupatseni lingaliro la kukula kwa rectum, chomwe chimayambitsa ululu, ngati ziwalo zayamba kugwedezeka, komanso momwe minofu ikugwirira ntchito. Izi zingawoneke ngati zosasangalatsa pang'ono, koma ndi mayeso ofunikira kwambiri.
• Kuchotsa mimba m'mimba (X-ray kapena MRI): Izi zimaphatikizapo kujambula zithunzi za mkati mwa matumbo anu. Dokotala adzaika chinthu chapadera (monga barium) mu rectum yanu. Kenako, mudzafunsidwa kuti mutulutse mimba ngati kuti mukuchotsa mimba. Izi zimachitika m'chipinda chapadera chojambulira zithunzi. Dokotalayo adzayang'ana ziwalo zanu zamkati pa kompyuta. Izi zingathandize kudziwa mawonekedwe a rectum yanu, momwe minofu yanu imagwirira ntchito, ndi zopinga zilizonse zomwe zingalepheretse kuyenda kwanu kwa ndowe.
• Anorectal Manometry: Kuyesa kumeneku kumayesa momwe minofu ndi mitsempha yanu zimagwirira ntchito limodzi kuti zikuthandizeni kutuluka chopondapo. Chubu chopyapyala (catheter) chokhala ndi baluni yaying'ono chimayikidwa mu anus yanu, ndipo baluniyo imadzazidwa ndi madzi ofunda. Mbali ina ya chubuyo imalumikizidwa ndi makina omwe amayesa momwe minofu imagwirira ntchito. Izi zimatha kuyeza kuthamanga, kumva, ndi kugwirizana kwa anus yanu.

Mungamve mantha pang'ono kapena kusasangalala mukamva za mayesowa. Koma angakuthandizeni kwambiri kupeza chifukwa chenicheni cha vuto lanu. Funsani dokotala wanu mafunso aliwonse omwe mungakhale nawo.

Kodi mankhwala ochizira izi ndi otani?

Zomwe zimayambitsa ODS nthawi zambiri zimakhala zovuta, ndipo zimakhala ndi zinthu zambiri zogwirizana, kotero chithandizo nthawi zambiri chimakhala chathunthu komanso chosunga nthawi.Zimachitidwa mwanjira ina. N'zosatheka kuti izi zitha kuchiritsidwa ndi opaleshoni imodzi yokha. Ngakhale opaleshoni ikalimbikitsidwa, ndipo ikakonza vuto la thupi, si nthawi zonse imabweretsa kuchira kwathunthu. Zizindikiro zimatha kupitirira kapena kubwereranso. Chifukwa pali zinthu zina zomwe ziyenera kuthetsedwa, mwina zomwe sizinapezekebe.

Izi ndi zinthu zoyamba zomwe madokotala amalangiza aliyense:

• Kuwonjezera ulusi wambiri muzakudya zanu: Pafupifupi magalamu 30-40 patsiku. Zinthu monga nyemba, ndiwo zamasamba, zipatso, ndi tirigu wonse.
• Imwani madzi ochulukirapo: malita oposa awiri patsiku.
• Mankhwala ofewetsa ndowe kapena mankhwala otsekereza ndowe , mankhwala ophera tizilombo kunyumba , ndi kuthirira m'mimba ngati pakufunika kutero.
• Yoga ndi njira zopumulira zotsogozedwa zingathandize kumasula minofu ya pansi pa chiuno ndikuchepetsa nkhawa.

Kwa iwo omwe ali ndi zizindikiro zoyambitsidwa ndi mitsempha kapena zifukwa zamaganizo (pafupifupi anthu awiri pa atatu omwe ali ndi vutoli amakhudzidwa ndi zifukwa zotere):

• Chithandizo cha Biofeedback: Izi zimathandiza kwambiri pa matenda monga anismus (kulephera kumasula minofu yotseguka ya kumatako) ndi kulephera kugwira ntchito bwino kwa pansi pa chiuno. Pankhaniyi, zochita za thupi lanu (monga kupweteka kwa minofu) zimawonetsedwa kwa inu kudzera mu makina. Kenako mutha kudziphunzitsa nokha kulamulira bwino ntchitoyo.
• Chithandizo cha maganizo: Ngati kuli kofunikira, funani thandizo kwa dokotala wa matenda amisala kapena mlangizi. Izi zitha kuchiza matenda monga nkhawa, kuvutika maganizo, komanso mantha odzipatula.

Pa mavuto akuthupi (monga mavuto a thupi monga kufooka kwa minofu): Ngati njira zina zothandizira sizithandiza, madokotala angakulangizeni opaleshoni. Pali mitundu ingapo ya opaleshoni yomwe ingachite:

• Kubwezeretsa ndi kulimbitsa khoma la rectum lomwe latuluka m'mbuyo: Kubwezeretsa ndi kulimbitsa khoma la rectum lomwe latuluka m'mbuyo.
• Kuchotsa thumba la rectal lotchedwa Stapled transanal rectal resection (STARR) la rectocele ndi intussusception: Opaleshoni yolimbitsa khoma lakunja la rectum.
• Rectopexy: Pa rectal prolapse, rectum imabwezeretsedwa pamalo ake abwinobwino ndikukhazikika. Nthawi zina, neti imagwiritsidwa ntchito pa izi. Nthawi zina, gawo lina la m'matumbo lingafunikenso kuchotsedwa panthawi ya opaleshoniyi.

Kumbukirani, opaleshoni nthawi zonse ndi njira yomaliza. Dokotala wanu adzafufuza mosamala vuto lanu ndikukupatsani chithandizo chomwe chili choyenera kwa inu.

Kodi tsogolo la anthu omwe ali ndi vutoli lidzakhala lotani?

Mankhwala ochiritsira matenda angathandize anthu pafupifupi 30% kuona kuchira kapena kuchepa kwa zizindikiro. Kusintha kwa moyo (zakudya, madzi, masewera olimbitsa thupi) ndi mankhwala apakhomo (mankhwala, enemas) kungafunike kupitiliza, koma kungathandizedi.

Mankhwala monga biofeedback ndi psychotherapy amatenga nthawi ndi kudzipereka kuti apeze zotsatira, koma ubwino wawo ukhoza kukhala wokhalitsa. Zotsatira za opaleshoni zimasiyana. Opaleshoni imawoneka kuti ndi yothandiza kwambiri ikaphatikizidwa ndi mankhwala ena.

Kuvuta kusamba ndi vuto lomwe limafunika chisamaliro chachangu. Koma zingakhale zovuta kudziwa chomwe chikuyambitsa. Mungadabwe kuti ndi machitidwe angati m'thupi lathu - ngakhale ubongo - omwe amagwira ntchito yosamba!

Mwamwayi, njira zambiri zomwe madokotala amalimbikitsa za ODS zingathandizenso aliyense amene ali ndi vuto la kudzimbidwa nthawi zonse. Mutha kuyamba ndi kusintha moyo wanu, mankhwala apakhomo, ndi njira zochiritsira masiku ano. Koma nthawi zonse ndi bwino kupita kwa dokotala kuti akakufufuzeni. Iye akhoza kuchotsa matenda ena kapena mavuto ena akuthupi omwe angayambitse vuto lanu ndikuchiza nawonso. Ndipo, ataphunzira zambiri za vuto lanu, iye akhoza kukuuzani za matenda anu.

Pomaliza, kumbukirani izi !

Chabwino, nazi zinthu zina zomwe muyenera kukumbukira kuchokera pa zomwe takambirana lero:

• Kusadziletsa kwa mkodzo (UDI) ndi vuto lovuta pang'ono lomwe lingayambitsidwe ndi zifukwa zingapo.
• Ngati mukuvutika kupita kuchimbudzi, matumbo anu ndi ouma, ndipo mukumva ngati simunachite chopondapo, musangonyalanyaza.
• Ngati muli ndi zizindikiro izi, musachite manyazi kapena mantha, pitani kwa dokotala. Ngati mwapeza chomwe chikuyambitsa ndikupeza chithandizo choyenera, mutha kutuluka mu vutoli.
• Kusintha moyo wamba (zakudya zokhala ndi ulusi wambiri, madzi, kuchita masewera olimbitsa thupi) kungapangitse kusiyana kwakukulu.
• Nthawi zina mankhwala apadera monga `Biofeedback` kapena opaleshoni angafunike. Dokotala wanu adzakulangizani pankhaniyi.
• Simuli nokha amene muli ndi vutoli. Anthu ambiri amavutika ndi vutoli. Choncho khalani olimba mtima ndipo tsatirani malangizo a dokotala wanu.

Ndikukufunirani thanzi labwino!

Kudzimbidwa , Kuvutika Kutuluka Chimbudzi, Matenda Otsekeka a Chimbudzi, Matenda a M'mimba, Kufooka kwa Pansi pa Chiuno, Kuuma, Chithandizo cha Chimbudzi