Kodi mulinso ndi ululu wadzidzidzi komanso woopsa m'matako anu? Tiyeni tikambirane za Proctalgia Fugax!

Kodi munayamba mwagwira ntchito yanu kapena kugona bwino pamene mwadzidzidzi munamva kupweteka kwambiri mu anus yanu (komwe ndowe zimatuluka)? Kumabwera ndikutha pakatha mphindi zochepa, ngati kuti palibe chomwe chachitika. Izi si zachilendo kwa inu, ndi kusasangalala komwe anthu ambiri amakumana nako. M'mawu azachipatala, timatcha izi (Proctalgia Fugax) . Ngakhale dzinali lingamveke lachilendo, ndikofunikira kwambiri kudziwa za izi.

Kodi ichi (Proctalgia Fugax) n'chiyani? Tiyeni timvetse mosavuta!

Mwachidule, Proctalgia Fugax ndi ululu waukulu mu anus womwe umayamba mwadzidzidzi kenako umatha wokha pakapita nthawi yochepa (mphindi zosakwana 30). Sizimachitika kamodzi kokha. Anthu ena amatha kumva ululuwu milungu ingapo kapena miyezi ingapo iliyonse.

Kodi tikambirane tanthauzo la dzinali?

• Mawu akuti proctalgia amatanthauza "kupweteka mu rectum kapena rectum." Rectum ndi dzina lomwe limaperekedwa ku mainchesi asanu ndi limodzi omaliza a matumbo anu akuluakulu. Ali pamwamba pa anus. Rectum ndi mainchesi ochepa omaliza a kugaya chakudya (Gastrointestinal Tract - GI Tract) . Apa ndi pomwe minofu ya sphincter , yomwe imalimba mukamafunika kuchita chimbudzi, imapezeka. Chifukwa chake, ululuwu umagwirizana ndi mitsempha ndi minofu m'derali.
• Fugax ndi liwu la Chilatini lomwe limatanthauza "nthawi yomweyo" kapena "kutha msanga."

Chofunika kwambiri ndichakuti ululuwu suwononga minofu ya m'matumbo. Komabe, ululuwo ukhoza kukhala woopsa kwambiri moti sungakhale wovuta kwambiri moti sungapite kusukulu kapena kuntchito n’kungokhala panyumba.

Kodi izi ndizofala bwanji (Proctalgia Fugax)?

Ndi zofala kwambiri kuposa momwe mungaganizire. Ofufuza akuyerekeza kuti pafupifupi anthu 18 pa anthu 100 (kapena 18%) mwa anthu onse adzakumana ndi vutoli nthawi ina m'miyoyo yawo. Koma chomvetsa chisoni n'chakuti, pafupifupi anthu 20 pa anthu 100 (kapena 20%) okha ndi omwe amaonana ndi dokotala za ululu wawo. Mwina chifukwa chakuti amachita manyazi kapena manyazi kulankhula za izi, anthu ambiri amavutika chete.

Kodi zizindikiro za (Proctalgia Fugax) ndi ziti?

Chizindikiro chachikulu komanso mwina chokha cha vutoli ndi kupweteka m'matumbo. Kumaonekeranso m'njira zotsatirazi:

• Kwa kanthawi kochepa: Ululu nthawi zambiri umakhala wochepera mphindi 30. Nthawi zina umatha m'masekondi ochepa chabe.
• Kuchuluka kwa matendawa kumasiyana: Kwa ena, izi zingachitike kamodzi kapena kawiri pachaka, pomwe kwa ena, ululu uwu ungachitike kangapo pamwezi.
• Mtundu wa ululu:
• Nthawi zambiri zimamveka ngati ululu wakuthwa, wobaya , osati ululu wofewa, wofinya kapena kupweteka kwa m'mimba ngati kupweteka m'mimba.
• Ululu umamveka ngati ukuchokera mkati kapena pafupi ndi thako. Siwukuchokera pamwamba, monga momwe ulili mkati mwa thupi.
• Kumayamba popanda chifukwa: Nthawi zambiri, palibe chifukwa chenicheni cha ululu uwu. Kumayamba mwadzidzidzi. Komabe, kwa anthu ena, kumatha kukulirakulira ndi zinthu zina (tidzakambirana za zimenezo mtsogolo).
• Usana kapena usiku: Ululu uwu ukhoza kuchitika nthawi iliyonse ya tsiku. Nthawi zina, ungakudzutseni ku tulo tatikulu .

Ndipotu, ululuwo ndi waukulu kwambiri moti anthu ena amavutika kuchita china chilichonse panthawiyo. Kwa mwana amene amapita kusukulu kapena munthu amene amagwira ntchito, izi zingawapangitse kuti asamagwire ntchito zawo za tsiku ndi tsiku.

(Proctalgia Fugax) Kodi ululuwu umamveka bwanji?

Ena amene adakumanapo ndi ululu uwu amati umamveka ngati kavalo wa Charley, ululu waukulu mu anus . Ululu ukakhalapo, umakhala waukulu kwambiri moti simungathe kuganizira china chilichonse. Panthawiyo, mungamve ngati ululu uwu sudzatha. Koma chofunika kwambiri ndi chakuti ngakhale ululu uwu ukhale woipa bwanji, nthawi zonse umatha wokha pakapita nthawi .

Kodi zimayambitsa matenda a Proctalgia Fugax ndi ziti?

Palibe chifukwa chimodzi chokha chotsimikizika chomwe chapezeka, koma madokotala ndi ofufuza amakhulupirira kuti pali zinthu zingapo zomwe zingayambitse izi:

• Kupweteka kwa minofu: Ululu uwu ukhoza kuchitika chifukwa cha kulimba mwadzidzidzi kwa minofu ya sphincter ya anal kapena minofu ina m'chiuno mwanu. Zimakhala ngati minofu ikugwedezeka mwendo wanu.
• Mavuto a mitsempha: Mitsempha ya pudendal ndiyo mitsempha yayikulu yomwe imanyamula zinthu kuchokera kudera la m'chiuno kupita ku ubongo wanu. Ngati mitsempha iyi yawonongeka mwanjira iliyonse kapena ngati pali kusintha kwa ntchito yake (yomwe imatchedwanso pudendal neuralgia) , proctalgia fugax ingachitike.

Zitha kuchitikanso ngati zotsatirapo zina za mankhwala omwe amachitidwa m'chiuno. Mwachitsanzo:

• Chithandizo cha sclerotherapy cha matenda a hemorrhoids ndi njira yogwiritsira ntchito jakisoni wa mankhwala mu hemorrhoids kuti achepetse.
• Kuchotsa mimba mwa akazi .

Proctalgia fugax yapezekanso kuti imagwirizana ndi matenda ena. Muli ndi mwayi waukulu wopeza Proctalgia fugax ngati muli ndi vuto lililonse mwa izi:

• Matenda a m'mimba okwiya (IBS): Uwu ndi matenda a m'matumbo. Zizindikiro zake ndi monga kudzimbidwa, kupweteka m'mimba, kudzimbidwa, kapena kutsegula m'mimba.
• Matenda a nkhawa: Matenda a m'maganizo monga nkhawa kwambiri komanso mantha.

Kodi pali zinthu zina zomwe zimayambitsa ululu wa (Proctalgia Fugax)?

Nthawi zambiri, ululu wa Proctalgia Fugax ulibe chifukwa chake. Ululu umayamba mwadzidzidzi. Komabe, anthu ena angaone kuti ululuwo umayamba kapena kuwonjezeka chifukwa cha zotsatirazi:

• Kupsinjika maganizo: Zinthu monga kupanikizika kwambiri ndi nkhawa.
• Kugonana.
• Msambo / Kusamba.
• Kuchita chimbudzi / Kutulutsa ndowe.

Ndani amene ali pachiwopsezo chachikulu cha izi?

Proctalgia fugax ndi matenda omwe amapezeka kwambiri mwa akazi kuposa amuna. Amakhudzanso ukalamba. Amapezeka kwambiri mwa akuluakulu azaka zapakati pa 30 ndi 60.

Momwe mungadziwire (Proctalgia Fugax)?

Palibe mayeso enieni odziwira Proctalgia Fugax. Madokotala amazindikira matendawa pogwiritsa ntchito njira yotchedwa 'Kuzindikira Kuchotsa' . Izi zikutanthauza kuti, dokotala adzatsimikiza kuti muli ndi Proctalgia Fugax pokhapokha atatsimikiza kuti zinthu zina zonse zomwe zimayambitsa kupweteka kwa rectal (monga hemorrhoids, anal fissures) zachotsedwa kutengera zizindikiro zanu.

Choncho, mukamapita kwa dokotala, ndikofunikira kumveketsa bwino zizindikiro zanu. Kulankhula za ululu wa kumatako kungakhale kovuta pang'ono. Taphunzitsidwa kuyambira tili ana kuti 'kulankhula za matako' (za kutuluka m'mimba, kutulutsa mpweya, kapena kutuluka m'matako) ndi chinthu chochititsa manyazi komanso chochititsa manyazi.

Koma kumbukirani, si chinthu choipa kulankhula ndi dokotala wanu za thanzi lanu, kuphatikizapo kupweteka kwa m'matumbo. Sikoyenera kuchita manyazi. Chidziwitso chomwe mumapereka chingathandize dokotala wanu kupeza matenda ndi yankho lomwe lingakupatseni mpumulo mwachangu.

Dokotala angakufunseni zinthu monga:

• Kodi ululuwo umamveka bwanji? (monga, kodi ndi wakuthwa, wosalimba, wobaya?)
• Kodi ululuwu wakhalapo kwa nthawi yayitali bwanji?
• Kodi ululu uwu umachitika kangati? (Kangati patsiku? Pa sabata? Pa mwezi?)
• Kodi mwaonapo zinthu zina zomwe zimapangitsa kuti ululu ukhale woipa? (monga zakudya, nkhawa, zochita zina)

Mayeso ozindikira matenda

Ngakhale kuti palibe mayeso enieni a Proctalgia Fugax, dokotala wanu angakupatseni mayeso ena kuti apeze matenda ena omwe angayambitse kupweteka kwa m'matumbo. Izi zingaphatikizepo:

• Kuyezetsa magazi
• Kuyezetsa kwa digito kwa rectal
• Kuyezetsa m'chiuno (makamaka kwa akazi)
• Colonoscopy
• Kuwunika gawo lotsika la m'matumbo (Flexible sigmoidoscopy)
• Kuyesa ntchito ya minofu ya pansi pa chiuno(Kuyesa pansi pa chiuno)

Kodi Proctalgia Fugax imachiritsidwa bwanji?

Nkhani yabwino ndi yakuti pali mankhwala ochizira izi. Koma pakadali pano palibe mankhwala . Cholinga chachikulu cha chithandizo ndikuwongolera zizindikiro, kupewa zomwe zimayambitsa matendawa, ndikuchepetsa ululu ukangoyamba.

Kutengera ndi kuopsa kwa zizindikiro zanu, mutha kuthana ndi vutoli kunyumba, kapena mungafunike mankhwala olembedwa ndi dokotala kapena mankhwala ena.

Mankhwala apakhomo

Mukhoza kuyesa zinthu izi kunyumba kuti mupeze mpumulo ululu ukabwera:

• Ma compress otentha kapena ozizira: Mutha kugwiritsa ntchito chotenthetsera (kwa mphindi pafupifupi 15-20) kapena paketi ya ayezi (yokulungidwa mu nsalu yopyapyala) pamalo opweteka.
• Kusamba m'madzi otentha: Mutha kusamba m'madzi ofunda kwa mphindi 15-20 kapena kusamba m'madzi ofunda . Kusamba m'madzi ofunda kumaphatikizapo kukhala m'beseni losaya la madzi ofunda (osati otentha, koma ofunda) ndi rectum yanu itaviikidwa m'madzi.
• Mankhwala opha ululu odziwika bwino: Mankhwala opha ululu ogwiritsidwa ntchito popanda mankhwala ogulira mankhwala (OTC) (monga paracetamol, ibuprofen) angagwiritsidwe ntchito popanda mankhwala ochokera ku pharmacy. Komabe, nthawi zonse ndi bwino kufunsa dokotala musanamwe mankhwalawa.
• Njira zopumulira: Yesani njira zopumulira monga kusinkhasinkha, yoga, ndi masewera olimbitsa thupi opumira kwambiri . Izi zingathandize kuchepetsa kupsinjika maganizo ndi kupumula minofu.

Mankhwala opezeka kwa dokotala (Madokotala ndi mankhwala operekedwa mu ofesi)

Ngati mankhwala apakhomo sakuthandiza, kapena ngati ululu ukupitirira, muyenera kuonana ndi dokotala. Angakulimbikitseni mankhwala monga:

• Mankhwala opaka pakhungu: Pali mankhwala ena omwe amapakidwa pa rectum. Mwachitsanzo, mafuta odzola a nitroglycerin . Izi zimamasula minofu ya rectum ndikuchepetsa ululu.
• Jakisoni wa Botox: Jakisoni wa Botox nthawi zina amagwiritsidwa ntchito kupumula minofu ya sphincter ya kumatako.
• Kulimbikitsa magetsi: Izi zimaphatikizapo kugwiritsa ntchito chipangizo chapadera (probe) chomwe chimatulutsa zizindikiro zamagetsi kuti minofu isamavutike mu rectum.
• Chithandizo cha thupi cha pansi pa pelvic ndi biofeedback:Uwu ndi mtundu wapadera wa chithandizo. Katswiri wa zamaganizo amakuphunzitsani kuzindikira, kulamulira, ndikumasula minofu yanu ya pansi pa chiuno. Mu njira yotchedwa biofeedback, mumadziwitsidwa za momwe thupi lanu limamvera (monga momwe minofu yanu ilili yolimba). Kenako mutha kuphunzira kuzindikira pamene minofu yanu ya m'matumbo ili yolimba ndikuyipumula.
• Uphungu kapena chithandizo: Ngati mukuganiza kuti ululu wanu ukugwirizana ndi kupsinjika maganizo kapena nkhawa, kufunafuna uphungu kungakuthandizeninso.

Kodi munthu amene ali ndi Proctalgia Fugax angayembekezere tsogolo lotani?

Mu mkhalidwe umenewu, si aliyense amene angayembekezere zotsatira zofanana. Anthu ena amamva ululu kangapo m'miyoyo yawo ndipo sadzakumananso nawo. Kwa ena, ululuwo ukhoza kukhala wokhazikika ndikusokoneza zochita za tsiku ndi tsiku.

Zomwe mukukumana nazo zidzadalira kuopsa kwa ululuwo komanso kangati. Chofunika kwambiri ndikugwira ntchito ndi dokotala wanu kuti mupeze chithandizo chomwe mukufuna. Kapena, ndi bwino kusunga zinthu monga ma topical gels pafupi kuti muchepetse ululuwo mwachangu.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mukumva kupweteka kosalekeza, kosalekeza, kapena koopsa m'matumbo, onetsetsani kuti mwaonana ndi dokotala . Musazengereze kupeza matenda kapena chithandizo chifukwa cha manyazi kapena kuganiza kuti "izi zidzatha pakapita nthawi." Mukafuna upangiri wa dokotala mwachangu, mudzamva bwino msanga.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukapita kwa dokotala, musazengereze kufunsa mafunso omwe ali m'maganizo mwanu. Mutha kufunsa mafunso ngati awa:

• Ndi mayeso ati omwe ndiyenera kuchita kuti ndidziwe bwino vuto langa?
• Kodi chifukwa chachikulu cha ululu wanga wa m'matumbo ndi chiyani?
• Ndi mankhwala ati omwe mumalimbikitsa kwa ine?
• Ndi zinthu ziti zomwe ndingachite kunyumba?
• Kodi ndingachite chiyani kuti ndikonzekere ululu wamtunduwu mtsogolo?
• Kodi ndikufunika kusintha moyo wanga kuti ndichepetse ululu umenewu?

Kodi pali kusiyana kotani pakati pa (Proctalgia Fugax) ndi (Chronic Proctalgia / Levator Ani Syndrome)?

Ngakhale kuti zonsezi ndi ululu mu rectum, pali kusiyana kwina. "Fugax" mu dzina (Proctalgia Fugax) imachokera ku liwu loti "fugax" lomwe limatanthauza "lokhalitsa nthawi yochepa." Izi zikutanthauza kuti ululuwo umatenga nthawi yochepa (yosakwana mphindi 30).

Komabe, ngati ululu wanu umatenga nthawi yoposa mphindi 30, kapena ngati mukumva kawirikawiri tsiku lonse, mwina muli ndi proctalgia yosatha . Izi zimatchedwanso levator ani syndrome . Levator ani yanu ndi minofu yofunika kwambiri pansi pa chiuno chanu. Mu levator ani syndrome, ululu umayamba mu minofu iyi.

Mosiyana ndi Proctalgia Fugax, matenda a Levator ani amadziwika ndi ululu womwe umamveka pamwamba pa chiuno, osati pafupi ndi anus. Ukhoza kukhala wofewa, wopweteka, kapena wolemera m'malo mokhala wakuthwa. Komanso, ululu nthawi zambiri umakhala woipa kwambiri ukakhala pansi. Mu Proctalgia Fugax, ululu sumakhudzidwa kwambiri ndi momwe thupi limakhalira.

Ululu uliwonse ndi mlendo wosafunikira m'miyoyo yathu. Makamaka pankhani ya malo obisika monga anus, ukhoza kukhala wovuta kwambiri komanso wovuta. Chochitikacho chingakhale chovutitsa komanso chochititsa manyazi. Koma palibe chifukwa chochitira manyazi kapena kubisa ululu uliwonse womwe mukumva. Thupi lanu limapangidwa ndi mitsempha ndi minofu zomwe zimakuthandizani kugwira ntchito ndikukuchenjezani mukakumana ndi vuto. Monga gawo lililonse la thupi lanu, ziwalo izi nthawi zina zimatha kusokonekera ndikukupangitsani kumva zizindikiro monga ululu. Chofunika kwambiri ndikuchitapo kanthu. Musazengereze kupeza thandizo lomwe mukufuna, kaya chifukwa cha manyazi kapena mantha.

Zinthu zofunika kwambiri zomwe tikufuna kutenga kuchokera munkhaniyi ndi izi

• Proctalgia fugax ndi ululu waukulu komanso woopsa m'matako womwe umayamba mwadzidzidzi ndikutha pakapita nthawi yochepa (osakwana mphindi 30).
• Ngakhale kuti uwu si vuto lalikulu komanso loopsa, ululuwo ukhoza kukhala wosasangalatsa kwambiri ndipo ungasokoneze zochita zanu za tsiku ndi tsiku.
• Ngati ululu uwu umachitika pafupipafupi, ngati ululuwo ndi waukulu, kapena ngati muli ndi kukayikira kulikonse, onani dokotala kuti akupatseni malangizo. Musachite manyazi kapena mantha.
• Pali njira zosavuta zochepetsera ululu kunyumba, komanso mankhwala ndi njira zina zochiritsira zomwe zingapezeke kwa dokotala.
• Choncho, simuyenera kuvutika nokha ndi ululu woterewu. Chofunika kwambiri ndikudziwa zambiri zoyenera ndikupeza upangiri wofunikira kwa dokotala.

Proctalgia Fugax, kupweteka kwa rectal, kupweteka kwa anal, kupweteka mwadzidzidzi kwa anal, kupweteka kwa kudzimbidwa, kupweteka kwa m'chiuno, kupweteka kwa minofu