Une dambudzikowo here nekubvisa tsvina mumuviri wako? Ngatikurukurei nezvebvunzo iyi ye "(Anorectal Manometry)!

Pamwe unombonzwa kusagadzikana kana uchienda kuchimbuzi dzimwe nguva, handiti? Pamwe une dumbu rakaoma, kana kuti unonzwa sekunge wabatwa nedumbu. Vamwe vanhu vanogona kunge vaine zvimwe zvezvinhu izvi. Saka nhasi tichataura nezvebvunzo yakakosha inogona kukubatsira kuwana chikonzero chekusagadzikana kwako. Izvi ndizvo zvatinodaidza kuti `(Anorectal Manometry)`.

Sei bvunzo iyi ye "Anorectal Manometry" ichiitwa?

Zvichitaurwa zviri nyore, bvunzo iyi inoitirwa kuona kana tsandanyama dzakatenderedza huro yako (nzira inopfuura nayo tsvina) uye rectum (nzvimbo yekuchengetera tsvina kwenguva pfupi) dziri kushanda nemazvo. Ingofunga, sezvatinodya, kugaya chikafu ichocho nekuburitsa zvimwe kubva mumuviri inzira yakakoshawo. Uropi hwedu netsandanyama idzi zvinoshanda pamwe chete kuti zviite izvi. Saka, kana uchinetseka nekubvisa tsvina, chikonzero chingave dambudziko nekushanda kwetsandanyama idzi.

Pane zvikonzero zvikuru zvinoverengeka zvingaita kuti chiremba akukumbire kuti uedze bvunzo iyi:

• Kana uchinzwa kurwadziwa kana kumanikidzwa panguva yekufamba kwedumbu: Izvi zvinonziwo `(Dyschezia)`. Zvinoita sekunge uri kuedza kupfuudza dombo.
• Kana uchinzwa sekuti tsvina yako yanamira uye haibude: Izvi zvinonzi "Kubvisa tsvina kwakavharwa". Unonzwa sekuti unoda kuenda kuchimbuzi, asi hapana chinobuda.
• Kuzvimbirwa nguva dzose: Izvi zvinoreva kuti unofanira kuenda kuchimbuzi kwemazuva akawanda uchigara uchibuda tsvina yakaoma. Izvi zvinonziwo "Kuzvimbirwa kwenguva refu".
• Kusakwanisa kudzora kufamba kwedumbu: Kurasikirwa nekufamba kwedumbu kusingatarisirwi. Izvi zvinonzi "Fecal incontinence." Izvi hazvifadzi vanhu vazhinji.

Kuwedzera kune zviratidzo izvi, bvunzo iyi dzimwe nguva inoshandiswa kuona kuti tsandanyama dziri munzvimbo iyoyo dziri kushanda sei mushure metsaona kana kuvhiyiwa, kana kuona kana kufamba kwetsandanyama idzi kwakakanganiswa nechirwere chenguva refu.

Iyi bvunzo ye "(Anorectal Manometry)" inogona kuona mamwe matambudziko angave ari kukonzera kuvimbiwa kwako. Semuenzaniso:

• Kubuda kwetsvina kana dyssynergic: Apa ndipo apo tsandanyama dziri murectum dzinobatana padzinenge dzichiedza kubuda tsvina, uye padzinofanira kuzorora.
• Chirwere cheHirschsprung: Ichi chirwere chinowanzoitika kuvana vadiki. Chinokonzerwa nekusasimba kwemasero etsinga ari mu rectum.

Zvinogonawo kubatsira kuona zviri kuitika uye kuti dambudziko riri papi panyaya yekusagona kudzora tsvina. Chinoshamisa ndechekuti tekinoroji imwechete inoshandiswa pabvunzo iyi dzimwe nguva inogona kushandiswa kudzidzisa tsandanyama idzi (muzvinhu zvakaita se "Biofeedback therapy").

Bvunzo iyi ye "Anorectal Manometry" inoshanda sei?

Kuti titsanangure izvi zvishoma nesainzi, mudziyo unonzi ``Manometer`` unoshandiswa pakuedza uku. Uyu chaizvoizvo ipfungwa yekumanikidza.`(pressure transducer)`. Kureva kuti, inogona kuyera kumanikidzwa kunokonzerwa kana tsandanyama dziri mu rectum ne anus yako dzakabatana. Izvi zvinogona kukubatsira kuona kana kumanikidzwa uku kwakarurama, kwakawandisa, kushoma, kana kuti kumanikidzwa uku kuri kuitika panguva chaiyo.

Chiremba kana mushandi wezvekurapa akadzidziswa anoisa chubhu yakatetepa, inochinjika (catheter) kuburikidza neanus yako mu rectum yako. Chubhu iyi ine sensor yekumanikidza yakabatana nayo. Bharumu diki rinonamirwa mukati mechubhu iyi. Kana bharumu iri razara mukati me rectum yako, rinogadzira rudzi rumwe chete rwekukurudzira tsinga dzatinonzwa patinofamba nedumbu. Tsandanyama dzako dzinotanga kupindura. Mhinduro iyi ndiyo inoyerwa nemudziyo.

Ndinofanira kugadzirira sei bvunzo isati yaitwa?

Zvakanaka kuti rectum neanus yako zvisabude panguva yekuongororwa uku. Saka, chiremba wako achakuudza kuti usadye kwemaawa mashoma usati waongororwa. Achakuudzawo kuti ushandise ``(Enema)`` (mvura inochenesa rectum) kumba kuti ubvise tsvina munzvimbo iyi. Chiremba wako achakupa mirairo yakajeka yekuti ungazviita riini, ungazviita sei, uye kuti woshandisa chii. Saka usazvitya.

Chii chinoitika panguva yebvunzo?

Zvakanaka, ngationei zvinoitika panguva yebvunzo.

• Kana wauya kuzoongororwa, uchakumbirwa kubvisa mbatya dzako pasi pechiuno kana kupfeka rokwe rawakapihwa nechipatara.
• Zvadaro vanokutendeudza nerutivi patafura voita kuti urare pasi mabvi ako akakotama akananga pachipfuva chako.
• Dzimwe nguva, vasati vaisa catheter, chiremba anoisa chigunwe chine girovhosi mu rectum yako obva aita bvunzo ye digital rectal. Izvi ndezvekutarisa kana paine chisina kujairika mukati. Usazvidya moyo, izvi zvinopera nekukurumidza.
• Wobva waisa mafuta ekuisa pamucheto wechubhu (kuti zvive nyore kuisa) wobva waisa zvishoma nezvishoma nepaburi remudumbu uchipinda murectum.
• Kuverengwa kwekumanikidzwa kunonyorwa pakadzika kwakasiyana-siyana mu rectum. Izvi zvinokupa pfungwa yepfungwa yako yemukati yakajairika.
• Zvadaro bharumu rinozadzwa nehuwandu hwakasiyana, roiswa panzvimbo dzakasiyana mukati memudumbu, uye kuverenga kwekumanikidzwa kunotorwa.
• Uchabvunzwawo kana uchinzwa shanduko idzi uye kana uchinzwa sekuti unofanira kuenda kuchimbuzi.
• Uyewo, panguva dzakasiyana-siyana unoudzwa kuti uzvisimbise, uzorore, usundire (sekuenda kuchimbuzi), uye kukosora tsandanyama dzako. Munguva iyi, tsandanyama dzako dzinonyorwa sezvadzinopindura nekuzvidira uye otomatiki.

Kazhinji, bvunzo yese inotora maminetsi angangoita makumi matatu . Inogona kutora maminetsi gumi nemashanu, inogona kutora maminetsi makumi mana nemashanu.

Uyu muedzo unorwadza here?

Iri idambudziko rine vanhu vazhinji. Kutaura chokwadi, iri harisi bvunzo rinorwadza zvakanyanya.Kana rectum kana anus yako yakakuvara zvishoma, unogona kunzwa kusagadzikana kana kusimba. Zvisinei, kumanikidzwa kubva muchubhu nebharumu kwakafanana nekumanikidzwa kwaunowanzo kunzwa paunobuda tsvina.

Zvisinei, kana uchitya zvikuru kana kuti uchinetseka nezveizvi, unogona kutaura nachiremba wako nezvekuti ungawana here imwe mhando yekurapisa zvishoma (`(Sedation)`) kana zvichidikanwa.

Chii chinonzi bvunzo yekudzinga bharumu?

Dzimwe nguva chiremba achaita imwe bvunzo panguva imwe chete neAnorectal Manometry test. Inonzi Balloon Expulsion Test. Izvi zvinosanganisira kuputira bharumu woona kana uchikwanisa kuriburitsa "sekunge uri kuita ura" uye kuti zvinotora nguva yakareba sei. Uchakumbirwa kuita izvi uri wega, wakagara pasi. Masensa ari pabharumu anonyora nguva nekumanikidzwa.

Pane njodzi dziripo pabvunzo iyi here?

Kutaura zvazviri, hapana njodzi huru kana migumisiro yakaipa kubva muongororo iyi. Chinhu chega ndechekuti, kana uine allergy ku `(Latex)` (mukaka werabha), unofanira kuudza chiremba wako nguva isati yasvika. Zvadaro vachashandisa bharumu risina `(Latex).

Kana rectum kana anus yako yakazvimba zvishoma uye yakatsvuka, unogona kunzwa mavanga kana kubuda ropa zvishoma mushure mekuongororwa. Asi izvi zvinowanzo pera nekukurumidza.

Zvakabuda muongororo zvinoratidza chii?

Zvakanaka, chinhu chakakosha ikozvino. Chii chatingadzidza kubva mumhedzisiro yebvunzo iyi?

Mhedzisiro iyi inoratidza kana tsandanyama netsinga zvinobatanidzwa mukufamba kwedumbu zviri kushanda nemazvo, kana kuti dambudziko riri papi.

Mhedzisiro yakajairika inoratidza chimwe chinhu chakadai:

• Kana tsvina ichipinda murectum, rectum inozorora uye inokura kuti ikwane (`(Rectal compliance)`).
• Tsinga dziri mumadziro erectum (`stretch receptors`) dzinokurudzirwa, zvichitumira chiratidzo kuuropi chekuti unofanira kuenda kuchimbuzi (`(Rectal sensation)`).
• Mukupindura, sphincter yemukati memusana inozorora yoga (`(Rectoanal inhibitory reflex)`).
• Kana iri mukati yasununguka, sphincter yekunze inosimba uye inobatirira tsvina kusvika wagadzirira (`(Rectoanal contractile reflex)`). Inosimbawo kana uchikosora (`(Cough reflex)`).
• Mhete yekunze yekumashure inopindura mirairo yako yekusimbisa, kusunungura, uye kusunda.
• Paunoedza kuita tsvina, kumanikidzwa kuri mu anus kunowedzera, zvichiita kuti rin'i yekumashure yekunze isununguke, zvichiita kuti tsvina ipfuure nepairi. Zvese izvi zvinoshanda pamwe chete (`(Kuchinja kwepressure yeanorectal)`).

Mhedzisiro isina kujairika inogona kuratidza zvinotevera:

• Kunyangwe tsvina ichipfuura nemurectum, hapana kunzwa kwekunge uchida kuenda kuchimbuzi. Pamwe rectum haisi kukura zvakanaka, kana kuti tsinga hadzisi kutumira mashoko kuuropi.
• Kunyangwe uchinzwa kuda kuenda kuchimbuzi, tsandanyama dzako dzinoita sedzisingashande zvakanaka.
• Tsandanyama hadzipinduri zvakanaka. Semuenzaniso, dzinosunga padzinofanira kusununguka, uye dzinozorora padzinofanira kusununguka.
• Kunyangwe tsandanyama dzikaita zvakanaka, dzinozviita panguva isiriyo, kana kuti hadzishande pamwe chete.
• Kusunga tsandanyama hakuna simba uye hakushande nemazvo.
• Kunyangwe ndichiedza kuzorora, tsandanyama dzangu dzakanyanya kuoma.

Kuongororwa uku kunogona kutungamira mukurapwa kunobudirira here?

Ehe, zvechokwadi! Kana chiremba angokwanisa kuona kuti ndedzipi tsandanyama dziri kukanganiswa uye kuti sei, anogona kushandisa nzira dzakasiyana-siyana kudzidzisa tsandanyama idzodzo zvakare. Marapirwo akajairika ndeaya:

• Kurapa ne biofeedback: Izvi zvinosanganisira kuzviratidza mashandiro anoita tsandanyama dzako uchishandisa mudziyo uye kukudzidzisa kudzora tsandanyama.
• Kurapa muviri kwekusashanda zvakanaka kwechiuno: Izvi zvinosanganisira kushandisa maekisesaizi akakosha uye matekiniki ekusimbisa tsandanyama dziri munzvimbo iyoyo uye kuita kuti dzishande zvakanaka.

Anorectal Manometry bvunzo inokurumidza uye isingarwadzi iyo chiremba wako anogona kuita kuti aongorore mafambiro emudumbu mako. Inogona kupa chiremba wako ruzivo rwakakosha nezvekushanda kwemhasuru dzako dzemudumbu nedzemudumbu. Unganzwa kunyara kushandisa mafambiro emudumbu panguva yekuongororwa nachiremba. Zvisinei, kana uchinetseka kubuda tsvina, zvakakosha kuziva chikonzero. Kana chikonzero chaonekwa, kurapwa kunogona kugadziriswa zvichienderana nemamiriro ako ezvinhu.

Pakupedzisira, zvinhu zvekurangarira

Kana uine kusagadzikana, kurwadziwa, kana kusazvidzora nguva dzose paunenge uchibuda tsvina, usangozvitsungirira. Hazvina basa rekunyara kana kutya. Taura nachiremba uye, kana zvichidikanwa, tora bvunzo yeAnorectal Manometry. Kana wangoziva chikonzero, kurapwa kuri nyore. Pane mhinduro yezvinhu zvese!

Dai mawana simba rekukunda matambudziko aya uye kurarama hupenyu hune hutano uye hwakagadzikana!

Kusashanda zvakanaka kwedumbu , manometry yeanorectal, kuvimbiwa, zvirwere zverectal, kugaya chikafu, bvunzo dzechiremba, biofeedback