Ngaba nawe unengxaki yokuya kwindlu yangasese? Ngaba le yimeko ebizwa ngokuba yi-anismus? Masithethe ngayo!

Ngaba ngamanye amaxesha uziva ngathi unengxaki yokukhupha indle okanye uziva ngathi uxinezelekile xa usiya kwindlu yangasese? Ngaba uziva ngathi amathumbu akho awaphumi kangangeentsuku, okanye uziva ngathi awukakhuli ngokupheleleyo nangona sele uwabambe ixesha elide? Ezi ziingxaki abantu abaninzi abahlangabezana nazo. Kodwa ukuba ezi zinto ziyaqhubeka, kusenokuba kukho isizathu saloo nto. Imeko esiza kuthetha ngayo namhlanje ibizwa ngokuba yi-anismus . Ngamanye amaxesha oku kubizwa ngokuba yi-dysynergic defecation .

Masiqale sibone ukuba yintoni i-Anismus.

Ngamafutshane, i-anismus yimeko apho izihlunu ezikwindawo yakho ye-pelvic zingasebenzi kakuhle, nto leyo ebangela ubunzima bokuphuma kwendle. Elinye igama lale nto luhlobo lokungasebenzi kakuhle komgangatho we-pelvic .

Khawuthelekelele nje, indawo yakho ye-pelvic yindawo engaphantsi kwesisu sakho. Kukho izihlunu ezininzi apho. Njenge-mesh, okanye indebe encinci, ezi zihlunu zibamba amalungu omzimba afana nesinyi sethu, isibeleko (kwabasetyhini), kunye ne-rectum. Eli qela leemisipha silibiza ngokuba ngumgangatho we-pelvic . Ezi zihlunu zibaluleke kakhulu. Kuba, xa sikhupha indle kwaye sichama, ezi zihlunu ziyafinyela kwaye ziphumle ukunceda kuloo nkqubo.

Ngoko ke, kwimeko ye-anismus, xa uzama ukukhupha indle, izihlunu ezikumgangatho we-pelvic, ingakumbi ezijikeleze i-anus, kufuneka ziphumle. Kulapho ke isitulo siphuma lula khona. Kodwa kumntu one-anismus, endaweni yokuphumla, ezi zihlunu ziyaqina (i-paradoxical contraction) , okanye aziphumli kwaphela (hypertonic pelvic floor) . Cinga ngayo xa ufuna ukuvula ucango, luvala ngakumbi. Kwabanye abantu, ezi zihlunu azikwazi ukuvelisa amandla aneleyo okukhupha isitulo.

Enye into kukuba malunga nesiqingatha sabantu abanale meko banemvakalelo enciphileyo yokuba nesisu okanye imvakalelo enciphileyo yokuba kufuneka basebenzise ithumbu. Ngoko ke, xa indle ingaphumi ngexesha, inamathela emathunjini, yome nangakumbi, kube nzima ukuyikhupha, kwaye kube nzima ukuyikhupha. Le yenye yezizathu zokuqunjelwa okungapheliyo .

Ixhaphake kangakanani le meko? Ngubani onokuyifumana?

Ehlabathini lonke, kuqikelelwa ukuba i-15% ukuya kwi-25% yabantu abanokuqunjelwa okungapheliyo banokuba ne-anismus. Ukuqunjelwa kuxhaphake kakhulu, kuchaphazela malunga ne-10% ukuya kwi-20% yabantu. Abafazi banamathuba aphindwe kabini okuba nakho kunamadoda. Kukwaxhaphake kakhulu kubantu abangaphezu kweminyaka engama-65 ubudala.

Okumangalisayo kukuba, malunga nesithathu sabantu abanale meko banayo besebancinci.Oku kuqala. Esinye isithathu sinokuba nayo emva kokubeleka okanye ingozi. Kwi-40% eseleyo, akukho sizathu sicacileyo sifunyenweyo. Uninzi lwexesha, kucingelwa ukuba yindlela yokuziphatha efunyenweyo.

Kutheni i-anismus ikhula? Zithini izinto ezibangela umngcipheko?

Enyanisweni, i-anismus sisifo esibangelwa kukusebenza kakuhle . Oko kukuthi, akukho sifo sithile somzimba okanye semithambo-luvo esifunyenweyo esisibangelayo. Isenokuba yimpendulo kuxinzelelo, ukwenzakala, okanye ukuqhina okungapheliyo, okanye inokubangelwa zizihlunu ezisebenza ngendlela engaqhelekanga.

Nangona kungekho sizathu sicacileyo sale nto, i-anismus inokubonwa kunye neemeko ezithile. Oko kukuthi, abantu abanezi zinto zilandelayo banamathuba amaninzi okufumana i-anismus:

• Izilonda ezisemathunjini
• I-IBS-C (I-Irritable Bowel Syndrome ene-constipation) – Oku kubonakala ngokuphazanyiswa sisisu kunye ne-constipation.
• Ixesha lokuhamba kancinci kwesisu - Oku kuthetha ukuba ukutya kuhamba kancinci emathunjini.
• Ukuqunjelwa okungapheliyo ukususela ebuntwaneni.
• Ukungabi namvakalelo yokuphuma kwendle emqolo – ukungaziva uziva ngathi uphuma ebhedini.
• Iingxaki zengqondo.
• Ukusetyenziswa kwemithi ethile yokuthomalalisa iintlungu (ukusetyenziswa kwe-opioid).

Zeziphi iimpawu ezibonakaliswa ngumntu one-anismus?

Abantu abane-anismus badla ngokuba neempawu ezifana nezo zibonakala ekuqunjelweni okukhulu. Nazi iimpawu eziqhelekileyo:

• Ukuzithuma ngaphantsi kwezihlandlo ezithathu ngeveki.
• Ukuzikhandla kakhulu ngexesha lokuhamba kwamathumbu.
• Ukuziva ngathi asiyiyo yonke indle ephumileyo nasemva kokukhupha indle.
• Ukunyakaza kwamathumbu okunzima nokubuhlungu .
• Ngamanye amaxesha kufuneka usebenzise iminwe yakho ukukunceda ukhuphe indle .
• Isisu esidumbileyo.
• Intlungu yesisu.
• Intlungu yempundu.

Usenokuziva uneentloni okanye uneentloni ukuthetha ngezi mpawu. Nangona kunjalo, ezi ziimpawu eziqhelekileyo zesi sifo. Ukuxelela ugqirha wakho ngezi zinto ngaphandle kokuthandabuza kuya kumnceda akuncede ngendlela efanelekileyo.

Ifunyanwa njani le meko ye-anismus?

Xa ubona ugqirha, baya kuqala bajonge ukuba unazo na ezinye izinto eziqhelekileyo ezibangela ukuqhina kwesisu (ezifana neziphene zesakhiwo, iingxaki zemetabolism). Oku kungabandakanya uvavanyo olusisiseko lwerectal.

• OkokuqalaUsenokucelwa ukuba wenze uvavanyo lwedijithali lwerectal (DRE). Oku kuquka ukuba ugqirha anxibe iiglavu, afake i-lubricant, aze afake umnwe kwirectum yakho.
• Emva koko, uvavanyo lwe-sigmoidoscopy lunokwenziwa, olubandakanya ukufakwa kwetyhubhu (i-scope) enekhamera encinci ngaphakathi.

Ukuba ezi mvavanyo azifumani sizathu sicacileyo, inyathelo elilandelayo kukwenza iimvavanyo ezithile ukuze kubonwe ukuba kukho i-anismus.

Ziziphi iimvavanyo ezikhethekileyo ezisetyenziselwa ukufumanisa i-anismus?

I-Anismus iyaqinisekiswa ukuba ubuncinane ezimbini kwezi mvavanyo zineziphumo ezingaqhelekanga.

1. I-manometry ye-anorectal:

Oku kuquka ukulinganisa indlela izihlunu ezikwi-anus yakho kunye ne-anal sphincter ezifinyela ngayo kwaye ziphumle. Ityhubhu encinci, eguquguqukayo (i-catheter) ifakwa kwi-anus yakho. Ingcali yezempilo emva koko ifutha i-catheter. Umatshini urekhoda indlela izihlunu zakho ezisabela ngayo, ngokungathi zigcwele indle. Olu vavanyo lunokufumanisa:

• Ngaba kunokwenzeka ukudala amandla aneleyo okutyhala ukuze kukhutshwe ilindle?
• Ingaba izihlunu ezikwi-anal sphincter ziyaphumla kakuhle xa uzityhala?
• Okanye, ngaba ezo zihlunu ziyaqina xa uzityhala?
• Ingaba imvakalelo yakho ye-rectal iqhelekile?

2. Uvavanyo lokugxothwa kwebhaluni:

Oku kulinganisa ixesha elithathayo ukukhupha into efana nendle kwi-anus yakho. Ukuze ibonakale njengendle, ibhaluni egcwele amanzi afudumeleyo ifakwa kwi-anus yakho ize ivuthelwe kubungakanani obuthile. Emva koko ucelwa ukuba uhlale kwindlu yangasese uze uyikhuphe. Ukuba oku kuthatha umzuzu ongaphezulu , kunokubonisa ingxaki ekusebenzeni kwemisipha yakho yomgangatho we-pelvic.

3. Ukuguqulwa kwesimo:

Kolu vavanyo, ii-X-reyi okanye ii-MRIs zingasetyenziselwa ukubona indlela ezisebenza ngayo izihlunu emzimbeni wakho njengoko uzama ukuphuma kwesisu. Intlama ebonakala ngathi sisitulo ifakwa kwi-rectum yakho, kwaye ucelwa ukuba uhlale kwindlu yangasese uze uyikhuphe. Imifanekiso ye-X-reyi okanye ye-MRI iboniswa kwiscreen. Oku kunokunceda ekufumaneni naziphi na iingxaki ngokusebenza komgangatho wakho we-pelvic, kunye nezinye iingxaki zesakhiwo.

4. Uphononongo lweSitz marker:

Oku kulinganisa indlela ukutya okuhamba ngokukhawuleza ngayo emathunjini akho. Okokuqala, ugqirha wakho uza kukunika ipilisi omawuyisele. Le pilisi ineempawu ezincinci ezinokubonwa kwi-X-ray. Emva kweentsuku ezintlanu uthathe ipilisi, uza kufumana enye i-X-ray. Ukuba iimpawu zisekwikholoni yakho kwi-X-ray, oko kuthetha ukuba inkunkuma ayihambi kwikholoni yakho ngokuqhelekileyo.

Ziziphi iindlela zonyango zesi sifo esibizwa ngokuba yi-anismus?

Iindaba ezimnandi zezokuba, kukho unyango loku! Unyango olusebenzayo olufumanekayo ngoku yi -biofeedback . Lunezinga lempumelelo eliyi-80%. Olu lolona hlobo luphambili lonyango. Nangona kunjalo, ugqirha wakho unokucebisa ezinye iindlela zonyango okanye ezinye iindlela ukuba i-biofeedback ayisebenzi kuwe.

Nazi ezinye iindlela zonyango:

1. Unyango lwe-Biofeedback:

Le yindlela entle kakhulu ye-psycho-physical physiotherapy. Kufana nokuziqhelanisa nokulawula izihlunu zomzimba wakho ngengqondo yakho. Izixhobo ezincinci, ezingenabuhlungu ezibizwa ngokuba zii-electrodes zifakwa eluswini lwakho, kwaye isantya sentliziyo yakho, indlela yokuphefumla, ubushushu besikhumba, uxinzelelo lwemisipha, kunye nomsebenzi wobuchopho ziboniswa kwiscreen ukuze wena kunye nogqirha wengqondo nizibone.

Emva koko, ingcali yezonyango iza kukufundisa iindlela ezahlukeneyo zokuzilolonga, ukushwabana kwemisipha, kunye neendlela zokuphumla. Njengoko usenza ezi zivivinyo, ungabukela iziphumo kwiscreen kwaye ufunde indlela yokulawula izihlunu zakho ngokufanelekileyo. Ngokuziqhelanisa ngale ndlela, uya kukwazi ukutyhala ngokufanelekileyo ukuze uphume indle kwaye uphumze izihlunu ezijikeleze i-anus yakho ngokufanelekileyo.

I-Biofeedback inokukunceda ukwandisa ulwazi lwakho ngeemvakalelo. Abanye abantu bane-rectal hyposensitivity. Ngolu qeqesho, uya kuqala ukuziva ufuna ukukhupha indle ngokukhawuleza.

2. Utshintsho kwindlela yokuphila (Amayeza okulungisa indlela yokuphila):

Nokuba ufumana unyango lwe-biofeedback okanye akunjalo, ugqirha wakho uya kukuxelela ukuba wenze utshintsho oluthile kwindlela ophila ngayo, olufana nolu, ukunceda ukwenza inkqubo yokuhamba kwamathumbu ibe lula:

• Kuphephe amayeza okuqunjelwa.
• Sela amanzi aneleyo imini yonke.
• Yitya ukutya okuninzi okunefayibha eninzi (imifuno, iziqhamo, iimbotyi, iinkozo ezipheleleyo).
• Hambahamba kancinci emva kokutya ngakunye.
• Yiya kwindlu yangasese ngokukhawuleza xa uziva ufuna ukuya kuhlamba. Musa ukuyibekela amangomso loo nto.
• Zama ukuya kwindlu yangasese ngexesha elifanayo yonke imihla (umzekelo, emva kwesidlo sakusasa).

3. Amayeza okuqunjelwa:

Ukuba ezinye iindlela azisebenzi, ugqirha wakho unokukunika i -laxative ( i-laxative ) yokunciphisa ukuqhina kwesisu.Amanye amayeza anokunikwa. La mayeza ayenzelwanga ngokukodwa i-anismus. Nangona kunjalo, ahlala enceda ukuqunjelwa ixesha elide. Nokuba ingxaki yemisipha ayilungiswanga, anokunceda ukuthintela ukuba isitulo singabi nzima kakhulu kwaye kube nzima ukusidlula.

4. Iinaliti zeBotox®:

Iinaliti zetyhefu ye-botulinum zisetyenzisiwe ukunyanga i-anismus, kodwa iziphumo zixutyiwe. I-Botox idla ngokusetyenziselwa ukuphumza izihlunu (njengoko isetyenziselwa ukunciphisa imibimbi). Nangona kunjalo, oku kusebenza malunga ne-50% kuphela kwi-anismus. Oku kusenokuba kungenxa yokuba i-anismus iyinkimbinkimbi kunokuba nje ikhawuleze izihlunu. Nangona kunjalo, ibonakala isebenza ngakumbi ebantwaneni.

Liyintoni ikamva labo baphila ne-Anismus? (Imbono)

Ukuba unokufikelela kunyango lwe-biofeedback, kunokuba luncedo. Nangona kunjalo, oogqirha bathi olu nyango alufumaneki lula kuye wonke umntu. Izixhobo ze-biofeedback zasekhaya nazo ziyaphuhliswa. Unokufumana isiqabu ngamayeza okuqunjelwa kunye nokutshintsha indlela yokuphila.

Oogqirha basoloko bethatha ukuqhina, ingakumbi ukuba yinto engapheliyo, njengento enzulu kakhulu. Ukuba uneempawu ze-anismus, bona ugqirha ngoko nangoko . Le inokuba yingongoma enzima ukuthetha ngayo, kodwa kungcono kunokusigcina kuwe esi sifo.

Thetha ngokukhululekileyo nogqirha wakho malunga neempawu zakho. Khumbula, ngabo abazivayo nabazibonayo ezi zinto yonke imihla. Ukuba unako, gcina "incwadi yemihla ngemihla" ngaphambi kokuba uye kugqirha wakho. Oko kukuthi, bhala phantsi okwenzekileyo ngalo lonke ixesha usiya kwindlu yangasese, ukuba kuthathe ixesha elingakanani, kwaye kube nzima kangakanani. Okukhona unika ulwazi oluthe kratya, kokukhona kuya kuba lula ukuba ugqirha wakho akuncede.

Umyalezo Wokuya Ekhaya

• I-Anismus yimeko enxulumene nokuqunjelwa ebangelwa kukungaphumli kakuhle kwezihlunu zomgangatho we-pelvic ngexesha lokuhamba kwamathumbu nokuqina kwawo.
• Oku kunokuvela nakubani na waluphi na ubudala, kodwa kuxhaphake kakhulu phakathi kwabasetyhini kunye nabantu abadala.
• Iimpawu ziquka ukuxinwa kakhulu, ukuphuma ngokupheleleyo kwendle, indle eqinileyo, kunye nentlungu yesisu.
• Ungakhathazeki, kukho iimvavanyo ezikhethekileyo zokubhaqa oku, kwaye unyango olubizwa ngokuba yi-biofeedback lusebenza kakhulu.
• Ukuba unezi mpawu, kubalulekile ukufuna ingcebiso kagqirha ngaphandle kokuba neentloni okanye uzive udanile. Okukhona uqala unyango ngokukhawuleza, kokukhona ungaphola ngokukhawuleza.

I- Anismus, i-dysynergic outfecation, ukuqhina, izihlunu zomgangatho we-pelvic, i-biofeedback, ubunzima bokungena endlwini yangasese, ukuhamba kwamathumbu