Ingabe nawe unenkinga yokuya endlini yangasese? Ingabe lesi yisimo esibizwa ngokuthi i-anismus? Ake sixoxe ngalokhu!

Ingabe ngezinye izikhathi uzizwa sengathi unenkinga yokuzikhulula noma unomuzwa wokuqina lapho uya endlini yangasese? Ingabe uzizwa sengathi amathumbu akho awaphumi izinsuku eziningi, noma uzizwa sengathi awukaphumi ngokuphelele ngisho nangemva kokuzibamba isikhathi eside? Lezi yizinkinga abantu abaningi ababhekana nazo. Kodwa uma lezi zinto ziqhubeka, kungase kube nesizathu salokho. Isimo esizokhuluma ngaso namuhla sibizwa ngokuthi i-anismus . Ngezinye izikhathi lokhu kubizwa nangokuthi i-dysynergic defecation .

Ake siqale sibone ukuthi u-Anismus uyini.

Kalula nje, i-anismus yisimo lapho imisipha endaweni yakho ye-pelvic ingasebenzi kahle, okubangela ubunzima bokuphuma kwendle. Elinye igama lalokhu uhlobo lokungasebenzi kahle kwe-pelvic floor .

Ake ucabange nje, indawo yakho ye-pelvic iyindawo engaphansi kwe-buttock yakho. Kunemisipha eminingi lapho. Njenge-mesh, noma indebe encane, le misipha ibamba ndawonye izitho ezifana nesinye sethu, isibeletho (kwabesifazane), kanye ne-rectum. Sibiza leli qembu lemisipha ngokuthi i-pelvic floor . Le misipha ibaluleke kakhulu. Ngoba, lapho sikhipha indle futhi sichama, le misipha iyafinyela futhi iphumule ukuze isize ngaleyo nqubo.

Ngakho-ke, uma kwenzeka i-anismus, uma uzama ukuzikhulula, imisipha ephansi kwe-pelvic, ikakhulukazi ezungeze i-anus, kufanele iphumule. Yilapho indle iphuma kalula khona. Kodwa kumuntu one-anismus, esikhundleni sokuphumula, le misipha iyaqina (i-paradoxical contraction) , noma ayiphumuli nhlobo (i-hypertonic pelvic floor) . Cabanga ngakho njengokuthi uma ufuna ukuvula umnyango, uvala kakhulu. Kwabanye abantu, le misipha ayikwazi ukukhiqiza amandla anele okukhipha indle.

Enye into ukuthi cishe ingxenye yabantu abanalesi simo banomqondo ophansi wokunyakaza kwamathumbu noma umuzwa ophansi wokudinga ukunyakaza kwamathumbu. Ngakho-ke, uma indle ingaphumi ngesikhathi, inamathela emathunjini, yome kakhulu, kube nzima ukuyikhipha, futhi kube nzima ukuyikhipha. Lesi ngesinye sezimbangela zokuqunjelwa okungapheli .

Sivame kangakanani lesi simo? Ubani ongasithola?

Emhlabeni jikelele, kulinganiselwa ukuthi abantu abangu-15% kuya ku-25% abanokuqunjelwa okungapheli bangase babe ne-anismus. Ukuqunjelwa kuvame kakhulu, kuthinta cishe abantu abangu-10% kuya ku-20%. Abesifazane banamathuba aphindwe kabili okuba nakho kunabesilisa. Kuvamile futhi kubantu abangaphezu kweminyaka engu-65.

Ngokumangalisayo, cishe ingxenye yesithathu yabantu abanalesi simo banaso besebancane.Lokhu kuqala. Enye ingxenye yesithathu ingase ibe nakho ngemva kokubeletha noma ingozi. Kuma-40% asele, akukho sizathu esicacile esitholiwe. Esikhathini esiningi, kucatshangwa ukuthi kuyindlela yokuziphatha etholwe ngumuntu.

Kungani kuvela i-anismus? Yiziphi izici eziyingozi?

Eqinisweni, i-anismus iyisifo esibangelwa ukusebenza kahle . Okusho ukuthi, akukho sifo esithile somzimba noma sezinzwa esitholakale siyimbangela. Kungaba impendulo yokucindezeleka, ukulimala, noma ukuqunjelwa okungapheli, noma kungabangelwa ukuthi imisipha iba engajwayelekile.

Nakuba kungekho imbangela ethile yalokhu, i-anismus ingabonakala ihambisana nezimo ezithile. Okusho ukuthi, abantu abanalokhu okulandelayo banamathuba amaningi okuthuthukisa i-anismus:

• Izilonda zangemuva
• I-IBS-C (I-Irritable Bowel Syndrome ene-constipation) – Lokhu kubonakala ngokuhlukumezeka kwesisu kanye ne-constipation.
• Isikhathi sokuhamba kancane kwesisu - Lokhu kusho ukuthi ukudla kuhamba kancane emathunjini.
• Ukuqunjelwa okungapheli kusukela ebuntwaneni.
• Ukungezwani komzimba ne-rectal – ukungazizwa umuzwa wokuphuma kwendle.
• Izinkinga zengqondo.
• Ukusetshenziswa kwemithi ethile yokudambisa izinhlungu (ukusetshenziswa kwe-opioid).

Yiziphi izimpawu umuntu one-anismus azizwayo?

Abantu abane-anismus bavame ukuba nezimpawu ezifana nalezo ezibonakala ekuqunjelweni okukhulu. Lezi yizimpawu ezivame kakhulu:

• Ukuzikhulula endlini yangasese okungaphansi kwezikhathi ezintathu ngesonto.
• Ukucindezela ngokweqile ngesikhathi sokuhamba kwamathumbu.
• Umuzwa wokuthi akusikho konke ukuhlanzeka okuphumile ngisho nangemva kokukhipha indle.
• Ukunyakaza kwamathumbu okunzima nokubuhlungu .
• Ngezinye izikhathi kufanele usebenzise iminwe yakho ukuze ikusize ukhiphe indle .
• Isisu esivuvukele.
• Ubuhlungu besisu.
• Ubuhlungu bendunu.

Ungase uzizwe unamahloni noma unamahloni okukhuluma ngalezi zimpawu. Kodwa-ke, lezi yizimpawu ezivamile zalesi simo. Ukutshela udokotela wakho ngalezi zinto ngaphandle kokungabaza kuzosiza ukuthi akusize ngendlela efanele.

Lesi simo se-anismus sitholakala kanjani?

Uma ubona udokotela, bazoqala bahlole ukuthi unezinye yini ezinye izimbangela ezivamile zokuqunjelwa (njengokukhubazeka kwesakhiwo, izinkinga ze-metabolic). Lokhu kungafaka phakathi ukuhlolwa okuyisisekelo kwe-rectal.

• Okokuqala njeUngase ucelwe ukuthi wenze ukuhlolwa kwe-digital rectal (DRE). Lokhu kuhilela ukuthi udokotela afake amagilavu, afake i-lubricant, bese efaka umunwe e-rectum yakho.
• Ngemuva kwalokho, kungenziwa ukuhlolwa kwe-sigmoidoscopy , okuhilela ukufaka ithubhu (i-scope) enekhamera encane ngaphakathi.

Uma lezi zivivinyo zingatholi imbangela ecacile, isinyathelo esilandelayo ukwenza izivivinyo eziningana ezithile ukuze kubonakale ukuthi i-anismus ikhona yini.

Yiziphi izivivinyo ezikhethekile ezisetshenziswa ukuthola i-anismus?

I-Anismus iyaqinisekiswa uma okungenani ezimbili zalezi zivivinyo zinemiphumela engavamile.

1. I-manometry ye-anorectal:

Lokhu kuhilela ukulinganisa ukuthi imisipha esesinqeni sakho se-anus kanye ne-anal sphincter ifinyela kanjani futhi iphumule. Ipayipi elincane eliguquguqukayo (i-catheter) lifakwa endukwini yakho. Uchwepheshe wezempilo ube esefutha i-catheter. Umshini uqopha ukuthi imisipha yakho isabela kanjani, njengokungathi igcwele indle. Lokhu kuhlolwa kungabona:

• Kungenzeka yini ukudala amandla anele okusunduza ukuze kukhishwe indle?
• Ingabe imisipha ye-anal sphincter ikhululeka kahle uma uyicindezela?
• Noma, ingabe lezo misipha ziyaqina uma ucindezela?
• Ingabe umuzwa wakho we-rectal ujwayelekile?

2. Ukuhlolwa kokuxoshwa kwebhaluni:

Lokhu kukala ukuthi kuthatha isikhathi esingakanani ukudlulisa into efana nendle nge-anus yakho. Ukuze ibukeke njengendle, ibhaluni eligcwele amanzi afudumele lifakwa endunu yakho bese lifuthwa libe usayizi othile. Ube usucelwa ukuthi uhlale endlini yangasese bese uyikhipha. Uma lokhu kuthatha isikhathi esingaphezu komzuzu , kungase kubonise inkinga ngokusebenza kwemisipha yakho yaphansi kwe-pelvic.

3. Ukuguqulwa kwesimo:

Kulesi sivivinyo, ama-X-ray noma ama-MRI angasetshenziswa ukubona ukuthi imisipha emzimbeni wakho isebenza kanjani njengoba uzama ukudlula ukunyakaza kwamathumbu. Inhlama ebukeka njengendle ifakwa e-rectum yakho, bese ucelwa ukuthi uhlale endlini yangasese bese uyidlulisa. Izithombe ze-X-ray noma ze-MRI zibe seziboniswa esikrinini. Lokhu kungasiza ekutholeni noma yiziphi izinkinga ngokusebenza kwephansi lakho le-pelvic, kanye nezinye izinkinga zesakhiwo.

4. Ucwaningo lwe-Sitz marker:

Lokhu kulinganisa ukuthi ukudla kuhamba ngokushesha kangakanani emathunjini akho. Okokuqala, udokotela wakho uzokunika iphilisi okufanele ulithathe. Iphilisi liqukethe izimpawu ezincane ezingabonakala ku-X-ray. Ezinsukwini ezinhlanu ngemva kokuthatha iphilisi, uzoba ne-X-ray enye. Uma izimpawu zisesekholoni lakho ku-X-ray, kusho ukuthi imfucuza ayihambi ngendlela evamile kukholoni lakho.

Yiziphi izindlela zokwelapha lesi simo esibizwa ngokuthi i-anismus?

Izindaba ezinhle ukuthi, kukhona ukwelashwa kwalokhu! Ukwelashwa okusebenza kahle kakhulu okutholakalayo njengamanje yi -biofeedback . Kunezinga lempumelelo elingu-80%. Lena yindlela eyinhloko yokwelapha. Kodwa-ke, udokotela wakho angaphakamisa ezinye izindlela zokwelapha noma ezinye izindlela uma i-biofeedback ingasebenzi kuwe.

Nazi ezinye izindlela zokwelapha:

1. Ukwelashwa nge-biofeedback:

Lena indlela enhle kakhulu ye-psycho-physical physiotherapy. Kufana nokuzijwayeza ukulawula imisipha yomzimba wakho ngengqondo yakho. Amadivayisi amancane, angenabuhlungu abizwa ngokuthi ama-electrode abekwa esikhumbeni sakho, futhi ukushaya kwenhliziyo yakho, iphethini yokuphefumula, izinga lokushisa kwesikhumba, ukucindezeleka kwemisipha, kanye nomsebenzi wobuchopho kuboniswa esikrinini ukuze wena nodokotela wezokwelapha nikubone.

Ngemuva kwalokho, umelaphi uzokufundisa izivivinyo ezahlukahlukene, ukufinyela kwemisipha, kanye namasu okuphumula. Njengoba wenza lezi zivivinyo, ungabuka imiphumela esikrinini futhi ufunde ukuthi ungayilawula kanjani imisipha yakho kahle. Ngokuzijwayeza ngale ndlela, uzokwazi ukusunduza kahle ukuze ukhiphe indle futhi uphumuze imisipha ezungeze indunu yakho kahle.

I-Biofeedback ingakusiza futhi ukwandisa ukuqonda kwakho kwezinzwa. Abanye abantu bane-hyposensitivity ye-rectal. Ngalokhu kuqeqeshwa, uzoqala ukuzwa isidingo sokuzikhulula ngokushesha.

2. Izinguquko zendlela yokuphila (Amakhambi Endlela Yokuphila):

Kungakhathaliseki ukuthi uthola ukwelashwa nge-biofeedback noma cha, udokotela wakho uzokutshela ukuthi wenze izinguquko ezithile zendlela yokuphila, njengalezi, ukuze wenze inqubo yokunyakaza kwamathumbu ibe lula:

• Gwema imithi yokuqunjelwa.
• Phuza amanzi anele usuku lonke.
• Yidla ukudla okuningi okucebile nge-fiber (imifino, izithelo, ubhontshisi, okusanhlamvu okuphelele).
• Hamba ngezinyawo isikhathi esifushane ngemva kokudla ngakunye.
• Iya endlini yangasese ngokushesha nje lapho uzizwa udinga ukuya endlini yangasese. Ungakuhlehlisi.
• Zama ukuya endlini yangasese ngesikhathi esifanayo nsuku zonke (isibonelo, ngemva kokudla kwasekuseni).

3. Imithi yokuqunjelwa:

Uma ezinye izindlela zingasebenzi, udokotela wakho angase akunike umuthi wokuhlanza isisu ( i-laxative ) ukuze unciphise ukuqunjelwa.Eminye imithi inganikezwa. Le mithi ayiklanyelwe ngqo i-anismus. Kodwa-ke, ivame ukunikeza impumuzo ekuqunjelweni isikhathi eside. Ngisho noma inkinga yemisipha ingalungiswa, ingasiza ekuvimbeleni indle ukuthi ingabi nzima kakhulu futhi kube nzima ukuyidlula.

4. Imijovo yeBotox®:

Imijovo ye-botulinum toxin isetshenziswe ukwelapha i-anismus, kodwa imiphumela ixubile. I-Botox ivame ukusetshenziselwa ukukhulula imisipha (njengoba isetshenziselwa ukunciphisa imibimbi). Kodwa-ke, lokhu kusebenza cishe ngo-50% kuphela ku-anismus. Lokhu kungenzeka ngoba i-anismus iyinkimbinkimbi kakhulu kunokufinyela kwemisipha nje. Kodwa-ke, kubonakala sengathi isebenza kangcono ezinganeni.

Liyini ikusasa lalabo abaphila ne-Anismus? (I-Outlook)

Uma unokufinyelela ku-biofeedback therapy, kungaba usizo. Kodwa-ke, odokotela bathi lokhu kwelashwa akutholakali kalula kuwo wonke umuntu. Amadivayisi e-biofeedback asekhaya nawo ayathuthukiswa. Ungase uthole impumuzo ngemithi yokuqunjelwa kanye nokushintsha indlela yokuphila.

Odokotela bahlala bethatha ukuqunjelwa, ikakhulukazi uma kungapheli, ngokungathi sína kakhulu. Uma unezimpawu ze-anismus, bona udokotela ngokushesha . Lokhu kungaba yindaba enzima ukukhuluma ngayo, kodwa kungcono kunokungagcini lesi sifo kuwe.

Khuluma ngokukhululekile nodokotela wakho ngezimpawu zakho. Khumbula, yibo abezwa futhi bazibona lezi zinto nsuku zonke. Uma ungakwazi, gcina "incwadi yendaba yokuchitha indle" ngaphambi kokuthi ubonane nodokotela wakho. Okusho ukuthi, bhala phansi okwenzekile njalo lapho uya endlini yangasese, ukuthi kwathatha isikhathi esingakanani, nokuthi kwakunzima kangakanani. Uma unikeza ulwazi oluningi, kulapho kuzoba lula khona ngodokotela wakho ukukusiza.

Umlayezo Wokuya Nawe Ekhaya

• I-Anismus yisimo esihlobene nokuqunjelwa esibangelwa yimisipha yephansi le-pelvic engaphumuli kahle ngesikhathi sokuhamba kwamathumbu nokuqina kwawo.
• Lokhu kungavela kunoma ubani wanoma yimuphi ubudala, kodwa kuvame kakhulu kwabesifazane kanye nabantu asebekhulile.
• Izimpawu zifaka phakathi ukuzikhandla ngokweqile, ukuphuma kwendle ngokuphelele, indle eqinile, kanye nobuhlungu besisu.
• Ungakhathazeki, kunezivivinyo ezikhethekile zokuthola lokhu, futhi ukwelashwa okubizwa ngokuthi i-biofeedback kusebenza kahle kakhulu.
• Uma unalezi zimpawu, kubalulekile ukufuna iseluleko sezokwelapha ngaphandle kokuzizwa unamahloni noma unamahloni. Uma uqala ukwelashwa ngokushesha, kulapho ungalulama khona ngokushesha.

I- Anismus, i-dysynergic outfecation, ukuqunjelwa, imisipha yephansi le-pelvic, i-biofeedback, ubunzima bokuya endlini yangasese, ukunyakaza kwamathumbu