Isizathu esiqhelekileyo sokuqhaqhozeka esingapheliyo ngenxa yePelvic Floor ukungasebenzi
I-Dyssynergic defecation yimeko yempilo kunye nobunzima bokudlula isitulo ngenxa yeengxaki kunye nezihlunu zeeplvic. Kungabangela ukugquma okungapheliyo . I-Dyssynergic defecation ithathwa njengesiphumo se- pelvic ukungasebenzi , kuba izihlunu kunye neentsholongwane ngaphakathi komgangatho we-pelvic azisebenzi njengoko zifanelekile.
Igama eliqhelekileyo kulo xesha elidlulileyo liyi-anismus.
Phantse isiqingatha sezigulane ezifuna unyango lwe-constipation esingapheliyo zifunyenwe ukuba zibe ne-dyssynergic defecation xa zifumaniswe ngcali. Le meko ihlala inefuthe elibi kumgangatho wobomi, echaphazela umsebenzi kunye nobomi bezenhlalakahle zalabo bafumene ingxaki.
Izizathu
Kunceda ukuqonda kangcono inkinga ye-dyssynergic defecation ukuba unokujonga ngeso siphelo isistim sezantsi sakho sokutya . I-rectum yakho ilala phantsi kwe-intestine yakho ende. I-rectum igcina isitofu kwaye yindlela ehamba ngayo kwisitoreji ukwenza indlela yayo yokuphuma emzimbeni wakho womnxeba, apho ekugqibeleni uphuma kwi-anus yakho.
Imisipha ngaphakathi komgangatho we-pelvic, kubandakanywa neesisu sakho, umxube, kunye ne-anus, kufuneka bonke basebenze ndawonye ukuze badibanise i-stool. Imisipha yomlambo wakho womlilo iquka i-leverator muscle kunye ne-puborectalis muscle.
Umsele wamanzi unesiphincter ezimbini, i-sphincter yangaphakathi, kunye ne-external sphincter, enokukunceda ugcine i-continent.
Kwi-dyssynergic defecation, kubonakala ukuba ulungelelaniso phakathi kweemisipha ezenza umgangatho weplavic ungasebenzi. Xa uzama ukuqonda okokungahambi kakuhle kwi-dyssynergic defecation, kunikwe ingqwalasela ethile kwi-puborectalis muscle nakwi-sphincters yangaphakathi kunye yangaphandle.
Ukuqhekeza okungalunganga kunye / okanye ukuphumla kwezi zihlunu ngexesha lokunyakaza kwamathumbu kubonakala ngathi zigalelo ezinkulu kwiingxaki.
Ukunyanzela izinto ngakumbi, kukho ubungqina bokuba abanye abantu abanesifo se-dyssynergic defecation banokukhubazeka ekuboneni kwabo kwisigxina ngaphakathi kwirectum. Oku kunokukhokelela ekulahlekelweni kweengcamango malunga nesidingo sokuqalisa intshukumo yokubilisa, ngaleyo ndlela iyanciphisa ingxaki yokuqhawula.
Ukuyifumanisa, i-dyssynergic defecation yiphumo leengxaki ezilandelayo:
- Ukwaziswa okungahambi kakuhle ngesidingo sokuchasisa
- Ukukhubazeka ukunyanzelisa
- Ukuqhawula okuqhelekileyo akunakwaneleyo
- Ulwahlulo lwe-puborectalis muscle xa kufuneka luphumle
- Ukuphambana kwabangaphakathi kunye nabangaphandle xa befuna ukuphumla
- Udibaniso lweyiphi na ilapha ngasentla
Kwiimeko ezininzi, akukho nto ingabonakaliswa njengobangela ukuchithwa kwe-dyssynergic. Kwabanye abantu, ingxaki iqala ebuntwaneni. Ezinye izizathu ziye zaphawulwa:
- Ukuzala
- Ukukhulelwa
- Ukulimala okuqhelekileyo
- Inxalenye ephindaphindiweyo yesigxina esinzima
- Ukusetyenziswa kakubi ngokwesondo
Iimpawu
Iimpawu ze-dyssynergic defecation zifana nezo zonyango ezingapheliyo.
- Ukuqhaqha kwesisu
- Ukugqithisa ngokweqile
- Ukuvakalelwa kokungaphumeleli
- Izitambo ezinzima
- Ngaphantsi kweentsuku ezintathu zokuhamba ngeveki
- Ukufuduka kweDivigation (usebenzisa iminwe ukuncedisa ekuhambeni kwesisu)
Ukuxilongwa
Thetha nogqirha wakho ukuba uyakrokreka ukuba ingxaki yakho yokuqhayisa ingaba ngumphumo we-dyssynergic defecation. Ugqirha wakho unokuncoma ezinye iinkqubo zokuxilonga kwaye ke uya kusebenza nawe ukuceba isicwangciso sonyango .
Amanye amagama
Imeko ye-dyssynergic defecation ibizwe ngokuba ngamagama ahlukeneyo kwiminyaka, kuquka:
- Anal sphincter dyssynergia
- Anismus
- Ukuchaswa ngokukhawuleza
- Ukuchithwa kwe-paradoxical puborectal
- Pelvic floor dyssynergia
- Ukuvinjelwa kwepelvic
- I-spastic syndrome ye-pelvic
Imithombo:
> I-Dyssynergic Defecation: Ngomxholo oqhelekileyo wokuqhaqhozeka okungapheliyo. IFFGD. https://www.iffgd.org/lower-gi-disorders/dyssynergic-defecation.html.
URoo, S. "Umgangatho wePelvic Dysfunction" Revista de Gastroenterologia de Mexico 2010 75: 72-82.
Shim, L., et.al. "Ukuqapheliswa kwesiphumo sonyango lwe-biofeedback unyango kwizigulane ezinokubambisa" I- Pharmacology kunye neZonyango eziManyeneyo zika-2011 33: 1245-1251.