Ingaba ugqirha wakho uxelele ukuba une- dyssynergic defecation ? Kungakuqinisekisa ukuba kukho iindlela zokunceda ukulungisa ingxaki kunye nokuphucula iimpawu zakho. Ukwazi oko ukhetho lwakho lunokukunceda njengoko usebenza nogqirha wakho ukuceba isicwangciso sonyango. Eli nqaku liza kukunika uluhlu oluthile lwezinto ezinokucetyiswa.
Mayeza
Ekubeni umphumo oyintloko we-dyssynergic defecation ukugqithiswa, kukho iintlobo zemithi yokuqhawulwa kwamagqirha apho ugqirha wakho unokucebisa okanye awenze.
Ngelishwa, akukho phando lophando olunzulu lokufakazela ukuphumelela kwala mayeza ngokubhekiselele ekuchaseni i-dyssynergic. Nazi ezinye iindlela:
Laxatives:
Ukugqithiswa kweMithi yoMzimba:
Biofeedback
I-Biofeedback icingelwa ukuba iyasebenza kakhulu njengonyango lwe-dyssynergic defecation kwaye inenhlanhla ayiyinto engaqondakaliyo njengoko ingava. I-Biofeedback isebenzisa nje iinzwa kunye nekhomputha ukuba ikunike ingxelo malunga nendlela iimisipha zakho kunye neentsimbi ziphendula ngayo - ulwazi esingaqapheliyo. Oku kukuvumela ukuba uphinde uqeqeshe imisipha yakho ukuba isebenze ngokufanelekileyo ngethuba lokunyakaza.
Nangona ingcamango yeenzwa ezibekwa phantsi kwiindawo "zakho ezizimeleyo" zingabonakala ziyikrakra, ubuncinci olunye uphando lubone ukuba izigulane zinelisekile kakhulu kunyango kunye neziphumo zayo.
Ngelishwa, unokufumanisa kunzima ukufumana indawo ezenzelwe ukuqhuba olu hlobo oluthile lwenyango ye-biofeedback. Ngenxa yolu ngxaki, ukhetho olusekelwe kwi-biofeedback luya kuhlolwa. Nantsi enye ingcaciso ecacileyo malunga nendlela i-biofeedback ye-dyssynergic defecation isebenza ngayo:
Iinjongo:
Injongo ephambili ye-biofeedback kwi-dyssynergic defecation kukuqeqesha imisipha eyenza umgangatho weplavic ukusebenza kunye ngendlela ehamba phambili, ehambelana.
Ngokukodwa, uya kufundiswa:
- Yintoni ekufuneka yenzeke ngexesha leenkqubo zokuhamba ngokuqhelekileyo
- Indlela yokusebenzisa ukuphefumula kwesibindi ukuphucula ikhono lakho lokukhupha ngaphandle
- Indlela yokuphucula izihlunu zeplasvic ngexesha lokuchithwa
- Indlela yokuphucula ulwazi lwakho malunga neemvakalelo malunga nesidingo sokuba neentshukumo zokuhamba
Inkqubo:
Unokulindela ukuya kwiiseshoni ezi-5 zeeyure enye, kanye emva kweeveki ezimbini, ukuphumeza ukuphucula izibonakaliso. Ngethuba le nkqubo, izixhobo zecomputer ziza kufakwa kwi-rectum yakho ukulinganisa ukusebenza kwemisipha yakho ye- sphincter . Uza kubona le milinganiselo kwiskrini yamehlo. Ngalo mpendulo, uya kuqala ukusebenzisa iilingo kunye nephutha ukuze ufunde indlela yokuzisa iimpendulo ezisebenzayo. Kwezinye iimeko, ibhaluni elincinci liya kufakwa kwi-rectum yakho, ikunike ithuba lokuba ufunde indlela yokuphumelela ngokuphumelelayo. Ibhaluni inokuphindwa ngokuphindaphindiweyo kwaye ihlanjululwe ngexesha lakho kwi-rectum ukwenzela ukunceda ukwandisa ukujonga kwakho kwesigxina ngaphakathi kwirectum.
Xa uqeqesho lokuqala luphelile, unokucelwa ukuba ubuyele ngokuphindaphindiweyo kwiiseshoni "zokuxhaswa".
Botox
I-Botox (i-botulinum toxin) iinjongo ziye zaphandwa njengonyango lwe-dyssynergic defecation.
Okwangoku, uphando luye lwabonisa iziphumo ezidibeneyo ngokwemigangatho yokusebenza kunye nezinye izinto ezixhalabisayo malunga nentembeko ye-fecal njengempembelelo yecala. Ngaphandle kokuba izifundo zexesha elizayo zigqibeleleyo, kule ngongoma uBotox ayibonakali iyindlela yokwenza unyango olufanelekileyo.
Inqaku Ngokuphathelele Ukuhlinzwa
Ugqirha olubandakanya i-puborectalis muscle (efunyenwe ngaphakathi kwiplasvic) yayisetyenziswe kwixesha elidlulileyo njengendlela yokulungisa i-dyssynergic defecation. Ingozi yenkqubo iphezulu kakhulu, ngokubhekiselele ekunyuseni amathuba okuqhubekayo neengxaki zokungabikho komzimba , kwaye ngoko utyando lwe-dyssynergic defecation alukho.
Imithombo:
URoo, S. "UKUPHATHWA KWE-DYSSYNERGIC DEFECATION & BIOFEEDBACK THERAPY" Iiklinikhi ze-Gastroenterology zaseNyakatho Melika 2008 37: 569-586.
URoo, S. & Go, J. "Ukunyangwa kwamaPelvic Floor Disorders of Defecation: Ulawulo okanye unyango?" Iingxelo ze-Gastroenterology zangoku 2009 11: 278-287.
Shim, L., et.al. "Ukuqapheliswa kwesiphumo sonyango lwe-biofeedback unyango kwizigulane ezinokubambisa" I- Pharmacology kunye neZonyango eziManyeneyo zika-2011 33: 1245-1251.
Wiesel, P., et.al. Ineliseko yesineke emva kwe-biofeedback ngokubanjwa kunye ne-pely floor dyssynergia. " Iveki yamayeza eSwitzerland 2001 24: 152-156.