Indlela ezi zimbini zonyango zihamba ngayo
Ngaba kukho ukudibanisa phakathi kwe- pelvic floor disysction and syritrome ekhubazayo ? Ekubeni isilwane kunye neengcambu zibekwe ngokusondelelana komnye nomnye, abaphandi bakarhulumente kunye nabagqirha baye bazibuza ukuba kukho ikhonkco.
I-PFD yimeko apho imisipha yomgangatho weplavic ayisebenzi njengokuba kufanelekile, kodwa ukuphanda kwangoku akubonakali ukuxhamla ngokucacileyo phakathi kweengxaki kunye ne-IBS.
I-PFD, kunjalo, ivelisa ukuvelisa ezinye zeengxaki ezifanayo zokugaya i-IBS.
Ngaba kukho ukungabikho phakathi kwe-PFD ne-IBS?
Uphando malunga nokuhlukana phakathi kwe-IBS kunye ne-PFD kunqongophala, ngoko ke akukho zigqibo eziqinileyo ezinokuthi zitsalwe malunga nale mibini. Kodwa olunye uphando lwafumanisa ukuba abafazi abavakalisa ukuxilongwa kwezonyango ze-IBS babenokwenzeka kwakhona ukunika ingxelo yePPD. Abasetyhini abangazange baxelele i-IBS ukuxilongwa babengenakuncipha ukuba baxelelwe bebona iimpawu ezilandelayo, ezizo zonke iziganeko ze-PFD:
- Ukungabikho kwamaFecal
- Iprofivic isilonda
- Ukunyanzeliswa kwe-Urinary
Umgangatho weePelvic ukungasebenzi kunye nokuBamba
I-PFD inokukhokelela ekubanjweni kwimeko ebizwa ngokuba yi- dyssynergic defecation , eyaziwa ngokuba yi- anismus . Ukuba unobungozi obugqithiseleyo kwi-IBS (IBS-C) kwaye ufumana ubunzima bokungabikho, ukukhuphela ngokupheleleyo , kunye / okanye ukufumanisa ukuba kufuneka usebenzise iminwe ekuncedeni ekunyameni, kufuneka uxoxe nodokotela wakho malunga nokuba iPFD inokunikela zakho iimpawu.
Ugqirha wakho unokuncoma ukuba uhambe nenkqubo ebizwa ngokuthi i- manometric anorectal . Kule vavanyo, iprobebhe ye-flexible ifakwa kwi-rectum ukulinganisa imivalo ye-muscle ye-anal sphincter ne-rectum.
Indima ye-Fecal Incontinence kwiingxaki zombini
Ukungathembeki kwe-Fecal, okuqhelekileyo ekubhekiswa kuyo njengengozi yokuhlambela, yinto ephazamisayo yabantu.
Izigulane ze-IBS zinolu ngxaki, kodwa kwakhona zihlangene nabantu abane PFD. Ngenxa yendima yemisipha yomgangatho we-pelvic ekuququzeleleni ukuhamba kwezilwanyana kunye nokulawula isenzo se-anal sphincter, ukungasebenzi kwezi zihlunu kungabangela ukungabikho komzimba. I-PFD inokuba yinto ebangela ukuba uphawu lokuphelelwa ngumntu olungapheliyo, olunokunyusa amathuba okuba umntu angaphinda ahlakulele ukunganyaniseki.
PFD kunye neDirrhea
Uphando olungakumbi lwenziwe ngobudlelwane phakathi kwe-PFD kunye nokuqhawulwa, ngokuchasene nenendima yokungasebenzi komzimba we-pelvic kunye ne- diarrhea-ebaluleke kakhulu kwi-IBS (IBS-D). Uphando oluthile lufumene ukuba akukho mvelaphi ephawulekayo kwi-anal sphincter ukungasebenzi phakathi kweentlobo ezahlukeneyo ze- IBS . Ngethemba, uphando olongezelelweyo luya kwenziwa oluhlolisisa indima enokwenzeka ye-PFD kwi-IBS-D, ngokukodwa ukufumana ukuqonda okungcono kwimeko yehudo yokuphuthuma .
Yintoni Enokwenziwa Ngomgangatho WasePelvic?
Ukuba uyakrokrela ukuba i-PFD igalelo kwiimpawu zakho, thetha nodokotela wakho. Ukuba ufumana ukuxilongwa kwe-PFD, ugqirha wakho uya kuxubusha iindlela zokuncedisa unyango oluhambelana nobunzima beempawu zakho. Izinyango zokwelapha ziquka unyango olusisigxina , i- biofeedback , amayeza kunye nakwiimeko ezimbi kakhulu, ukuhlinzwa.
Imithombo:
Cheung, O. & Wald, A. "Ulawulo lweengxaki zeplasvic " I- Pharmacology ne-Therapeutics 2004. 19: 481-495.
UMulak, A. & Paradowski, L. "Umsebenzi wokuzibandakanya kunye nokuxhatshazwa kwe-dyssynergic kwiinkqutyana ezahlukeneyo zezigulane ezineengxaki zesifo seengqondo." I- International Journal yeColorectal Disease 2010 25: 1011-1016.
Wang, et.al. Iintlungu zepelvic kunye nomgangatho wobomi kubasetyhini abaneengxaki zesifo sengqondo esisisigxina "I- Pharmacology & Therapeutics ye-Alimentary 2010 31: 424-431.