Indlela iProctalgia Fugax Efunyanwa Ngayo

Ukuhlaselwa okufutshane kwintlungu kwindawo yakho yecala kungabangelwa yimeko eyaziwa njengeproctalgia fugax. Esi sisifo esiqhelekileyo sesisu (GI) esichaphazela abantu abadala kwaye sithandwa kakhulu kwabasetyhini.

Ukuba ufumana intlungu kwi-anus yakho, into enokuxoxa ngayo nodokotela wakho. Nangona kunjalo, iimpawu zeproctalgia fugax zichazwe kakuhle kwaye ngokuqhelekileyo azikho imeko yokukhathazeka ngazo.

Yintoni iProctalgia Fugax?

I-Proctalgia ithetha intlungu ebhaliweyo ngaphandle kwesizathu esibonakalayo. Iproctalgia engapheliyo ibonakaliswe njengeproctalgia fugax, i- levator ani syndrome , okanye intlungu engaziwayo. Oku kuhambelana neempendulo ze -Rome IV yeengxaki ze-GI kunye neenguqulelo zangaphambilini zinezifo ezahlukileyo ze- proctalgia engapheliyo .

I-Proctalgia fugax yimeko apho umntu afumana iziganeko zentlungu engxamisekileyo kunye neentlungu. Intlungu ibhekwa ukuba iphela, ngokuba ingahlala imizuzwana embalwa okanye imizuzu embalwa ngaphambi kokuba ihambe ngokupheleleyo.

Nangona ingacaciswanga ngokupheleleyo, imbangela yentlungu ingaba ngenxa ye-spasms ye-muscle ye-pelvic floor, i-rectum, okanye i- sphincter yesi-anal . Kukho nenye inkcazo yokuba ukunyanzeliswa kwentsholongwane ebalulekileyo kummandla wesilwanyana kunye nomzimba wesifo somzimba - obizwa ngokuba yi-nervousal nervous - kungabangela iintlungu ezincinane kunye neziphakathi.

Kwabaninzi abantu abane-proctalgia fugax, ezi hlaselo zihamba ngokungaqheleki kwaye zivela ngaphantsi kwamahlanu ngamawaka.

I-Proctalgia fugax iqikelelwa ukuba ifuthe kuyo yonke indawo ukusuka kwi-4 ukuya kwi-18 ekhulwini labantu. Nangona ichaphazela amadoda kunye nabasetyhini, kubaluleke nakakhulu kubasetyhini. Iyabathinta abantu abaphakathi kweminyaka engama-30 no-60 ubudala.

Iimpawu

Intlungu yeproctalgia fugax ifumaneka kwi-anus okanye i-rectum. Unokuva le ntlungu njengophethi okanye i-cramp kwaye abanye abantu bayichaza njengentlungu yokugubha okanye ukugwaza.

Ubungakanani bentlungu buyahlukahluka kwaye ngokuqhelekileyo alukwazi ukugqithisa ngaphaya kommandla wezilwanyana.

Izizathu

Ngokuqhelekileyo, intlungu ivela ngaphandle kweblue kwaye izigulane akunakunciphisa i-trigger yayo. Nangona kunjalo, ngamanye amaxesha kunokubakho ukuphazamiseka okubonakalayo njengokuqhawulwa okanye xa unesigxina sentsholongwane. Iyakwazi nokuba namava ngexesha okanye emva kwesondo okanye ngelixa unethuba lakho. Kwabanye abantu, kwenzeka ngexesha leexhala eliphezulu okanye uxinzelelo.

I-proctalgia fugax ingenzeka emva kokuba i- sclerotherapy iqhube i-hemorrhoid okanye i- hysterectomy . Abantu abanesifo esilumkileyo esiswini (IBS) nabo banokubeka ingozi enkulu yokufumana i-proctalgia fugax.

Ukuxilongwa

Njengomkhuhlane wesisu esisisigxina (FGD), i-proctalgia fugax ifunyaniswa kuphela emva kokuba zonke ezinye izifo zenzeke ngaphandle. Ugqirha wakho uya kwenza uvavanyo olusemzimbeni. Bangaphinda bacebise iimvavanyo zokuxilonga eziya kulungeleka ukuqinisekisa ukuba akukho nto iphosakeleyo.

Kungenzeka ukuba banokubuza ngempilo yakho yengqondo. Kukho izibonakaliso zokudandatheka kunye nokuxhalabangela kunokubangela iproctalgia fugax kwabanye abantu.

Ukuba yi-FGD, i-proctalgia fugax ifunyaniswa ngokusekelwe kwiimpawu kunye neenkqubo ezisungulwe yimigaqo ye-Rome IV.

Ukuhlangabezana nale miqathango:

  1. Kufuneka uxelele iimpawu ubuncinane ubuncinane kwiiveki ezili-12 zokuphinda iziqwenga zentlungu kwi-rectum yakho. Oku akufuneki ukuba kulandelelaniswe.
  2. Ezi ziqendu mazibe zixesha elifutshane kakhulu - akukho ngaphezu kwemizuzu embalwa.
  3. Akufanele ufumane nayiphi na intlungu kuloo mmandla phakathi kweepisodes.

Unyango

Ekubeni iimpawu zeproctalgia fugax zihamba ngokukhawuleza, akukho mfuneko enkulu yokwenza unyango. Ngokuqhelekileyo, oogqirha bakhuthazwa ukuba baxhase kwaye bachaze uhlobo lwe-syndrome ukubeka ingqondo yakho lula.

Ezinye zezonyango zokunceda zicebisa ukuba zibe ngamanzi okufudumala ukuphucula izihlunu zakho.

Ukusebenza kwamachiza afana ne diltiazem (umrhumo oqhelekileyo we-hypertension prescription) kunye ne-glyceryl nitrate engumxholo ongenalo ubungqina obaneleyo be-proctalgia fugax.

Imithombo:

Foxx-Orenstein AE, Umar SB, Crowell MD. Ukuphazamiseka Okuqhelekileyo Kwezonyango. Gastroenterology & Hepatology. 2014; 10 (5): 294-301.

Jeyaraja S, Purkayastha S. Proctalgia Fugax. I-Canadian Medical Association Journal. 2013: 185: 417.

USmmulson MJ, uDrossman DA. Yintoni Entsha eRoma IV Journal ye-Neurogastroenterology kunye ne-Motility. 2017; 23 (2): 151-163.