Iintlungu zesisindo ezibuhlungu zihlaziywa
Iproctalgia engapheliyo yegama eliye lavalwa. Kubhekiselele kwimeko apho umntu efumana ubuhlungu obuphindaphindiweyo obungama-20 engama-imizuzu engama-20, ngaphandle kweso sakhiwo esilungileyo okanye esichaphazelekayo kwi-akhawunti.
Eli gama lalinokusetyenziswa kuze kube yilapho i-Rome IV Criteria for Colorectal Disorders iphelile ngo-2016.
Nangona kunjalo, kusenokwenzeka ukuba kubonakale ekuxilongeni nasekuhlaleni kuze kube yilapho ochwepheshe bezobugqirha baqala ukusebenzisa isicelo esitsha. Funda oko kwakuthethwa ngethuba kunye nendlela ithatyathelwe ngayo.
Utshintsho kwiNgcaciso yeProctalgia engapheliyo
Ngaphansi kwe-III ye-III, i-proctalgia engapheli yahlukaniswa nobude bexesha leempawu zayo ukusuka kwi- proctalgia fugax , ephawulwe yintlungu engaphephekiyo eyenziwa ngokukhawuleza engapheli kwemizuzu engama-20. I-proctalgia engapheliyo yahlulwa kwakhona kwi- levator ani syndrome , ebonakaliswa ngentsholongwane yomzimba we-leverator xa ithatyathwa ngethuba lokuhlolwa kobugqirha, kunye nesifo esingenakuchazwa sisifo se-anorectal syndrome ukuba kwakungenabubele.
Xa uphando alufumananga amaqoqo ahlukeneyo yeempawu zeproctalgia fugax kunye neproctalgia engapheliyo, i-proctalgia yexesha elingapheli yachithwa eRoma IV. Nangona kunjalo, iindlela ezisetyenziswayo kunye nokukhethwa kwonyango kuyahlukahluka kule mijelo kunye neRoma IV zibandakanya ama-subtypes aphantsi kweproctalgia engapheliyo njengama-syndromes abo.
- I-Levator ani syndrome : Kule ndlela yeproctalgia engapheliyo, abantu bafumana ububele kwi-puborectalis (i-muscle ngaphakathi kwe-pelvis) xa ithatyathwa ngethuba lokuhlolwa kobugqirha.
- Intlungu engabonakaliyo eyenziwa yintlungu : Le fomu yeproctalgia engapheliyo ifunyaniswa ukuba ungeyonto enjalo kwi-puborectalis xa ithatyathwa ngethuba lokuhlolwa kwemigangatho.
- I-Proctalgia fugax : I-Rome IV isigaba senze utshintsho kwinkcazelo yeli gama. Ngoku ubude bemizuzu engama-30 kunemizuzu engama-20 kwaye indawo ihlala kumbindi kunokuba i-rectum okanye i-anus ephantsi.
Iimpawu
Iimpawu zala ma syndromes zivakalayo njengexesha elide elide okanye uvakalelo olunjengexinzelelo kwi-rectum-kaninzi luba nolwazi ngakumbi phezulu kwirectum. Kungadluka xa uhleli ixesha elide kwaye unokuba lula xa usukuma okanye ulala. Ukuphazamiseka kunokunyuka njengoko imini igqoke kodwa ingabonakali ngobusuku. Intlungu inokuvakalelwa rhoqo ngamaxesha alandelayo:
- Ukulandela isondo ngesondo
- Ukulandela intshukumo yokuhamba
- Ngexesha loxinzelelo.
- Ngexesha lohambo olude
Ukuxilongwa
Ngama-syndromes ayengama-subtypes angama-proctalgia angapheliyo, isifo sokuxhamla esiswini (FGD), iimvavanyo zokuxilonga ziya kulawulwa kuphela ukulawula ezinye iingxaki zempilo. Ngaphandle koko, oogqirha baya kwenza ukuxilongwa ngokusekelwe kwiimpawu ngokwemigaqo ye-Rome IV ye-FGD:
- Intlungu okanye engaphinda ibuhlungu
- Ukuxhamla kufuneka kudlule okungenani imizuzu engama-30
- Ezinye izimbande zeentlungu zecala (isakhiwo okanye inkqubo) kufuneka zikhutshwe ngaphandle
- Iimpawu kufuneka zibe khona ubuncinane kwiinyanga ezintathu kwaye ziqale ubuncinane ubuncinane ezintandathu.
Ukuze uchonge ubukho be-levator ani syndrome, ugqirha wakho unokwenza uvavanyo lwemixholwana ukuvavanya ukunyamekela.
Izizathu
Isizathu esona sizathu kule miqathango okwamanje asiyazi. Kwixesha elidlulileyo, kwakucatshulwa ukuba imeko leyo yayingumphumo wokuxhatshazeka okungapheliyo okanye ukuvuvukala kwezihlunu ngaphakathi komgangatho weplavic , nangona uphando lophando lwale ngcamango lucacisiwe. Amanye amaphulo ophando olusakhulayo kwintsebenzo enokwenzeka ye- dyssynergic defecation , imeko apho imisipha yomgangatho we-pelvic ayisebenzisi njengoko kufuneka.
Izinto ezinokunyusa umngcipheko womntu wokuphuhlisa la ma-syndromes ziquka:
- Utyando olutsha
- Ukuzala
- Utyando lwamafilosofi
- Utyando lwasemlonyeni
Kukho intlangano phakathi kweproctalgia engapheliyo kunye namazinga aphezulu okudandatheka kunye neengxaki zokuxhalabisa. Nangona kunjalo, akungaziwa ukuba iimpawu zeemvakalelo zandisa ingozi, okanye isiphumo salo, sibhekene neempawu zentlungu engapheliyo.
Unyango
I-Biofeedback ngoku yonyango ekhethiweyo ye-levator ani syndrome emva kokuba iboniswe ngophando ukuba iyona ndlela iphumelele xa kuthelekiswa nokuvuselelwa kombane we-canal yangaphambili kunye nokuxutywa kwemisipha ye-lever. Ukukhuthazwa kombane kuye kwaboniswa ukuba kuyinzuzo kwaye ingasetyenziswa ukuba i-biofeedback ayitholakali. Ezi zonyango zithatha indawo yezithethe eziqhelekileyo ezisetyenzisiweyo, ezibandakanya ukuxilwa kwejithali ye-leverator muscle, imisipha yokuphumla, kunye nokusetyenziswa kwamabhati e-sitz , ezo zonke zibonisa ukusebenza okuncinci. Ugqirha aluthathwa njengonyango olusebenzayo lweproctalgia engapheliyo.
Imithombo:
> Chiarioni G, Asteria C, i-Whitehead W. Iproctalgia ephambili kunye neengxaki ezingapheliyo zentlungu ye-pelvic: Iinkcazelo ezintsha ze-etiologic kunye neendlela zokonyango "I- World Journal of Gastroenterology 2011 17: 4447-4455.
> Schmulson MJ, uDrossman DA. Yintoni Entsha eRoma IV? I-Journal ye-Neurogastroenterology kunye ne-Motility . 2017; 23 (2): 151-163. i-doi: 10.5056 / jnm16214.