I-Anal Anal Pain
Ukuba ugqirha wakho ufumanisa i-levator ani syndrome, mhlawumbi awuzange uve ngelo meko evelisa ubuhlungu obungapheliyo . Funda kabanzi malunga neempawu zalo, ukuba zifunyanwe njani, kwaye ziziphi iindlela zokukhetha unyango.
Yintoni i-Levator Ani Syndrome?
I-Levator ani syndrome (okanye i-levator spasm) yindlela yeproctalgia engapheliyo . Iproctalgia engapheliyo yimeko yempilo apho abantu bafumana iintlungu ezingapheliyo zentlungu eziza kwiifom ezimbini: i-levator ani syndrome kunye nentlungu engabonakaliyo yintlungu.
Kukho umahluko phakathi kwezi zibini. Abantu abane-syndrome ye-leverator syndrome babika ukunyameka kwi-levator muscle ye-pelvis xa kuthinteka ngexesha lokuhlolwa kwemirhumo .
Kulinganiselwa ukuba i-leverator syndrome ichaphazela malunga neepesenti ezingama-7 kubo bonke abafazi kunye nama-6 ekhulwini kubo bonke abantu. Izizathu zokuba kutheni umntu ahlakulele i-syndrome azicaci.
Uphando lufumene ukuba i- dyssynergic defecation -yimeko apho kukho ukungasebenzi khona ngendlela ye-pelvic muscle isebenza-inokudlala indima ekuphuhliseni i-syndrome. Umntu usenokuba ngumngcipheko ophezulu wokuphuhlisa i-levator ani syndrome emva kokubeletha okanye ukuhlinzwa kwe-spine, i-anus, okanye indawo ye-pelvic.
Iimpawu
Abantu abanesifo se-levator ani syndrome banamava amaninzi kunye nexesha elide eliphezulu kwi-rectum yabo. Intlungu ibhekene namava kwaye ichazwa njengento epholileyo okanye ingcinezelo. Intlungu kunye nokuphazamiseka zibuhlungu ngakumbi xa umntu ehleli kwaye elula xa emile okanye elele.
Ukuxilongwa
Njengazinye izifo zesisu zomzimba (FGD), i-levator ani syndrome ifunyaniswa emva kokuba ezinye iimeko zempilo ziye zagwetshwa. Oku kuthetha ukuba uza kuhlola nayiphi na iimvavanyo zokuxilongwa ukuba ugqirha wakho ubona kuyimfuneko ukulawula ezinye izifo.
Ukuxilongwa kwenzelwa ngokuhambelana neempendulo ze-Rome IV malunga neengxaki zokuziphatha.
Oku kuthetha ukuba umntu kufuneka abe namaqabana "entlungu engapheliyo okanye ephindaphindiweyo yintlungu okanye ekhulayo" egcina okungenani imizuzu engama-30. Umntu kufuneka aphinde abe novelwano lwe-puborectalis muscle (inxalenye yeqela le-lever).
Izinyango Zonyango
Izinyathelo zokwelapha zendabuko kwi-levator ani syndrome ziquka ukusetyenziswa kwamanzi e- sitz okanye i-digital massage ngumgqirha ofanelekileyo wenyama. Akukho naluphi na olu lwaluphando oluye lwaboniswa ukuba lusebenza ngokukodwa kwimpawu zokunciphisa.
Ukukhuthazwa kwe-Electrogalvanic kunye ne- biofeedback kuye kwaboniswa ukuba kukhethwa ngokukhethekileyo kwezigulane ezithile. Uphando lubonisa ukuba i-biofeedback ingaba nenzuzo enkulu ngokubhekiselele ekusebenzeni.
Inketho yokwenza unyango kwi-levator ani syndrome ephandwayo okwenziwa yiBotox. Kuza kube ngoku, izifundo ziye zincinci kwaye zenze iziphumo ezidibeneyo. Njengoko i-Botox ibonwa ngokuqhelekileyo njengendlela ekhuselekileyo yonyango kwiintlobo zeengxaki zempilo, kuya kuba lunomdla ukubona ukuba ngabaphandi baqhubeka beqhuba lo mgca wophando.
Kukho ubuncinane ibhokisi elibhaliweyo apho isigulane sithole ukukhulula emva kwezonyango ezintathu. Nangona kunjalo, oogqirha bayavuma ukuba kuphinda kwenziwe uphando olongezelelweyo ukuchonga ukuba ngaba lonyango olufanelekileyo.
ILizwi
Ukuba ufumana ubuhlungu obungaphiliyo okanye ubuhlungu obungama-rectal, yenza isiganeko kunye nogqirha wakho ukuxilongwa ngokufanelekileyo. Emva kokuxilongwa kwe-levator ani syndrome, qi niseka ukuba uthethe ugqirha malunga nokukhethwa kwonyango.
> Imithombo:
> Bharucha A, Trabuco E. Ukusebenza kweengxaki ze-Anorectal kunye nePelvic Pain Disorders I- Gastroenterology Iiklinikhi zaseMntla Melika 2008 37: 685-696.
> Bibi S, uZutshi M, iGurland B, Hull T. Ingaba i-Botox ye-Anal Pain yokuCoca ngempumelelo? I-Postgraduate Medical Journal. 2016; 128 (1): 41-5. i-doi: 10.1080 / 00325481.2015.
> Chiarioni G, Asteria C, i-Whitehead W. Iproctalgia engapheliyo kunye ne-Chronicle Pail Syndromes: I-Etiologic Insights kunye neZonyango zokukhetha. I-World Journal yeGastroenterology. 2011; 17 (40): 4447-4455. i-doi: 10.3748 / wjg.v17.i40.4447.
> Drossman DA, Chang L, Chey WD, Kellow J, Tack J, Whitehead WE. IRoma IV: Iingxaki zokuxhamla komzimba: Iintlupheko zokuBambisana koBug-Brain . URaleigh, NC: iRome Foundation; 2016.
> Saleemi HT, Faooque H, Choudhury S, Zhang J. Umboniso 27 Ukwelashwa kwe-Acupuncture ye-Levator Ani Syndrome: Ingxelo yeNgxelo. PM & R. 2016; 8 (9S): S169. i-doi: 10.1016 / j.pmrj.2016.07.070.