Isizathu Esivamile Sokuqothulwa Okungapheli Ngenxa Yesivivinywa Sokukhubazeka
I-Dyssynergic defecation yinkinga yezempilo enzima ukudlula isitokisini ngenxa yezinkinga ezinamathunjwa nezinzwa zomzimba we-pelvic. Kungabangela ukuqunjelwa okungapheli . I-Dyssynergic defecation ibhekwa njengomphumela wokushisa phansi kwe-pelvic , ngoba imisipha nemisipha ngaphakathi kwe-pelvic akusebenzi njengoba kufanele.
Igama elivamile kulo ngaphambilini laliyi-anismus.
Cishe isigamu seziguli ezifuna ukwelashwa kokuqashwa okungapheli zitholakala ukuthi zine-dyssynergic defecation uma itholakala ngabachwepheshe. Lesi simo ngokuvamile sinomthelela omubi ekwalweni lokuphila, okuthinta umsebenzi kanye nokuphila komphakathi kulabo abathintekayo abanenkinga.
Izimbangela
Kuyasiza ukuqonda kangcono inkinga ye-dyssynergic defecation uma ungabona ngeso lengqondo ukuthi ukuphela okuphansi kwesistimu yakho yokugaya kubonakala kanjani. I-rectum yakho ilele phansi emathunjini akho amade. I-rectum igcina isitoreji futhi kuyindlela yokuhamba ngesitokisi ukuze iphume ngendlela yakho yomsele, lapho ekugcineni iphuma nge-anus yakho.
Imisipha ngaphakathi kwezemvelo, kuhlanganise neyisisu sakho, i-rectum, ne-anus, kumele bonke basebenze ndawonye ukuze kusetshenziswe ukuhlelwa kwesitokisi. Imisipha yomsele wakho womzimba ihlanganisa imisipha ye-lever and the musborectalis muscle.
Umsele wamanzi unama- sphincter amabili, i-sphincter yangaphakathi, ne-sphincter yangaphandle, okukusiza ukugcina i-continent.
E-dyssynergic defecation, kubonakala sengathi ukuhlangana phakathi kwemizwa eyenza isiteji sezintambo akuphephile. Ekuzameni ukuqonda ukuthi yini engalungile ku-defyation ye-dyssynergic, ukunakekelwa okukhethekile kunikezwa kumfutho we-puborectalis kanye nama-sphincters angaphakathi naphandle we-anus.
Ukungqubuzana okungalungile kanye / noma ukuphumula kwemisipha ngesikhathi sokuhamba kwamathumbu kubonakala sengathi kubangelwa kakhulu kule nkinga.
Ukuze ucindezele izinto ngokuqhubekayo, kunobunye ubufakazi bokuthi abanye abantu abahlukunyezwa yi-dyssynergic defecation banokukhubazeka ekuboneni kwabo kwesitoreji ngaphakathi kwe-rectum. Lokhu kungaholela ekukhokheni okushiwo mayelana nesidingo sokuqala ukunyakaza kwamathumba, ngaleyo ndlela kwandisa inkinga yokuqothulwa.
Ukuzihlanganisa, i-dyssynergic defecation ingumphumela wezinkinga ezilandelayo:
- Ukuqwashisa okungafanelekile ngesidingo sokuchasisa
- Ukukhubazeka ukuphoqa
- Ukuvinjelwa okulinganayo akufanele
- Ukungafani komzimba we-puborectalis uma kufanele ukhululeke
- Ukuqhathaniswa kwama-sphincters angaphakathi nangaphandle uma kufanele baphumule
- Ukuhlanganiswa kwanoma yiziphi izici ezingenhla
Ezimweni eziningi, akukho nhlobo ethize engabonakala njengobangela ukuhlukunyezwa kwe-dyssynergic. Kwabanye abantu, inkinga iqala ebuntwaneni. Ezinye izimbangela ziye zaphawulwa:
- Ukubeletha
- Ukukhulelwa
- Ukulimala okulinganayo
- Inkulumo ephindaphindiwe yesitoreji esinzima
- Ukuhlukumeza ngokocansi
Izimpawu
Izimpawu ze-dyssynergic defecation zifana nokuqokwa okungapheli.
- Ukuvimbela kwesisu
- Ukucindezela ngokweqile
- Ukuzwa kokuphuma okuphelele
- Izitembu ezinzima
- Ngaphansi kwezintathu zokunyakaza ezihamba ngeviki
- Ukukhishwa kwe-Digital (usebenzisa iminwe ukusiza ekunyameni kwesisu)
Ukuxilongwa
Khuluma nodokotela wakho uma usola ukuthi inkinga yakho yokuqothulwa ingaba umphumela wokuhlukunyezwa kwe-dyssynergic. Udokotela wakho angancoma izinqubo ezithile zokuxilonga bese esebenza nawe ukuba ahlele uhlelo lwezokwelapha .
Amanye amagama
Isimo se-dyssynergic defecation sabizwa ngamagama ahlukahlukene ahlukahlukene eminyakeni, kufaka phakathi:
- Anal sphincter dyssynergia
- I-Anismus
- Ukuvimbela ukuvimbela
- Ukukhwabanisa kwe-paradoxical puborectal
- Ipelvic floor dyssynergia
- Ukuvinjelwa kwamaprovic
- Isifo se-spastic pelvic floor
Imithombo:
> I-Dyssynergic Defecation: Mayelana Nombangela Ovamile Wokuqothulwa Okungapheli. IFFGD. https://www.iffgd.org/lower-gi-disorders/dyssynergic-defecation.html.
URao, S. "Isivivinywa Sesikebhe Sesibili" Revista de Gastroenterologia de Mexico 2010 75: 72-82.
Shim, L., et.al. "Ababikezeli bomphumela we-anorectal therapy we-biofeedback kwiziguli ezinokuqokwa" I- Alimentary Pharmacology and Therapeutics 2011 33: 1245-1251.