I-Pain Anal Anal Chronic
Uma udokotela wakho ekuthola ukuthi unesifo se-levator ani syndrome, kungenzeka ukuthi awuzwanga ngalesi simo esiveza ubuhlungu obungapheli . Funda kabanzi mayelana nezimpawu zalo, ukuthi kutholakala kanjani, nokuthi yiziphi izinketho ezikhona zokwelashwa.
Yini i-Levator Ani Syndrome?
I-Levator ani syndrome (noma i-spasm ye-levator) ifomu le- proctalgia engapheli . I-proctalgia engapheli yisimo sempilo lapho abantu bezwa khona ubuhlungu obungamahlalakhona obuhlala emizimbeni emibili: i-levator ani syndrome kanye nobuhlungu obungacacisiwe bokusebenza kwama-anorectal.
Kukhona umehluko phakathi kokubili. Abantu abane-levator ani syndrome babika ithenda emsimbeni we-levator we-pelvis uma kuthintwa ngesikhathi sokuhlolwa kwe-rectal .
Kulinganiselwa ukuthi i-levator ani syndrome ithinta cishe amaphesenti angu-7 kubo bonke abesifazane namaphesenti angu-6 kuwo wonke amadoda. Izizathu zokuthi kungani umuntu angathuthukisa i-syndrome azicacile.
Ucwaningo luye lwathola ukuthi ukuhlukunyezwa kwe-dyssynergic -isimo esimweni sokungasebenzi ngendlela yemisipha yomzimba we-pelvic-kungadlala indima ekuthuthukiseni i-syndrome. Umuntu angase abe engozini enkulu yokuthuthukisa i-levator ani syndrome ngemuva kokubeletha noma ukuhlinzekwa komgogodla, i-anus, noma indawo ye-pelvic.
Izimpawu
Abantu abane-levator ani syndrome bahlangabezana nobuhlungu obungapheli nobude obuphezulu phezulu e-rectum yabo. Ubuhlungu buvame ukutholakala futhi buchazwe njengendlebe epholile noma ingcindezi. Ubuhlungu nobuhlungu ngokuvamile bubi nakakhulu uma umuntu ehlezi futhi elula lapho emile noma elele phansi.
Ukuxilongwa
Njengazinye izifo ezinomzimba ezisemsebenzini (FGD), i-levator ani syndrome itholakale ngemuva kokuba ezinye izimo zezempilo zikhishwe ngaphandle. Lokhu kusho ukuthi uzothola kuphela izivivinyo zokuhlola ukuthi udokotela wakho ubona kunesidingo ukulawula ezinye izifo.
Ukuxilongwa kuthiwa kwenziwa ngokwemibandela yeRoma IV yokuhlukunyezwa kwe-colorectal.
Lokhu kusho ukuthi lowo muntu kufanele abe neziqephu ze "ubuhlungu obungapheli noma ubuhlungu obungapheli noma obuhlungu" obugcina okungenani imizuzu engama-30. Lo muntu kumele athole ububele bomzimba we-puborectalis (ingxenye yeqembu le-leverator muscle) lapho uthintwa ngesikhatsi sokulandelana.
Izinketho zokwelapha
Izinketho zokwelashwa zendabuko ye-levator ani syndrome zihlanganisa nokusetshenziswa kwamanzi okugeza noma ukugcoba ngedijithali ngomuthi oqeqeshiwe wempilo. Ayikho yalezi zonyango eziye zaboniswa ukuthi zisebenza ngokukhethekile ekutheni izimpawu zenzeke kalula.
Ukukhuthazwa kwe-Electrogalvanic kanye ne- biofeedback kuye kwaboniswa ukuthi kukhethwa iziguli ezithile. Ucwaningo lubonisa ukuthi i-biofeedback ingaba nenzuzo enkulu ngokusebenza.
Okukhethwa kukho okwelashwa kwe-levator ani syndrome okwamanje okwenziwa uphenyo yiBotox. Kuze kube manje, lezi zifundo ziye zaba mncane futhi zenze imiphumela ehlanganisiwe. Njengoba i-Botox ibonakala njengendlela yokwelashwa ephephile ezinkingeni zempilo ezihlukahlukene, kuyoba mnandi ukubona ukuthi abacwaningi baqhubeka yini ukuphishekela le nqubo yokuphenya.
Kukhona okungenani ibanga elilodwa elibhalwe phansi lapho isiguli sithola ukukhulula ngemva kokunakekelwa kwemithi emithathu. Kodwa-ke, odokotela bayavuma ukuthi kudingeka ucwaningo oluthe xaxa ukuze kunqume ukuthi lokhu kuyindlela yokwelapha ephumelelayo.
Izwi elivela
Uma ubhekene nosizi olubuhlungu obungapheli noma ukungahambi kahle kwe-rectal, yenza i-aphoyintimenti nodokotela wakho ukuze uthole ukuxilongwa okufanele. Emva kokuxilongwa kwe-levator ani syndrome, qiniseka ukuthi ukhuluma nodokotela wakho mayelana nezinketho zokwelapha okungenzeka.
> Imithombo:
> Bharucha A, Trabuco E. Okusebenzayo Nezifo Eziphuthumayo Nezifo Eziphuthumayo Zezinhlungu ZamaPelvic. Imitholampilo ye-Gastroenterology eNyakatho Melika 2008 37: 685-696.
> Bibi S, Zutshi M, Gurland B, Hull T. Ingabe i-Botox ye-Anal Pain i-Optional Treatment Option? I-Medical Journal ye-Postgraduate. 2016; 128 (1): 41-5. i-doi: 10.1080 / 00325481.2015.
> Chiarioni G, Asteria C, i-Whitehead W. I-Proctalgia Yenkinga Nezifo Ezibuhlungu ZasePelvic Pain Syndromes: I-Etiologic Insights New and Options Treatment. I-World Journal ye-Gastroenterology. 2011; 17 (40): 4447-4455. doi: 10.3748 / wjg.v17.i40.4447.
> Drossman DA, Chang L, Chey WD, Kellow J, Tack J, Whitehead WE. IRoma IV: Ukuphazamiseka Kwamathumbu Okusebenzayo: Izinkinga Zokusebenzisana Kwe-Gut-Brain . Raleigh, NC: Rome Foundation; 2016.
> Saleemi HT, Faooque H, Choudhury S, Zhang J. I-Poster 27 Ukwelashwa Kwama-Acupuncture kwa-Levator Ani Syndrome: Umbiko Wezehlakalo. PM & R. 2016; 8 (9S): S169. doi: 10.1016 / j.pmrj.2016.07.070.