Ukungathembeki kwe-Fecal , lapho ungazitholi ngokuzenzekelayo uthola isitoreji esidlulayo, kungaba yinto ephazamisayo kakhulu. Uma kwenzeka ngokuqhubekayo kungathatha umonakalo omkhulu emkhakheni womuntu wokuphila, impilo yomphakathi, nokuphila kobulili. Abantu abathola ukunganaki ngokuvamile bavame ukubhekana nemizwelo yehlazo elijulile, ukukhathazeka okuqondakalayo mayelana nezingozi zesikhathi esizayo, nokuzethemba okuphansi .
Ukungathembeki kwe-Fecal yisimo esivamile, esithinta amaphesenti angaba ngu-5 kuya kwangu-15 abantu (labo ababika empeleni inkinga!) Kanye namaphesenti angama-50 abantu abadala abahlala emakhaya asebekhulile. Uma wena ubhekene nezingozi zokugezela, sicela ungabi namahloni kakhulu ukukhuluma nodokotela wakho ngakho. Udokotela wakho uyaqiniseka ukuthi akayena okwahlulela futhi osekelayo, futhi uzokhululeka uma ufunda ukuthi kunezinketho eziningi zokubhekana nale nkinga . Enye indlela enjalo, ngenxa yezimo lapho izivumelwano ezijwayelekile zokwelapha ezinganele, ukusetshenziswa kwe-sacral nerve stimulation.
Ukuguqulwa kwe-Sacral Nerve
Ukuvuselelwa kwesibindi se-Sacral, okunye okubizwa ngokuthi i-sacral neuromodulation, kungukungenelela kwezokwelapha okwakhiwa okokuqala njengokwelashwa kwezingozi zesisindo . Ukwelashwa kuhilela ukufaka ama-electrode endaweni lapho ama-sacral nerves akho akhona khona. Lezi zinkomidi ziqukethe izintambo ezincane, eziguquguqukayo ezifakwe ngaphansi kwesikhumba sakho endaweni yangaphansi yakho emuva komsila wakho.
Lezi zingcingo zixhunywe kwidivaysi ethumela amapulthi aphansi kagesi ukuvuselela lezi zinzwa.
Ukucabanga kwasekuqaleni ngemuva kwalokhu ukwelashwa ukuthi ukuvuselelwa kwalezi zinzwa kuzokwenza ngcono ukusebenza kwe- sphincter yakho yangasese kanye nemisipha ngaphakathi kwezemidlalo yakho . Ukusetshenziswa kwedivaysi kwamukelwa njengokwelashwa kwe-fecal incontinence yi-US Food and Drug Administration ngo-2011.
Ukwelashwa empeleni kuyinkqubo yezinyathelo ezimbili. Ukuze isinyathelo sokuqala, umzila ufakwe ngaphakathi emzimbeni wakho, kodwa idivayisi evuselelayo ihlala ingaphandle komzimba wakho ngedivaysi encane eboshwe okhalweni lwakho. Le nqubo iyenzeka ngokusebenzisa i-anesthesia yendawo. Khona-ke uzocelwa ukuba ugcine idayari yesibonakaliso cishe amasonto amabili kuya kwamathathu. Udokotela wakho uzobe esebenza ukulungisa idivayisi ukuze azame ukuyilungiselela izidingo zomzimba wakho. Udokotela wakho angakutshela ukuthi ukhawulele eminye imisebenzi yakho kule nkathi yesilingo.
Ekupheleni kwalesi sigaba sokuqala, uma uthola inzuzo emithini yokwelapha futhi i-unit iyathandeka emzimbeni wakho, kuzokwenziwa inqubo yesibili ukufaka idivayisi ngaphansi kwesikhumba sakho endaweni yesisu sakho. Inqubo yokufaka isikhumba esingaphansi kwesikhumba iyokwenziwa kuphela kuwe uma izingozi zakho zokuphuza zinciphile ngesigamu ngokusetshenziswa kwedivayisi. Idivayisi efakiwe ingaqhubeka ishintshwe ngokusebenzisa idivayisi yangaphandle yokulawula eyihlane.
Ubani Okhethwa Ngama-Sacral Nerve Ukukhuthazwa?
Ukuvuselelwa kwesibindi se-sacral ngeke kucatshangelwe kuze kube yilapho ukukhethwa okuvamile kokwelashwa kuye kwazama. Uma ukutholakala okwanele kwezibonakaliso akuzange kutholakale ngemuva kokuzama ukushintsha kokudla nokuziphatha nokusetshenziswa kwamasu amancane, ukuvuselelwa kwesibindi se-sacral kunganconywa.
Ukwelashwa kubonakala kuwusizo kubantu abanokukhubazeka okungahambi kahle (ukuvuza okungazibandakanyi) futhi bakhuthaze ukungabikho komuntu (ukungena endlini yokugezela ngesikhathi). Ukwelashwa kungasiza ekungeneni kwe-fecal okuvela ezinhlobonhlobo ezihlukahlukene, njenge:
- Ukulandela ukubeletha : i-anal sphincter izinyembezi noma umonakalo wezinzwa
- Izinkinga ze-neurological
- Ngokwemvelaphi engaziwa (ukungavumelani kwe-idiopathic fecal)
Kukhona futhi ukusekelwa kocwaningo ukuthi ukuvuselelwa kwesibindi se-sacral kungasiza uma usebenzisana nokubili ukungenwa kwesisu nesinye isikhathi esifanayo.
Indlela iSigral Nerve Stimulation Works
Yini engaziwa yilokho okushiwo yi-sacral nerve stimulation eyenza lokho kuthuthukise inkinga yokungahlambuluki.
Izinkanyezi eziningana ziyacutshungulwa. Nakuba ukuqonda okuvamile kungasikisela ukuthi ukuvuselelwa kwesibindi kuthuthukisa ukusebenza komzimba we-pelvic kanye nemisipha ye-anal sphincter, ucwaningo alukona ukunikeza ubufakazi obunzima bokuthi lokhu. Enye inkolelo yukuthi ukugqugquzela kuthuthukisa isenzo sezinyosi ze-colon yonke. Kukhona nobufakazi bokuthi imiphumela yokwelashwa ishintshwe ezingxenyeni zobuchopho ezilawula izwekazi.
Kuyasiza Kangakanani?
Ngokuvamile, ukugqugquzelwa kwesibindi se-sacral kubonakala njengendlela yokwelapha esebenzayo, esebenzayo. Ukuba nalo njengendlela yokunciphisa kunciphise amazinga okuhlinza ukulungisa i-sphincter yesilwane. Imiphumela yokuqala ingaba umxhwele ngempela, ucwaningo lubonisa ukunciphisa okukhulu kwezimpawu ezitholwa ngamaphesenti angama-40 kuya kwangu-80 abantu abanohlelo. Le miphumela ngokuvamile ihlala iqinile okungenani ngonyaka owodwa. Ucwaningo luye lwabonisa ukuthi abantu abangaba ngu-80 abangena ngaphansi kwenqubo bajabule kakhulu ngemiphumela bese bebika ukuthi ukwelashwa kwandise izinga labo lokuphila. Cishe amaphesenti angu-25 abantu abanesidingo angase abone ukwehla kancane ekuthuthukiseni izibonakaliso ngokuhamba kwesikhathi. Okubaluleke nakakhulu kule nqubo yisidingo esingahle sokwenza izinqubo zokuhlinzwa eziphindaphindiwe.
Imiphumela emibi yeSigral Nerve Ukukhuthazwa
Inqubo ngokwayo ithwala izingozi ezincane. Kodwa-ke, ngoba inqubo yokuhlinzeka kukhona ingozi encane yokutheleleka. Okukhathazeka okukhulu ukuthi udinga ukuqaphela isidingo esithile sokuhlinzwa okuqhubekayo. Idivayisi ingase ihlangabezane nezinkinga zobuchwepheshe ezingabandakanya ukufaka esikhundleni. Lesi silinganiso sokuhlinzwa okuqhubekayo akuyona into ebalulekile, ngokucwaninga okubonisa ukuthi kungadingeka kumuntu oyedwa kwabahlanu abaphethe idivayisi. Ingozi yokudinga idivayisi ukuthi ifakwe kabusha iyakhula ngokuhamba kwesikhathi.
Yini Ongayilindela Uma Uhlala Nedivaysi Ekhuthazayo
Esimweni esihle kunazo zonke, ukuhlala nedivaysi kusho ukuthi uzokhululeka ukuphila impilo yakho ngaphandle kokukhathazeka mayelana nokubhekana nezingozi ezishisayo. Uzokwaziswa ngokuthi ungasusa kanjani okwesikhashana ukushayela kagesi lapho usulungele ukuhamba komzimba. Uma ngabe idivayisi isethwe kakhulu, ungase ukhathazeke kancane. Uma ngabe idivayisi isethwe kakhulu, kungenzeka ukuthi awutholi izinzuzo ezigcwele. Ukuze uthole imiphumela emihle, uzoqhubeka uxhumana nodokotela wakho ukuqinisekisa ukuthi izilungiselelo zilungile kuwe.
Ezinye izindlela zokwelashwa kwe-Fecal Incontinence
Nakuba ukuvuselelwa kwesibindi se-sacral kubhekwa njengokunakekelwa okujwayelekile kokuphathwa kokwelapha okunamandla okukhulu, akusona kuphela okukhethwa kukho. Nazi ezinye zezibonelo zezinye izinto udokotela wakho angasikhuthaza kuwe:
- Gwema ukudla kanye neziphuzo ezingabangela ingozi yengozi. Lokhu kuzobandakanya iziphuzo ezidakayo, iziphuzo nge-caffeine, ukudla okunomsoco kanye nezithelo eziningi ngokweqile.
- Ukwandisa ukudla kwakho kwe-fiber yokudla . I-fiber ye-dietary ingasiza ukugcina izihlalo eziqinile, okusiza umzimba wakho ukuba ugcine indaba yezintambo uze uhlale kahle endlini yangasese. I-fiber ye-dietary ingasiza futhi ukugcina izithambile zilula, ngaleyo ndlela zikhuthaze ukunyakaza kwabantu abaqothukile futhi ngaleyo ndlela banciphise isipiliyoni sezitofu ezigijima ezungeze isitokisi esithintekile.
- Udokotela wakho angase ancome ukuthi usebenzise i-fiber supplement efana ne-Metamucil ukuze uthuthuke ngokuvumelana nesimo se-stool futhi ukhuthaze ukunyakaza kwesibindi njalo.
- Udokotela wakho angancoma ukusetshenziswa kwemithi yokulwa nesifo sohudo njenge- imodium .
- Imithi ingahle ibekwe ukuba ikwazi ukubhekana nanoma yiziphi izimo ezingezansi eziholela ekungeneni kwakho.
- Uma impikiswano ye-fecal yinkinga engapheli (ikakhulukazi kubantu asebekhulile abahlala emakhaya asebekhulile), imithi yokwelapha ehlanganisa ukusetshenziswa kwe-suppositories, i-enemas kanye / noma izakhi zokukhuluma ngomlomo zinganconywa.
- Kukhona i-gel ejojelwayo okuthiwa i- Solesta eyandisa ubukhulu bezicubu ezilinganayo. Lokhu kuvula ukuvula okuncane okuthuthukisa ikhono lakho lokugcina isitoreji.
- Kunezinye izindlela ezimbalwa zokwelashwa ezingenasidalwa ezingahloswe futhi zithuthukise izimpawu zokungathembeki kwamafecal. Lokhu kufaka:
- I-Biofeedback
- Izitho zangasese ze-pelvic (ama-Kegels)
- I-Electrostimulation
Imithombo:
UBuzech A, uBouvier M, Vitton V. "Ukungathinteki kwefeecal: Ukukwazi okwamanje kanye nemibono" Journal World of Gastrointestinal Pathophysiology 2016; 7 (1): 59-71.
I-Bielefeldt K. "Izenzakalo ezimbi ze-sacral neuromodulation ye-fecal incontinence ibike ku-federal administration administration" World Journal of Gastrointestinal Pharmacology and Therapeutics 2016; 7 (2): 294-305.
U-Duelund-Jakobsen J, u-Worsoe J, uLundby L, Christensen P, uKrogh K. "Ukuphathwa kweziguli ezinokukhubazeka ngokweqile" Ukuthuthukiswa Kwezokwelapha ku-Gastroenterology 2016; 9 (1): 86-97.
I-Wald A. "Ukuvuselela Ukuphathwa Kwe-Fecal Incontinence yeGastroenterologist" I- Gastroenterology & Hepatology 2016; 12 (3): 155-164.