Indlela lezi zimo ezimbili zezokwelapha ezihamba ngayo
Ingabe kukhona uxhumano phakathi kokungasebenzi komzimba we-pelvic kanye nesifo sofuba esiswini ? Njengoba isilwane kanye nesifuba siseduze eduze komunye nomunye, abacwaningi bomphakathi nabadokotela baye bazibuza ukuthi kukhona yini isixhumanisi.
I-PFD yisimo lapho imisipha emgodini wezintambo engasebenzi njengakufanele, kodwa ukucwaninga kuze kube manje akubonisi ukuxhuma okucacile phakathi kwesifo kanye ne-IBS.
Kodwa-ke, i-PFD ivame ukhiqiza ezinye izinkinga ezifanayo zokugaya ukudla okungenziwa yi-IBS.
Ingabe kukhona ukuhlukana phakathi kwePPD ne-IBS?
Ukucwaninga ngokubambisana phakathi kwe-IBS ne-PFD kunqabile, ngakho-ke akukho ziphetho eziqinile ezingakutholwa ngazo. Kodwa isifundo esisodwa sathola ukuthi abesifazane ababika ukuxilongwa kwezempilo kwe-IBS babengase bakwazi ukubika izimpawu ze-PFD. Abesifazane abangazange babike ukuxilongwa kwe-IBS babengenakukwazi ukubika ukuthi babhekene nezimpawu ezilandelayo, zonke izici ze-PFD:
- Ukungathembeki kwamaFecal
- I-body organ iphinda
- Ukuphuthuma kwe-Urinary
Isisindo Sobunzima besibhakabhaka nokuqothulwa
I-PFD ingabangela ukuqothulwa ngesimo okuthiwa i- dyssynergic defecation , eyaziwa nangokuthi i- anismus . Uma ubhekene nokuqothulwa kakhulu kwe-IBS (IBS-C) futhi uhlushwa ukuhlukunyezwa, ukuthuthwa okungaphelele , kanye / noma ukuthola ukuthi udinga ukusebenzisa iminwe ukuze usize ekuhambeni kwamathumba, kufanele ukhulume nodokotela wakho mayelana nokuthi kungenzeka ukuthi i-PFD ifaka isandla izimpawu zakho.
Udokotela wakho angancoma ukuba uhambe ngenqubo ebizwa ngokuthi i -manometry ye-anorectal . Kulesi sivivinyo, i-probe eguquguqukayo ifakwe engxenyeni ye-rectum ukulinganisa izingxube ze-muscle ze-anal sphincter ne-rectum.
Indima Ye-Incecinence Ye-Fecal Kuzo zombili izinkinga
Ukungathembeki kwamaFecal, okuvame ukubhekwa njengengozi yokugezela, kuyisimo esibuhlungu kakhulu somuntu.
Iziguli ze-IBS zinenkinga, kodwa nazo zihlangene nabantu abane PFD. Ngenxa yendima yemisipha ye-pelvic ekuxhumaniseni ukuhamba kwesisu kanye nokulawula isenzo se-anal sphincter, ukungasebenzi kwemisipha kungabangela ukungahambi kahle kwe-fecal. I-PFD ingaba nesandla esibonakalweni sokuthi ukuphunyuka okungaphelele, okungakwandisa amathuba okuba umuntu kamuva akwazi ukuhlakulela ukungahambisani ne-fecal.
PFD kanye nesifo sohudo
Ucwaningo olwengeziwe lwenziwe ebuhlotsheni obuphakathi kwe-PFD nokuqothulwa, ngokungafani nendima yokukhubazeka phansi kwe-pelvic kanye nesifo sohudo-kakhulu i-IBS (IBS-D). Ucwaningo oluthile luthole ukuthi kwakungekho umehluko ophawulekayo ekusebenziseni okungafani kwe-anal sphincter phakathi kwezinhlobo ezahlukene ze- IBS . Ngethemba ukuthi kuzocwaninga olunye ucwaningo oluhlola ukuthi kungenzeka yini i-PFD ku-IBS-D, ikakhulukazi ukuthola ukuqonda kangcono ukuthi kwenzeke yini ukuphuthuma komhudo .
Yini Engayenziwa Ngamapulanka Emisebenzi Engasebenzi?
Uma usola ukuthi i-PFD ibangela izimpawu zakho, khuluma nodokotela wakho. Uma uthola ukuxilongwa kwe-PFD, udokotela wakho uzoxoxa ngezinketho zokwelashwa ezihlobene nobukhulu bezimpawu zakho. Izinketho zokwelashwa zihlanganisa ukwelapha ngokomzimba, i- biofeedback , imithi, futhi ezimweni ezimbi kakhulu, ukuhlinzwa.
Imithombo:
Cheung, O. & Wald, A. "Abaphathi bezinkinga ze-pelvic floor" I- Alimentary Pharmacology and Therapeutics 2004 19: 481-495.
I-Mulak, i-A. & Paradowski, L. "Umsebenzi wokuzibulala kanye nokuhlukunyezwa kwe-dyssynergic kuma-subgroups ahlukene weziguli ezine-syndrome ezicasulayo" I- International Journal of Colorectal Disease 2010 25: 1011-1016.
Wang, et.al. "Izinkinga zepelvic floor kanye nekhwalithi yokuphila kwabesifazane abanezifo ezibangelwa isifo sofuba esibizayo" I- Alimentary Pharmacology & Therapeutics 2010 31: 424-431.