Ingabe udokotela wakho utshele ukuthi une- dyssynergic defecation ? Kungase kuqiniseke ukuthola ukuthi kunezindlela zokusiza ekuxazululeni inkinga futhi unciphise izimpawu zakho. Ukwazi ukuthi yini ongakhetha ngayo kungakusiza njengoba usebenza nodokotela wakho ukuze uhlele uhlelo lwezokwelapha. Lesi sihloko sizokunikeza ukubuka konke okungahle kunconywe.
Imithi
Njengoba umphumela oyinhloko we-dyssynergic defecation kungukuqothulwa, kunezinhlobo ezihlukahlukene zokwelapha okudinga ukuthi udokotela wakho angancoma noma anikeze.
Ngeshwa, akusikho ucwaningo oluningi lomtholampilo olufakazela ukuphumelela kwale mithi ngokuphathwa kwe-dyssynergic defecation. Nazi ezinye zezindlela:
Ama-laxatives:
Imithi Yokuqokwa Kwemithi:
I-Biofeedback
I-biofeedback kucatshangwa ukuthi iyasebenza kakhulu njengokwelashwa kwe-dyssynergic defecation futhi ngenhlanhla ayiyona into engavamile njengoba ingase izwakale. I-Biofeedback imane isebenzisa izinzwa kanye nekhompiyutha ukukunikeza impendulo mayelana nokuthi imisipha yakho nezinzwa zakho ziyaphendula kanjani - ulwazi esingaqapheli ngaso sonke isikhathi. Lokhu kukuvumela ukuba uqeqeshe kabusha imisipha yakho ukuze isebenze ngokwengeziwe ngesikhathi sokunyakaza kwamathumba.
Nakuba umqondo wezinzwa ezibekwa phansi "ezindaweni zakho ezizimele" kungase kubonakale kusabisa, okungenani isifundo esisodwa sithole ukuthi iziguli zanelisekile kakhulu ukwelashwa nemiphumela yayo.
Ngeshwa, ungase uthole kunzima ukuthola izindawo empeleni eziqhuba lolu hlobo oluthile lwezokwelapha ze-biofeedback. Ngenxa yale nkinga, izinketho ze-biofeedback ezisekhaya zihlolwe. Nansi ulwazi oluthe xaxa mayelana nokuthi i-biofeedback ye-dyssynergic defecation isebenza kanjani:
Imigomo:
Umgomo oyinhloko we-biofeedback we-dyssynergic defecation ukuqeqesha imisipha eyenza iphansi yokusebenza ukuze isebenze ndawonye ngendlela ebushelelezi, edidiyelwe.
Ngokuqondile, uzofundiswa:
- Yini okumele yenzeke ngesikhathi senqubo yokuba nokunyakaza okuvamile kwesisu
- Indlela yokusebenzisa ukuphefumula kwe-diaphragmatic ukuze uthuthukise ikhono lakho lokukhipha isitoreji
- Indlela yokuphumula imisipha ye-pelvic ngesikhathi se-defecation
- Indlela yokuthuthukisa ukuqwashisa kwakho ngezinzwa mayelana nesidingo sokuba nokunyakaza kwamathumba
Inqubo:
Ungalindela ukuya emasontweni ama-5 ehora elilodwa, kanye namaviki amabili, ukuze uzuze ukuthuthukiswa kwesibonakaliso. Ngenkathi yenqubo, izinzwa ze-elektroniki zizobekwa ku-rectum yakho ukukala ukusebenza kwemisipha yakho ye- sphincter yangasese. Uzobona lezi zilinganiso esikrinini sokuqapha. Ngalokhu impendulo, uzoqala ukusebenzisa isilingo nesiphambeko ukuze ufunde ukuthi ungaletha kanjani izimpendulo ezisebenza kahle. Kwezinye izimo, ibhaluni elincane lizofakwa engxenyeni yakho ye-rectum, ikunike ithuba lokufunda ukuphumelela ngokuphumelelayo kwesitoreji. Ibhaluni lingabuye liphindwe ngokuphindaphindiwe futhi lihlanjululwe ngenkathi ku-rectum yakho ukuze kusize ukwandisa umbono wakho wesitembu ngaphakathi kwe-rectum.
Uma ukuqeqesha kokuqala sekuphelile, ungase ucelwe ukuba ubuyele ngezikhathi ezithile ukuze uthole "ama-booster" sessions.
I-Botox
Imishanguzo ye-Botox (i-botulinum toxin) iphishwe njengokwelashwa kwe-dyssynergic defecation.
Kuze kube manje, izifundo zibonise imiphumela ehlangene ngokusebenza kahle kanye nokukhathazeka okuphathelene nokungahlambuluki kwe-fecal njengomphumela ohlangothini. Ngaphandle kokuthi izifundo zesikhathi esizayo ziqine kakhulu, ngalesi sikhathi i-Botox ayibonakali iyindlela yokwelashwa enempilo.
Inothi Mayelana Nokuhlinzwa
Ukwelashwa okubandakanya imisipha ye-puborectalis (etholakala ngaphakathi kwe-pelvic) kwakusetshenziswe esikhathini esidlule njengendlela yokuxazulula ukuhlukunyezwa kwe-dyssynergic. Izingozi zezinqubo ziphakeme kakhulu, ikakhulukazi ngokukhulisa amathuba okuqhubeka nokuhlukunyezwa kwamafecal , ngakho-ke ukuhlinzwa kwe-dyssynergic defecation akusikho.
Imithombo:
URao, S. "UKUPHILA KWE-DYSSYNERGIC NE-BIOFEEDBACK THERAPY" Imitholampilo ye-Gastroenterology yaseNyakatho Melika 2008 37: 569-586.
Rao, S. & Go, J. "Ukuphatha Ukuhlukunyezwa Kwesisindo Sokuzivikela: Ukuphathwa Noma Ukwelashwa?" Imibiko Yamuva Ye- Gastroenterology 2009 11: 278-287.
Shim, L., et.al. "Ababikezeli bomphumela we-anorectal therapy we-biofeedback kwiziguli ezinokuqokwa" I- Alimentary Pharmacology and Therapeutics 2011 33: 1245-1251.
UWiesel, P., et.al. "Ukwaneliseka ngesineke ngemuva kwe-biofeedback ngokuqothulwa kanye ne-dyssynergia ye-pelvic." I-Swiss Medical Weekly 2001 24: 152-156.