Isivivinyo sokuxoshwa ibhaluni yisivivinyo esilula esetshenziselwa ukuhlonza izinkinga zokuhlukunyezwa . Ukuhlolwa kufaka ukufaka ibhaluni ku-rectum yakho, lapho uceliwe khona ukuba uhambe. Ibhaluni isetshenziswa njengendlela yokulingisa inqubo yakho yokuphuma esitokisini ngesikhathi sokunyakaza kwamathumba. Isikhathi esithatha wena ukususa ibhaluni sinikeza ulwazi olubalulekile lokuxilonga nodokotela wakho.
Ukuhlolwa kwe-balloon ukuxoshwa, kanye ne -manometry ye-anorectal , kubhekwa ukuthi yizivivinyo zokuhlola zokuqala zokukhomba isimo sempilo esiyaziwa ngokuthi i- dyssynergic defecation , imbangela enkulu yokuqothulwa okungapheli. Ukuhlolwa kwe-balloon ukuxoshwa kanye ne-anorectal manography kungenziwa ngesikhathi esifanayo.
Yini Ongayilindela Phakathi Nenkambiso
Ngokungafani ne- colonoscopy , ngeke kudingeke ukuthi ulungiselele ukuhlanzwa kwekoloni ephelele. Cishe uzocelwa ukuthi uzenzele i-enema ngaphambi kwenqubo. Lokhu akukona ukuchithwa kokuhlolwa, kepha ukukwenza ukhululeke ngokwengeziwe ngesikhathi senqubo njengoba kungadingeki ukhathazeke ngokudlula ngesibalo kanye nebhaluni.
Kuye lapho uthola khona ukuhlolwa, uzobe ulele etafuleni noma uhlezi phezulu. I-catheter ehlanjululwe ibhaluni ekugcineni izofakwa ngobumnene efakwe kwi-rectum yakho. Ibhaluni izogcwala ngamanzi (noma kwezinye izimo, umoya).
Lokhu kungeniswa kwemali kuzothatha umfutho wokuhambisa amabilini akho bese ususa ibhaluni. Uzoqondiswa endlini yokugezela yangasese ukuze udlule ibhaluni. Isikhathi esithatha ukuba udlule ibhaluni sizorekhodwa.
Ukuxilongwa kwe-Dyssynergic Defecation
Ngesikhathi sokuhlolwa kokuxoshwa kwamabhaluni, isikhathi esivamile sokuxoshwa kubhekwa ukuthi singakapheli umzuzu owodwa.
Isikhathi eside sokuxoshwa kuzoba yisiqondiso sokuhlukunyezwa okunenkinga. I-American College of Gastroenterology idinga ukuthi ngaphezu kombiko wesiguli wokuqotshwa okungapheli, lokho okungajwayelekile kungabonakaliswa okungenani kokubili kwezivivinyo ezilandelayo ukuxilongwa okucacile kwe-dyssynergic defecation
- I-manometry ye-anorectal
- I-Anal sphincter EMG
- Ukuhlolwa kwe-balloon ukuxoshwa
- Defecography
Ukulinganiselwa kokuhlolwa kwe-Balloon Expulsion
Isivivinyo sokuxoshwa ibhaluni sinikeza amaphasi noma siphume ulwazi mayelana nokuba khona kwenkinga yokuhlukunyezwa. Noma kunjalo, "ungadlula" ukuhlolwa futhi usenayo i-dyssynergic defecation. Futhi, ukuhlolwa kwe-balloon ukuxoshwa akukwazi ukukhomba noma yiziphi izinkinga zesakhiwo ngaphakathi kwendawo yakho yesilwane / irectal. Futhi awunikezi udokotela wakho ngolwazi ngokuthi yini ukungasebenzi kahle okubangela inkinga. Kuyenziwa ngoba kuhlolwa okulula, okunikeza ulwazi olubalulekile, kepha ulwazi oluthe xaxa luzodingeka ukuze udokotela wakho enze ukuxilongwa okuqinisekisiwe futhi akunikeze uhlelo olufanele lwezokwelapha.
Imithombo:
Lee, B. & Kim, G. "Indlela yokwenza futhi ichaze ukuhlolwa kokuxoshwa kwe-balloon" Journal of Neurogastroenterology and Motility 2014 20: 407-409.
U-Olson, C. "Ukuvivinywa kokuxilongwa kwe-Fecal Incontinence" Imitholampilo e-Colon ne-Rectal Surgery 2014 27: 85-90.
Ratuapli, S., et. al. "Ukuqhathanisa ukuhlolwa kokuxoshwa kwamabhaluni emabhaleni ezindaweni ezihleliwe nezishiywe ngemuva" I- Neurogastroenterology & Motility 2013 25: 813-e820.
Wald, A., et. al. " Umhlahlandlela wezokwelapha we-ACG: Ukuphathwa kwezinkinga ze-Benign Anorectal " I- American Journal of Gastroenterology 2014 109: 1141-1157.