Kodi dokotala wanu wakuuzani kuti muli ndi dyssynergic defecation ? Zingakhale zotonthoza kudziŵa kuti pali njira zothandizira kuthetsa vutoli ndi kuchepetsa zizindikiro zanu. Kudziwa zomwe mungasankhe kungakuthandizeni pamene mukugwira ntchito ndi dokotala kuti mupange dongosolo la mankhwala. Nkhaniyi ikukupatsani mwachidule zomwe zingakonzedwe.
Mankhwala
Popeza zotsatira za dyssynergic defecation ndi kudzimbidwa, pali mankhwala osiyanasiyana omwe amadokotala angakulimbikitseni kapena kuwalamula.
Mwamwayi, palibe kafukufuku wambiri ochipatala omwe amatsimikizira kuti mankhwalawa ndi othandiza bwanji pakuthana ndi dyssynergic defecation. Nazi njira zina:
Ma laxatives:
Mankhwala Odziletsa Olemba:
Biofeedback
Biofeedback amaganiza kuti ndi yothandiza kwambiri ngati chithandizo cha dyssynergic defecation ndipo mwachimwemwe sizosamvetsetseka ngati zingamveka. Biofeedback imangogwiritsa ntchito masensa ndi makompyuta kukupatsani mayankho a momwe minofu ndi mitsempha yanu ikuyankhira - zomwe ife sitidziwa. Izi zimakuthandizani kuti muphunzitsenso minofu yanu kuti igwire bwino ntchito pamagulu.
Ngakhale kuti lingaliro la masensa likhale pansi pa "malo anu apadera" lingamawoneke ngati loopsya, kafukufuku wina apeza kuti odwala amakhutitsidwa kwambiri ndi chithandizo ndi zotsatira zake.
Mwamwayi, mungapeze zovuta kupeza malo omwe amachititsa mtundu uwu wa mankhwala ochizira biofeedback. Chifukwa cha vuto ili, zosankha za biofeedback zapanyumba zikufufuzidwa. Nazi zina zambiri zokhudza momwe biofeedback ya dyssynergic defecation imagwira ntchito:
Zolinga:
Cholinga chachikulu cha biofeedback kwa dyssynergic defecation ndi kuphunzitsa minofu yomwe imapanga pansi pamtunda kuti igwire ntchito pamodzi, mosagwirizana.
Mwachindunji, inu mudzaphunzitsidwa:
- Zomwe zikuyenera kuchitika panthawi yopanga thupi
- Momwe mungagwiritsire ntchito kupuma kwa diaphragmatic kuti mukhale ndi mphamvu yakukankhira pansi
- Momwe mungasamalire minofu ya pelvic panthawi yopuma
- Mmene mungakulitsire kuzindikira kwanu za zovuta zokhudzana ndi kufunika kokhala ndi matumbo
Ndondomeko:
Mukhoza kuyembekezera kupezeka magawo asanu a ola limodzi, kamodzi pa masabata awiri, kuti mukwaniritse zozizwitsa. Panthawiyi, masensa a magetsi adzaikidwa mu rectum yanu kuti muyese kuyendetsa kwa minofu yanu ya anal sphincter . Mudzawona miyeso iyi pazenera. Ndi malingaliro awa, mutha kuyamba kugwiritsa ntchito mayeso ndi zolakwika kuti mudziwe momwe mungabweretse mayankho ogwira ntchito. Nthawi zina, buluni yaing'ono idzaikidwa mu rectum yanu, ndikukupatsani mwayi wophunzira momwe mungathamangire bwino. Bhaluni ikhoza kupiringizidwa mobwerezabwereza ndi deflated mu rectum yanu kuti muthe kuwongolera momwe mumaonera chithunzi mu rectum.
Mukamaliza maphunziro anu, mungapemphedwe kuti mubwerere nthawi ndi nthawi kuti mukawathandize.
Botox
Majekesiti a Botox (botulinum poizoni) afufuzidwa ngati chithandizo cha dyssynergic defecation.
Pakalipano, kafukufuku wasonyeza zotsatira zotsatizana mwazochita zogwira mtima komanso zodetsa nkhaŵa zokhudzana ndi kudziletsa kwa thupi ngati zotsatira. Pokhapokha ngati maphunziro a m'tsogolomu ali otsimikizika, pa nthawiyi Botox sichikuwoneka ngati njira yabwino yothandizira.
Chidziwitso Chokhudza Opaleshoni
Kuchita opaleshoni yokhudzana ndi puborectalis minofu (yomwe imapezeka mkati mwa phulusa) inali itagwiritsidwa ntchito kale pofuna njira yothetsera dyssynergic defecation. Kuopsa kwa ndondomekoyi ndipamwamba kwambiri, makamaka powonjezerapo mwayi wopitirirabe ndi mavuto osadziletsa , choncho opaleshoni ya dyssynergic defecation sichikondwera.
Zotsatira:
Rao, S. "DYSSYNERGIC DEFECATION & BIOFEEDBACK THERAPY" Zipatala za Gastroenterology za kumpoto kwa America 2008 37: 569-586.
Rao, S. & Go, J. "Kuthetsa Kusokonezeka kwa Pelvic Floor of Defecation: Management kapena Cure?" Current Gastroenterology Reports 2009 11: 278-287.
Shim, L., et.al. "Zotsatila za zotsatira za mankhwala osokoneza bongo omwe ali ndi chidziwitso" Opaleshoni Yopatsa Mafupa ndi Zamankhwala 2011 33: 1245-1251.
Wiesel, P., et.al. "Pambuyo pa biofeedback, munthu amakhala wokhutira chifukwa cha kudzimbidwa ndi dyssynergia." Swiss Medical Weekly 2001 24: 152-156.