Ngozi zam'chipatala zikhoza kuchitika koma sizingatheke
Anthu omwe ali ndi matenda opweteka kwambiri (IBD) akhoza kukhala ndi ngozi ya kusambira pa zifukwa zosiyanasiyana. Pezani gulu la anthu omwe ali ndi IBD palimodzi ndipo mudzamva "pafupifupi sanapange" ndipo "sanapange" ndi "malo olemekezeka omwe ndinkakopera". Nthawi zina, zimakhala zotheka kuti munthu asatengeke (kutentha, kapena kusambira), koma kawirikawiri ndi vuto laling'ono limene limatsimikizira kuti kutsegula kwasintha.
Anthu ambiri amaganiza kuti kudziletsa ndi vuto lomwe limakhudza akuluakulu okha. Chowonadi ndi chakuti kusadziletsa kumatha kuchitika kwa wina aliyense, panthawi iliyonse ya moyo. Zikuoneka kuti anthu pafupifupi 18 miliyoni ku United States amakumana ndi chizoloŵezi chosadziletsa. Ngakhale anthu omwe ali ndi thanzi amatha kusokonezeka kwa kanthawi ngati ali ndi mabakiteriya (monga nyama yosakanizidwa) kapena tizilombo toyambitsa matenda (nthawi zina amatchedwa "chimfine").
Kusuta ndi nkhani yovuta kuyankhula, komanso yovuta kuthana nazo, koma ngakhale, siziyenera kunyalanyazidwa. Nkhaniyi ikufotokoza makamaka zomwe zimayambitsa zomwe zimayambitsa matenda osokoneza bongo omwe ali okhudzana ndi IBD.
Kodi Kusuta N'kutani?
Kuchulukira ndi pamene chitsimba chimachoka m'thupi mwakabisira. Izi zimaphatikizapo mavuto osiyanasiyana-chilichonse chomwe chimachokera ku chiwombankhanga chomwe chimachokera ku anus (monga kudutsa gasi) kupita kutsekula m'mimba.
Incontinence ikhoza kukhala chifukwa cha vuto ndi minofu mu malo osokoneza bongo, kapena kuwonongeka kwa mitsempha zomwe zimapangitsa kuti athe kuzindikira nthawi yoti asamuke matumbo.
Timaphunzira monga ana momwe tingasamalire matupi athu ndikukhala oyera. Kutetezedwa ndi chinthu, ambiri a ife timaphunzitsidwa, kuti tichite mwamseri mu chimbudzi.
Choncho, kusadziletsa ndi chimodzi mwa zinthu zomwe zimayambitsa chikhalidwe chathu, ndipo anthu omwe amavomereza poyera amatha kunyozedwa. Tsoka ilo, anthu ambiri samakambiranapo ndi vuto ndi wothandizira zaumoyo.
Ndani Amapewa Kusadziletsa?
Kusayenerera kungathe kuchitika kwa wina aliyense, ngakhale kuti ndi kofala kwambiri pakati pa akazi kusiyana ndi amuna. Zina mwa zizindikiro zomwe zimakhudzana ndi matenda osokoneza ubongo ndi odwala matenda osokoneza bongo. Anthu omwe ali ndi matenda akuluakulu komanso omwe ali ndi zaka zoposa 65 amakhalanso osadziletsa. Akazi akhoza kuyamba kusadziletsa chifukwa cha kuvulala kwa pakhosi pa nthawi yobereka .
Zimayambitsa
Kutsekula m'mimba. Kusagwirizana kwa IBD kungakhale chifukwa cha kufulumizitsa kwachangu, komwe kuli kofunikira kugwiritsa ntchito chimbudzi. Anthu ambiri omwe ali ndi IBD amadziwa kuti akufunikira kuyendetsa chimbudzi, makamaka pamene akutsekula m'mimba. Ndi nthawi yomwe ngozi zamabambo zimatha, ndipo zimachitika. Kulephera kwa kutsegula m'mimba ndi chifukwa cha kutupa kwa anus ndi rectum kumene kumayambitsidwa ndi IBD, komanso kuti madzi otsekula (kutsekula m'mimba) ndi ovuta kwambiri kuti anal sphincter agwire m'malo olimba.
Kufunika koyambitsa matumbo kuyenera kukonzanso pamene kutentha kumatengedwa ndipo kutsekula m'mimba kumayambira.
Zovuta. Anthu omwe ali ndi IBD, makamaka omwe ali ndi matenda a Crohn, ali pachiopsezo cha abambo . Chiphuphu ndi matenda omwe amachititsa kuti phokoso la pus, lomwe lingapangitse malo omwe ali ndi kachilombo ka HIV. Chiphuphu mu anus kapena rectum chikhoza kuchititsa kusadziletsa, ngakhale izi si zachilendo. Nthaŵi zina, kupuma kwa mankhwala kumayambitsa fistula . Fistula ndi njira yomwe imapanga pakati pa ziwalo ziwiri za thupi kapena pakati pa chiwalo m'thupi ndi khungu. Ngati fistula imakhala pakati pa anus kapena rectum ndi khungu, chitseko chimatha kutuluka kudzera mu fistula.
Kutaya. Kutuluka mu rectum ndi chifukwa china chomwe chimayambitsa kusadziletsa. IBD yomwe imayambitsa kutupa mu rectum ingayambitse kuphulika kwa minofu m'dera limenelo. Pamene rectum yowonongeka mwanjira iyi, ikhoza kuyambitsa minofu kukhala yotsika kwambiri. Chifukwa cha kutaya kwa elasticity, rectum silingathe kukhala ndi chitseko chochulukirapo, ndipo izi zingayambitse kusuta.
Opaleshoni. Kuchita opaleshoni m'derali kumathanso kuwononga minofu ya anus. Vuto lofala kwa anthu akuluakulu ambiri, ndipo omwe ali ndi IBD ndi amodzi, ndi amphongo . Matenda a mitsempha ndi mitsempha yowonjezera m'magazi yomwe imatha kuuluka kapena kuchititsa zizindikiro zina. Ngakhale ziwalo zamagazi nthawi zambiri zimachiritsidwa ndi zochitika zapakhomo monga kudya zakudya zowonjezera, kumwa madzi ambiri, ndi kugwiritsira ntchito zowonjezerapo zamagetsi ndi zofukiza, opaleshoni imagwiritsidwa ntchito pa milandu yambiri. Ngati minofu ya sphincter ikuwonongeka pakapita opaleshoni ya magazi, ikhoza kuchititsanso kuti munthu asasinthe.
Chithandizo
Pali mankhwala ambiri omwe amachititsa kuti thupi likhale losasunthika, lomwe limachokera kumakono apanyumba kuti apange opaleshoni ya minofu ya ana ndi yapamtunda. Pamene chifukwa chachikulu chikutsatiridwa kuti chikhale choipa cha IBD, chithandizochi chiyenera kukhala kuti alamulire IBD. Kutsimikiza kwa kutupa mu anus ndi rectum ndi kubwezeretsa kutsekula m'mimba kumathandiza kuchepetsa kusadziletsa.
Mankhwala. Kwa anthu ena, mankhwala angapangidwe kuti athetse kusadziletsa. Kwa kutsekula m'mimba, anti-diarrheal agent angagwiritsidwe ntchito, ngakhale kuti mankhwalawa sagwiritsidwa ntchito kwa anthu omwe ali ndi IBD (makamaka ulcerative colitis). Ngati vuto lachiwerewere limagwirizana ndi kudzimbidwa, mankhwala osokoneza bongo amatha kuuzidwa (kachiwiri, izi sizili choncho kwa anthu omwe ali ndi IBD).
Mankhwala owopsa. Zaka zaposachedwa zawona chitukuko cha gelisi la dextranomer chifukwa cha kusadziletsa komwe kumayikidwa mwachindunji kumalo a ngalande ya anal. Gelisi imalimbikitsa khoma la ngalande ya anal. Kuwongolera kwa mankhwalawa kumachitika mu ofesi ya dokotala mu mphindi zingapo, ndipo nthawi zambiri odwala angayambirenso ntchito zowonjezereka patatha sabata atalandira jekeseni.
Biofeedback. Chithandizo china kwa anthu omwe ali ndi vuto la matumbo ndi biofeedback. Biofeedback ndi njira yophunzitsanso malingaliro ndi thupi kuti zigwirizane. Wasonyeza bwino njira yothandizira matenda ena a m'mimba mwa odwala ena, ndipo kawirikawiri amagwiritsidwa ntchito patatha njira zina zothandizira kuti zisawonongeke. Biofeedback ndi mankhwala opatsirana odwala omwe amachitika kwa milungu ingapo. Mu magawo a biofeedback, odwala amaphunzira momwe angagwirizane ndi minofu ya pansi pawo ndikuwongolera bwino.
Kutsegula m'mimba . Kwa anthu ena, zingakuthandizeni kuganizira zowonongeka. Poyambitsanso mafupa, odwala amayang'anitsitsa kayendedwe ka matumbo kwa nthawi yochepa tsiku lililonse, kuti azitha kuchita zinthu nthawi zonse. Izi zimawonjezereka ndi kusintha kwa zakudya, monga kumwa madzi ambiri kapena kudya zakudya zambiri.
Opaleshoni. Ngati vuto limatsimikiziridwa kuti likhale thupi (monga mitsempha ndi matenda omwe akuwonongeka ndi kutupa kapena kubala), opaleshoni yokonzanso minofu ingagwiritsidwe ntchito. Mu mtundu wina wa opaleshoni wotchedwa sphincteroplasty, minofu yowonongeka mu anal sphincter imachotsedwa, ndipo minofu yotsalira imakhazikika. Kuchita opaleshoni ya opaleshoni ya Sphincter kumapangidwa ndi kutenga minofu kuchokera kumbali ina ya thupi (monga ntchafu), ndikuigwiritsa ntchito kuti isinthe minofu yowonongeka mu sphincter. Nthaŵi zina, malo osungira sphincter angapangidwe. Pa opaleshoni iyi, galimoto yotengera inflatable chubu imayikidwa mu ngalande ya anal. Odwala amagwiritsa ntchito mpope kuti azitsegule kuti apite pansi, kenaka amitseketsenso pambuyo pokutsutsa. Njira yaikulu kwambiri ya opaleshoni yomwe imagwiritsidwa ntchito pochizira matenda osokoneza bongo ndi colostomy , yomwe ndi pamene khola limabweretsa kupyolera m'mimba (kupanga stoma ) ndipo chophimba chimasonkhanitsidwa kunja kwa thupi. A colostomy amangochitika ngati mankhwala ena onse alephera.
Zotsatira:
American Society of Colon & Rectal Surgeons. "Kuwonjezeka kwa Matumbo." FACRS.org. 2012.
Ansari P. "Mphaka Wopanda Kumwa." Merck Manual Home Health Handbook. May 2012.
Moyo ndi IBD. "Kuchita Zinthu Mwamsanga Ndiponso Kusadziletsa." European Federation of Crohn's and Ulcerative Colitis Associations (EFCCA). 2013.
Palsson OS, Heyman S, Whitehead WE. "Kuchiza mankhwala a biofeedback chifukwa cha matenda osokoneza bongo: kugwira ntchito mobwerezabwereza." Appl Psychophysiol Biofeedback . 2004 Sep; 29: 153-174.
US. National Institutes of Health. Dipatimenti ya zaumoyo ndi zithandizo zaumunthu. "Kuchokera kwa Fecal Incontinence." Zokonza Zowonongeka Zokhudza National Digestive Information. 20 Apr 2012.