Pulogalamu yothamangitsidwa ndi ballo ndi yesero losavuta kugwiritsidwa ntchito pozindikira mavuto ndi vutoli. Chiyesocho chimaphatikizapo kulembedwa kwa buluni mu rectum, yomwe mukufunsidwa kuti mutulukemo. Bhaluni imagwiritsidwa ntchito ngati njira yoyeretsera njira yotulutsira chithunzithunzi panthawi yopuma. Nthaŵi yomwe imakuchititsani kuchotsa buluni imapereka chidziwitso chofunika kwambiri kwa dokotala wanu.
Kuyesedwa kwa balloon, kuphatikizapo manometerry , kumayesedwa koyambitsa matenda ozindikiritsa matenda omwe amadziwika kuti dyssynergic defecation , chifukwa chachikulu cha kudzimbidwa kosatha. Kuyesedwa kwa balloon ndi njira yopanda chidziwitso kungachitidwe panthawi yomweyo.
Zimene Tiyenera Kuyembekezera Panthawiyi
Mosiyana ndi colonoscopy , simudzafunikila kukonzekera kukonzedwa kwathunthu kwa koloni. Mwinamwake mudzafunsidwa kuti mudzipatse enema musanachitike. Izi sizolondola kuti muyesedwe, koma kuti mukhale omasuka kwambiri panthawi yomwe simukuyenera kudandaula za kupita pakhomo limodzi ndi buluni.
Malinga ndi komwe mumayesa, mwina mutagona patebulo kapena mutakhala pansi. Catheter yonyezimira yokhala ndi buluni kumapeto idzaikidwa modekha mu rectum yanu. Bhaluni idzadzazidwa ndi madzi (kapena nthawi zina, mpweya).
Kupuma kwazikukukukukuyambitsa kuthamangitsa matumbo ndi kutulutsa buluni. Mudzapitsidwira ku chipinda chapadera kuti mupereke buluni. Nthawi yomwe mumatenga kuti mulembe balloyo idzalembedwa.
Kuzindikira kwa Dyssynergic Defecation
Pogwiritsa ntchito mayeso ochotsamo, nthawi yowatulutsira nthawiyo imakhala ngati mkati mwa mphindi imodzi.
Nthawi yothamangitsidwa nthawi yaitali ingasonyeze kuti vutoli ndi lovuta. The American College of Gastroenterology imafuna kuti kuwonjezera pa lipoti la odwala la kudzimbidwa kosatha, kuti zotsatira zosayembekezereka zidzatsimikiziridwa ndi mayesero awiri otsatirawa pofuna kutsimikizira bwinobwino dyssynergic defecation
- Matenda a manometry
- Emg sphincter EMG
- Kuyesera kuthamangitsidwa kwa balloon
- Defecography
Kulephera kwa Kuyesedwa kwa Balloon Kuchotsa
Kuyesedwa kwa balloon kumangopereka chidziwitso kapena kulephera kudziwa za kukhalapo kwa vuto la defecation. Komabe, mukhoza "kudutsa" mayesero ndikukhala ndi dyssynergic defecation. Komanso, kuyesedwa kwa balloon sikungathe kupeza mavuto aliwonse m'deralo. Komanso sizimapatsa dokotala wanu chidziwitso chokhudza momwe ntchitoyo imayendera. Zimayesedwa chifukwa ndi mayeso ophweka, omwe amapereka chidziwitso chofunikira, koma zambiri zowonjezereka zidzafunikira kuti dokotala wanu atsimikizidwe kuti akudziwani bwino ndikukupatsani ndondomeko yothandizira.
Zotsatira:
Lee, B. & Kim, G. "Mmene Mungayankhire ndi Kutanthauzira Kuyesedwa Kuzizira Kwambiri" Journal of Neurogastroenterology ndi Motility 2014 20: 407-409.
Olson, C. "Kuyesedwa kwa Fecal Incontinence" Makliniki mu Colon ndi Opaleshoni Zachidule 2014 27: 85-90.
Ratuapli, S., ndi. al. "Kuyerekeza kwa mayeso ochotseramo zipolopolo zotsalira pamalo okhala pansi ndi kumasiya malo otsatira" Neurogastroenterology & Motility 2013 25: 813-e820.
Wald, A., ndi. al. "Gulu la malangizo a ACG: Utsogoleri wa Matenda a Benign Odwala " American Journal of Gastroenterology 2014 109: 1141-1157.