Matenda Achilendo Achilendo
Ngati dokotala akukudziwani ndi matenda a levator ani, simungamvepo za vutoli lomwe limapweteka kwambiri . Phunzirani zambiri za zizindikiro zake, momwe zimapezekera, ndi zomwe mungachite kuti mupeze mankhwala.
Kodi Levator Ani Syndrome N'chiyani?
Vuto la Levator ani (kapena lavator spasm) ndi mtundu wa proctalgia wosatha . Proctalgia yambiri ndi thanzi limene anthu amamva kupweteka kwachilendo kwa mitundu iŵiri: levator ani syndrome ndi ululu wosadziwika wosagwira ntchito.
Pali kusiyana pakati pa ziwirizi. Anthu omwe ali ndi matenda a levator ani amaonetsa chikondi m'matumbo a pelvis pamene akukhudzidwa panthawi yoyezetsa magazi .
Zikuoneka kuti matenda a levator ani amakhudza pafupifupi 7 peresenti ya amayi onse ndi 6 peresenti ya amuna onse. Zifukwa zomwe munthu angakhalire ndi matenda sizili bwino.
Kafukufuku wapeza kuti dyssynergic defecation -chikhalidwe chimene chimakhala chovuta kuchitapo kanthu pamatumbo a pansi pamtambo-chingathandize pakukula kwa matenda. Munthu akhoza kukhala pachiopsezo chachikulu chokhazikitsa matenda a levator ani pambuyo pobereka kapena opaleshoni ya msana, anus, kapena malo amtundu.
Zizindikiro
Anthu omwe ali ndi matenda a levator ani amakumana ndi ululu wosatha komanso wautali pamwamba pamtunda wawo. Kupweteka kumakhala kozoloŵera ndipo kumatchulidwa kukhala wodula kwambiri kapena kupanikizika. Kupweteka ndi kupweteka kumakhala koipitsitsa pamene munthuyo akhala pansi ndi kuchepa pamene akuima kapena atagona.
Kudziwa
Monga matenda ena amtundu wa m'mimba (FGD), matenda a levator ani amapezeka pambuyo poti matenda ena amachotsedwa. Izi zikutanthauza kuti mumangoyesedwa mayesero omwe dokotala wanu akuwona kuti ndi ofunika kuthetsa mavuto ena.
Matendawa amapangidwa malinga ndi zoyenera za Roma IV zoyambitsa matenda olakwika.
Izi zikutanthauza kuti munthuyo ayenera kukhala ndi "zowawa kapena zopweteka zachilendo zomwe zimachitika kwa mphindi makumi atatu. Munthuyo ayeneranso kukhala wachifundo cha puborectalis minofu (mbali ya gulu la levator ani minofu) ikagwedezeka panthawi yopuma.
Njira Zothandizira
Njira zothandizira anthu pa matenda a levator ani zimaphatikizapo kugwiritsira ntchito sitz kapena kusamba kwa digito ndi wodwala wodwalayo. Palibe mankhwala awa omwe asonyezedwa kuti ndi othandiza kwambiri pochepetsa zizindikiro.
Kutsitsimutsa kwa electrogalvanic ndi biofeedback zasonyezedwa kukhala zosankha zabwino kwa odwala ena. Kafukufuku amasonyeza kuti biofeedback ikhoza kukhala ndi phindu phindu.
Njira yothandizira chithandizo cha matenda a levator omwe akufufuzidwa panopa ndi Botox. Pakalipano, maphunzirowa akhala ochepa ndipo apereka zotsatira zosiyana. Monga momwe Botox imadziwidwira ngati njira yabwino yotetezera matenda osiyanasiyana, ndizosangalatsa kuona ngati ochita kafukufuku akupitirizabe kufufuza mndandanda wa mafunsowa.
Pano pali vuto limodzi lolembedwa limene wodwalayo adapeza mpumulo pambuyo pa katatu katemera. Komabe, madokotala amavomereza kuti pakufunika kufufuza kuti mudziwe ngati mankhwalawa ndi othandiza.
Mawu Ochokera
Ngati muli ndi ululu wopweteka kwambiri wa ululu kapena kupweteka kwapadera, pangani chiwonetsero ndi dokotala wanu kuti mudziwe bwinobwino. Pambuyo pozindikira kuti muli ndi matenda a levator ani, onetsetsani kuti mungalankhule ndi dokotala za njira zomwe mungathe kuchita.
> Zotsatira:
> Bharucha A, Trabuco E. Ntchito Yopanda Matenda ndi Zachiwawa Zopweteka Zachiwawa Zomwe Amayi Ambiri Ambiri a ku North America 2008 37: 685-696.
> Bibi S, Zutshi M, Gurland B, Hull T. Kodi Botox ya Anal Anapanga Njira Yabwino Yothandizira? Medical Journal yapamwamba. 2016; 128 (1): 41-5. lembani: 10.1080 / 00325481.2015.
> Chiarioni G, Asteria C, Whitehead W. Chronic Proctalgia ndi Chronic Pelvic Pain Syndromes: New Etiologic Insights ndi Treatment Options. World Journal of Gastroenterology. 2011; 17 (40): 4447-4455. lembani: 10.3748 / wjg.v17.i40.4447.
> Drossman DA, Chang L, Chey WD, Kellow J, Tack J, Whitehead WE. Rome IV: Kusokonezeka kwa Mimba Kumagwiridwe: Kusokonezeka kwa Kugwirizanitsa kwa Mimba . Raleigh, NC: Rome Foundation; 2016.
> Saleemi HT, Faooque H, Choudhury S, Zhang J. Chithunzi 27 Kuchiza Mankhwala a Levator Ani Syndrome: Nkhani Yofotokoza Nkhani. PM & R. 2016; 8 (9S): S169. do: 10.1016 / j.pmrj.2016.07.070.