Zilonda zam'mimba zimapweteka
Proctalgia yosatha ndi mawu omwe atha. Ilo limatchula za vuto limene munthu amakumana nalo kupweteka kwafupipafupi kwapakati pa mphindi 20, popanda chidziwitso chodziwika bwino kapena thanzi labwino kuti liwerengere kupweteka.
Liwu limeneli linagwiritsidwa ntchito mpaka mndandanda wa Vuto la Roma IV wa Colorectal Disorders unathetsa mu 2016.
Komabe, zikutheka kuti zikuwonekeratu pofufuza ndi kusinthasintha mpaka akatswiri azachipatala atayamba kugwiritsa ntchito njira zatsopano. Phunzirani zomwe zinatanthauzidwa ndi mawu ndi momwe zasinthidwa.
Kusintha kwa Definition of Proctalgia Yopanda
Pansi pa Aroma III, matenda aakulu a proctalgia anali osiyana ndi kutalika kwa nthawi ya zizindikiro zake kuchokera ku proctalgia fugax , yomwe imadziwika ndi kupweteka kwadzidzidzi kwadzidzidzi komwe kumatenga mphindi zosachepera makumi awiri. Proctalgia yowonjezera inagawidwa kwambiri mu matenda a levator ani , omwe amadziwika ndi kukhudzidwa kwa mitsempha yothamanga pamene imakhudzidwa pa kafukufuku wamagulu a dokotala, komanso matenda osadziwika omwe amatha kupweteka ngati sakanakhala wachifundo.
Kafukufuku sanapeze mndandanda wosiyana wa zizindikiro za proctalgia fugax ndi matenda aakulu a proctalgia, dzina la proctalgia losatha linachotsedwa ku Rome IV. Komabe, njira zamakono ndi zosankha zamankhwala zimasiyanasiyana ndi syndromes awa ndi Rome IV zimaphatikizapo zigawo zomwe zinali pansi pa proctalgia monga syndromes awo.
- Vuto la Levator : Mu mtundu uwu wa proctalgia wosatha, anthu amakomera mtima pa puborectalis (minofu mkati mwa pelvis yanu) ikagwiritsidwa ntchito panthawi ya kafukufuku wa dokotala.
- Zosazindikiratu zomwe sizikudziwika kuti zimakhala zopweteka kwambiri : Njira imeneyi ya proctalgia imapezeka ngati simukumva chifundo choterocho pa puborectalis mukakhudzidwa panthawi yoyezetsa magazi.
- Proctalgia fugax : Chigawo cha Rome IV chinasintha malingaliro a mawu awa. Tsopano nthawi yayitali ndi mphindi 30 mmalo mwa mphindi 20 ndipo malowa ali pamtunda osati mmunsi mwa rectum kapena anus.
Zizindikiro
Zizindikiro za syndromeszi zimakhala zowawa ngati kupweteka kwazitali kwa nthawi yaitali kapena kupwetekedwa kwapakati pafupipafupi-kaŵirikaŵiri kukumana kwambiri pamwamba pa rectum. Zingakhale zoipitsitsa ngati mutakhala nthawi yaitali ndipo mutha kuyima pamene mukuimirira kapena kugona. Chisokonezo chikhoza kuwonjezeka pamene tsiku livala koma nthawi zambiri sichitha usiku. Kupweteka kumamveka nthawi zambiri nthawi zotsatirazi:
- Kugonana
- Kutsata kayendedwe ka m'mimba
- Pa nthawi ya nkhawa.
- Paulendo wautali wautali
Kudziwa
Ma syndromes omwe anali ma proctalgia aakulu, matenda opatsirana m'mimba (FGD), mayesero opatsirana amatha kuperekedwa kuti athetse mavuto ena. Popanda apo, madokotala adzapeza matenda okhudzana ndi zizindikiro malinga ndi zomwe Aroma IV akuyesa ma FGD:
- Kupweteka kwachilendo kobwerezabwereza kapena kupweteka
- Chisokonezo chiyenera kukhala kwa mphindi 30
- Zina zomwe zimayambitsa ululu wamadzimadzi (structural or systemic) ziyenera kutulutsidwa
- Zizindikiro ziyenera kukhalapo kwa miyezi itatu ndikuyamba pasanathe miyezi isanu ndi umodzi yapitayi.
Pofuna kudziŵa kupezeka kwa matenda a levator ani, dokotala wanu akhoza kuchita kafukufuku wamatsenga kuti ayesere kuyesa.
Zimayambitsa
Chifukwa chenichenicho cha zinthu izi sichikudziwika. M'mbuyomu, ankaganiza kuti vutoli ndilo chifukwa cha kupweteka kosalekeza kapena kutupa kwa minofu mkatikati mwa thumba lachiuno , ngakhale kuti kafukufuku wopereka chiphunzitsochi waperewera. Kafukufuku wina wofufuzira amasonyeza kuti pali dyssynergic defecation , yomwe imapangitsa kuti minofu ya pansiyi isagwire ntchito moyenera .
Zinthu zomwe zingapangitse chiopsezo cha munthu kukhala ndi syndromes awa ndi awa:
- Kuchitidwa opaleshoni
- Kubereka
- Opaleshoni yapalavu
- Opaleshoni ya m'mimba
Palinso mgwirizano pakati pa ma proctalgia osaneneka komanso maulendo apamwamba ovutika maganizo ndi matenda ovutika. Komabe, sizikudziwika ngati zizindikiro za m'maganizo zimachulukitsa chiopsezo, kapena zotsatira zake, kukhala ndi zizindikiro zowawa za m'mimba.
Chithandizo
Biofeedback tsopano ndi chithandizo chovomerezeka cha matenda a levator ani pambuyo powonetsedwa ndi kafukufuku kuti akhale othandiza kwambiri poyerekeza ndi kuyendetsa magetsi kwa ngalande ya anal ndi kupaka minofu ya levator. Kukonzekera kwa magetsi kwasonyezedwa kukhala kopindulitsa ndipo kungagwiritsidwe ntchito ngati biofeedback siilipo. Mankhwalawa amaloŵa m'malo amodzi omwe amagwiritsidwa ntchito, omwe amaphatikizapo kupopera minofu ya mavitamini ani, minofu yotsekemera, komanso kugwiritsira ntchito sitz osambira , zomwe zonse zimakhala zochepa. Kuchita opaleshoni sikunagwiritsidwe ntchito ngati mankhwala othandiza a proctalgia aakulu.
Zotsatira:
> Chiarioni G, Asteria C, Whitehead W. Chronic proctalgia ndi matenda osapweteka a syndromes: Mfundo zatsopano zokhudzana ndi matenda ndi zochizira " World Journal of Gastroenterology 2011 17: 4447-4455.
> Schmulson MJ, Drossman DA. Kodi N'chiyani Chatsopano ku Roma IV? Journal of Neurogastroenterology ndi Motility . 2017; 23 (2): 151-163. do: 10.5056 / jnm16214.