Sacral Nerve Kukhudzidwa kwa Kusadziletsa kwa Fecal

Kutaya mtima kwa Fecal , pamene mwadzidzidzi mukupeza kuti mukudutsa, zingakhale zomvetsa chisoni kwambiri. Zomwe zimachitika nthawi zonse zimatha kukhala zovuta kwambiri pa moyo wa munthu, moyo wamakhalidwe abwino, ndi moyo wa kugonana. Anthu omwe amakumana ndi chizoloŵezi chosadziletsa nthaŵi zambiri amavutika ndi maganizo amanyazi, kumvetsa bwino za ngozi zamtsogolo, komanso kudzidzimva .

Kutaya mtima kwa Fecal ndi chinthu chodabwitsa, chokhudza pafupifupi 5 mpaka 15 peresenti ya anthu (omwe amafotokoza vutoli!) Ndipo mpaka 50 peresenti ya anthu akuluakulu omwe amakhala m'mabanja okalamba. Ngati inu nokha mukukumana ndi ngozi zachabe, chonde musachite manyazi kuti muyankhule ndi dokotala wanu za izo. Dokotala wanu ali wotsimikiza kuti sakukhala woweruza komanso wothandizira, ndipo mudzamasuka podziwa kuti pali njira zambiri zothetsera vutoli . Njira imodzi yotereyi, pazifukwa zomwe zizolowezi zochiritsira zowononga sizikwanira, ndizogwiritsidwa ntchito kwachisokonezo cha sacral.

Sacral Nerve Chikoka

Kupititsa patsogolo mitsempha ya Sacral, yomwe imatchedwa sacral neuromodulation, ndiyo njira yothandizira kuchipatala yomwe inayamba kupangidwa ngati chithandizo cha ngozi za chikhodzodzo . Mankhwalawa amaphatikizapo kulowetsa magetsi kumalo komwe mitsempha yanu imapezeka. Ma electrodes awa ali ndi waya wonyezimira, omwe amasungidwa pansi pa khungu lanu kumbuyo kwa msana wanu pafupi ndi mchira wanu.

Mitambo imeneyi imagwirizanitsidwa ndi chipangizo chomwe chimatumiza makompyuta amtundu wotsika kuti athandize mitsempha iyi.

Maganizo oyambirira kumbuyo kwa chithandizochi ndikuti kukakamizidwa kwa mitsempha imeneyi kumapangitsa kuti ntchito ya anal sphincter yanu isagwiritsidwe ntchito komanso minofu mkati mwawo. Kugwiritsiridwa ntchito kwa chipangizocho chinavomerezedwa ngati chithandizo cha kusalidwa kwa fecal ndi US Food and Drug Administration mu 2011.

Mankhwalawa ndi njira ziwiri. Pa sitepe yoyamba, mtsogolomu imayikidwa mkati mwa thupi lanu, koma chipangizo cholimbikitsa chimakhala kunja kwa thupi lanu ndi chipangizo chaching'ono chomwe chimagwidwa m'chiuno mwanu. Ndondomekoyi imakhala ikuchitika pogwiritsa ntchito anesthesia. Mudzafunsidwa kusunga diary ya chizindikiro kwa milungu iwiri kapena itatu. Dokotala wanu adzagwira ntchito kuti asinthe kachipangizo kuti ayese kukwaniritsa zofuna za thupi lanu. Dokotala wanu angakulimbikitseni kuti musiye ntchito zina mwa nthawiyi.

Kumapeto kwa gawo loyambalo, ngati mukupindula ndi chithandizocho ndipo chiwalocho chikugwirizana ndi thupi lanu, njira yachiwiri idzachitidwa kuti mupange chipangizocho pansi pa khungu lanu m'deralo. Njira yowonjezera khungu idzachitidwa pokhapokha ngati ngozi zanu zowonongeka zachepetsedwa ndi theka ndi kugwiritsa ntchito chipangizocho. Chipangizo chopangidwacho chingapitirize kusinthidwa pogwiritsa ntchito chipangizo chakutali chakuda.

Kodi Wosankhidwa ndi Sacral Nerve Akukhudzidwa Ndani?

Zosangalatsa za Sacral sizidzalingaliridwa mpaka mutha kuyesedwa. Ngati chitetezo chokwanira cha zizindikiro sichikupezeka pambuyo poyesera zakudya ndi kusintha kwa makhalidwe komanso njira zochepa zopweteka, kupititsa patsogolo mitsempha ya sacral ingakonzedwe.

Chithandizochi chikuwoneka kukhala chothandiza kwa anthu omwe ali ndi chizoloŵezi chodziletsa (kuthamanga mwadzidzidzi) ndi kulimbikitsa kusadziletsa (osapita ku bafa pa nthawi). Mankhwalawa angakhale othandiza kuti munthu asamadzipatsire chifukwa cha zifukwa zosiyanasiyana monga:

• Kubereka mwana : anal sphincter misonzi kapena kuwonongeka kwa mitsempha
• Matenda a ubongo
• Za chidziwitso chosadziwika (chidziwitso chachisawawa)

Palinso zothandizira kufufuza kuti sacral nerve stimulation ingakhale yothandiza ngati mukulimbana ndi chikhodzodzo ndi chilakolako cha chikhodzodzo pa nthawi yomweyo.

Momwe Makhalidwe a Chikumbumtima cha Nkhwangwa Amagwira Ntchito

Chimene sichikudziwika ndi chomwe chisokonezo cha sacral chimasintha chomwe chimayambitsa vuto losadziletsa.

Mfundo zambiri zikufufuzidwa. Ngakhale kuganiza bwino kungasonyeze kuti kusokonezeka kwa mitsempha kumapangitsanso kuti ntchitoyi ikhale yogwira pansi ndi minofu ya ana, zomwe sizingapereke umboni wodabwitsa wa izi. Nthano ina ndi yakuti kusonkhezera kumapangitsa kuti thupi lonse likhale lopweteka. Palinso umboni wakuti zotsatira za mankhwala zimasintha m'magulu a ubongo omwe amachititsa kuti chiwerengerochi chikhale cholimba.

Zingakuthandizeni Bwanji?

Kawirikawiri, kupititsa patsogolo mitsempha ya sacral kumawoneka ngati njira yothandizira chithandizo chamankhwala. Kukhala ndi njirayi kwachepetsa kuchepetsa chiwerengero cha opaleshoni kukonza anal sphincter. Zotsatira zoyambirira zingakhale zochititsa chidwi kwambiri, ndipo kafukufuku akusonyeza kuchepa kwakukulu kwa zizindikiro zomwe zikuchitikira 40 mpaka 80 peresenti ya anthu omwe ali ndi njirayi. Zotsatira izi zimakhala zolimba kwa chaka chimodzi. Kafukufuku wasonyeza kuti anthu oposa 80 peresenti omwe akutsatira ndondomekoyi amasangalala kwambiri ndi zotsatirazo ndipo amafotokoza kuti chithandizochi chawonjezera umoyo wawo. Pafupifupi 25 peresenti ya anthu omwe ali ndi chipangizochi akhoza kuona kuchepa kwa zizindikiro pakapita nthawi. Chovuta kwambiri pa njirayi ndizofunikira kuchitidwa opaleshoni mobwerezabwereza.

Zotsatira za Sacral Nerve Chikoka

Ndondomeko yokha imatenga ngozi zochepa. Komabe, chifukwa chochita opaleshoni pali chiopsezo chochepa cha matenda. Chodetsa nkhaŵa chachikulu ndi chakuti muyenera kuzindikira kuti pakufunika opaleshoni yowonjezereka. Chipangizochi chingakumane ndi mavuto omwe angapangidwe m'malo. Mpaka uwu wa opaleshoni yowonjezera siikulu, ndi kafukufuku wosonyeza kuti angafunike kwa munthu m'modzi mwa anthu asanu alionse amene ali ndi chipangizochi. Kuopsa kokhala ndi chida chokonzedwanso kumawonjezeka pakapita nthawi.

Zimene muyenera kuyembekezera mukakhala ndi chipangizo cholimbikitsira

Mkhalidwe wabwino kwambiri, kukhala ndi chipangizo kumatanthauza kuti mudzakhala omasuka kuti mukhale ndi moyo wanu osadandaula kuti mukukumana ndi ngozi zoopsa. Mudzauzidwa momwe mungachotsere mitsempha ya magetsi panthawi yomwe mwakonzeka kuti muyambe kuyenda. Ngati chipangizocho chapamwamba kwambiri, mungadabwe pang'ono. Ngati chipangizocho chikhala chochepa kwambiri, mwina simungapeze madalitso onse. Kuti mupeze zotsatira zabwino, muzitha kulankhulana ndi dokotala wanu kuti muonetsetse kuti zosankhazo zili zabwino kwambiri kwa inu.

Njira Zochiritsira Zopangira Kusadziletsa kwa Fecal

Ngakhale kuti zosangalatsa za sacral zimakhudzidwa kuti ndizofunika kusamalidwa bwino kwambiri, sizowokha. Nazi zitsanzo za zinthu zina zomwe dokotala angakulimbikitseni:

1. Kupewa zakudya ndi zakumwa zomwe zingakulepheretseni ngozi. Izi ziphatikizapo zakumwa zoledzera, zakumwa ndi caffeine, zakudya zonunkhira, ndi zipatso zambiri.
2. Kuonjezera kudya kwanu zakudya . Zakudya zam'thupi zimathandiza kuti thupi lanu likhale lolimba, lomwe limathandiza thupi lanu kuti lisungidwe bwino mpaka mutakhala mosamala pa chimbudzi. Zakudya zam'thupi zingathandizenso kuti zikhale zofewa, motero zimalimbikitsa anthu omwe amadzikweza ndipo potero amachepetsa zomwe zimakhalapo pamtunda.
3. Dokotala wanu angakulimbikitseni kuti mugwiritse ntchito mankhwala enaake monga Metamucil kuti musamapangitse chitsimikizo chokhalira pansi ndikupititsa patsogolo kayendedwe kake.
4. Dokotala wanu angalimbikitse kugwiritsa ntchito mankhwala oletsa kutsekula m'mimba monga Imodium .
5. Mankhwala angaperekedwe kuti athetse vuto lililonse limene limayambitsa kusadziletsa kwanu.
6. Ngati nthendayi imakhala vuto lalikulu (makamaka kwa anthu okalamba omwe amakhala m'midzi yosungirako anthu okalamba), njira yothandizira mankhwala yomwe imaphatikizapo kugwiritsa ntchito suppository, enemas ndi / kapena oral laxatives ingakonzedwe.
7. Pali gel wosakaniza lotchedwa Solesta limene limapanga kukula kwa minofu ya ana. Izi zimayambitsa kutsegula kochepa komwe kumapangitsa kuti mutha kusunga chitseko.
8. Pali zochepa zochiritsira zosagwiritsidwa ntchito zomwe zingalimbikitse ndi kusintha zizindikiro za kusadziletsa. Izi zikuphatikizapo:
   1. Biofeedback
   2. Zochita Pelvic floor (Kegels)
   3. Electrostimulation

_Zotsatira:

_{Benezech A, Bouvier M, Vitton V. "Kutaya mtima kwa Faecal: Kudziwa zamakono komanso zochitika" World Journal of Gastrointestinal Pathophysiology 2016; 7 (1): 59-71.}

_{Bielefeldt K. "Zochitika zoopsa za sacral neuromodulation za kusadziletsa kwapadera zimaperekedwa ku bungwe la federal mankhwala" World Journal of Gastrointestinal Pharmacology and Therapeutics 2016; 7 (2): 294-305.}

_{Duelund-Jakobsen J, Worsoe J, Lundby L, Christensen P, Krogh K. "Utsogoleri wa odwala omwe ali ndi chizoloŵezi chosadziletsa" Thandizo lachipatala mu Gastroenterology 2016; 9 (1): 86-97.}

_{Wald A. "Kuonjezera pa Kulamulira kwa Fecal Incontinence kwa Gastroenterologist" Gastroenterology & Hepatology 2016; 12 (3): 155-164.}