Ngati mwakhala mukukumana ndi ngozi zapamadzi zowonongeka ( fecal incontinence ), mukhoza kupeza chitonthozo chifukwa chakuti simuli nokha. Zikuoneka kuti ngozi zoterezi zimakhala ndi anthu 6 mpaka 15%. Kusuta kumachitika kwa amuna ndi akazi ndipo sikuli kozolowereka kwa ukalamba, ngakhale kuti chiopsezo chanu chokhudzidwa chimawonjezeka pamene mukukula.
Kudziwa zokhudzana ndi zomwe zingayambitse kudziletsa ndikofunika kukuthandizani kupeza mankhwala abwino kwambiri . Pano tikambirana zifukwa zazikulu zomwe zingakhale zikukuchitikirani.
Kutsekula m'mimba
Kufulumizitsa ndi kuthamanga mofulumira kwa kayendedwe ka m'matumbo kungapangitse kuti mitsempha ya sphincter ikhale ndi mphamvu pamtengowu kuti ikhale ndi mpando. Anthu omwe ali ndi vuto lomwe limayambitsa matenda otsekula m'mimba, monga matenda osapsa mtima (IBS) kapena matenda opatsirana , amatha kukhala ndi vuto la kusadziletsa. Matenda opweteka a m'magazi angayambitsenso kupweteka kwapadera, komwe kungayambitse kusadziletsa.
Kutsekedwa
Ngakhale kuti zikuwoneka ngati zikuwoneka bwino, zimatheka kuti mumve madontho mukamadzikweza. Izi zimachitika pamene madzi akutsuka njira yake kuzungulira molimbika, chogwirizanitsa chophimba. Mbiri yakalekale ya kukanika kuti ipangitse sitima (nthawi zambiri mapeto a mankhwala aakulu), ikhoza kuwononga mitsempha mu minofu ya rectum, kuchititsa kufooka ndi kulephera kukhala ndi chitseko.
Pali zina ziwiri zomwe zimakhudzana ndi kudzimbidwa komwe kungayambitse kusadziletsa:
- Fecal Impaction
- Kugwiritsira ntchito mankhwala ophera mankhwalawa kwa nthawi yaitali
Kubereka
Kwa amayi, kubala ndilo vuto lalikulu la kusadziletsa. Zingatheke kuti zichitike pambuyo pa zovuta zobereka, makamaka pamene ntchito yogwiritsira ntchito yogwiritsira ntchito yogwiritsa ntchito kapena episiotomy ikuchitidwa.
Chidziwitso cha episiotomy ndi njira yomwe dokotala amaletsera mmimba kuti asawonongeke. Choopsya apa ndi chakuti minofu ya sphincter - minofu pansi pa rectum yomwe ili ndi ntchito yokhala ndi chotupa - yawonongeka. Izi zingawalepheretse kukhala ndi chitseko chokwanira, zomwe zimachititsa kuti asakhale ndi chizoloŵezi chosadziletsa. Kubeleka kwa amayi kumabweretsa chiopsezo cha amayi kuti awonongeke pamtanda, monga momwe mudzaonera pansipa, ndi chifukwa cha kusadziletsa.
Kuti mudziwe zambiri zokhudza mgwirizano pakati pa kubala ndi ngozi zapadera, onani:
Malo Opanda Pelvic
Mawu akuti "pansi pamtunda" amatanthauza gulu la minofu m'dera lamapiri lomwe likuphatikizidwa pokhala ndi mimba. Kulephera kugwira ntchito ndi mitsempha ya mitsempha ya m'mimba kungakhale chifukwa cha mimba, kubereka kwa amayi, ndi opaleshoni yamkati. Kulephera kwapansi pansi kumayambitsa kufooka kwathunthu ndi kugwedezeka mu minofu ya m'mimba, kuchepa kwa mitsempha ya mitsempha kuti amve kupezeka kwa chithunzithunzi, ndi kuwonongeka kwa kuyenda kwa minofu yomwe ikukhudzidwa - kungachititse kuti asakhale ndi mtima wosadziletsa.
Dinani pansipa kuti mudziwe zambiri zokhudza kufooka kwapansi pansi:
Opaleshoni Yachilendo
Njira iliyonse yothandizira opaleshoni, kaya ya khansa ya coloni kapena mafinya , imabweretsa chiopsezo chodziletsa. Ndipotu, opaleshoni ya ana ndiyo yomwe imayambitsa kusadziletsa kwa amuna. Kuchita opaleshoni, monga kubala, kungabweretse mitsempha ya mitsempha ndi mitsempha yomwe imasokoneza njira yachibadwa ya defecation . Kuchita opaleshoni kumapanganso kuti pangakhale pangozi yokhala ndi mpanda wolimba kwambiri. Zotsatira zake sizingatheke chifukwa cha vutoli lomwe lili ndi stool, choncho kusadziletsa kumachitika.
Maonekedwe Owoneka Ovuta
Monga momwe mukuonera, ngati pali vuto lomwe limalepheretsa kugwira ntchito kwa mitsempha ya anal, mpata wa pakafa ukhoza kuchitika. Nthawi zina vuto lanu ndilo limene dokotala angawone mosavuta pakufufuza:
- Zambiri za m'mimba
- Kutuluka kwapadera
- Rectocele (kachilombo kamene kamalowa m'mimba)
Chithandizo cha Mliri wa Khansa
Mofanana ndi opaleshoni yamakono, mankhwala opatsirana pogwiritsa ntchito maizoni angapangitse kuwonongeka ndi kuwonongeka kwa makoma ozungulira omwe amachititsa kuti asamadziwe.
Mmene Makhalira Amagwirira Ntchito
Matenda ndi mikhalidwe yomwe imayambitsa mitsempha ya mitsempha ingayambitsenso kusokoneza, makamaka ngati imakhudza mitsempha yomwe imayambitsa matenda. Mkhalidwe umenewu umaphatikizapo multiple sclerosis, stroke, kuvulala kwa msana, ndi shuga.
Zomwe Muyenera Kuchita Ngati Mukukhala ndi Mavuto Achipindala
Chinthu chofunikira kwambiri kuti muuze dokotala wanu. Musalole kuti manyazi amve njira! Izi si zachilendo vuto ndipo dokotala wanu adziwa choti achite. Dokotala wanu adzagwira ntchito kuti adziŵe vuto lomwe likuchitika chifukwa cha ngozi zanu ndikukuthandizani kupeza dongosolo la mankhwala.
Zotsatira:
"Incwelinence ya Bowel" Medline Plus Website.
"Fecal Incontinence" National Institute for Diabetes komanso Webusaiti ya Digestive ndi Impso Website.
Landefeld, C. et.al. National Institutes of Health State-of-the-Science Conference Statement: Kupewa Kuwonjezereka kwa Fecal ndi Urinary mu Akuluakulu Annals of Medicine Internal 2008 148: 449-458.
Lunniss, P. et.al. "Zizindikiro zoopsa zomwe zimapezeka kuti zimakhala zosavomerezeka zapadera" Journal of the Royal Society of Medicine 2004 97: 111-116.