Kusazvimbirira

Ura kusagadzikana ndiko kurasikirwa kwehuturu kudzora, zvichikonzera kuti iwe upfuure chigaro usingatarisiri. Izvi zvinogona kubva pane dzimwe nguva zvichidonhedza chidiki chechituru uye kupfuudza gasi, kusvika pakutadza kudzora ura.

Urinary incontinence ndipo pausingakwanise kudzora kupfuura weti. Haina kuvharwa muchinyorwa chino.

Muvanhu vakuru vane makore makumi matanhatu nemashanu zvichikwira, vakadzi vanowanzo kuve nematambudziko nehuturu hwekudzivirira kazhinji kazhinji kupfuura varume.

Vana vane matambudziko nekudonha nekuda kwematambudziko ekudzidzisa chimbuzi kana kupatirwa vanogona kunge vaine encopresis.

Iyo rectum, anus, pelvic mhasuru, uye tsinga system inofanira kushanda pamwechete kudzora ura kufamba. Kana paine dambudziko nechimwe cheizvi, zvinogona kukonzera kusagadzikana. Iwe unofanirwa zvakare kugona kuziva uye kupindura kune iyo yekuda kuita hutumbu kufamba.

Vanhu vazhinji vanonyara pamusoro pekusazvimba uye vangatadza kuudza mupi wezvehutano. Asi kusagadzikana kunogona kurapwa.Saka iwe unofanirwa kutaurira mupiki wako kana iwe uchinetseka. Kurapa kwakakodzera kunogona kubatsira vanhu vazhinji kuwana hutongi hwematumbo avo. Maekisesaizi ekuti tsandanyama yemukati neyechiuno ive yakasimba zvinogona kubatsira ura kushanda nemazvo.

Zvikonzero vanhu vane ura kusagadzikana zvinosanganisira:

• Kuenderera mberi (kusingaperi) kuvharirwa. Izvi zvinokonzeresa kuti anus mhasuru uye ura hutambanuke uye kushomeka, zvichitungamira kuita manyoka uye chetsoka kuvuza.
• Fecal Impaction. Inonyanya kukonzereswa nekuzvimbirwa kusingaperi. Izvi zvinotungamira kugomba rechituru iro rinovharira ura hukuru.
• Yenguva refu-yekushandisa laxative.
• Colectomy kana kuvhiya ura.
• Kusaziva kuti inguva yekuita ura.
• Zvinetso zvepfungwa.
• Gynecological, prostate, kana rectal kuvhiya.
• Kukuvadza kumhasuru dzekumashure nekuda kwekuzvara (mumadzimai).
• Tsinga kana kukuvara kwemhasuru (kubva mukukuvara, bundu, kana radiation).
• Manyoka akakura anokonzeresa kubuda.
• Mamota akaomarara kana rectal prolapse.
• Kushungurudzika kwekuve munzvimbo isina kujairika.

Kazhinji, shanduko dzakareruka dzinogona kubatsira kudzikisa ura kusagadzikana. Mupiki wako anogona kupa zano rekuti imwe chete kana yakawanda yemishonga iyi.

Kudya. Tevedzera izvo zvaunodya kuti uone kana paine mhando dzechikafu dzinokonzeresa matambudziko. Zvikafu zvinogona kutungamira mukusagadzikana mune vamwe vanhu zvinosanganisira:

• Doro
• Caffeine
• Zvigadzirwa zvemukaka (mune vanhu vasingakwanise kugaya lactose, shuga inowanikwa mune zvakawanda zvigadzirwa zvemukaka)
• Zvikafu zvine mafuta, zvakakangwa, kana zvine mafuta
• Zvikafu zvinonaka
• Yakaporeswa kana kuputa nyama
• Zvinotapira zvakadai fructose, mannitol, sorbitol, uye xylitol

Fiber. Kuwedzera huwandu kuzvikafu zvako kunogona kuita kuti chigaro chisununguke. Kuwedzera fiber:

• Idya zvimwe zviyo zvakakwana. Vavarira magiramu makumi matatu efaibha pazuva. Verenga zvinyorwa zvekudya kuti uone kuti fiber yakawanda sei mune chingwa, zviyo, uye zvimwe zvekudya.
• Shandisa zvigadzirwa zvakaita seMetamucil zvine mhando yefaera inonzi psyllium, iyo inowedzera kuwanda kumagaro.

Kudzidzira ura uye pelvic pasi kurovedza muviri. Idzi nzira dzinogona kukubatsira iwe kudzora yako anal sphincter mhasuru kana iwe uine ura kufamba. Mupiki wako anogona kukuratidza maekisesaizi ekusimbisa huta hwepelvic uye tsandanyama dzemashure. Kudzidzira ura kunosanganisira kuyedza kuita hutumbu kufamba pane dzimwe nguva dzezuva.

Vamwe vanhu havagone kutaura kana yakwana nguva yekuita ura. Dzimwe nguva havagone kufamba zvakanaka zvakakwana kuti vasvike zvakanaka kuchimbuzi pachavo. Vanhu ava vanoda kutarisirwa chaiko. Vanogona kujairira kusasvika kuchimbuzi kana yave nguva yekufamba ura. Kuti udzivise dambudziko iri, vabatsire kuenda kuchimbuzi mushure mekudya uye pavanonzwa kuda. Uyezve, ita shuwa kuti imba yekugezera yakachengeteka uye yakasununguka.

Kushandisa mapedhi kana zvipfeko zvepasi zvinogona kubatsira munhu asingagone kunzwa akachengeteka pavanobva pamba. Unogona kuwana zvigadzirwa izvi muma pharmacies uye mune zvimwe zvitoro zvakawanda.

Kuvhiya

Kana kurapwa kusingashande, kuvhiyiwa kunogona kubatsira kugadzirisa dambudziko. Kune akatiwandei maitiro enzira. Sarudzo yekuvhiya inoenderana nechikonzero chekusagadzikana uye hutano hwomunhu hwese.

Rectal sphincter kugadzirisa. Kuvhiya uku kunogona kubatsira vanhu vane anal anal muscle ring (sphincter) isiri kushanda zvakanaka nekuda kwekukuvara kana kuchembera. Iyo tsandanyama yemashure yakasungirirwa zvakare kusimbisa iyo sphincter uye kubatsira iyo anus kuvhara zvakanyanya zvizere.

Gracilis mhasuru kupinza. Mune vanhu vakarasika tsinga basa mune anal sphincter, gracilis tsandanyama inoiswa inogona kubatsira. Iyo gracilis mhasuru inotorwa kubva mukati mehudyu. Iyo inoiswa yakatenderedza iyo sphincter kubatsira kusimbisa iyo sphincter mhasuru.

Chakagadzirwa ura sphincter. Iyo yekunyepedzera sphincter ine zvikamu zvitatu: cuff iyo inokomberedza kutenderera iyo anus, yekumanikidza-inodzora bharumu, uye pombi inosimudzira iyo cuff.

Munguva yekuvhiyiwa, iyo yekuisira sphincter inoiswa yakatenderedza rectal sphincter. Iyo cuff inogara yakakwenenzverwa kuchengetedza kondinendi. Iwe une hutumbu hwekufamba nekusvibisa iyo cuff. Iyo cuff inozozvidzorera-zvakare mukati memaminitsi gumi.

Sacral nerve inosimudzira. Mudziyo unogona kuiswa mukati memuviri kukurudzira tsinga dzinochengetedza kondinendi.

Kutsiva kwemafuta. Dzimwe nguva, maitiro aya anoitwa mune vanhu vasina kubatsirwa nemamwe marapirwo. Ura hukuru hwakasungirirwa pamuburi mudumbu remadziro unonzi colostomy. Chitsiko chinopfuura nepamusuwo uyu kubhegi rakakosha. Iwe unozofanirwa kushandisa colostomy bhegi kutora stool kazhinji yenguva.

Jekiseni kurapwa. Maitiro aya anopinza jira gobvu (Solesta) mune anal sphincter kuti iwedzere.

Kana kurapwa kusiri kubvisa ura kusagadzikana, unogona kushandisa yakasarudzika fecal yekuunganidza zvishandiso kuti uve nechigaro uye chengetedza ganda rako kubva pakuparara. Midziyo iyi ine homwe inodonhedza yakanamirwa kune chekunamatira. Wfer ine gomba rakachekwa nepakati, iro rinokwana pamusoro pekuvhura kune anus.

Rondedzera chero matambudziko nekusagadzikana kune wako mupi. Fonera mupiki wako kana:

• Mwana akadzidziswa chimbuzi ane chero kusagadzikana kwechigaro
• Munhu mukuru ane zvigaro zvisingaiti
• Iwe une kutsamwa kweganda kana maronda semhedzisiro yekusagadzikana kwemukati
• Une manyoka akanyanya

Mupiki wako anotora nhoroondo yako yekurapa. Ive neshuwa yekuudza mupi wako nezve zvese zvirevo zvemushonga uye nepamusoro-pe-counter zvaunotora. Kutora maantacid kana laxatives kunogona kukonzera ura kusagadzikana, kunyanya kune vanhu vakuru.

Wako mupi achaitawo bvunzo dzepanyama, achitarisa padumbu rako nharaunda uye rectum. Wako mupi anoisa chigunwe chakakora mukati meyako rectum kuti utarise sphincter toni uye anal anal, uye kutsvaga chero matambudziko.

Kuongorora kwekuongorora kunogona kusanganisira:

• Barium enema
• Kuongororwa kweropa
• Colonoscopy
• Electromyography (EMG)
• Rectal kana pelvic ultrasound
• Chituru tsika
• Kwayedza yean anal sphincter toni (anal manometry)
• X-ray maitiro uchishandisa dhayi yakasarudzika kuti uone kuti zvibvumirano zve sphincter zvakadii (balloon sphincterogram)
• Maitiro eX-ray uchishandisa dhayi yakakosha kuti uone ura iwe uchinge uchinge uchinge uchinge ura

Kusadzora kufamba kwendove; Kurasikirwa kwehuturu; Fecal kusagadzikana; Kusazvidzora - ura

• Kudzivirira kumanikidzwa nemaronda

• Kugaya chirongwa
• Inflatable chakagadzirwa sphincter

Madoff RD. Zvirwere zve rectum uye anus. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 145.

Rao SSC. Fecal kusagadzikana. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chirwere: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits.