Kudzidzisa ura

Chirongwa chekudzidzazve ura, Kegel kurovedza muviri, kana biofeedback kurapwa kunogona kushandiswa nevanhu kubatsira kuvandudza ura hwavo.

Matambudziko anogona kubatsirwa nekudzidziswa ura anosanganisira:

• Fecal incontinence, kunova kurasikirwa kweuwuru kudzora, zvichikonzera kuti iwe upfuure chigaro usingatarisiri. Izvi zvinogona kubva pane dzimwe nguva zvichidonhedza chidiki chechituru uye kupfuudza gasi, kusvika pakutadza kudzora ura.
• Kuzvimbirwa kwakanyanya.

Aya matambudziko anogona kukonzerwa ne:

• Brain uye matambudziko etsinga (senge kubva ku multiple sclerosis)
• Zvinetso zvepfungwa
• Spinal tambo kukuvara
• Kuvhiyiwa kwakapfuura
• Kuzvara mwana
• Kunyanyisa kushandisa laxatives

Iyo chirongwa chemuviri chinosanganisira matanho akati wandei ekukubatsira iwe kugara uchifamba ura. Vazhinji vanhu vanokwanisa kuve nehutano hwese mukati memavhiki mashoma. Vamwe vanhu vanozoda kushandisa laxatives pamwe nekudzidziswa ura. Mubatsiri wako wezvehutano anogona kukuudza kana iwe uchida kutora iyi mishonga uye ndeapi akachengeteka iwe.

Iwe unozoda bvunzo dzepanyama usati watanga chirongwa chekudzidzira ura. Izvi zvinobvumidza mupi wako kuti awane chinokonzera kusagadzikana kwekusaziva. Kukanganisika kunogona kugadziriswa senge fecal impaction kana chirwere chinotapukira chinogona kurapwa panguva iyoyo. Iye mupi anoshandisa yako nhoroondo yehunhu maitiro uye mararamiro segwara rekumisikidza nyowani mafambiro ekufamba.

ZVOKUDYA

Kuita zvinotevera shanduko kuchikafu chako kuchakubatsira iwe kugara uine, zvakapfava, zvituru zvine simba.

• Idya zvikafu zvine-fiber zvakanyanya senge gorosi rakazara, miriwo mitsva, uye bhinzi.
• Shandisa zvigadzirwa zvine psyllium, senge Metamucil, kuwedzera hombe kumagaro.
• Edza kunwa 2 kusvika ku3 litita emvura pazuva (kunze kwekunge uine chirwere chinoda kuti udzivirire kudya kwako kwemvura).

KUDZIDZISA BOWERI

Iwe unogona kushandisa kukurudzira kwedhijitari kuti utange kufambisa ura:

• Pinza chigunwe chakaiswa mafuta mukati meanus. Fambisa iri mudenderedzwa kusvikira mhasuru sphincter yazorora. Izvi zvinogona kutora maminetsi mashoma.
• Mushure mokunge maita kukurudzira, gara munzvimbo yakajairika yekufamba kwematumbu. Kana uchikwanisa kufamba, gara pachimbuzi kana padivi pemubhedha commode. Kana iwe wakaganhurirwa pamubhedha, shandisa mubhedha. Pinda padhuze nechinzvimbo chekugara sezvinobvira. Kana iwe usingakwanise kugara, rara kuruboshwe kwako.
• Edza kuwana zvakavanzika zvakawanda sezvaunogona. Vamwe vanhu vanoona kuti kuverenga vakagara muchimbuzi kunovabatsira kuzorora.
• Kana iwe usina ura kufamba mukati memaminitsi makumi maviri, dzokorora maitiro.
• Edza kubatanidza tsandanyama dzemudumbu uye kutakura pasi paunenge uchiregedzera chigaro. Unogona kuona zvichibatsira kukotamira kumberi uchinge wakatsikitsira. Izvi zvinowedzera kumanikidza mukati medumbu uye zvinobatsira kubvisa ura.
• Ita zvekusimudzira nemunwe wako zuva rega rega kusvikira iwe watanga kuve neyakajairika maitiro ekufamba kwematumbu.
• Iwe unogona zvakare kukurudzira ura kufamba uchishandisa suppository (glycerin kana bisacodyl) kana diki enema. Vamwe vanhu vanoona zvichibatsira kunwa muto unodziya kana muto wemichero.

Kuchengeta kune yakajairwa pateni kwakakosha kwazvo kuti chirongwa chekudzora ura chibudirire. Gadza nguva yakajairwa yekufamba kwemazuva ura. Sarudza nguva yakakunakira. Ramba uchifunga nezvehurongwa hwako hwezuva nezuva. Nguva yakanakisa yekufamba ura maminetsi makumi maviri kusvika makumi mana mushure mekudya, nekuti kudya kunomutsa ura.

Vanhu vazhinji vanokwanisa kumisikidza tsika yenguva dzose yekufamba kwematumbu mukati memavhiki mashoma.

KEGEL BASA

Exercises yekusimbisa rectal tsandanyama inogona kubatsira nehuturu kudzora mune vanhu vane isingakwanise rectal sphincter. Kegel kurovedza muviri kunosimbisa pelvic uye rectal mhasuru toni inogona kushandiswa kune izvi. Aya maekisesaizi akatanga kugadzirirwa kudzora kusagadzikana mune vakadzi mushure mekusununguka.

Kuti ubudirire nekegel kurovedza muviri, shandisa nzira kwayo uye unamatira kuchirongwa chenguva dzose Taura nemupi wako kuti uwane mirayiridzo yekuti ungaita sei zviitwa izvi.

BIOFEEDBACK

Biofeedback inokupa iwe kurira kana kuona mhinduro nezve chiitiko chemuviri. Mune vanhu vane fecal incontinence, biofeedback inoshandiswa kusimbisa rectal sphincter.

Iyo rectal plug inoshandiswa kuona kusimba kwetsinga dzemakwara. Electrode yekutarisa inoiswa padumbu. Iyo rectal plug inozosungirirwa pakomputa yekutarisa. Girafu inoratidza rectal tsandanyama contractions uye dumbu contractions icharatidza kumusoro pachiratidziri.

Kuti ushandise iyi nzira, iwe unozodzidziswa maitiro ekusvina mhasuru yakatenderedza yakatenderedza rectal plug. Iyo komputa inoratidza inokutungamira iwe kuti uve nechokwadi chekuti uri kuzviita nemazvo. Zviratidzo zvako zvinofanirwa kutanga kuvandudza mushure memasangano matatu.

Fecal kusagadzikana kurovedza muviri; Neurogenic ura - kudzidzisa ura; Kuvimbiswa - kudzidzisa ura; Kuzvidzivirira - kudzidzisa ura; Uturu kusazvibata - ura kudzidzisazve

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Iturrino JC, Lembo AJ. Kuzvimbirwa. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 11th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 19.

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