Izvo Zvaunofanirwa Kuziva Nezve Fecal Incontinence

Zvemukati

• Chii chinonzi kusagadzikana kusagadzikana?
• Chii chinokonzeresa kusagadzikana?
• Fecal Impaction
• Manyoka
• Mamota
• Tsvina kukuvara
• Tsinga kukuvara
• Pelvic pasi kusagadzikana
• Ndiani ari panjodzi yekuzvidzivirira kusagadzikana?
• Iyo fecal incontinence inoonekwa sei?
• Kurwara kwetsvina kunoitwa sei?
• Kudya
• Mishonga
• Kudzidzisa ura
• Incontinence nguo dzemukati
• Kegel kurovedza muviri
• Biofeedback
• Kuvhiya
• Solesta
• Ko kusagadzikana kwemufudzi kunogona kudzivirirwa here?

Chii chinonzi kusagadzikana kusagadzikana?

Fecal incontinence, inonziwo ura kusagadzikana, kurasikirwa kwehutachiona kunoguma nekusazvibata ura (fecal elimination). Izvi zvinogona kubva pane imwe nguva isingawanzoitika yekuzvipira yezvishoma zvituru kusvika pakurasikirwa kwese kwehuturu.

Vamwe vanhu vane fecal incontinence vanonzwa kuda kuita matumbu asi vasingakwanise kumirira kusvika kuimba yekugezera. Vamwe vanhu havanzwe kunzwa kwekumirira ura kufamba, vachipfuura zvituru vasingazive.

Fecal incontinence inogona kunge isinganzwisisike mamiriro, asi inogona kuvandudza nekurapwa.

Chii chinokonzeresa kusagadzikana?

Kazhinji hutumbu hunovimba nebasa chairo re:

• mhasuru
• rectum, chikamu chemucheto wezasi wematumbo makuru
• anal sphincter mhasuru, mhasuru dziri muhuru
• tsinga

Kukuvadza kune chero ipi nzvimbo idzi kunogona kukonzera kusagadzikana kwekusaziva.

Zvinowanzoitika zvikonzero zvekusagadzikana zvinosanganisira:

Fecal Impaction

Kuzvimbirwa kusingaperi kunogona kutungamira mukukanganisa fecal. Izvi zvinoitika kana chigaro chakaomarara chakanamatira mureceum. Chituru chinogona kutambanudza uye kushomeka iyo sphincter, izvo zvinoita kuti mhasuru dzisakwanise kumisa yakajairika nzira.

Kumwe kushushikana kwefecal impaction kuburitsa kwemvura yakasviba nenyaya kuburikidza neiyo anus.

Manyoka

Dhairrhea imhedzisiro yemasuruu akasununguka kana emvura. Aya magaro akasununguka anogona kukonzera kudiwa kwekukurumidza kwechironda. Iko kudiwa kunogona kukurumidza kusvika zvekuti hauna nguva yakakwana yekusvika kuchimbuzi.

Mamota

Mamota ekunze anokwanisa kuvhara iyo sphincter kubva pakuvhara zvachose. Izvi zvinobvumira yakasununguka chituru uye mamasi kuti apfuure zvisingaite.

Tsvina kukuvara

Kukuvadza kune anal anal sphincter kunodzivirira mhasuru kubva mukuchengetedza iyo anus yakavharwa yakavharwa. Kuvhiya mukati kana padyo nenzvimbo yeanorectal, kushungurudzika, uye kupatira kunogona kukuvadza mhasuru dze sphincter.

Tsinga kukuvara

Kana tsinga dzinodzora kufamba kwesphincter dzakakuvara, mhasuru dze sphincter hadzizovhare zvakanaka. Kana izvi zvikaitika, iwe unogona zvakare kusanzwa kuda kuenda kuchimbuzi.

Zvimwe zvezvikonzero zvekukuvara kwetsinga zvinosanganisira:

• kushungurudzika kubva pakusununguka
• kusingaperi kuzvimbirwa
• sitiroko
• chirwere cheshuga mellitus
• multiple sclerosis (MS)

Pelvic pasi kusagadzikana

Vakadzi vanogona kukuvara kumhasuru uye tsinga mumapenduru avo pavanenge vachisununguka, asi zviratidzo zvekutadza kwepelvic pasi zvinogona kunge zvisingaonekwe nekukurumidza. Zvinogona kuitika makore anotevera. Matambudziko anosanganisira:

• kushaya simba kwemhasuru dzechiuno dzinoshandiswa panguva yekufamba kwematumbu
• rectal prolapse, inova iyo iyo rectum inobudikira kuburikidza neiyo anus
• rectocele, inova iyo iyo rectum inoputika ichipinda mukati memukadzi

Vamwe varume vanogona zvakare kuvandudza pelvic pasi kusagadzikana.

Ndiani ari panjodzi yekuzvidzivirira kusagadzikana?

Chero ani zvake anogona kuwana kusagadzikana kwekusaziva, asi vamwe vanhu vanowanzo kuitora kupfuura vamwe. Unogona kuve panjodzi kana:

• wapfuura makore makumi matanhatu nemashanu
• uri mukadzi
• uri mukadzi akazvara
• une chirwere chisingaperi chisingaperi
• une chirwere kana kukuvara kwakakonzera kukuvara kwetsinga

Iyo fecal incontinence inoonekwa sei?

Chiremba wako achaita yakazara yekurapa nhoroondo uye yemuviri kuongororwa kuti aongorore fecal incontinence. Chiremba wako achakubvunza nezve frequency yekusagadzikana uye pazvinoitika, pamwe nedhayeti yako, mishonga, uye nenyaya dzehutano.

Iyi bvunzo inotevera inogona kubatsira kusvika pakuongororwa:

• digital kuongororwa kwenzvimbo yakatenderera
• chigaro tsika
• barium enema (fluoroscopic X-ray yematumbo makuru, kusanganisira colon uye rectum, ine barium musiyano)
• kuongororwa ropa
• electromyography (kuyedza mashandiro emasumbu uye tsinga dzakabatana)
• anorectal ultrasound
• proctography (X-ray vhidhiyo yekufungidzira panguva yekutama)

Kurwara kwetsvina kunoitwa sei?

Mushonga wekusaziva kusakwana unoenderana nechikonzero. Dzimwe dzesarudzo dzekurapa dzinosanganisira:

Kudya

Chikafu chinokonzera manyoka kana kupatirwa chinoonekwa uye chinobviswa mukudya. Izvi zvinogona kubatsira kugadzirisa uye kugadzirisa kufamba kwematumbo. Chiremba wako vazhinji vanokurudzira kuwedzera kwemvura uye dzimwe mhando dzefibre.

Mishonga

Nezve manyoka, antidiarrhea mishonga yakadai se loperamide (Imodium), codeine, kana diphenoxylate / atropine (Lomotil) inogona kupihwa kunonoka kufamba kukuru kwematumbo, ichibvumira nzira yekutsika kunonoka. Chiremba wako anogona kukurudzira fiber zvinowedzera zvekubatira.

Kudzidzisa ura

Kutevera ura kudzidzisa tsika kunogona kukurudzira kujairika ura kufamba. Zvinhu zveichi chiitiko zvinogona kusanganisira:

• kugara pachimbuzi pane purogiramu yenguva dzose
• kushandisa rectal suppositories kukurudzira ura kufamba

Incontinence nguo dzemukati

Unogona kupfeka zvipfeko zvemukati zvakagadzirwa kuti uwedzere kuchengetedzwa. Hembe idzi dzinowanikwa mumafomu anoraswa uye anoshandiswazve, uye mamwe marangi anoshandisa tekinoroji inoderedza hwema.

Kegel kurovedza muviri

Maekisheni eKegel anosimbisa mhasuru dzepelvic pasi. Aya maekisesaizi anosanganisira maitiro ekudzokorora kubatisisa mhasuru dzinoshandiswa kana uchienda kuchimbuzi. Iwe unofanirwa kubvunza chiremba wako kuti udzidze nzira chaiyo yekuita maekisesaizi.

Biofeedback

Biofeedback ndeimwe nzira yekurapa. Nayo, unodzidza kushandisa pfungwa dzako kudzora mashandiro emuviri wako nerubatsiro rwema sensors.

Kana iwe uine fecal incontinence, biofeedback ichakubatsira iwe kudzidza kudzora nekusimbisa yako sphincter mhasuru. Dzimwe nguva zvekurapa zvinoshandiswa kudzidziswa zvinoiswa mune yako anus uye rectum. Chiremba wako anozoedza yako rectum uye anal sphincter mhasuru basa.

Iyo toni yemhasuru yakayerwa inoratidzika kuratidzwa pakombuta yekombuta kuti iwe ugone kucherechedza kusimba kwekufamba kwemhasuru. Nekutarisa iyo ruzivo (iyo "mhinduro"), iwe unodzidza maitiro ekuvandudza rectal mhasuru yekudzora (iyo "bio").

Kuvhiya

Kurapa kwekuvhiya kunowanzo chengeterwa zviitiko zvakakomba zvekusaziva kusakwana. Pane nzira dzakawanda dzekuvhiya dziripo:

• Sphincteroplasty. Iwo magumo akabvarurwa eanal sphincter anodzoserwa pamwechete kuti mhasuru isimbiswe uye anal sphincter yakasimbiswa.
• Gracilis mhasuru kupinza. Iyo gracilis mhasuru inoendeswa kubva mukati mechidya uye yakaiswa yakatenderedza anal sphincter mhasuru kuwedzera simba uye rutsigiro.
• Chakagadzirwa sphincter. Chakagadzirwa sphincter iringi yesilicone inoiswa yakatenderedza anus. Iwe pachako unodzvinyirira yekunyepedzera sphincter kubvumidza defecation uye kuifemera iyo kuvhara iyo anus, iyo inodzivirira kubuda.
• Colostomy. Vamwe vanhu vane hukasha hwakakomba kusagadzikana vanosarudza kuvhiyiwa colostomy. Munguva yekuvhiyiwa kwecolostomy, chiremba wako anovhenekera kunogumisa matumbo makuru kuti apfuure nepakati pemadziro edumbu. Bhegi rinoraswa rakanamatirwa padumbu rakatenderedza stoma, chinova chikamu chemuura chakabatanidzwa pamuromo wakaitwa kuburikidza nedumbu. Mushure mekuvhiyiwa kwapera, zvituru hazvichapfuure nepanhengo asi pachinzvimbo chisina chinhu kubva mudoma kuenda mubhegi rinoraswa.

Solesta

Solesta jekiseni rinobayiwa jekiseni rakagamuchirwa neKudya neDrug Administration (FDA) muna2011 yekurapa fecal incontinence. Chinangwa cheSolesta kurapwa ndechekuwedzera huwandu hwehutete hwemaviri.

Iyo jekiseni inoiswa mukati memadziro eiyo anus uye inonyatso kuderedza kana kunyatso kurapa fecal kusagadzikana mune vamwe vanhu. Inoshanda nekukonzera kuwanda kuwanda uye ukobvu hwetanha yemukati, iyo inoderedza kuvhura kwenyuchi uye inobatsira kuti igare yakanyatso kuvharwa.

Solesta inofanirwa kupihwa nevezvehutano.

Ko kusagadzikana kwemufudzi kunogona kudzivirirwa here?

Kukwegura, kushungurudzika kwakapfuura, uye mamwe mamiriro ekurapa anogona kutungamira mukusanzwisisika kwemufecal. Mamiriro acho haagone kudzivirirwa nguva dzose. Njodzi, zvisinei, inogona kudzikiswa nekuchengetedza ura nguva dzose uye nekuchengetedza mhasuru dzechiuno dzakasimba.