Bhaluni kubudiswa kwekuedza ndiyo muedzo wakajeka unoshandiswa pakuona matambudziko ane defecation . Chiyero chinosanganisira kuiswa kwebhokisi mu rectum yako, iyo iwe unokumbirwa kuti uende. Bhaluni inoshandiswa senzira yekufananidza nzira yekubvisa chigaro panguva yekufamba kwechirwere. Nguva iyo inokutora iwe kuti ibvise ibhota inopa hukuru hunotsvaga ruzivo kune chiremba wako.
Bhaluni kubudiswa kwechirwere, pamwe neanorectal manometry , inonzi ndiyo inonyanya kuongororwa zvirwere zvekuziva chirwere chehutano chinonzi dyssynergic defecation , chikonzero chikuru chekusagadzikana kusingaperi. Bhaluni kubudiswa kuongorora uye anorectal manography inogona kuitwa panguva imwe chete.
Zvaungatarisira Panguva Yenzira
Kusiyana nekolonoscopy , haugone kudiwa kuti ugadzirire kuchenesa kwekoloni yakakwana. Iwe unenge uchida kubvunzwa kuti uzvipe iwe enema isati yasvika. Izvi hazvisi zvekuongorora kwakarurama, asi kukuita kuti uwedzere kunatswa panguva iyo iwe haufaniri kunetseka pamusoro pokupfuura chigaro pamwe nebhaluni.
Zvichienderana nezvamunotora muedzo, iwe unogona kunge uri kurara patafura kana kugara pasi. Catheter yakanyungudzwa ine bhaluni pamugumo ichave yakanyatsopindirwa mu rectum yako. Bhaluni ichazadzwa nemvura (kana mune dzimwe nguva, mhepo).
Izvi zvinokonzera kutsvaga kutamisa matumbo ako nekudzinga bhaluni. Iwe uchatungamirirwa kunzvimbo yega yega yekushambidzira kuitira kuti upfuure ibhaluni. Nguva iyo inotora kuti iwe kupfuudza bhaluni ichanyorwa.
Kuongororwa kweDyssynergic Defecation
Nebharuti yekudzinga kuongorora, nguva yakadzingwa yekudzingwa inofungidzirwa kuva mukati meminiti imwe chete.
Nguva yakareba yokudzingwa nguva ingaratidza kuve nechinetso chokuzvidzivirira. IAmerican College of Gastroenterology inoda kuti kuwedzera kune mushumo wevarwere wekusagadzikana kusingaperi, kuti zviwanikwa zvisingawanzo zvicharatidzwa nemaminetsi maviri ezvinotevera zvinotevera kwekujekeswa kwekunyora dyssynergic defecation
- Anorectal manometry
- Anal sphincter EMG
- Balloon expulsion test
- Defecography
Kukanganisa kweBalloon Kudzingwa Test
Bhaluni kudzingwa kuongororwa kunongopa pfupa kana kukanganisa ruzivo rwekuvapo kwechinetso chekudzivirira. Zvisinei, iwe unogona "kupfuura" muedzo uye uchiri ne dyssynergic defecation. Uyezve, ibhota yekudzingwa kwekutsvaga haikwanise kuona chero matambudziko akangwara mukati memuviri wako / rectal. Uyewo hazvipi kupa chiremba wako ruzivo rwekuti chii chaicho chaicho chinokonzera dambudziko. Izvo zvinoitwa nokuti iyi ndiyo nzira yakajeka, iyo inopa ruzivo rwakakosha, asi humwe ruzivo ruchadikanwa kuitira kuti chiremba wako ave nechokwadi chekuongorora uye akupe iwe chirongwa chinoshanda chekurapa.
Sources:
Lee, B. & Kim, G. "Nzira Yokuita Nayo uye Kurondedzera Bhatiro Kudzingwa Kuedzwa" Journal of Neurogastroenterology uye Motility 2014 20: 407-409.
Olson, C. "Kuongororwa Kuongororwa kweFecal Incontinence" Makliniki muColon uye Rectal Surgery 2014 27: 85-90.
Ratuapli, S., et. al. "Kufananidza kwemaarorion ekudzingwa kwevheti muzvigaro zvigaro uye zvakasara zvishoma" Neurogastroenterology & Motility 2013 25: 813-e820.
Wald, A., uye. al. " ACG Clinical Guideline: Kutungamirirwa kweBenign Anorectal Disorders " American Journal of Gastroenterology 2014 109: 1141-1157.