Chiremba wako akakuudza kuti une dyssynergic defecation here? Zvinogona kuva zvinokurudzira kuziva kuti kune nzira dzekubatsira kugadzirisa dambudziko racho uye kuderedza zviratidzo zvako. Kuziva kuti zvipi zvaunosarudza zvinogona kukubatsira apo iwe unoshanda nachiremba wako kuronga hurongwa hwekurapa. Ichi chinyorwa chichakupa muongorori wezvinhu zvinogona kukurudzirwa.
Mishonga
Sezvo chigumisiro chekutanga che dyssynergic defecation kubatwa, kune marudzi akasiyana-siyana ekudzivirira mishonga iyo chiremba wako angakurudzira kana kupa.
Zvinosuruvarisa, hakuna hutsva hutsvakurudzo hwekuchirapa hunopupurira kubudirira kwemishonga iyi maererano nekurapa dyssynergic defecation. Heano mamwe maitiro:
Laxatives:
Prescription Constipation Mishonga:
Biofeedback
Biofeedback inofungidzirwa kuva yakabudirira semushonga we dyssynergic defecation uye neropafadzo haisi yekusanzwisisika sezvainogona kurira. Biofeedback inoshandisa masero uye kombiyuta kuti ikupe mhinduro pamusoro pokuti masimba ako nemisungo zviri kupindura sei - ruzivo rwandinenge tisingazivi. Izvi zvinokubvumira kuti udzokezve misungo yako kuti ishande zvakanyanyisa panguva yekufamba kwechirwere.
Kunyange zvazvo pfungwa yezvinhu zvinowanikwa pasi "munzvimbo dzako dzoga" ingaita seinovhiringidzika, kana imwe yongororo yakawana kuti varwere vanogutsikana zvikuru nemishonga pamwe nemigumisiro yayo.
Zvinosuruvarisa, iwe unogona kuomerwa kuwana nzvimbo dzinonyatsotarisa rudzi urwu rwehuwandu hwehupenyu hwehupenyu. Pamusana pechinetso ichi, maitiro e-based-biofeedback ari kushandiswa. Pano pane mamwe mashoko akajeka pamusoro pekuti biofeedback ye dyssynergic defecation inoshanda sei:
Zvinangwa:
Chinangwa chikuru che biofeedback ye dyssynergic defecation ndechekudzidzisa masumbu anogadzira pasi pepadvic kuti ashande pamwechete nenzira yakarongeka, yakarongeka.
Kunyanya, iwe uchadzidziswa:
- Izvo zvinofanirwa kuitika panguva yekugadzikana kwechirwere chechirwere
- Nzira yekushandisa sei kufema kwemafafmatic kuti uvandudze mano ako ekudzinga chigaro
- Nzira yekuzorodza musana wepelvic pasi pamusana pekudzivirira
- Nzira yekuvandudza nayo kuziva kwekunzwa pamusoro pekudikanwa kwekufamba kwechirwere
Nzira:
Iwe unogona kutarisira kuenda kune zvidzidzo zvemaawa imwe chete, kamwe kamwe kwevhiki mbiri, kuti uwane zviratidzo zvekuvandudza. Panguva yekugadzirisa, masvikiro emagetsi achaiswa munzvimbo yako rectum kuti uone kushanda kwemasana ako sphincter muscle. Iwe uchaona izvi zviyero pane chekuona chinyorwa. Nezvakataurwa izvi, iwe uchatanga kushandisa kuedza uye kukanganisa kuti udzidze kuti ungaunza sei mamwe maitiro anoshanda. Mune zvimwe zviitiko, bhoti duku ichaiswa mukati mako rectum, ichikupa mukana wekudzidza kuti unganyatsobudirira sei kubuda kunze. Bhaluni inogonawo kudzokororwa zvakare uye yakasvibiswa mukati mako rectum kuitira kuti ubatsire kuwedzera mafungiro ako echigaro mukati me rectum.
Kana uchinge wapedza kudzidziswa, unogona kubvunzwa kudzoka nguva nenguva nokuda kwe "booster" zvidzidzo.
Botox
Botox (botulinum toxin) injections yakatsvakurudzwa sechirwere che dyssynergic defecation.
Kusvika iye zvino, zvidzidzo zvakaratidza migumisiro yakavhenganiswa mumagariro ekubudirira uye zvimwe zvinetso pamusoro pefecal incontinence sechidimbu chemativi. Kunze kwekunge zvidzidzo zvenguva yemberi zvakanyanyisa, panguva ino Botox haisi kuratidzika seyo inogadzirisa kurapa.
Chirevo Pamusoro Pokuvhiya
Kuvhiya kunosanganisira puborectalis muscle (yakawanikwa mukati mepasi pepasi) yakashandiswa kare kare senzira yekugadzirisa dyssynergic defecation. Njodzi dzenzira yacho dzakakwirira zvikuru, kunyanya maererano nekuwedzera kwehutano hwezvinetso zvinoramba zvichiitika nehupecal incontinence , uye naizvozvo kuvhiyiwa dyssynergic defecation kwave kusina kunaka.
Sources:
Rao, S. "DYSSYNERGIC DEFECATION & BIOFEEDBACK THERAPY" Gastroenterology Makliniki eNorth America 2008 37: 569-586.
Rao, S. & Go, J. "Kubata Matambudziko Epelvic Floor Disorders of Defecation: Management kana Cure?" Current Gastroenterology Reports 2009 11: 278-287.
Shim, L., et.al. "Kufananidza kwemagumisiro eanorectal biofeedback therapy kune varwere vane chivimbiso" Zvokudya zveParamende neTherapeutics 2011 33: 1245-1251.
Wiesel, P., etal. "Mwoyo murefu unogutsikana mushure mekugadzirisa biofeedback nokuda kwekuvharwa uye pasi pepy dyssynergia." Swiss Medical Weekly 2001 24: 152-156.