Kazhinji Cause of Chronic Constipation Pamusana Pelvic Floor Dysfunction
Dyssynergic defecation chirwere chehutano nekutambudzika kudarika chigaro nekuda kwezvinetso nemisungo nemisungo yechipfuva chepasi. Izvozvo zvinogona kuguma nekudzivirira kusingaperi . Dyssynergic defecation inofungidzirwa kuti ndiyo inokonzerwa nekuputika pasi pasi , pakuti mutsara nemisungo mukati mepasi pepadvic hazvisi kushanda sezvinofanira.
Zita rakajairika naro munguva yakapfuura raiva anismus.
Inenge hafu yevarwere vachitsvaga kurapwa kwekugara kwenguva refu inowanika kuva nedyssynergic defecation painoongororwa nevanyanzvi. Izvi zvinowanzova nemigumisiro yakaipa pamusoro pehupenyu hwehupenyu, hunoita basa uye mararamiro ehupenyu hweavo vanoongororwa vane chirwere.
Zvinokonzera
Inobatsira kunzwisisa zviri nani chinetso che dyssynergic defecation kana iwe uchigona kufungidzira kuti kuguma kwepasi kwekudya kwako kunoratidzika sei. Mhuka yako yakadzika iri pasi pebasa rako refu. Iyo rectum inochengeta chigaro uye ndiyo nzira yechitsiga kuti ibudise nzira yako kuburikidza nemarara yako, iyo inoguma inopinda kuburikidza neinus yako.
Tsvina mukati mevhu redu, kusanganisira iyo yemimba yako, rectum, uye anus, inofanira kushanda pamwe chete kuti ive nechepakati pechigaro chechigaro. Mishonga yemarara yako inobaya inosanganisira levator ani musungo uye puborectalis muscle.
Nzira yemarara inewo ma- sphincters maviri, mukati me sphincter, uye kunze kwephincter, iyo inokubatsira kuti urambe uchienderera mberi.
Mu dyssynergic defecation, zvinoratidzika kuti kubatana pakati pemisumbu inoumba pasi yepacvic haina kukwana. Mukuedza kunzwisisa zvinenge zvisina kuitika muDyssynergic defecation, kunyatsotarisirwa kunopiwa ku puborectalis muscle uye mukati nekunze sphincters ye anus.
Kuputika kusina kunaka uye / kana kuti kuporesa kwemasumbu aya munguva yekufamba kwezvirwere zvinoita seicho chikuru chinokonzera dambudziko racho.
Kuita kuti zvinhu zvifambise mberi, pane humwe uchapupu hwokuti vamwe vanhu vanotambura nedyssynergic defecation vane kukanganisa mukuona kwavo kwechigaro mukati me rectum. Izvi zvinogona kutungamirira kushayikwa mazano pamusoro pekudiwa kwekutanga kufamba kwechirwere, nekudaro kuwedzera dambudziko rekudzivirira.
Kuti uzviverengedze, dyssynergic defecation inokonzera matambudziko anotevera:
- Vasina njere vanoziva kudiwa kwekuzvidzivirira
- Kusakundikana kunamatira
- Rectal contraction haina kukwana
- Kusiyanisa kwepurborectalis muscle apo inofanira kunge ichizorodza
- Kusiyana kwemukati nekunze sphincters apo vanofanira kunge vachizorora
- Kubatanidzwa kweimwe yezvataurwa pamusoro apa
Muzviitiko zvizhinji, hapana chinhu chakasiyana chinogona kuonekwa sechichiita dyssynergic defecation. Kune vamwe vanhu, dambudziko rinotanga muhuduku. Zvimwe zvikonzero zvakave zvichinzi:
- Kubereka
- Kuberekwa
- Kukuvara kwakanyanya
- Ramba ruchidzoka rwakaoma
- Kushungurudzwa pabonde
Zviratidzo
Zviratidzo zveDyssynergic defecation yakafanana neyekusagadzikana kusingaperi.
- Abdominal bloating
- Kunyanyisa kunetseka
- Kunzwa kusina kukwana kubuda
- Zvigaro zvakasimba
- Pasingapfuuri katatu kutama kwemafuro kwevhiki
- Digital kubuda (kushandisa zvigunwe kuti vabatsire mune kufamba kwechirwere)
Kuziva
Taura nachiremba wako kana iwe uchifungidzira kuti dambudziko rako rekudzivirira rinogona kuva chikonzero che dyssynergic defecation. Chiremba wako anogona kukurudzira mamwe maitiro ekuongorora uye ipapo achashanda newe kuti uronga hurongwa hwekurapa .
Mamwe mazita
Mamiriro eDyssynergic defecation akanzi nemazita akasiyana-siyana mumakore, kusanganisira:
- Anal sphincter dyssynergia
- Anismus
- Kudzivisa kuzvidzivirira
- Paradoxical puborectal contraction
- Pelvic pasi dyssynergia
- Pelvic outlet kudzivirira
- Spastic pelvic pasi syndrome
Sources:
> Dyssynergic Defecation: Pamusoro Pechimwe Chechikonzero Chekuchengetedzwa Kwekuchengetwa. IFFGD. https://www.iffgd.org/lower-gi-disorders/dyssynergic-defecation.html.
Rao, S. "Pelvic Floor Dysfunction" Revista de Gastroenterologia de Mexico 2010 75: 72-82.
Shim, L., et.al. "Kufananidza kwemagumisiro eanorectal biofeedback therapy kune varwere vane chivimbiso" Zvokudya zveParamende neTherapeutics 2011 33: 1245-1251.