Chronic Anal Pain
Kana chiremba chako chichiwana iwe nevator ani syndrome, ungangodaro usina kunzwa nezvechiitiko ichi chinounza kurwadziwa kunorwadza kusingaperi . Dzidza zvakawanda pamusoro pezviratidzo zvaro, kuti zvinowanikwa sei, uye ndezvipi zvingasarudzwa pakurapa.
Chii Chinonzi Levator Ani Syndrome?
Levator ani syndrome (kana levator spasm) inoratidzika sechirevo proctalgia . Chirwere cheproctalgia chirwere chehutano umo vanhu vanowirwa nekurwadziwa kwechirwere chenguva refu chinouya mumhando mbiri: levator ani syndrome uye zvisingazivikanwi zvinoshanda zvinorwadza zvinorwadza.
Pane musiyano pakati pezviviri. Vanhu vane levator ani syndrome vanorondedzera unyoro mumusana wemusara wemapapiro apo inobatwa panguva yekuongorora .
Inofungidzirwa kuti levator ani syndrome inokanganisa anenge 7 muzana yevakadzi vose uye 6 muzana yevarume vose. Zvikonzero zvinoita kuti munhu ave nehutachiona hazvisi pachena.
Kutsvakurudza kwakawana kuti dyssynergic defecation -mamiriro ezvinhu umo kusina kushanda nenzira iyo misoro yepelvic pasi-inogona kuita basa mukuvandudza kwehutano. Munhu angavewo ari pangozi yakakura yekudzidzira levator ani syndrome mushure mekuberekwa kana kuvhiyiwa kwepamusoro, anus, kana pelvic.
Zviratidzo
Vanhu vane levator ani syndrome vanoona kurwadziwa kwenguva refu uye kwenguva yakareba kumusoro uko mu rectum yavo. Zvinorwadza zvinowanzoitika uye zvinorondedzerwa sechinhu chisina kunaka kana chinetso chekumanikidza. Zvinorwadza uye kushungurudzika zvinowanzonyangadza apo munhu agere uye agoderedza apo ivo vamire kana kurara pasi.
Kuziva
Kungofanana nezvimwe zvirwere zvinokonzerwa nemimba (FGD), levator ani syndrome inowanikwa mushure mokunge mamwe mamiriro ezvinhu ehutano akadzingwa kunze. Izvi zvinoreva kuti iwe unongotarisana nemuedzo wekutsvaga uyo chiremba wako anoona zvichidikanwa kuti atonge zvimwe zvinetso.
Kuongororwa kunobva kwaitwa maererano neRoma Rome inyanzvi yekodheta yakaipa.
Izvi zvinotaura kuti munhu wacho anofanira kunge akawana zvikamu zve "marwadzo asingagumi kana achidzokorora zvakare kana anorwadza" anogumira kwemaminitsi makumi matatu. Munhu wacho anofanirawo kuva netsitsi ye puborectalis muscle (chikamu cheviti ani musumbu boka) painobatwa panguva yekutengesa.
Treatment Options
Nzira dzekurapa zvechirongwa zvevashandi ani syndrome dzaisanganisira kushandiswa kwemazizi ekuzorora kana digita yekuita zvepamusoro kuburikidza nehutano hwehutano. Hapana yemishonga iyi yakaratidzwa kuti inonyanya kubudirira pakugadzirisa zviratidzo.
Electrogalvanic stimulation uye biofeedback zvakaratidzwa kuva sarudzo dzakanakisisa kune vamwe varwere. Kutsvakurudza kunoratidza kuti biofeedback inogona kunge iine ruzivo rwakanyanya mukubudirira.
Izvo zvinogona kurapwa kushandiswa kwevashandi ani syndrome iri kuongororwa iko Botox. Kusvika iye zvino, zvidzidzo zvave zviduku uye zvakabereka migumisiro yakavhenganiswa. Sezvo Botox inowanzoonekwa seyakachengetedzwa kusachengetedzwa kwezvinetso zvakasiyana-siyana zvehutano, zvichave zvichifadza kuona kana vanotsvakurudza vachiri kuramba vachitsvaka urongwa hwekutsvaga.
Pano pane imwe nhoroondo yakanyorwa iyo murwere akawana zororo pashure pematatu ekurapa. Zvisinei, vanachiremba vanobvuma kuti zvimwe zvidzidzo zvinotarisirwa kuti zvione kana ichi chiri mushonga unoshanda.
Shoko Rinobva
Kana uri kutambura kurwadziwa kusingagumi kana kukanganisa, ita chiremba nachiremba wako kuti uwane hutano hwakanaka. Mushure mokunge uongororwa nevator ani syndrome, iva nechokwadi chekutaura nachiremba wako nezvesarudzo dzinogona kuraswa.
> Sources:
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> Chiarioni G, Asteria C, Whitehead W. Chronic Proctalgia uye Chronic Chronic Pelvic Pain Syndromes: New Etiologic Insights uye Treatment Options. World Journal of Gastroenterology. 2011; 17 (40): 4447-4455. doi: 10.3748 / wjg.v17.i40.4447.
> Drossman DA, Chang L, Chey WD, Kellow J, Tack J, Whitehead WE. Roma IV: Kushushikana Kwemakumbo Matambudziko: Kusagadzikana kweKubatana kweBut-Brain . Raleigh, NC: Rome Foundation; 2016.
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