Iyi Hurukuro yakakosha iri Chaizvo Zveviri Muscle
An anal sphincter iboka remisungo pamugumo we rectum iyo inopoteredza anus uye inodzora kusunungurwa kwechigaro, nokudaro kuchengeta continence. Kune miviri yemasiphincter musungo: imwe iri mukati uye imwe iri kunze. Mutsipa wekunze unobatsira kuchengetedza kendeni uye kuramba uchinge uri mu rectum. Kana pane kurasikirwa kwemasimba ekudzivirira mu sphincter, incontinence inogona kuitika.
Inhengo yemukati haisi pasi pekuzvipira asi asi inotungamirirwa nehutongi hwehurumende. Mutsipa wekunze unogona kuzvirongedza zvisingabatsiri (zvakanamatira uye zvisingawaniki). Iko mukati uye kunze kwemisungo inoshanda pamwe chete kuti ibvise chigamba kubva mumuviri kuburikidza nechikwata chemuviri.
Zvirwere Uye Mamiriro Evanhu Anonzi Sphincter Akabatana neBDD
Anal stenosis. Anal stenosis haisi yakakurumbira, asi inogona kuwirirana nekuputika kwechirwere chirwere (IBD) , uye muCrohn's disease kupfuura urcerative colitis. Mune anal stenosis, iyo yakaitwa sphincter inowedzera, kusvika pazvinenge zvakaoma kuva nechikwata chemuviri. Dzimwe zviratidzo zvinosanganisira kurwadziwa uye kubuda ropa. Izvi zvinogonawo kuitika mushure mekuvhiyiwa (kunyanya kubuda ropa) kana kusanganiswa nekodzero yekurasikirwa kana kutapukirwa.
Chirwere cheAlex Crohn. Nemhaka yokuti chirwere cheCrohn chinogona kukanganisa chero chikamu chemuviri wezvokudya kubva pamuromo kusvika kune anus, zvinogona kukanganisa anal sphincter.
Inofungidzirwa kuti vakawanda se1/3 yevarwere vane Crohn's disease vachave nezvinetso mumamiriro eperial (chikamu chemuviri wakakomberedza anus). Vanhu vane chirwere cheCrohn vanogona kukurira matambudziko mu anal sphincter, uye izvi zvinogona kusanganisira:
- Kushushikana : Chikamu chikamu chemafuro anounganidza mushure mehutachiona.
- Mafisiti : Kuvhiringidzika kunoputika mumugwagwa wakarera unogona kurwadza zvikuru.
- Fistulae : Fistula inharaunda isina kukwana pakati pemativi maviri emuviri, akadai seanus uye ganda.
- Kurerera mu anal sphincter
- Zvironda : Chironda chegomba kana chironda mukati mechidzitiro chechigadzirwa, zvakadai semasumbu akare.
Hemorrhoids (Makomba). A hemorrhoid ishaini yakakomberedza anus inoputika. Anenge munhu wose anogona kukura ropa, uye iyo inetso yakakosha kuvakadzi vane pamuviri, vanhu vane chirwere chinoputira chirwere (IBD), chero ani anowanikwa mushure mekudzivirira kana kuora, uye vanhu vanopfuura makore makumi mashanu.
Incontinence. Vamwe vanhu vane IBD vane hutachiona, kana kuti kusununguka kusununguka kwechigaro kubva mu rectum. Izvi zvinogona kuitika nekuda kwekutsvaira kwechirwere kana kuti kunogona kuva mugumisiro wekuvhiringidza kumisungo yechirwere chinonzi sphincter. Izvi zvinogona kuvhiringidzika zvikuru kuvarwere, uye kuwana kupisa kubva kuBD pasi pesimba kunokosha kudzivirira kuitika kwe fecal incontinence.
Kunobva:
Brisinda G, Vanella S, Cadeddu F, et al. "Kuvhipwa kweal anal stenosis." World Journal of Gastroenterology: WJG. 2009; 15: 1921-1928. 23 Nov 2015.
Lewis RT, Maron DJ. "Chirwere cheAnorectal Crohn's." Surging Clinic North Am . 2010 Feb; 90: 83-97. 23 Nov 2015.
MedlinePlus. "Hemorrhoids." US National Library of Medicine. 25 Sept 2015. 23 Nov 2015.