Fecal incontinence , apo iwe usingazviwani wakazviwana uchipfuura, unogona kuva chiitiko chinotyisa zvikuru. Kana zvichiitika nguva dzose zvinogona kutora mararamiro ehupenyu hwomunhu, hupenyu hwehupenyu, uye hupenyu hwepabonde. Vanhu vane ruzivo rwekusaziva nguva dzose vanorwisana nemanzwiro ekunyadziswa kwakadzika, kunzwisisa kunetseka pamusoro pezviitiko zvemangwana, uye kuzviderera .
Fecal incontinence chinhu chinoshamisa, chinokanganisa kusvika 5 kusvika ku15 muzana yevanhu (avo vanonyatsorondedzera dambudziko!) Uye kusvika ku50 muzana yevanhu vakuru vanogara mumisha inochengeterwa vakwegura. Kana iwe pachako uri kutarisana nezviitiko zvekugezera, tapota usava kunyara zvakare kutaura nechiremba wako pamusoro pazvo. Chiremba wako ane chokwadi chokuti haasi kutonga uye anotsigira, uye iwe uchasunungurwa kudzidza kuti pane zvakawanda zvekugadzirisa dambudziko racho . Imwe nzira yakadaro, pamamiriro ezvinhu ayo mitemo yepamutemo yekurapa haina kukwana, ndiko kushandiswa kwe sacral nerve stimulation.
Sacral Nerve Stimulation
Sacral nerve stimulation, zvichida inozivikanwa se sacral neuromodulation, ndiyo inopindira mune zvehutano iyo yakatanga kugadzirwa sechirwere chezviitiko zvechirwere . Kurapa kunosanganisira kuiswa kwema electrode munzvimbo umo sacral yako inowanikwa. Izvi zvinokonzerwa nemagetsi akaiswa mukati meganda rako munzvimbo yako yakaderera kumashure pedyo nemukona wako.
Izvi zvinowanzobatanidza kune chigadzirwa chinotumira mashoma emagetsi emagetsi kuti awedzere mitsipa iyi.
Kufunga kwepakutanga mushure mekurapa uku ndiko kuti kukurudzirwa kwematambudziko aya kuchavandudza kushanda kweanamato ako sphincter nemisungo mukati mevhu rako . Kushandiswa kwechigadzirwa kwakagamuchirwa semushonga we fecal incontinence neU.S. Food and Drug Administration muna 2011.
Mushonga wacho chaizvoizvo unotora matanho maviri. Kana iri danho rekutanga, mitungamiri inowanikwa mukati memuviri wako, asi chigadziro chinokurudzira chinoramba chiri kunze kwemuviri wako nechechi chiduku chakaiswa muchiuno chako. Izvi zvinowanzoitika achishandisa anesthesia. Iwe uchazobvunzwa kuchengeta diari yezviratidzo kwemavhiki maviri kusvika matatu matatu. Chiremba wako achazoshanda kuti agadzirise chigadziro kuti aedze kuigadzirisa kune zvido zvemuviri wako. Chiremba wako angakukurudzira kuti uzvidzire zvimwe zvezvinhu zvako kuburikidza nenguva iyi yekuedzwa.
Pakupera kwechikamu ichi chekutanga, kana uri kuwana rubatsiro kubva pamushonga uye chikwata chacho chinoenderana nemuviri wako, chechipiri nzira ichaitwa kuti uise chigadzirwa pasi peganda rako munzvimbo yako. Ikoko-pasi-i-ganda rekugadzirisa nzira inongogadziriswa kwauri kana zviitiko zvako zvinopisa zvichatsikwa nehafu nekushandiswa kwechigadzirwa. Iyo yakagadzirwa inogona kuenderera mberi kugadziriswa kushandiswa kwekunze kunze kwekushandisa chipangizo chekushandisa.
Ndiani Akasarudzirwa Sacral Nerve Stimulation?
Sacral nerve stimulation haichazofungi kusvikira kushandiswa kwekugadziriswa kwekodzero kwave kwakaedzwa. Kana kuregererwa kwakakwana kwezviratidzo zvisingakwanisi kubudirira mushure mokuedza kudya kwekudya uye kuchinja maitiro uye zvishoma zvisingasviki maitiro, sacral nerve stimulation inogona kukurudzirwa.
Kurapa kunoratidzika kunobatsira kune avo vanove vasina chekuita nekudzivisa (kusazvipira kunokonzera) uye kukurudzira incontinence (kwete kuenda kuvheji pane imwe nguva). Kurapa kunogona kubatsira kune fecal incontinence inobva kune zvakasiyana-siyana zvinokonzera, zvakadai se:
- Kutevera kuberekwa : anal sphincter misodzi kana kushungurudzika kwemitsipa
- Zvinetso zvehutano
- Kubva kusingazivikanwi kwakabva (idiopathic fecal incontinence)
Pano panewo tsvakurudzo yekusimbisa iyo sacral nerve stimulation inogona kubatsira kana iwe uri kutarisana nemukati pamwe nekushaya fecal incontinence panguva imwe chete.
Zvakaita Sei Sacral Nerve Kushushikana?
Izvo zvisingazivikanwi ndezvipi izvo sacral nerve stimulation inoita iyo inovandudza dambudziko rekushaya unhu.
Tsanangudzo dzakawanda dziri kuongororwa. Kunyangwe pfungwa dzinowanikwa dzinogona kuratidza kuti kushushikana kwehutano kunovandudza kushanda kwepasi pepadvic uye anal sphincter mitsipa, tsvakurudzo haisi kureva kupa uchapupu hunoshamisa hweizvi. Imwe nyanzvi ndeyokuti kukurudzira kuri kuvandudza chiito chemuviri wekoloni yose. Panewo humwe uchapupu hwokuti mishonga inoshandiswa inoshandiswa muzvikamu zvehuropi zvinodzora continence.
Inobatsira Sei?
Nenzira yakawanda, sacral nerve stimulation inoratidzika seinobudirira, zvishoma zvisingabatsiri kurapa. Kuva nayo sechisarudzo kwakaderedza mazinga ekuvhiya kugadzirisa anal sphincter. Mavambo ekutanga anogona kuva anonakidza, nekutsvakurudza kunoratidza kuderedza kukuru kwezviratidzo zvinowanikwa ne40 kusvika ku80 muzana yevanhu vane nzira. Izvi zvinowanzoguma zvakasimba kwegore rimwe chete. Dzidzo dzakaratidza kuti kusvika makumi mapfumbamwe kubva muzana yevanhu vanofamba nenzira iyi vanofara zvikuru nemigumisiro uye vanorondedzera kuti kurapa kwawedzera hupenyu hwavo. Inenge 25 kubva muzana yevanhu vane chigadziriro vanogona kuona kuderera kwechiratidzo chekuvandudza zviratidzo munguva. Chinhu chinonyanya kukonzera kupera ndechokuti zvinoda kudiwa zvakare zvekuvhiya.
Migumisiro Yechechi yeServral Nerve Stimulation
Nzira yacho pachayo inotakura zviduku. Zvisinei, nokuti inorapwa nzira ine ngozi shoma yekutapukirwa. Nekunyanya kunetseka ndechokuti iwe unofanirwa kuve nekuziva nezvezvinodikanwa zvekuvhiyiwa. Chigadzirwa chacho chinogona kutarisana nezvinetso zvemagetsi zvinosanganisira kushandurwa. Ichi chiyero chekuvhiya kwepamusoro hachisi chinhu chisina basa, nekutsvakurudza kunoratidza kuti inogona kudiwa kune mumwe chete wevashanu vese vane chigadzirwa. Dambudziko rekuda chigadziro chekugadziriswa zvakare rinowedzera kupfuura nguva.
Zvaunotarisira Kana Uchigara NeDhidhiyo Inosimudzira
Munyaya yakanakisisa, kurarama nemutambo zvinoreva kuti iwe uchave wakasununguka kurarama hupenyu hwako usinganetseki nezvekuwana njodzi dzinokonzera. Iwe uchadzidziswa pamusoro pekuti iwe "udzibvise" sei zvigetsi zvemagetsi kana iwe wakagadzirira kuve nekufamba kwechirwere. Kana iyo faira iri yakakwirira kwazvo, unogona kutyisidzirwa zvishoma. Kana iyo sarudzo yakanyanya kuderera, iwe ungasave uri kuwana zvizere zvikomborero. Nokuda kwemigumisiro yakanakisisa, iwe ucharamba uchitaura nachiremba wako kuti uone kuti zvigadziri zvakakunakira iwe.
Alternative Treatments for Fecal Incontinence
Kunyange zvazvo sacral nerve stimulation inofungidzirwa kuchengetedzwa kwakakwana kwekurapa kwekuenzanisa kune zvakanyanya fecal incontinence, haisiyo chete nzira inowanika. Heano mimwe mienzaniso yezvimwe zvezvinhu izvo chiremba wako anogona kukurudzira kwauri:
- Kudzivisa kudya uye zvinwiwa zvinogona kukonzera njodzi yako yengozi. Izvi zvinosanganisira zvinodhakwa, zvinwiwa ne caffeine, zvokudya zvinonaka, uye zvakawanda zvezvibereko.
- Kuwedzera kudya kwako kwezvokudya zve fiber . Dhiyabhorosi fiber inogona kubatsira kuchengeta zvigaro zvakasimba, izvo zvinobatsira muviri wako kuti uchengetedze fecal nyaya kusvikira iwe wakanyatsogadzikana uri mudzimba. Dietary fiber inogonawo kubatsira kuchengetedza zvigaro zvinyorovesa, nekudaro kukurudzira kufamba kune vanhu vakazvidzivirira uye naizvozvo kuderedza chiitiko chechigaro chinoputika chakakomberedza chigaro chinoshandiswa.
- Chiremba wako anogona kukurudzira kuti ushandise fiber supplement yakadai seMetamucil yekuvandudza kugadzikana kwechigodhi uye kukurudzira kushambadzira nguva dzose.
- Chiremba wako anogona kukurudzira kushandiswa kwemishonga inorwisa-diarrheal yakafanana neImodium .
- Mishonga inogona kurongerwa kuti igadzirise chero mamiriro ezvinhu aripo anokonzera kushaya kwako.
- Kana fecal impaction idambudziko risingagumi (kunyanya kune vakwegura vanogara mumisha inochengeterwa vakwegura), chirongwa chekurapa chinosanganisira kushandiswa kwefospositi, enemas uye / kana muromo wemarara zvinogona kukurudzirwa.
- Ikoko kune gel injectable inonzi Solesta iyo inowedzera hukuru hwehutundu hwemhuka. Izvi zvinogadzira kuvhura kwakaderera kunovandudza kukwanisa kwako kuchengeta chigaro.
- Pane zvimwe zvishoma zvisingashandisi zvinorapwa zvinogona kutarisa nekuvandudza zviratidzo zve fecal incontinence. Izvi zvinosanganisira:
- Biofeedback
- Pelvic pasi muviri (Kegels)
- Electrostimulation
Sources:
Benezech A, Bouvier M, Vitton V. "Faecal incontinence: Current knowledges and perspectives" World Journal of Gastrointestinal Pathophysiology 2016; 7 (1): 59-71.
Bielefeldt K. "Zvakaipa zviitiko zve sacral neuromodulation ye fecal incontinence yakashumirwa kune federal drug administration" World Journal of Gastrointestinal Pharmacology and Therapeutics 2016; 7 (2): 294-305.
Duelund-Jakobsen J, Worsoe J, Lundby L, Christensen P, Krogh K. "Kutarisa kwevarwere vane fecal incontinence" Kurapa Kubudirira muGastroenterology 2016; 9 (1): 86-97.
Wald A. "Kuvandudzwa kwekutungamirirwa kweFecal Incontinence yeGastroenterologist" Gastroenterology & Hepatology 2016; 12 (3): 155-164.