Kana iwe wakanga uine zviitiko zvekugezera zvine chokuita nemarumbo ako ( fecal incontinence ), unogona kuwana nyaradzo mukuti iwe hausi woga. Inofungidzirwa kuti aya marudzi ezviitiko zvinopisa anowanikwa 6 kusvika ku15% yevanhu. Incontinence inoitika kune varume nevakadzi uye haisi chikamu chekukwegura, kunyange chiitiko chako chekushaya unhu hunowedzera sezvaunokura.
Kuwana zivo pamusoro pezvinokonzera kukanganisa kwako zvakakosha kukubatsira kuwana mishonga yakanakisisa iyo. Pano tichaona zvikonzero zvikuru nei izvi zvingave zvichiitika kwauri.
Diarrhea
Kukurumidza uye kukurumidzika kwekufamba kwemamota kunogona kukanganisa kukwanisa kwemasiphincter musungo mu rectum kubata chigaro panzvimbo. Vanhu vanotambura nemamiriro ezvinhu anokonzera chirwere chisingaperi, chakadai sechirwere chinonzi bowel syndrome (IBS) kana chirwere chinoputira chirwere , chinogona kuitika zvikamu zvekudzivirira. Chirwere chinokonzera chirwere chinogona kukonzera kukanganisa kwemakumbo, izvo zvinogona kutungamirira kusina kudzivirira.
Constipation
Kunyange zvazvo inoratidzika kunge inobhururuka muchitarisiko chemafungiro, zvinokwanisika kuti uwane kuvhiringidzwa paunenge wanyongedzwa. Izvi zvinoitika kana mvura yakadzika ichikwira munzira yayo yakaoma kumativi ose akaoma, akabatanidzwa chigaro chechigaro. Nhoroondo yakareba yekushungurudza kuti ibudise chigadziko (kazhinji kuguma kwechigadzirwa chechirwere chisingaperi), chinogona kukuvadza mitsipa mumisungo ye rectum, zvichikonzera kusava nesimba uye kusakwanisa kuva neshoko.
Pane dzimwe mimwe miviri iyo inobatana nekudzivirira kunogona kukonzera fecal incontinence:
- Fecal Impaction
- Kushandiswa kwenguva refu kwenguva refu
Kubereka
Kune vakadzi, kuberekwa ndiko kunokonzera kukanganisa. Zvinonyanya kuitika zvichienderana nekutengeswa kwakaoma, kunyanya kana mashizha anoshandiswa kana kuti episiotomy inoitwa.
Chirwere chepisiotomy ndiyo nzira iyo chiremba anochera vagari kuitira kuti nzvimbo yacho irege kubvaruka. Dambudziko iri pano nderokuti mitsipa ye-sphincter - misungo iri pasi pechipfuva iyo ine basa reine chigadziko-yakanganisa mukugadzirisa. Izvi zvinogona kuvadzivirira kuti vasachengetedze zvakakwana chigaro, zvichiita kuti kusava nehanya. Kuberekwa kwechigarire kunokonzerawo mungozi yevakadzi kuti awane dambudziko rekupera pasi, izvo zvauchaona pasi apa, ndizvo zvinokonzera fecal incontinence.
Kuti udzidze zvakawanda pamusoro pehukama pakati pekuberekwa kwevana uye zviitiko zvekugezera, ona:
Pelvic Floor Dysfunction
Izwi rokuti "pasi pedvic" rinoreva boka remaviri mumatunhu ekudzivirira ayo anobatanidzwa mukugadzirisa kwechikwata chemuviri. Kusagadzikana uye kukanganiswa kwemishuvo mumisumbu yepelvic kunogona kuva mugumisiro wokuzvitakura, kubereka pamuviri, nekuvhiyiwa kwepachevic. Chipfevhesiti chisina kukwana pasi chinokonzera kushaya simba nekuputika mumisungo yepelvic, kukwanisa kuderedzwa kwemitsipa ye rectum kuti ione kuvapo kwechigaro, uye kuora mwoyo mukufamba kwemisungo inobatanidzwa mukuderedza-iyo yose kunogona kutungamirira kune incontinence.
Dzvanya pasi pasi kuti udzidze zvakawanda pamusoro pekushaya simba kwepadvic pasi:
Rectal Surgery
Chero hupi hupi hwehutachiona hunobata, kana huri hwekenza yekoloni kana yehemorrhoid s, inomutsa dambudziko rako rekushaya unhu. Kutaura zvazviri, kuvhiyiwa kwechiri chikonzero chinonyanya kukonzera kusava nemurume. Kuvhiya, sekuberekwa kwevana, kunogona kukonzera musuru uye mhirizhonga inokonzera izvo zvino zvinopesana nehutano hwehutachiona . Kuvhiya kunopawo njodzi yekuvhara masvingo emadziro, zvichiita kuti varasikirwa. Izvozvo zvinokonzerwa nokusakwanisa kweiyo rectum kutambanudza kunogona kukonzera kuoma kunenge chigaro uye naizvozvo incontinence inoitika.
Visible Structural Problems
Sezvaunogona kuona, kana pane chimwe chinhu chiripo chinopesana nekushanda kwemaitiro emaronda emhembera, chirwere chekugezera chinogona kuitika. Dzimwe nguva chinokonzera chinhu icho chiremba wako anogona kuona nyore nyore panguva yekuongorora mumuviri:
- Zvinyoro zvinoputika
- Rectal prolapse
- Rectocele (iyo inokonzera kubuda mumudzimai)
Cancer Radiation Treatment
Kufanana nekuvhiyiwa kwemawere, kurapwa kwemaawa kunogona kukonzera kukanganisa uye kupera kwemasvingo emadziro anotungamirira kusina kudzivirira.
Neurological Conditions
Zvirwere uye mamiriro ezvinhu anokanganisa nerve tissue anogonawo kukonzera kusagadzikana, kunyanya kana kunokonzera mishonga inodzora defecation. Mamiriro aya anosanganisira multiple sclerosis, chirwere, musana wemugunha, uye chirwere cheshuga.
Chii Chingaita Kana Uri Kuve neAkavanze Dzemabhadharo
Chinhu chinonyanya kukosha kuita ndechekuudza chiremba wako. Usarega nyadzi dzikaenda munzira! Izvi hazviwanzogadzirisa dambudziko uye chiremba wako achaziva zvaanofanira kuita. Chiremba wako achashanda kuti ataure dambudziko riri shure kwezviitiko zvako uye akubatsire kuti uuye neurongwa hwekurapa.
Sources:
"Bowel Incontinence" Medline Plus Website.
"Fecal Incontinence" National Institute for Diabetes uye Digestive uye Kidney Diseases Website.
Landefeld, C. et.al. National Institutes of Health State-of-the-Science Conference Statement: Kudzivirira kweFecal uye Urinary Incontinence muAdults Annals yemukati wemishonga 2008 148: 449-458.
Lunniss, P. et.al. "Zvinhu zvinokuvadza zvinowanikwa mukunyengedzera kwechifeecal" Journal of the Royal Society of Medicine 2004 97: 111-116.