Mea Kākau: Lewis Jackson
Lā O Ka Hana: 11 Mei 2021
HōʻAno Hou I Ka Lā: 17 Nowemapa 2024
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He aha kāu e ʻike ai e pili ana i ka Incontinence Fecal - Ola Kino
He aha kāu e ʻike ai e pili ana i ka Incontinence Fecal - Ola Kino

Anter

He aha ka incontinence fecal?

ʻO ka incontinence fecal, i kapa ʻia hoʻi ka malo ʻole o ka ʻōpū, he nalowale ia o ka mana ʻōpū e hopena ai i ka neʻe ʻole ʻana o ka ʻōpū. Hiki i kēia ke hele mai kahi ala hele ʻole i ka nui o ka pahu i ka lilo ʻana o ka mana o ka ʻōpū.

Manaʻo kekahi poʻe me ka hemahema fecal i ka neʻe ʻana o ka ʻōpū akā ʻaʻole hiki iā lākou ke kali a hiki i kahi lumipaku. ʻAʻole manaʻo ka poʻe ʻē aʻe i ke ʻano o ka neʻe ʻana o ke ʻōpū e hālia nei, e hele nei me ka ʻike ʻole o ka pahu.

Hiki i ka incontinence fecal kahi kūlana hōʻoluʻolu ʻole, akā hiki ke hoʻomaikaʻi me ka lāʻau.

He aha ke kumu o ka incontinence fecal?

Hilinaʻi ka mana ʻōpū i ka hana kūpono o ka:

  • nā mākala pelvic
  • ka pololei, kahi o ka welau o ka ʻōpū nui
  • nā mākala sphincter anal, nā mākala i ka anus
  • ʻōnaehana mānoanoa

ʻO ka ʻeha i kekahi o kēia mau wahi ke hopena i ka incontinence fecal.

ʻO nā kumu maʻamau o ka incontinence fecal:


Ka hopena o ka fecal

Hiki i ka paʻa paʻa paʻa ke alakaʻi i kahi impek fecal. Hana ʻia kēia ke paʻa ka pahu paʻakiki i ka pā. Hiki i ka stool ke hoʻolōʻihi a hoʻonāwaliwali hoʻi i ka sphincter, kahi e hiki ʻole ai i nāʻiʻo ke hoʻokū i ka hele maʻamau.

ʻO kekahi pilikia o ka hopena fecal ka leage o ka wai fecal mea ma o ka anus.

Pohā

ʻO ke diarrhea ka hopena o nā noho hemo a wai paha. Hiki i kēia mau pahu kuewa ke kumu i kahi pono e neʻe koke ai kahi ʻōpū. Hiki wawe ka pono a ʻaʻole lawa kou manawa e hiki ai i kahi lua.

Hemorrhoids

Hiki i nā hemorrhoids kūwaho ke pale i ka sphincter mai ka panina loa ʻana. Hāʻawi kēia i ka noho leʻa a me ka mucus e hala me ka ʻole.

Poino Muscle

ʻO ka hōʻino i ka sphincter anal e pale i nā mākala mai ka paʻa paʻa ʻana o ka anus. ʻO ke kaha ʻana a i ʻole kokoke paha i ka anorectal region, trauma, a me ka constipation hiki ke hōʻino i nā mākala sphincter.

Poino nerve

Inā hōʻino nā aʻalolo e kāohi ana i ka neʻe ʻana o ka sphincter, ʻaʻole e pani pono nā mākala sphincter. Ke hiki kēia, ʻaʻole paha ʻoe e makemake e hele i ka lua.


ʻO kekahi mau kumu o ka hōʻino nerve ke:

  • hōʻeha mai ka hānau ʻana
  • paʻa paʻa
  • hahau
  • mimikō mellitus
  • mau sclerosis (MS)

ʻO ka pelvis pelvic papa hana

Hiki i nā wahine ke hōʻeha i nā mākala a me nā aʻalolo i kā lākou pelvis ʻoiai e hānau ana, akā ʻaʻole e ʻike koke ʻia nā ʻōuli o ka pelvic floor. Kū paha lākou i mau makahiki ma hope. Komo pū nā pilikia:

  • nāwaliwali o nā mākala pelvic i hoʻohana ʻia i ka neʻe ʻana o ka ʻōpū
  • ke kīpoki pololei, ʻo ia ka wā e puka aku ai ka ʻūholo ma o ka anus
  • rectocele, ʻo ia ka wā e huehue ai ke kīhā i lalo i ka ʻōpū

Hiki paha i kekahi mau kāne ke hoʻomohala i ka pelvic papa hana.

ʻO wai ka mea e makaʻu i ka pono ʻole o ka fecal?

Hiki i kekahi ke ʻike i ka incontinence fecal, akā ʻoi aku paha ka loaʻa ʻana o kekahi poʻe ma mua o nā poʻe ʻē aʻe. Hiki paha iā ʻoe ke makaʻu inā:

  • ʻoi aku ʻoe i ka makahiki 65
  • he wahine ʻoe
  • he wahine hānau ʻoe
  • loaʻa ʻoe i ka paʻa paʻa mau
  • he maʻi kou a he ʻeha paha i hōʻeha i nā nerve

Pehea e ʻike ʻia ai ka incontinence fecal?

E hana kāu kauka i kahi mōʻaukala olakino piha a me ka loiloi ʻana i ke kino e kuhikuhi i ka incontinence fecal. E nīnau aku kāu kauka iā ʻoe e pili ana i ke alapine o ka incontinence a ke hiki mai ia, a me kāu papaʻai, nā lāʻau, a me nā pilikia olakino.


Hiki i nā hoʻokolohua aʻe ke kōkua i ka ʻike i kahi kuhi.

  • ninaninau kikohoʻe o ka ʻāpana o ka rectal
  • moʻomeheu noho
  • barium enema (fluoroscopic X-ray o ka ʻōpū nui, e like me ke kolona a me ke kiko, me ka barium ʻokoʻa)
  • hoʻāʻo koko
  • electromyography (e hoʻāʻo i ka hana o nā mākala a me nā aʻalolo e pili ana)
  • ultrasound anorectal
  • proctography (kiʻi wikiō X-ray i ka wā o ka ʻōpū)

Pehea e mālama ai i ka incontinence fecal?

ʻO ka mālama ʻana no ka incontinence fecal kaukaʻi ʻia i ke kumu. ʻO kekahi o nā koho lapaʻau me:

Meaʻai

ʻO nā mea ʻai e kūpale ai i ka diarrhea a i ʻole ka constipation ʻike ʻia a hoʻopau ʻia mai ka papaʻai. Hiki i kēia ke kōkua i ka normalize a me ka hoʻoponopono ʻana i ka neʻe ʻana o ka ʻōpū. Paipai kāu kauka i ka hoʻonui ʻana o nā wai a me kekahi mau ʻano fiber.

Nā Lapaʻau

No ka maʻi palahū, nā lāʻau antidiarrheal e like me loperamide (Imodium), codeine, a i ʻole diphenoxylate / atropine (Lomotil) i kuhikuhi ʻia e hoʻolohi i ka neʻe ʻana o ka ʻōpū nui, i ʻae i ka hele ʻana o ka noho. Hiki i kāu kauka ke koi aku i nā mea hoʻoliʻiliʻi fiber no ka paʻa paʻa.

Hoʻomaʻamaʻa hou i ka ʻōpū

Ma hope o ka hoʻomaʻamaʻa hou ʻana i ka ʻōpū hiki ke hoʻoikaika i ka neʻe ʻana o ka ʻōpū. Hiki i nā ʻāpana o kēia maʻamau ke hoʻopili i:

  • e noho ana ma ka lua i kahi papa manawa maʻamau
  • e hoʻohana ana i nā suppositories o ka pololei e hoʻoulu ai i ka neʻe ʻana o ka ʻōpū

Nā lole ʻaʻano incontinence

Hiki iā ʻoe ke komo i nā kapa komo lalo i hoʻolālā ʻia no ka pale i hoʻohui ʻia. Loaʻa kēia mau lole i nā ʻano hoʻoluhi a hoʻohana hou ʻia, a hoʻohana kekahi mau māka i ka ʻenehana e hoʻoliʻiliʻi i nā pilau.

Hoʻomaʻamaʻa Kegel

Hoʻoikaika nā hana Kegel i nā mākala pelvic papahele. Pili kēia mau hana i kahi maʻamau o ka hana mau ʻana i nā mākala e hoʻohana ʻia i ka hele ʻana i ka lua. Pono ʻoe e nīnau i kāu kauka e aʻo i ke ala pololei e hana ai i nā hana.

ʻO Biofeedback

ʻO Biofeedback kahi ʻano lāʻau lapaʻau ʻē aʻe. Me ia, aʻo ʻoe e hoʻohana i kou noʻonoʻo e kaohi i kāu mau hana kino me ke kōkua o nā mea ʻike.

Inā loaʻa iā ʻoe ka hemahema fecal, e kōkua ka biofeedback iā ʻoe e aʻo pehea e kaohi ai a hoʻoikaika ai i kou mauʻiʻo sphincter. I kekahi manawa kau ʻia nā lako olakino no ka hoʻomaʻamaʻa i kou anus a me kou kiko. A laila e hoʻāʻo kāu kauka i kāu hana i ka rectum a me ka anal sphincter muscle function.

Hōʻikeʻike ʻia ke kani o ka mākala ma ka papapihi kamepiula i hiki iā ʻoe ke nānā i ka ikaika o nā neʻe o nā mākala. Ma ka nānā ʻana i ka ʻike (ka "manaʻo"), aʻo ʻoe pehea e hoʻomaikaʻi ai i ka mana o ka mākala pololei (ka "bio").

ʻOki kino

Hoʻomaʻamaʻa nui ʻia ka lāʻau lapaʻau no nā hihia koʻikoʻi o ka incontinence fecal. Loaʻa he nui nā koho ʻoki lāʻau:

  • Sphincteroplasty. Lawe pū ʻia nā wēlau haehae o ka sphincter anal i mea e hoʻoikaika ai ka mākala a hoʻopaʻa ʻia ka sphincter anal.
  • Ke kuʻi mākala gracilis. Hoʻoneʻe ʻia ka mākala gracilis mai ka ʻūhā o loko a hoʻonoho ʻia a puni ka mākala sphincter anal e hoʻohui i ka ikaika a me ke kākoʻo.
  • Sphincter ʻimi hoʻopunipuni. ʻO kahi sphincter artipona kahi apo silikona i hoʻokomo ʻia a puni ka anus. Hoʻopau ʻoe i ka sphincter hana lima e ʻae i ka defecation a hoʻonui iā ia e pani i ka anus, ka mea e pale ai i ka liu.
  • Colostomy. ʻO kekahi poʻe i loaʻa i ka incontinence fecal koʻikoʻi e koho i ka hana ʻoki no kahi colostomy. I ka wā o kahi ʻoki ʻana o colostomy, hoʻokele kāu lāʻau lapaʻau i ka hopena o ka ʻōpū nui e hele ma waena o ka paia o ka ʻōpū. Hoʻopili ʻia kahi ʻeke hoʻolawe i ka ʻōpū a puni ka stoma, ʻo ia ka ʻāpana o ka ʻōpū e hoʻopili ʻia i ka puka i hana ʻia ma o ka ʻōpū. Ma hope o ka pau ʻana o ke kaha ʻana, ʻaʻole hele nā ​​noho ma waena o ka anus akā hakahaka ʻia mai ke stoma i kahi ʻeke hoʻolawe.

Solesta

ʻO Solesta kahi gel i hoʻokomo ʻia i ʻae ʻia e ka Food and Drug Administration (FDA) i ka makahiki 2011 no ka mālama ʻana i ka incontinence fecal. ʻO ka pahuhopu o Solesta therapy ka hoʻonui i ka nui o nā kiko o ka pololei.

Hoʻokomo ʻia ka gel i loko o ka paia o ka anus a hoʻemi kūpono a mālama ʻana paha i ka incontinence fecal i kekahi poʻe. Hana ia ma o ka hoʻonui ʻana i ka hapa nui a me ka mānoanoa o nā iwi anal, kahi e hoʻopili ai i ka wehe ʻana o ka anal a kōkua iā ia e pili paʻa loa.

Pono e lawelawe ʻia kahi solesta e kahi ʻoihana ola.

Hiki ke pale ʻia ka incontinence fecal?

ʻO ka ʻelemakule, ka trauma i hala, a me kekahi mau kūlana olakino hiki ke alakaʻi i ka incontinence fecal. ʻAʻole hiki ke pale ʻia ke ʻano. Eia naʻe, hiki ke hoʻēmi ʻia ka makaʻu me ka mālama mau ʻana i ka neʻe ʻana o ka ʻōpū a me ka mālama ʻana i nā mākala pelvic ikaika.

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