Yuav ua li cas mus so kom txaus lub sphincter nqaij ntawm lub qhov quav? Spasm ntawm lub sphincter ntawm lub qhov quav: Cov tsos mob thiab kev kho mob

Niaj hnub no peb xav tham txog cov rhiab qhov teeb meem. GI hauj lwm lom zem ntau thiab txiav txim seb peb lub xeev ntawm kev noj qab nyob, vigor thiab zoo siab. Thiab nws yog ib qho tseem ceeb tsis tau tsuas yog kev noj haus, tab sis kuj yog ib tug ruaj khov muab nchuav, yog li ntawd lub cev tsis tau xa cov khoom pov tseg. Heev zoo, Yog hais tias koj yeej tsis tau ntsib tej teeb meem, thiab thaum sawv ntxov mus tso quav tso tsis ua tsis kaj siab koom haum ua teb. Tab sis feem ntau cov neeg paub tag lawm cas ib tug spasm ntawm lub sphincter ntawm lub qhov quav. Cov tsos mob yog cov tsis tshua tsis kaj siab, nws yog ib tug mob thiab distension nyob rau hauv lub qis lub plab, uas yog nyuaj rau tswj tsis tau noj antispasmodic tshuaj. Niaj hnub no peb yuav tham txog qhov no tshwm sim thiab yuav ua li cas nrog nws ib tug me ntsis ntau.

Ib me ntsis txog cov physiological nta

Yuav ua li cas yog lub sphincter nqaij ntawm lub qhov quav? Qhov no nqaij cell. Nws yog nyob ncaj qha nyob rau hauv lub qhov quav, thiab yog npaj kom tswj tau qhov qee ntawm cov quav. Nyob rau hauv ib tes, nws ua lub locking muaj nuj nqi, thiab thaum twg muaj txaus txuam nrog ntawm loj - opens. Feem ntau nws yog ib tug tswj cov txheej txheem. qhov quav sphincter qhib xwb nyob rau hauv txoj cai qhov chaw (nyob rau hauv lub tais plob mus), tab sis tsis nyob rau hauv txoj kev hauv tsev los ntawm kev ua hauj lwm.

Mus ua hauj lwm seamlessly dhau lub sphincter, nws saum npoo yog hlua nrog ib tug loj tus naj npawb ntawm receptor hlwb, thiab lub puab ib feem - yog ib yam uas tus nqaij, uas tsim ib lub nplhaib. Thaum tus me nyuam yog me me, nws ua hauj lwm nyob rau hauv ib tug tej yam ntuj tso hom, uas yog, ib zaug muaj ib tug yuav tsum tau rau ib tug plob tsis so tswj zog yuav tsum tau. Raws li lawv tau hlob, thiab mus tso quav tso kev kawm rau cov sphincter ntawm lub qhov quav yuav ntau kawm, zoo tuav rov qab quav thiab roj cua.

Yuav ua li cas yog sphincter spasm

Qhov no yog tsis yog ib tug kab mob, tab sis tsuas nws manifestation, li ntawd, cov kws kho mob yuav tsum tau siv ib tug tag nrho cov mob los mus txiav txim yog dab tsi tshwm sim los no phenomenon. Thiab peb yuav pib nrog lub fact tias qhia rau peb yog dab tsi yog yus muaj los ntawm spasm ntawm lub sphincter ntawm lub qhov quav. Cov tsos mob yog sawv cev los ntawm qhov mob. Nws ua rau nws tsis kub lug thiab mob contraction ntawm cov leeg, uas yog nyob rau hauv ib tug puas siab puas ntsws los yog somatogenic xwm.

Zoo ib yam li yog raug rau feem ntau Proctologic pathologies, li ntawd, yog hais tias tus kws kho mob hais txog spasm ntawm lub sphincter ntawm lub qhov quav, nws yog meant tias lub organic txhab ntawm lub plob tsis so tswj ya ploj lawm. Uas yog, muaj mob ntawm undiagnosed etiology.

Nta ntawm tus kab mob no

Lub complex tsis yog tsuas yog ib tug mob. Tshwm sim nrog rau tej kab mob cov tsos mob mas feem ntau yog ntev thiab heev nyuaj. Tsis txhob lub plab rau qhov ntev ntawm nws cov kev kho mob, peb yuav tsis, txawm nrog sparing noj cov zaub mov tseem tsawv load rau nws. Ib qhov mob uas yog ib qhov nyuaj rau tshem tawm txawm muaj zog tshuaj, exhausting lub cev thiab psychologically. Feem ntau, ib tug neeg tuaj mus mloog qhov txaus ntshai mob, feem ntau oncological xwm, uas ntxiv aggravates nws tus mob.

Yog xav paub ntxiv txog cov tsos mob

Yuav ua li cas yuav koj xav tias koj muaj ib tug spastic sphincter, qhov quav? Tej yam yooj yim txaus. Loj heev, paroxysmal mob yuav tsis mus tsis ncaj ncees lawm. Nyob rau hauv cov ntaub ntawv no, nej yuav muaj kev nram qab no cov tsos mob:

• Mob mob paroxysmal cim, uas muab mus rau crotch. Yog li ntawd, cov neeg mob yuav sau ntawv tawm cov tsos mob nyob rau hauv lub mob raum kab mob, teeb meem ntawm lub pelvic kabmob.
• Thov nco ntsoov tias cov mob tej zaum yuav nrog cov ua los ntawm kev defecation los yog tshwm sim nyias los ntawm nws.
• Feem ntau tom qab da dej ntau npaum li cas mob abates, txawm hais tias nws tej zaum yuav xeem tsis dhau kiag li.
• Ib qho tseem ceeb point - qhov no yog vim li cas hais tias muaj yog ib tug spasm. Qhov no yog tus yuam sij rau unlocking, raws li zoo raws li lub sij hawm teem tseg kom txaus kho mob. Feem ntau cov feem ntau nws tsis yog txawm ntxias Somatogenic cov kab mob thiab psycho-lub siab lub ntsws: txoj kev xav, mob kev nyuab siab, thiab neurological teeb meem, raws li tau zoo raws li tsis txaus lub cev ua si.

Yuav ua li cas koj yuav tsum paub txhua leej txhua tus

Peb twb kov on no qhov teeb meem ib tug me ntsis, tiam sis nws yog ib qho tseem ceeb rau nrog no nam nyob rau hauv kom meej. Kev kho mob ntawm lub sphincter ntawm lub qhov quav, los yog es nws cov hauj lwm zoo nyob ntawm seb tus kws kho mob nkag siab txog qhov ua xwb. Vim hais tias ntawm dab tsi tshwm sim spasm? Qhov no tus nqaij contraction. Qhov no lwm los nrog sphincter yuav ua hauj lwm. Tab sis hais tias yog ib nrab woes. Los ntawm kev txo tus nqaij rub tshwm sim tej zaum pulsating mob txawv ntev thiab khov, lawv yog nias raws li qab haus huv thiab cov hlab ntsha.

Feem ntau cov feem ntau, qhov no pathology tshwm sim nyob rau hauv nruab nrab-hnub nyoog cov neeg. Nyob rau hauv cov ntaub ntawv no, qhov kev sib cais ntawm cov txiv neej thiab cov poj niam yog tsis pom, kev mob nkees muaj feem xyuam rau tag nrho cov. Yog vim li cas qhov chaw no yog kev kawm mus rau plab hnyuv chua? Qhov no yog vim zoo innervation. Uas nyob ntawm no nws yog:

• cem quav;
• o;
• ua txhaum ntawm mucosal sam xeeb;
• varicose leeg los yog cov hlab ntsha.

Raws li ib tug tshwm sim, tus neeg mob hnov mob heev uas yog tsis zoo amenable mus kho nrog tshuaj.

uas yuav muaj pab pawg neeg

Ua ntej peb yuav tham txog yuav ua li cas kom tshem tawm cov spasm ntawm lub sphincter ntawm lub qhov quav, peb yuav kub siab rau lwm tus taw tes. Muaj yog ib tug tej yam pab pawg neeg ntawm cov neeg mob nyob rau hauv uas kev pheej hmoo ntawm tus kab mob no yog feem ntau yuav. Cov no yog cov neeg:

• hlwb kauj;
• kev txom nyem los ntawm Cns ntshawv siab.

Raws li ib tug tshwm sim ntawm cov saum toj no pathologies tsim qhov quav spasm, uas yuav pab tau rau lub siab ntsws lability thiab, thiaj li, tus mob. Tsis tas li ntawd, qhov no syndrome yuav tshwm sim los ntawm ntau yam mob ntawm innervation. Qhov no yog ib lub txim ntawm kev poob plig los yog ib tug yooj yim yug. Feem ntau cov qhov quav sphincter spasm tshwm sim nyob rau hauv kev xav tsis ruaj tsis khov poj niam. Txiv neej nyob rau hauv pawg no yog rarer, txawm hais tias kev sib deev cim, raws li peb twb hais, yog tsis tseem ceeb.

hom chua

Feem ntau cov feem ntau, teeb meem tshwm sim thaum spazmiruyutsya nrog sphincter ntawm lub qhov quav. Ua ntej ntawm tag nrho lawv muaj peev xwm yuav muab faib rau cov nres lub sij hawm:

• ceev ceev dhau;
• ntev.

Feem ntau me me kab mob no yog nyob rau tib lub sij hawm thiab sai sai dua. Nyob rau hauv mob no yuav pab txhawb rau daim ntawv thov tsis yuav tsum tau loj npaj. Kev ua txhaum zoo nkaus li raws li ib tug cia li rub los yog stabbing hauj sim. Heev feem ntau, cov neeg mob muaj ib tug qhia tau tsis xis nyob rau hauv lub perineal cheeb tsam. Thiab ib txhia ntawm lawv yog pib los tsis muaj avail kho zajlus prostate kab mob, lub raum thiab lub tsev me nyuam. Ib zaug dua kuv xav hais qhia rau koj hais tias tej kev kho yuav pib nrog ib tug txaus mob. Qhov no tsis muaj nws tsis yog tsuas yog tawg paj txi txiv, tab sis kuj txaus ntshai.

Long-term mob tsis paub hais tias etiology yuav luag tsis hnov mob mob nyem, thiab tawm tsam yuav mus nyob rau ob peb hnub. Characteristically sis tsis ncaj txaus, tom qab ib co sij hawm lub zaus ntawm sib cem yuav tsub kom. Nyob rau hauv cov ntaub ntawv no, yam uas exacerbate mob, tsis txhais. Txawm li cas los, cov kws kho mob tau ntev muab sau tias tus neeg mob lub siab ntsws lub xeev xav influences lub xeev ntawm nws bowels. Kev nyuaj siab thiab ntxhov siab vim instantly ua deterioration.

Muaj yog ib tug faib ntawm lub etiological tau. Nyob rau hauv cov ntaub ntawv no, qhov kev tso tawm:

• Primary spazmatiku. Yog hais tias peb los sib piv ntawm ob daim duab ntawm lub sphincter ntawm lub qhov quav - spasmodic thiab kiag li noj qab nyob zoo - koj yuav pom hais tias lawv yog tsis ntau sib txawv. Nyob rau hauv peb cov ntaub ntawv, nws yog ib tug nqaij spasm, uas feem ntau muaj nyob rau hauv lub keeb kwm yav dhau ntawm kev nyuaj siab thiab sau tom qab qhov teeb meem no xa rov qab mus rau li qub.
• Secondary. Qhov no ua txhaum tsis tshwm sim los ntawm nws tus kheej, thiab npaj tiv thaiv lub keeb kwm ntawm ntau yam pathologies ntawm lub qhov quav. Cov no muaj xws hemorrhoids thiab fissures, Crohn tus kab mob thiab qog nyob rau hauv lub qhov quav kwj dej.

Tej teeb meem nrog cov hnyuv yuav tsum tau xim, raws sij hawm pej tshwj xeeb. Tus hais tam sim qhov ua yog txiav txim, qhov ntau zoo yuav tsum muaj ib tug kho nyhuv.

Tus thawj mus txawv tebchaws los tus kws kho mob

Nws tag nrho cov pib nrog ib tug daim ntawv ntsuam xyuas. Ib qho tseem ceeb luag hauj lwm no yog ua si los ntawm keeb kwm kev. Heev feem ntau cov neeg mob yuav txiav txim los ntawm cov thawj kab mob, uas coj mus rau qhov no txoj kev loj hlob. Qhov no yog kev poob plig thiab ntau yam hauj lwm. Ntau zaus hauv paus ua kom muaj cov kab mob ntawm lub qhov quav thiab urogenital system. Tsis txhob hnov qab tias tus nqaij ntshiv ntawm lub cev yog interconnected, li ntawd, cov thawj proctology ua ke nrog chua ntawm cov nqaij ntshiv ntawm lwm yam kabmob. Uas muaj xws li diagnostics:

• lwm xeem;
• palpation ntawm lub qhov quav;
• kev tshawb nrhiav ntawm cov phab ntsa hauv lub qhov quav;
• kev soj ntsuam ntawm cov nyuv siv xoos hnyuv laus.

Yuav ua li cas

Yog li ntawd yuav ua li cas kom tshem tawm cov spasm ntawm lub qhov quav sphincter ib zaug yuav tsis ua hauj lwm, yuav muaj kom tau raws li ib tug series ntawm tus kws kho mob pom zoo nyob rau hauv thiaj li yuav ua tau txoj kev txhim kho. Xaiv cov kev kho mob yuav yog nyob ntawm seb cov kev mob thiab kev puas hlwb tus neeg mob, muaj cov Somatic kab mob.

Tab sis tus thawj neeg ua hauj lwm ntawm tus kws kho mob - mus tshem tawm cov spasm ntawm lub sphincter ntawm lub qhov quav. Kev kho mob yuav tsum tau pib nrog lub tshem tawm ntawm kev ua txhaum thiab tshem tawm o. Rau lub hom phiaj no, taw antispasmodics thiab analgesics. Yog hais tias tsim nyog, taw antibacterials, thiab cem quav - cov tshuaj ntaus cev.

sphincter so

Nws yog lub hom phiaj ntawm tus neeg mob thiab tus kws kho mob, uas tsis yog ib qho yooj yim mus cuag siv xwb tshuaj. Heev zoo nyob rau hauv cov ntaub ntawv no, pab thaum tshav kub kub kev kho mob thiab physiotherapy kev kho mob. Nyob rau hauv parallel, nco ntsoov ua kom tsaug zog siv antispasmodics thiab analgesics taws tswm ciab. Nws yog qhov zoo tshaj plaws los mus siv rau hauv lub "Koom Haum Niam Ua Ntej", "Procto-glivenol", "Venoruton", "Ultraproct", "Prosterizan forte", taws tswm ciab nrog belladonna thiab cov hiav txwv buckthorn roj. Ntawm feem ntau siv nqaij hnaiv "Tsis muaj-spa", raws li zoo raws li sov sitz da.

Cov tshuaj rau cem quav teeb meem

Nws yog ib qho tseem ceeb rau them ze mloog mus rau lub tso zis tso. Nws yog tsis tshua muaj ib qho tseem ceeb kom lub qhov quav cheeb tsam spotlessly huv si. Txhua tag kis sawv ntxov, koj yuav tsum ntxuav, siv tus da dej. Zoo rov hais dua cov txheej txheem tom qab txhua yam uas defecation, thiaj li tsis mus thab plaub lub tsis sib haum xeeb. Kom noj cov zaub mov yog ib yam ntawm cov tseem ceeb tshaj. Khoom noj khoom haus yuav tsum tau raws li maj mam mus txo lub load tsis hnyuv kabmob. Ntawm no txhua yam yog yooj yim heev: lub roj, qab zib, khoom kib thiab ntsim yuav tsum raug tshem tawm los ntawm cov khoom noj. Lub hauv paus yog cov nqaij nyob rau hauv kua zaub thiab porridge, ci txiv hmab txiv ntoo thiab zaub. Khaws haus tsoom fwv.

phais kho mob

Yog hais tias muaj lwm txoj kev kho mob yog tsis zoo, koj yuav tsum xaiv qhov ntau drastic ntsuas. Ua ntej, cov kws kho mob siv ntau yam ntawm cov tshuaj, raws li zoo raws li conservative kev kho mob. Yog hais tias tus tawm tsam cov kab ntau heev thiab mob yog koom, cov kev xaiv nyob. Nyob rau hauv cov ntaub ntawv no, resorted mus rau kev phais - sphincterotomy. Nws yog ib tug ib nrab excision ntawm lub qhov quav sphincter leeg. Qhov no ua rau lub fact tias cov smooth nqaij relaxes thiab tus mob yog significantly txo. Yog vim li cas yog tsis tshem tawm, tab sis tseem tus neeg mob tau txais ib tug zoo tshwm sim.

Tsoos txoj kev kho mob

Yog hais tias qhov teeb meem no tsis tau ploj mus deb heev, koj yuav tau siv herbal cov zaub mov txawv. Nyob rau hauv cov ntaub ntawv no nws yog pom zoo kom kho qhov quav sphincter spasm decoctions ntawm tshuaj ntsuab los yog poov tshuaj permanganate tshuaj. Cov kev kho mob regimen muaj ib tug enema thiab microclysters, lub paj rwb thiab taws tswm ciab.

Sitz da los npaj SNAP qhia. Ua li no, ntaus nyob rau hauv ib tug me ntsis dej sov rau hauv ib lub tais, ntxiv poov tshuaj permanganate. Tus txheej txheem yuav tsum tau rov qab rau tsawg kawg 7-10 hnub. Tsis phem pab da dej nrog ib tug decoction los yog Txoj kev lis ntshav ntawm tshuaj ntsuab, uas muaj antispasmodic thiab sedative nyhuv. Qhov no chamomile thiab yarrow, St. John lub Wort thiab ntoo qhib tawv, Calendula. Nroj tsuag yuav tsum sib xyaw ua ke los yog alternated. Decoction ntawm tshuaj ntsuab siv rau qhov kev npaj ntawm enemas thiab tampons.

Cov tsis muaj zog ntawm lub sphincter

Qhov no yog qhov opposite qhov teeb meem mus rau ib tug peb sib tham saum toj no. Ua ntej uas peb tau sib tham txog qhov yuav ua li cas los so kom txaus lub sphincter, qhov quav, normalize lub pov tseg gases thiab feces thiab pab mob, tab sis tam sim no koj yuav tsum them sai sai mus rau dab tsi yuav ua li cas nrog lub weakening ntawm lub locking nplhaib. Ntsis qhov quav sphincter incontinence ua rau roj, kua los yog khoom quav.

Kev kho mob yuav tsum tau noj mus rau hauv tus account tus neeg yam ntxwv ntawm tus neeg, raws li zoo li ua txhaum. Raws li ib tug txoj cai, yog hais tias tus lub qhov quav sphincter yog relaxed, nws tsa ib tug tshwj xeeb kev noj haus, hluav taws xob stimulation thiab physiotherapy. Tshuaj kho nyob rau hauv cov ntaub ntawv no yuav tsum tau raws kev coj kom cov kev kho mob ntawm inflammatory kab mob thiab dysbiosis.

Yog hais tias lub sphincter yog tsis muaj zog txaus vim organic ua, koj yuav tsum phais, namely sphincteroplasty. Tom qab lub lag luam no yuav tsum tau ib tug ntev lub sij hawm ntawm kev ncaj ncees kev kho mob nrog obligatory observance ntawm kev noj haus.

es tsis txhob ntawm ib tug xaus

peb gut noj qab haus huv nyob rau hauv ntau txoj kev uas nyob ntawm peb. Kom noj cov zaub mov, cov pom piv ib ce thiab so, tsis txhob loj kev nyuaj siab - tag nrho cov no yog cov tseem ceeb txoj kev ntawm kev tiv thaiv ntawm digestive mob nyob rau hauv dav dav thiab nyob rau hauv particular ntawm txoj hnyuv. Ntev li kev nyuaj siab, raws li zoo raws li cov tsis muaj zog ntawm lub sphincter ntawm lub qhov quav, tej zaum yuav yog vim muaj ib tug xov tooj ntawm loj cov kab mob, txhua tus uas yuav tsum tau ceev faj saib xyuas thiab kev kho mob.