Inkcazo Reflex

Umxholo

• Yintoni i-defecation reflex?
• Isebenza njani i-reflex defec?
• Zithini iimpawu zentsingiselo yentsingiselo?
• Ngaba zikhona iimeko zonyango ezinokuchaphazela i-reflex deflex?
• Unyango
• Ukuthatha

Yintoni i-defecation reflex?

Nokuba umntu uyibiza ngokuba yindle, ukugqitha, okanye ukuya pooing, ukuya kwigumbi lokuhlambela ngumsebenzi obalulekileyo onceda umzimba ukuba uzisuse kwimveliso yenkunkuma.

Inkqubo yokuphelisa isitulo emzimbeni ifuna umsebenzi we-reflex defecation. Nangona kunjalo, kukho iimeko ezithile apho i-reflex deflex ayisebenzi njengoko kuhlosiwe. Unokufuna unyango ukuze uqiniseke ukuba le reflex inokusebenza njengoko ibikade isenza.

Isebenza njani i-reflex defec?

Xa usitya, ukutya kuhamba emlonyeni kuya kumqala ukuya esiswini. Ukutya emva koko kudlula kumathumbu amancinci kuye kumathumbu amakhulu ukuya kwi-rectum. I-rectum yinxalenye yokugqibela yamathumbu amakhulu adibanisa ne-anus, okanye ukuvulwa apho umzimba ukhupha khona isitulo.

Ukuchazwa kwe-reflex kulungiswa xa:

1. Imisipha kwikhontrakthi yekholoni yokuhambisa isitulo ukuya kwi-rectum. Oku kwaziwa njenge “ntshukumo yesininzi.”
2. Xa isitulo esaneleyo sihambela kwi-rectum, isixa se-stool sibangela ukuba izicwili ezikwe-rectum zolule okanye zisasaze. Ngaphakathi kwezi zihlunu kukho ii-receptors ezikhethekileyo "ezoluliweyo" eziyilelwe ukubonisa ingqondo xa zoluliwe.
3. I-reflex deflex ibangela ezi zimbini ziphambili zijikeleze umjelo we-anal. Iyokuqala i-anal sphincter yangaphakathi, isisipha esingenakulawulwa ngokuzithandela. Okwesibini yi-anal sphincter yangaphandle, eyimisipha yamathambo onolawulo kuyo.
4. I-reflex deflex yenzeka xa i-anal sphincter yangaphakathi ikhululeka kunye nezivumelwano zangaphandle ze-anal sphincter. I-rectoanal inhibitory reflex (RAIR) yinto engazibandakanyiyo yokuphumla kwangaphakathi kwe-anal sphincter ekuphenduleni ukubekwa emacaleni.
5. Emva kokuba i-reflex defecation ichukunyisiwe, unokulibaziseka okanye usebenze. Ukulibaziseka kwenzeka xa umntu engayi kwindlu yangasese kwangoko. Kukho izihlunu kwi-anal sphincter ebangela ukuba isitulo sibuyele umva kancinci. Esi siphumo sinciphisa umnqweno wokuzikhupha. Ukuba ukhetha ukuzikhulula, ingqondo yakho ivula imisipha yokuzithandela kunye nokungazibandakanyi ukuze uqhubele phambili nokuphuma emzimbeni wakho.

Zimbini izinto eziphambili ezichazayo. Inkqubo ye- Reflex yokuchaswa kwe-myenteric inoxanduva lokunyusa i-peristalsis kunye nokuhambisa isitulo ukuya kwi-rectum. Ekugqibeleni kugqitywa i-anal sphincter yangaphakathi ukuba iphumle kwaye inciphise ukungqinelana kwe-sphincter.

Uhlobo lwesibini lokuchazwa kwe-defecation yile I-parasympathetic defecation reflex. Ngelixa intshukumo yokuhambisa isitulo ifana, umntu unokulawula ngokuzithandela i-parasympathetic defecation reflex, kodwa abanakukwazi ukulawula i-myenteric.

Kungenzeka ukuba umntu abe ne-myenteric defecation reflex ngaphandle kwe-parasympathetic reflex. Xa oku kusenzeka, umnqweno wokuya kwigumbi lokuhlambela usenokungabi namandla njengokuba zombini ezi zinto zisebenza kakuhle.

Zithini iimpawu zentsingiselo yentsingiselo?

Xa amathumbu ebangela i-reflex defecation, unokuziva uxinzelelo kwi-rectum yakho okanye ungonwabi. I-Reflex deflex inokunyusa uxinzelelo kwi-rectum ngama-20 ukuya kuma-25 eesentimitha zamanzi (cm H2O), enokuziva yahluke kakhulu xa kungekho situlo kwi-rectum.

Ngamanye amaxesha, le reflex inokuziva ngathi i-rectum iyaqina kancinci kwaye iyakhupha.

Ngaba zikhona iimeko zonyango ezinokuchaphazela i-reflex deflex?

I-reflex deflex ayisoloko isebenza njengoko kufanelekile. Kukho iimeko zonyango ezahlukeneyo ezinokuthi zithintele i-refeces reflexes. Oku kubandakanya:

• Ukucaphukisa emathunjini. Isisu segciwane okanye olunye usulelo lwamathumbu lunokwenza ezinye iimithambo zicaphukise ngakumbi kwaye ezinye zinamathuba okuba zisebenze.
• Ukuphazamiseka kwengqondo (kwengqondo). Ukonakala kwenkqubo yemithambo-luvo kunokuchaphazela ukuhanjiswa kwemiyalezo esuka kwingqondo iye kwizihlunu ze-anal sphincter kunye nokunye. Imizekelo ibandakanya xa umntu efumene icala, okanye ene-multiple sclerosis okanye isifo sika-Parkinson.
• Ukuphazamiseka kumgangatho wepelvic. Ezi meko zenzeka xa izihlunu zomgangatho we-pelvic ezinoxanduva lokungcolisa, ukuchama, kunye nemisebenzi yesondo ayisebenzi kakuhle njengoko kufanelekile. Ezinye zeemeko zibandakanya i-rectal prolapse okanye i-rectocele.
• Ukulimala kwentambo yomqolo. Xa umntu enokwenzakala kwethambo lomqolo okubangela ukuba abe ngumlwelwe okanye i-quadriplegic, iimpawu zemithambo-luvo azihlali zihamba ngesiqhelo. Njengomgaqo jikelele, abo bane-quadriplegia bahlala benobunzima ngakumbi kwi-deflex deflex.

Zininzi izinto ezinokubangela ukungahambi kakuhle kokuchaswa, kwaye nganye inonyango olwahlukileyo. Nangona kunjalo, ukuba umntu akanayo i-reflex defecation eyaneleyo, bahlala kwiimeko ezinjengezokuqunjelwa. Oku kubangela ukuba isitulo sakho sibe lukhuni kwaye kube nzima ukudlula. Ukungahoyi i-refecation deflex kunokubangela ukuqunjelwa. Ukuqhina okungapheliyo kukonyusa amathuba okuba ufumane ezinye iziphumo ebezingalindelekanga emathunjini, njengokuvaleka kwamathumbu kwisitulo esakhelweyo.

Unyango

Nanini na xa kunokwenzeka, kuya kufuneka uthathe amanyathelo okwenza isitulo kube lula ukudlula. Oku kunokubandakanya ukusela amanzi amaninzi kunye nokutya ukutya okunesinga eliphezulu, njengeziqhamo, imifuno, kunye neenkozo ezipheleleyo. Kananjalo akufuneki ungawuthobeli umnqweno wokungcolisa xa usiva ukuba usiza.

Ngamanye amaxesha, ugqirha unokucebisa ngokuthambisa izitulo zokwenza isitulo kube lula ukudlula.

Olunye unyango yi-biofeedback. Ikwabizwa ngokuba luqeqesho lwe-neuromuscular, oku kubandakanya ukusebenzisa iisenzi ezizodwa ezilinganisa uxinzelelo kwi-rectum kunye nomqondiso xa uxinzelelo lwanele ukuba umntu asebenzise igumbi lokuhlambela. Ukuba nezi zivamvo zoxinzelelo zikhona kunokunceda umntu achonge iimpawu zokuba kufuneka aye kwigumbi lokuhlambela.

Ukuthatha

Ukuba unengxaki yokuziva xa kufuneka uye kwigumbi lokuhlambela okanye uqhinwe ngokungapheliyo (une-stool ekunzima ukuyidlula kwaye / okanye udlula nje kwisitulo rhoqo kwiintsuku ezintathu okanye nangaphezulu), kuya kufuneka ubone ugqirha wakho. Ukuba ufumaneke ukuba unesifo sokungahambi kakuhle, ugqirha wakho uya kukunceda ekusombululeni nasiphi na isifo esikhoyo. Ukutya kunye nokutshintsha komzimba kunye namayeza okanye i-biofeedback inokunceda.