Ukuchazwa kwe-Reflex

-Delile

• Yini i-reflex deflex?
• Isebenza kanjani i-refecec deflex?
• Ziyini izimpawu ze-reflex deflex?
• Ingabe zikhona izimo zezokwelapha ezingathinta i-reflex deflex?
• Ukwelashwa
• Ukuthatha

Yini i-reflex deflex?

Noma ngabe umuntu ukubiza njengokuzikhulula, ukudlulisa indle, noma ukuphoqa, ukuya endlini yangasese kungumsebenzi obalulekile osiza umzimba ukuthi uzilahle emgqonyeni wezibi.

Inqubo yokuqeda indle emzimbeni idinga umsebenzi we-deflex deflex. Kodwa-ke, kunezimo ezithile lapho i-reflex deflex ingasebenzi njengoba kuhloselwe ukwenza. Ungadinga ukwelashwa ukuze uqinisekise ukuthi le reflex ingasebenza njengoba yenzile ngaphambili.

Isebenza kanjani i-refecec deflex?

Uma udla, ukudla kusuka emlonyeni kuya engqungqutheleni kuya esiswini. Ukudla bese kudlula emathunjini amancane kuya emathunjini amakhulu kuya ku-rectum. I-rectum yingxenye yokugcina yamathumbu amakhulu axhumeka kwi-anus, noma ukuvula lapho umzimba ukhipha khona indle.

I-reflex deflex ibangelwa lapho:

1. Imisipha esenkontileka yekholoni yokuhambisa indle iye ku-rectum. Lokhu kwaziwa ngokuthi "ukunyakaza kwabantu abaningi."
2. Lapho isitokisi esanele sihambela i-rectum, inani lesitokisi lidala ukuthi izicubu ezikule rectum zelule noma zisakaze. Ngaphakathi kwalezi zicubu kunama-receptors akhethekile "okwelula" aklanyelwe ukukhombisa ubuchopho lapho seluliwe.
3. I-reflex deflex ibangela ama-sphincters amabili amakhulu azungeze umsele we-anal. Owokuqala yi-anal sphincter yangaphakathi, eyisicubu esingalawulwa ngokuzithandela. Owesibili yi-anal sphincter yangaphandle, eyisicubu samathambo okwazi ukukulawula.
4. I-reflex deflex yenzeka lapho i-anal sphincter yangaphakathi iphumule kanye nezinkontileka zangaphandle ze-anal sphincter. I-rectoanal inhibitory reflex (RAIR) ukuphumula okungazibandakanyi kwangaphakathi kwe-anal sphincter ekuphenduleni ukuhlukaniswa kwamakholomu.
5. Ngemuva kokuvuselelwa kwe-reflex defecation, ungahle ubambezele noma wehlele. Ukubambezeleka kwenzeka lapho umuntu engayi endlini yangasese ngokushesha. Kunemisipha ku-anal sphincter edala ukuthi indle ibuyele emuva kancane. Lo mphumela unciphisa isifiso sokuzikhulula. Uma ukhetha ukuzikhulula, ubuchopho bakho busebenzisa imisipha yokuzithandela nokuzibandakanya ukuze uqhubekele phambili nokuphuma emzimbeni wakho.

Kunezindlela ezimbili eziyinhloko zokuzikhulula. I- ukukhishwa kwe-myenteric defecation inesibopho sokwanda kwe-peristalsis nokuhambisa indle kubhekise kunxande. Lokhu kugcina kukhombise i-anal sphincter yangaphakathi ukuze iphumule futhi inciphise ukuminyaniswa kwe-sphincter.

Uhlobo lwesibili lwe-defecation reflex yi- i-parasympathetic defecation reflex. Ngenkathi ukunyakaza kwesitulo esinyakazayo kufana, umuntu angakwazi ukulawula ngokuzithandela i-parasympathetic defecation reflex, kepha abakwazi ukulawula i-myenteric eyodwa.

Kungenzeka ukuthi umuntu angaba ne-myenteric defecation reflex ngaphandle kwe-parasympathetic reflex. Uma lokhu kwenzeka, isifiso sokuya endlini yangasese singahle singabi namandla njengalapho zombili izingqondo zisebenza.

Ziyini izimpawu ze-reflex deflex?

Lapho amathumbu evusa i-defecation reflex, ungazizwa ucindezelekile ku-rectum yakho noma ungakhululekile. I-defecation reflex ingakhuphula ingcindezi ku-rectum ngamasentimitha angama-20 kuye kwangama-25 wamanzi (cm H2O), engazizwa yehluke kakhulu kunalapho kungekho situlo kule rectum.

Kwesinye isikhathi, le reflex ingazizwa sengathi i-rectum iyaqina kancane futhi iyadedela.

Ingabe zikhona izimo zezokwelapha ezingathinta i-reflex deflex?

I-reflex deflex ayisebenzi ngaso sonke isikhathi njengoba kufanele. Kunezimo ezahlukahlukene zezokwelapha ezikhona ezingaphazamisa ukucabanga kwe-defecation. Lokhu kufaka phakathi:

• Ukucasuka kwamathumbu. Isiphazamiso esiswini noma okunye ukutheleleka kwamathumbu kungenza ezinye izinzwa zicasuke kakhulu futhi ezinye zingabi namathuba amancane okusebenza.
• Izinkinga ze-Neurological (brain). Ukulimala kwesistimu yezinzwa kungathinta ukudluliswa kwemiyalezo evela ebuchosheni iye emisipheni ye-anal sphincter futhi okuphambene nalokho. Izibonelo zifaka lapho umuntu ehlaselwa yisifo sohlangothi, noma ene-multiple sclerosis noma isifo sikaParkinson.
• Ukuphazamiseka kwepelvic floor. Lezi zimo zenzeka lapho imisipha yomgogodla ebhekele ukucupha, ukuchama, kanye nemisebenzi yezocansi ingasebenzi kahle njengoba kufanele. Ezinye zezimo zifaka phakathi i-rectal prolapse noma i-rectocele.
• Ukulimala komgogodla. Lapho umuntu eye walimala umgogodla obangela ukuba abe yisigoga noma i-quadriplegic, amasiginali ezinzwa awahlali edlulisa ngokujwayelekile. Njengomthetho ojwayelekile, labo abane-quadriplegia bavame ukuba nobunzima obukhulu kakhulu nge-defecation reflex.

Kunezimbangela eziningi ezingaba khona zokukhubazeka kwe-defecation reflex, futhi ngayinye inokwelashwa okwehlukile. Kodwa-ke, uma umuntu engenayo i-reflex deflex eyanele, ajwayele izimo ezifana nokuqunjelwa. Lokhu kubangela ukuthi indle yakho ibe lukhuni futhi kube nzima ukudlula. Ukuziba i-refecation deflex nakho kungaholela ekuqunjelweni. Ukuqunjelwa okungapheli kwandisa amathuba okuba uhlangane neminye imiphumela emibi yamathumbu, njengokuvinjelwa kwamathumbu kusuka esitulweni esakhelwe phezulu.

Ukwelashwa

Uma kungenzeka, kufanele uthathe izinyathelo zokwenza ukuthi isitulo kube lula ukudlula. Lokhu kungafaka ukuphuza amanzi amaningi nokudla ukudla okune-fiber eningi, njengezithelo, imifino, nezinhlamvu ezigcwele. Akufanele futhi ungasinaki isifiso sokungcola lapho uzizwa ukuthi sifika.

Kwesinye isikhathi, udokotela angancoma ukuthatha izithambisi zesitulo ukwenza kube lula ukudlula indle.

Olunye ukwelashwa yi-biofeedback. Lokhu kwaziwa nangokuthi ukuqeqeshwa kwe-neuromuscular, lokhu kubandakanya ukusebenzisa izinzwa ezikhethekile ezilinganisa ingcindezi ku-rectum kanye nesiginali lapho ingcindezi yanele ukuthi umuntu asebenzise indlu yangasese. Ukuba nalezi zinzwa zengcindezi kungasiza umuntu ukuthi abone izimpawu zokuthi kufanele aye endlini yangasese.

Ukuthatha

Uma unenkinga yokuzwa lapho udinga ukuya endlini yangasese noma uqunjelwe njalo (unesitokisi okunzima ukusidlula futhi / noma udlula kuphela isitulo njalo ezinsukwini ezintathu noma ngaphezulu), kufanele ubone udokotela wakho. Uma ekugcineni uthola ukuthi unesifo sokuzikhulula, udokotela wakho uzokusiza ukubhekana nanoma yisiphi isifo esiyisisekelo uma sikhona. Ukushintsha kokudla kanye nokusebenza komzimba kanye nemithi noma i-biofeedback nakho kungasiza.