Zvinonyanya kuitika muvanhu vakwegura, kufungira kwetsvina ibundu retsvina yakaoma, yakaoma iyo inowanzoungana muchikamu cheguri che rectum. Inokanganisa stool reflex panguva yetsvina. Tsanangudzo.

Muvanhu vakwegura, vanorara pamubhedha uye kazhinji vakadzi, kufamba kweura kunononoka zvakanyanya uye ura hunotora mvura yakawanda inenge iri muchituru mukati meura kupfuura panguva yekufamba kwenguva. Aya maturu akaoma anoungana muchikamu chegumo chemukati mahombe (rectum) uye anopedzisira aita zvishoma nezvishoma bhora refecal matter rinokanganisa kubuda kwechituru. Iri bhora, kana raumbwa, rinogadzira chipingamupinyi chakakura chinozoita kuti kubviswa kwezvituru kuome uye kurwadze. Ichatsamwisawo masvingo e rectum nekukonzera kuvharidzirwa uye kushandiswa kwemaitiro emadziro uye dzimwe nguva kutungamirira kumarara enhema.

Pathologies uye fecaloma

Zvizhinji zvepathologies zvinogona kutungamira mukuumbwa kwefecaloma, kazhinji nekusimudzira kunonoka kwekufamba. Pakati pezvinowanzoitika:

• Chirwere cheParkinson icho kuwedzera kune kudengenyeka kunogona kuderedza kufamba kwematumbo (intestinal peristalsis);
• hypothyroidism, yakabatana nekushaikwa kwehomoni yethyroid, inoderedza mabasa ese emuviri uye kunyanya kufamba kwemukati;
• bundu remukoloni rinogona kuvharidzira kufambira mberi kwezvirungu muura asi zvakare kusaronga mafambiro ayo kuita kuti chituru chiende kuchikamu chayo chekupedzisira (rectum);
• mamwe madhiragi ane mhedzisiro yekuderedza kufambisa kwematumbo. Pakati pemishonga iyi, tinogona kuwana mamwe anti-depressants, neuroleptics, mamwe chemotherapies, kurapwa kwemarwadzo kunobva codeine kana morphine, nezvimwewo.

Zvikonzero zvakasiyana

Zvimwe zvezvimwe zvikonzero zvinogona kukonzera fecal impaction:

• ichangobva kuitika, kufamba nendege, chitima kana motokari;
• kudya kwakaderera mu fiber;
• kusakwana hydration kubva mumvura;
• zera uye nhoroondo yekuzvimba.

Pakupedzisira, dzimwe nguva, kunwa kwekare uye kunyanyisa kwemafuta kunogumbura matumbo uye zvishoma nezvishoma kunowedzera kuvimbiswa (chirwere chelaxative).

Zviratidzo zvefecal impaction izvo zvinofanirwa kuzivisa murwere ndezvi:

• kunzwa kurema mu rectum;
• chido chekugara uchienda kuchimbuzi;
• chisingaperi kupatirwa;
• dzimwe nguva "nhema" manyoka;
• stool inorwadza uye dzimwe nguva inoperekedzwa neropa shoma nekuda kwekushatirwa kwemadziro erectum uye anal canal. 

Zviratidzo izvi zvakanzwika kwemazuva akati wandei kunyangwe dzimwe nguva kudyiwa kwakanyanya kwemalaxatives. 

Kuongororwa kwefecal impaction kunoitwa kubva padigital rectal ongororo iyo inozowana kuwanda kwezvinhu zvakaoma pamunwe. 

Kana chikonzero chaonekwa uye kurapwa, mazano anogona kupiwa, kunyanya maererano nekudya, zvakadai se:

• kusimbiswa kwechikafu chine fiber yekudya;
• dzivisa kudyiwa kwemupunga chena;
• dzivisawo kudya zvigadzirwa zvezviyo zvakanatswa sechingwa chichena, zviyo zvemangwanani, makuki anotengwa kuchitoro nemakeke. 

Iva nemararamiro ane hutano 

Kurudziro yehutsanana hwehupenyu mukushandiswa kwekurapa asi isina kuratidzwa nezvidzidzo (kurudziro yeFrench Society yeColoproctology) ndeiyi:

• famba kwehafu yeawa zuva rega rega (zvichida kana zvichibvira);
• Iva neakanaka zuva nezuva hydration (inenge litre nehafu pazuva.

Kudzivirira kunosanganisirawo kuronga hurongwa hunokubvumira kuti uende kuchimbuzi nokukurumidza apo chido chinomuka kuti udzivise kuderedzwa kwekunzwa kwe reflex ye exoneration yechigaro.

mabatiro

Mushonga wacho uchaitwa nenzira yemuchina nekuibvisa kazhinji nemunwe mushure mekuita enema nelaxative yemunharaunda. Kutora mushonga wepamusoro-soro pamberi pekuvhiyiwa kweMacrogol-mhando inogonawo kuratidzwa kana chiitiko chefecal impaction yakakura, kubuda kwayo kunogona kurwadza. Enema yekuchenesa inogonawo kuitwa kana kubviswa kwemunwe kusingakwanisi.