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How to look at the symptoms of ailments from the point of view of the patient inappropriate views, And є ті, scho vyklikayut and rotations discomfort, including psychological. Up to one of the most unacceptable and moral trauma symptoms are recognized non-trivial kalu... I will look back at the fact that a symptom is evident, to put a threat to the social welfare of the patient by the sick, to develop the attitudes and attitudes in a quiet way, if the reason for this inappropriate manifestation is not in the short term.

Non-adversarial feces are often due not to an independent ailment, but to deprive them of the manifestation of other pathologies. Apparently, in the event of such a symptom, two main tasks are posed before the doctor: to establish the exact reason for the diagnosis, and to carry out effective therapy, as it could again turn the patient's health status, who have saved their moral health. Non-trivial feces, often for everything, do not obstruct the life of the sick, but in the social plan it is significant, there are few problems for the patient and the sick people.

Given a problem that may be relevant for people, be it any stat and vik. In the Danish hour, there were more frequent changes in the cultivation of drugs to the drive of non-trivial feces, so doctors are actively involved in the treatment of problems, and to understand the powerless methods of usunenia.

Sho take non-trivial kalu

Mechanism of development that cause the diagnosis of non-trivial kalu
(Pathogenetic classification)

1. The appearance of mechanisms, such as the appearance of a mental reflex to the act of defecation, is lacking in character. In general, the patient has the title of rectoanal ingibitorny reflex, which is an act of defecation in the norm.

2. Rely on the formulation of the mental reflex to the act of defecation.

3. The waste of the mental reflex, scho was victorious through the inflow of unwelcoming abo provocative officials. In general, there are two possible options for development: first and second. The first one has an inclinable character, the second one є a lot of poroshen I'm going crazy patient, injuries abo organic exercise spinal and brain, or visual systems.

On the other hand, I respect the merits of the non-trivial kalu of the secondary character. If we talk about psychogenic prodigality (and it’s more important to see if there are a lot of problems), then I’ll see the main thing, if it’s worth it.

To the whole group it is noted:
1. Psychogenic non-trivial feces, which can lead to neurotic and hysterical psychosis, pathocharacterological damage to the individual, dementia.
2. On the smallest mental illness (bewilderment, schizophrenia, epilepsy).

Non-trivial feces of an organic nature develop with rough and often non-viable snakes, as well as for reasons young people... It’s more and more to develop non-trivial feces on the smallest, vilikovnyh zhvoryuvan.

In this particular category, the symptom was divided into 2 groups, according to the nature of the diagnosis:
1 group- on aphids, to be carried to the herbal tract and visual system (loss of the rectum, injuries to the anus, buying up a large amount of hard feces in the rectum).

2 group- on the smallest ailments (childbirth with pelvic injuries, swelling of the anus, neurological inheritance of important forms of sugar diabetes, decreased muscle tone (localized in the crotch area), Infectious diseases, Which is supervised by diarrhea, Girschsprung's ailment, congenital anorectal zone).

Practical classification of non-trivial kalu

Epidemiology and statistics of non-selective kalu

When the intestines become ill, there is no fecal matter in 3-7% of patients. Among the patients of psychiatric patients, the symptom is increased in 9-10% of patients. In a group of patients over 65 years old, nontrivial feces are observed in approximately 1-4%.

Diagnostics of non-trivial feces

V modern medicine transfer of offensive and instrumental methods of diagnostics:

• Endorectal ultrasonography. The managers of this method can assess the level of sphincters in the anus (external and internal). Krym, the method allows the detection of defects, as it is unfortunate to reveal in manual dosage.
• Anal manometer. The whole method of polarity has a strong grip of calm that springs into the anal canal. For an additional manometer of the anal canal, it is possible to assess the tone of the sphincter of the anus.
• Viznachennya volume-threshold sensitivity of the rectum. When the norms are out of date (low or increased indicator), the act of defecation in the patient is broken, and, in his turn, to bring up to the full extent positive for intestinal defecation, or nausea, a negative

Likuvannya netrimannya kalu

Surgical operations with non-trivial feces are classified as plastic ones, and have long been stagnant in medicine. For assessments of experts-experts, a methodology is given to get involved in a proper way. The whole method of lіkuvannya stagnates in quiet vipad, if the cause of illness є injuries or sphinkter defect .

The nature of the operation is based on two indicators: the degree of the length of the defect, and the second localization. There are several types of operations. Yakshko pozhkojeno to the fourth stake of the sphinktera - call for an operation to be carried out by name sphinkteroplasty ... In case of large swings of the ear, an operation is carried out under the name sphincterogluteoplasty , De in the quality of the plastic material, the clap of the great sidnichny meat is victorious. It is also vikoristic to be in the middle of the operative engagement with non-trivial feces of an organic nature:
1. operation Tirsha- from the storage of synthetic materials or a common dart (in this hour it was practically considered).
2. Opera Faєrman - from the vicarious in the quality of the plastic material, the m'yazi is stegna (the efficiency, unfortunately, is not trivial).

In case of functional non-trivial feces in the vicinity of the fall, an operatively involved - post-anal reconstruction is carried out.

For physicians with more folding staff, there is no tricky feces in quiet droppings, if they are not tied to mechanical damages. If the fibers of sphinkters are not flexible, then plastic operations most often do not bring good results. Protest, in some cases there is a kind of operative engagement with the name post-anal reconstruction .

In the Danish hour, there have been broken up non-surgical methods of dealing with non-trivial kalu, which include:
1. Medication.
2. Drug-free.

Medicinal methods were known to be the best in terms of sucking, since the non-limiting feces are tied to functional impairments. herbal tract and visual systems (diarrhea, due to non-triviality and constipation, part of non-formalization of the style). Smells include 2 groups of drugs: those, which are directed to the therapy of the main discomfort, and which, without a priori infusion, into the tone of the mucous membranes of the perineum and the body of the anal sphinkter. With medications to consume: strychnine in pigulki, proserin in pediatric patients, vitamins B, ATF. If the patient is suffering from an awkward nervous system, then the sign of tranquilizers is shown.

Non-drug methods include:

• Complex right, straightened on the train of the anal sphinkter (Bully razroblenyi vcheny Dukhanov, Kegel). The essence of the tribute has the right to be made before a hum tube is inserted through the back passage near the rectum, and it is filled with vaseline in front of it. Ailment on the command of a squeeze and a weakness is an anal sphinkter. Correctly visit for 5 sessions. The triviality of 1 session is 1-15 hilin. The cycle of insurance therapy for 3-8 years. In parallel with the right, it is recommended that the physical right, straight on the change of the muses of the sidnichnoy region, the black press and the stegna mucus, are recommended.
• electrostimulation - carried out by stimulating the nerve ends, leading to the formation of the mental reflex to defecation.
• Biological ringing sound. The technique is given to practice in the light for more than 30 years, but in Russia it has not yet become popular. Foreign colleagues mean that the method is more or less the same, but not only the most positive results, but rather the most positive ones.

  With this methodology I would like to come with special respect. Zdіysnyutsya out zasosuvannyam medical attachments biofeedback. The principle of biofeedback equipment is that for the patient to be put on fast food and health, to shut off the spirits of the outgoing sphinkter in a given mode. For the help of the rectal sensor, the electromyogram is restored, and the information is transferred to the computer at the graphical viewers. The patient, when disclaiming information about those, how to correctly identify the task, can be controlled and corrected the triviality and the power of the sphinkter's speedy messages. At the same time, in its turn, the effectiveness of the training of the young sphincter, and the renewal of cortical-visceral paths, which are responsible for the function of reducing the intestines, are significantly improved. When the given method is victorious, it is possible to achieve positive results in 57% of patients.

• Psychotherapeutic methods. Psychotherapy is shown in quiet ways, if there are a lot of gross damages of the rectal obturator apparatus, which are vicious with organic changes. By using the psychotherapeutic method, I am pouring in є forming and strengthening the mental reflex to the situation and the moment, it is possible to get rid of defecation. The stagnation of hypnotic injections does not give the most frequent results, it is not enough to get stuck on the current stage of development of medicine. Protein, single cases of hypnosis treatment are described in medicine. The method is effective in quiet situations, if a mental trauma or an important stress was trapped in normal health.
• come in , Direct to normalization of etching.
• Golkoreflexotherapy. The Danish method is effective in a complex with іnshim. Naybilsh often stagnates, if the cause of non-trivial feces is caused by nervous zest.

Forecast for non-trivial feces

With an organic or functional form of encopresis (non-limiting feces) in a large number of vipads, it appears that there is more evidence, but for a reason, the lack of an anal sphinkter is manifested. In quiet people, if the non-trivial feces are overwhelmed by mental illnesses, hemorrhagic or hemorrhagic insult, the prognosis is unpleasant.

Nontrimanny kalu, yak symptom of those who become ill

It’s easy to see special features non-trivial feces, scho vinikє is a symptom of those who are ill, so that they are not tied without the need for an anal sphincter. It is important to note that in this vypadku lіkuvannya are guilty, but they are directly based on the main problem.

Non-trivial feces can be spared with such ailments:

1.Isult (hemorrhagic, ischemic)
Within the framework of this statute, we will not look in detail at any non-mediated cause, overriding and correcting an insult. Zvernemo your respect deprived of those symptoms that supervise the pathology.
As a result of the insult, the patient develops a complex of damages, such as bandages with damages of blood loss to the brain. Falsely from the zone of infection, ie, there are symptoms of a turn in the greater and lesser world.

The patient may have a breakdown:

• rukhovi razladi abo paralich (ruined coordination ruch, difficult when walking, outside ruined ruch on one or both halves of the tulub);
• ruinous kovtannya;
• damaged movi (mainly in case of lesions in the brain);
• deterioration of the spirits (on the day-to-day adequately spillovers the nascent action);
• cognitive deterioration (decrease in the quality of the information and information, the logic is destroyed, the memory is reduced, the building is lost until the next day);
• deterioration of behavior (control of reactions, emotional instability, malleability, disorganization);
• psychological derailment (sudden changes in mood, unreasonable crying, for laughs, gratitude, depressive moods);
• collapse of the secular depression and defecation (overall control over physiological changes, the tone of the sphincter of the anal canal will collapse).
• ailments in case of defecation and recurrence;
• pardon the positive for the evening and defecation;
• non-trivial kalu;
3. Damage to the spinal cord
A group of poorer winners, if spinal cord spinal cord injury occurs in the nervous system, it will grow in the ridge. The reasons for the diagnosis of a group of diseases can be: meningitis, sigingomielia, malformations of the spinal cord, rosy sclerosis, Amyotrophic sclerosis, spinal tuberculosis, spinal cord swelling, spinal cord injuries.

Given the pathology is characterized by the occurrence of such symptoms:

• ruined ruch in kintzivka (upper, lower);
• derogation abo daily visibility sensitiveness (tactile, temperature, bolovy, can be spared on one half of the tulub, or at the bottom of the spinal cord ear);
• non-trivial kalu and sich.
4. Injuries, including childbirth
The Qia group of getting sick is tied up with a traumatic infusion, when the sphinkter of the anal canal is hostile, like the inheritance, the winyk is not the only thing. In some important injuries, the group of illnesses is characterized by a complex of symptoms, which can be caused by trauma and disease. In childbirth injuries, pathology develops with important canopy, often for all not in the minds of medical institutions. In both cases, the children are surgical treatment For patients and their relatives, who stumbled on the problem of non-trivial feces, it is important for the nobility, but only the correct reason for what may have been correct, so they have brought up the problem to the full In any case, the problem is due to the fact that only qualified and highly qualified drug users are responsible. Nowadays, bestiality to a lykar can help you speed up your life and turn your child's normal social life.

Turn to death - and erase, how to make you life to normal lives, to be weary. Stay healthy!

Before getting stashed, it is necessary to consult a Fakhivite.

Rozpovida Anvar Yuldashev - coloproctology, surgeon-oncologist EMC

What are the non-trivial kalu?

In a normal sphinkter of the anus (quiescent mucous), it is firm, small and gas-like intestinal space is not only when the body is in a different position, but when physically assigned, Kashli, chkhanni etc. Non-limiting kalu - the price of destruction of building up to the moment of the hour and control over the supply of gas and style. The practical coloproctologist has a broader problem, ale vona ridko є a mediocre cause of malignancy to a lycar, and one of the scarg in case of some proctologic ailments - in case of intestinal problems, intestinal tract infections, anal fever

There are three steps to the manifestation of a sphincter's deficiency: at 1 step of the ailment, the gas does not disappear, at 2 steps, the symptom must be nontrivial to the common feces, at 3 steps of the patient, it is impossible to suppress all the components of the intestinal mass, solid (gas). Use special scales for assessing the severity of non-limiting, the most manual coloproctology EMC use the Wexner scale, Wexnerscore.

What causes non-trivial feces?

Ісnu bezl_ch reasons for vyniknennya netrimannya kalu. Nayposhirenіshoyu from them є trauma of the mucous and the nerves of the pelvic floor, the mucus, the ligaments and the tissues, the uterus, pichva, sechovy mikhur, the rectum at important canopy through the natural birth of the path, so called, "

Operations on the anal canal and the intervening area, for example, trauma can cause damage to the style. Often, non-trivialities are quick to speed up incorrectly the Vicon's operation is based on the visual hemorrhoid universities As a result, there has been a decrease in the number of muses in one or both sphinkters in the anus.

Diagnosis of proctological illness (chronic constipation, hemorrhoids from diseases of the internal hemorrhoids, intestinal syndrome, as well as development of acute intestinal dysfunctions) (often nonspecific in the intestine) deyakyh people, especially lіtnіkh, can develop a decrease in the tone of anal muses, growing in vіkom.

Diarrhea (passing) can be supravodzhuvatisya raptus vinyayut positive before defecation (emptying of the intestine), as well as the development of a rare style.

To drive the development of non-traumatic illnesses, for example, trauma, to become aware of the mental health of the nervous system, and to lead to the destruction of the robotic nervous system, the ends of the anal canal and sphincters (for example, insult, chronic illnesses, diseases)

What is the reason for the non-triviality?

At the reception of the doctor-coloproctology, ask for food, so that the history of the patient's life can be felt, for the situation, which could be the reason for non-triviality. Yakshho patient is a woman, it is necessary for the nobility of the history of the canopy. Lack of vagueness, great fruit, growth of space (epiziotomy) can serve as a reason for the lack of communication and nerves before the hour is low. For some people who are chronically ill or have a long-term intake of medications, they can play a role in the development of non-triviality, in connection with this, there can be a consultation of doctors of special specialties. Є It is important to eat, if you need more date of return:

If the non-trivial kalu has recovered? Pov'yazuє patsієnt showing signs of non-triviality і be-like podіy in life (emotional officials, changes in the way of life, surgical operations)?

Yak often trapyayutsya non-trivial? Peredyut їm positive or the patient doesn’t see a round?

Yakiy step nontrimannya - it is uncomfortable to utrimuvate the gas or the style? Witik how to obsyagu style to see?

What is the problem?

Chi є zv'yazok mіzh priyomom be-like lіkіv abo food products and non-trivial episodes?

Likar carried out a look around the perineum and finger before the anal canal and rectum, in the course of which it is possible due to the lack of function of the anal canal mucosa. ultrasound dosage anal canal or MRI of the whole area for designation of the structure and possible defects.

Instrumental methods of monitoring include an anal pressure gauge (the method of monitoring the tone of the rectal muscle and the coordination of the speed of the rectum and anal spheres, recording on the examination of the rectal muscle and anus), ulcers of the pelvic floor before an hour check for defecation), if necessary - colonoscopy or rectosigmoscopy for diagnostics of proctological ailments, new diseases and diseases. Most often, additional help from a neurologist and an electromyography is required for the purpose of performing a nerve impulse along the sorrocyte nerves (n.рudendus). Also, if necessary, an analysis of feces and blood should be carried out with the help of the appearance of zbudniks intestinal infections for the explanation of the reasons for the diarrhea.

Yak to enjoy non-trivial feces?

When writing an anamnesis to collecting an anamnesis, looking around and covering the sick, aimed at identifying the cause and severity of the problem, the method of treatment is started. Lіkuvannya signifies a lіkar individually, due to the urahuvannya of all the peculiarities of the patient and his way of living. The sight of a drink is rich, as a rule, there is a complex of passages, which includes a few of the offensive positions. A part of them, for example, dієta, to enter into any complex, a part є by the method of vibration.

1. Korean children

It is recommended to include a diet of dairy products (milk, sir, frosty), fat, foodstuffs, kava, alcohol, food products (food, including sorbit, xylit, manit, fructose, ); є A few small portions per day, live more grubs in the storehouse of vegetables, fruits or whole grains or preparations based on grubby fibers. Klіtkovina zbіlshu obsyag stiltsya, rob yo m'yakshe and more beautiful kerovanim.

2. Leads for strengthening the style, which additionally help to reduce the number of defecations, or reduce the speed of the intestinal cavity.

3. Visiting the toilet behind the shelf, navigating when the person is out. This method is especially suitable for young patients, for those who have a decrease in the health of getting positive before defecation, for those who do not allow themselves to be self-conscious and needlessly use a toilet. Such people need to be helped at the toilet when they receive it, as well as to respond quickly to their friend they need to go to the toilet, if they have a positive opinion before defecation.

4. Right to change the mucous membranes of the anus and pelvic floor.

5. Biofidback therapy (right with a healthy biologic sound) for the preparation of mucous membranes that are vital to the intestinal circulation.

6. Electrostimulation of the anus mucosa by the way of implantation of annexes, which stimulates the sphinkter. Naybіlsh vіdomy and actively vikoristivі in practice in foreign coloproctology method - sacral nerve stimulation and neuromodulation - stasis in the Hіrurgіchnіy clіnіtsі EMC.

7. Hirurgical correction of defects in anal muses. Indicated before surgical treatment is the destruction of the anatomical structure of the anal sphincter, as well as 2-3 degrees of deficiency as a result of the failure of the rectum and the anal canal (rectum, hemorrhoidal nodes). Plastic surgery of a sphinkter in the presence of a sphinkter, after an hour or so, as a result of injuries. In modern medicine, the implantation of a piece anal sphincter is being used, however, the method is not established in the Russian Federation.

In vipads, if it is unwise to normalize the mode of defecation by conservative methods or to update the function of the sphincter by a surgical path, it is pushed in until the colostomy is formed - the education of the intestine on cherevnu stinka... The vision is taken into the colostomy bag, which is scrupulously lying down to the shkiri. Such an operation can improve the control over intestinal viporosis.

Nontrimanny feces (anal incontinence) is a deterioration in the function of the rectum and the sphincter of the anus, when a defecation is uncontrolled. For most young children, it is less likely that the intestines are emptied of a normal disease, moreover, it is more difficult to prevent the loss of feces in older adults, and to inform about the manifestation of serious illness, a symptom of such incontinence. It is even more important to immediately find out the reason for the hit and immediately see the love.

see if you get sick

Fakhivtsi, in the presence of the level of health, control the process of defecation, dividing the anal continence into three stages:

• Lack of control over the process of gasification;
• Uncomfortable feces and gases;
• The unfriendliness of gas, solid and hard feces.

In spite of the fact that in some cases, people become ill in some cases, they can feel positive before defecation and the process of feeding feces, but not in snakes of their control. This form is characterized by the fact that the ailment does not occur before it is disrupted, nor is it itself a form of non-adversarial feces in people who have been kidnapped, often as a result of degenerative processes in the body.

Cause non-trivial kalu

The main causes of ailments can be spread on the step of a group:

• Vrodzheni. Spinal grids, rectal defects, malformations of the anal apparatus;
• Organizational. Childbirth injuries, damage to the brain and spinal cord, injuries during proctological operations;
• Psychogenic. Neurosis, psychosis, іsterії, attack uncontrolled panic.

The reasons for non-trivial feces can also be: ischemic colitis, colitis and rectal cancer, great inflammation processes, the appearance of diabetes, trauma to the pelvis, bewilderment, epilepsy. Mimovilny, the development of non-trivial feces in older people can be provoked by the most severe stress, grubby rejection, trivial with the use of carry drugs.

Non-trivial kalu for children

Until 4-ryku non-trivial feces among children (enkoprez) are not guilty of triviality among the fathers, not anomalous and not vicious any kind of abuse. Pislya reaching 4 rocky enkopresis is diagnosed in approximately 3% of malukov. The main reason for non-trivial feces in children is chronic constipation; Victims of etching dysfunction may be unbalanced food - an excess of meat and dairy products, with a shortage of food in the diet of a growing plant, as well as a little life. Hate to sleep in the afternoon before sleep, when babies often see a beating in the belly, in the navel area. The treatment of ailments includes a child, polypsychiatric intestinal motility and help for pain relief from the hour of defecation.

The viciousness of non-trivial feces in babies can cause problems and the formation of the nervous system: hyperactivity, lack of triviality, lack of coordination. The reason for the enkopresis can be psychological bureaucrats, such as, feeling fear, the reason for not wanting to see the elders. At the same time, the basis of the treatment is the psychological education of the father and, if necessary, the consultation of a psychologist. In prophylactic illnesses, it is especially meaningful that the calls are fixed by the housekeeper, but it is important that the visadzhuvannya is not supervised by unacceptable perceptions.

Non-trivial feces from people who have been abducted

Nontrivial feces in older people, especially in lithians, is tied to the decrease in the tone of the anal muses. If in adulthood there may be a slight deterioration of defecation, then in an hour without adequate treatment, it may develop into an anal continent. In a large number of cases of mimic activity of the intestine in people with abnormalities, a lot of damage to the rectum. Likewise, ailments may be tied to the development of dementia (old bewilderment), when people who are kidnapped do not control their children and the processes of viporozhnenya.

Likuvannya ailments in all cases are accelerated by many factors, including the disease. So, as often the reason for the incontinence is the out-of-town psychological camp, it is necessary not only medication and prompt treatment, but also consultation of a psychotherapist. Success in the treatment of non-trivial feces in a summer patient without a doubt lie in the form of psychological and mental comfort.

diagnostics of illness

For a successful fight against ailments, it is necessary to find the reason for the wake-up call, and then vibrate as soon as possible, for which the following messages are to be carried out:

• Manometer for the anal canal, which allows the tonus of the sphincter to be significant;
• Endorectal ultrasonography;
• Viznachennya threshold sensitivity of the rectum.

When taking an anamnesis and checking a sick person, an adequate method of treatment should be recognized.

Likuvannya netrimannya kalu

Prior to the methods of treatment of illnesses, it is recognized: medication, surgical and non-medication. The method of fighting against the continent is to lay down the path of the patient and the level of the severity of the battle. With an easy step, it is indicated that there is an unbalanced intake of drugs, as they understand the reasons, but there are problems herbal systems, And also take the adjusted tone of the sphinkter's muscles. In case of non-trivial feces of average severity, there may be special signs of the right for the change of the mucous membranes of the anus. You can spend it in the home minds, and the consistency of success is the regularity of the gymnastics presentation for 3-8 days. For the training of a sphinkter, the method of biofidback is also used, or an electrostimulator for the renewal and improvement of the function of the joints in the perineum and the anal canal. For psychological problems, psychotherapeutic methods are used.

Surgical methods for dealing with sickness in case of correction of traumatic defects in the mucous membranes of the anus. When the sphincter's nerves are pooled, it is possible to implant a piece anus, which can be stored in a plastic ring, which is made from a plastic ring. When there are any drops of non-limiting feces, the optimal option is to form a colostomy, when you get feces into a special plastic bag, attachment to the resulting intestinal tract.

With the smallest manifestations of anal continence, it is necessary not to get upset, immediately go to waste, so as a quick mailing of the chat can help you in a short term to successfully fit in because of the problems of your life.

Non-trivial kalu is not only a medical one, but a social problem, which means that the quality of the life of the people is ruined. The symptom is observed when the slunk-intestinal tract is ill, pathology of the nervous system, mental problems, slow canopy. Conservative and operative methods should be used for the treatment.

Zagvoryuvannya, for some characteristic symptom:

• hemorrhoids;
• nonspecific nonspecific colitis;
• Crohn's ailment;
• schizophrenia;
• old dementia;
• insult;
• swelling і spinal cord injuries.

Defecation is the principle of defect

The intestine is stored in two ways: a small intestine and a small intestine. Twenty-five, thin and klubova - parts of the small intestine. Tsey viddil vidpovidaє for over-etching їzhі. The intestines are stored in the slips, rim and rectum. Here you can see the moisture and form of feces.

Finished by drinking it in the slunker, before pouring in the enzymes and hydrochloric acid, and fixing it overtravel. Chyme (partly digested їzha) was consumed in two to twenty guts, Kudi, the ducts of the zhovchny mikhur and the slurry zalozi are seen. V small intestine for the help of the villi, soak up the living words. The chyme is soaked in to the intestines, in the new one is soaked in the vologue. Formations of feces are stamped on the rectum, loosening the sphincteri and lyudin vidchuvay viporozhnitsya.

In normі, the frequency of viporozhnen is 1-3 times per day, up to 3 times per day. The act of defecation against pain is painless, does not bring any inappropriate symptoms.

Encoprez: zagala characteristic

Netrimannya kalu viznachaє medical term encopresis. Vin denotes the lack of control and the act of vyporozhnennya. Lyudin cannot take over the sight of feces until the moment when she can see the toilet. You can see a solid or hard feces when passing gas. More than 70% of vypadkіv enkoprez learn from children younger than 5 years. It is not easy to stop feces from consuming constipation. The same symptom occurs in people over 50 years old. There is an order of things like dementia and Alzheimer's ailment to social isolation.

Non-trivial kalu is a social problem (photo: www.mojdoktor.pro)

see

Falling as a causal factor, є chotiri vidi enkoprez:

• regularly seeing feces without a positive act of defecation;
• non-trivial feces with a positive view of viporozhnen;
• a lot of non-trivial feces with physical rights, coughs, smith, chkhanny;
• vіkovoї enkopresis for a series of degenerative processes in the body.

It is also a matter of fact, as there is a type of non-trivial kalu:

• functional;
• pislyapologovy;
• vrodzhenii;
• traumatic.

wow correct lіkuvannya, It will be seen from the classification and walking pathology.

development mechanism

Enkopresis of dressings due to violations of the regulation of centers, which lead to the formation of intellectual reflexes. There are three mechanisms that appear to cause a symptom:

• the visibility of mechanisms, which is the reason for the appearance of a mental reflex to the act of defecation. Qia pathology is of a natural nature. In humans, there is no non-rectoanal inhibitory reflex, which stimulates vaporation;
• trusting the formation of the mental reflex;
• at the expense of the reflex, like a winikla through a series of unwelcoming bureaucrats.

Є two options for development: first and second. At first - the pathology is vvazhaєya vrodzhenoy. Secondly, the failure of the patient's mental state, injuries, damage to the nervous or visual systems.

cause

The main reason for non-trivial feces is the deterioration of the nervous regulation and the weakness of the anal sphincter. In the norm of muscular tissue, the apparatus of the small intestine is guilty of utrimuvati the fecal mass of any consistency.

Reasons for enkoprez to be in vogue and nabut:

• anatomical defects in the development of the anal apparatus;
• organic pathology, which can develop in the case of curvatures and brain injuries;
• mental illness (neurosis, schizophrenia, іsterіya);
• constipation;
• diarrhea;
• myazova weakness, decreased tone;
• dysfunctional changes in the pelvic floor;
• crap.

Constipation is called a camp, when the number of acts of defecation does not change three in one day. This is necessary before a part of the hard feces is trapped in the intestines. Immediately, a part of the hard style can be accumulated from the cym, as it will seep through the hard style. In that case, since constipation is trivial, it does not become a little overstretching of the meat ball of the rectum and the anal sphincter, which leads to non-trivial feces.

Diarrhea can also be the cause of non-trivial feces. It’s worth explaining that the accumulation of a rare style is going to grow faster and the grip on the rectum is bigger. Oganism cannot be streamed positively before defecation, but not before.

Myazova weakness of sphinkters. Winikak with damaged nerve regulation. It is also often seen in the psychoanalytic period, if the women of the winners have cut the crotch. Those are the ones who are embarrassed by the people who have transferred the operative involvement to the intestines.

Glad to the lykarya! When the first signs of non-trivial feces appear, do not engage in self-diagnosis and treatment folk zasob... Immediately go for medical aid

Years of illness (Crohn's ailment, nonspecific swelling colitis) on the intestinal mucosa will develop scar and swelling. Tse pereshkojaє to normal speed of the intestinal meatball, peristalsis is weakє, tone is reduced. Such a thing can provoke non-trivial kalu.

Dysfunctions of the pelvic floor are tied to the wrong robotic nervous system. Tse buvaє with impaired sensitivity of the perineum, loosening of the pelvic floor with a tendency to sagging of the diaphragms of the pelvis. Often the winery is due to flat and epizootomy (operative development of the crotch).

Riziku factories

Prior to the factors of risk, be clear chronic ailments lower view good intestines. Before a group of pidvishchenny rhiziku is used by people, as the weakness of the pelvic floor mucosa may appear. Likewise, people who have undergone surgery on the intestinal tract, young mothers, who may have opened the crotch.

key picture

The clearest picture of the non-trivial kalu polyaga is in the fact that the act of defecation results in mimicry. So that a person cannot wait to be discharged and do not open the toilet for the whole family. In children, mimic defecation is seen when chhanna, cough, smіh or physical nascent. A part of people are hungry for a non-trivial feces without a positive for the act of defecation, for others - a positive presence. Survive, when you see a defecation, rise and lie in the cause of the symptom.

Symptoms in case of sickness

In case of hot bowel problems, if there is no feces, to the main symptoms, pain in the lower abdomen, increased temperature (38-39 ° C), decreased weight, weakness, vomiting, relief of positiveness until the main symptomatology.

For haemorrhoids post_yn_ is characteristic more views in the anal area, rectum expansion, bloody vision, Acceptance of messages and feedback. Patients skip for more vision in the anus when walking, chewing, coughing, sympathetic, developing hemorrhoidal nodes, which become more intense when stressed.

With mental illness on the first place, the main symptomatology is in the presence of hallucinations, illusions, and the deterioration of cognitive powers.

Alzheimer's ailments are typical for her; The patient is not good at being able to handle the beat-ups, the one who needs the help of his relatives and loved ones.

Unfriendly children

Children who are up to the age of rock have a normal body. It will explain to you that the whimsicals only form and the child gets the cymnails. Older children are often uncomfortable;

Encopresis in children is also primary and secondary. With the first child, the child has a napkin, one hundred percent of the act of defecation. Secondary vinikє on aphids, stress, ailments, overextension. At the same time, such children did not have problems with viporozhnenny before.

Often the reason is that the children have an enkoprez if they can, the bazannya of the batkiv can help the child go "to the housekeeper." Such a rank, the stressful situation for the baby is shaped and the child responds promptly. To this, the daddy is guilty of going to the nourishment of the day with an intense earnestness, not having caught the child's shkodi.

Failure in women with vaginosity and during flattening

It takes an hour to get pregnant, and even, after the 34th day, there is no need for females to be developed by 5 women. The tse is tied with the grip of the uterus on the rectum and the cross section. Pislya canopy factories, which are poured into non-trivial feces, as follows:

• pershі curtains;
• rozrodzhennya z zasosuvannyam obstetric forceps or vacuum extractor;
• trivial other period of canopy;
• the weight of the fruit is more than 4 kilograms;
• polyhydramnios;
• abundance;
• middle epiziotomy (ranged between the middle line);
• posterior view of capillary bedding;
• poperedn_y opening of the anal sphinkter.

In the middle of women, in some cases, the birth took place with the application of obstetric forceps, while 16% had no feces. When the vacuum extractor is victorious, the indicator is low, only 7 vids.

Unfriendly people

For people with a kidnapped vіku (over 60 years old), non-trivial kalu is a secondary process. A symptom of frequent tying of the pathological nervous system, and itself - of damage to the robotic cortical center of defecation. Also є problems with the functions of the anal sphincter - mimicry can be promoted up to six times for dobu.

Encopresis in people who have stolen dressings with psychotic disorders, degenerative brain damage. Lyudin is involved in cognitive navichki (reading, memory, mova). The order of tsim is to go on adapting in the midst of the midst, not being able to look after yourself independently and in the way of helping you.

Until what likar i if you go round

With the first signs of a non-trivial varto, one should turn to someone. Likar zbere anamnesis, identify additional methods Afterwards, I will give you the tactics of therapy. Win anyway he will be engaged in likuvannyam, or send to ,.

diagnostics

Diagnostics of non-limiting includes a detailed anamnesis. Likar is the frequency of mimic acts of defecation, the number of visions, the number of colors, consistency and in. It is also important to note, chi є posing before drinking.

• anorectal manometer. Tsey method of diagnostics of straightening on a vise in the anal sphinkter;
• transrectal ultrasound dosage. For an additional method, it is possible to visualize the structural budova of the mucus of the anus;
• defectography (proctography) - roentgenologic dosage, showing how much feces are in the intestines;
• sigmoidoscopy is an endoscopic method, which will show the intestinal mucosa.

Carrying out diagnostics will give a picture about pozhazhennya zahvoryuvannya. You can also choose the most suitable therapy tactics.

lykuvannya

Likuvannya non-trivial feces are distributed into two groups: conservative and operative. Conservatively, it is non-drug and drug-free.

Prior to non-drug methods of treatment, the following should be applied:

• dietotherapy;
• physical right;
• electrostimulation;
• holcoreflexotherapy;
• psychotherapy.

Electrostimulation is carried out with the help of teasing the nerve end, which leads to the formation of a mental reflex, which is indicative of an act of defecation.

Golkoreflexotherapy stagnates in quiet vapors, if the patients are more susceptible to malaise. Manipulation of additional assistance to the relaxation of people.

Psychotherapy is stagnant in patients, for those who have a reason for mental illness or traumatic illness of the nervous system.

The number of drugs in the most popular drugs is often stagnant:

• strychnine;
• proserin;
• vitamini group B;

Medicines are priznachayutsya for functional congestion of the shlunkovo-intestinal tract. The stench is straightforward, like to fight against the main illnesses, so there is a symptom.

Hirurgical lykuvannya stagnates in quiet drops, if the reason for the symptom is trauma to the anal sphincter. Operations are plastic and often stagnate in proctology.

The type of operation is to lie down at the step of the anus. If the defect is susceptible to mensh, then on the fourth of the sphincter (by diameter) the operation is stagnated, the sphinkteroplasty is named. As soon as it is more massive, I will call the operation sphinkterogluteoplasty. The name implies the essence of being involved: as a material for plastics, a part of the day is victorious.

Important! Netrimanny kalu (encopresis) is a symptom, which is characterized by a mimic appearance of feces by weight. Vinnikє through the congestion of the shlunkovy-intestinal tract, the nervous system, trauma to the perineum. For a likuvannya vikoristovuyutsya dyeta, lіkuvalny drugs, surgical involvement. To overcome the symptom, change the pelvic floor muscles and reach for children

Dieticheskaja kharchuvannya

Diet of the loan is a provincial place in the city of non-traditional kalu. In some cases, there is enough change in grubs, so that you will be spoiled by the symptom. Basic recommendations for food:

• live more bilkovo їzhі, klіtkovini. The components are able to paint the quality of the etching, molding the calories of a soft consistency. Klitkovina take revenge on hanging, migdal, lion, mushrooms, apricots, wheat. Dobova norm is from 20 to 30 grams. Її slid enter in action, so as the overworld number can lead to approved approval gas;
• Riasne pittya. The dobova norm of living water is 30 ml per 10 kg of oil. Drink the water more colorfully, lower іnshі rіdini (tea, kava, juices). So, as water does not take revenge on additional calories and does not overshadow normal feces;
• the results of blood analysis may indicate vitamins and food supplements.

Slide vklyuchiti vzhivannya dairy products, smoked meats, food, coffee, food and salty food.

right

For a relief from unacceptable symptom likars recommend vikoristovuvati right, straightened on the change of the pelvic floor muzzles. Correct Kegel to help improve blood circulation, improve muscle tone. The complex consists of three parts:

• fast food. M'yazy pelvic floor napruzhuyut, vvazhayut up to 3, then relax;
• shvidki fast. M'azi napruzhuyut and relax yakomoga shvidshe;
• vishtovhuvannya. Females need to pull themselves apart, yak with canopies. Cholovik - yak when they see any defect or act of defecation.

Right, good things, you can see it in any kind of mission and at any time, do it, so as the stench does not vimagayut additional annexes. To achieve the effect, it will take up to 5 repetitions per day.

Treats and acceleration

People, who suffer from a symptom, start to study the way of life, as they see psychological and physical discomfort in the suspension. Tse Veda to the fact that Lyudin is sick to the point of dysphoria and depression. And lіkuvannya depression - trivial and vitra busy.

Up to the lateral side of the anal canal, it is possible to bring in secondary bacterial flora, as well as the appearance of gorges.

The main joy is the free beast to the liquor. If we start to love it earlier, we will be more beautiful and quicker than the forecast.

People who suffer from non-trivial feces, through their problems perceive discomfort in the suspension. When entering from the booth, follow a few rules:

• take with you the necessary gіgієnіchnі materials (servetki, pure bіliznu, zminniy odyag);
• before entering, visually open the toilet;
• to know the toilet in huge places before you know it.

Just be glad to help you see yourself more in the company of people.

forecast

If the enkopresis wicks away from the shlunkovo-intestinal tract, the prognosis for oduzhannya, pracezdatnost and life is friendly. It is possible with a comprehensive approach to treatment: pre-targeted activities, taking medications and physical preparation.

What is the reason for the enkoprez of psychotic problems and organic disease nervous system, prognosis, sorry, unpleasant.

prophylaxis

To get over the non-trivial feces is simpler, less concerned with symptoms. For the prevention of the diagnosis of enkoprez, follow these rules:

• lіkuvannya chronic sickness of the shlunkovo-intestinal tract;
• rational and povnotsinne catering for viskim vm_stom bіlka і klіtkovini;
• unique anal sex;
• free of charge. Do not tolerate and override the act of defecation;
• trenching of the pelvic floor muscles with a slide

The symptom of encopresis is delicate and unacceptable. Vin bring discomfort not only to sick people, but to feel good. It’s easier to take care of prophylaxis, not vitrahati without strength and don’t get involved in treatment.

Most of the other factors in children and older children can be found in nontrivial feces. Ailments lose control over the process of intestinal circulation. At the same time, there are additional symptoms. Spontaneous defecation of the disease in case of diare and hard stiles. Gas is often used.

Understand about Encoprez

If a patient diagnoses non-trivial feces, then in medical practice they call yak encopresis. Tse is tied together with the fact that a sick wine has a lack of control over defecation. Zahvoryuvannya is often victorious at once to the incontinent enuresis. The offense of the stanza was tied to the damage of the nervous regulation. In the process of cleaning sectional mikhura and the intestines take on the fate of those close to the neurocenter.

When a risky poses a non-trivial feces to indulge in the choloviks, they have a total of 15% to develop, without incontinence. That will need to immediately turn to the doctor for help to see the cause of the process and the sign of treatment.

Mechanism of development of the tsyo stan

Uncomfortable development through the destruction of the last robot of the pelvic joints. If the disease is tied up with uncontrolled defecation, then the problem is crying in the sphinkter's tissue. The very same is allowed to eat potatoes in the intestines. In order to correct the robot, the autonomic nervous system activates. The neurocenter is infused into the process of intestinal vyporozhnennya without assimilated speedy sphincter mucus.

With a normal tone, the muscles in the middle of the anal opening are located in the closed camp. Tse vіdbuvaєatsya permanently from an hour to sleep or not sleeping people. M'azi sphinkter to be found in napruz. It’s a gripe for people and women.

Classification I will

The grown-ups see a small number of species of non-trivial feces. Tse to lay down the mechanism of incomplete control and defecation. You see:

• postinu incontinent;
• before mimic defecation є positive before emptying;
• Chastkovo Incontinence.

Regularly non-trivial kalu buvaє in children and in young people. At the same time, they are getting sick, for they are healthy at the important camp. If ailments appear before the intestines are emptied, then rub the feces in the rectum. Chastkovo netrimannya kalu vinikє at the grown-ups for a moment or so important navantazhennі. At the same time, it will prevent people from coughing and losing any important objects.

Let's look at the kind of vvazhaєtsya netrimannya kalu among people who have been kidnapped. It is tied to the course of degenerative processes.

Krym tsyogo, in the classification enkoprez enter rozpodil behind the stages. The stages of the development of the non-limiting of all 3, up to which include:

• 1 step - uncontrolled viporozhnennya through the output of gases;
• 2 steps - incontinence of unformed feces;
• 3 steps - a sphinkter that is not healthy for solid feces.

Why is there a non-trivial feces?

To the continent, to viciously provoke factors.

• bowel problems or constipation. Through improper grubbing, the sick person accumulates solid storage elements of the recycling. To this, we will begin to stretch the rectal epithelium. Through the price, the grip of the muzzles on the sphinkter is reduced. If constipation manifests itself, then over the hard masses, a rare feces will accumulate. As a result of the change in the elasticity of the rectum, the stench leaks out. Tse staє the reason for popping the anus;
• diarrhea. Ridky style with nontrimanny fecal matter in the rectum, it is carried to the main symptom. You need to use it in the Continent, you need to get started with the Enkoprez;
• Reducing the tone of muscular tissue in the crotch area. If the energy breaks down, then the sick person will receive the acceptance of decilkoh impulses. At the same time, the problem is in the receptors, and in the first place it is tied to the brain or the damage of the robot. Tse vidbuvaєtsya from people of kidnapped vіku;
• neurotic problems;
• Reducing the tone of the pelvic organs' muscles. With partial diarrhea, or constipation, a scar appears on the rectal walls. Injuries are caused by pislya ignition processes surgical engagement for a strong rejection of the radio;
• destruction of robotic organs of the small pelvis;
• education of hemorrhoidal universities.

Falling out of the bud growth, the sphinkter is not likely to close. With a trivial recession, the tissue becomes weak, and non-trivial feces develop. As long as it is necessary to visit young patients, then they will catch the whole process of intestinal circulation.

See the reasons for women

Non-trivial feces in mature women are tied to the peculiarities of the body. When a lot of vitik feces are seen through anatomical defects and pathological processes of the rectum. The beauty of the building, the psychology of the building, is embedded in nervous system through scho crumbling myazova dіyalnіst.

Prior to this, take into account:

• panika;
• schizophrenia;
• hysterics.

Krym, on the rectum and sphinkter, inject problems with the intestines through the canopy. Zahvoryuvannya, scho was diagnosed with brain injuries. Ushkozhennya in viglyadі anal thrіches or neurologic problems and organs of the small pelvis to develop encopresis.

Beastly for help to the lykar

The patient was diagnosed with an ailment, it is necessary to go to the neurologist.

When a patient undergoes the following methods of rectal dilation, the patient must go through the following methods:

• endorectal ultrasonography - a method of diagnostics for additional assistance to the extent of the sphincter and to know about the possibility of damage or failure of the anal opening;
• pressure gauge - a technique that allows you to carry out an additional check on the vise of a closed-cored anal opening and the installation of robotic sphincters;
• sigmoidoscopy - for an additional tube, visually start the appearance of inflammation and scarring in the rectum;
• colonoscopy;
• proctography - before it is carried out for the identification of a number of feces, which is contained in the rectum.

Before an hour of diagnostics, a non-trivial diagnosis is required, and it is necessary to measure and understand the sensitivity of the rectum. As soon as the sphinkter's robots are destroyed, the sphinkter's robots will collapse. Tse supravodzhutsya at every day of the posivіv until emptying before defecation. During the process of being stored in the store, and the signal is triggered before a restless trip to the toilet.

Yaka undergo therapy with encopresis

For lіkuvannya nontrivialnya kalu paciєantovі priznachayut complex pіdhіd. The doctor will recommend to prescribe medications for children and to identify certain medications. Therapy of transferring the employment of exercise therapy, schob pіdtrimuvati m'yazi tazu. In case of severe prothyroidism of patients, carry out a surgical operation on the rectum.

Appreciation for childcare

Likuvannya non-trivial process of defecation is carried out with normalization of etching. That child will have a day. When you get sick, the menu includes products with a great variety of roselinnaya klitkovini. Tse allow the growth of kalovy masi when passed through the rectum. For prophylaxis, it is recommended to vipivati ​​not less than 2 liters of boiled water for doba. At the same time, it is not possible to replace them with rіdinami.

Stiff up your nerves to sleepiness, if you need an hour to wake up from the drink and alcoholic drinks. Krym tsyogo, under the fence there are milk and spicy grains.

Who do you need help with when you get sick?

Likuvati uncontrolled defecation are taken with drugs. Tom Likar at once with a vipisu Imodium in the form of tablets. Inakhe їkh can be known under the name Loperamid. On top of that, you can use a group of drugs in the fallow for the reason I will appear. Inodі lіkar is a sign of antacid, in those vypadіvіyuyuyu zasobi.

Krim Imodium, such preparations are used (in the presence of the cause and will become feces):

• atropin;
• codeine;
• Lomota.

On a number of feces, the building is embedded in a specific asset. The speech is active in the community.

Rule the legal physical culture with non-trivial

Lіkuvannya enkoprez polyagaє і in the tones of the pelvic muscles. To that, in case of non-trivial licar, the complex is recommended for Kegel. For more, it will be necessary to self-squeeze and relax the area of ​​the anus (sphinkter). The procedure is repeated up to 100 times throughout the day. Krym tsyogo, cinnamon to the right to pull in and out of the abdomen. Repeat Yogo up to 80 times with a stretch.

Exercise therapy procedures to help improve health back passage not only at the choloviks, but at the women. Rightly you can cherguvati and reduce the speed.

Lіkuvannya to promptly entrusting netrimannya kalu

In case of non-trivial defecation process, one of the methods of operative involvement can be identified. To that, they see the advancing ways to help the patients:

• sphinkteroplasty - reconstructed sphinkter with trauma or anal opening;
• "Direct sphinkter" - admission m'yazovoy fabric to the anal opening;
• the establishment of a piece sphinkter;
• colostomy - is carried out from the resection of the intestine and adhesion to the opening in the cherevny stintsi.

For any kind of surgery on the rectum for renewal of drug therapy and drugs. Krym tsyogo, entrusted to be carried out in order to identify the cause of problems with uncontrolled defecation. Methods for drinking alcohol only for drinking liquor.

Ways to lіkuvannya nontrivialnya kalovyh massa folk zasoba

When lіkuvannі in home minds it is recommended to consult with a doctor. The idea of ​​\ u200b \ u200bthating to please with the therapy with herbs from herbs. Krym ts'go, to control the special present for the internal reception. With non-trivial additional help aire. Pour the dried herb with sprinkles and pour 15 ml each until. It is recommended for the patient to vzhivat honey in 1 tbsp. l.

If there is a non-trivial bowel movement, there is also damage to the robotic cells. Stan often appears in people who have been kidnapped and supervise the continent. At the same time, it is necessary to go to a neurologist to establish a diagnosis.

As a matter of fact, for the reason, I will begin to recognize the patient as an individual lykuvannya. In case of serious interruption of the disease, the sick person should carry out one of the methods surgical operations on the rectum or sphinkter.

The information on our site is nominated by qualified drug users and to be of a unique character. Do not engage in self-destruction! Obov'yazkovo zvernitsya to fakhivtsya!

Gastroenterologist, professor, doctor medical sciences... It means diagnostics and carrying out treatment. Expert group z vivchennya igniter get sick... Author of 300 scientific robots.