Ko te hanganga kikokiko o te nono tangata

Kumu - Ko te wahi whakamutunga o te whēkau, i roto i nei te tinana ka whiua te kumete (arā, toenga o ururua kai).

Ko te hanganga o te nono tangata

Nono iti sphincters e kua hanga e uaua. E hiahiatia ana taua mowhiti mo whakatuwheratanga mana uaua me te katinga o te nono. I roto i te tinana tangata, e rua o sphincter anorectal:

• Roto arā, o thickening o uaua maeneene o te tōu me he kahore raro ki te mahara. Ko tona roa i te hawhe ki henimita toru me te hawhe.
• Waho arā, o uaua striated ka whakahaeretia ana e mahara. rerekē te roa i rua ki te rima me henimita te hawhe.

mutu te reira i nono tawhē whero, i te mea he whakawhitinga mucosa squamous koi ngohi te te awa anorectal distal i roto i te kiri uhi i te crotch. Ko te hiako i roto i te rohe whero te tikanga i runga i te pigmented (i.e. te tae mumura) ka mingimingi tika ki te aroaro o te sphincter waho.

I roto i te tamarikitanga, kei te nono te ake dorsally atu i roto i ngā pakeke, āhua rua tekau mitamano i te iwi timu. Ko te diameter o te nono, he nuinga e toru ki te ono henimita, a ka pae te roa teihana i toru ki te rima henimita. I tua atu ki te sphincter, i roto i te taputapu kati rectal ngā nga uaua e ara te nono me te uaua o te HWM papatoiake.

Ka taea te wehea te hanganga o te nono ki ngā wāhanga e toru:

1. Mucous i roto i tēnei wāhanga whakaratohia te ki puninga ahopou, i waenganui nei e kitea crypts (sinuses whakaeneene), kei hea e kei nga rua repe whero.
2. hipoki Area epithelium flat multilayer.
3. Tenei multilayer pani wehea epithelium squamous keratinized me te whakaratohia ki te maha sebaceous me repe werawera me te huruhuru.

Kua whakawhanakehia rohe whero me te tōu whatunga circulatory, me te maha mutunga karere, tuku āta whakaroa te mahi o defecation, a ko te maha te take o te kōroke neurogenic.

Ko te mātauranga mahere whenua o te nono

Structures e tika taunekeneke ki te awa whero, - he ampoule rectal me sigmoid kopirua. Kei te awa whero i roto i te perineum. Ko pātata ki te vesicles huero, ara tātea ampoules, te tōngāmimi me te repe repeure i roto i nga tangata mua o te tōu. Women e kei hoki i roto i te puta tenetene mua, me te kōpū. Channel Aukatihia ai kumu. Muri te sphincter waho te whakamahi i anococcygeal nape e piri ki te iwi timu.

I roto i te rohe crotch muri me i nga taha o te nono whakaritea takirua rua ischiorectal he āhua prism me ki tonu i te ngako kiko, i whakamatauria nga raru me oko toto. I roto i te tukia rua motu i te āhua o tapatoru. Ko te taiepa lateral o rua i hanga obturator uaua me te tuberosity ischial (mata i roto), medial - me uaua sphincter waho e whakaara ake te nono. Ko te pakitara muri o te rua i hanga uaua coccygeal me ona kurupae muri e whakaara ake te nono me te mua - hake uaua perineal. kiko adipose, kei nei i roto i te kōhao poka ischiorectal, mahi te mahi o te urunga manahau rapa.

Ko te hanganga o te nono wahine

I roto i te tinana wahine, ko pātata ki te tenetene te mua tōu me wehea te te whakamutunga i te kahupapa Denovile-Salishcheva. No te mea o taua hanganga o te nono me te tōu i roto i nga wahine rite āpiha hopuhopu, me te neoplastic āhuatanga ki ngāwari tomo i tetahi kōhao ki tetahi, e arata'i ki te hanganga o te fistula rectovaginal rite ki te hua o te momo o injuries ruptures o te perineum ranei i roto i whanau.

Ko te hanganga o te nono i roto i nga wahine arata'i ki tona āhua i te puka o te mātauranga papatahi ranei paku kohuki mua. huanga ratou tenei ki te meka e i roto i te tukanga o te te tuku wātea uaua o te perineum me nga uaua e ara te nono, ngaro ratou kaha ki te kirimana.

Āhuatanga o te nono i roto i nga tangata

He etahi rerekētanga te hanganga o te nono tane. rite te kōrere titiro tangata (ina koa uaua) nono. Ko pātata ki te umanga o te taiawa mimi me te tihi o te repeure te taiepa mua o te awa whero. I tua atu, i te matotoru o te tangata sphincter ā-atu i roto i nga wahine.

Ko te mahi o nga nono me tōu

Tōu haepapa mō te tango i matū ururua i te tinana. I tua atu, i reira puta he absorption wai. Ko te kupu, mā te dewatering me te pēhi i feces hoki ki te tinana hoki e pā ana ki wha rita o wai ia ra. Fakataha ki te inu ngote nei hoki microelements. ampoule Rectal Ko te awa hoki feces, e tika ana ki te whakaeminga o taiepa hyperinflation whēkau hanga he pana io me rite putanga o te inanga, ki defecation (defecation).

Na inaianei nga mahi nono. Te riroraa i roto i te ngaohiko tamau, ona sphincters whakahaere te tuku o feces (defecation) me ngā haurehu putanga i te whēkau (flatulentsiyu).

nono māuiuitanga

• Pukupuku.
• Puku.
• Whaturama.
• mucosa Various kohakore (cysts, matore whero, mariao).
• tukanga inflammatory (abscesses, whēwhē, proctitis, fistulas).
• āhua congenital (atresia whero).

spasm o te sphincter

I roto i runga ki te hanganga o te nono me mau faaiteraa āhuatanga o te pathologies o te wahi intestinal. I roto i te tohu tino noa o spasm o te sphincter (waho ā ranei), i te mea he mamae hūhi ranei i roto i te nono.

Ko te take o tenei huru ko:

• raruraru hauora hinengaro;
• kōroke auroa;
• mumura ma'i i roto i te rohe o te sphincter ā waho ranei;
• innervation nui.

Fakatatau ki ai emit roanga:

• spasm roa āhuatanga e mamae kino e kore e unuhia tango Pë noa.
• mamae rangitahi - ohorere poto mamae koi i roto i te nono, whakawhānui ki te hononga papatoiake whekau ranei.

Tei runga i te take spasm e taea e:

• tuatahi (e tika ana ki ngā raruraru neurological);
• Tuarua (e tika ana ki ngā raruraru i roto i te punuatuna te nuinga).

Faaiteraa o tenei tohu e:

• te ahua o te mamae e tika ana ki te ahotea;
• stoped mamae i roto i defecation te whakamahi i te wai mahana ranei;
• paetata mamae whakapeka te i roto i te nono me te homai ki te iwi timu, papatoiake (perineum) puku ranei.

Tātaritanga o ngā tukanga pathological

• Ka taea e tomography computed kitea polyps me ētahi atu hanganga rerekē.
• whakamahia te unuhanga te ki te whakatau i te repara o tukanga puku.
• Anoscopy (rektomanoskopiya) whakamahia te ki te aromatawai i te āhua o te mucous nono me te hoki tango i te rauemi unuhanga.
• Anorectal manometry. I roto i runga ki te hanganga o te nono (whakaahua cm. Runga ake) te whakahaere tātaritanga taputapu uaua (sphincter) nono. Te nuinga o te wa e maximally totoro te uaua whakaeneene ki te whakahaere i defecation me flatulentsiey. Ki waru tekau-rima ōrau o te reo basal o te whakaeneene i mahi sphincter whero ā-. I roto i te take o te kore iti ranei o ruruku i waenganui i nga uaua o te papatoiake, me te sphincter whero whakawhanake diskheziya e faaite fifi o defecation me kōroke.
• whakamātautau Rectal. heheu tenei tikanga te whaturama, prolapse o te whēkau, kōpū, puku, fistulas, matore me ētahi atu mate o te nono me te tōu.
• US nono. I runga i te pūtake o tenei ako e taea tatou amo te aroaro o te pukupuku, ki te whakatau i to ratou wāhi me te rahi, ki te kitea te pukupuku, me te pera i runga i.

Hūhi i roto i te rohe anorectal

Ko te hanganga kikokiko o te nono, ko e te kiri i roto i tenei rohe ko tino tairongo, me i roto i ona hipi ka hanganga ture-kore ki te akuaku, kōroke auau korere ranei e taea te whare huakita, e taea hua i roto i te hūhi, ritenga, minamina, kakara, me te mamae.

Hei whakaiti i enei tohu, me te kia ratou ārai:

• Horoi i te nono me te kiri a tawhio noa ki te wai, kahore hopi (te whakamutunga taea maroke te kiri, me te, rite ki te hua, arahi ki hūhi noa rahi). He mea tika ki te hoatu hiahia ki te rehu "Kavilon" te whakamahi o te waipiro horoi free (rite te pepa whare paku mukākā te kiri) ranei.
• Me kia maroke te kiri i roto i te rohe whero.
• He mea tika ki te whakarato i te arai ki te houku kătahi. Hei tauira, tūtohutia tono cream "Dimethicone" hanga he kiriata tiaki i runga i te kiri a tawhio noa te nono.
• Whakamahi o puehu rongoā (hei tauira, talc cornstarch ranei). kia tono ratou ki horoia-i mua, me te maroke kiri.
• Ko te whakamahi o te rinena tuku Pads makuku-ngongo ranei.
• Ko te whakamahi o "breathable" underwear me kakahu i hanga i ngā rauemi māori tapahia noa e kore e aukati i te kaupapa.
• I roto i te take o te taikaha fecal,, no te hiahia koe ki te whakakapi i te underwear.

maimoatanga

Ko te whakarite o te therapy ngā tei runga i te āhua o te mate. A, no te faaore i te spasm o te sphincter runga ake katoa nga take i meinga ratou. I tua atu, kua whakaritea laxatives, antibacterials, anesthetics me spasmolytics i te puka o te hinu / suppositories, me te therapy tinana, hiko, tono, mirimiri, werowero moroiti. Ki te memeha noa o te maimoatanga momo kawea i roto i ngā mahi hāparapara.

kawea maimoatanga hemorrhoid te i roto i te whakamahi i kānara motuhake me hinu, me te tikanga hāparapara. disorders congenital (atresia o te nono) kei roto i te hiahia o te pokanga tonu. Te pukupuku o te nono tukinotia e te huinga o te radiation me hahau, me tango hāparapara o te pukupuku. Kapiti i roto i te rohe nono maitai treatable ki pati motuhake, kai, te whakaora kānara me aihikirīmi, me te hāparapara. Whaturama me prolapse rectal faaore tikanga hāparapara.