Birincil kronik kabızlık ve tıkalı (dissinerjik) dışkılama

Öz

Kabızlık, sosyo-ekonomik üretkenliği, yaşam kalitesini ve artan sağlık bakım masraflarını büyük ölçüde etkileyen kronik bir tıbbi durumdur. Kabızlığın tıbbi tedavisi, tıbbi bakım maliyetlerini azaltan ve tanıya ulaşan aşamalı bir yaklaşımla gerçekleştirilmelidir. Tanı yöntemlerinin seçimi ve uygulanması bir uzmana danışılmalıdır. Gastroenterologlar, rektoanal cerrahlar, fizyoterapistler ve jinekologlardan oluşan bir uzman ekip dissinerjik dışkılamayı teşhis etmeli ve yönetmelidir. Çoğu hastada aynı anda birden fazla patolojik durum bulunduğundan bunların bir sırayla ele alınması gerekir. Bu derleme dissinerjik dışkılamayı tanımlamayı, teşhis etmeyi ve yönetmeyi amaçlamaktadır.

Anahtar Kelimeler

• kabızlık
• dissinerjik defekasyon
• pelvik taban bozuklukları
• biofeedback tedavisi

Primary chronic constipation and obstructed (dyssynergic) defecation

Öz

Constipation is a chronic medical condition that significantly affects socioeconomic productivity, quality of life, and increasing healthcare costs. The medical management of constipation should follow a stepwise approach that facilitates diagnosis while reducing healthcare expenditures. The selection and implementation of diagnostic methods should be carried out in consultation with a specialist. A multidisciplinary team consisting of gastroenterologists, colorectal surgeons, physiotherapists, and gynecologists should diagnose and manage dyssynergic defecation. Since most patients present with more than one pathological condition simultaneously, these conditions should be addressed in a sequential manner. This review aims to define, diagnose, and manage dyssynergic defecation.

Anahtar Kelimeler

• constipation
• dyssynergic defecation
• pelvic floor disorder
• rectocele
• biofeedback treatment

Kaynakça

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