20.500.12556/ReVIS-8381 Vpliv fizioterapevtske obravnave pri uhajanju blata pri moških in ženskah The impact of physiotherapy treatments in fecal incontinence in men and women Anorektalna enota je zaradi svoje strukture in funkcionalne celovitosti sposobna zadrževati blato. Če se poleg drugih dejavnikov pojavi še okvara anorektalne enote,je posledica uhajanje blata oz. fekalna inkontinenca (FI). Prizadene tako moške kot tudi ženske v vseh starostnih obdobjih. Poznamo več vrst FI. Dejavniki, ki vplivajo na pojav FI, so strukturna poškodba notranjega in/ali zunanjega analnega sfinktra, povzročena med porodom ali kirurškim posegom, nevrološke bolezni ter prirojene in funkcionalne motnje. Poznamo konservativni in kirurški način zdravljenja. Fizioterapija ima pomembno vlogo pri konservativnem zdravljenju FI. Pri zdravljenju FI je pomemben multidisciplinaren pristop. Fizioterapevt z ustreznim znanjem s področja patologije medeničnega dna lahko ustvari primeren in celosten program uspešnega podpornega zdravljenja FI. Za določitev ustreznega fizioterapevtskega programa je potrebna strokovna klinična ocena pacienta. Med fizioterapevtske postopke zdravljenja uvrščamo vadbo mišic medeničnega dna, elektrostimulacijo, biološko povratno zvezo in nevromodulacijo. Pomembno je, da pacienta izobrazimo o pravilni prehrani in vzpostavitvi rutine ter pravilnem odvajanju blata. Ugotovili smo, da je izbira fizioterapevtskih postopkov odvisna od podatkov, pridobljenih z oceno pacienta s FI, in da kombinacija fizioterapevtskih tehnik zmanjšuje simptom FI. Pri izvajanju terapije je pomembna individualna obravnava pacienta. Ta mora biti pripravljen sodelovati in motiviran, slediti mora navodilom, seveda pa mora biti tudi sposoben komunicirati. The anorectal unit has, with its structure and functional integrity, the ability of fecal retention. Accidental bowel leakage or fecal incontinence (FI) happens when it comes to the malfunction of the anorectal unit in combination with other factors. It can appear in men and women alike, regardless of age. We know different types of FI. Factors, influencing the onset of FI are structural damage to the internal and/or external anal sphincter caused during childbirth or surgical procedures, neurological diseases, as well as innate and functional disorders. There are two types of treatment, conservative and surgical, and physiotherapy plays an important role for the former. When it comes to FI treatment, a multidisciplinary approach is required. With appropriate knowledge of pelvic floor pathology, a physiotherapist can design an appropriate and comprehensive program of successful supporting treatment of FI. A professional clinical evaluation of a patient is needed for selecting the appropriate physiotherapeutic program. Pelvic floor exercises, electrostimulation, biofeedback, and neuromodulation are some of the physiotherapeutic proceeds used in the treatment of FI. It is crucial to familiarize the patient with the importance of an appropriate diet, establishing a routine, and proper defecation. We found out that the appropriate selection of physiotherapeutic procedures depends on the data acquired by patient evaluation and that the combination of physiotherapeutic techniques reduces the symptoms of FI. An individualistic approach to every patient is key in treating FI. The patient has to be motivated, able to communicate, and prepared to cooperate and follow the instructions. fizioterapija uhajanje blata oz. fekalna inkontinenca fizioterapevtski postopki medenično dno physiotherapy accidental bowel leakage or fecal incontinence physiotherapeutic practices pelvic floor true false false Slovenski jezik Angleški jezik Diplomsko delo/naloga 2021-10-19 18:16:16 2021-10-19 18:16:17 2024-06-12 17:00:41 0000-00-00 00:00:00 2021 0 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 2837 82990595 920$$diplomska_naloga_laura_stamatovic.pdf 920$$diplomska_naloga_laura_stamatovic.pdf 1 60AF01C0B8A098E20B81186B24EFBCD0 6b508d3882c6452c0a8d73d3b72e91b43d4fb290d4fd8ff4dec8d37881bab429 0e730739-2899-11ef-9c9e-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=8824 Visokošolski zavod Fizioterapevtika 0 0 0