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????? text? Braddom ??? ???? ?(neurogenic bowel)? ?? ???????.
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Bowel anatomy and function
Anatomy : structure and innervation
˘Ůcolon: terminal segment of intestineˇú differentiated for fecal formation, storage, defecation
˘Úcolon & anorectal mechanism ˇúparasympathetic, sympathetic, somatic innervation
& contain intrinsic enteric nervous system (ENS) between muscular layer and under mucosa
˘Űintrinsic ENS:remain intact with presenting illness & injuries
(most common exception: Hirschsprung`s disease or acquired neuropathy from DM)
- neurogenic bowel : loss of direct somatic sensory or motor control function, with or without impaired sympathetic and parasympathetic innervation
intrinsic ENS remains intact with most presenting injury and illness????
ˇ¤ Braddom??
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Ai ???????? ??? ?? ?? ??? ???? ?? ?? ? ????. ??, ? ??? ?? ?? ?? ??? ??? ?? ??? ??? ??? ?? ??? ? ?????. ?????? ??? ?????! -
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?? ? ??? ??? ??? ??, ?? ?????? ???? ????.
?????, ???? ? ?? ?? ?? ? ????? ????? ????? ??? ??? ????. -
?????? ???? ??? ??? ???? ???? ??? ???? ???, ??? 4?? ???? ??? ? ?????? ????.
???? ???? ??? ?? ??? ?? ?? ??? ??? ????? ??? ?? ??? ????? ?? ?????? ?? ???? ?? ?? ?? ??? 70% ?? ??? ???? ?? (???? ??? ? ?? ?? ???) ???? ?? ???, ????, ??, ?? ?? ??? ??? ?? ??? ??? ?? ??? ??? ???? ?? ??
?? ??? ??? ??? ???!
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Neurogenic bowel :Dysfunction and management
4???
1. Bowel? physiology (1)Colon? function ˘ŮReservioir: food waste? ???? ??? ? ?? ?? ˘ÚStorage device: colonic pressure? anal sphincter?? ?? ?? ???? ?? ˘ŰFecal elimination: colonic pressu.. -
???? ?? ??
14???
1. ??? ??? ?? 1) ?? ??? ???? ??? ????, ??? ˇö ??? ˇö ????? ???? ??. ???? ?? ˇö ??(???) ˇö ???? ????? ???? ???? ???? ??? ˇö ??? ?? ˇö ??? ????. ??? ???? ?? ????? ??? 3cm?? ?? ??? 3~15mm?? ???..
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Neurogenic Bladder (???? ??) & CMG
4???
ˇő Bladder anatomy ? Upper urinary tract : kidney, ureter . ureter ; 30cm in adult narrowing site ; ureteropelvic junction, iliac artery crossing over, ureterovesical junction . .. -
[????]??(?? ? ??) ppt
12???
??? ??? ??? ??? ??? ??? ??? ??? ?? ??. ???? ??? ??? ?? ? ??? ?????? ????? ?? ??(ÁxĘÖ)?? ?? ????(ÉĎÖ«ÁxÖ«)?, ??(Áx×ă)??? ?? ????? ?????. ? ????? ???? ?? ?? ˇ¤??? ??? ?? ˇ¤???? ?????. ???? ?? ??? ??? ?? ? ????? ?.. -
????????(PPT)
16???
???? ???? 1. ???? ? ????? ?? ? ???? ???? 1.1 ? ???? ????(Bowel habituation program)??? ?? ??? ??? ?? ??, ??? ???? ?? ?? ???? ? ???? ??? ?? ????? ?? ??? ? ?? ??? ????. ? ??? ???? ? ??? ?? ??, ??? ..
???? ??? ?????
?? ?? ??? ???? ???!
-
?/??
- Neurogenic bowel (???? ?)
- *?* | 14 ???
- 1,000?
??? ????
-
?/??
- ????, ????
- ???? | 38 ???
- 2,500?
??? ????
-
?/??
- ????? ??/???/????/????/? ??
- rhrnak18 | 30 ???
- 2,000?
??? ????
-
?/??
- VSIM Vernon Watkins (???, ????) ???
- ???? | 27 ???
- 3,000?
-
?/??
- (A++??)????? ??? ????, ??? ???
- SN? | 26 ???
- 3,000?
??? ????
-
?/??
- [????/??????] ??&??? ??????
- ????? | 14 ???
- 1,500?
-
?/??
- ????(Osteoporosis) CASE
- ????? | 10 ???
- 3,400?
-
?/??
- [???????] ?????? ?????
- ??? | 10 ???
- 2,500?
??? ????
-
?/??
- Common bile duct(CBD) stone ????? ???
- ???? | 20 ???
- 2,500?
-
?/??
- ?????? ?????
- ????? | 3 ???
- 1,000?
??? ????
-
?/??
- ????? ??? ??? case study ??? colon cancer (???? 2?)
- *?* | 13 ???
- 1,500?
-
?/??
- ????, ??, ?? ?? ????
- ??????? | 17 ???
- 4,000?
-
?/??
- ????? ??? ? ?? ? ??? ??? ????
- *?* | 10 ???
- 2,500?
-
?/??
- ????? ?? - SCI ??
- *?* | 28 ???
- 2,000?
-
?/??
- ????(paraplegia) ???? ? ??
- *?* | 9 ???
- 2,500?
-
?/??
- ???? ?? ??
- *?* | 14 ???
- 1,500?
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ˇ°EasyAI ? ??? ?? ??? ???? ?? ? ????"
