E kamaʻilio maʻalahi kākou e pili ana i ka Rectal Prolapse a me ke ʻoki kino (Rectopexy)

Ke manaʻo nei ʻoe i kekahi manawa he puʻupuʻu a he kaumaha paha i loko o kou rectum ma hope o ka hele ʻana i ka lua? Ke manaʻo nei anei ʻoe ua puka mai kekahi mea i loko? ʻO kēia ka mea a mākou e kapa nei he rectal prolapse . ʻOiai he kumuhana paʻakikī a hilahila hoʻi ke kamaʻilio e pili ana, he mea nui loa ia no kou olakino. No laila e kamaʻilio ākea kākou e pili ana.

He aha maoli kēia? I ka pōkole...

E noʻonoʻo e pili ana i ia mea, ʻo ka ʻāpana hope loa o kou kolona i kapa ʻia ʻo ka rectum. ʻO ka maʻamau, ua paʻa ia ma kahi e nā ʻiʻo i loko o kou pelvis. Akā i kekahi manawa, ke nāwaliwali kēia mau ʻiʻo, e paheʻe iki ka rectum i lalo a hoʻāʻo e puka i waho o kou anus. Ua like ia me kahi sock e huli ana i loko i waho. ʻO kēia ka mea a mākou e kapa nei ʻo Rectal Prolapse.

ʻAʻole kēia kūlana he pilikia olakino. Eia nō naʻe, inā ʻaʻole mālama ʻia , hiki ke ʻoi aku ka ʻino i ka hala ʻana o ka manawa. Hiki i kēia ke alakaʻi i ka ʻeha, nā pilikia ʻōpū (constipation a i ʻole incontinence), a me nā pilikia ʻē aʻe.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia maʻi?

ʻAʻole kēia he maʻi maʻamau loa. ʻOiai hiki ke ulu i loko o kekahi kanaka, ʻoi aku ka maʻamau i nā wahine ma luna o 50 mau makahiki. Hiki nō hoʻi ke hana ma hope o ka hāpai ʻana, i ka poʻe me ka paʻa ʻana o ka ʻōpū no ka manawa lōʻihi, a i ʻole ma hope o kahi ʻeha.

He aha nā ʻano hana ʻoki kino i loaʻa no kēia?

ʻO ke ala wale nō e ho'ōla ai i ka Rectal Prolapse i kahi pākeke ma o ke ʻoki kino. Ua kapa ʻia kēia ʻoki kino ʻo Rectopexy . ʻElua ʻano nui o ke ʻoki kino. E koho kāu kauka i ke ʻano hana maikaʻi loa nāu ma muli o kou olakino, ka makahiki, a me ke koʻikoʻi o ka pilikia.

Nā Kaʻina Hana ʻŌpū

I loko o kēia ʻoki kino, e hoʻokomo ʻia ʻoe ma lalo o ka anesthesia laulā. Aia kekahi mau ʻano hana no kēia:

• ʻO ke ʻoki hāmama (Abdominal Rectopexy): Hana ke kauka i kahi ʻoki lōʻihi i loko o kou ʻōpū, huki i ka rectum i hoʻokuʻu ʻia i luna, a hoʻopaʻa iā ia i ka paia hope o kou pelvis (sacrum) me nā humuhumu mau a i ʻole kekahi manawa he kaula mesh. I ka hala ʻana o ka manawa, hana ʻia nā ʻiʻo ʻeha a noho mau ia ma laila. I kekahi manawa, hiki ke hana ʻia kahi ʻoki ʻōpū (ʻoki e wehe i kahi ʻāpana o ka ʻōpū) e hōʻemi i ka paʻa ʻana.
• Laparoscopic Rectopexy: Ma kahi o ka hana ʻana i kahi ʻoki nui i loko o ka ʻōpū, hana ʻia kēia ʻoki ma ka hana ʻana i kekahi mau ʻoki liʻiliʻi a me ka hoʻokomo ʻana i kahi ʻōmole lahilahi me kahi kāmela i hoʻopili ʻia (laparoscope) a me nā mea hana ʻē aʻe.
• Robotic Rectopexy: He like kēia me ke ʻoki puka kī, akā hoʻohana ʻia kahi mea robotic e kōkua i ke kauka.

Nā Kaʻina Hana Perineal

Hana pinepine ʻia kēia ʻoki kino ma luna o ka poʻe ʻelemakule a i ʻole ka poʻe hiki ʻole ke ʻae i ke ʻoki kino nui ma muli o nā kūlana olakino ʻē aʻe. Hiki ke hana ʻia ma lalo o ka anesthesia laulā a i ʻole me kahi epidural.

• Ke kaʻina hana Altemeier: Ma kēia kaʻina hana, wehe ke kauka i ka rectum i prolapsed a me ka ʻāpana hope loa o ka ʻōpū ma o ka anus, ʻokiʻoki iā lākou, a laila hoʻopili hou i ke koena o ka rectum i ka ʻōpū.
• Ke kaʻina hana a Delorme: Hana pinepine ʻia kēia no ka prolapse liʻiliʻi. Maanei, wehe wale ʻia ka uhi o ka rectum, pelu ʻia ka papa ʻiʻo, a humuhumu ʻia i loko o ke kahawai anal. Hoʻomānoanoa kēia i ka paia ʻiʻo a pale i ka rectum mai ka paheʻe ʻana mai kahi.

Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?

He mea nui e hahai pono ʻoe i nā ʻōlelo a kāu kauka ma mua o ke ʻoki ʻana. ʻO ka maʻamau, e noi ʻia ʻoe e hana i kēia mau mea:

• E ʻai wale i nā wai i ka lā ma mua o ke ʻoki ʻana.
• E ho'ōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau (ʻoiai nā lāʻau hoʻokahe koko) no kekahi manawa.
• E lawe i nā laxatives e hoʻomaʻemaʻe pono i nā ʻōpū.

He aha kāu e manaʻo ai ma hope o ke ʻoki kino?

Pono ʻoe e noho i ka haukapila no kekahi mau lā ma hope o ke ʻoki ʻana. Inā ua hana ʻia ke ʻoki ʻana ma kou ʻōpū, pono paha ʻoe e noho no hoʻokahi pule. E nānā kāu kauka iā ʻoe a hiki i kou hiki ke ʻai hou ma ke ʻano maʻamau, hoʻokuʻu i ke kinoea, a loaʻa kahi neʻe ʻana o ka ʻōpū. ʻO kēia ke hōʻoia i ka hana pono ʻana o kāu ʻōnaehana hoʻoheheʻe.

Eia kekahi mau hōʻailona maʻamau i nā lā mua ma hope o ke ʻoki ʻana:

• Ke ʻeha nei a i ʻole ka paʻa ʻana ma ka anus a me nā wahi ʻoki ʻia.
• Ke kahe iki ʻana o ke koko a i ʻole ke kahe ʻana o ke koko me ka ʻōpala.

Pehea ʻoe e koho ai i ke ʻano hana ʻoki kino e kūpono loa iā ʻoe?

Na kāu kauka kēia i hoʻoholo. Hoʻopilikia kekahi mau kumu i kēia.

ʻAʻohe anei he mau pilikia i kēia ʻoki kino?

E like me nā ʻoki kino āpau, aia nā pilikia. Eia kekahi laʻana, ke kahe ʻana o ke koko, nā ʻūpā koko, a me ka maʻi. ʻOiai ʻoi aku ka nui o ka pilikia o ke ʻoki ʻana i ka ʻōpū, ʻoi aku ka haʻahaʻa o ka pilikia o ka hoʻi hou ʻana me kēlā kaʻina hana . ʻOi aku ka haʻahaʻa o ka pilikia o ke ʻoki ʻana i ka perineal, akā ʻoi aku ka kiʻekiʻe o ka pilikia o ka hoʻi hou ʻana.

ʻO kekahi mau pilikia e pili ana i ke ʻoki ʻana e komo pū me:

• Nā fistula anal
• Ka leaka Anastomotic
• Ka pale ʻana o ka ʻōpū
• Nā pilikia hana moekolohe
• Hoʻonui hou ʻia ka paʻa ʻana o ka ʻōpū

Ka manawa ho'ōla ma hope o ka ho'i 'ana i ka home

Hiki ke hala kekahi mau pule a i ʻole mau mahina e hoʻōla piha ai ma hope o kou hoʻi ʻana mai ka haukapila mai. E lōʻihi ka manawa e hoʻi ai kou neʻe ʻana o ka ʻōpū i ka maʻamau. I loko o kēia manawa, pono ʻoe e mālama i kēia mau mea:

• E pale i ka paʻa ʻana o ka ʻōpū: E ʻai i nā meaʻai waiwai i ka fiber (nā mea kanu, nā huaʻai). E inu ma ka liʻiliʻi he 8-10 mau aniani wai i ka lā.
• Mai hoʻoluhi nui: Mai hoʻoluhi nui i ka wā e hoʻohana ana i ka lua.
• Nā mea palupalu noho: Inā ʻōlelo kāu kauka, e hoʻohana i nā mea palupalu noho.

Āhea ʻoe e makemake ai e ʻike hou i ke kauka?

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e hoʻomaopopo koke i kāu kauka:

• Ke kahe koko nui ʻana o ke koko rectal.
• Ka paʻa paʻa ʻana a mau paha.
• Nā hōʻailona o ka rectal prolapse (manaʻo kaumaha, puʻupuʻu).
• Nā hōʻailona o ka maʻi (ke kuni, ka ʻulaʻula o ka ʻoki, ka pehu).

E hilahila paha ʻoe e kamaʻilio me ke kauka e pili ana i kekahi mea e like me kēia. Akā e hoʻomanaʻo, ʻaʻole hiki ke ho'ōla ʻia ka Rectal Prolapse me ke ʻoki ʻole ʻana. ʻO ka lōʻihi o kou hoʻopaneʻe ʻana i ka ʻimi ʻana i ka lāʻau lapaʻau, ʻoi aku ka ʻino o ka pilikia. No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​mai makaʻu e ʻike i ke kauka a kamaʻilio me ia. Ma kēlā ala, hiki iā ʻoe ke ho'ōla koke a ola hou i kou ola me ka ʻoluʻolu.