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

Ke manaʻo nei ʻoe i kekahi manawa he kaumaha i loko o kou anus ma hope o ka hele ʻana i ka lua, a i ʻole me he mea lā ua puka mai kekahi mea? ʻOiai he kumuhana hilahila iki kēia e kamaʻilio e pili ana, hiki ke lilo i pilikia olakino e hoʻopilikia i nā poʻe he nui i kekahi ʻano. Kāhea mākou i kēia ʻano ʻo 'Rectal Prolapse'. No laila, ʻaʻohe mea e makaʻu ai a hilahila paha. E kamaʻilio kākou e pili ana i ia mea me ka ākea.

He aha ka Rectal Prolapse?

I ka ʻōlelo maʻalahi, ʻo ia ka manawa e hemo ai ka ʻāpana hope loa o kou ʻōpū nui, ka ʻāpana e pili ana i kou rectum, ma o kou anus. E noʻonoʻo e like me nā ʻāpana o kahi telescope e paheʻe ana i loko a i waho. Hiki ke hana kēia i kou wā ʻelemakule, i ka wā hāpai a ma hope o ka hānau ʻana, a i ʻole ma muli o kahi ulia a maʻi paha.

ʻAʻole kēia he pilikia olakino. Eia nō naʻe, inā ʻaʻole mālama ʻia, hiki i ke kūlana ke ʻoi aku ka ʻino i ka hala ʻana o ka manawa. No laila, ʻoi aku ka maikaʻi o ka mālama ʻana me ke ʻoki kino (rectopexy).

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

ʻAʻole kēia he mea maʻamau loa. Hoʻopilikia ia i kahi pakeneka liʻiliʻi o ka heluna kanaka, ma kahi o 0.5%, a hiki ke hoʻopilikia i kekahi o kēlā me kēia makahiki, akā ʻoi aku ka maʻamau i nā wahine ma luna o 50 mau makahiki .

Ke loaʻa i nā pākeke kēia maʻi, ʻaʻole hiki ke ho'ōla ʻia me ke ʻoki ʻole ʻana. Eia nō naʻe, ke loaʻa i nā keiki ʻōpio, ʻokoʻa iki ke kūlana. I nā keiki, ulu pinepine ia ma muli o nā mea e like me ka paʻa mau ʻana o ka paʻa ʻana, ka maʻi diarrhea, a i ʻole nā ​​maʻi parasitic. Ke mālama pono ʻia ke kumu kumu, hoʻoikaika hou nā ʻiʻo e paʻa ana i ka rectum a hoʻōla ke ʻano. No laila , ʻaʻole pono pinepine nā keiki i ke ʻoki ʻana no kēia .

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He aha nā ʻano hana ʻoki kino (Rectopexy) i loaʻa?

ʻElua ʻano hana nui e hoʻoponopono ai i ka rectal prolapse. Na kāu kauka e koho i ke kaʻina hana kūpono loa nāu ma muli o kou olakino holoʻokoʻa a me ka nui o kou rectal prolapse.

Nā Kaʻina Hana ʻŌpū

Hana ʻia kēia mau ʻokiʻoki ma lalo o ka anesthesia laulā i nā manawa a pau.

• ʻO ke ʻoki kino hāmama (ʻōpū rectopexy): Hana ke kauka i kahi ʻoki ma kou ʻōpū, huki i hope i ka ʻāpana e puka mai ana o ka ʻōpū, a hoʻopaʻa iā ia i ka paia hope o ke pelvis me nā humuhumu mau. I kekahi manawa, hiki ke hoʻohana ʻia kahi ʻupena.
• Laparoscopic rectopexy: Hana ʻia kēia ʻoki ma ka hana ʻana i kekahi mau ʻoki liʻiliʻi i loko o ka ʻōpū a hoʻokomo i kahi ʻōmole lahilahi me kahi kāmela (laparoscope) a me nā mea kani ma o lākou.
• ʻO ka rectopexy robotic: Ua like kēia me ke ʻoki laparoscopic, akā hana ke kauka i ke ʻoki me ke kōkua o kahi robot.

I kekahi manawa, inā loaʻa iā ʻoe ka paʻa paʻakikī, hiki ke hana ʻia kahi colectomy (wehe ʻana i kahi ʻāpana o ka ʻōpū) i ka manawa like me kēia ʻoki kino.

Nā Kaʻina Hana Perineal

Hiki ke hana ʻia kēia mau hana ma lalo o ka anesthesia laulā a i ʻole me kahi epidural.

• Ke kaʻina hana Altemeier: Ma kēia kaʻina hana, huki ʻia ka ʻāpana e puka mai ana o ka ʻōpū mai loko mai o ka anus, ʻoki ʻia, a wehe ʻia. A laila, humuhumu ʻia nā ʻāpana ʻelua i koe o ka ʻōpū.
• Ke kaʻina hana a Delorme: Hana ʻia kēia no nā puka liʻiliʻi i puka mai. Maanei, wehe wale ʻia ka uhi o ka ʻōpū, pelu ʻia ka papa ʻiʻo, a humuhumu ʻia ka uhi i loko o ka rectum. Pale kēia mānoanoa i ka puka ʻana o ka ʻōpū ma muli o ka paia.

He aha nā pōmaikaʻi a me nā pilikia e hiki mai ana o ke ʻoki kino?

Inā loaʻa i kahi pākeke kēia maʻi, ʻo ke ʻoki kino wale nō ka hopena. Inā ʻaʻole i hana ʻia ke ʻoki kino, hiki ke hana ʻia kēia mau mea:

• Paʻa paʻa koʻikoʻi
• Ka hoʻōki ʻana o ka fecal
• Paʻa ka ʻāpana o ka ʻōpū i puka mai i waho, pau ke kahe ʻana o ke koko a make kēlā ʻāpana (Gangrene)
• Nā ʻeha rectal a me ka anemia hopena

E like me nā ʻoki kino āpau, aia nā pilikia. Eia kekahi laʻana, ke kahe ʻana o ke koko, nā ʻūpā koko, a me nā ʻeha. ʻOiai ʻoi aku ka nui o ka pilikia o ke ʻoki kino ʻōpū, ʻoi aku ka haʻahaʻa o ka pilikia o ka hoʻi hou ʻana .

ʻO nā pilikia kikoʻī e hiki ke kū mai ma hope o ke ʻoki ʻana:

• ʻO ke ʻano maʻamau o nā ʻōmole a puni ka anus (Anal fistulas)
• Ka leaka Anastomotic
• Ka pale ʻana o ka ʻōpū
• Hana ʻino i ka moekolohe
• Hoʻonui hou ʻia ka paʻa ʻana o ka ʻōpū

ʻEhia ka lōʻihi e hoʻōla ai a he aha kaʻu e hana ai ma hope o ke ʻoki ʻana?

Ma hope o ke ʻoki ʻana, pono ʻoe e noho ma ka haukapila no kekahi mau lā a i ʻole hoʻokahi pule. Hiki ke hala i kekahi mau pule e hoʻi ai i ka maʻamau ma hope o kou hoʻi ʻana i ka home. Hiki paha ke hala i kekahi mau mahina no ka hoʻi ʻana o kou neʻe ʻana o ka ʻōpū i ka maʻamau.

I ka wā e hoʻōla ai, pono ʻoe e mālama pono i kēia mau mea:

• Kāohi i ka paʻa ʻana o ka ʻōpū: E ʻai i nā meaʻai waiwai i ka fiber (nā mea kanu, nā huaʻai, a me nā legumes). E inu i ka wai he nui i ka lā a pau.
• Mai hoʻoluhi i ka wā e hele ai i ka lua: He mea nui loa kēia. Hiki i ke hoʻoluhi ke hoʻāla hou i ka pilikia.
• Nā mea palupalu o ka noho: Inā kuhikuhi kāu kauka iā lākou, e hoʻohana pono iā lākou e like me ke kauoha.

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

Inā ʻike ʻoe i kēia mau hōʻailona ma hope o ke ʻoki ʻana, pono ʻoe e kāhea koke aku i kāu kauka .

• Inā ʻoi aku kou kahe ʻana o ke koko ma mua o ka maʻamau.
• Inā loaʻa hou ka paʻa ʻana o ka ʻōpū nui .
• Inā ʻike ʻoe i nā hōʻailona e puka hou ana ka anus .
• Inā ʻike ʻoe i nā hōʻailona o ka maʻi, e like me ke kuni, ka ʻulaʻula, a me ka pehu ʻana ma kahi i ʻoki ʻia ai .

Hoʻopaneʻe ka nui o ka poʻe i ka ʻimi ʻana i ka lāʻau lapaʻau ma muli o ka hilahila a me ka hilahila o ke kamaʻilio ʻana e pili ana i kēia mau mea. Akā e hoʻomanaʻo, ʻaʻole kēia he mea e hoʻomaikaʻi me ka ʻole o ka lāʻau lapaʻau. E lilo wale ia i mea ʻino i ka hala ʻana o ka manawa. No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻo ke kamaʻilio ʻana me ke kauka me ka makaʻu ʻole a me ka loaʻa ʻana o ka lāʻau lapaʻau e pono ai e kōkua i ka hoʻomaikaʻi nui ʻana i kou ʻano ola.