Koj tus kws kho mob puas tau qhia koj lossis koj tus menyuam txog kev phais vim muaj teeb meem nrog koj lub qhov quav lossis teeb meem txij thaum yug los? Tej zaum koj yuav tau hnov lo lus "anoplasty." Lub npe no yuav ua rau ntshai me ntsis, tab sis thaum koj nkag siab txog nws yog dab tsi thiab vim li cas nws thiaj ua tiav, koj qhov kev ntshai thiab kev ua xyem xyav yuav ploj mus. Hnub no, peb yuav tham txog qhov kev phais anoplasty no.
Hauv lwm lo lus, anoplasty yog dab tsi?
Kev phais qhov quav yog ib txoj kev phais kho lossis rov tsim koj lub qhov quav, qhov qhib uas cov quav tawm los. Lub qhov quav yog qhov kawg ntawm peb txoj hnyuv loj. Nws yog ib lub raj ntev li 3-4 centimeters, puag ncig los ntawm cov leeg nqaij ncig. Peb hu cov leeg nqaij no ua sphincters . Cov no yog cov uas pab tso cov quav tawm. Yog li, yog tias muaj qhov tsis zoo hauv txoj kev uas lub qhov quav no tsis ua haujlwm zoo, kev phais qhov quav yuav raug ua los kho nws. Qee qhov ntawm cov qhov tsis zoo no tuaj yeem yog los ntawm noob neej. Lwm tus tuaj yeem tshwm sim tom qab vim muaj xwm txheej lossis kab mob.
Vim li cas thiaj li tsim nyog yuav tsum tau phais anoplasty no?
Muaj ntau yam tseem ceeb uas ua rau muaj anoplasty. Cia peb saib seb lawv yog dab tsi. Kuv yuav piav qhia qhov no rau koj nrog daim ntawv qhia yooj yim to taub.
| Ua rau | Piav qhia yooj yim |
|---|---|
| Kev Mob Qhov Ncauj | Qhov no feem ntau tshwm sim rau cov neeg laus. Lub qhov quav nqaim vim yog cov nqaij caws pliav uas tsim nyob rau hauv lub qhov quav. Qhov no tuaj yeem tshwm sim los ntawm kev phais mob yav dhau los lossis vim yog mob ntev. Thaum lub qhov quav nqaim, cov quav tsis ncab zoo li nws yuav tsum tau ua, ua rau nws mob heev thaum tso quav. Yog tias lwm yam kev kho mob tsis kho tau qhov mob, kev phais mob anorectal yuav tsum tau ua. |
| Kev puas tsuaj ntawm lub qhov quav | Cov no yog cov mob uas tshwm sim rau cov menyuam mos thaum yug los. Piv txwv li, Imperforate AnusQhov no yog ib qho mob uas tus menyuam lub qhov quav tsis qhib lossis raug thaiv. Lwm qhov yog perineal fistula . Qhov no yog thaum lub qhov quav qhib rau qhov chaw tsis yog, tsis yog qhov chaw uas nws yuav tsum nyob. Qhov qhib no feem ntau nqaim heev, thiab nws tsis hla dhau cov leeg uas tswj kev tawm quav, yog li tus menyuam tsis tuaj yeem tswj kev tawm quav. |
Thaum twg tus menyuam yuav tsum tau phais mob no?
Yog tias ib tug menyuam mos muaj teeb meem zoo li no, nws yog ib qho ntuj tsim rau koj ua niam txiv yuav chim siab heev. Tab sis nco ntsoov, kev tshawb fawb kho mob muaj cov kev daws teeb meem zoo rau qhov no. Qee qhov teeb meem yooj yim tuaj yeem kho tau los ntawm kev phais anoplasty yooj yim hauv ob peb hnub tom qab yug los.
Txawm li cas los xij, cov menyuam mos uas muaj qhov tsis zoo sib xws yuav tsum tau phais ntau zaus. Hauv cov xwm txheej zoo li no, tus kws kho mob yuav ua qhov colostomy ua ntej. Qhov no txhais tau tias yuav muaj qhov qhib ib ntus (stoma) hauv lub plab ntawm tus menyuam, kom cov quav hla dhau nws. Tom qab ntawd, thaum tus menyuam loj me ntsis, yuav muaj kev phais anoplasty rau lub sijhawm tsim nyog los kho lub qhov quav kom zoo. Tom qab ntawd, thaum cov qhov txhab zoo, qhov colostomy qub yuav raug tshem tawm thiab tus menyuam tuaj yeem tso quav tau raws li qhov quav.
Kuv yuav tsum npaj li cas ua ntej phais?
Yog koj yog ib tug neeg laus, koj tus kws phais yuav qhia koj kom ntxuav koj cov hnyuv kom huv si ua ntej phais. Qhov no suav nrog kev muab dej haus tshwj xeeb rau koj hu ua kev npaj plab . Koj haus qhov no ib hnub ua ntej phais. Qhov no yuav ua rau koj yuav tsum mus rau chav dej ntau zaus dua thiab yuav ua rau koj cov hnyuv khoob tag.
Ua ntej koj haus dej no, lawv yuav hais kom koj noj zaub mov tshwj xeeb li ob peb hnub. Feem ntau, lawv yuav qhia koj kom noj zaub mov uas tsis muaj fiber ntau li ob hnub thiab haus dej ntshiab xwb rau hnub kawg. Koj tus kws kho mob yuav piav qhia txhua yam no rau koj kom meej.
Muaj dab tsi tshwm sim thaum lub sijhawm phais?
Lub hom phiaj tseem ceeb ntawm kev phais anoplasty yog los tsim kom lub qhov quav ua haujlwm tau zoo dua. Cov kauj ruam uas koj tus kws phais yuav ua raws yuav txawv nyob ntawm koj tus mob.
Feem ntau, koj yuav raug muab tshuaj loog rau hauv koj lub plab thiab tig koj lub cev rau ntawm koj lub plab. Cov kws phais yuav siv lub tshuab hluav taws xob los nrhiav cov cheeb tsam uas cov leeg nqaij hauv koj lub qhov quav yuav tsum sib zog. Qhov no ua rau lawv pom tseeb tias koj lub qhov quav yuav tsum nyob qhov twg thiab cov leeg nqaij nyob qhov twg.
- Yog tias lub qhov quav nqaim (Anal Stenosis): Qhov no suav nrog kev tshem tawm cov nqaij caws pliav uas ua rau lub qhov quav nqaim. Tom qab ntawd lub qhov quav tuaj yeem qhib dua. Txawm li cas los xij, thaum lub caws pliav raug tshem tawm, yuav muaj ib lub qhov me me nyob sab hauv. Txhawm rau kaw nws, tus kws phais yuav muab ib daim tawv nqaij me me (daim tawv nqaij) los ntawm koj lub pob tw (daim tawv nqaij nyob ib puag ncig lub qhov quav), kaw lub qhov, thiab xaws nws kaw.
- Rau ib tug me nyuam uas muaj qhov tsis zoo ntawm lub qhov quav: Yog tias tus me nyuam lub qhov quav ploj lawm lossis nyob rau qhov chaw tsis raug, tus kws phais yuav tsum tsim ib lub qhov quav tshiab. Lub qhov quav tshiab no yuav tsum hla dhau cov leeg nqaij ntawm lub qhov quav ntawm qhov kawg ntawm tus me nyuam txoj hnyuv loj thiab qhib rau qhov chaw zoo. Yog tias muaj cov qhov quav uas qhib rau qhov chaw tsis raug, lawv kuj yuav tsum tau kaw.
Tom qab phais tas, yuav muaj teeb meem dab tsi tshwm sim?
Nyob ntawm seb qhov kev phais mob zoo li cas, koj tuaj yeem mus tsev tib hnub ntawd lossis nyob hauv tsev kho mob ob peb hnub. Tus kws kho mob yuav saib xyuas koj kom ze kom txog thaum koj cov qhov txhab zoo.
Qhov tseem ceeb tshaj plaws yog ua qhov quav kom dav raws li koj tus kws kho mob hais thaum lub qhov txhab zoo lawm. Qhov no suav nrog kev ntxig ib lub cuab yeej tshwj xeeb (dilator) rau hauv qhov quav txhua hnub kom nws dav me ntsis. Qhov no yog ua los tiv thaiv qhov quav tshiab kom tsis txhob nqaim dua (stenosis) thaum nws zoo lawm.
Ib yam li lwm yam kev phais mob, muaj feem me me uas kev phais mob anoplasty yuav ua rau muaj qee qhov kev pheej hmoo lossis teeb meem. Cia peb paub txog qhov ntawd thiab.
| Hom teeb meem | Kev piav qhia |
|---|---|
| Cov Teeb Meem Luv Luv | |
| Kev kis kab mob | Yog tias qhov txhab kis kab mob thaum nws tab tom kho, nws yuav siv sijhawm ntev dua los kho. Koj pab neeg kho mob yuav qhia koj yuav ua li cas tiv thaiv qhov no. |
| Cov ntshav txhaws (Hematoma) | Ntshav sib sau ua ke hauv qhov txhab thiab ua ib qho ntshav khov. Siv dej khov, nias, thiab muab daim ntaub qhwv yuav pab tau. Tej zaum koj yuav tsum ua me ntsis kom tshem cov ntshav tawm. |
| Nyuaj tso zis (Urinary Retention) | Muaj ib txhia neeg muaj teeb meem tso zis tom qab phais lawm. Qhov no yuav kho tau ib ntus los ntawm kev siv tshuaj lossis, yog tias tsim nyog, siv lub catheter. |
| Kab mob cem quav | Qhov no yuav tshwm sim tau rau cov neeg uas tau muaj mob cem quav ua ntej lawm. Tus kws kho mob yuav muab tshuaj rau koj thiab. |
| Cov Teeb Meem Mus Ntev | |
| Tsis muaj peev xwm tswj tau cov quav (Fecal Incontinence) | Kev phais mob tuaj yeem cuam tshuam rau cov leeg lossis cov hlab ntsha uas tswj kev txav mus los ntawm txoj hnyuv. Ib txhia menyuam mos uas muaj teeb meem yug los yuav poob cov hlab ntsha thiab cov leeg uas tsim nyog. Raws li lub sijhawm dhau mus, qee tus yuav tswj tau, thaum lwm tus yuav poob nws. Koj tus kws kho mob yuav tham nrog koj txog qhov no thiab yuav ua li cas txog nws. |
| Kev mob qog nqaij hlav | Yog tias qhov kev nthuav qhov quav tsis tau ua kom raug thaum lub sijhawm kho, qhov quav yuav rov qab nqaim dua. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum ua raws li tus kws kho mob qhia rau koj. |
| Mob pob khaus ntawm daim ntaub so ntswg | Thaum cov menyuam mos pib tso quav los ntawm lawv lub qhov quav tshiab, lawv tuaj yeem ua pob khaus loj heev. Qhov no yog vim tias daim tawv nqaij tsis tau raug tso quav ua ntej. Qhov no tuaj yeem tswj tau los ntawm kev siv tshuaj pleev tshwj xeeb. |
Lub sijhawm rov zoo li cas?
Feem ntau nws yuav siv sijhawm li ntawm 4 txog 8 lub lis piam rau cov qhov txhab kom zoo. Nws yog ib qho ib txwm muaj los ntshav me ntsis thaum lub sijhawm nthuav dav txhua hnub, yog li tsis txhob txhawj txog nws. Nws tsis mob heev. Koj tus kws kho mob yuav muab cov tshuaj tsim nyog rau koj kom tswj tau qhov mob. Koj kuj tseem yuav raug hais kom ua raws li kev noj zaub mov tshwj xeeb thaum lub sijhawm no.
Rau cov menyuam mos uas tau muaj colostomy lawm, qhov kev phais zaum kawg kom tshem tawm colostomy tuaj yeem ua tau thaum lub qhov quav tau kho tag nrho.
Qhov nqaim ntawm lub qhov quav lossis qhov tsis zoo uas muaj txij thaum yug los yog ib qho mob tsis tshua muaj, tab sis yog tias lawv tshwm sim, nws tuaj yeem ua rau peb ntseeg siab tias cov txiaj ntsig zoo tuaj yeem ua tiav los ntawm kev phais xws li anoplasty.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Anoplasty yog ib qho kev phais tshwj xeeb thiab ua tiav zoo heev uas ua los kho qhov nqaim thiab qhov tsis zoo ntawm lub qhov quav.
- Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li koj tus kws kho mob cov lus qhia kom zoo thaum koj rov zoo tom qab phais, tshwj xeeb tshaj yog thaum nws los txog rau kev nthuav dav.
- Yog koj yog niam txiv ntawm ib tug me nyuam yug los muaj hom kev puas tsuaj no, koj tsis yog tib tug xwb. Ua haujlwm nrog koj pab neeg phais mob thiab tau txais kev txhawb nqa uas koj xav tau.
- Yog koj muaj lus nug, kev ntshai, lossis kev tsis ntseeg txog qhov no, thov nrog koj tus kws kho mob tham yam tsis muaj kev yig.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus