Peb me ntsis tsis paub yuav tham txog qee qhov ntawm peb lub cev, puas yog? Lub qhov quav yog ib qho chaw zoo li no. Txawm li cas los xij, nws yog ib qho tseem ceeb heev rau peb kom paub txog cov teeb meem kev noj qab haus huv uas cuam tshuam nrog qhov no. Qee zaum, yuav tsum tau phais kom daws tau cov teeb meem no. Niaj hnub no peb tab tom tham txog ib qho kev phais zoo li no, Anoplasty. Txawm tias koj tsis tau hnov txog qhov no los xij, kev paub cov ntaub ntawv no yuav tseem ceeb rau koj lossis ib tus neeg ze koj ib hnub twg.
Anoplasty yog dab tsi?
Hais yooj yim xwb, kev phais anoplasty yog ib txoj kev phais uas kho lossis hloov koj lub qhov quav. Raws li koj paub, lub qhov quav yog qhov kawg ntawm peb txoj hnyuv loj. Nws yog ib feem zoo li lub raj ntev li 3-4 centimeters, puag ncig los ntawm cov leeg nqaij. Cov leeg nqaij (sphincters) no pab tso quav.
Yog li ntawd, yog tias muaj qhov tsis zoo ntawm txoj kev uas lub qhov quav tsis ua haujlwm zoo, qhov kev phais no yog ua los kho nws. Qee qhov ntawm cov teeb meem no tuaj yeem yog los ntawm yug los, thaum lwm tus tuaj yeem tshwm sim tom qab vim muaj xwm txheej lossis mob nkeeg.
Kev phais mob qhov quav (Anorectal surgery) yog ib hom kev phais mob uas siv qhov quav thiab qhov kawg ntawm txoj hnyuv loj (rectum).
Vim li cas qhov kev phais no thiaj li tsim nyog?
Muaj ob qho laj thawj tseem ceeb rau kev phais anoplasty. Cia peb nkag siab lawv kom meej.
| Qhov laj thawj tseem ceeb | Hais yooj yim xwb... |
|---|---|
| Kev Mob Qhov Ncauj | Qhov no feem ntau tshwm sim rau cov neeg laus. Cov nqaij caws pliav tsim nyob rau hauv lub qhov quav, ua rau txoj kev nqaim. Xav txog nws zoo li cov yeeb nkab dej uas raug av txhaws. Qhov no kuj hu ua "stricture." Qhov no ua rau nws nyuaj rau tso quav. Kev phais tsuas yog tsim nyog thaum lwm yam kev kho mob tsis ua rau qhov mob zoo dua. |
| Kev puas tsuaj ntawm lub qhov quav | Cov no yog cov teeb meem uas tus menyuam yug los muaj. Piv txwv li, Imperforate Anus yog ib qho mob uas qhov qhib (qhov) ntawm lub qhov quav tsis muaj lossis raug thaiv. Perineal FistulaTxhais tau hais tias qhov qhib ntawm lub qhov quav tsis yog qhov chaw uas nws yuav tsum nyob, tab sis nyob rau lwm qhov chaw (feem ntau yog hauv qab). Qhov qhib no feem ntau nqaim, thiab nws kuj tsis muaj peev xwm tswj tau cov quav. |
Thaum twg yuav phais mob no rau tus menyuam mos?
Nws yog ib qho ib txwm rau cov niam txiv yuav xav tsis thoob thaum lawv paub tias tus menyuam mos muaj teeb meem zoo li no. Txawm li cas los xij, ua tsaug rau kev nce qib hauv kev kho mob, muaj cov kev daws teeb meem zoo rau qhov no.
Qee qhov teeb meem yooj yim thaum yug los tuaj yeem kho tau los ntawm kev phais anoplasty yooj yim, tsuas yog ob peb hnub tom qab tus menyuam yug los.
Txawm li cas los xij, cov menyuam mos uas muaj cov teeb meem nyuaj dua yuav tsum tau phais ntau zaus.
Hauv cov xwm txheej zoo li no, tus kws kho mob yuav ua qhov kev phais plab hnyuv ua ntej. Qhov no txhais tau tias yuav muaj ib lub qhov me me (stoma) nyob rau hauv lub plab ntawm tus menyuam, ua ib txoj kev ib ntus rau cov quav tawm. Qhov no ua rau tus menyuam tso quav tau zoo. Tom qab ntawd, thaum lub sijhawm tsim nyog uas tus kws kho mob txiav txim siab, yuav ua anoplasty los kho lub qhov quav kom zoo. Tom qab ntawd, thaum cov qhov txhab tau zoo lawm, qhov kev phais plab hnyuv ib ntus yuav raug tshem tawm, thiab tus menyuam tuaj yeem tso quav tau raws li qhov xav tau los ntawm lub qhov quav.
Kuv yuav tsum npaj li cas ua ntej phais?
Yog koj yog ib tug neeg laus, koj tus kws kho mob yuav qhia koj kom ntxuav koj txoj hnyuv kom huv si (npaj plab) ua ntej phais. Qhov no suav nrog kev muab tshuaj kua tshwj xeeb (laxative) rau koj haus. Thaum koj haus qhov no, txhua yam hauv koj txoj hnyuv yuav raug tso tawm nrog koj cov quav.
Koj yuav tsum tswj koj cov zaub mov kom zoo ib lossis ob hnub ua ntej noj cov tshuaj no. Feem ntau lawv yuav qhia koj kom noj cov zaub mov uas tsis muaj fiber ntau thiab haus dej ntshiab xwb rau hnub kawg. Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li koj tus kws kho mob cov lus qhia 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. Yam uas koj tus kws phais ua yuav txawv nyob ntawm koj tus mob.
Feem ntau qhov kev phais mob no yog ua nyob rau hauv qab tshuaj loog dav dav .
- Rau ib tug neeg uas muaj qhov quav nqaim: Tus kws phais yuav tshem cov nqaij caws pliav uas ua rau qhov quav nqaim. Tom qab ntawd lub qhov quav yuav dav dua. Tiam sis tom qab ntawd muaj ib qho me me uas nyob sab hauv. Yuav kom kaw qhov sib txawv, yuav muab ib daim tawv nqaij me me (daim tawv nqaij) los ntawm sab nraud ntawm lub qhov quav, los ntawm lub pob tw, thiab muab txuas rau qhov chaw ntawd thiab xaws.
- Yog tias tus menyuam yug los muaj qhov tsis zoo (Anorectal Malformation):Tus kws phais yuav tsum tsim ib txoj hlab zis tshiab. Txoj hlab zis tshiab no yuav tsum pib ntawm txoj hnyuv, hla dhau cov leeg nqaij ntawm txoj hlab zis, thiab qhib rau qhov chaw raug. Yog tias muaj cov qhov quav uas qhib rau qhov chaw tsis raug, lawv yuav raug kaw. Yog tias tus menyuam muaj txoj hlab zis ib ntus, nws yuav nyob ntawd kom txog thaum txoj hlab zis tshiab kho tau zoo.
Tej yam teeb meem tom qab phais mob yuav muaj li cas?
Ib yam li kev phais mob, muaj tej yam txaus ntshai thiab teeb meem uas yuav tshwm sim tau, thiab nws yog ib qho tseem ceeb uas yuav tsum paub txog lawv.
| Hom teeb meem | Kev piav qhia |
|---|---|
| Cov teeb meem luv luv | |
| Kev kis kab mob | Kev kis kab mob tuaj yeem tshwm sim thaum lub qhov txhab zoo. Koj pab neeg kho mob yuav qhia koj yuav ua li cas tiv thaiv qhov no. |
| Cov ntshav txhaws (Hematoma) | Ntshav tuaj yeem sib sau ua ke hauv qhov txhab thiab ua ib qho ntshav khov. Qhov no tuaj yeem kho tau los ntawm kev siv dej khov thiab nias. |
| Nyuaj tso zis (Urinary Retention) | Ib txhia neeg yuav muaj teeb meem tso zis tom qab phais, uas tej zaum yuav xav tau tshuaj lossis siv catheter ib ntus. |
| Kab mob cem quav | Tej zaum yuav muaj cem quav tom qab phais. Tus kws kho mob yuav muab cov tshuaj uas tsim nyog rau koj rau qhov no. |
| Cov teeb meem mus sij hawm ntev | |
| Kev tswj tsis tau quav | Qhov no yuav tshwm sim tau yog tias qhov kev phais ua rau cov leeg lossis cov hlab ntsha puas tsuaj. Ib txhia menyuam yaus uas muaj teeb meem yug los yuav poob cov hlab ntsha thiab cov leeg nqaij uas tsim nyog txij thaum pib. Ib txhia neeg tuaj yeem tswj tau qhov no raws sijhawm. Koj tus kws kho mob yuav nrog koj tham txog qhov no. |
| Kev mob qog nqaij hlav | Yog tias lub qhov quav tsis tau nthuav dav txhua hnub thaum lub sijhawm kho mob, muaj feem ntau uas nws yuav nqaim dua. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum ua qhov kev nthuav dav raws li tus kws kho mob hais. |
| Mob pob khaus ntawm daim ntaub so ntswg | Thaum cov menyuam mos pib tso quav los ntawm lub qhov quav, lawv tuaj yeem ua pob khaus tawv nqaij hnyav heev rau thaj chaw ntawd. Qhov no yog vim tias daim tawv nqaij tsis tau siv los tso quav. Cov tshuaj pleev tshwj xeeb tuaj yeem pab tiv thaiv thiab kho qhov no. |
Lub sijhawm rov zoo li cas?
Feem ntau cov txheej txheem kho mob yuav siv sijhawm li 4 txog 8 lub lis piam. Thaum lub sijhawm no, koj yuav tsum tau ua qhov quav qhib txhua hnub . Qhov no yog ib kauj ruam tseem ceeb heev hauv cov txheej txheem kho mob. Ib lub cuab yeej tshwj xeeb (dilator) raug ntxig rau hauv qhov quav txhua hnub thiab rub. Qhov no yog ua los tiv thaiv qhov quav kom tsis txhob nqaim dua thiab ua rau muaj qhov txhab thaum nws kho.
Nws yog ib qho ib txwm muaj los ntshav me ntsis thaum ua qhov no, yog li ntawd tsis txhob txhawj. Tus kws kho mob yuav muab tshuaj rau koj kom tswj qhov mob. Nws kuj tseem yuav qhia koj kom ua raws li kev noj zaub mov tshwj xeeb thaum koj tab tom kho.
Nco ntsoov tias, cov xwm txheej no tsis tshua muaj tshwm sim. Txawm li cas los xij, yog tias lawv tshwm sim, anoplasty yog ib txoj kev kho mob zoo heev. Tshwj xeeb tshaj yog txij li thaum tus menyuam uas muaj qhov tsis zoo thaum yug los yuav tsis rov qab mus rau qhov qub tag nrho, qhov kev phais no tuaj yeem muab sijhawm rau lawv kom ua neej nyob li qub li sai tau.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Anoplasty yog ib qho kev phais mob uas ua los kho qhov quav stenosis rau cov neeg laus lossis cov menyuam mos yug los muaj teeb meem.
- Tej tus menyuam mos yuav xav tau kev phais plab ib ntus kom tso quav ua ntej phais loj.
- Kev nthuav qhov quav txhua hnub tom qab phais yog qhov tseem ceeb kom tiv thaiv txoj kev tshiab tsim los ntawm kev nqaim.
- Ua raws li koj tus kws kho mob cov lus qhia txog kev saib xyuas qhov txhab, kev noj zaub mov, thiab kev mus ntsib kws kho mob tom qab.
- Yog tias koj muaj teeb meem dab tsi, xws li mob hnyav, muaj cov cim qhia tias muaj kev kis kab mob (o, liab, kua qaub), lossis nyuaj rau tso zis/tso quav, qhia rau koj tus kws kho mob tam sim ntawd.
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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