Cia peb kawm txog Rectal Prolapse thiab Kev Phais Mob (Rectopexy)

Puas muaj tej lub sij hawm koj hnov ​​​​​​qhov hnyav hauv koj lub qhov quav tom qab mus rau chav dej, lossis zoo li muaj ib yam dab tsi tawm los? Txawm hais tias qhov no yog ib qho kev sib tham txog qhov txaj muag thiab txaj muag, nws tuaj yeem yog teeb meem kev noj qab haus huv uas cuam tshuam rau ntau tus neeg rau qee qhov. Peb hu qhov mob no ua 'Rectal Prolapse'. Yog li, tsis muaj dab tsi yuav tsum ntshai lossis txaj muag. Cia peb tham txog nws qhib siab.

Qhov Ncauj Tsev Me Me Prolapse Yog Dab Tsi?

Hais yooj yim xwb, qhov no yog thaum qhov kawg ntawm koj txoj hnyuv loj, qhov uas txuas rau koj lub qhov quav, plam tawm los ntawm koj lub qhov quav. Xav txog nws zoo li cov seem ntawm lub tsom iav uas swb rau hauv thiab tawm. Qhov no tuaj yeem tshwm sim thaum koj laus zuj zus, thaum cev xeeb tub lossis tom qab yug menyuam, lossis vim muaj xwm txheej lossis mob nkeeg.

Leej twg yuav muaj feem raug tus mob no ntau dua?

Qhov no tsis tshua muaj ntau. Nws cuam tshuam rau ib feem pua ​​me me ntawm cov pej xeem, kwv yees li 0.5%, thiab tuaj yeem cuam tshuam rau txhua tus neeg txhua lub hnub nyoog, tab sis nws feem ntau tshwm sim rau cov poj niam hnub nyoog tshaj 50 xyoo .

Thaum cov neeg laus muaj tus mob no, nws tsis tuaj yeem kho tau yam tsis tau phais. Txawm li cas los xij, thaum nws tshwm sim rau cov menyuam yaus, qhov xwm txheej txawv me ntsis. Rau cov menyuam yaus, nws feem ntau tshwm sim vim yog tej yam xws li cem quav tas li, raws plab, lossis kab mob parasitic. Thaum kho qhov ua rau mob tau zoo , cov leeg nqaij uas tuav lub qhov quav kom ruaj khov dua thiab tus mob yuav zoo. Yog li ntawd , cov menyuam yaus tsis tshua xav tau phais rau qhov no .

Muaj hom kev phais mob dab tsi (Rectopexy)?

Muaj ob hom kev phais mob tseem ceeb los kho qhov quav poob qis. Koj tus kws kho mob yuav xaiv txoj kev phais mob uas tsim nyog tshaj plaws rau koj raws li koj txoj kev noj qab haus huv tag nrho thiab qhov loj ntawm koj qhov quav poob qis.

Cov Txheej Txheem Mob Plab

Cov kev phais no yeej ib txwm ua nyob rau hauv qab tshuaj loog dav dav .

• Kev phais qhib (Plab hnyuv rectopexy): Tus kws kho mob ua ib qho kev phais hauv koj lub plab, rub rov qab qhov uas tawm ntawm txoj hnyuv, thiab khi nws rau ntawm phab ntsa tom qab ntawm lub duav nrog cov xov txuas mus tas li. Qee zaum, yuav siv tau ib daim ntaub mesh.
• Laparoscopic rectopexy: Qhov kev phais no yog ua los ntawm kev ua ob peb qhov me me hauv plab thiab ntxig ib lub raj nyias nrog lub koob yees duab (laparoscope) thiab cov cuab yeej los ntawm lawv.
• Kev phais mob los ntawm neeg hlau: Qhov no zoo ib yam li kev phais mob laparoscopic, tab sis tus kws kho mob ua qhov kev phais mob nrog kev pab los ntawm neeg hlau.

Qee zaum, yog tias koj muaj mob raws plab hnyav, kev phais mob colectomy (tshem ib feem ntawm txoj hnyuv) yuav ua tau tib lub sijhawm nrog kev phais mob no.

Cov Txheej Txheem Perineal

Cov kev phais no tuaj yeem ua tau raws li kev siv tshuaj loog dav dav lossis nrog rau epidural.

• Kev phais Altemeier: Hauv kev phais no, qhov uas tawm ntawm txoj hnyuv raug rub tawm ntawm lub qhov quav, txiav tawm, thiab tshem tawm. Tom qab ntawd, ob feem ntawm txoj hnyuv uas tseem tshuav raug xaws ua ke.
• Kev kho mob Delorme: Qhov no yog ua rau cov qhov me me uas tawm los. Hauv qhov no, tsuas yog cov ntaub ntawm txoj hnyuv raug tshem tawm, cov leeg nqaij raug tais, thiab cov ntaub ntawm txoj hnyuv raug xaws rov qab rau hauv lub qhov quav. Qhov no ua rau cov hnyuv tuab tsis pub tawm los vim yog phab ntsa.

Cov txiaj ntsig thiab tej yam teeb meem ntawm kev phais mob yog dab tsi?

Yog tias ib tug neeg laus muaj tus mob no, kev phais yog tib txoj kev daws teeb meem xwb. Yog tias tsis phais, cov hauv qab no tuaj yeem tshwm sim:

• Mob plab hnyuv loj heev
• Kev tswj tsis tau quav
• Qhov ntawm txoj hnyuv uas tawm los yuav daig, ntshav ntws tsis tu ncua thiab qhov ntawd tuag (Gangrene)
• Cov qhov txhab ntawm lub qhov quav thiab ua rau muaj ntshav tsis txaus

Ib yam li kev phais mob, muaj tej yam txaus ntshai. Piv txwv li, los ntshav, ntshav txhaws, thiab caws pliav. Txawm hais tias kev phais mob plab muaj tej yam txaus ntshai me ntsis, tab sis qhov kev pheej hmoo ntawm kev rov qab mob dua kuj qis dua .

Cov teeb meem tshwj xeeb uas yuav tshwm sim tom qab phais yog:

• Kev tsim cov raj tsis zoo li qub nyob ib puag ncig lub qhov quav (Anal fistulas)
• Qhov xau ntawm qhov anastomotic
• Kev thaiv plab hnyuv
• Kev ua tsis tau haujlwm ntawm kev sib deev
• Cem quav ntxiv zuj zus

Yuav siv sijhawm ntev npaum li cas los kho thiab kuv yuav tsum ua li cas tom qab phais?

Tom qab phais tas, koj yuav tsum tau nyob hauv tsev kho mob ob peb hnub lossis ib lub lim tiam. Tej zaum yuav siv sijhawm ob peb lub lis piam kom rov qab zoo li qub tom qab koj mus tsev. Tej zaum yuav siv sijhawm ob peb lub hlis rau koj cov quav rov qab zoo li qub.

Thaum lub sijhawm rov zoo, koj yuav tsum tau ceev faj tshwj xeeb rau cov no:

• Tiv thaiv kom tsis txhob cem quav: Noj cov khoom noj uas muaj fiber ntau (zaub, txiv hmab txiv ntoo, thiab taum). Haus dej ntau thoob plaws hnub.
• Tsis txhob siv zog thaum mus rau chav dej: Qhov no tseem ceeb heev. Kev siv zog tuaj yeem ua rau qhov teeb meem rov tshwm sim dua.
• Cov tshuaj ua kom quav mos: Yog tias koj tus kws kho mob sau ntawv kom siv, siv raws nraim li tau sau tseg.

Koj xav mus ntsib kws kho mob dua thaum twg?

Yog tias koj muaj cov tsos mob no tom qab phais, koj yuav tsum hu rau koj tus kws kho mob tam sim ntawd .

• Yog koj los ntshav ntau dua li qub.
• Yog tias mob plab hnyav dua.
• Yog koj pom cov cim qhia tias lub qhov quav tawm dua .
• Yog tias koj pom cov cim qhia txog kev kis kab mob, xws li kub taub hau, liab, thiab o ntawm qhov chaw phais .

Muaj coob tus neeg ncua kev nrhiav kev kho mob vim yog kev txaj muag thiab kev txaj muag ntawm kev tham txog tej yam no. Tab sis nco ntsoov, qhov no tsis yog ib yam dab tsi uas yuav zoo dua yog tsis muaj kev kho mob. Nws tsuas yog yuav hnyav zuj zus mus xwb. Yog li ntawd, yog tias koj muaj cov tsos mob no, tham nrog kws kho mob yam tsis ntshai thiab tau txais kev kho mob tsim nyog yuav pab txhim kho koj lub neej zoo heev.