Tiyeni tiphunzire zambiri zokhudza Rectal Prolapse.

Mukapita ku bafa, kodi mumamva ngati gawo la matumbo anu likutuluka mu anus yanu? Kapena nthawi zonse mumamva kudzaza, kulemera, kapena kusasangalala mu anus yanu? Anthu ambiri sauza aliyense za izi chifukwa cha manyazi kapena mantha. Koma lero tikulankhula za ' Rectal Prolapse ', vuto lomwe limakhudza anthu ambiri, koma ndi lochititsa manyazi pang'ono kulilankhula, koma lomwe muyenera kudziwa.

Mwachidule, kodi Rectal Prolapse ndi chiyani?

Taganizirani za dongosolo lathu logaya chakudya. Chakudya chimene timadya chimadutsa m'matumbo athu, chimagayidwa, ndipo zinyalala zimatuluka m'thupi mwathu ngati ndowe. Chimbudzichi chisanatulutsidwe, chimasungidwa kwakanthawi m'chigawo chomaliza cha matumbo athu akuluakulu. Izi zimatchedwa rectum . Minofu yomwe ili mkati mwa rectum iyi imachigwira pamalo ake.

Tsopano, Rectal Prolapse ndi pamene minofu yomwe imasunga rectum pamalo ake imafooka, zomwe zimapangitsa rectum kutsika kuchokera pamalo ake abwinobwino, kutsika ku anus, ndipo nthawi zina kutuluka kwathunthu m'thupi. Zili ngati telescope yomwe imalowa, komwe gawo la matumbo limalowa ndipo gawo la rectum limatuluka.

N’chifukwa chiyani izi zikuchitika? Kodi zifukwa zake ndi ziti?

Pali zifukwa zambiri zomwe minofu yomwe imasunga rectum ikhoza kufooka. Mwina si chifukwa chimodzi chokha, koma kuphatikiza kwa zinthu zingapo.

Kodi izi si hemorrhoids? Kodi mumasiyanitsa bwanji awiriwa?

Ili ndi vuto lalikulu kwa anthu ambiri. Anthu ambiri amasokoneza awiriwa chifukwa zizindikiro za Rectal Prolapse ndi Hemorrhoids nthawi zina zimakhala zofanana. Komabe, awiriwa ndi matenda awiri osiyana kwambiri.

Tiyeni timvetse bwino kusiyana pakati pa ziwirizi.

Kodi zizindikiro za izi ndi ziti?

Munthu amene ali ndi vutoli akhoza kukumana ndi zizindikiro zosiyanasiyana. Ngakhale kuti poyamba sizingakhale zoopsa, zimatha kuwonjezeka pakapita nthawi.

• Kumva kapena kukhuta ngati kuti pali chinthu chonga mpira m'chimake.
• Ngakhale mutapita kuchimbudzi, mumamva ngati simunachite chimbudzi kwenikweni .
• Chotupa chofiira komanso chamafuta chimatuluka mukapita kuchimbudzi. Poyamba, chimalowa chokha, koma pambuyo pake muyenera kuchiyika pamanja.
• Kutuluka kwa madzi, magazi, kapena ndowe ngati ntchofu kuchokera ku anus (Fecal Incontinence).
• Kuyabwa ndi kupweteka kuzungulira thako.
• Kudzimbidwa kapena kuvutika kutulutsa chopondapo.

Kodi dokotala amapeza bwanji izi?

Ngati muli ndi zizindikiro izi, chinthu chabwino kuchita ndikuonana ndi dokotala. Dokotalayo adzakufunsani za zizindikiro zanu ndikukuyesani thupi. Angakuuzeni kuti mupukute ngati kuti mukupita kuchimbudzi ndikuyang'ana rectum yanu.

Kuphatikiza apo, mutha kuchita mayeso otsatirawa kuti mutsimikizire vutoli ndikuwona mavuto ena:

• Kuyezetsa kwa digito kwa rectal: Kuyezetsa kwachizolowezi komwe kumachitika ndi dokotala pogwiritsa ntchito chala chovala magolovesi.
• Manometry ya Anorectal: Mayeso omwe amayesa mphamvu ya minofu m'malo olumikizirana mafupa ndi m'matako.
• Kuchotsa Chimbudzi: Kuyeza komwe kumagwiritsa ntchito X-ray kapena MRI scan kuti muwone momwe rectum yanu ikugwirira ntchito pamene mukuchotsa chimbudzi.
• Colonoscopy: Chitoliro chosinthasintha chokhala ndi kamera chimayikidwa kudzera mu anus kuti chione m'matumbo onse.
• Mndandanda wa GI Wotsika (Barium Enema):Madzi otchedwa barium amaperekedwa, ndipo mavidiyo angapo a X-ray amatengedwa pamene akudutsa m'matumbo.
• Electromyography (EMG): Kuyesa komwe kumayesa kuwonongeka kwa mitsempha yomwe imalamulira kugwira ntchito kwa minofu.

Kodi chimachitika ndi chiyani ngati sichikuchiritsidwa?

Uwu si matenda oopsa, koma ngati sanachiritsidwe kwa nthawi yayitali, kusapeza bwino kungawonjezere ndipo mavuto aakulu angachitike.

• Kusadziletsa kwa ndowe: Imeneyi ndi vuto lomwe minofu ya m'matumbo imalimba, zomwe zimapangitsa kuti munthu asathe kulamulira njira yodutsa ndowe ndi mpweya. Vutoli limakhudza anthu 50%-75% omwe ali ndi vutoli.
• Zilonda za m'matumbo: Mbali ya m'matumbo yomwe imatuluka imatha kukwiya ndikutuluka magazi chifukwa chokwinya zovala ndikuuma.
• Kutsekeredwa m'ndende: Nthawi zina gawo la rectum lomwe latuluka silingathe kubwezeretsedwanso. Izi ndi zoopsa pang'ono.

Kodi mankhwala ochizira izi ndi otani?

Vutoli likachitika mwa munthu wamkulu, silichira lokha. Nthawi zambiri, chithandizo chabwino kwambiri cha vutoli ndi opaleshoni . Ngati vutoli likachitika mwa ana aang'ono, limatha kuchira lokha chifukwa chake (monga kudzimbidwa) chachotsedwa.

Pali mitundu iwiri ikuluikulu ya opaleshoni. Dokotala wanu adzasankha opaleshoni yoyenera kwambiri kwa inu kutengera thanzi lanu komanso mtundu wa prolapse.

1. Njira Yogwiritsira Ntchito M'mimba - Rectopexy

Izi zimaphatikizapo kudula m'mimba (kutsegula kapena laparoscopically kapena kudzera mu opaleshoni ya keyboo), kukoka rectum yotuluka mmwamba, ndikuyiyika pakhoma lakumbuyo la m'chiuno ndi zosokera kapena china chake chonga mesh. Maopaleshoni awa ndi opambana kwambiri.

2. Njira Yogwirira Ntchito

Njirayi imagwiritsidwa ntchito kwa anthu omwe sangathe kuchitidwa opaleshoni ya m'mimba, okalamba, kapena omwe ali ndi matenda ena. Mu njira iyi, opaleshoniyi imachitika kudzera mu anus.

• Njira ya Altemeier: Mu njira iyi, gawo lotulukira m'matumbo limadulidwa ndikuchotsedwa, ndipo magawo awiri otsalawo amalumikizidwanso.
• Njira ya Delorme: Mu njira iyi, gawo lokhalo la mucosal lomwe latuluka m'matumbo limachotsedwa, ndipo minofu imapindidwa ndikusokedwa pamodzi.

Kodi vutoli lingapewedwe?

Inde, chiopsezochi chingachepe pang'ono. Zinthu izi ndizofunikiranso kuti vutoli lisabwererenso pambuyo pa opaleshoni.

• Lamulani kudzimbidwa: Idyani zakudya zokhala ndi ulusi wambiri (zipatso, ndiwo zamasamba, nyemba). Imwani magalasi osachepera 8-10 a madzi patsiku. Pewani kudzikakamiza mukamapita kuchimbudzi.
• Limbitsani minofu yanu ya pansi pa chiuno: Maseŵera abwino kwambiri ochitira izi ndi masewera olimbitsa thupi a Kegel . Mutha kufunsa dokotala wanu kapena katswiri wa masewera olimbitsa thupi kuti akupatseni upangiri wa momwe mungachitire izi.
• Khalani ndi kulemera kwabwino: Kulemera kwambiri kumaika mphamvu yowonjezera pa minofu ya pansi pa chiuno.