Tiyeni tikambirane mwachidule za Rectal Prolapse ndi Surgery (Rectopexy)

Kodi nthawi zina mumamva chotupa kapena kulemera m'matumbo mwanu mutapita ku bafa? Kodi mumamva ngati chinachake mkati chatuluka? Iyi ndi nkhani yomwe timaitcha kuti rectal prolapse . Ngakhale kuti ndi nkhani yovuta komanso yochititsa manyazi kukambirana, ndi yofunika kwambiri pa thanzi lanu. Choncho tiyeni tikambirane za nkhaniyi momasuka.

Kodi ichi ndi chiyani kwenikweni? Mwachidule...

Taganizirani izi, gawo lomaliza la m'matumbo mwanu limatchedwa rectum. Nthawi zambiri, limagwiridwa ndi minofu mkati mwa chiuno mwanu. Koma nthawi zina, minofu imeneyi ikafooka, rectum imatsika pang'ono ndikuyesera kutuluka mu anus yanu. Zili ngati sokisi yotembenukira mkati. Ichi ndi chomwe timachitcha Rectal Prolapse.

Vutoli si ladzidzidzi lachipatala. Komabe, ngati silichiritsidwa , limatha kukulirakulira pakapita nthawi. Izi zingayambitse ululu, mavuto a m'mimba (kudzimbidwa kapena kusadziletsa), ndi mavuto ena.

Ndani amene ali ndi mwayi waukulu wokumana ndi vutoli?

Vutoli si lofala kwambiri. Ngakhale kuti lingayambe mwa aliyense, limapezeka kwambiri mwa akazi azaka zopitirira 50. Lingayambenso pambuyo pa mimba, kwa anthu omwe ali ndi vuto la kudzimbidwa kwa nthawi yayitali, kapena atavulala.

Ndi mitundu iti ya opaleshoni yomwe ilipo pa izi?

Njira yokhayo yochiritsira Rectal Prolapse mwa munthu wamkulu ndi opaleshoni. Opaleshoni iyi imatchedwa Rectopexy . Pali mitundu iwiri ikuluikulu ya opaleshoni. Dokotala wanu adzakusankhirani njira yabwino kwambiri kutengera thanzi lanu, zaka, komanso kuopsa kwa vutoli.

Njira Zam'mimba

Pa opaleshoni iyi, mudzapatsidwa mankhwala oletsa ululu. Pali njira zingapo zochitira izi:

• Opaleshoni yotseguka (M'mimba Rectopexy): Dokotala amadula mimba yanu kwa nthawi yayitali, amakoka rectum yotuluka mmwamba, ndikuimanga kukhoma lakumbuyo la chiuno chanu (sacrum) ndi kusoka kosatha kapena nthawi zina ndi mesh sling. Pakapita nthawi, minofu ya chilonda imapangika ndipo imakhala pamenepo kosatha. Nthawi zina, kuchotsa matumbo (opaleshoni yochotsa matumbo) kungachitike kuti achepetse kudzimbidwa.
• Laparoscopic Rectopexy: M'malo mochita kudula kwambiri m'mimba, opaleshoniyi imachitika mwa kudula pang'ono pang'ono ndikuyika chubu chopyapyala chokhala ndi kamera yolumikizidwa (laparoscope) ndi zida zina.
• Robotic Rectopexy: Izi zikufanana ndi opaleshoni ya keyboo, koma chipangizo cha robotic chimagwiritsidwa ntchito pothandiza dokotala.

Njira Zochizira M'mimba

Opaleshoni imeneyi nthawi zambiri imachitidwa kwa okalamba kapena omwe ali ndi matenda ena omwe amawapangitsa kukhala ovuta kuchitidwa opaleshoni yayikulu. Itha kuchitidwa pansi pa anesthesia wamba kapena ndi epidural.

• Njira ya Altemeier: Mu njira iyi, dokotala amachotsa rectum yotuluka ndi gawo lomaliza la matumbo kudzera mu anus, n’kuzidula, kenako n’kulumikiza rectum yotsalayo ndi matumbo.
• Njira ya Delorme: Izi nthawi zambiri zimachitika pa kutsika pang'ono kwa chiberekero. Apa, chigawo cha rectum chokha ndicho chimachotsedwa, minofu imapindidwa, ndipo imasokedwanso mu ngalande ya anal. Izi zimalimbitsa khoma la minofu ndikuletsa rectum kuti isatuluke pamalo pake.

Kodi mumakonzekera bwanji musanachite opaleshoni?

Ndikofunikira kutsatira malangizo a dokotala wanu mosamala musanachite opaleshoni. Nthawi zambiri, mudzapemphedwa kuchita izi:

• Idyani zakumwa zokha tsiku lisanafike opareshoni.
• Siyani kumwa mankhwala ena (makamaka ochepetsa magazi) kwa kanthawi.
• Imwani mankhwala otsekula m'mimba kuti muyeretse matumbo bwino.

Kodi mungayembekezere chiyani mutachita opaleshoni?

Mudzafunika kukhala m'chipatala kwa masiku angapo mutachita opaleshoni. Ngati munachitidwa opaleshoni m'mimba mwanu, mungafunike kukhala kwa sabata imodzi. Dokotala wanu adzakuyang'anirani mpaka mutadya bwino, kutulutsa mpweya, komanso matumbo anu. Izi ndi kuonetsetsa kuti kugaya chakudya kwanu kukugwiranso ntchito bwino.

Nazi zizindikiro zodziwika bwino masiku oyamba pambuyo pa opaleshoni:

• Kumva kupweteka kapena kupsinjika m'malo olumikizirana mafupa ndi m'malo olumikizirana mafupa.
• Kutuluka magazi pang'ono kapena kutuluka magazi pang'ono ndi ndowe.

Kodi mumasankha bwanji opaleshoni yomwe imakuyenererani?

Izi zimatsimikiziridwa ndi dokotala wanu. Pali zinthu zingapo zomwe zimakhudza izi.

Kodi palibe zoopsa zilizonse pa opaleshoni iyi?

Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa. Mwachitsanzo, kutuluka magazi, kuundana kwa magazi, ndi matenda. Ngakhale kuti opaleshoni ya m'mimba ili ndi chiopsezo chachikulu pang'ono, chiopsezo chobwereranso chimakhala chochepa kwambiri ndi njira imeneyi . Opaleshoni ya m'mimba ili ndi chiopsezo chochepa, koma chiopsezo chobwereranso chimakhala chachikulu.

Mavuto ena okhudzana ndi opaleshoniyi angaphatikizepo:

• Fistula ya m'makoswe
• Kutuluka kwa madzi m'thupi
• Kutsekeka kwa m'mimba
• Mavuto okhudzana ndi kugonana
• Kudzimbidwa kumawonjezeka kwambiri

Nthawi yochira mukabwerera kunyumba

Zingatenge milungu ingapo kapena miyezi ingapo kuti muchiritse bwino mutabwerera kunyumba kuchokera kuchipatala. Zimatenga nthawi kuti matumbo anu abwerere mwakale. Panthawiyi, muyenera kusamalira izi:

• Pewani kudzimbidwa: Idyani zakudya zambiri zokhala ndi ulusi wambiri (masamba, zipatso). Imwani magalasi osachepera 8-10 a madzi patsiku.
• Pewani kupsinjika: Musamavutike kwambiri mukugwiritsa ntchito chimbudzi.
• Zofewetsa chimbudzi: Ngati dokotala wanu akulangizani, gwiritsani ntchito zofewetsa chimbudzi.

Kodi mukufuna kukaonananso ndi dokotala liti?

Ngati mukukumana ndi zizindikiro zotsatirazi, dziwitsani dokotala wanu nthawi yomweyo:

• Kutuluka magazi kwambiri m'matumbo.
• Kudzimbidwa kwambiri kapena kosalekeza.
• Zizindikiro za kutsika kwa rectal (kumva kulemera, kutupa).
• Zizindikiro za matenda (malungo, kufiira kwa chotupa, kutupa).

Mungamve manyazi kulankhula ndi dokotala za chinthu chonga ichi. Koma kumbukirani, Rectal Prolapse si vuto lomwe lingachiritsidwe popanda opaleshoni. Mukachedwa kupeza chithandizo, vutolo limakhala loipa kwambiri. Chifukwa chake, ngati muli ndi zizindikiro izi, musaope kupita kwa dokotala ndikulankhula naye. Mwanjira imeneyi, mutha kuchira mwachangu ndikukhalanso ndi moyo wabwino.