Tiyeni tiphunzire za Rectal Prolapse ndi Surgery (Rectopexy)

Kodi nthawi zina mumamva kulemera mu anus yanu mutapita kuchimbudzi, kapena ngati kuti chinachake chatuluka? Ngakhale kuti nkhaniyi ndi yochititsa manyazi komanso yochititsa manyazi kukambirana, ikhoza kukhala vuto la thanzi lomwe limakhudza anthu ambiri pamlingo winawake. Timatcha vutoli kuti 'Rectal Prolapse'. Chifukwa chake, palibe choopa kapena kuchita manyazi nacho. Tiyeni tikambirane za izi poyera.

Kodi Rectal Prolapse ndi chiyani?

Mwachidule, apa ndi pamene gawo lomaliza la matumbo anu akuluakulu, gawo lomwe limalumikizana ndi rectum yanu, limatuluka kudzera mu anus yanu. Taganizirani ngati zigawo za telescope zomwe zimalowa ndi kutuluka. Izi zitha kuchitika mukamakula, panthawi yapakati kapena mutabereka, kapena chifukwa cha ngozi kapena matenda.

Ndani amene ali ndi mwayi waukulu wokumana ndi vutoli?

Izi sizofala kwambiri. Zimakhudza anthu ochepa, pafupifupi 0.5%, ndipo zimatha kukhudza aliyense wazaka zilizonse, koma zimapezeka kwambiri mwa akazi opitirira zaka 50 .

Akuluakulu akayamba vutoli, silingathe kuchiritsidwa popanda opaleshoni. Komabe, likachitika mwa ana aang'ono, vutoli limakhala losiyana pang'ono. Kwa ana, nthawi zambiri limayamba chifukwa cha zinthu monga kudzimbidwa kosalekeza, kutsegula m'mimba, kapena matenda opatsirana. Choyambitsa chikachiritsidwa bwino , minofu yomwe imasunga rectum imalimbanso ndipo vutoli limachira. Chifukwa chake , ana nthawi zambiri safunika opaleshoni kuti achite izi .

Kodi mitundu ya opaleshoni (Rectopexy) ndi iti yomwe ilipo?

Pali mitundu iwiri ikuluikulu ya opaleshoni yokonza rectal prolapse. Dokotala wanu adzasankha njira yoyenera kwambiri kwa inu kutengera thanzi lanu lonse komanso kuchuluka kwa rectal prolapse yanu.

Njira Zam'mimba

Ma opaleshoni amenewa nthawi zonse amachitidwa pansi pa anesthesia wamba .

• Opaleshoni yotseguka (M'mimba yotupa): Dokotala amadula m'mimba mwanu, amakoka mbali yotulukira ya m'mimba, ndikuimanga kukhoma lakumbuyo la chiuno ndi kusoka kosatha. Nthawi zina, ulusi ungagwiritsidwe ntchito.
• Laparoscopic rectopexy: Opaleshoni iyi imachitika pongodula pang'ono m'mimba ndikuyika chubu chopyapyala chokhala ndi kamera (laparoscope) ndi zida kudzera mwa iwo.
• Robotic rectopexy: Izi zikufanana ndi opaleshoni ya laparoscopic, koma dokotala amachita opaleshoniyo mothandizidwa ndi loboti.

Nthawi zina, ngati muli ndi kudzimbidwa kwambiri, colectomy (kuchotsa gawo la matumbo) ikhoza kuchitidwa nthawi yomweyo ndi opaleshoni iyi.

Njira Zochizira M'mimba

Opaleshoni imeneyi ikhoza kuchitidwa pansi pa anesthesia wamba kapena ndi epidural.

• Njira ya Altemeier: Mu njira iyi, gawo lotuluka m'matumbo limachotsedwa mu anus, limadulidwa, ndikuchotsedwa. Kenako, magawo awiri otsala a m'matumbo amasokedwa pamodzi.
• Njira ya Delorme: Izi zimachitika pa tinthu tating'onoting'ono tomwe timatuluka. Apa, matumbo okha ndi omwe amachotsedwa, minofu imapindidwa, ndipo matumbowo amasokedwanso mkati mwa rectum. Kukhuthala kumeneku kumaletsa matumbo kutuluka chifukwa cha khoma.

Kodi ubwino ndi mavuto omwe angakhalepo chifukwa cha opaleshoni ndi ati?

Ngati munthu wamkulu ali ndi vutoli, opaleshoni ndiyo njira yokhayo yothetsera vutoli. Ngati opaleshoni siichitika, zotsatirazi zingachitike:

• Kudzimbidwa kwambiri
• Kulephera kudziletsa m'mimba
• Gawo la m'mimba lomwe latuluka limakakamira, magazi amasiya kuyenda ndipo gawo limenelo limafa (Gangrene)
• Zilonda za m'mimba ndi kuchepa kwa magazi m'thupi komwe kumabwera chifukwa cha izi

Monga opaleshoni ina iliyonse, pali zoopsa zina. Mwachitsanzo, kutuluka magazi, kuundana kwa magazi, ndi zipsera. Ngakhale opaleshoni ya m'mimba ili ndi chiopsezo chachikulu pang'ono, chiopsezo chobwereranso ndi chochepa .

Mavuto enieni omwe angachitike pambuyo pa opaleshoni ndi awa:

• Kupangika kwa machubu ozungulira anus molakwika (Anal fistulas)
• Kutuluka kwa madzi m'thupi
• Kutsekeka kwa matumbo
• Kulephera kugonana
• Kudzimbidwa kumawonjezeka kwambiri

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire ndipo ndiyenera kuchita chiyani nditachita opaleshoni?

Mukachita opaleshoni, muyenera kukhala m'chipatala kwa masiku angapo kapena sabata imodzi. Zingatenge milungu ingapo kuti mubwerere mwakale mukabwerera kunyumba. Zingatenge miyezi ingapo kuti matumbo anu abwerere mwakale.

Pa nthawi yochira, muyenera kusamala kwambiri ndi zinthu izi:

• Pewani kudzimbidwa: Idyani zakudya zambiri zokhala ndi ulusi wambiri (masamba, zipatso, ndi nyemba). Imwani madzi ambiri tsiku lonse.
• Musamavutike mukapita kuchimbudzi: Izi ndizofunikira kwambiri. Kuvutikeka kungayambitse vutoli kubwereranso.
• Zofewetsa chimbudzi: Ngati dokotala wanu wakupatsani mankhwala, muzigwiritsa ntchito monga momwe mwalangizidwira.

Kodi mukufuna kukaonananso ndi dokotala liti?

Ngati mukumva zizindikiro izi mutachita opaleshoni, muyenera kuyimbira dokotala nthawi yomweyo .

• Ngati mukutuluka magazi kwambiri kuposa masiku onse.
• Ngati kudzimbidwa kwakukulu kubwereranso.
• Ngati muwona zizindikiro zosonyeza kuti thako layamba kutulukanso .
• Ngati mukuona zizindikiro za matenda, monga kutentha thupi, kufiira, ndi kutupa pamalo ochitira opaleshoni .

Anthu ambiri amachedwa kufunafuna chithandizo chifukwa cha manyazi ndi manyazi olankhula za izi. Koma kumbukirani, izi sizingakhale bwino popanda chithandizo. Zidzangoipiraipira pakapita nthawi. Chifukwa chake, ngati muli ndi zizindikiro izi, kulankhula ndi dokotala popanda mantha ndikupeza chithandizo chofunikira kudzakuthandizani kusintha moyo wanu kukhala wabwino kwambiri.