Ungave uine matambudziko emudumbu, kuoma kwekubvisa tsvina, kana ropa mutsvina yako. Dzimwe nguva dzakadai, tinowanzo shanyira chiremba wemhuri yedu (GP). Dzimwe nguva anogona kukutumira kuna chiremba wezvirwere zvemudumbu. Ndipo patichataura nezvechiremba wemudumbu ane ruzivo rwakanyanya munyaya iyi. Ndiye chiremba wemudumbu.
Zvichitaurwa zviri nyore, ndiani uyu chiremba wekuvhiya kenza yemudumbu?
Chiremba wemazino (colorectal surgeon) chiremba ane hunyanzvi mukurapa zvirwere zvine chekuita neura hwedu hukuru. Ura hukuru hunosanganisira ura hwedu hwemudumbu, rectum, uye huro.
Kare, mhando idzi dzenyanzvi dzainzi ma proctologists. Ungave wakambonzwa zita iroro. Zvisinei, izwi rakarurama uye rinowanzoshandiswa mazuva ano nderekuti colorectal surgeon. Chikonzero cheizvi ndechekuti izwi rekuti "proctologist" rinoreva munhu anongotarisa pa anus nenzvimbo dzakapoteredza. Zvisinei, izwi rekuti "colorectal" rinosanganisira colon ne rectum, chikamu chikuru cheura hwedu hukuru. Zvisinei, nyanzvi dzese dziri mbiri dzinobata nhengo dzakafanana dzemuviri.
Sei uchitumirwa kuna chiremba we colorectal surgeon?
Kana uine zviratidzo zvine chekuita nechikamu chezasi chedumbu rako, ura hukuru, unotanga waona chiremba mukuru (GP) kana gastroenterologist. Kana chiremba iyeye akakuongorora uye achifunga kuti chirwere chako chingada kuvhiyiwa , vachakutumira kuna chiremba wekuvhiya dumbu.
Zvichitaurwa zviri nyore, nyanzvi idzi dzinorapa zvirwere zvakaoma zvemudumbu izvo zvakaoma kurapa nemishonga chete uye zvingada kuvhiyiwa.
Heano mamwe ematambudziko makuru ehutano anowanzo da kuvhiyiwa.
| Chikamu chemamiriro echirwere | Tsananguro |
|---|---|
| Kenza uye Polyposis | Kubvisa kenza netumbuyu tudiki (polyps) tunogona kuita kenza muura nemurectum. |
| Chirwere cheMatumbu Anozvimba (IBD) | Kubvisa zvikamu zveura kana zvakuvadzwa nezvirwere zvakaita sechirwere cheCrohn kana ulcerative colitis . |
| Kuderera kweropa rinobuda mumuviri (Ischemia) | Kubvisa chikamu cheura kana ropa richimira kupinda machiri uye chikamu ichocho chisisina kushanda zvakanaka. |
| Zvikanganiso zveMuumbi | Kugadzirisa mamiriro ezvinhu akadai se fistula (kuumbwa kwechubhu kubva muura kuenda kune imwe nhengo), hernias, uye rectal prolapse. |
Vanachiremba ava vanongorapa ura here?
Kwete. Kunyange zvazvo vanachiremba vekurapa dumbu vachinyanya kuita matumbu makuru, vakadzidziswawo kuita vanachiremba vemazuva ose . Uyewo, nekuti nhengo yega yega mumuviri wedu yakabatana, dambudziko riri muura guru rinogona kukanganisa dzimwe nhengo dziri pedyo. Nokudaro, vanachiremba ava dzimwe nguva vanorapa zvirwere zvine chekuita nenhengo dzinotevera:
- Ura hudiki
- Tsandanyama dzepasi pechiuno
- Sisitimu yeweti
- Sisitimu yekubereka yevakadzi
Ndedzipi bvunzo nekuvhiyiwa kunoitwa nachiremba we colorectal?
Nyanzvi idzi dzinoshandisa nzira dzakasiyana-siyana uye nzira dzekuvhiya kuti dziongorore nekurapa zvirwere. Izvi zvinoreva kuti dzine zvese zvinodiwa kuti dzipe kurapwa kwakanakisa kwechirwere chako. Dzinoita kurapa kwakasiyana-siyana, kubva pakurapa kusingakuvadzi kusvika pakuvhiya kushoma uye kuvhiya kwakavhurika kwechinyakare.
Maitiro anoshandiswa zvakanyanya
| Nzira yehunyanzvi | Tsananguro iri nyore |
|---|---|
| Colonoscopy | Chubhu inochinjika ine kamera yakabatanidzwa inopinzwa nepaburi remudumbu kuti iongorore ura hwese hukuru. Maitiro madiki akadai sekubvisa matumbu madiki (polyps) anogona kuitwa panguva iyi. |
| Sigmoidoscopy | Kuongorora chikamu chekupedzisira cheura hukuru chete (sigmoid colon uye rectum). |
| Laparoscopy | Kuongorora nhengo dzemudumbu nekuisa kamera (laparoscope) kuburikidza nekucheka kudiki mudumbu. |
| Kuvhiyiwa kweLaparoscopic | Kuvhiyiwa kwakaitwa kuburikidza nekucheka zvidimbu zvidiki mudumbu, nerubatsiro rwekamera. Inonziwo "keyhole surgery." |
| Kuvhiyiwa kweRoboti | Kuvhiyiwa kweLaparoscopic kunoitwa uchishandisa ruoko rwerobhoti runodzorwa nachiremba. Izvi zvinoita kuti zvive nyore kwazvo. |
Kuvhiyiwa kukuru uye kurapwa kwavanoita
- Kubviswa kwemasero madiki (polyps) muura panguva ye endoscopy.
- Kuvhiyiwa kwekubvisa ura: Kubviswa kwechikamu cheura chine chirwere kana kenza.
- Kuvhiyiwa kweOstomy: Chikwama (Colostomy kana Ileostomy) chinogadzirwa nekubatanidza ura neganda redumbu kuti tsvina ipfuure.
- Kuvhiyiwa kweAppendectomy: Kuvhiyiwa kwekubvisa appendicitis yeappendicitis.
- Kugadzirisa Hernia: Kuvhiyiwa kwekugadzirisa matambudziko ehernia muura.
- Rectopexy: Kugadzirisa rectum yakadonha.
- Kurapa Mahemorrhoids, Fistulas, uye Anal Fissures: Kuvhiyiwa kwezvirwere zvakaita sehemorrhoids, anal fissures, uye fistulas.
Matambudziko api anorapwa nevanovhiya colorectal?
Mhando dzakasiyana dzezvirwere zvinorapwa nenyanzvi idzi dzakakura zvikuru. Dzinogona kukamurwa muzvikamu zvikuru zvakasiyana.
1. Kenza dzemudumbu
- Kenza yemudumbu
- Kenza yemudumbu
- Kenza yekumashure
- Kenza yekuwedzera
2. Polyps uye zvirwere zvekuzvarwa nazvo
Matumbu madiki (polyps) anoumbwa muura uye mamwe mamiriro ezvinhu ekugara nhaka anowedzera njodzi yekenza (semuenzaniso Familyal Adenomatous Polyposis - FAP, Lynch syndrome).
3. Colitis yakaoma
- Diverticulitis - chirwere chemapapu madiki ari muura.
- Ulcerative colitis
- Chirwere cheCrohn
- Appendicitis
4. Mamiriro Ekusashanda Zvakanaka Ekubvisa Mwoyo Mukati
- Mamota: Ichi chirwere chinowanzoitika.
- Kutsemuka kwemusana: Kutsemuka mu anus.
- Fistula yekubuda kwetsvina: Mugero usina kujairika unovhurika uchipinda muganda pedyo nepaburi retsvina.
- Pundu remusana.
5. Matambudziko Ekushanda Kwemuviri
- Kubvisa tsvina yakavharika.
- Kusakwanisa kudzora tsvina (Fecal incontinence).
- Kusashanda zvakanaka kwepasi pechiuno.
Sezvamunoona, basa iri rakakura. Nyanzvi idzi dzinokwanisa kurapa zvirwere zvakasiyana-siyana, kubva kumahemorrhoids akareruka kusvika kukenza inouraya.
Kana muine kusanzwa zvakanaka, kurwadziwa, kana shanduko dzisinganzwisisike mukufamba kwenyu mudumbu (kunyanya ropa), musambozvifuratira. Kutanga, onai chiremba wemhuri yenyu. Kana zvichidikanwa, iye achakutumirai kuna chiremba akakodzera, akadai sechiremba wezvekudya kana chiremba wemazino.
Mharidzo Yekuenda Nayo Kumba
- Chiremba weCoronary Neckt inyanzvi yakadzidziswa zvikuru inorapa zvirwere zvemudumbu guru, rectum, uye anus.
- Kazhinji unotumirwa kunyanzvi yerudzi urwu nachiremba wemhuri yako kana mumwe nyanzvi.
- Dzinorapa zvirwere zvakasiyana-siyana, zvinosanganisira kenza, mamota, fistula, uye kuzvimba kwemudumbu.
- Vanoita mabasa akasiyana-siyana ekurapa, kubva pakuongororwa kusiri kwekuvhiya kwakadai secolonoscopy kusvika pakuvhiyiwa kwakaoma zvikuru.
- Kana uine zviratidzo zvakaita seropa mutsvina yako, kurwadziwa mudumbu kwenguva refu, kana kuchinja maitiro emudumbu, zvakakosha kuti uone chiremba usingatambisi nguva .
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