Dzimwe nguva unonzwa kuremerwa muhuro yako mushure mekuenda kuchimbuzi, kana sekunge pane chabuda here? Kunyangwe iyi iri nyaya inonyadzisa uye inonyadzisa kutaura nezvayo, inogona kunge iri dambudziko rehutano rinokanganisa vanhu vazhinji kusvika pamwero wakati. Isu tinodana chirwere ichi kuti 'Rectal Prolapse'. Saka, hapana chekutya kana kunyara nacho. Ngatitaurei nezvazvo pachena.
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Chii chinonzi Rectal Prolapse?
Zvichitaurwa zviri nyore, apa ndipo apo chikamu chekupedzisira cheura hwako hukuru, chikamu chinobatanidza nerectum yako, chinobuda nepaburi remudumbu mako. Funga nezvazvo sezvikamu zveteresikopu zvinopinda nekubuda. Izvi zvinogona kuitika sezvaunokura, panguva yekuzvitakura kana mushure mekusununguka, kana nekuda kwetsaona kana kurwara.
Iyi haisi nyaya yekurapwa. Zvisinei, kana ikasarapwa, chirwere ichi chinogona kuipa nekufamba kwenguva. Saka, zvakanaka kuchirapa nekuvhiyiwa (rectopexy).
Ndiani ane mukana mukuru wekusangana nedambudziko iri?
Izvi hazviwanzoitika kakawanda. Zvinobata chikamu chidiki chevanhu, chinosvika 0.5%, uye zvinogona kubata chero ani zvake wezera ripi zvaro, asi zvinonyanya kuitika kuvakadzi vane makore anopfuura makumi mashanu .
Kana vanhu vakuru vakabatwa nechirwere ichi, hachigone kurapwa pasina kuvhiyiwa. Zvisinei, kana chikaitika kuvana vadiki, mamiriro acho ezvinhu akasiyana zvishoma. Muvana, chinowanzo konzerwa nezvinhu zvakaita sekuramba uchirwara, manyoka, kana hutachiona hwezvipembenene. Kana chikonzero chacho chikarapwa zvakanaka , tsandanyama dzinobata rectum dzinosimba zvakare uye chirwere chacho chinopora. Nokudaro , vana havawanzodi kuvhiyiwa kuti vadaro .
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Check Availability →Ndedzipi mhando dzekuvhiya (Rectopexy) dziripo?
Kune mhando mbiri huru dzekuvhiya kugadzirisa rectal prolapse. Chiremba wako achasarudza nzira yakakodzera iwe zvichienderana nehutano hwako uye huwandu hwerectal prolapse yako.
| Nzira Yokuvhiya | Tsananguro |
|---|---|
| Maitiro Emudumbu | Kunoitwa kuburikidza nekucheka mudumbu. Izvi zvinogona kuitwa sekuvhiyiwa kwakavhurika kana laparoscopically (uchishandisa chubhu tete ine kamera). |
| Maitiro eKuvhiyiwa kwePerineal | Inoitwa kuburikidza nekucheka ganda kadiki pakati pehuro nenhengo dzesikarudzi (perineum). Izvi zvinowanzo shandiswa zvakanyanya kune vakwegura kana avo vane zvimwe zvirwere. |
Maitiro Emudumbu
Kuvhiyiwa uku kunoitwa nguva dzose pasi peanesthesia .
- Kuvhiyiwa kwakavhurika (Abdominal rectopexy): Chiremba anocheka dumbu rako, odhonza chikamu chakabuda cheura, ochisunga kumadziro ekumashure kwechiuno nekusona zvachose. Dzimwe nguva, mesh inogona kushandiswa.
- Kuvhiyiwa kweLaparoscopic rectopexy: Kuvhiyiwa uku kunoitwa nekungocheka dumbu zvishoma uye kuisa chubhu diki ine kamera (laparoscope) nezvishandiso zvinopinda mazviri.
- Robotic rectopexy: Izvi zvakafanana nekuvhiyiwa kwe laparoscopic, asi chiremba anoita kuvhiyiwa uku achibatsirwa nerobhoti.
Dzimwe nguva, kana uine kuvimbiwa kwakanyanya, colectomy (kubviswa kwechikamu cheura) inogona kuitwa panguva imwe chete nekuvhiyiwa uku.
Maitiro eKuvhiyiwa kwePerineal
Kuvhiyiwa uku kunogona kuitwa pasi peanesthesia yakajairika kana ne epidural.
- Maitiro eAltemeier: Mukuita uku, chikamu chinobuda muura chinoburitswa kubva muhuro, chochekwa, chobviswa. Zvadaro, zvikamu zviviri zvasara zveura zvinosonwa pamwe chete.
- Maitiro aDelorme: Izvi zvinoitirwa zvidimbu zvidiki. Pano, jira remudumbu chete ndiro rinobviswa, tsandanyama dzinopetwa, uye jira racho rinosonwa mukati memudumbu. Kukora uku kunodzivirira ura kuti husabude nekuda kwemadziro.
Ndezvipi zvakanakira uye matambudziko angangoitika kana munhu avhiyiwa?
Kana munhu mukuru akasangana nedambudziko iri, kuvhiyiwa ndiyo mhinduro chete. Kana kuvhiyiwa kusina kuitwa, zvinotevera zvinogona kuitika:
- Kuzvimba kwakanyanya
- Kusazvidzora tsvina
- Chikamu cheura chabuda chinonamira, ropa rinomira kufamba uye chikamu ichocho chinofa (Gangrene)
- Maronda emudumbu uye anemia inokonzereswa
Kufanana nekuvhiyiwa kupi zvako, kune njodzi. Semuenzaniso, kubuda ropa, kuvharika kweropa, uye mavanga. Kunyange zvazvo kuvhiyiwa kwedumbu kune njodzi yakakura zvishoma, njodzi yekudzoka kwacho yakaderera .
Matambudziko chaiwo anogona kuitika mushure mekuvhiyiwa ndeaya:
- Kuumbwa kwemachubhu asina kujairika akakomberedza huro (Anal fistulas)
- Kubuda kwemvura mumasero emuviri
- Kuvharika kwematumbu
- Kusashanda zvakanaka pabonde
- Kuzvimba kunowedzera
Zvinotora nguva yakareba sei kuti munhu apore uye ndoita sei mushure mekuvhiyiwa?
Mushure mekuvhiyiwa, uchafanira kugara muchipatara kwemazuva mashoma kana vhiki. Zvinogona kutora mavhiki akati wandei kuti udzokere pazvakajairika mushure mekudzokera kumba. Zvinogona kutotora mwedzi yakati wandei kuti ura hwako hudzokere pazvakajairika.
Panguva yekupora, unofanira kunyatsoteerera zvinhu zvinotevera:
- Dzivisa kuvimbiwa: Idya chikafu chakawanda chine faibha (muriwo, michero, nenyemba). Inwa mvura yakawanda mukati mezuva.
- Usazvinetse paunenge uchienda kuchimbuzi: Izvi zvakakosha zvikuru. Kuzvinetsesa kunogona kukonzera kuti dambudziko ridzoke zvakare.
- Zvinopfavisa tsvina: Kana chiremba wako akakunyorera, zvishandise sezvakarairwa.
Unoda kunoona chiremba zvakare riini?
Kana ukaona zviratidzo izvi mushure mekuvhiyiwa, unofanira kufonera chiremba wako nekukasika .
- Kana uri kubuda ropa kupfuura zvakajairika.
- Kana kuvimbiwa kwakanyanya kukaitika zvakare.
- Kana ukaona zviratidzo zvekuti anus yabuda zvakare .
- Kana ukaona zviratidzo zvehutachiona, zvakaita sefivha, kutsvuka, uye kuzvimba panzvimbo yekuvhiyiwa .
Vanhu vazhinji vanononoka kutsvaga kurapwa nekuda kwekunyara nenyadzi dzekutaura nezvezvinhu izvi. Asi yeuka, ichi hachisi chinhu chichapora pasina kurapwa. Chinongowedzera kuipa nekufamba kwenguva. Saka, kana uine zviratidzo izvi, kutaura nachiremba usingatyi uye kuwana kurapwa kwakakodzera kuchakubatsira kuvandudza hupenyu hwako zvakanyanya.
Mharidzo Yekuenda Nayo Kumba
- Kubuda kwedumbu mudumbu (rectal prolapse) ndiko kubuda kwedumbu remudumbu guru kuburikidza nepaburi remudumbu.
- Kurapa kunobudirira chete kweizvi muvanhu vakuru kuvhiyiwa (Rectopexy). Usanonoka kutsvaga kurapwa.
- Usanyara kutaura nezvazvo. Zvakakosha kutaura pachena nachiremba nekuda kwehutano hwako.
- Kune mhando dzakasiyana-siyana dzekuvhiyiwa, uye chiremba wako ndiye achasarudza nzira inonyatsokodzera chirwere chako.
- Tevedzera mirairo yachiremba wako nokungwarira usati wavhiyiwa uye mushure mekuvhiyiwa kuti upore nekukurumidza.
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