Ngaba ugqirha wakho wakha wakuxelela okanye wakuxelela umntwana wakho ngotyando ngenxa yengxaki yempundu yakho okanye ingxaki yokuzalwa? Usenokuba ukhe weva igama elithi "anoplasty." Eli gama linokuba loyikisa kancinci, kodwa wakuba uqonda ukuba yintoni na kwaye kutheni lenziwa, uloyiko lwakho kunye namathandabuzo aya kuphela. Namhlanje, siza kuthetha ngolu tyando lwe-anoplasty.
Ngamafutshane, yintoni i-anoplasty?
I-Anoplasty yinkqubo yotyando yokulungisa okanye ukwakha kwakhona i-anus yakho, indawo ephuma kuyo indle. I-anus yinxalenye yokugqibela yamathumbu ethu amakhulu. Yityhubhu emalunga ne-3-4 centimeters ubude, ejikelezwe zimisipha ezijikelezayo. Le misipha siyibiza ngokuba yi-sphincters . Ezi zezona zinceda ekukhupheni indle. Ngoko ke, ukuba kukho isiphene kwindlela le anus engasebenzi kakuhle ngayo, kwenziwa i-anoplasty ukuyilungisa. Ezinye zezi ziphene zinokuba zezokuzalwa. Ezinye zinokuvela kamva ngenxa yengozi okanye isifo.
Kutheni kuyimfuneko ukwenza olu tyando lwe-anoplasty?
Kukho izizathu ezininzi eziphambili zokuba ne-anoplasty. Makhe sibone ukuba zeziphi. Ndiza kukuchazela oku ngetshathi elula ukuyiqonda.
| Unobangela | Ingcaciso elula |
|---|---|
| I-Anal Stenosis | Oku kuxhaphake kakhulu kubantu abadala. I-rectum iba mxinwa ngenxa yezicubu ezivalekileyo ezikwi-rectum. Oku kunokwenzeka njengesiphumo esingesihle sotyando lwangaphambili okanye ngenxa yemeko yempilo yexesha elide. Xa i-rectum iba mxinwa, indle ayinwebeki kakuhle njengoko kufanele, nto leyo eyenza kube buhlungu kakhulu ukuba nesisu. Ukuba ezinye iindlela zonyango azikwazi ukuyinyanga le meko, utyando lwe-anorectal lunokufuneka. |
| Iimpazamo ze-Anorectal | Ezi ziimeko ezenzeka kubantwana xa bezalwa. Umzekelo, i-Imperforate AnusLe yimeko apho i-anus yomntwana ingavuleki okanye ivalekile. Enye yi -perineal fistula . Oku kwenzeka xa i-anus ivuleka kwindawo engafanelekanga, kungekhona apho kufanele ukuba ibe khona. Lo mngxuma uhlala umxinwa kakhulu, kwaye awudluli kwizihlunu ezilawula ukuhamba kwamathumbu, ngoko ke umntwana akanakulawula ukuhamba kwamathumbu. |
Umntwana ufanele ayenze nini le nkqubo yotyando?
Ukuba usana olusandul’ ukuzalwa luneengxaki ezinje, kuyinto eqhelekileyo ukuba njengomzali ukhathazeke kakhulu. Kodwa khumbula, isayensi yezonyango inezisombululo ezisebenzayo zoku. Ezinye iziphene ezilula zingalungiswa ngotyando olulula lwe-anoplasty kwiintsuku ezimbalwa emva kokuzalwa.
Nangona kunjalo, iintsana ezineziphene ezinzima ngakumbi kuya kufuneka zenze utyando oluninzi. Kwiimeko ezinjalo, ugqirha uya kuqala enze i-colostomy . Oku kuthetha ukuba kwakheka umngxuma wexeshana (stoma) esiswini somntwana, ovumela indle ukuba idlule kuso. Emva koko, xa umntwana emdala kancinci, kwenziwa i-anoplasty ngexesha elifanelekileyo ukuze kulungiswe kakuhle i-anus. Emva koko, xa amanxeba ephola, i-colostomy yokuqala iyasuswa kwaye umntwana unokukhupha inkunkuma ngokuqhelekileyo nge-anus.
Ndingazilungiselela njani ngaphambi kotyando?
Ukuba ungumntu omdala, ugqirha wakho uza kukuxelela ukuba ucoce amathumbu akho ngokupheleleyo ngaphambi kotyando. Oku kuquka ukukunika isiselo esikhethekileyo esibizwa ngokuba yi-bowel prep . Usela esi siselo ngosuku olungaphambi kotyando. Oku kuya kukwenza ufune ukuya kwigumbi lokuhlambela rhoqo kwaye kuya kukukhupha amathumbu akho ngokupheleleyo.
Uza kucelwa ukuba ulandele ukutya okukhethekileyo kangangeentsuku ezimbalwa ngaphambi kokuba uthathe esi siselo. Ngokwesiqhelo, uya kucetyiswa ukuba utye ukutya okune-fiber encinci kangangeentsuku ezimbini kwaye usele kuphela ulwelo olucacileyo ngosuku lokugqibela. Ugqirha wakho uza kukuchazela konke oku ngokucacileyo.
Kwenzeka ntoni ngexesha lotyando?
Injongo ephambili ye-anoplasty kukuphinda udale i-anus esebenzayo. Amanyathelo aza kuthathwa ngugqirha wakho anokwahluka ngokuxhomekeke kwimeko yakho.
Ngokwesiqhelo, ufakwa phantsi kwe-anesthesia jikelele uze ujikelwe esiswini sakho. Oogqirha botyando baqala ngokusebenzisa isixhobo sombane ukuze bafumane iindawo apho izihlunu ezikwi-rectum yakho zincipha khona. Oku kubavumela ukuba bakwazi ukuzoba ngqo apho i-rectum yakho ifanele ukuba khona kunye nendawo ezikuyo izihlunu.
- Ukuba i-anus inciphile (i-Anal Stenosis): Oku kuquka ukususa izicubu ezibangela ukuncipha. Emva koko i-anus ingavuleka kwakhona. Nangona kunjalo, xa i-ladder isusiwe, kushiyeka umngxuma omncinci ngaphakathi. Ukuze ayivale, ugqirha otyandayo uthatha iqhekeza elincinci lesikhumba (i-skin flap) kwiimpundu zakho (ulusu olujikeleze i-anus), avale umngxuma, aze awuthunge uvale.
- Kumntwana oneengxaki ze-anorectal: Ukuba i-anus yomntwana ayikho okanye ikwindawo engafanelekanga, ugqirha wotyando kuya kufuneka enze i-anus entsha. Le anus intsha kufuneka idlule kwimisipha ye-anal sphincter ekupheleni kwamathumbu amakhulu omntwana ize ivuleke kwindawo efanelekileyo. Ukuba kukho i-fistula evuleka kwiindawo ezingafanelekanga, kuya kufuneka ivalwe.
Kwenzeka ntoni emva kotyando? Zeziphi iingxaki ezinokubakho?
Ngokuxhomekeke kuhlobo lotyando, ungaya ekhaya ngaloo mini okanye uhlale esibhedlele iintsuku ezimbalwa. Ugqirha uza kukujonga ngokusondeleyo de amanxeba akho aphole.
Eyona nto ibalulekileyo kukwenza utyando lwe-anal njengoko uyalelwe ngugqirha wakho ngelixa inxeba liphola. Oku kuquka ukufaka isixhobo esikhethekileyo (i-dilator) kwi-anus yonke imihla ukuze ivuleke kancinci. Oku kwenzelwa ukuthintela i-anus esandul’ ukwenziwa ukuba inganciphisi kwakhona (i-stenosis) njengoko iphola.
Njengakwezinye iintlobo zotyando, kukho ithuba elincinci lokuba utyando lwe-anoplasty lunokubangela iingozi okanye iingxaki. Masiqaphele loo nto.
| Uhlobo lwengxaki | Inkcazo |
|---|---|
| Iingxaki zexesha elifutshane | |
| Usulelo | Ukuba inxeba liyosuleleka ngelixa lisaphola, kungathatha ixesha elide ukuphola. Iqela lakho lezonyango liza kukufundisa indlela yokuthintela oku. |
| Ihlwili legazi (iHematoma) | Igazi liyaqokelelana ngaphakathi kwenxeba lize lenze ihlwili. Ukufaka umkhenkce, uxinzelelo, kunye nebhandishi kuya kunceda. Kusenokufuneka wenze into encinci ukuze ukhuphe igazi. |
| Ubunzima bokuchama (Ukugcinwa komchamo) | Abanye abantu banengxaki yokuchama emva kotyando. Oku kunokupheliswa okwethutyana ngamayeza okanye, ukuba kuyimfuneko, nge-catheter. |
| Ukuqhinwa | Oku kunokwenzeka nakubantu abakhe baqunjelwa ngaphambili. Ugqirha uza kukunika amayeza afunekayo aloo nto. |
| Iingxaki Zexesha Elide | |
| Ukungakwazi ukulawula indle (Ukungakwazi ukuzibamba) | Utyando lunokuchaphazela izihlunu okanye imithambo-luvo elawula ukuhamba kwamathumbu. Ezinye iintsana ezineziphene zokuzalwa zinokulahlekelwa yimithambo-luvo kunye nemisipha efunekayo. Ekuhambeni kwexesha, ezinye ziya kulawula, ngelixa ezinye ziya kulahlekelwa yiyo. Ugqirha wakho uza kuthetha nawe ngale nto kunye nento enokwenziwa ngayo. |
| I-Stenosis | Ukuba ukuvulwa kwesisu akwenziwanga kakuhle ngexesha lokuphiliswa, i-anus isenokuphinda ibe mxinwa. Ngoko ke, kubalulekile ukukwenza kanye njengoko ugqirha ekuxelele. |
| Irhashalala le-diaper | Iintsana zinokuba namaqhakuva aqatha xa ziqala ukuphuma indle ngempundu yazo entsha. Oku kungenxa yokuba ulusu aluzange luvezwe kwindle ngaphambili. Oku kungalawulwa ngokufaka amafutha akhethekileyo. |
Linjani ixesha lokuchacha?
Ngokwesiqhelo kuthatha iiveki ezi-4 ukuya kwezi-8 ukuba amanxeba aphole ngokupheleleyo. Kuqhelekile ukopha kancinci ngexesha lokwanda kwemihla ngemihla, ngoko ungakhathazeki ngayo. Ayibuhlungu kakhulu. Ugqirha wakho uza kukunika amayeza afunekayo ukulawula intlungu. Uza kucelwa ukuba ulandele ukutya okukhethekileyo ngeli xesha.
Kwiintsana eziye zahlinzwa i-colostomy, utyando lokugqibela lokususa i-colostomy lunokwenziwa xa i-rectum ipholile ngokupheleleyo.
Ukuncitshiswa kwe-anus okanye iziphene zokuzalwa zizinto ezingaqhelekanga, kodwa ukuba ziyenzeka, kunokukhuthaza ukwazi ukuba iziphumo eziphumelelayo zinokufumaneka ngotyando olufana ne-anoplasty.
Umyalezo Wokuya Ekhaya
- I-Anoplasty lutyando olukhethekileyo noluphumelele kakhulu olwenziwayo ukulungisa ukucutheka kunye neziphene zokuzalwa ze-anus.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngononophelo ngexesha lokuchacha kwakho emva kotyando, ingakumbi xa kufikwa ekukhuleni.
- Ukuba ungumzali womntwana ozelwe enolu hlobo lwesiphene sokuzalwa, awuwedwa. Sebenzisana ngokusondeleyo neqela lakho lotyando kwaye ufumane inkxaso oyifunayo.
- Ukuba unemibuzo, uloyiko, okanye amathandabuzo malunga noku, nceda uxoxe ngayo nogqirha wakho ngaphandle kokuthandabuza.
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