Masithethe ngokulula ngeRectal Prolapse kunye notyando (Rectopexy)

Ngaba ngamanye amaxesha uziva iqhuma okanye ubunzima kwi-rectum yakho emva kokuya kwigumbi lokuhlambela? Ngaba uziva ngathi kukho into ephumayo ngaphakathi? Le yinto esiyibiza ngokuba yi-rectal prolapse . Nangona inzima kwaye ihlazisa ukuthetha ngayo, ibaluleke kakhulu kwimpilo-ntle yakho. Ngoko ke masithethe ngayo ngokukhululekileyo.

Yintoni kanye kanye le? Kalula nje...

Cinga ngayo, inxalenye yokugqibela yekholoni yakho ibizwa ngokuba yi-rectum. Ngokwesiqhelo, ibanjwa zimisipha ezingaphakathi kwe-pelvis yakho. Kodwa ngamanye amaxesha, xa ezi misipha ziba buthathaka, i-rectum iyatyibilika kancinci ize izame ukuphuma kwi-anus yakho. Kufana nesokisi ejika ngaphakathi iphume. Oku sikubiza ngokuba yi-Rectal Prolapse.

Le meko ayisiyongxaki yezonyango. Nangona kunjalo, ukuba ayinyangwa , inokuba mandundu ngokuhamba kwexesha. Oku kunokukhokelela kwiintlungu, iingxaki zamathumbu (ukuqunjelwa okanye ukungakwazi ukuzibamba), kunye nezinye iingxaki.

Ngubani onokuba nethuba elingcono lokufumana le meko?

Esi asiyongxaki ixhaphakileyo. Nangona sinokuvela nakubani na, sixhaphake kakhulu kubasetyhini abangaphezu kweminyaka engama-50 ubudala. Singenzeka nasemva kokukhulelwa, kubantu abanesifo sokuqhinwa ixesha elide, okanye emva kokwenzakala.

Zeziphi iintlobo zotyando ezikhoyo koku?

Eyona ndlela yokunyanga iRectal Prolapse kumntu omdala kukuhlinzwa. Olu tyando lubizwa ngokuba yiRectopexy . Zimbini iintlobo eziphambili zotyando. Ugqirha wakho uza kukhetha eyona ndlela ifanelekileyo kuwe ngokusekwe kwimpilo yakho, ubudala, kunye nobunzima bengxaki.

Iinkqubo zesisu

Ngexesha lotyando, uza kufakwa phantsi kwe-anesthesia eqhelekileyo. Kukho iindlela ezahlukeneyo zokwenza oku:

• Utyando oluvulekileyo (Isisu seRectopexy): Ugqirha wenza utyando olude esiswini sakho, atsale i-rectum evuthulukileyo ayibuyisele phezulu, aze ayiqinise eludongeni olungasemva lwe-pelvis yakho (sacrum) ngokuthungwa okungapheliyo okanye ngamanye amaxesha nge-mesh sling. Ekuhambeni kwexesha, izicubu zesilonda ziyakheka kwaye zihlala apho ngonaphakade. Ngamanye amaxesha, ukususwa kwamathumbu (utyando lokususa inxalenye yamathumbu) lunokwenziwa ukunciphisa ukuqhina.
• I-Laparoscopic Rectopexy: Endaweni yokwenza umngxuma omkhulu esiswini, olu tyando lwenziwa ngokwenza imingxunya embalwa emincinci kunye nokufaka ityhubhu encinci enekhamera eqhotyoshelweyo (i-laparoscope) kunye nezinye izixhobo.
• I-Robotic Rectopexy: Oku kufana notyando lwe-keyhole, kodwa isixhobo se-robotic sisetyenziselwa ukunceda ugqirha.

Iinkqubo zePerineal

Olu tyando ludla ngokwenziwa kubantu abadala okanye abo banezinye iingxaki zempilo ezenza kube nzima kubo ukwenza utyando olukhulu. Lungenziwa phantsi kwe-anesthesia okanye nge-epidural.

• Inkqubo ye-Altemeier: Kule nkqubo, ugqirha ususa i-prolapsed rectum kunye nenxalenye yokugqibela yamathumbu nge-anus, azinqumle, aze aphinde adibanise i-rectum eseleyo namathumbu.
• Inkqubo kaDelorme: Oku kudla ngokwenziwa xa i-prolapse encinci isuswa. Apha, kususwa kuphela ulwelo lwe-rectum, umaleko wemisipha ugoqwe, uze uthungwe ubuyele kumjelo wempundu. Oku kwenza udonga lwemisipha lube lukhuni kwaye kuthintele i-rectum ukuba ingaphumi endaweni yayo.

Uzilungiselela njani ngaphambi kotyando?

Kubalulekile ukuba ulandele imiyalelo kagqirha wakho ngononophelo ngaphambi kotyando. Ngokwesiqhelo, uya kucelwa ukuba wenze oku kulandelayo:

• Yitya izinto ezimanzi kuphela ngosuku olungaphambi kotyando.
• Yeka ukuthatha amayeza athile (ingakumbi amayeza okunciphisa igazi) okwethutyana.
• Sela amayeza okuhlamba amathumbu ukuze ucoce amathumbu kakuhle.

Yintoni onokuyilindela emva kotyando?

Kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa emva kotyando. Ukuba utyandwe ngesisu sakho, kusenokufuneka uhlale malunga neveki. Ugqirha wakho uza kukujonga ude ukwazi ukutya ngendlela eqhelekileyo kwakhona, ukhuphe igesi, kwaye uphume nesisu. Oku kwenzelwa ukuqinisekisa ukuba inkqubo yakho yokwetyisa isebenza kakuhle kwakhona.

Nazi ezinye zeempawu eziqhelekileyo kwiintsuku ezimbalwa zokuqala emva kotyando:

• Ukuva iintlungu okanye ukuxinana kwiindawo zempundu kunye nezokusikwa.
• Ukopha kancinci okanye ukuphuma kwegazi elincinci kunye nendle.

Ukhetha njani utyando olukufaneleyo?

Oku kugqitywa ngugqirha wakho. Zininzi izinto ezichaphazela oku.

Ngaba akukho mingcipheko kolu tyando?

Njengakwezinye iintlobo zotyando, kukho iingozi. Umzekelo, ukopha, amahlwili egazi, kunye nosulelo. Nangona utyando lwesisu lunomngcipheko ophezulu kancinci, umngcipheko wokuphinda ubuye uphantsi kakhulu ngaloo nkqubo . Utyando lwe-perineal lunomngcipheko omncinci, kodwa umngcipheko wokuphinda ubuye uphezulu.

Ezinye iingxaki ezithile eziphathelele utyando zingabandakanya:

• I-anal fistulas
• Ukuvuza kwe-anastomotic
• Ukuvaleka kwamathumbu
• Iingxaki zomsebenzi wesondo
• Ukuqhinwa kwesisu kuyanda ngakumbi

Ixesha lokuchacha emva kokubuyela ekhaya

Kungathatha iiveki okanye iinyanga ezininzi ukuba uphile ngokupheleleyo emva kokuba ubuyile esibhedlele. Kuya kuthatha ixesha elithile ukuba iintshukumo zakho zamathumbu zibuyele esiqhelweni. Ngeli xesha, kufuneka unyamekele oku kulandelayo:

• Kuphephe ukuqhinwa: Yitya ukutya okuninzi okunefayibha eninzi (imifuno, iziqhamo). Sela ubuncinane iiglasi zamanzi ezisi-8-10 ngosuku.
• Kuphephe ukutyhafa: Ungaze utyhafa kakhulu ngelixa usebenzisa indlu yangasese.
• Izithambisi-situlo: Ukuba ugqirha wakho uyacebisa, sebenzisa izithambisi-situlo.

Ufuna ukuphinda umbone ugqirha kwakhona nini?

Ukuba ufumana naziphi na ezi mpawu zilandelayo, yazisa ugqirha wakho ngoko nangoko:

• Ukopha kakhulu emqolo.
• Ukuqhinwa okuqatha okanye okungapheliyo.
• Iimpawu zokuhla kwesisu (ukuziva unzima, uneqhubu).
• Iimpawu zosulelo (umkhuhlane, ukubomvu kwenxeba, ukudumba).

Ungaziva uneentloni ukuthetha nogqirha ngento efana nale. Kodwa khumbula, iRectal Prolapse ayisiyongxaki enokunyangeka ngaphandle kotyando. Okukhona ulibazisa ukufuna unyango, kokukhona ingxaki inokuba mandundu. Ngoko ke, ukuba unezi mpawu, ungoyiki ukubona ugqirha uze uthethe naye. Ngaleyo ndlela, ungaphila ngokukhawuleza kwaye uphile ubomi bakho kamnandi kwakhona.