Masifunde ngeRectal Prolapse kunye notyando (Rectopexy)

Ngaba ngamanye amaxesha uziva ubunzima kwi-anus yakho emva kokuya kwindlu yangasese, okanye ngathi kukho into ephumileyo? Nangona le yingongoma ebangela iintloni nehlazo ukuthetha ngayo, inokuba yingxaki yempilo echaphazela abantu abaninzi ngandlela thile. Le meko siyibiza ngokuba yi-'Rectal Prolapse'. Ngoko ke, akukho nto yokoyika okanye yokuhlazeka ngayo. Masithethe ngayo ngokukhululekileyo.

Yintoni iRectal Prolapse?

Ngamafutshane, oku kuxa inxalenye yokugqibela yamathumbu akho amakhulu, inxalenye eqhagamshelana ne-rectum yakho, iphuma nge-anus yakho. Cinga ngayo njengeendawo zeteleskopu ezityibilikayo zingena ziphuma. Oku kunokwenzeka njengoko ukhula, ngexesha lokukhulelwa okanye emva kokubeleka, okanye ngenxa yengozi okanye ukugula.

Ngubani onokuba nethuba elingcono lokufumana le meko?

Oku akuqhelekanga kangako. Kuchaphazela ipesenti encinci yabemi, malunga ne-0.5%, kwaye kunokuchaphazela nabani na wanoma yimuphi ubudala, kodwa kuxhaphake kakhulu kubasetyhini abangaphezu kweminyaka engama-50 ubudala .

Xa abantu abadala befumana le meko, ayinakuphiliswa ngaphandle kotyando. Nangona kunjalo, xa isenzeka kubantwana abancinci, imeko iyahluka kancinci. Kubantwana, idla ngokuvela ngenxa yezinto ezifana nokuqhinwa okungapheliyo, urhudo, okanye usulelo olubangelwa zizinambuzane. Xa unobangela unyangwa ngokufanelekileyo , izihlunu ezibambe i-rectum endaweni yazo ziyaqina kwakhona kwaye imeko iyaphola. Ke ngoko , abantwana abafane bafune utyando ngenxa yoku .

Ziziphi iintlobo zotyando (iRectopexy) ezikhoyo?

Kukho iintlobo ezimbini eziphambili zotyando lokulungisa i-rectal prolapse. Ugqirha wakho uya kukhetha inkqubo efanelekileyo kuwe ngokusekelwe kwimpilo yakho iyonke kunye nobungakanani be-rectal prolapse yakho.

Iinkqubo zesisu

Olu tyando luhlala lwenziwa phantsi kwe-anesthesia jikelele .

• Utyando oluvulekileyo (i-Abdominal rectopexy): Ugqirha wenza i-incision esiswini sakho, atsale inxalenye ephumayo yamathumbu, aze ayiqinise eludongeni olungasemva lwe-pelvis nge-permanent stitches. Ngamanye amaxesha, kunokusetyenziswa i-mesh.
• I-Laparoscopic rectopexy: Olu tyando lwenziwa ngokwenza imingxunya embalwa esiswini kunye nokufaka ityhubhu encinci enekhamera (i-laparoscope) kunye nezixhobo ezidlula kuyo.
• I-Robotic rectopexy: Oku kufana notyando lwe-laparoscopic, kodwa ugqirha wenza utyando ngoncedo lwerobhothi.

Ngamanye amaxesha, ukuba unesisu esinzima, i-colectomy (ukususwa kwenxalenye yamathumbu) inokwenziwa ngexesha elinye nolu tyando.

Iinkqubo zePerineal

Olu tyando lunokwenziwa phantsi kwe-anesthesia eqhelekileyo okanye nge-epidural.

• Inkqubo ye-Altemeier: Kule nkqubo, inxalenye ephumayo yamathumbu iyakhutshwa kwi-anus, inqunyulwe, ize isuswe. Emva koko, iindawo ezimbini eziseleyo zamathumbu ziyathungwa kunye.
• Inkqubo kaDelorme: Oku kwenziwa kwiindawo ezincinci. Apha, kususwa kuphela ulwelo lwamathumbu, umaleko wemisipha ugoqwe, kwaye ulwelo luthungelwa ngaphakathi kwi-rectum. Oku kuqina kuthintela amathumbu ukuba angaphumi ngenxa yodonga.

Ziziphi iingenelo kunye neengxaki ezinokubakho zotyando?

Ukuba umntu omdala unesi sifo, utyando lolona sisombululo kuphela. Ukuba utyando alwenziwanga, oku kulandelayo kunokwenzeka:

• Ukuqhinwa okukhulu
• Ukungakwazi ukuzibamba ngamathumbu
• Inxalenye yamathumbu ephumileyo iyanamathela, ukuhamba kwegazi kuyayeka kwaye loo nxalenye iyafa (iGangrene)
• Izilonda eziphuma emathunjini kunye ne-anemia ebangelwa yiyo

Njengalo naluphi na utyando, kukho iingozi. Umzekelo, ukopha, amahlwili egazi, kunye namanxeba. Nangona utyando lwesisu lunomngcipheko ophezulu kancinci, umngcipheko wokuphinda ubuye uphantsi .

Iingxaki ezithile ezinokwenzeka emva kotyando zezi:

• Ukwakheka okungaqhelekanga kwemibhobho ejikeleze i-anus (i-Anal fistulas)
• Ukuvuza kwe-anastomotic
• Ukuvaleka kwamathumbu
• Ukungasebenzi kakuhle ngokwesondo
• Ukuqhinwa kwesisu kuyanda ngakumbi

Kuthatha ixesha elingakanani ukuba ndilulame kwaye ndingenza ntoni emva kotyando?

Emva kotyando, kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa okanye iveki. Kungathatha iiveki ezininzi ukubuyela esiqhelweni emva kokuba ubuyele ekhaya. Kungathatha neenyanga ezininzi ukuba ukuhamba kwamathumbu akho kubuyele esiqhelweni.

Ngexesha lokuchacha, kufuneka ukhathalele kakhulu ezi zinto zilandelayo:

• Thintela ukuqhinwa: Yitya ukutya okuninzi okunefayibha eninzi (imifuno, iziqhamo, kunye neembotyi). Sela amanzi amaninzi imini yonke.
• Musa ukuxina xa usiya kwindlu yangasese: Oku kubaluleke kakhulu. Ukuxina kunokubangela ukuba ingxaki iphinde ivele.
• Izithambisi-manzi zendle: Ukuba ugqirha wakho uzinike umyalelo, zisebenzise kanye njengoko uyalelwe.

Ufuna ukuphinda umbone ugqirha kwakhona nini?

Ukuba ufumana ezi mpawu emva kotyando, kufuneka ufowunele ugqirha wakho ngoko nangoko .

• Ukuba wopha kakhulu kunesiqhelo.
• Ukuba ukuqhinwa okukhulu kuphinde kwavela.
• Ukuba ubona iimpawu zokuba i-anus iphinda ivele .
• Ukuba ubona iimpawu zosulelo, ezinje ngomkhuhlane, ukubomvu, kunye nokudumba kwindawo yotyando .

Abantu abaninzi bayalibazisa ukufuna unyango ngenxa yeentloni neentloni zokuthetha ngezi zinto. Kodwa khumbula, oku akuyonto eya kuba ngcono ngaphandle konyango. Kuya kuba mandundu ngokuhamba kwexesha. Ke ngoko, ukuba unezi mpawu, ukuthetha nogqirha ngaphandle koloyiko nokufumana unyango olufunekayo kuya kunceda ukuphucula umgangatho wobomi bakho kakhulu.