Uma uya endlini yokugezela, uzizwa sengathi ingxenye yamathumbu akho iphuma endunu yakho? Noma uhlala uzizwa ugcwele, usinda, noma ungakhululekile endunu yakho? Abantu abaningi abatsheli muntu ngalezi zinto ngenxa yamahloni noma ukwesaba. Kodwa namuhla sikhuluma nge- 'Rectal Prolapse ', isimo esithinta abantu abaningi, kodwa esihlazisayo kancane ukukhuluma ngaso, kodwa okufanele usiqaphele.
Kalula nje, kuyini i-Rectal Prolapse?
Cabanga ngesimiso sethu sokugaya ukudla. Ukudla esikudlayo kungena emathunjini ethu, kugaywe, bese imfucuza ikhishwa emzimbeni wethu njengendle. Ngaphambi kokuba ikhishwe, le ndle igcinwa okwesikhashana engxenyeni yokugcina yamathumbu ethu amakhulu. Lokhu kubizwa ngokuthi i-rectum . Imisipha engaphakathi kwale rectum iyibamba endaweni yayo.
Manje, i-Rectal Prolapse yilapho imisipha ebambe i-rectum endaweni yayo iba buthaka, okubangela ukuthi i-rectum iwele phansi isuka endaweni yayo evamile, yehle endunu, futhi ngezinye izikhathi iphume ngokuphelele emzimbeni. Kufana ne-telescope engena, lapho ingxenye yamathumbu ingena khona futhi ingxenye ye-rectum iphuma khona.
Kungani lokhu kwenzeka? Yiziphi izizathu zalokhu?
Kunezizathu eziningi ezenza imisipha ebamba i-rectum ibe buthaka. Kungase kungabi yimbangela eyodwa, kodwa kube yinhlanganisela yezici eziningana.
| Isizathu | Incazelo elula |
|---|---|
| Ukuqunjelwa Okungapheli | Ngokuhamba kwesikhathi, imisipha ezungeze indunu iba buthakathaka ngenxa yokuzikhandla njalo lapho uya endlini yangasese. |
| Ukuguga | Njengayo yonke imisipha emzimbeni, le misipha iba buthaka ngokwemvelo ngokukhula. Lesi simo sivame kakhulu kwabesifazane abangaphezu kweminyaka engu-50. |
| Ukukhulelwa nokubeletha | Le ngozi iphezulu kakhulu komama abasanda kubeletha. Ukucindezeleka okukhulu ngesikhathi sokubeletha kunomthelela kulokhu. |
| Ukuhlinzwa kwangaphambilini noma izingozi | Ukuhlinzwa noma ukulimala endaweni yesinqe ngaphambilini kungabangela ukulimala kwemisipha. |
| Uhudo olungapheli | Ukuya njalo endlini yangasese nakho kubeka ingcindezi eyengeziwe kule misipha. |
| Ezinye izimo zempilo | Ukukhwehlela okungapheli, ukuthimula, izifo ezibangelwa yizinambuzane zamathumbu, izifo zemizwa, kanye nezimo ezifana ne -Cystic Fibrosis . |
Akuyona yini le nto yama-hemorrhoids? Uhlukanisa kanjani la maqembu amabili?
Lokhu kuyinkinga enkulu kubantu abaningi. Abantu abaningi bayadida lokhu ngoba izimpawu ze-Rectal Prolapse kanye ne-Hemorrhoids ngezinye izikhathi ziyafana. Kodwa-ke, lezi zimo ezimbili ezihluke ngokuphelele.
Kalula nje, ama-hemorrhoids ayimithambo yegazi evuvukele ezungeze indunu. Ukusabalala kwe-rectal kuwukuphuma kodonga lonke lwe-rectal.
Ake siqonde ngokucacile umehluko phakathi kwalezi ezimbili.
| Isici | Ukwehla Kwe-Rectal | Ama-Hemorrhoids |
|---|---|---|
| kwenzenjani? | Udonga lwe-rectal ngokwalo (ingxenye yamathumbu) luyashelela phansi bese luphuma. | Imithambo yegazi ezungeze indunu iyavuvukala futhi ivele njengezimila. |
| Ukubukeka | Isigaxa esibomvu, esifana nenyama esinamasongo azungezile. | Ngokuvamile ibukeka njengenati elincane. Ngezinye izikhathi ingaba nsomi omnyama. Ayibukeki njengemibimbi. |
| Imvelo | Lesi yisimo esiqhubekayo esiba sibi kakhulu ngokuhamba kwesikhathi. Asibi ngcono ngokwaso. | Esikhathini esiningi kuba okwesikhashana. Kungaba ngcono ngokwako ngemva kwesonto noma amabili ngokwelashwa okufanele. |
Ziyini izimpawu zalokhu?
Umuntu onalesi simo angase abe nezimpawu ezahlukahlukene. Nakuba lezi zingase zingabi zimbi ekuqaleni, zinganda ngokuhamba kwesikhathi.
- Umuzwa noma ukugcwala njengokungathi kukhona into efana nebhola endunu.
- Ngisho nangemva kokuya endlini yangasese, kuzwakala sengathi awukaphumi nhlobo endle .
- Kuphuma iqhubu elibomvu nelinomzimba uma uya endlini yangasese. Ekuqaleni, lokhu kungena ngokwako, kodwa kamuva kufanele ulifake ngesandla.
- Ukuvuza koketshezi olufana nefilakisi, igazi, noma indle evela endunu (i-Fecal Incontinence).
- Ukuluma kanye nobuhlungu eduze kwendunu.
- Ukuqunjelwa noma ubunzima bokukhipha indle.
Udokotela ukuthola kanjani lokhu?
Uma unalezi zimpawu, into engcono kakhulu ongayenza ukubonana nodokotela. Udokotela uzokubuza ngezimpawu zakho bese ekwenza ukuhlolwa ngokomzimba. Bangase bakucele ukuthi usule i-rectum yakho njengokungathi uya endlini yangasese bese uhlola i-rectum yakho.
Ngaphezu kwalokho, ungenza izivivinyo ezilandelayo ukuqinisekisa isimo futhi uhlole ezinye izinkinga:
- Ukuhlolwa Kwe-Digital Rectal: Ukuhlolwa okuvamile okwenziwa udokotela esebenzisa umunwe ogqokwe ngeglavu.
- I-Anorectal Manometry: Ukuhlolwa okukala amandla emisipha e-rectum kanye ne-anus.
- I-Defecography: Ukuhlolwa okusebenzisa i-X-ray noma i-MRI scan ukuqopha ngevidiyo umsebenzi we-rectum yakho ngenkathi ukhipha indle.
- I-Colonoscopy: Ipayipi eliguquguqukayo elinekhamera lifakwa nge-anus ukuze kuhlolwe lonke ikholoni.
- Uchungechunge lwe-GI oluphansi (i-Barium Enema):Kunikezwa uketshezi olubizwa ngokuthi i-barium, bese kuthathwa uchungechunge lwamavidiyo e-X-ray njengoba ludlula emathunjini.
- I-Electromyography (EMG): Ukuhlolwa okuhlola umonakalo ezinzwa ezilawula ukusebenza kwemisipha.
Kwenzekani uma ingelashwa?
Lesi akusona isimo esisongela ukuphila, kodwa uma singelashwa isikhathi eside, ukungakhululeki kunganda futhi kungaba nezinkinga ezinkulu.
- Ukungakwazi ukuzibamba: Lesi yisimo lapho imisipha e-rectum iqina khona, okubangela ukungakwazi ukulawula ukuhamba kwendle nomoya. Le nkinga ithinta abantu abangu-50%-75% abanalesi simo.
- Izilonda Zasezinqeni: Ingxenye ye-rectum ephumayo ingacasuka futhi yophe ngenxa yokukhuhla izingubo nokomisa.
- Ukuboshwa: Ngezinye izikhathi ingxenye ye-rectum ephumile ayikwazi ukubuyiselwa. Lesi isimo esiyingozi ngandlela-thile.
Into ebaluleke kakhulu: Uma ibambeka kanje, igazi eliya kuleyo ndawo lizonqamuka bese izicubu ziqala ukufa. Lokhu kubizwa ngokuthi i-Strangulation noma i-Gangrene . Lesi yisimo esiphuthumayo sezokwelapha. Uma lokhu kwenzeka, kufanele uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
Yiziphi izindlela zokwelapha lokhu?
Uma lesi simo senzeka kumuntu omdala, asibi ngcono ngokwaso. Ngokuvamile, ukwelashwa okungcono kwalokhu ukuhlinzwa . Uma lesi simo senzeka ezinganeni ezincane, singaba ngcono ngokwaso uma imbangela (isib. ukuqunjelwa) isiqediwe.
Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa. Udokotela wakho uzonquma ukuhlinzwa okufanele kakhulu kuwe ngokusekelwe esimweni sakho sempilo kanye nohlobo lwe-prolapse.
1. Indlela Yesisu - I-Rectopexy
Lokhu kuhilela ukwenza i-incision esiswini (kungaba ukuhlinzwa okuvulekile noma nge-laparoscopically noma ngokuhlinzwa kwe-keyhole), ukudonsa i-prolapsed rectum emuva, bese uyibopha odongeni lwangemuva lwesinqe ngokuthunga noma into efana ne-mesh. Lokhu kuhlinzwa kuphumelele kakhulu.
2. Indlela Yokubhekana Ne-Perineum
Le ndlela isetshenziswa kubantu abangakwazi ukuhlinzwa esiswini, asebekhulile, noma abanezinye izimo zezokwelapha. Kule ndlela, ukuhlinzwa kwenziwa nge-anus.
- Inqubo ye-Altemeier: Kule nqubo, ingxenye ephumayo yamathumbu iyasikwa bese isuswa, bese kuthi izingxenye ezimbili ezisele zixhunywe kabusha.
- Inqubo yeDelorme: Kule nqubo, kususwa kuphela ulwelwesi lwe-mucosal oluphumile lwe-rectum, bese ungqimba lwemisipha lugoqwa futhi luthungwe ndawonye.
Ingabe lesi simo singavinjelwa?
Yebo, le ngozi ingancishiswa ngezinga elithile. Lezi zinto zibalulekile futhi ukuvimbela lesi simo ukuthi singaphinde sivele ngemva kokuhlinzwa.
- Lawula ukuqunjelwa: Yidla ukudla okucebile nge-fiber (izithelo, imifino, ubhontshisi). Phuza okungenani izingilazi zamanzi ezingu-8-10 ngosuku. Gwema ukuzikhandla lapho uya endlini yokugezela.
- Qinisa imisipha yakho yaphansi kwe-pelvic: Ukuzivocavoca okungcono kakhulu ongakwenza lokhu ukuzivocavoca kwe-Kegel . Ungacela udokotela wakho noma uchwepheshe wezokwelapha ukuze akunike iseluleko sokuthi ungakwenza kanjani lokhu.
- Gcina isisindo esinempilo: Isisindo esiningi sibeka ingcindezi eyengeziwe emisipheni yephansi le-pelvic.
Umlayezo Wokuya Nawe Ekhaya
- Ukuwa kwe-rectal prolapse akumele kube namahloni ngakho. Kuyisimo sezokwelapha.
- Lokhu kuhlukile kuma-hemorrhoids, ngakho-ke uma unezimpawu, kubaluleke kakhulu ukuthola ukuxilongwa okufanele.
- Lesi simo asibi ngcono ngokwaso kubantu abadala. Ukungakhululeki kunganda ngokuhamba kwesikhathi.
- Uma unalezi zimpawu, ungesabi ukubona udokotela bese ucela iseluleko.
- Izinto ezilula njengokulawula ukuqunjelwa kanye nokwenza izivivinyo zeKegel kungasiza ekuvimbeleni lesi simo.
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