Ake sixoxe nje nge-Rectal Prolapse kanye nokuhlinzwa (i-Rectopexy)

Ingabe ngezinye izikhathi uzizwa uneqhubu noma usinda e-rectum yakho ngemva kokuya endlini yokugezela? Ingabe kuzwakala sengathi kukhona okuphumile ngaphakathi? Lokhu yilokho esikubiza ngokuthi i-rectal prolapse . Nakuba kuyindaba enzima futhi ehlazisayo ukukhuluma ngayo, ibaluleke kakhulu enhlalakahleni yakho. Ngakho-ke ake sixoxe ngakho ngokukhululekile.

Kuyini ngempela lokhu? Kalula nje...

Cabanga ngakho, ingxenye yokugcina yekholoni lakho ibizwa ngokuthi i-rectum. Ngokuvamile, ibanjwa yimisipha engaphakathi kwe-pelvis yakho. Kodwa ngezinye izikhathi, lapho le misipha iba buthakathaka, i-rectum iyawa kancane bese izama ukuphuma endunu yakho. Kufana nesokisi eliphenduka ngaphakathi liphume. Yilokhu esikubiza ngokuthi i-Rectal Prolapse.

Lesi simo asisona isimo esiphuthumayo sezokwelapha. Kodwa-ke, uma singelashwa , singaba sibi kakhulu ngokuhamba kwesikhathi. Lokhu kungaholela ebuhlungwini, ezinkingeni zamathumbu (ukuqunjelwa noma ukungakwazi ukuzibamba), kanye nezinye izinkinga.

Ubani onamathuba amaningi okubhekana nalesi simo?

Lesi akusona isimo esivamile kakhulu. Nakuba singakhula kunoma ubani, sivame kakhulu kwabesifazane abangaphezu kweminyaka engu-50. Singenzeka futhi ngemva kokukhulelwa, kubantu abanokuqunjelwa isikhathi eside, noma ngemva kokulimala.

Yiziphi izinhlobo zokuhlinzwa ezitholakalayo kulokhu?

Ukuphela kwendlela yokwelapha i-Rectal Prolapse kumuntu omdala ukuhlinzwa. Lokhu kuhlinzwa kubizwa ngokuthi i-Rectopexy . Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa. Udokotela wakho uzokhetha indlela engcono kakhulu kuwe ngokusekelwe empilweni yakho, ubudala, kanye nobukhulu benkinga.

Izinqubo Zesisu

Ngesikhathi sokuhlinzwa, uzofakwa ngaphansi kwe-anesthesia ejwayelekile. Kunezindlela eziningana zokwenza lokhu:

• Ukuhlinzwa Okuvulekile (I-Abdominal Rectopexy): Udokotela wenza ukusika okude esiswini sakho, adonse i-rectum ephukile emuva, bese eyibopha odongeni lwangemuva lwe-pelvis yakho (sacrum) ngokuthunga okuhlala njalo noma ngezinye izikhathi nge-mesh sling. Ngokuhamba kwesikhathi, kwakheka izicubu zesilonda bese zihlala lapho unomphela. Ngezinye izikhathi, ukususwa kwamathumbu (ukuhlinzwa kokususa ingxenye yamathumbu) kungenziwa ukuze kuncishiswe ukuqunjelwa.
• I-Laparoscopic Rectopexy: Esikhundleni sokwenza ukusika okukhulu esiswini, lokhu kuhlinzwa kwenziwa ngokwenza ukusika okuncane okumbalwa bese kufakwa ipayipi elincane elinekhamera enamathiselwe (i-laparoscope) nezinye izinto zokusebenza.
• I-Robotic Rectopexy: Lokhu kufana nokuhlinzwa kwe-keyhole, kodwa idivayisi yerobhothi isetshenziswa ukusiza udokotela.

Izinqubo Zokugoba

Lokhu kuhlinzwa kuvame ukwenziwa kubantu asebekhulile noma labo abanezinye izimo zezokwelapha ezenza kube nzima ngabo ukwenza ukuhlinzwa okukhulu. Kungenziwa ngaphansi kwe-anesthesia ejwayelekile noma nge-epidural.

• Inqubo ye-Altemeier: Kule nqubo, udokotela ususa i-rectum ephukile kanye nengxenye yokugcina yamathumbu nge-anus, ayinqume, bese exhumanisa i-rectum esele namathumbu.
• Inqubo kaDelorme: Lokhu kuvame ukwenziwa uma i-prolapse encane isuswa. Lapha, kususwa ulwelwesi lwe-rectum kuphela, ungqimba lwemisipha luyagoqwa, bese luthungwa lubuyele emgudwini wendunu. Lokhu kwenza udonga lwemisipha lube lukhuni futhi kuvimbele i-rectum ukuthi ingasheleli endaweni yayo.

Uzilungiselela kanjani ngaphambi kokuhlinzwa?

Kubalulekile ukuthi ulandele imiyalelo kadokotela wakho ngokucophelela ngaphambi kokuhlinzwa. Ngokuvamile, uzocelwa ukuba wenze okulandelayo:

• Yidla uketshezi kuphela ngosuku olwandulela ukuhlinzwa.
• Yeka ukuthatha imithi ethile (ikakhulukazi imithi yokunciphisa igazi) isikhashana.
• Thatha imithi yokuhlanza amathumbu ukuze uhlanze amathumbu kahle.

Yini ongayilindela ngemva kokuhlinzwa?

Kuzodingeka uhlale esibhedlela izinsuku ezimbalwa ngemva kokuhlinzwa. Uma uhlinzwe ngesisu sakho, kungadingeka uhlale cishe isonto. Udokotela wakho uzokuqapha uze ukwazi ukudla ngendlela evamile futhi, ukhiphe igesi, futhi uphume indle. Lokhu kwenzelwa ukuqinisekisa ukuthi uhlelo lwakho lokugaya ukudla lusebenza kahle futhi.

Nazi ezinye izimpawu ezivamile ezinsukwini ezimbalwa zokuqala ngemva kokuhlinzwa:

• Ukuzwa ubuhlungu noma ukuqina endaweni yendunu kanye nezindawo zokusikwa.
• Ukopha okuncane noma ukuphuma kwegazi elincane ngendle.

Ukhetha kanjani ukuhlinzwa okukufanele kakhulu?

Lokhu kunqunywa udokotela wakho. Kunezici eziningana ezithonya lokhu.

Azikho yini izingozi kulokhu kuhlinzwa?

Njenganoma yikuphi ukuhlinzwa, kunezingozi. Isibonelo, ukopha, amahlule egazi, kanye nokutheleleka. Nakuba ukuhlinzwa kwesisu kunengozi enkulu kancane, ingozi yokuphinda kuvele iphansi kakhulu ngaleyo nqubo . Ukuhlinzwa kwe-perineal kunengozi encane, kodwa ingozi yokuphinda kuvele iphakeme.

Ezinye izinkinga eziphathelene nokuhlinzwa zingafaka:

• I-fistula yendunu
• Ukuvuza kwe-anastomotic
• Ukuvinjelwa kwamathumbu
• Izinkinga zokusebenza kocansi
• Ukuqunjelwa kuyanda kakhulu

Isikhathi sokululama ngemva kokubuyela ekhaya

Kungathatha amasonto noma izinyanga eziningana ukuthi ululame ngokugcwele ngemva kokubuya esibhedlela. Kuzothatha isikhathi ukuthi ukuhamba kwakho kwamathumbu kubuyele esimweni esijwayelekile. Phakathi nalesi sikhathi, kufanele unakekele okulandelayo:

• Gwema ukuqunjelwa: Yidla ukudla okuningi okucebile nge-fiber (imifino, izithelo). Phuza okungenani izingilazi zamanzi ezingu-8-10 ngosuku.
• Gwema ukuzikhandla: Ungalokothi uzikhandle kakhulu ngenkathi usebenzisa indlu yangasese.
• Izithambisi zendle: Uma udokotela wakho ekuncoma, sebenzisa izithambisi zendle.

Ufuna ukuphinde ubonane nodokotela nini?

Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, yazisa udokotela wakho ngokushesha:

• Ukopha kakhulu endukwini.
• Ukuqunjelwa okukhulu noma okuqhubekayo.
• Izimpawu zokuncipha kwe-rectal (ukuzizwa usinda, unamaqhubu).
• Izimpawu zokutheleleka (umkhuhlane, ukubomvu kwesilonda, ukuvuvukala).

Ungase uzizwe unamahloni okukhuluma nodokotela ngento efana nale. Kodwa khumbula, i-Rectal Prolapse akuyona inkinga engelapheka ngaphandle kokuhlinzwa. Uma uphuza isikhathi eside ukufuna ukwelashwa, inkinga ingaba yimbi kakhulu. Ngakho-ke, uma unalezi zimpawu, ungesabi ukubona udokotela ukhulume naye. Ngaleyo ndlela, ungalulama ngokushesha futhi uphile impilo yakho ngokunethezeka futhi.