Ake sifunde nge-Rectal Prolapse kanye nokuhlinzwa (i-Rectopexy)

Ingabe ngezinye izikhathi uzizwa usinda endunu yakho ngemva kokuya endlini yangasese, noma sengathi kukhona okuphumile? Nakuba lokhu kuyindaba ehlazisayo futhi ehlazisayo ukukhuluma ngayo, empeleni kungaba yinkinga yezempilo ethinta abantu abaningi ngezinga elithile. Lesi simo sibizwa ngokuthi 'i-Rectal Prolapse'. Ngakho-ke, akukho okufanele ukwesabe noma ukuhlazeka ngakho. Ake sixoxe ngakho obala.

Kuyini i-Rectal Prolapse?

Kalula nje, lokhu kwenzeka lapho ingxenye yokugcina yamathumbu akho amakhulu, ingxenye exhumanisa ne-rectum yakho, iphuma nge-anus yakho. Cabanga ngakho njengezingxenye ze-telescope eziphuma zingena ziphinde zingene. Lokhu kungenzeka njengoba ukhula, ngesikhathi sokukhulelwa noma ngemva kokubeletha, noma ngenxa yengozi noma ukugula.

Ubani onamathuba amaningi okubhekana nalesi simo?

Lokhu akuvamile kakhulu. Kuthinta iphesenti elincane labantu, cishe u-0.5%, futhi kungathinta noma ubani wanoma yimuphi ubudala, kodwa kuvame kakhulu kwabesifazane abangaphezu kweminyaka engu-50 .

Uma abantu abadala beba nalesi simo, asinakwelashwa ngaphandle kokuhlinzwa. Kodwa-ke, uma kwenzeka ezinganeni ezincane, isimo sihlukile kancane. Ezinganeni, sivame ukuvela ngenxa yezinto ezifana nokuqunjelwa okuqhubekayo, isifo sohudo, noma izifo ezibangelwa amagciwane. Uma imbangela eyinhloko iphathwa kahle , imisipha ebamba i-rectum endaweni yayo iyaqina futhi lesi simo siyaphola. Ngakho-ke , izingane azidingi ukuhlinzwa ngenxa yalokhu .

Yiziphi izinhlobo zokuhlinzwa (i-Rectopexy) ezitholakalayo?

Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa ukuze kulungiswe i-rectal prolapse. Udokotela wakho uzokhetha inqubo efanele kakhulu kuwe ngokusekelwe empilweni yakho iyonke kanye nobukhulu be-rectal prolapse yakho.

Izinqubo Zesisu

Lokhu kuhlinzwa kwenziwa njalo ngaphansi kwe-anesthesia ejwayelekile .

• Ukuhlinzwa okuvulekile (i-abdominal rectopexy): Udokotela wenza i-incision esiswini sakho, adonse ingxenye ephumayo yamathumbu, bese eyibopha odongeni lwangemuva lwe-pelvis ngokuthunga okuhlala njalo. Ngezinye izikhathi, kungasetshenziswa i-mesh.
• I-Laparoscopic rectopexy: Lokhu kuhlinzwa kwenziwa ngokwenza izimbobo ezimbalwa ezincane esiswini bese kufakwa ipayipi elincane elinekhamera (i-laparoscope) kanye nezinsimbi ezidlula kuzo.
• I-Robotic rectopexy: Lokhu kufana nokuhlinzwa kwe-laparoscopic, kodwa udokotela wenza ukuhlinzwa ngosizo lwerobhothi.

Ngezinye izikhathi, uma uqunjelwa kakhulu, i-colectomy (ukususwa kwengxenye yamathumbu) ingenziwa ngesikhathi esifanayo nalokhu kuhlinzwa.

Izinqubo Zokugoba

Lokhu kuhlinzwa kungenziwa ngaphansi kwe-anesthesia ejwayelekile noma nge-epidural.

• Inqubo ye-Altemeier: Kule nqubo, ingxenye ephumayo yamathumbu iyakhishwa endunu, isikwe, bese isuswa. Izingxenye ezimbili ezisele zamathumbu ziyathungwa ndawonye.
• Inqubo kaDelorme: Lokhu kwenzelwa amaqhubu amancane. Lapha, kususwa ulwelwesi lwamathumbu kuphela, ungqimba lwemisipha luyagoqwa, bese ulwelwesi luthungwa ngaphakathi kwe-rectum. Lokhu kuqina kuvimbela amathumbu ukuthi angaphumi ngenxa yodonga.

Yiziphi izinzuzo kanye nezinkinga ezingaba khona zokuhlinzwa?

Uma umuntu omdala eba nalesi simo, ukuhlinzwa yikona kuphela ikhambi. Uma ukuhlinzwa kungenziwa, okulandelayo kungenzeka:

• Ukuqunjelwa okukhulu
• Ukungakwazi ukuzibamba kwendle
• Ingxenye yamathumbu ephumile iyabhajwa, ukugeleza kwegazi kuyama bese leyo ngxenye iyafa (i-Gangrene)
• Izilonda zangemuva kanye nokuntuleka kwegazi okubangelwa yi-anemia

Njenganoma yikuphi ukuhlinzwa, kunezingozi. Isibonelo, ukopha, amahlule egazi, kanye nezibazi. Nakuba ukuhlinzwa kwesisu kunengozi enkulu kancane, ingozi yokuphinda kwenzeke iphansi .

Izinkinga ezithile ezingase zenzeke ngemva kokuhlinzwa yilezi:

• Ukwakheka okungajwayelekile kwamapayipi azungeze indunu (i-Anal fistulas)
• Ukuvuza kwe-anastomotic
• Ukuvaleka kwamathumbu
• Ukungasebenzi kahle kocansi
• Ukuqunjelwa kuyanda kakhulu

Kuthatha isikhathi esingakanani ukululama futhi yini okufanele ngiyenze ngemva kokuhlinzwa?

Ngemva kokuhlinzwa, kuzodingeka uhlale esibhedlela izinsuku ezimbalwa noma isonto. Kungathatha amasonto ambalwa ukubuyela esimweni esijwayelekile ngemva kokuya ekhaya. Kungathatha ngisho nezinyanga eziningana ukuthi ukuhamba kwakho kwamathumbu kubuyele esimweni esijwayelekile.

Ngesikhathi sokululama, kufanele uqaphele kakhulu lezi zinto:

• Vimbela ukuqunjelwa: Yidla ukudla okuningi okucebile nge-fiber (imifino, izithelo, kanye nemifino). Phuza amanzi amaningi usuku lonke.
• Ungakhandleki uma uya endlini yangasese: Lokhu kubaluleke kakhulu. Ukukhandleka kungabangela inkinga ukuthi iphinde ivele.
• Izithambisi zendle: Uma udokotela wakho ekunikezile, zisebenzise njengoba nje uyalelwe.

Ufuna ukuphinde ubonane nodokotela nini?

Uma uhlangabezana nalezi zimpawu ngemva kokuhlinzwa, kufanele ushayele udokotela wakho ucingo ngokushesha .

• Uma uphuma igazi kakhulu kunokujwayelekile.
• Uma ukuqunjelwa okukhulu kuvela futhi.
• Uma ubona izimpawu zokuthi indunu iyaphuma futhi .
• Uma ubona izimpawu zokutheleleka, njengomkhuhlane , ukubomvu, kanye nokuvuvukala endaweni yokuhlinzwa .

Abantu abaningi bayalibala ukufuna ukwelashwa ngenxa yamahloni namahloni okukhuluma ngalezi zinto. Kodwa khumbula, lokhu akuyona into ezolunga ngaphandle kokwelashwa. Kuzoqhubeka nokuba kubi ngokuhamba kwesikhathi. Ngakho-ke, uma unalezi zimpawu, ukukhuluma nodokotela ngaphandle kokwesaba nokuthola ukwelashwa okudingekayo kuzosiza kakhulu ekuthuthukiseni izinga lempilo yakho.