I-Rectal prolapse

I-Rectal prolapse yenzeka lapho ama-sag rectum futhi eza ngokuvulwa kwe-anal.

Imbangela ngqo yokuqhuma kwamaraki ayikacaci. Izimbangela ezingaba khona zingafaka noma yikuphi okulandelayo:

• Ukuvulwa okukhulisiwe ngenxa yemisipha ekhululekile ku-pelvic floor, eyakhiwa yimisipha ezungeze i-rectum
• Imisipha ekhululekile ye-anal sphincter
• Ikholoni ende ngokungajwayelekile
• Ukuhamba kwehle komgodi wesisu phakathi kwe-rectum nesibeletho
• Ukwehla kwamathumbu amancane
• Ukuqunjelwa
• Uhudo
• Ukukhwehlela okungapheli nokuthimula

I-prolapse ingaba ingxenye noma iphelele:

• Ngokuqhekeka okuyingxenye, ulwelwesi lwangaphakathi lwama-bulge ama-rectum ngokwengxenye kusuka endunu.
• Ngokuqhuma okuphelele, wonke ama-rectum bulges nge-anus.

Ukuqhuma okubonakalayo kwenzeka kaningi ezinganeni ezingaphansi kweminyaka engu-6. Izinkinga zempilo ezingaholela ekwandeni zifaka:

• ICystic fibrosis
• Ukutheleleka kwezibungu emathunjini
• Uhudo lwesikhathi eside
• Ezinye izinkinga zempilo zikhona lapho kuzalwa

Kubantu abadala, kuvame ukutholakala nokuqunjelwa, noma ngenkinga yemisipha noma yemithambo yegazi ethangeni noma esithweni sangasese.

Uphawu oluyinhloko ubukhulu obumbala obomvu obunamathela ekuvulekeni kwe-anus, ikakhulukazi ngemuva kokunyakaza kwamathumbu. Ubuningi obubomvu empeleni ulwelwesi lwangaphakathi lwe-rectum. Kungopha kancane futhi kungakhululeki futhi kube buhlungu.

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa ngokomzimba, okuzobandakanya ukuhlolwa kwamakholomu. Ukuhlola ukuthi i-prolapse yini, umhlinzeki angacela lowo muntu ukuba athwale phansi ngenkathi ehleli endlini encane.

Ukuhlolwa okungenziwa kufaka phakathi:

• Colonoscopy ukuqinisekisa ukuxilongwa
• Ukuhlolwa kwegazi ukuhlola i-anemia uma kukhona ukopha okuvela engxenyeni

Shayela umhlinzeki wakho uma kwenzeka ukuqhuma kwe-rectal.

Kwezinye izimo, i-prolapse ingelashwa ekhaya. Landela imiyalo yomhlinzeki wakho yokuthi ungakwenza kanjani lokhu. I-rectum kumele ibuyiselwe ngaphakathi ngaphakathi ngesandla. Indwangu ethambile, efudumele, emanzi isetshenziselwa ukufaka ingcindezi emnene kusisindo ukuyiphindisela emuva ekuvulekeni kwendunu. Umuntu kufanele alale ngohlangothi olulodwa endaweni yesifuba samadolo ngaphambi kokufaka ingcindezi. Lesi sikhundla sivumela amandla adonsela phansi ukusiza ukubuyisela i-rectum esimweni.

Ukuhlinzwa ngokushesha akudingeki. Ezinganeni, ukuphatha imbangela kuvame ukuxazulula inkinga. Isibonelo, uma imbangela ihlupheka ngenxa yendle eyomile, ama-laxatives angasiza. Uma ukuqhuma kuqhubeka, kungadingeka ukuhlinzwa.

Kubantu abadala, okuwukuphela kokwelapha i-rectal prolapse kuyinqubo elungisa imithambo ye-anal sphincter ebuthakathaka nemisipha ye-pelvic.

Ezinganeni, ukwelapha imbangela kuphulukisa i-rectal prolapse. Kubantu abadala, ukuhlinzwa kuvame ukwelapha ukuqhuma.

Lapho ukwelashwa kwe-rectal kungalashwa, ukuqunjelwa nokulahleka kokulawulwa kwamathumbu kungahle kuvele.

Shayela umhlinzeki wakho khona manjalo uma kukhona i-rectal prolapse.

Ezinganeni, ukwelapha imbangela kuvimbela ukuphindaphindeka kwama-rectal ukuthi kungenzeki futhi.

I-Procidentia; I-Rectal intussusception

• I-Rectal prolapse
• Ukulungiswa kwe-Rectal prolapse - uchungechunge

I-Iturrino JC, uLembo AJ. Ukuqunjelwa. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. ISleisenger neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 19.

IKliegman RM, iSt. Geme JW, iBlum NJ, i-Shah SS, iTasker RC, iWilson KM. Izimo zokuhlinzwa ze-anus ne-rectum. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 371.

UMadoff RD, iMelton-Meaux GB. Izifo ze-rectum ne-anus. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 136.