Ukulungiswa kwe-Rectal prolapse

Ukulungiswa kwe-Rectal prolapse ukuhlinzwa ukulungisa i-rectal prolapse. Lesi yisimo lapho ingxenye yokugcina yamathumbu (ebizwa ngokuthi i-rectum) inamathela ngaphandle kwendunu.

I-Rectal prolapse ingahle ingakhethi, ifaka kuphela ulwelwesi lwangaphakathi lwamathumbu (mucosa). Noma, ingahle iphelele, ifake lonke udonga lwe-rectum.

Kubantu abaningi abadala, ukuhlinzekwa kusetshenziselwa ukulungisa i-rectum ngoba ayikho enye indlela yokwelashwa esebenzayo.

Izingane ezine-rectal prolapse azidingi ukuhlinzwa ngaso sonke isikhathi, ngaphandle kwalapho ukuqhuma kwazo kungakhuli ngokuhamba kwesikhathi. Ezinsaneni, i-prolapse ivame ukunyamalala ngaphandle kokwelashwa.

Izinqubo eziningi zokuhlinza ze-rectal prolapse zenziwa ngaphansi kwe-anesthesia ejwayelekile. Kubantu abadala noma abagulayo, i-epidural noma i-anesthesia yomgogodla ingasetshenziswa.

Kunezinhlobo ezintathu eziyisisekelo zokuhlinzwa ukulungisa i-rectal prolapse. Udokotela wakho ohlinzayo uzonquma ukuthi yikuphi okulungele wena.

Kubantu abadala abanempilo, inqubo yesisu inethuba elihle kakhulu lokuphumelela. Ngenkathi ungaphansi kwe-anesthesia ejwayelekile, udokotela wenza ukusika kokuhlinzwa esiswini futhi asuse ingxenye yekoloni. I-rectum ingaxhunyaniswa (ihlanganiswe) ezicutshini ezizungezile ngakho-ke ngeke ishelele bese iphuma nge-anus. Kwesinye isikhathi, ucezu oluthambile lwe-mesh luboshwe nge-rectum ukuyisiza ukuthi ihlale endaweni. Lezi zinqubo zingenziwa futhi ngokuhlinzwa kwe-laparoscopic (okwaziwa nangokuthi i-keyhole noma i-telescopic surgery).

Kubantu abadala asebekhulile noma labo abanezinye izinkinga zezokwelapha, indlela yokusebenzisa i-anus (indlela yokubonisa) ingaba yingozi encane. Kungadala nobuhlungu obuncane futhi kuholele ekutholeni okufushane. Kepha ngale ndlela, ukuqhuma kungenzeka kakhulu ukuthi kubuye (kubuye).

Okunye kokulungiswa kokuhlinzwa nge-anus kuhilela ukukhipha i-rectum eqhelile kanye nekholoni bese kuxutshwa i-rectum ezicutshini ezizungezile. Le nqubo ingenziwa ngaphansi kwe-anesthesia ejwayelekile, ye-epidural, noma yomgogodla.

Abantu ababuthaka kakhulu noma abagulayo bangadinga inqubo encane eqinisa imisipha ye-sphincter. Le ndlela izungeza imisipha ngebhande le-mesh elithambile noma ngeshubhu le-silicone. Le ndlela ihlinzeka ngokuthuthuka kwesikhashana kuphela futhi ayivamisile ukusetshenziswa.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile zifaka:

• Ukusabela emithini, izinkinga zokuphefumula
• Ukopha, amahlule egazi, ukutheleleka

Izingozi zalokhu kuhlinzwa zifaka:

• Ukutheleleka. Uma kususwa ucezu lwe-rectum noma ikholoni, amathumbu adinga ukuxhunywa kabusha. Ezimweni ezingavamile, lokhu kuxhumana kungavuza, kubangele ukutheleleka. Izinqubo eziningi zingadingeka ukwelapha ukutheleleka.
• Ukuqunjelwa kuvame kakhulu, yize abantu abaningi bequnjelwa ngaphambi kokuhlinzwa.
• Kwabanye abantu, ukungalawuleki (ukulahleka kwamathumbu) kungaba kubi kakhulu.
• Ukubuyiswa kwe-prolapse ngemuva kokuhlinzwa kwesisu noma okugcwele.

Phakathi namasonto ama-2 ngaphambi kokuhlinzwa kwakho:

• Ungacelwa ukuthi uyeke ukuthatha imithi eyenza kube nzima ngegazi lakho ukuminyana. Ezinye zazo i-aspirin, i-ibuprofen (i-Advil, i-Motrin), i-vitamin E, i-warfarin (i-Coumadin), i-clopidogrel (i-Plavix), i-ticlopidine (i-Ticlid), ne-apixaban (i-Eliquis).
• Buza umhlinzeki wakho wezokunakekelwa kwempilo ukuthi imiphi imithi okufanele uyithathe ngosuku lokuhlinzwa kwakho.
• Uma ubhema, zama ukuyeka. Cela usizo kumhlinzeki wakho.
• Qiniseka ukuthi utshela udokotela wakho ohlinzayo uma ugula ngaphambi kokuhlinzwa kwakho. Lokhu kufaka umkhuhlane, umkhuhlane, i-herpes flare-up, izinkinga zomchamo, noma okunye ukugula.

Ngosuku olungaphambi kokuhlinzwa kwakho:

• Yidla isidlo sasekuseni esilula nesasemini.
• Ungatshelwa ukuthi uphuze kuphela iziphuzo ezicacile ezifana nomhluzi, ujusi ocacile namanzi ntambama.
• Landela imiyalo yokuthi ungakuyeka nini ukudla noma ukuphuza.
• Ungatshelwa ukuthi usebenzise ama-enemas noma ama-laxatives ukusula amathumbu akho. Uma kunjalo, landela leyo miyalo ngqo.

Ngosuku lokuhlinzwa kwakho:

• Thatha noma yimiphi imithi umhlinzeki wakho akutshele ukuthi uyiphuze ngesiphuzo esincane samanzi.
• Qiniseka ukuthi ufika esibhedlela ngesikhathi.

Ukuhlala kwakho isikhathi eside esibhedlela kuncike enkambisweni. Ngezinqubo ezivulekile zesisu kungaba yizinsuku ezinhlanu kuya kweziyisishiyagalombili. Uzobuyela ekhaya ngokushesha uma ngabe uhlinzwe nge-laparoscopic. Ukuhlala kokuhlinzwa okuphelele kungaba yizinsuku ezimbili kuya kwezingu-3.

Kufanele wenze ukululama okuphelele emavikini amane kuya kwayisithupha.

Ukuhlinzwa kuvame ukusebenza kahle ukulungisa i-prolapse. Ukuqunjelwa kanye nokungakwazi ukuzibamba kungaba yinkinga kwabanye abantu.

Ukuhlinzwa kwe-Rectal prolapse; Ukuhlinzwa kwe-anal prolapse

• Ukulungiswa kwe-Rectal prolapse - uchungechunge

Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Ikholoni ne-rectum. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Textbook of Surgery: Isisekelo Sebhayoloji Sokuzijwayeza Kwamanje Kokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 51.

URuss AJ, uDelaney CP. I-Rectal prolapse. Ku: Fazio the Late VW, Church JM, Delaney CP, Kiran RP, eds. Ukwelashwa Kwamanje ku-Colon and Surgery Surgery. 3rd ed. IPhiladelphia, PA: Elsevier; I-2017: isahluko 22.