Rectal prolapse kugadzirisa

Rectal prolapse kugadzirisa ndiko kuvhiya kugadzirisa rectal prolapse. Aya mamiriro ezvinhu umo chikamu chekupedzisira chemuura (chinonzi rectum) chinonamira kunze kuburikidza neanus.

Rectal prolapse inogona kuve yakasarudzika, inosanganisira chete mukati mekunze kwechipfuva (mucosa). Kana, inogona kuve izere, inosanganisira iyo yese madziro ereceum.

Kune vanhu vakuru vazhinji, kuvhiyiwa kunoshandiswa kugadzirisa rectum nekuti hakuna imwe nzira inoshanda yekurapa.

Vana vane rectal prolapse havangogara vachida kuvhiyiwa, kunze kwekunge kuwanda kwavo kusiri kuwedzera nekufamba kwenguva. Mune vacheche, kuwanda kunowanzo nyangarika pasina kurapwa.

Yakawanda nzira dzekuvhiya dze rectal prolapse dzinoitwa pasi peiyo general anesthesia. Kune vanhu vakuru kana vanorwara, epidural kana musana anesthesia inogona kushandiswa.

Kune matatu matatu akakosha emhando dzekuvhiya kugadzirisa rectal prolapse. Chiremba wako anovhiya achasarudza kuti ndeipi yakanakira iwe.

Kune vanhu vakuru vane hutano, maitiro emimba ane mukana wakanyanya wekubudirira. Paunenge uri pasi peanesthesia, chiremba anogadzira kucheka mudumbu uye kubvisa chikamu chekoloni. Iyo rectum inogona kusungirirwa (sutured) kumaturu akapoterera kuitira kuti isazotsvedza uye kudonha kuburikidza neanus. Dzimwe nguva, chidimbu chakapfava chembambo chakaputirwa chakatenderedza rectum kuti chibatsire kugara munzvimbo. Maitiro aya anogona zvakare kuitwa neeparoscopic kuvhiya (inozivikanwawo seye keyhole kana telescopic kuvhiya).

Kune vakura vakuru kana avo vane mamwe matambudziko ekurapa, nzira kuburikidza neiyo anus (perineal approach) inogona kunge isina njodzi. Izvo zvinogona zvakare kukonzera marwadzo mashoma uye kutungamira kune ipfupi kupora. Asi nemaitiro aya, kuwedzera kwacho kuri mukana wekudzoka (kudzokorora).

Imwe yekugadziriswa kwekuvhiya kuburikidza neiyo anus inosanganisira kubvisa iyo yakadonha rectum nekoloni uye wozoisa mutserendende kumaturu akapoterera. Maitiro aya anogona kuitwa pasi pezvese, epidural, kana musana anesthesia.

Vanhu vasina kusimba kana vanorwara vangangoda nzira diki inosimbisa mhasuru dze sphincter. Unyanzvi uhu hunokomberedza tsandanyama nebhandi remhando nyoro kana silicone chubhu. Maitiro aya anopa kungovandudza kwenguva pfupi uye kashoma kushandiswa.

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji zvinosanganisira:

• Reaction kumishonga, matambudziko ekufema
• Kubuda ropa, kugwamba kweropa, hutachiona

Ngozi dzekuvhiya uku dzinosanganisira:

• Utachiona. Kana chidimbu che rectum kana colon yakabviswa, ura hunoda kubatanidzwazve. Muzviitiko zvisingawanzoitika, kubatana uku kunogona kudonha, kuchikonzera hutachiona. Dzimwe nzira dzinogona kudikanwa kurapa hutachiona.
• Kuzvimbirwa kwakajairika, kunyangwe vanhu vazhinji vachizarirwa vasati vavhiyiwa.
• Mune vamwe vanhu, kusagadzikana (kurasikirwa kwehuturu) kunogona kuwedzera.
• Kudzoka kwekuwedzeredza mushure mekuvhiyiwa kwepamuviri kana kwepineal.

Pakati pevhiki mbiri usati wavhiyiwa:

• Iwe unogona kukumbirwa kumira kutora mishonga inoita kuti zviomere iro ropa rako kugwamba. Mimwe yeiyi aspirin, ibuprofen (Advil, Motrin), vitamini E, warfarin (Coumadin), clopidogrel (Plavix), ticlopidine (Ticlid), uye apixaban (Eliquis).
• Kumbira mupi wako wezvehutano kuti ndeapi mishonga yaunofanirwa kutora pazuva rekuvhiyiwa kwako.
• Ukasvuta, edza kurega. Kumbira mupiki wako kuti akubatsire.
• Ive neshuwa yekuudza chiremba wako wekuvhiya kana ukarwara usati wavhiyiwa. Izvi zvinosanganisira kutonhora, furuwenza, herpes flare-up, matambudziko eweti, kana chero chimwe chirwere.

Zuva rakapfuura kuvhiyiwa kwako:

• Idya chidyo chemangwanani uye masikati.
• Unogona kuudzwa kuti unwe chete zvinwiwa zvakajeka semuto, muto wakachena, nemvura masikati.
• Tevedzera rairo nezve nguva yekurega kudya kana kunwa.
• Iwe unogona kuudzwa kuti ushandise enemas kana laxatives kuburitsa ura hwako. Kana zvirizvo, tevera iwo mirairo chaizvo.

Pazuva rekuvhiyiwa kwako:

• Tora chero mishonga yawakaudzwa nemupi wako kuti utore nekamwe kadiki kemvura.
• Iva nechokwadi chekusvika kuchipatara nenguva.

Unogara kwenguva yakareba sei muchipatara zvinoenderana nemaitiro acho. Kune akavhurika mudumbu maitiro angave mashanu kusvika mazuva masere. Iwe unoenda kumba nekukurumidza kana iwe ukave nekuvhiyiwa kweparoscopic. Kugara kwekuvhiyiwa kwepineine kunogona kuve mazuva maviri kusvika matatu.

Iwe unofanirwa kugadzirisa zvakakwana mumasvondo mana kusvika matanhatu.

Kuvhiyiwa kunowanzo shanda mushe pakugadzirisa izvo zvinowedzera. Kuzvimbirwa uye kusagadzikana kunogona kuva matambudziko kune vamwe vanhu.

Rectal prolapse kuvhiyiwa; Anal prolapse kuvhiyiwa

• Rectal prolapse kugadzirisa - akateedzana

Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Colon uye rectum. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya: Iyo Biological Hwaro hweMazuva Ano Kuvhiya Maitiro. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 51.

Russ AJ, Delaney CP. Rectal kuwanda. Mu: Fazio anononoka VW, Chechi JM, Delaney CP, Kiran RP, eds. Parizvino Therapy muColon uye Rectal Kuvhiya. 3rd ed. Philadelphia, PA: Elsevier; 2017: chitsiko 22.