I-prolapse ehambayo: ezibangela, iimpawu, unyango

I-prolapse ye-Rectal ichaphazela inani elincinci lezigulane, ingxaki ayiqhelekanga. Nangona kunjalo, kwiminyaka yakutshanje, kuye kwaba nomkhonto wokunyuka kwesifo. I-prolapse eyiyo (le negama lesi sifo) ayinobungozi kubomi ngokwalo, ngaphandle kweemeko zokuwa, kodwa kusekho ukuphazamiseka kwesigulane. Ngoko ke, wonk 'ubani kufuneka aziswe, azi izibonakaliso zesifo, uthathe amanyathelo afikelelekileyo ekukhuseleni nasekunyangeni.

I-prolapse eyiyo yintoni?

Ngesi sifo, inxalenye engezantsi ye-rectum, elincinane ngaphezu kwe-anus, isolula, iya kuba yimfono kunye noxinzelelo. Ukuwa kweyona nto ibangelwa ngumntu onobuthakathaka obuthakathaka, ongabangela ukungabikho kwe-mucus kunye nemfesi. Imifanekiso kunye neefoto ze-prolapse ezimbumba zibonisa ukubonakaliswa kwangaphandle kwesi sifo-i-rectum yecandelo layo elingaphantsi lidlulela ngaphaya kwe-canal.

Esi sifo sisoloko siphumelele intlungu emzimbeni ngexesha lokuxhatshazwa, ukuphazamiseka kwengqondo, okubonakala ngokungahambisani nesifo se-sphincter (igazi, ukukhutshwa kwe-mucus). I-prolapse eyiyo iyingozi kubabini nakubantu abadala.

Ngeenguqulelo zentsholongwane, inxalenye engezantsi ye-rectum elula (indawo yayo yokugcina), yindawo ebonakalayo, efikelela kuma-20 cm ubude.

Esi sifo sinobuhlungu, kunzima, nangona singasongela ubomi. I-Symptomatology iyanciphisa umgangatho wobomi, ochaphazela ingqondo yezigulane. Kwizifo ze-proctologic prolapse prolapse ine-pesenti encinci yohlu lwazo zonke izifo. Ukuxilongwa kunokuba yintoni na ubudala, kwabancinane. Kuphawula ukuba kumadoda le ngxaki ibonakaliswe rhoqo. Oogqirha banxuswa ukuba bathathe amanyathelo okukhusela okuyimfuneko.

I-prolapse eyiyo: izizathu

Iimbangela zokubonakala kwe-prolapse ye-rectal zihlukaniswe ngamaqela amabini: ukuvelisa nokubeka phambili.

Iqela lokuqala (ukuvelisa) liquka oku kulandelayo:

• Ukuxhatshazwa rhoqo kwe-rectum, umzekelo, kunye nokuqhawuka rhoqo;
• Iingxaki ngexesha lokubeleka, xa kwakhiwa ukuphulwa komzimba, kunye nezihlunu ze-pelvic;
• Imisebenzi eyenziwa emathunjini;
• Umsebenzi omzimba ophezulu, xa isistim se-muscular sihlale sixinzelelekile, ingcinezelo ye-intra-esiswini isuka;
• Isebe le-sacral lenzakele ngandlela-thile;
• Kwizilonda zamathumbu emathunjini emathunjini akhiwa.

Kukho ezinye izimbangela ze-prolapse. Iifoto kunye nemifanekiso ziqinisekisa ukuba kukho ubugcisa beempawu zomntu. Kule meko, kubangelwa izizathu ezibalulekileyo:

• I-Pathology ye-muscular muscle;
• I-Sphincter ine-tone ye-muscle ephantsi;
• Uxinzelelo lwe-intra-esiswini;
• Ukugxininisa kwi-rectum;
• Ukubethelwa kwemisipha yomathumbu;
• Ukuqhawulwa kwamathumbu, i-squam;
• I-coccyx ifumaneka ngokuzenzekelayo;
• Ukukhulelwa okunzima, ukubeletha okunzima.

Ingqwalasela ekhethekileyo ihlawulwa kwii-pathologies ezivela ngokubhekiselele kwiminqweno engeyiyo yendabuko. Isici esichukumisayo se-prolapse ye-rect sinokuvuselelwa ngokusisigxina kwe-anus. Ngenxa yoko, kungekhona intlungu nje kuphela, kodwa kunye ne-prolapse ye-rectum.

Iintlobo kunye nezigaba

Ngokweziko zalo, lesi sifo sinokukhetha oku:

• Ukuwa kugqitywa ngokutshintshela phantsi kwodonga oluphambili - le nguqulelo. Ivela kunye nezihlunu ezinobuthakathaka obuthathaka, ngokunyuka kwengcinezelo yangaphakathi kwesisu. I-membrane ye-mucous ye-rectum icacisiwe kwaye ixoshwe ngaphandle.
• Ngaphakathi kwe-mucosa ebhaliweyo, kukho ukungeniswa kwe-sigmoid okanye i-rectum, akukho ukuhoxiswa ngaphaya komda-oku kungeniso yokungena.

Ngenxa yesiseko seendlela zokuphuhliswa kwesi sifo, i-proctologists zihlukanisa izigaba zesifo (i-degree) kwi-prolapse prolapse:

• Ihlawulwe isigaba esincinci. Ngexesha lokuxhatshazwa, kukho i-eversion emathunjini. Ekupheleni kwenkqubo ye-stool, umthamo ngokwawo ufika kwisimo sawo sokuqala.
• Inkxaso-mali, isigaba esicacileyo. Amathumbu aphuma, njengoko kwimeko yokuqala, kodwa ubuyela kwisimo sawo sokuqala ngokukhawuleza, kunye neentlungu zesifo kunye nokuphuma kwamanzi.
• Ukuhlaziywa kwexesha, ixesha. I-Rectal ayikho nje kuphela kwinkqubo yokuchasana, kodwa nangona naluphi na uxinzelelo lwe-intra-esiswini, ukuxhatshazwa, kunye nesibilini asikwazi ukuzilungelelanisa. Ngokuqhelekileyo kuphuma igazi, mhlawumbi ukungabikho kwe-stool, iigesi. Kwangexesha elide i-sphincter ihlala ekhululekile.
• Ukuhlaziywa kwangaphakathi kwinqanaba elincinci. Kuzo naziphi na izenzo zomzimba, nakuphi na isikhundla (ukuhlala, ukuma), intlungu ilahlekelwa. Iinkqubo ze-Necrotic eziphuhlisayo kwi-mucosa zibangelwa ukuphuma igazi, ukubetha kunye nentlungu.

Iimpawu kunye neempawu zesifo, iingxaki

Ukuphuhliswa kwesi sifo kunokwenzeka ngokukhawuleza, kwaye kungenzeka ngokukhawuleza. Ngokuphindaphindiweyo ukubola kubonakala kancane kancane. Ekuqaleni, i-prolapse ye-intestine ingabonwa kuphela ngexesha lokuxhatshazwa. Xa eso sifo siqhubeka, kuyimfuneko ukulungelelanisa indawo leyo, ephuma kuyo nayiphi na umbane.

Ukuwa ngokukhawuleza kunokubangela ukuxuma okubukhali kwiscinezelo se-intra-esiswini kwisimo esiqinileyo somzimba. Ngokukhawuleza kwehla, kukho intlungu enzima, enokubangela ukutshatyalaliswa kwanokuwa.

Iimpawu zeprogram ye-rectal:

• Kukhona inzwa yomzimba yangaphandle kwi-anus;
• Uqhelo lobuxoki luyabongoza ukuba enze isenzo sokuchasana;
• Intlungu engapheliyo kwi-anus;
• Ubunokuthi uqule iimfesi kunye neegesi ziyalala.

Xa isilonda siphula, ukuphuma kwegazi kwenzeka, iinqanawa zenzakaliswa. Ukuba kukho nayiphi na imiqondiso ye-prolapse ye-rectal, unyango kunye nezilwanyana zesintu akunakwenzeka ukukunceda. Funa uncedo lwezempilo olukhawulezayo. Ukuba ukungenelela kulibazisekile, ukubonakaliswa kweengxaki kwi-urinary system kunokwenzeka, kwaye i-rectum iyaphulwa.

Imiphumo eyingozi ye-prolapse ye-rect ingaba:

• Isithintelo samathumbu;
• Peritonitis.

Ukukhusela umzimba ngokunciphisa umzimba, umntu ulahlekelwa amandla akhe okusebenza. Inkqubo yeentlanzi ihlala ixinzeleleka, isigulane siyasicasula, sinokungabi nandaba kunye neuroses.

Diagnostics

Xa ufumanisa i-prolapse proct, ugqirha kufuneka afunde imbali yesifo ngokubanzi kwaye ahlolisise indawo ye-anorectal. Kufuneka kuqatshelwe ukuba ukubonakaliswa kwangaphandle kubonakala kuphela kwizigaba eziphambili. Ekuqaleni, isifo asibonwanga. Isigulane sinikelwa ukuba sixakeke kwisimo "kwiindawo zakhe ezineentsimbi" okanye "kwi-stool". Xa ibilini libonakala, ukuxilongwa kuqinisekiswa. Ukuhlolwa komunwe kungasetyenziselwa, ngenxa yale njongo isigulane sikhona kwisihlalo sokubukela. Xa uvavanywa, ugqirha uvavanya ithoni ye-muscle kunye ne-elasticity ye-anus. Ukuba ukunciphisa umthamo we-rectum kwanda ngokuphawulekayo, oko kubonisa isifo.

Ukucacisa umlinganiselo we-prolapse ye-rectal inikezelwe ukuchasana. Ngethuba le nkqubo, isenzo sokuchaswa sichazwe, kunye nokutshutshiswa kwe-radiographic, uthathe ugqirha uya kugqiba ubunzima bezinto ezingasebenzi kunye ne-anatomical, ukuchonga iindlela zokungenelela.

I-manometry ye-Anorectal iya kunceda ukuphonononga ukusebenza kwemisipha ekhoyo emathunjini, kunye nokuvavanya indima yabo kwinkqubo yokuchasana.

Kwakhona kusetyenziswe ukuxilonga ngeendlela ezifana ne-colonoscopy, sigmoidoscopy. Indlela nganye xa uhlolisiso lukunceda ukuncedisa umfanekiso wesifo, ukucacisa isigaba sesifo.

Unyango olusisigxina

Inkqubo yokwelapha i-prolapse ye-rect isekelwe kwimimiselo yeemviwo, ukuxilongwa. Ugqirha kufuneka amisele imisebenzi ethile yonyango. Amanyathelo enyango angahlula kwiindawo ezibini eziphambili: okhuselekileyo kunye nophenyo.

Ukuba i-diagnosis ye "rectal prolapse" isungulwe, unyango oluneendlela ezilondolozayo lufaneleke kuphela kwizigaba zokuqala zesifo. Ngokuqhelekileyo kunikwa umyalelo kwizigulane eziselula okanye eziphakathi. Imisebenzi ephambili yonyango olulondolozayo iya kuphelisa izizathu ezibangele ukuphuhliswa kwe-prolapse. Oku kubandakanya:

• Ukuchonga kunye nonyango lwazo zonke izifo ezitholakala emathunjini amakhulu.
• Ukumiswa kwesigxina.
• Kubalulekile ukuqeda ukutyunjwa.
• Ukungabikho kwemisebenzi yonke yomzimba, ukuphakamisa nayiphi na isisindo, imithwalo.
• Ubomi bocwaso kufuneka lukhuselekile (ngaphandle kokukhutshulwa kwendinyana engumzekelo).

Kubaluleke kakhulu ukuba isigulane sikhethe isiko esilungileyo, esiza kwenziwa rhoqo imihla kwaye sisomeleze imisipha yomgangatho weplavic kunye ne-perineum.

Kananjalo unyango olulondolozayo lungabandakanya:

• Iziyobisi ezixilisayo (i-injection course);
• Ukuhlalisa umzimba;
• I-Physiotherapy (ukuvuselela ngokukhoyo kwamandla kagesi).

Izindlela zokononophelo zonyango zinokukunceda kuphela kwizigaba zokuqala zesifo (kuphela kwi-2/3 yamatyala). Ngokuqhelekileyo, isiguli sidinga ukuhlinzwa.

Unyango oluphandwayo

Izindlela zokunyangwa ngophakamiso lwe-prolapse zixakeke rhoqo ngonyaka kwaye ziphuculwe. Kuza kubekho, kukho iindlela ezi-50 zokungenelela. Ukhetho lugqithiselwe kuxhomekeke kumsebenzi. Ukuziphatha komsebenzi kuxhomekeke kwezi zinto zilandelayo:

• Umgangatho wokuphuhliswa kwesi sifo;
• Iimpawu zobomi bomntu ngamnye;
• Ubudala bomguli;
• Umbuso wezempilo.

Izikhokelo eziphambili zomsebenzi wokutyanda zi:

• Ukususa icandelo lokuphuma kwekota.
• Ukususwa kweendawo ezithile ezichaphazelekayo zamathumbu amakhulu.
• Inkqubo yeeplastiki. Kukho umgca we-rectum, ithuba lokutshintshela ezinye iintlobo ze-pelvic kwimigodi yamathumbu emathumbu.
• Udibaniso lweendlela ezininzi zokungenelela.

I-proctologists zanamhlanje zihlala ziqhuba indlela yokwenza i-rectum, ngelixa lenzakaliswe kancinci. Isigulane sinyamezela ngokunyanzeliswa ukungenelela, kwaye ukuphuluka kwindlela yokuhlinzwa ngokuqhubekayo kwenzalo ngexesha elifutshane.

Kukho kwakhona inkqubo yokuphucula igazi engekho yokunyanga kwe-prolapse - laparoscopy. Ixesha lokubuyisela likhawuleza, ingozi yeengxaki iyancishiswa.

Kule nkoliso yemisebenzi, iziganeko zikhangeleke kakhulu:

• Ukupheliswa kweempawu.
• Qalisa u ku fumana.
• Ukuphucula umgangatho wobomi.
• Ukupheliswa kweengxaki zengqondo.

Emva kokuhlinzwa, ukusebenza kwe-anal sphincter kuya kubuya kwinto eqhelekileyo, ithoni iphucula, imisebenzi ibuyiselwa. Iziphumo ezithile zonyango zinokugwetywa ngonyaka.

Thintelo

Amanyathelo okukhusela i-proctal prolapse elula. Ukuze kungabikho kwimeko yokugula, kuyadingeka ukuba udle ngokufanelekileyo: ngakumbi ukutya imifuno, iziqhamo, imifino, i-fiber, ekuncinci ukubandakanya ekudleni (kwaye kungcono ukuba ungabandakanyi) iimveliso ezigqityiweyo, ukutshaya, ukucoca. Ngokubanzi, ukondlo kufuneka kuququzelele umsebenzi olula wendlela yokugaya (isantya sesisu) kunye nesenzo esifanelekileyo sokuchasana.

Ekuhambeni kwexesha, unyamekele nayiphi na isifo soxinzelelo esinokubangela ukuba siphumelele. Ukuzivocavoca umzimba, yenza iimvavanyo eziqinisa imisipha yomgangatho weplavic. Sekusebuntwaneni, fundisa abantwana ukuba baye kwindlu yangasese ngokuchanekileyo, musa ukunyanzela nzima kwaye musa ukuhlala kude kakhulu ebhodweni.

Yilumkele nayiphi na i-overload body, ekhokelela ekunyuseni kwexinzelelo lwe-intra-esiswini.

Njengoko iprophylaxis proctologists ayincomo ukuba enze nayiphi na indlela yohlobo lwesini.

Izifo kubantwana

I-proble prolapse kubantwana ibonakalisa ngokuqhelekileyo kwiminyaka eyi-1-4. Kwimakhwenkwe, le ntsholongwane iyenzeka ngokuphindaphindiweyo (umlinganiselo wesibini ukuya kwenye). I-prolapse ibangelwa nayiphi na ingxaki emva kweempawu ze-GI, kunye noxinzelelo lwangaphakathi lwesisu. Izinto ezifaka isandla kwi-prolapse ye-rectum:

• I-Atrophy yeethambo ezinamafutha, ngenxa yoko, ukulungiswa okubuthathaka kwamathambo.
• I-laxity ye-perineum yintlungu.
• I-Hypotrophy, i-rickets.
• Ukubanjwa, urhudo.
• Isifo segazi.
• Mde uhlale ebhodweni.
• Iimpawu zeAnatomical.
• Inkxalabo yeemvumba.

Kwakhona, kufuneka ubeke ingqalelo kwi-genetic predisposition, uhlobo kunye nokutya, izifo ezidluliselweyo, inguqu ezinokuthi zitshintshe.

Iimpawu zokuqala zokuqala azibonakali lula kumntwana. Ngenxa yesenzo sokuchasana, i-membrane ye-mucous inokuphuma kwinqanaba kwaye ibuyele kwindawo yayo yendalo. Ukufumanisa ingxaki, abazali bafanele bahlole i-anus yomntwana ngexesha lesitulo, nokuba kukho i-rosette ebomvu ewela kwi-anus. Ukuba kukho ingxaki, kufuneka uqhagamshelane nodokotela ngokukhawuleza.

Ukuba unyango alufumaneki, ukuqhubeka kwesifo kungaqalisa. Ngokuphuhliswa kwe-muscle hypotension, i-rectum iya kuqala ukuphuma kunye nokuchasana ngalunye. Kule meko, ayisayi kuphinda ikwazi ukuzilungisa, kuya kufuneka kwenziwe ngesandla. Ngokuphuhliswa okuqhubekayo kwe-pathology prolapse kungenzeka kumntwana kunanoma yiyiphi na intlupheko, ukukhwehlela, ukukhala, ukuhleka. Ngenxa yobuthakathaka be-sphincter ye-muscular, i-stool incontinence ingenzeka. Ukuphulwa kwamathumbu kungasongela impilo kuphela, kodwa kunye nobomi bentsana, kulolu hlobo kuphela ukungenelela ngoncedo kuya kunceda.

Ukunyanga kweproctal prolapse kubantwana

Izindlela zokonyango lwe-proctal prolapse kubantwana kwiimvavanyo zakuqala zisekelwe kwiprogram yokulondoloza nokulondoloza. Iinjongo zonyango oluxhasayo zi:

• Ukugqitywa kokubanjwa.
• I-Dietotherapy kunye nokufakwa kwe-cellulose.
• Ukubuyiswa kwephepha lokutya.
• Ulale nje emva (ngasemva okanye kwicala). Ukuhlala akuvumelekile.
• Ukubeka esweni isifo somathumbu.
• Ukucoceka okucocekileyo emva kokuvulwa kovulo.
• Ikhefu elikhethwe ngokuchanekileyo kufuneka lisuse iinkqubo zokuvuvukala kwi-mucosa yamathumbu.

Ukuba iindlela zokuzikhusela azizincedi, zithathele ukunyanga kweyeza.

Inkqubo isekelwe ekufakweni kwezinto ezisemgangathweni kwi-cellulose, eya kuthi ibe kwindawo yangaphandle. Ngenxa yeziphumo zonyango, izigulane, izicubu ezinqamlekileyo ziya kutshintshwa ngamacandelo kunye nezakhiwo ezinxibelelwano. I-rectum iya kugxininiswa. Le ndlela ayiqhelekanga isetyenziswe, ixinzeleleke kakhulu ngumntwana, ngamanye amaxesha ingabangela iingxaki.

Ukuthintela ukuphefumula kwabantwana kufuneka ukuba basusela kwiminyaka yobudala ukuba bajonge ukutya kwabo okufanelekileyo, ukukhuphela ukubonakala kokubanjwa. Fundisa umntwana wakho ukuba ahlawule ngokukhawuleza, ungahlali ixesha elide ebhodweni.