Kufuneka wenze ntoni xa umntwana prolapse efakwa? izizathu

Xa yezonyango kukho iimeko lonyango izifo emathunjini. Umntwana prolapse efakwa nazo ngokuba yingxaki eqhelekileyo. Le ngezifo lisisiqalo yeendonga distal kunye nokuncipha kwabo emva ngokusebenzisa orifice ezimpundu.

Kutheni ukulahlekelwa wamathumbu ebantwaneni?

Ngokuqhelekileyo, esi sifo olufunyanwa kubantwana abancinci. Kulo mzekelo, amakhwenkwe abangaphantsi kweminyaka emi-5 ubudala kakhulu zithandwa sisifo ngakumbi.

Ngaphambi kokuba siqwalasele ngokweenkcukacha prolapse efakwa kuwo umntwana kunye Pathogenesis layo, kubalulekile ukunikela ingqalelo into yokuba esi sifo asiyi kuqwalaselwa ngxaki elizimeleyo lona. Amaninzi kubonakala ngenxa yeemeko ezahlukeneyo zophendlo lwezifo. Xa abadala, kunye nomntwana, ilahleko efakwa ikakhulu ngenxa yokwanda uxinzelelo intra-esiswini. Naye, kwenziwe le nkqubo kwaye imiba kuqwalaselwa ukuba oyena nobangela imvelaphi kunye nokusekwa esi sifo. Zahlula-hlulwe ngamaqela amabini.

Ukuthambekela ukuvela isifo

Eyokuqala yimiba predisposing engabangela sifo. Zezi:

1. yomkhuba wendalo. Ngenxa yokuba abantwana abangaphantsi kweminyaka emi-6 kummandla ithambo lumbosacral wephiko yendalo kunokuba okwanamhlanje wavakalisa. Ngenxa yokungabikho lordosis kunye nokujikeleza zangasese ezinqeni zaneleyo kuthe tye. Noxinzelelo intra-esiswini, umthwalo yonke ikhutshelwa ingquza.
2. Ubunzulu isithuba Douglas. Okukhona eli xabiso (leyo uphawu abantwana abaselula), i-ezisezantsi kukho izikhewu vesico-isisu kwi peritoneum. Xa uxinzelelo oluphezulu kwenzeka phezu invagination eludongeni ngaphambili ukuba isebenza njengesiseko esebenzayo yophuhliso ngezifo lo mntwana. prolapse efakwa kungenzeka phambi ezinye iimpawu yokwakheka ebuntwaneni: mesentery elide, evakalala uhlobo imithambo intraenteric, etc ...
3. Ezinye izifo emathunjini ezibangelwa ukungondleki okanye yokondla ngqiqweni. Kulo mzekelo, ezingaqhelekanga, iphuhlise ngenxa yotshintsho sisiba mandundu xa imisipha olungaqhelekanga zangasese kunye paraproctium.

izinto ezifuniweyo ukuba kubangele ukulahleka namathumbu

Iqela lesibini yeemeko causative zifumaneka yokuphazamiseka ekusebenzeni kwenkqubo zokwetyisa iphecana emathunjini, nto leyo waba kwindawo yokuqala ngokuba ukuvela le ngxaki. Umntwana prolapse efakwa (yintoni ofanele uyenze abazali kulo mzekelo, xelela ingcali, ngoko uthabathe amanyathelo akho ukuze unyango umntwana kucetyiswa ngamandla) kaninzi zenzeka ngenxa ukunyhashwa esitulweni. Ubunzima ngexesha isenzo defecation ngohlobo kwesisu rhoqo - indlela esisiseko nosungulo sifo. ngepali rhoqo nokuqhelana elide ukuya imbiza ngokungalunganga kuchaphazela imeko sphincter ezimpundu.

Ngelo xesha, ngokufuthi, kunye nezinye izinto ezinokudala ukwanda koxinzelelo em- intraperitoneal, apho bekuhleli prolapse efakwa ebantwaneni. Izinto ezibangela le nto zophendlo lwezifo badla kulala khohlo bronchitis Ityhwatyhwa, okanye ubunzima ukuchama (umzekelo, phimosis emakhwenkweni).

Ngaphezu koko, ngokubonakaliswa le ngezifo esinzulu, ngokuqhelekileyo idlala yayibaluleke indima intlanganisela zizathu. Kwiimeko ezininzi, ubukho enye okanye ngaphezulu kwezi ngxaki zichazwe ngentla apha, prolapse efakwa kuwo umntwana kwenzeka ngokuthe ngcembe.

Iimpawu zesifo ebantwaneni

Ingozi yalo sifo kukuba iimpawu zibe lokuqala ixesha elide sinokuhlala ezingabonakaliyo ngokupheleleyo. Isizathu kukuba ukulahleka isifo efakwa. Xa abantwana, oko kwenzeka amaninzi olunye-enamehlo ngokwezigaba. Ngexesha izenzo defecation ngokuyinxenye uwa site isilonda, yaye emva kokuba inkqubo kwakhona efihliweyo emva sphincter.

Ngeli xesha, abazali zosana ukuze uqaphele ukuba bomvu kwindawo ezimpundu, efana elisesifubeni lesinxibo. Oku eneneni kubonisa ixhala ukuba kufuneka ibonwe ngabazali. Zokubona ingquza bala Ephantsi- umqondiso ocacileyo ilahleko emathunjini. isifo esiqhubekayo luphawulwa iimpawu kakhulu ngakumbi. Uphawu unako ngokuba uqhoqhoqho okanye umngxuma oojongiinkwenkwezi, ezimise phakathi Tint oluhlaza kancinane.

Iimpawu izifo progressive

Ukongeza, kuba ixesha elide ukuba igcinwe umoya okanye ubunzulu sphincter ezimpundu, ekunene ezenze emathunjini enzima, ngoko naziphi na iinzame zikhatshwa ubuhlungu xa umntwana. prolapse efakwa esizibonakalisa kamva ngokwayo hypotension musculature ye kumgangatho zangasese, ngokwenjenjalo ukuqondisa emjelweni ezimpundu sivete umva ngeke sele lula, kodwa xa kwenzeka ukuwa olulandelayo phezu.

Xa ngezifo iyasebenza, inxalenye imenyu-phantsi zidla unenxaxheba ubungakanani ebonakalayo, ngamanye amaxesha ukwenza yonke ubude umzimba. prolapse efakwa kubantwana Ngamnye (iifoto ayikwazi kubakho ngenxa yezizathu zokuziphatha) lukhethiwe, umzekelo xa uthimla okanye ukhohlela, ngaphandle kwenkxamleko eninzi emzimbeni. Amaninzi le ngxenye kanye nendlela ngesandla. Ubuthathaka sphincter lwangaphandle inegalelo mandundu imeko zophendlo lwezifo komntwana, apho ingxaki enkulu kukuba ngumchamo indle.

Ngelo xesha linye ulondolozo contractility ye izihlunu sphincter inokuchaphazela kakubi uphuhliso sifo yaye kungakhokelela kubunzima ezifana ikukunyasha na isifo. Kulo mzekelo umntwana kufuneka uqhaqho engxamisekileyo.

Njani na unyango zokulahleka namathumbu?

Abazali ngokukhawuleza ubuyeleyo iingcali le ngxaki nosana lwakho ngeke asinde. Amaninzi, le sase- ukuchacha intle kakhulu. Ukongeza, ezi Amaqhinga uthomalaliso angqingqwa ngakumbi xa kuthelekiswa unyango izigulane abadala. Ngelo xesha abantu kuthetha akunakwenzeka ukoyisa prolapse efakwa ebantwaneni. Unyango kufuneka uthathe indawo kuphela phantsi kweliso eengcali, esingathe ukusetyenziswa kweziyobisi ezithile kunye neenkqubo.

Ngabanye, kuxhomekeke ezibonisa kwezonyango sifo, ukuba usana kunye ixesha elide sifo, ugqirha umisela enye ezintathu unyango ngokwahlukeneyo:

• isicwangciso sonyango elondoloza;
• indlela sclerosing;
• uqhaqho.

unyango elondoloza

Unyango ukhetho lokuqala prolapse efakwa womntwana ongaphantsi kweminyaka 5 eqhelekileyo kakhulu kwaye ethandwa. Xa ukulahlekelwa mucosal olu hlobo lonyango iboniswa kwiimeko ezininzi yaye kubantwana abadala. Eyona njongo iphambili yalo amanyathelo sokubuyisela ezinzima ziya kuqwalaselwa;

• nokuzinziswa uhlobo ukuphelisa naziphi na ukunyhashwa esitulweni, isitulo;
• ukusekwa yokuqala oluqhelekileyo amathumbu mode zingapheli;
• ukukhethwa ekutyeni ifanelekileyo ngexesha uhlengahlengiso yamandla.

Indlela ukufezekisa oku kunokwenzeka kuphela ngoncedo unyango yokudla. Asuse unobangela izifo - uxinzelelo oluphezulu esiswini - ngokukhetha circuit unikezelo ngokupheleleyo ezifanelekileyo kunye nefuthe efanelekileyo okanye ohambelana lokubopha. Xa kungekho nemiba emihle ugqirha unakho ukumisela ukusetyenziswa kweziyobisi ezithile.

Therapy ngaphandle embizeni

Xa buya kumiswa defecation korhulumente oluchanekileyo, kubalulekile ukugcina umntwana umnqweno rhoqo ukuba nilenze. Ukubuyisela imisipha zangasese kunye nonxibelelwano zokusebenza kwabo, nokuhluthwa ebangela prolapse efakwa ebantwaneni Komorowski Kucetyiswa ukuba kuncitshiswe uxinzelelo owodwa nobonisa izabalazela. Njengoko umthetho, unyango umntwana inikwa ukusebenzisa ipoti okanye yangasese, azikhulula ke ukuba kuphela kwindawo lisalele okanye bemi. Akukho umthwalo ingquza - omnye wemiqathango engundoqo yolu unyango sifo, yaye le ngongoma ifuna umonde kunye nokukhathalela ngakwicala yabazali.

Kudla ngokuba imo recovery ngokupheleleyo liyafana ngugqirha isithuba seenyanga malunga 3-4. Impumelelo yale mpatho phantse iqinisekisa a result ogqibeleleyo. Izinto eziluncedo yale ndlela zonyango zisekuhleni: naluphi na uphazamiseko ngaphandle emzimbeni lomntwana ongekhoyo, kukho self-impiliso ngenxa recovery kwezihlunu kunye kokunciphisa imicu zabo.

Noko ke, ukubuyisa akuthethi ukuba umphumo sele iphunyelelwe kanye kunye nomntwana iphinde akukho ezisengozini. Kunyaka olandelayo, kubalulekile ukuba esweni imeko yakhe, yaye xa kwakhona qinisa prolapse ezinqeni kwi emjelweni ezimpundu ngokukhawuleza kangangoko kunokwenzeka.

Indlela yokulungisa owakho umntwana ezinqeni wakho prolapsed?

ingqalelo eyodwa kufuneka baqhelane bokuqonda besa izixhobo. Kungakhathaliseki ubudala, prolapse efakwa emntwaneni (kweminyaka emi-2 okanye iminyaka 6) ifuna ngokungxamisekileyo yokuntlokothiswa elula. Eyona nto ibalulekileyo kukuba kid uzolile kwaye ekhululekile kangangoko kunokwenzeka. Umntwana kufuneka alale ngomqolo. Isiqwenga ezinqeni ezenze ukuba kuyimfuneko igrisi igrisi, yaye emva koko, emva, wambatha iiglavu, ethatha iminwe yakhe ngezandla zozibini kwaye ngaphandle imigudu ziquququ, thambileyo ngobunono kuzityeneneza ngaphakathi. Ukuba ukuqala ukusuka kwisabelo esisezantsi, ngenxa yokuba inkqubo edge elungile eyenziwa emathunjini prolapsed ngokuzenzekelayo kanye emjelweni ezimpundu. Xa ukunciphisa Isiqwenga ukufumana ngokwakhe ngaphakathi, umntwana kubalulekile ukuba kancinane Tyhila iphepha kwi isisu sakho uze ugcine izinqe zenu.

Njani sclerotherapy

Xa kratya, amatyala advanced, unyango oluqhutywa esibhedlele yaye kudla kubhenela gqirha. Sclerotherapy udla esebenzayo namhlanje, njengoko indlela uqhaqho. Le nkqubo kukwaziswa kwe-arhente ezikhethekileyo, apho inyathelo sibhekiswe kudumba paraproctium. Ngaphezu koko kukho ukufa kweeseli ezilindelekileyo, nto leyo indawo loloyiko kunye lukhuni ancedisana ezingqonge isikali. Oku kukuvumela ukuba ukulungisa ngokuqinileyo epithelium zabo phezu emathunjini.

iingxaki bha sclerosis

Ngelo xesha, inkoliso neengcali kummandla kotyando ezingabantwana sengqondo Lumkela kakhulu zindlela unyango. Isizathu soku ulawulo rhoqo kwamachiza, kunye nengozi ephezulu nengxaki yokuba eludongeni lwangaphakathi namathumbu necrotic. Sclerotherapy ingaba kwenzeka kuphela xa ukhetho unyango endala asiphumelelanga ngokupheleleyo, okanye kukho amathuba okuba enkulu mthetho.

Indlela yesibini lubandakanya utyando rectopexy - ukususwa lwenxalenye tsala-phantsi elandela inkqubo Zerenina - Kümmel.

Kuyo nayiphi na imeko, zonke izifo, kuquka ilahleko namathumbu ebantwaneni kulula ukunqanda kunokuba elapha. Ukuthintela uphuhliso leengxaki kufuneka ukuthintela naziphi na iingozi ezinokubakho. Ngokukodwa, musa ukunyanzela umntwana ukuba ahlale ixesha elide imbiza aze athathe amanyathelo akhawulezileyo kwi ukuhlukunyezwa incinane kwesitulo.