Ukudlula okungafakwanga

Ukuphindaphindeka okwenzeka ngokufihlakeleyo kwenzeka xa i-rectum sags kwaye iza kuvulwa ngasemva.

Isizathu esona ngqo sokuqengqeleka kwamacangca akucaci. Izizathu ezinokubakho zinokubandakanya oku kulandelayo:

• Ukuvulwa okwandisiweyo ngenxa yezihlunu ezikhululekileyo kumgangatho we-pelvic, owenziwe yimisipha ejikeleze i-rectum
• Izihlunu ezikhululekileyo ze-anal sphincter
• Ikholoni ende ngokungaqhelekanga
• Ukuhla kwehla kwesisu esiswini phakathi kwesikali kunye nesibeleko
• Ukudumba kwamathumbu amancinci
• Ukuqunjelwa
• Urhudo
• Ukukhohlela okungapheliyo kunye nokuthimla

Ukudodobala kunokuba nenxalenye okanye kugqitywe:

• Ngokuqengqeleka okungakhethiyo, ulwelo lwangaphakathi lwee-bulum ze-rectum ngokuyinxenye ukusuka kwi-anus.
• Ngokugqitywa okupheleleyo, zonke i-rectum bulges nge-anus.

Ukuphindaphindeka okwenzeka ngokufihlakeleyo kwenzeka rhoqo kubantwana abangaphantsi kweminyaka engama-6. Iingxaki zempilo ezinokukhokelela ekuqhubekeni zibandakanya:

• Icystic fibrosis
• Usulelo lwesisu emathunjini
• Urhudo lwexesha elide
• Ezinye iingxaki zempilo ezikhoyo ngexesha lokuzalwa

Kubantu abadala, ihlala ifunyanwa nokuqhinwa, okanye ingxaki yemisipha okanye yemithambo-luvo kwindawo ye-pelvic okanye yesini.

Olona phawu luphambili bubunzima obunombala obomvu obunamathele ekuvulekeni kwe-anus, ngakumbi emva kokuhamba kwamathumbu. Obu bunzima bubomvu ngokwenene ngumbala wangaphakathi we-rectum. Isopha kancinci kwaye inokungonwabi kwaye ibuhlungu.

Umboneleli wezempilo uya kwenza uvavanyo lomzimba, oluya kubandakanya uvavanyo lwe-rectal. Ukujonga ukubuyela umva, umboneleli unokucela umntu ukuba athwale phantsi ehleli kwindlu yangasese.

Uvavanyo olunokwenziwa lunokubandakanya:

• Colonoscopy ukuqinisekisa isifo
• Uvavanyo lwegazi ukukhangela i-anemia ukuba kukho ukopha kwi-rectum

Tsalela umnxeba umboneleli wakho ukuba kwenzeka i-rectal prolapse.

Ngamanye amaxesha, ukubuyela umva kunokunyangwa ekhaya. Landela imiyalelo yomboneleli wakho ngendlela yokwenza oku. I-rectum kufuneka ibuyiselwe ngaphakathi ngaphakathi ngesandla. Ilaphu elithambileyo, elifudumeleyo nelimanzi lisetyenziselwa ukufaka uxinzelelo ngobuninzi kubunzima bokuyityhalela emva ngovulo lwasemva. Umntu kufuneka alale kwicala elinye kwindawo yesifuba phambi kokufaka uxinzelelo. Esi sikhundla sivumela ubunzima ukuba buncede ekubuyiseleni i-rectum endaweni.

Ukuhlinzwa ngokukhawuleza akufuneki. Kubantwana, ukunyanga unobangela kuhlala kusombulula ingxaki. Umzekelo, ukuba unobangela uyaphazamiseka ngenxa yezitulo ezomileyo, laxatives inokunceda. Ukuba ukuqhubekeka kuyaqhubeka, kunokufuneka kwenziwe utyando.

Kubantu abadala, ekuphela kwonyango lwe-rectal prolapse yinkqubo elungisa ukubuthathaka kwe-anal sphincter kunye nezihlunu ze-pelvic.

Kubantwana, ukunyanga unobangela kunyanga ukuhla kwe-rectal. Kubantu abadala, utyando luhlala lunyanga ukuqhubekeka.

Xa i-rectal prolapse inganyangwa, ukuqhina kunye nelahleko yokulawulwa kwamathumbu kunokukhula.

Fowunela umboneleli wakho kwangoko ukuba kukho i-rectal prolapse.

Kubantwana, ukunyanga unobangela kuhlala kuthintela ukuba i-rectal prolapse ingenzeki kwakhona.

Inkqubo; Ukuqwalaselwa kwengqondo ngaphakathi

• Ukudlula okungafakwanga
• Ukulungiswa kwe-Rectal prolapse-uthotho

I-Iturrino JC, iLembo AJ. Ukuqunjelwa. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 19.

IKliegman RM, iSt. Geme JW, iBlum NJ, i-Shah SS, iTasker RC, uWilson KM. Iimeko zoqhaqho lwe-anus kunye ne-rectum. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahl. 371.

IMadoff RD, iMelton-Meaux GB. Izifo ze-rectum kunye ne-anus. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 136.