Ukulungiswa kwe-Rectal prolapse

Ukulungiswa kweRectal ebonakalayo kukuhlinzwa ukuze kulungiswe i-rectal prolapse. Le yimeko apho icandelo lokugqibela lamathumbu (elibizwa ngokuba yi-rectum) linamathela kwi-anus.

Ukuqengqeleka okungafakwanga okuqhelekileyo kunokukhetha, kubandakanya kuphela ulusu lwangaphakathi lwamathumbu (mucosa). Okanye, inokugqitywa, ibandakanye lonke udonga lwe-rectum.

Uninzi lwabantu abadala, utyando lusetyenziselwa ukulungisa i-rectum kuba alukho olunye unyango olusebenzayo.

Abantwana abane-rectal prolapse abasoloko befuna utyando, ngaphandle kokuba ukuqhubekeka kwabo kungaphucuki ngokuhamba kwexesha. Kwiintsana, ukubola kudla ngokunyamalala ngaphandle konyango.

Uninzi lweenkqubo zotyando lwe-rectal prolapse zenziwa phantsi kwe-anesthesia ngokubanzi. Kubantu abadala okanye abagulayo, i-epidural okanye i-anesthesia yomqolo ingasetyenziswa.

Kukho iintlobo ezintathu ezisisiseko zotyando ukulungisa i-rectal prolapse. Ugqirha wakho uya kuthatha isigqibo sokuba yeyiphi efanelekileyo kuwe.

Kubantu abadala abasempilweni, inkqubo yesisu inamathuba amahle okuphumelela. Ngelixa uphantsi kwe-anesthesia ngokubanzi, ugqirha usika utyando esiswini kwaye asuse isahlulo sekholoni. I-rectum inokuthi iqhotyoshelwe (sutured) kwithishu ejikelezileyo ukuze ingatyibiliki kwaye iphume nge-anus. Ngamanye amaxesha, isiqwenga esithambileyo sijijelwe i-rectum ukukunceda uhlale endaweni. Ezi nkqubo zingenziwa nangotyando lwe-laparoscopic (ekwabizwa ngokuba yi-keyhole okanye utyando lwe-telescopic).

Kubantu abadala abadala okanye abo banezinye iingxaki zonyango, indlela ngokusebenzisa i-anus (indlela yokubonisa) inokuba yingozi kancinci. Inokubangela neentlungu ezincinci kwaye ikhokelele ekubuyiseleni kufutshane. Kodwa ngale ndlela, i-prolapse inokwenzeka ukuba ibuye (iphinde ibuye).

Olunye lolungiso lotyando olwenziwa nge-anus lubandakanya ukususa i-rectum kunye nekholon eyaphukileyo kunye nokuthunga i-rectum kwizicubu eziyingqongileyo. Le nkqubo inokwenziwa phantsi kwe-general, epidural, okanye i-anesthesia yomqolo.

Abantu ababuthathaka kakhulu okanye abagulayo banokufuna inkqubo encinci eyomeleza izihlunu ze-sphincter. Obu buchule bujikeleza izihlunu kunye nebhanti yethayile ethambileyo okanye ityhubhu yesilicone. Le ndlela ibonelela ngokuphuculwa kwexesha elifutshane kwaye kunqabile ukuba isetyenziswe.

Umngcipheko we-anesthesia kunye notyando ngokubanzi kubandakanya:

• Ukuphendula kumayeza, iingxaki zokuphefumla
• Ukopha, amahlwili egazi, usulelo

Iingozi zolu tyando zibandakanya:

• Usulelo. Ukuba isiqwenga se-rectum okanye ikholoni sisuswe, amathumbu kufuneka aqhagamshelwe kwakhona. Kwiimeko ezinqabileyo, olu nxibelelwano lunokuvuza, lubangele usulelo. Ezinye iinkqubo zinokufuneka ukunyanga usulelo.
• Ukuqunjelwa kuqheleke kakhulu, nangona uninzi lwabantu lukuqunjelwa ngaphambi kotyando.
• Kwabanye abantu, ukungakwazi ukuzibamba (ukuphulukana nolawulo lwamathumbu) kunokuba kubi ngakumbi.
• Ukubuya kweprolapse emva koqhaqho esiswini okanye ngotyando.

Ngexesha leeveki ezi-2 ngaphambi kotyando lwakho:

• Unokucelwa ukuba uyeke ukuthatha amayeza enza ukuba kube nzima kwigazi lakho ukuba lijiye. Ezinye zezi aspirin, ibuprofen (Advil, Motrin), vitamin E, warfarin (Coumadin), clopidogrel (Plavix), ticlopidine (Ticlid), kunye neapixaban (Eliquis).
• Buza umboneleli wakho wezempilo ukuba ngawaphi amayeza ekufuneka uwathathe ngemini yotyando lwakho.
• Ukuba uyatshaya, zama ukuyeka. Cela uncedo kumboneleli wakho.
• Qiniseka ukuba uxelela ugqirha wakho ukuba uyagula ngaphambi kotyando. Oku kubandakanya ukubanda, umkhuhlane, i-herpes flare-up, iingxaki zomchamo, okanye nasiphi na esinye isifo.

Usuku ngaphambi kokuhlinzwa kwakho:

• Yitya isidlo sakusasa esilula kunye nesidlo sasemini.
• Unokuxelelwa ukuba usele kuphela ulwelo olucacileyo olufana nomhluzi, ijusi ecacileyo, kunye namanzi emva kwemini.
• Landela imiyalelo malunga nokuba uyeke nini ukutya okanye ukusela.
• Unokuxelelwa ukuba usebenzise i-enemas okanye i-laxatives ukucoca amathumbu akho. Ukuba kunjalo, landela loo miyalelo ngokuchanekileyo.

Ngomhla wotyando lwakho:

• Thatha nawaphi na amayeza umboneleli wakho akuxelele ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Qiniseka ukuba ufika esibhedlele ngexesha.

Uhlala ixesha elingakanani esibhedlele kuxhomekeke kwinkqubo. Kwiinkqubo zesisu ezivulekileyo inokuba ziintsuku ezi-5 ukuya kwezi-8. Uya kugoduka kwakamsinya ukuba ngaba ubunokuhlinzwa ngo-laparoscopic. Ukuhlala kotyando olusenyongweni kunokuba ziintsuku ezi-2 ukuya kwezi-3.

Kuya kufuneka ubuyise ngokupheleleyo kwiiveki ezi-4 ukuya kwezi-6.

Utyando luhlala lusebenza kakuhle ekulungiseni ukubuyela umva. Ukuqunjelwa kunye nokungakwazi ukuzibamba kunokuba yingxaki kwabanye abantu.

Uqhaqho olwenziwa ngasemva; Utyando olwenzeka rhoqo

• Ukulungiswa kwe-Rectal prolapse-uthotho

UMahmoud NN, uBleier JIS, uAarons CB, uPaulson EC, uShanmugan S, uFry RD. Ikholoni kunye ne-rectum. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango: Isiseko sebhayiloji yoQeqesho lwangoku. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 51.

URuss AJ, Delaney CP. Ukudlula okungafakwanga. Ku: Fazio iLate VW, iCawa JM, Delaney CP, Kiran RP, eds. Unyango lwangoku kwiColon kunye noPhando oluSebenzayo. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; I-2017: isahluko 22.