Prolapse Rectal: izimbangela, izimpawu, ukwelashwa

prolapse Rectal iyahlupheka inombolo encane iziguli, inkinga akuyona ovamile. Nokho, kwakukhona ukuthambekela nokwanda lesi sifo eminyakeni yamuva. prolapse Rectal (kangaka okuthiwa nalesi sifo) ayikanye ezisongela ukuphila, ngaphandle kwalapho kunezimo kokuwa, kodwa namanje unikeza omningi ngokuphazamisa isiguli. Ngakho-ke, wonke umuntu kufanele baziswe, ukwazi izimpawu zesifo, ukuthatha izinyathelo ngesikhathi esifanele ukuze kuvinjelwe futhi kwelashwe.

prolapse Rectal - Iyini?

Kulesi isifo Ezansi le ingemuva, okuyinto kancane ngaphezu ingquza, welula, futhi iba ezithathekayo lapho ingcindezi liphuma. Ukulahlekelwa avame ibangwa sphincter ababuthakathaka bendunu okuholela incontinence kungenzeka isikhwehlela futhi indle. Isithombe nezithombe prolapse rectal ukhombise izimpawu zesifo - the ingemuva ingxenye engezansi amaqabunga ayo isiteshi.

Ukugula njalo kuletha ubuhlungu ngokomzimba phakathi sokuzikhulula, ukungakhululeki ezingokwengqondo, libhekene sphincter urinary (igazi, isikhwehlela). prolapse Rectal kuyingozi ngoba kokubili ngabantwana nangabantu abadala.

Ngaphansi izinguquko sokugembula kwenzeka ngilulekela ingemuva aphansi (ukuphela yayo zone), ingxenye ebonakalayo kwenkulumo ukuthi ufinyelela 20 cm ubude.

Lesi sifo uyakhathaza, kunzima, nakuba ayengazi okuyisimo esisongela ukuphila. Symptomatology kunciphisa izinga lempilo, njengoba kubonakala psyche iziguli. In izifo Proctologic prolapse rectal has a inani elincane lomphakathi wabo uhlu Imininingwane izifo. Can ihlonzwe ngasiphi yobudala, ngisho nezingane. Kuye kwaphawulwa ukuthi amadoda inkinga ngokuvamile itholiwe. Odokotela wanxusa ukuthatha kudingekile izinyathelo zokuvimbela sina.

prolapse Rectal: Izimbangela

Izimbangela prolapse rectal libhekwa ngamaqembu amabili: ukukhiqiza kanye ungalokothi uphuze.

Iqembu lokuqala (ushevu) yilezi ezilandelayo:

• njalo wafifiyela ingemuva, ezifana ukuqunjelwa njalo;
• Izinkinga ngesikhathi sokubeletha, lapho kumiswa izinyembezi isizalo nemisipha ohlukumezekile we ukhalo;
• imisebenzi eyenziwa emathunjini;
• umsebenzi okhandlayo nalapho uhlelo kwemisipha njalo esishubile, waqinisa naphakathi-besisu;
• ingxenye sacral e abalimala noma ngayiphi indlela;
• ku emathunjini akhiwa izilonda mucosal.

Zikhona nezinye izimbangela prolapse rectal. Izithombe nezithombe ukuthi sikhona izici womuntu yokwakheka. Kulezi zimo, kukhona ungalokothi uphuze izimbangela:

• zokugula le imisipha okhalo;
• sphincter inesikhala esincane imisipha ithoni;
• anda ingcindezi besisu;
• ushona e-ingemuva;
• ngilulekela izicubu emathunjini;
• wamathumbu ukunwebeka bryzzheyka;
• coccyx kuyinto mpo;
• sokukhulelwa nzima, lokuzalwa nzima.

Ukunaka ngokukhethekile pathologies wezokwelapha ukuthi iphakame mayelana izintandokazi zocansi bendabuko. Ingqondo Isici okuvela prolapse rectal kungenziwa emi ukushukuma okubuhlungu ingquza. Ngenxa yalokho, zikhona yini ubuhlungu kuphela, kodwa futhi prolapse rectal.

Izinhlobo futhi izigaba

Lesi sifo has kukho okulandelayo ngoba typology zabo:

• Drop kunqunywa shift phansi phambi udonga - a samuntu hernial. Kuvela lapho ebuthaka imisipha okhalo, begodu kukhula ingcindezi besisu. Ulwelwesi lwamafinyila we ingemuva isibambo futhi likhishwe ngenkathi ngaphandle.
• Ngaphakathi mucosa ingquza kwenzeka indentation we sigmoid noma ingemuva, akukho okuphumayo nangale - liyinketho invaginated.

Kubaluleka etindlela isifo proctology behlukene rectal isifo prolapse esiteji (ngokwezinga):

• Ihlawulelwa esiteji encane. Ngo inqubo sokuzikhulula kuvela eversion kancane emathunjini. isibindi kuphela iza ekupheleni inqubo nosihlalo ukuze isikhundla yayo yasekuqaleni.
• Subcompensated, isigaba ezijulile. Amathumbu uwela, njengoba kwaba njalo endabeni yokuqala, kodwa ubuyela endaweni yalo kancane ngenkathi kukhona syndromes ubuhlungu, ukopha.
• Asthma, isigaba okukhulu. prolapse Rectal hhayi kuphela ngesikhathi sokuzikhulula, kodwa futhi ngenxa yanoma yisiphi ingcindezi naphakathi-besisu, voltage, ngaleyo ndlela ngeke ukunciphisa a esiswini wedwa. Ngokuvamile avele ukopha may incontinence fecal, igesi. Sphincter uyisikhathi eside esimweni esikhululekile.
• Decompensated ezijulile, isigaba unomphela. Uma noma yimuphi umsebenzi ngokomzimba, kunoma yisiphi isikhundla (ehlezi, nokuma) ukulahlekelwa kwenzeka emathunjini. izinqubo Necrotic ukuvela mucosa, okubangela ukopha, ukulunywa, ubuhlungu.

Izimpawu kanye izimpawu zesifo, ukuxakeka

Ukuthuthukiswa sifo kungavuka ngokunensa, futhi lesi simo singenzeka ngokuzumayo. Ngokuvamile eba kancane kancane prolapse. Okuwukuphela ngesikhathi sokuzikhulula kungaba ukulahlekelwa kwesikhathi sokuqala kwe wamathumbu. Nge ukuqhubeka kwesifo has ukunciphisa indawo ewela ngasiphi voltage.

ukulahlekelwa ezesabisa kungaba ukuqala okungazelelwe gxuma ingcindezi intraabdominal ngesikhathi ukucindezeleka obukhulu emzimbeni. Nge ukulahlekelwa abukhali, ubuhlungu eqinile, okungase kubangele beshaqekile, ngisho ugoqe.

Izimpawu prolapse rectal:

• ingquza kuphakama angaphandle umzimba ukuzwa;
• amanga njalo likhuthaza ukuba isenzo sokuzikhulula;
• ngisezinhlungwini kule ingquza;
• kuyinto engenakwenzeka containment of indle kanye amagesi.

Ngezinye ukulahlekelwa izilonda ukopha kuphakama, kwalimala nempahla. Uma uhlangabezana okungenani ezinye izimpawu prolapse rectal, ekwelapheni amakhambi abantu akunakwenzeka ukuba akusize. Ngokushesha nokufuna usizo lochwepheshe bezokwelapha. Lapho kokungenela belated we ukubonakaliswa kungenzeka Tinkinga uhlelo urinary, khona ukuphula umthetho we ingemuva.

imiphumela eziyingozi prolapse rectal kungaba:

• wamathumbu isimiso;
• peritonitis.

I sokuzivikela somzimba sokuzivikela komzimba ngesikhathi esifanayo is wancipha kakhulu, umuntu uba ekhubazekile. Isimiso sezinzwa ungaphakathi ukungezwani njalo, isiguli uyashesha ukuzwela uhlushwa nokunganaki kanye nezifo zengqondo.

ukuhlola

Ngo sitholakele udokotela prolapse rectal kufanele ukukufunda ngokuningiliziwe umlando yezokwelapha bese ibheka esifundeni anorectal. Kumele kuqashelwe ukuthi lezi zimpawu zibonakala kuphela izigaba eziphambili. Ekuqaleni, lesi sifo hhayi ibukeke. Natuzhitsya nesineke esinikezwa "ezimfushane" noma "esitulweni." Lapho uphethwe isilonda kuqinisekisiwe. Kungasetjenziswa luhlolo digital, lokhu isiguli esihlalweni wokubuka. On udokotela ihlola imisipha iphimbo kanye kuyaqina of the ingquza. Uma inani wafifiyela ingemuva kwandisa ngokucijile ke lokhu kubonisa sifo.

Ukuze kutholakale umsuka wendaba yesihluku prolapse rectal, esimisiwe defekografiya. Ngesikhathi inqubo eyenziwe isenzo sokuzikhulula, kuyilapho izithombe radiographic esenziwe kuye udokotela eyonquma kobukhulu kwezinso ukusebenza kanye yokwakheka, ukucacisa izindlela kuhlinzwa.

Anorectal manometry kusiza ukuhlola ukusebenza kwemisipha ukuthi zitholakala azungeze amathumbu, kanye ukuhlola indima yabo inqubo sokuzikhulula.

Futhi asetshenziswa izindlela ukuxilongwa ithuluzi ezifana colonoscopy, sigmoidoscopy. Ngamunye indlela e uphethwe kusiza ukuqedela isithombe lesi sifo, ukucacisa izigaba zesifo.

ukwelashwa ngoludala

Izindlela nokwelashwa prolapse rectal kusekelwe izinkomba inhlolovo ukuxilongwa. Udokotela kufanele anqume inkinga ethize wezokwelapha. izinyathelo zokwelapha zingahlukaniswa zibe izindawo ezimbili eziyinhloko: ngoludala futhi kuhlinzwa.

Uma uphethwe ukwelashwa "prolapse rectal" by izindlela olandelanayo ulungisiswa kuphela kusaqalwa lesi sifo. Ngokuvamile wamisela seziguli ezisencane noma oseqinile. Imisebenzi esemqoka zokwelapha uqede zonke izimbangela zokuhlupheka ezaholela ukuthuthukiswa prolapse. Lokhu kuhlanganisa:

• Ukuthola kanye nokwelashwa zonke pathologies, okuyinto zitholakala ikholoni.
• Kokulinganisa ka kuso.
• Qiniseka ukuqeda ukuqunjelwa.
• Exclusion bonke imisebenzi ngokomzimba, ephakamisa iyiphi izinsimbi, wezimpahla.
• ukuphila bobulili kufanele kube ephephile (ukubekela eceleni yimuphi ukushukuma le ndima anal).

Ukuze isiguli, kubaluleke kakhulu ukukhetha izivivinyo ilungelo, okuyinto luzokwenziwa nsukuzonke, futhi iqinisa imisipha phansi okhalo kanye perineum.

ekwelashweni olandelanayo Futhi kungenzeka zifakwe:

• sclerosing ejenti (umjovo izinga);
• uligcoba ingemuva;
• Physiotherapy (ukushukuma zamanje kagesi).

Izindlela zokwelapha ngaphandle okulondoloza kungasiza kusaqalwa lesi sifo (kuphela 2/3 amacala). Ngokuvamile, isiguli edingekayo ukuhlinzwa.

ukwelashwa kuhlinzwa

Izindlela yokwelashwa kuhlinzwa ka prolapse rectal nzima futhi ngcono njalo ngonyaka. Namuhla, zikhona izindlela kokungenela ngamashumi ayisihlanu. Ukukhethwa kunqunywa kuncike umsebenzi. Kuphethe i operation kuncike ezicini ezilandelayo:

• degree of ukuqhubeka kwesifo;
• izici ngamunye yokwakheka;
• yobudala lesiguli;
• impilo.

Izindawo ezisemqoka ukuhlinzwa yilezi:

• Ukususwa wesabelo okuya phansi we ingemuva.
• Ukususwa kusuka endaweni ethintekile we-colon.
• Plastic izinyathelo eziyinkimbinkimbi. Labetibambile suturing le ingemuva, kungenzeka ukulungisa ezinye imisipha okhalo, wamathumbu mapayipi.
• Ukuhlanganisa amasu ukuhlinzwa amaningi.

proctology Modern ngokuvamile wayekwenza indlela suturing le ingemuva, ngenkathi lingaphansi esibuhlungu. Isiguli kalula ukubekezelela kokungenela, futhi sokuthola ukuhlinzwa prolapse rectal senzeka ngesikhathi esifushane.

Kukhona indlela ethuthukisiwe ye ukwelapha ngaphandle kwegazi of prolapse - laparoscopy. Isikhathi yokutakula usheshisa, ingozi yezinkinga lincishisiwe.

Sekuyisikhathi eside iningi izibikezelo eziqhutshwa esihle kakhulu:

• Ukuqedwa izimpawu.
• yokutakula Okugcwele.
• Ukuthuthukisa izinga lempilo.
• Ukuqedwa ukuhlukumezeka kwengqondo.

Ngemva kokuhlinzwa nokusebenza sphincter anal kancane kancane ukubuyela evamile, ekuthuthukiseni ithoni, imisebenzi zibuyiselwe. Imiphumela ethile yokwelashwa ingatholakala yahlulelwe ngemva konyaka.

zokuvimbela

Izinyathelo prolapse rectal walokhu ulula. Ukuze kungabi bikho kuholele isimo sokugembula, udinga ukudla ngendlela efanele: ukudla kakhulu imifino, izithelo, imifino, fibre, ngaphansi kufakwe ekudleni (futhi mhlawumbe ngakususi) imikhiqizo Semi-siphelile, ukubhema, salting. Ngokuvamile, ukudla okufanele niwunikele ukukhanya ukusebenza pheshana emathunjini (GI ipheshana), ulungise isenzo sokuzikhulula.

Isikhathi esijwayelekile ukulapha noma isiphi izifo rectal engaholela prolapse. Zibandakanye elashwe ngokomzimba, ukwenza umzimba letfutfukisa imisipha floor kwezitho zangasese. Ngisho nalapho ngiseyingane Fundisa izingane zakho ngendlela efanele ukuya ethoyilethi, hhayi ukuze ibenze kanzima hhayi ukuhlala isikhathi eside in the ebhodweni.

Qaphela noma iyiphi sindisa ngokomzimba, okuholela ekwandeni ingcindezi naphakathi-besisu.

Ukuze bagweme ukubanjwa, proctology is hhayi Kunconywa ukuba bahlanganyele kunoma yiluphi izinhlobo bendunu.

Lesi sifo ezinganeni

prolapse Rectal ezinganeni kuzibonakalisa kaningi kweminyaka eyi 1-4. Ngo abafana, lo zokugula kwenzeka kaningi (isilinganiso kwamabili kuya kwelilodwa). Prolapse kwenzeka ngoba nanoma yiziphi izinkinga kusuka izifo emathunjini ne besisu ingcindezi iyakhula. Okuyizici ezinomthelela le prolapse we ingemuva:

• Yoma of okunamafutha izicubu, ngenxa yalokho, nenkanuko edlulele abampofu ikholoni.
• Ukunganaki azalwa naso we perineum.
• Ukungondleki, yamathambo.
• Ukuqunjelwa, uhudo.
• Uhudo.
• Long ukuhlala ebhodweni.
• izici yokwakheka.
• Izinkinga zokwenza hemorrhoids.

Kufanele sinake yofuzo, futhi uhlobo Ukudla, izifo kanye kungenzeka izinguquko esiwohlozayo.

Izimpawu zokuqala kubonakala nje ingane. Lapho isenzo sokuzikhulula mucosa kungaba wriggle aphume ndima futhi ngokushesha ubuyele isikhundla zemvelo. Ukuze sibone inkinga, abazali kufanele ahlole ingquza ngesikhathi sezinyawo ingane, kungakhathaliseki rosette obomvu, olungena aphume ingquza. ngokushesha udinga ukuya kudokotela uma inkinga ibanjiwe.

Uma impatho ayitholakali, ungaqala ukuqhubeka kwesifo. With ukuthuthukiswa hypotension imisipha ingemuva aqala ukuwela kuwo wonke kuso. Kulezi zimo, ngeke usakwazi ngokuzimela ukunciphisa isidingo ukukwenza ngesandla. Nge ukuqhubeka prolapse zokugula kungavuka ingane nanoma yimuphi zingaphazamisi, ukukhwehlela, ukukhala, bayahleka. Ngenxa yobuthakathaka imisipha sphincter kungenzeka incontinence fecal. Ukwephulwa kwe-amathumbu ebingasongela hhayi kuphela empilweni kodwa futhi ekuphileni komntwana, esimweni esinjalo, kuyasiza ukuhlinzwa kuphela.

Ukwelashwa nokuvikelwa prolapse rectal ezinganeni

Izindlela ukwelashwa prolapse rectal ezinganeni kusaqalwa zisekelwe ngoludala futhi sclerotherapy. Izinjongo ukwelashwa ngoludala yilezi:

• Ukuqedwa ukuqunjelwa.
• Ukudla yokwelapha ne iinthombe fibre.
• Ukubuyiselwa kwe-emathunjini umsebenzi pheshana.
• Azikhulula kuphela elele (ngemuva noma ohlangothini). Totimbili akuvunyelwe.
• Ukulahlekelwa ukulawula wamathumbu.
• inhlanzeko okuqinile we ingquza.
• A ekhethwe kahle imithi izidakamizwa kufanele ukuqeda ukuvuvukala mucosa emathunjini.

Uma izindlela olandelanayo behluleka, iphendukele sclerotherapy.

Le nqubo kusekelwe ukwethulwa izicubu sclerosing ejenti okuzokwenza okwasekhaya ku ingemuva. Ngenxa yezinto ukuchayeka izidakamizwa, iziguli izicubu atrophied sizobuyiselwange isibanda kanye okwakheke yokuxhuma. I ingemuva firmly nquma. Le nqubo ibizwa kuyaqabukela asetshenziswa, it is kabuhlungu ibekezelelwe ingane, ngezinye izikhathi kubangele izinkinga.

Ngokuba nokuvimbela prolapse ezinganeni kusukela zisencane kufanele ukuqapha umsoco yabo efanele, aqede ukuqunjelwa. Fundisa ingane ukuze akhulule ngokushesha ngokwabo, hhayi ukuhlala isikhathi eside imbiza.