Yini okumele uyenze uma ingane ine prolapse rectal? izizathu

Zokwelapha kukhona amacala zokwelapha izifo emathunjini. Ingane prolapse rectal kungabuye ngokuthi inkinga evamile. I zokugula is the offset izindonga distal nokushonelwa okwalandela ngokusebenzisa orifice bendunu.

Kungani ukulahlekelwa wamathumbu ezinganeni?

Ngokuvamile, isifo sitholakale ingane isencane. Kulokhu, abafana abaneminyaka engaphansi kwengu-5 ubudala singangena okuningi nezifo.

Ngaphambi kokuba sihlole ngokuningiliziwe prolapse rectal e ingane futhi pathogenesis yayo, kuyafaneleka ukunaka yokuthi lesi sifo asikwazi kubhekwe ezimele enkingeni eshiwo. Ngokuvamile kubonakala ngenxa izimo ezihlukahlukene sokugembula. Kubantu abadala, kanye nengane, ukulahlekelwa rectal ngokuyinhloko ngenxa ukwanda ingcindezi naphakathi-besisu. Ngakwelinye ihlangothi, kunikela le nqubo kanye izici kubhekwe ukuba izimbangela umsuka kanye kumiswa sifo. Basuke ngamaqembu amabili.

Nezici ezithile ukuze isifo ukuvela

Esokuqala izici ungalokothi uphuze ezibanga izifo. Ziyakwazi:

1. ukuthambekela esingokwemvelo. Ngenxa yokuthi izingane ezingaphansi kweminyaka eyi-6 emkhakheni ithambo lumbosacral concavity zemvelo kunalokho wavuma wazwakalisa. Ngenxa ukungabikho lordosis kanye enyakazayo okhalo ingemuva enganele kuqondile. Nge waqinisa naphakathi-besisu, wonke umthwalo is adluliselwe ku-ingquza.
2. I isikhala Douglas ukujula. Lapho lesi silinganiso (okuyinto sici ezincane), ephansi kukhona indentations vesico-emathunjini ku peritoneum. Lapho umfutho ophakeme kwenzeka on the front odongeni invagination ukuthi iyisisekelo evumelekile sokuthuthukiswa zokugula ngesikhathi ingane. prolapse Rectal kungenzeka khona nezinye izici yokwakheka ebuntwaneni: mesentery eside, okuxekethile uhlobo imithambo intraenteric, njll ...
3. Okunye izifo emathunjini ukungondleki kahle noma yokudla engenangqondo. Kulokhu, lo okungavamile eba ngenxa yezinguquko esiwohlozayo emisipheni normal okhalo phansi futhi paraproctium.

izici Kutholiwe ukuthi ukubangela ukulahleka wamathumbu

Iqembu yezici causative yesibili zitholwa yokuphazamiseka ukusebenza lomgudu wokugaya ukudla bese pheshana emathunjini, eyasebenza njengodonga liyithuluzi eliyinhloko ukuvela inkinga. Ingane prolapse rectal (Abazali kufanele benzenjani kulokhu, ukutshela uchwepheshe, ngakho ukuthatha izinyathelo zakho ukuphathwa ingane sinconywa) ngokuvamile zenzeka ngenxa yokwephula kwesitulo. Ubunzima ngesikhathi isenzo sokuzikhulula ngesimo ukuqunjelwa njalo - mshini eyisisekelo kwethulwa lesi sifo. zingaphazamisi njalo futhi ephuza imbiza zibulale isimo sphincter bendunu.

Phakathi naleso sikhathi, kaningi kangakanani, nezinye izinto zingase zibangele ukwanda ingcindezi kule ingaphakathi intraperitoneal, okuyinto kuphakamisa prolapse rectal ezinganeni. I izimbangela zalesi simo sokugembula ngokuvamile amanga akahlanye ukukhwehlela ukucinana kwemigudu yokuphefumula, noma ubunzima uchama (isibonelo, phimosis kubafana).

Ngaphezu kwalokho, kube yikwembulwa lokhu zokugula sina, ngokuvamile ufeza juqu indima inhlanganisela yezici. Ezimweni eziningi, khona igama elilodwa noma ngaphezulu izinkinga ngenhla, prolapse rectal e ingane kwenzeka kancane kancane.

Izici izimpawu ezinganeni

Ingozi yalesi sifo wukuthi izimpawu zaso zokuqala isikhathi eside ingaqhubeka engabonakali ngokuphelele. Isizathu ukushonelwa le mucosa rectal. Ezinganeni, kwenzeka kaningi kakhulu eyodwa emaceleni futhi ngezigaba. Phakathi izenzo sokuzikhulula kancane uwela isilonda indawo, futhi ngemva futhi inqubo efihlekile ngemuva sphincter.

Ngalesi sikhathi, abazali womntwana ungase uphawule ububomvu endaweni anal, kepha efaniswe rosette. Lokhu empeleni kubonisa ukukhathazeka kumele lithathwe abazali. Zokubona ingquza staining ikhonza njengombonisi uphawu olucacile yokulahlekelwa emathunjini. isifo Progressive libhekene izimpawu ezinamandla kakhudlwana. Isici kungenziwa ngokuthi i umqhewu noma imbobo star emise phakathi Tint kancane bluish.

Izimpawu isifo okuqhubekayo

Ngaphezu kwalokho, isikhathi eside ke zaqhubeka ithoni sphincter bendunu kwesokudla ukugqashuka emathunjini esindayo, ngakho noma yimiphi imizamo ahambisana emizweni ubuhlungu ingane. prolapse Rectal kamuva kuzibonakalisa hypotension ezicutshini we floor kwezitho zangasese, kanjalo uqondise canal anal ukugqashuka emuva ingxenye can kakade kalula, kodwa uma kwenzeka ukuwa okwalandela phezu.

Lapho zokugula iyasebenza, olwehliswayo ingxenye ngokuvamile ozuza usayizi abalulekile, ngezinye izikhathi wenze kube lonke obuphelele umzimba. prolapse ngamunye rectal ezinganeni (zithombe azikwazi khona yezizathu eziphathelene nezimiso zokuziphatha) is uma kunganqandwa, isibonelo uma uthimula noma ukhwehlela, ngomzamo omncane ngokomzimba. Ngokuvamile lesi sakhi UQONDISE imfashini ngesandla. Ngobuthakathaka sphincter zangaphandle kunomthelela babhebhethekise isimo sokugembula wengane, lapho inkinga enkulu kuyinto incontinence fecal.

Ngesikhathi esifanayo kulondolozwe contractility kwemisipha sphincter kungathinta kabi ekuthuthukiseni lesi sifo futhi singaholela ezinkingeni ezifana ukwephula i-le mucosa. Kulokhu umntwana kudingeka ukuhlinzwa esiphuthumayo.

Kushiwo ngamuphi umqondo ukuthi ukwelapha ukulahlekelwa wamathumbu?

ngokushesha Abazali waphendukela ochwepheshe le nkinga nengane yakho ngeke siphile. Ngokuvamile, isibikezelo yokutakula sisihle kakhulu. Ngaphezu kwalokho, amacebo ka yokuyelapha olandelanayo ngaphezulu ziqhathaniswa nokwelashwa kweziguli omdala. Ngesikhathi esifanayo abantu kusho akunakwenzeka ukuba akwazi ukunqoba izingqinamba prolapse rectal ezinganeni. Ukwelashwa okufanele kwenzeke kuphela ngaphansi kokuqondisa ochwepheshe, iqondisa ukusetshenziswa kwezidakamizwa ezithile kanye nezinqubo.

Kumuntu ngamunye, kuya ukubonakaliswa emitholampilo ye isifo, ngokuba ingane kanye nesikhathi eside sesifo, kwenza udokotela ekunika omunye ezintathu yokwelapha umahluko:

• uhlelo ukwelashwa olandelanayo;
• sclerosing indlela;
• ukuhlinzwa.

ukwelashwa ngoludala

Ukwelapha yokuqala inketho prolapse rectal e ingane eneminyaka engaphansi kwengu-5 yisona esikhulunywa abantu abaningi futhi ethandwa. Ngezinye ukulahlekelwa mucosal lolu hlobo ukwelashwa kuboniswa ezimweni eziningi futhi izingane ezindala. Izinjongo esemqoka yalolu izinyathelo eziyinkimbinkimbi sokubuyiselwa kufanele kubhekwe:

• sinjalo ngobunjalo nokuqedwa noma yikuphi ukuphulwa kwesitulo, sezinyawo;
• ukusungulwa ekuseni evamile emathunjini imodi bethulula;
• ukukhethwa yokudla ofanele kakhulu ngesikhathi ukulungiswa amandla.

Indlela ukufezekisa lokhu kungenzeka kuphela ngosizo yokwelapha yokudla. Ukuyeka le yimbangela isifo - okusezingeni eliphezulu ingcindezi besisu - ngokukhetha ngokufanele ofanele ukunikezela wesifunda ne ezidingekayo impumuzo umphumela noma ohambelana uhlelo lokubopha. In the ukungabikho Dynamics omuhle Udokotela angase anikeze isiguli ukusetshenziswa kwezidakamizwa ezithile.

Ukwelashwa ngaphandle imbiza

Uma lesifanele sokuzikhulula umbuso titawusungulwa, kubalulekile ukugcina ingane kusukela nesifiso sokufuna njalo isiqinisekiso. Ukubuyisela imisipha okhalo nebudlelwano bawo kokusebenza, ukwephulwa of elibangela prolapse rectal ezinganeni Komorowski Kunconywa ukunciphisa ezingaba ukucindezeleka futhi bevivinya. Njengomthetho, ekwelapheni ingane inikezwe ukusebenzisa potty noma yangasese engaphakathi, azikhulula kufanele ngokukhethekile isikhundla lisalele noma umile. Ayikho umthwalo phezu ingquza - omunye izimo eyisisekelo yaleli yokwelapha lesi sifo, futhi leli phuzu kudinga isineke futhi anakekele ku sebatali.

Ngokuvamile i-mode ngokugcwele yokutakula iyafana nodokotela isikhathi esiyizinyanga mayelana 3-4. Impumelelo lokhu kwelashwa cishe iqinisekisa yalokho ephelele. Izinzuzo lokhu indlela yokwelashwa zisobala: noma yikuphi ukuphazamiseka ngaphandle emzimbeni ingane engekho, kukhona self-ukuphulukiswa ngenxa imisipha yokutakula futhi kokunciphisa imicu yawo.

Nokho, yokutakula akusho ukuthi umphumela osekuzuziwe kanye ingane lokubuya kwesifo akuyona kusongelwa. Onyakeni olandelayo, kubalulekile ukuqapha isimo sakhe, futhi lapho kabusha qondanisa prolapse ingemuva ku umsele anal ngokushesha ngangokunokwenzeka.

Indlela elula siqu ingane ingemuva yakho prolapsed?

ngokukhethekile kufanele bajwayelane ezicashile misa imishini. Kungakhathaliseki ukuthi sibadala, prolapse rectal e ingane (iminyaka engu-2 noma iminyaka 6) kudinga esiphuthumayo zokukhwabanisa elula. Into esemqoka ukuthi izinyane kwaba ngizolile ngangokunokwenzeka. Ingane kumele baqambe amanga emhlane wakhe. I ukugqashuka isinqamu ingemuva kuyadingeka ukuze amafutha okugcotshwayo bese, ngemuva ukugqoka amagilavu, ukuthatha iminwe yakhe izandla zombili futhi ngaphandle imizamo esinomdlandla, kancane futhi ngobumnene qondanisa ngaphakathi. Kufanele uqale kusukela ingxenye emaphakathi, ngoba inqubo elesokudla wenziwa amathumbu prolapsed angesabi ngqo emseleni bendunu. Uma ukunciphisa isinqamu azithola ekuso ngaphakathi, ingane kubalulekile kancane Pheqa esiswini bese ugcine izibunu zakho.

Kangakanani sclerotherapy

Ngo eziyinkimbinkimbi ngokwengeziwe, izimo ezithuthukisiwe, ukwelashwa wenziwa esibhedlela futhi ngokuvamile ziphendukela nodokotela ohlinzayo. Sclerotherapy ngokuvamile esebenzayo namuhla, njengoba indlela ukuhlinzwa. Inqubo ukwethulwa ejenti ekhethekile, okuyinto isenzo siqondiswe ukuvuvukala paraproctium. Ngaphezu kwalokho kukhona olulindelekile yokufa kwamangqamuzana engokwemvelo, okuyinto esikhundleni nezibazi futhi ukuqina kwezicubu ezungeze ingemuva. Lokhu kukuvumela ukuba ngokuqinile silungise epithelium yabo kanye ebusweni emathunjini.

yezinkinga kungenzeka sclerosis

Phakathi naleso sikhathi, iningi ochwepheshe emkhakheni ukuhlinzwa ezingane sengqondo uqaphele kakhulu izindlela ezinjalo zokwelapha. Isizathu salokhu kuyinto ekuphathweni njalo izidakamizwa, kanye nengozi yokuba nezinkinga of yangaphakathi necrotic wamathumbu udonga. Sclerotherapy kungathatha indawo kuphela uma olandelanayo ukwelashwa inketho kwaba ngokuphelele akuphumelelanga, noma kukhona amathuba ezinkulu mayelana nokwephulwa komthetho.

Indlela sesibili kuhilela ukuhlinzwa rectopexy - ukususwa ingxenye wokudonsa phansi kulandela inqubo Zerenina - Kümmel.

Kunoma yikuphi, ngaso sonke isifo, kuhlanganise nokulahlekelwa wamathumbu ezinganeni lula kakhulu ukuvimbela kunokuba ikhambi. Ukuvimbela ukuthuthukiswa zokugula kufanele kuvimbele noma ikuphi izingozi ezingaba khona. Ikakhulukazi, musa ukuphoqa ingane ukuba ahlale isikhathi eside imbiza futhi uthathe isinyathelo ngokushesha ngesikhathi ukwephulwa kancane kwesitulo.