Kupitilira kwadzidzidzi

Rectal prolapse imachitika pomwe ma rectum sags amabwera kudzera potseguka kumatako.

Zomwe zimayambitsa kuphulika kwamadzimadzi sizikudziwika bwinobwino. Zomwe zingayambitse zingaphatikizepo izi:

• Kutseguka kokulira chifukwa chamasana minofu m'chiuno, yomwe imapangidwa ndi minofu mozungulira rectum
• Kutulutsa minofu ya anal sphincter
• Khola lalitali modabwitsa
• Kutsikira pansi kwa m'mimba pakati pa rectum ndi chiberekero
• Kutuluka kwa m'mimba pang'ono
• Kudzimbidwa
• Kutsekula m'mimba
• Kutsokomola kosalekeza ndi kupilira

Kuphulika kumatha kukhala kopanda tsankho kapena kwathunthu:

• Ndikuchepa pang'ono, mkatikati mwa ma rectum bulges mwina amachokera ku anus.
• Ndikutuluka kwathunthu, ma rectum onse amatuluka kudzera mu anus.

Rectal prolapse imachitika nthawi zambiri mwa ana ochepera zaka 6. Mavuto azaumoyo omwe angayambitse kupitilira ndi awa:

• Cystic fibrosis
• Matenda a mphutsi m'mimba
• Kutsekula m'mimba nthawi yayitali
• Mavuto ena amabwera pakubadwa

Akuluakulu, nthawi zambiri amapezeka ndi kudzimbidwa, kapena ndi vuto laminyewa kapena mitsempha m'chiuno kapena maliseche.

Chizindikiro chachikulu ndi misa yofiira yomwe imatuluka kutsegulira kwa anus, makamaka ikamayenda. Unyinji wofiyirawu ndiye mkatikati mwa rectum. Itha kutuluka magazi pang'ono ndipo imatha kukhala yovuta komanso yopweteka.

Wothandizira zaumoyo adzayesa thupi, komwe kudzaphatikizepo kuyesedwa kwamakina. Pofuna kuti achepetse, wopemphayo angafunse munthuyo kuti akhale pansi atakhala chimbudzi.

Mayeso omwe angachitike ndi awa:

• Colonoscopy kutsimikizira matenda
• Kuyezetsa magazi kuti muwone ngati magazi akutuluka m'matumbo

Itanani yemwe akukuthandizani ngati tinthu tina tating'onoting'ono tomwe timachitika.

Nthawi zina, kufalikira kumatha kuchiritsidwa kunyumba. Tsatirani malangizo a omwe amakupatsani momwe mungachitire izi. Thumbo liyenera kukankhidwira mkati mwamanja. Chovala chofewa, chofunda, chonyowa chimagwiritsidwa ntchito kupondereza pang'ono unyolo kuti uukankhire kumbuyo kudzera kutseguka kumatako. Munthuyo ayenera kugona mbali imodzi atagwada pachifuwa asanakakamize. Udindo uwu umalola kuti mphamvu yokoka ikuthandizenso kubwezeretsa rectum m'malo mwake.

Kuchita opaleshoni nthawi yomweyo sikofunikira kwenikweni. Kwa ana, kuthana ndi vuto nthawi zambiri kumathetsa vutoli. Mwachitsanzo, ngati vutoli likuvuta chifukwa cha malo opanda madzi, mankhwala ofewetsa tuvi tolimba angathandize. Ngati prolapse ikupitilira, angafunike opaleshoni.

Kwa akuluakulu, chithandizo chokhacho chothandizira kuphulika kwamphongo ndi njira yomwe imakonzekeretsa kufooka kwa anal sphincter ndi minofu ya m'chiuno.

Kwa ana, kuchiza vutoli kumachiritsa kutuluka kwamatumbo. Kwa akuluakulu, opaleshoni nthawi zambiri imachiritsa kuphulika.

Matenda opatsirana osagwiritsidwa ntchito mosamalitsa, kudzimbidwa komanso kutaya matumbo kumatha kuyamba.

Itanani omwe akukuthandizani nthawi yomweyo ngati pali njira yowonongeka.

Kwa ana, kuthana ndi vutoli nthawi zambiri kumalepheretsa kutuluka kwamatenda kuti kusadzachitikenso.

Ndondomeko; Rectal intussusception

• Kupitilira kwadzidzidzi
• Kukonzanso kwakanthawi kokhazikika - mndandanda

Iturrino JC, Lembo AJ. Kudzimbidwa. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Fordtran's Mimba ndi Matenda a Chiwindi: Pathophysiology / Diagnosis / Management. 11th ed. Philadelphia, PA: Elsevier; 2021: mutu 19.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Zochita za anus ndi rectum. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 371.

Madoff RD, Melton-Meaux GB. Matenda a rectum ndi anus. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 136.