Kukonza anus kukonza

Kukonzekera kwa anus kosakwanira ndi opaleshoni kukonza vuto lobadwa nalo lomwe limakhudzana ndi rectum ndi anus.

Kulephera kwa anus kumateteza kwambiri kapena chopondapo chonse kuti chisatuluke mu rectum.

Momwe opaleshoni iyi imachitikira zimadalira mtundu wa anus wopanda tanthauzo. Kuchita opaleshoni kumachitika pansi pa anesthesia wamba. Izi zikutanthauza kuti khanda ligona ndipo silimva kuwawa panthawi yomwe akuchita.

Pazofooka zochepa za anus:

• Gawo loyamba limaphatikizapo kukulitsa kutsegula komwe chimbudzi chimatulukira, kuti chopondapo chitha kudutsa mosavuta.
• Opaleshoni imaphatikizapo kutseka tinthu ting'onoting'ono tating'ono tating'onoting'ono (fistula), kupanga kutsegula kumatako, ndikuyika thumba lamphongo mu kutsegula kumatako. Izi zimatchedwa anoplasty.
• Mwanayo nthawi zambiri amatenga zofewetsa pansi kwa milungu ingapo miyezi.

Kuchita maopareshoni awiri nthawi zambiri kumafunikira pazovuta zazikulu za matenda a anus:

• Opaleshoni yoyamba imatchedwa colostomy. Dokotalayo amapanga mpata (stoma) pakhungu ndi minofu yam'mimba. Mapeto a matumbo akulu amamangiriridwa kutsegulira. Mpando umalowa mu thumba lomwe lili pamimba.
• Khanda limaloledwa kukula kwa miyezi itatu kapena isanu ndi umodzi.
• Pochita opaleshoni yachiwiri, dokotalayo amasuntha koloniyo pamalo ena atsopano. Cheka chimapangidwa m'dera la kumatako kuti chikoke thumba lakumaso m'malo mwake ndikupanga kutsegula kumatako.
• Colostomy mwina imatsalira m'malo mwa miyezi iwiri kapena itatu.

Dokotala wa opaleshoni wa mwana wanu angakuuzeni zambiri za momwe maopaleshoni adzachitikire.

Kuchita opaleshoniyi kumakonza chilema chake kuti chopondapo chizitha kupyola mu rectum.

Zowopsa za anesthesia ndi maopareshoni ambiri ndi monga:

• Zomwe zimachitika ndi mankhwala
• Mavuto opumira
• Kukhetsa magazi, magazi kuundana, matenda

Zowopsa za njirayi ndi monga:

• Kuwonongeka kwa urethra (chubu chomwe chimatulutsa mkodzo m'chikhodzodzo)
• Kuwonongeka kwa ureter (chubu chomwe chimanyamula mkodzo kuchokera ku impso kupita ku chikhodzodzo)
• Bowo lomwe limatuluka kudzera kukhoma la m'matumbo
• Kulumikizana kosazolowereka (fistula) pakati pa anus ndi nyini kapena khungu
• Kutsegula kochepa kwa anus
• Mavuto a nthawi yayitali chifukwa cha kuwonongeka kwa matumbo chifukwa cha kuwonongeka kwa mitsempha ndi minofu ku khola ndi thumbo (mwina kudzimbidwa kapena kusadziletsa)
• Kuuma ziwalo kwakanthawi kwamatumbo (ileus wodwala)

Tsatirani malangizo amomwe mungakonzekerere mwana wanu kuti achite opaleshoni.

Mwana wanu amatha kupita kunyumba tsiku lomwelo ngati chilema chochepa chikakonzedwa. Kapenanso, mwana wanu amafunika kukhala masiku angapo kuchipatala.

Wopereka chithandizo chamankhwala adzagwiritsa ntchito chida kutambasula (kutambasula) nyemba yatsopano. Izi zachitika kukonza kamvekedwe ka minofu ndikupewa kuchepa. Kutambasula kumeneku kuyenera kuchitika kwa miyezi ingapo.

Zolakwika zambiri zimatha kukonzedwa ndikuchitidwa opaleshoni. Ana omwe ali ndi zofooka pang'ono nthawi zambiri amachita bwino kwambiri. Koma, kudzimbidwa kumatha kukhala vuto.

Ana omwe ali ndi maopaleshoni ovuta kwambiri nthawi zambiri amakhala ndi mphamvu zowayendetsa matumbo awo. Koma, nthawi zambiri amafunika kutsatira pulogalamu yamatumbo. Izi zimaphatikizapo kudya zakudya zamafuta ambiri, kumwa zofukizirako, ndipo nthawi zina kugwiritsa ntchito ma enema.

Ana ena angafunikire kuchitidwa opaleshoni yambiri. Ambiri mwa ana awa adzafunika kuwatsatira mosamala kwa moyo wawo wonse.

Ana omwe ali ndi chotupa chosafunikira amathanso kukhala ndi zovuta zina zobadwa, kuphatikiza mavuto amtima, impso, mikono, miyendo, kapena msana.

Kukonzanso kwa malorectal; Kupitilira kwapadera; Kusakhazikika kwazinthu; Mapuloteni osakondera

• Kukonza anus kosakwanira - mndandanda

Bischoff A, Levitt MA, Peña A. Wosakhazikika anus. Mu: Wyllie R, Hyams JS, Kay M, olemba., Eds. Matenda a m'mimba ndi Matenda a Chiwindi. 5th ed. Philadelphia, PA: Elsevier; 2016: chap 55.

Shanti CM. 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.