Kukonzanso kwakanthawi kochepa

Kukonzanso kwakanthawi kochepa ndimachitidwe opangira ma rectal. Izi ndi zomwe gawo lotsiriza la m'matumbo (lotchedwa rectum) limatulukira kudzera mu anus.

Kuchulukanso kwammbali kumatha kukhala kopanda tsankho, kumangotenga mkatikati mwa matumbo (mucosa). Kapena, itha kukhala yathunthu, yokhudza khoma lonse la rectum.

Kwa achikulire ambiri, opareshoni imagwiritsidwa ntchito kukonza rectum chifukwa palibe mankhwala ena othandiza.

Ana omwe ali ndi ma rectal prolapse samafunika kuchitidwa opaleshoni nthawi zonse, pokhapokha ngati kuwonjezeka kwawo sikusintha pakapita nthawi. Kwa makanda, kutuluka nthawi zambiri kumazimiririka popanda chithandizo.

Njira zambiri zopangira ma rectal prolapse zimachitika pansi pa anesthesia wamba. Kwa anthu achikulire kapena odwala, epidural kapena spinal anesthesia atha kugwiritsidwa ntchito.

Pali mitundu itatu ya opaleshoni kuti akonze ma rectal prolapse. Dokotala wanu azisankha amene angakuthandizeni.

Kwa achikulire athanzi, njira zam'mimba zimakhala ndi mwayi wopambana. Mukakhala kuti mukudwala anesthesia, adotolo amadula pamimba ndikuchotsa gawo lina la m'matumbo. Thumbu limatha kulumikizidwa (sutured) kumatenda oyandikana nawo kotero kuti sangagwere ndikutuluka kudzera mu anus. Nthawi zina, kansalu kofewa kamakutidwa ndi thumbo lothandizira kuti likhale m'malo mwake. Njirazi zingathenso kuchitidwa ndi opaleshoni ya laparoscopic (yomwe imadziwikanso kuti keyhole kapena telescopic opaleshoni).

Kwa achikulire kapena omwe ali ndi mavuto ena azachipatala, njira kudzera mu anus (perineal approach) ikhoza kukhala yowopsa. Zitha kuchititsanso kupweteka pang'ono ndikupangitsa kuti achire mwachidule. Koma ndi njirayi, kuphulika kumatha kubwerera (kubwereza).

Chimodzi mwazokonza opaleshoni kudzera mu anus chimaphatikizapo kuchotsa kachilomboka kamene kanatuluka ndi koloni ndiyeno kusungunula kachilomboko kumatumbo ozungulira. Njirayi imatha kuchitika pena paliponse, pamatenda, kapena pamimba.

Anthu ofooka kwambiri kapena odwala angafunike njira yaying'ono yolimbikitsira minofu ya sphincter. Njirayi imazungulira minofuyo ndi thumba lofewa kapena chubu la silicone. Njirayi imangopititsa patsogolo kwakanthawi kochepa ndipo sigwiritsidwa ntchito kawirikawiri.

Zowopsa za anesthesia ndi maopareshoni ambiri ndi monga:

• Zomwe zimachitika ndi mankhwala, mavuto ampweya
• Kukhetsa magazi, magazi kuundana, matenda

Zowopsa za opaleshoniyi ndi izi:

• Matenda. Ngati chidutswa cha rectum kapena colon chimachotsedwa, matumbo amafunika kulumikizidwanso. Nthawi zambiri, kulumikizanaku kumatha kutuluka, ndikupangitsa matenda. Njira zambiri zitha kuthandizira kuchiza matendawa.
• Kudzimbidwa kumakhala kofala, ngakhale anthu ambiri amadzimbidwa asanafike opaleshoni.
• Kwa anthu ena, kusadziletsa (kutaya matumbo) kumatha kukulirakulira.
• Kubwerera kwa prolapse pambuyo pamimba kapena opaleshoni yaminyewa.

Pakati pa masabata awiri musanachite opareshoni:

• Mutha kufunsidwa kuti musiye kumwa mankhwala omwe amalepheretsa magazi anu kuphimba. Zina mwa izi ndi aspirin, ibuprofen (Advil, Motrin), vitamini E, warfarin (Coumadin), clopidogrel (Plavix), ticlopidine (Ticlid), ndi apixaban (Eliquis).
• Funsani wothandizira zaumoyo wanu kuti ndi mankhwala ati omwe muyenera kumwa patsiku la opareshoni yanu.
• Ngati mumasuta, yesetsani kusiya. Funsani omwe akukuthandizani kuti akuthandizeni.
• Onetsetsani kuti muuze dokotala wanu ngati mukudwala musanachite opareshoni. Izi zimaphatikizapo chimfine, chimfine, herpes flare-up, mavuto amikodzo, kapena matenda ena aliwonse.

Dzulo lisanachitike opaleshoni yanu:

• Idyani chakudya cham'mawa chochepa komanso nkhomaliro.
• Mutha kuuzidwa kuti muzimwa zakumwa zomveka bwino monga msuzi, madzi oyera, ndi madzi masana.
• Tsatirani malangizo okhudza nthawi yosiya kudya kapena kumwa.
• Mutha kuuzidwa kuti mugwiritse ntchito mankhwala opaka mankhwala opatsirana pogonana kapena mankhwala otsegulitsa m'mimba kuti muchotse matumbo anu. Ngati ndi choncho, tsatirani malangizowo ndendende.

Patsiku la opareshoni yanu:

• Tengani mankhwala aliwonse omwe wothandizira wanu adakuwuzani kuti mumwe pang'ono pokha madzi.
• Onetsetsani kuti mwafika kuchipatala nthawi yake.

Kutalika komwe mumakhala mchipatala kumadalira ndondomekoyi. Kwa njira zotseguka m'mimba mwina masiku 5 mpaka 8. Mupita kunyumba mwachangu mukadachitidwa ma laparoscopic. Malo okhala opareshoni yaumwini amatha masiku awiri kapena atatu.

Muyenera kuchira kwathunthu m'masabata 4 mpaka 6.

Kuchita opaleshoniyi nthawi zambiri kumathandiza pakukonzanso. Kudzimbidwa ndi kusadziletsa kumatha kukhala mavuto kwa anthu ena.

Kuchita opaleshoni yowonongeka; Kuchita opaleshoni ya anal

• Kukonzanso kwakanthawi kokhazikika - mndandanda

Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Colon ndi rectum. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: Maziko Achilengedwe a Njira Zamakono Zopangira Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 51.

Russ AJ, Delaney CP. Kupitilira kwadzidzidzi. Mu: Fazio Late VW, Church JM, Delaney CP, Kiran RP, olemba. Therapy Yamakono mu Colon ndi Opaleshoni Yapadera. Wachitatu ed. Philadelphia, PA: Elsevier; 2017: mutu 22.