Rectal prolapse: zvinokonzera, zviratidzo, kurapwa

Rectal prolapse ari kutambura vashoma varwere, dambudziko harisi chakasviba. Zvisinei, paiva tsika kuwedzera hosha mumakore achangodarika. Rectal prolapse (atumidzwa chirwere ichi) pacharo hausi upenyu-kuvatyisidzira, kunze vanenge dhirika, asi achiri anopa zvakawanda kuzvuzvungudza murwere. Naizvozvo, munhu wose anofanira kuziviswa, ziva zviratidzo chirwere, kutora rakakodzera matanho kuti kudzivirira uye kurapwa.

Rectal prolapse - chii ichi?

In chirwere ichi rezasi chikamu mugaranhoko, riri zvishoma pamusoro horo, rwakatambanudzwa, uye inova chinjwa kana kumanikidzwa achiwa kubva. Loss kazhinji kunokonzerwa nokuziva simba mumagaro sphincter, zvichiita incontinence kungava madzihwa uye mutsvina yadzo. Pictures uye mapikicha rectal prolapse kunoratidza zviratidzo hosha - the mugaranhoko ndiyo rezasi chikamu mashizha chiteshi.

Kurwara nguva marwadzo mumuviri panguva defecation, pfungwa kusagadzikana, dzinoratidzwa Urinary sphincter (ropa, madzihwa). Rectal prolapse ndiyo ngozi vose vana nevakuru.

Under Kumwe kuchinja kunotanga rikauya ndichisveerera nechepazasi mugaranhoko (ayo chinouraya mapazi), chinooneka chikamu matauriro dzakasvikira 20 cm pakureba.

The chirwere kunetesa, zvakaoma, kunyange zvazvo asina upenyu pangozi. Symptomatology zvinoderedza kunaka kwoupenyu, izvo zvinoratidzwa psyche wevarwere. In Proctologic zvirwere rectal prolapse ane chikamu chiduku zvachose mazita zvirwere. Inogona chirwere chero zera, kunyange vana. Zvave zvichinzi kuti varume dambudziko iri kazhinji dzakaonekwa. Doctors akakurudzira kutora zvakafanira matanho zvakakomba.

Rectal prolapse: Zvinokonzera

Zvinokonzera rectal prolapse iri Classified muzvikwata zviviri: mukugadzira uye predisposing.

Boka rokutanga (zvibereko) ndedzinotevera:

• Kugara kutamburira kuti mugaranhoko, akadai kakawanda kupatira;
• Matambudziko pakusununguka, kana kuumbwa perineal misodzi uye vakavhiringidzwa tsandanyama pakati chiuno;
• akavhiyiwa kunze pamusoro ura;
• rinorema mumuviri basa kana riri kuramba kuoma kuti tsandanyama hurongwa, vakawedzera intra-abdominal kumanikidzwa;
• sacral chidimbu chero nzira akuvara;
• pamusoro intestinal mucosal nemaronda vari aumba.

Pane zvimwe zvinokonzera rectal prolapse. Photos uye mifananidzo zvichipupurira kuvapo kwevanhu anatomical zvinhu. Muzviitiko izvi, pane predisposing zvikonzero:

• zvokurwara of pelvic tsandanyama;
• sphincter ane pasi tsandanyama inzwi;
• rikakura abdominal kumanikidzwa;
• kudzamisa ari mugaranhoko;
• Munotatamura tsandanyama ura;
• bowel elongation bryzzheyka;
• coccyx iri mira;
• pamuviri zvakaoma, zvakaoma pakuberekwa.

Kuripa pfungwa dzokurapa pathologies dzinomuka nezvichaitika non-zvetsika dzepabonde zvavanosarudza. Unotokonya chinhu pamusoro panowanikwa rectal prolapse kunogona vakamira kurwadza kweiyi ari horo. Somugumisiro, havasi kurwadziwa chete, asiwo rectal prolapse.

Types uye nzendo

The chirwere ane pfungwa dzinotevera kuti typology yavo:

• Drop tsunga dzinofamba rusvingo pamberi - a hernial musimboti. Kunoitika apo simba pelvic tsandanyama, pamwe nokuwedzera abdominal kumanikidzwa. The mucous Kamudzira pamusoro mugaranhoko iri kusvinwa uye akabvisa apo kunze.
• Inside mucosa horo kunoitika indentation pamusoro sigmoid kana mugaranhoko, hapana goho mhiri - iri invaginated chisarudzo.

Kunyatsogona chirwere zvigadziriswe proctology kure rectal Danho prolapse chirwere (papi):

• Ndanyarara hangu Danho duku. In nedanho defecation kunoitika zvishoma eversion kuti ura. dumbu oga anouya pakuguma kwacho rwecheya kuti nzvimbo yaro yepakutanga.
• Subcompensated, chikuva zvakadzama. Ura inowira, sezvo mumutsetse wokutanga, asi anodzokera yepakutanga nzvimbo yaro zvishoma nezvishoma apo pane zvinorwadza syndromes, ropa.
• Asthma, zvikuru danho. Rectal prolapse kwete chete panguva defecation, asiwo chero intra-abdominal kumanikidzwa, voltage, saka haana kuderedza dumbu woga. Dzichitaridzika ropa may fecal incontinence, gasi. Sphincter ndiyo nguva mune imwe wakasununguka ezvinhu.
• Decompensated yakadzika, zvachose pechikuva. Kana kurovedza muviri, chero nzvimbo (agere, vakamira) kurasikirwa kunoitika ura. Necrotic pezvakaitwa kukura mucosa, kuchikonzera ropa, kuvaviwa, marwadzo.

Zviratidzo uye zviratidzo chirwere, matambudziko

Kukura chirwere munogona kunonoka inofamba, uye zvinogona kuitika nokukurumidza. Kakawanda anovandudza zvishoma nezvishoma prolapse. The chete panguva defecation kungava kekutanga kurasikirwa bowel a. With kuchiita hosha ane kuderedza nzvimbo kuti anowa chero voltage.

kurasikirwa Sudden kungamutsawo pakarepo kusvetuka intraabdominal kumanikidzwa panguva yakanyanya chaiko mupfungwa. Unopinza kurasikirwa, kurwadziwa simba, iyo inogona kukonzera mamiriro nehana, uye kunyange richaparara.

Zviratidzo rectal prolapse:

• horo unovapo vatorwa muviri chishamiso;
• kakawanda zvenhema anokurudzira kuti chiito defecation;
• Kugara kurwadziwa horo;
• izvozvo hazvingambofi containment ose mutsvina yadzo uye magasi.

At kurasikirwa ropa nemaronda simuka, kukuvara midziyo. Kana mukawana mamwe zviratidzo rectal prolapse, Mabatirwo chevarwere mishonga angangotadza kukubatsira. Pakarepo kutsvaka nyanzvi rubatsiro. Kana belated kupindira zvingangoitika zvinoratidza nezvinetso Urinary ezvinhu pane kukanganisa pamusoro mugaranhoko.

Ngozi migumisiro rectal prolapse angava:

• bowel mhingaidzo;
• peritonitis.

Masoja kudzivirira muviri panguva iyoyo iri zvikuru ipfupi, munhu anova vakaremara. Tsinga iri kugara makakatanwa, murwere haatani kugumbuka, vanotambura vasingakendengi uye netsinga.

Diagnostics

In nechirwere pamusoro rectal prolapse chiremba vanofanira kudzidza zvakadzama zvokurapa nhoroondo uye kuongorora anorectal nharaunda. Zvinofanira kucherechedzwa kuti zviratidzo zviri kuoneka chete yepamusoro matanho. Pakutanga, hosha haina mufanidziro. Natuzhitsya murwere inopiwa "squat" kana "pachigaro." Kana urikanwi zvokuongorora kunosimbiswa. Inogona kushandawo digitaalinen kuongororwa, murwere uyu ari dzokuonera chair. On kuongororwa, chiremba Anoongorora tsandanyama matauriro uye elasticity yacho horo. Kana chitsama munomimina ari mugaranhoko kunowedzera hasha, izvi zvinoratidza kuti chirwere.

Kuziva rwakadini rectal prolapse, akagadza defekografiya. Munguva nzira simulated kuita defecation, apo radiographic mifananidzo yakaitwa naye chiremba achasarudza kwokuomerwa chadzo uye anatomical abnormalities, kuona zvomusejari nzira.

Anorectal manometry kunobatsira kuongorora kushanda tsandanyama kuti dziri kumativi paura, uyewo kuongorora basa ravo nedanho defecation.

Also kushandiswa nechirwere chokushandisa nzira dzakadai colonoscopy, sigmoidoscopy. nzira imwe neimwe nechirwere kunobatsira kupedza mufananidzo chirwere, kujekesa nzendo chirwere.

kuchinja mabatiro

Nzira Mabatirwo rectal prolapse anobva kuongorora zviratidzo zviri nechirwere. Chiremba anofanira kuona zvariri zvokurapa dambudziko. Kuchirapa matanho inogona kupatsanurwa munzvimbo huru mbiri: kuchinja uye zvomusejari.

Kana nechirwere kuti "rectal prolapse" utsinye kuchinja nzira unoruramiswa chete mukutanga nzendo chirwere. Kazhinji vakagadzwa varwere jaya kana repakati. The chikuru mabasa marapirwo achabvisa zvinhu zvinokonzera zvakazoita kuti kukura prolapse. Izvi zvinosanganisira:

• Kuonekwa uye mabatiro ose pathologies, izvo zvinowanikwa mune muura.
• Normalization kuti chetsoka.
• Iva nechokwadi kuti kubvisa kupatira.
• Achisiya zvose zvinooneka mabasa, vachisimudza chero zviyereso, nhumbi.
• Sexual upenyu zvinofanira kuva vakachengeteka (kubvisa chero kweiyi ari nekunobuda netsvina ndima).

Nokuti murwere, zvinokosha chaizvo kuti kusarudza kurovedza zvakanaka, izvo kwaizoitwa zuva nezuva, uye anosimbisa tsandanyama ari pelvic pauriri uye perineum.

Uyewo mune kumwe kurapwa kunogona zvaisanganisira:

• chinonzi sclerosing vehurumende (jekiseni zvazvingava);
• kwiza ari mugaranhoko;
• Physiotherapy (dzishande zvemagetsi richidzidzwa).

Kuchinja mabatiro nzira inogona kubatsira mukutanga nzendo chirwere (chete muna 2/3 nyaya). Kakawanda, murwere zvaida kuvhiyiwa.

kuvhiya kurapwa

Nzira kuvhiya Mabatirwo rectal prolapse rakaoma uye akavandudzika ose gore. Nhasi, kune kupindira nzira vanenge makumi mashanu. Selection Akatsunga zvichienderana basa. Tichiita kuvhiyiwa kunobva zvinhu zvinotevera:

• mwero kunoita chirwere;
• munhu anatomical zvinhu;
• murwere zera;
• utano.

The chikuru nzvimbo kuvhiyiwa vari:

• Nokubviswa donhwe-pasi chikamu mugaranhoko.
• Kubviswa kubva zvakakanganisa nzvimbo muura.
• Plastic matanho akaoma. Held suturing ari mugaranhoko, mukana nokugadzirisa zvimwe pelvic tsandanyama, bowel ducts.
• Kusanganisa vakawanda Kuvhiya unyanzvi.

Modern proctology kazhinji aiita nzira suturing ari mugaranhoko, painenge shoma chaizvo. Murwere anogona kushivirira nyore kupindira, uye kupora kubva kuvhiyiwa rectal prolapse kunoitika munguva pfupi nguva.

Panewo imwe nzira nani pasingashandiswi ropa Mabatirwo prolapse - laparoscopy. The kupora nguva iri kuwedzera, mukana yematambudziko ari kushoma.

Nokuti vazhinji vakavhiyiwa Zvaifungidzirwa zvakanaka chaizvo:

• Kubviswa zviratidzo.
• Full kupora.
• Kunatsiridza upenyu.
• Kubviswa mupfungwa mupfungwa.

Pashure pokuvhiyiwa chokupika ari mumagaro sphincter iri zvishoma nezvishoma kuwana kudzoka dzose, kuvandudzwa matauriro, mabasa vari yakadzorerwa. The dzakananga migumisiro kunokwanisa kutongwa papera gore.

dziviriro

Matanho rectal prolapse zviri nyore. Kuti arege kuita kuti munhu pathological mamiriro, unofanira kudya kurudyi: udye zvakawanda muriwo, michero, miriwo, faibha, shoma dziri zvokudya (uye zvinganaka vanodzinga) Semi-dzapedza zvigadzirwa, kusvuta, salting. Kazhinji, zvokudya anofanira kuedza chiedza kushanda nemudumbu (GI turakiti), uye gadzirisa kuita defecation.

Panguva Chaiyo kubata chero rectal zvirwere zvinogona kutungamirira prolapse. Rovedza panyama kurapa, kuita Muchiitwa kusimbisa pelvic pauriri netsandanyama. Kunyange kuva mwana Dzidzisai vana venyu zvakanaka kuenda chimbuzi, kwete kusunda zvakaoma uye kwete kugara refu muhari.

Chenjerera chinhu panyama zadzisa, zvichitungamirira kuwedzera intra-abdominal kumanikidzwa.

Kuti tizvidzivirire, proctology haisi varumbidzwa kuita chero nzira neshure.

The chirwere muvana

Rectal prolapse muvana hworatidza pacharo kazhinji munguva makore 1-4. In vakomana, zvokurwara ichi chinoitika kakawanda (a reshiyo mbiri imwe). Prolapse kunoitika nekuti chero matambudziko kubva gastrointestinal nezvirwere pamwe abdominal kumanikidzwa inowedzerawo. Zvinokonzera kuti prolapse ari mugaranhoko:

• Atrophy kuti mafuta rinenge somugumisiro, murombo Kuda kutamba ari muura.
• Vachiberekwa laxity of perineum.
• Kushaya Zvokudya Zvinovaka Muviri, kusimba.
• Kupatira, manyoka.
• Nemanyoka.
• Long vari muhari.
• Anatomical zvinhu.
• Kuomesa kwakaita Mamota.

Unofanirawo kuteerera nemagene kubatwa, uye mhando zvataidya, zvirwere uye pazvinobvira chinopedza kuchinja.

Initial zviratidzo zvinoonekwa kwete mwana. Kana kuita defecation mucosa anogona wriggle kubva ndima uye pakarepo kudzokera dzinongoitika nzvimbo. Kuziva dambudziko, vabereki vanofanira kuzoongorora horo panguva pachituru mwana, kana tsvuku rosette, chikawira kubva horo iyo. pakarepo vanoda kuenda chiremba kana dambudziko iri dzakaonekwa.

Kana kurapa asipo, unogona kutanga kuchiita chirwere. With kukura hypotension tsandanyama mugaranhoko vanotanga anofira ose pachituru. Muzviitiko izvi, harichazombokuberekeri kukwanisa vakazvimirira kuderedza vanofanira kuzviita manually. With pakuzadzisa ari zvokurwara prolapse munogona mwana upi kutamburira, vangakosora, achichema, achiseka. Kuchikonzerwa nekuneta ari sphincter tsandanyama kungava fecal incontinence. Kukanganisa ura aigona kutyisidzira kwete chete utano asiwo mwana wacho upenyu, muchiitiko ichi, zvinobatsira chete kuvhiya.

Mabatirwo rectal prolapse muvana

Nzira yokurapa rectal prolapse mune vana tanga dzinobva kuchinja uye sclerotherapy. The zvebasa kuchinja mabatiro vari:

• Kubviswa kupatirwa.
• Diet mushonga chete kwebasa rinofanira faibha.
• Kudzoreredzwa nemudumbu basa.
• Defecate chete nhema (ari kumashure kana kurutivi). Sitting hakubvumidzwi.
• Kurasikirwa bowel kuzvidzora.
• Strict utsanana of horo.
• A yakanyatsofungwa mishonga zvinodhaka vanofanira kubvisa kuzvimba intestinal mucosa.

Kana kuchinja nzira haangashaikwi, kushandisa sclerotherapy.

Nzira inobva pakatanga zvinyama chinonzi sclerosing mumiririri iro localize muna mugaranhoko. Somugumisiro yokuwana mushonga, varwere atrophied zvinyama kuchatsiviwa vanga uye unobva idzodzo. The mugaranhoko chakasimbiswa ndee. Nzira iri kashoma kushandiswa, zviri inorwadza akashivirira mwana, anogona dzimwe nguva kukonzera matambudziko.

Nokuti kudzivirira prolapse muvana kubvira vachiri vaduku vanofanira kuona muviri yazvo, anobvisa kupatira. Dzidzisa mwana nokukurumidza kuvasunungura pachavo, kwete kugara kwenguva yakareba hari.