Zvokuita kana mwana ane rectal prolapse? zvikonzero

In okurapa pane kurapwa zviitiko zviri intestinal zvirwere. Mwana rectal prolapse zvinogonawo kunzi chinetso. The zvokurwara ndiko kuzadzisa pamusoro distal masvingo pamwe kwavo kurasikirwa kuburikidza nekunobuda netsvina orifice.

Nei kufirwa bowel muvana?

Kazhinji, maperembudzi chirwere mu muduku. Panyaya iyi, vakomana vari pasi 5 makore vari zvikuru kubatwa nechirwere.

Tisati funga muudzame rectal prolapse ari mwana wayo pathogenesis, zvinokosha achiteerera ndechokuti chirwere haagoni kunzi akazvimirira kupiwa dambudziko. Kakawanda zvinoratidzika Somugumisiro siyana pathological ezvinhu. In vakuru, uyewo mwana, kurasikirwa rectal zvikurukuru nokuda kuwedzera intra-abdominal kumanikidzwa. Uyewo, inosimudzira izvi uye zvinhu vaiona kuti zvinokonzera matangiro uye paumbwe chirwere. Vari rakakamurwa mapoka maviri.

Kubatwa nechirwere chidzoke

Chokutanga predisposing zvinhu kuti chirwise chirwere. Ivo:

1. Chokuziva tsika. Nokuti vana pasi pemakore 6 makore mumunda pfupa lumbosacral rwokuzvarwa concavity nani zvakaneta akaratidza. Nokuda kusavapo lordosis uye pelvic kurereka kukwana mugaranhoko akananga. With yakawedzera intra-abdominal kumanikidzwa, yose mutoro iri hwakatamisirwa horo.
2. Kudzika Douglas nzvimbo. The kukosha ichi (ndiro maitire nevana vaduku), rezasi vari vesico-intestinal indentations ari peritoneum. Kana mukuru kufurira kunoitika pamberi porusvingo invagination kuti anoshumira kushanda hwaro kukura zvokurwara panguva mwana. Rectal prolapse zvingaitika pamberi zvimwe anatomical Mumagazini pauduku: refu mesentery, kusazvibata mhando intraenteric arteries, etc ...
3. Other gastrointestinal zvirwere zvinokonzerwa zvokudya kana musoro dzichifura. Panyaya iyi, iyo abnormality hwapedyo nokuda chinopedza kuchinja kanganisika pelvic pauriri tsandanyama uye paraproctium.

Vawana zvinhu zvinokonzera kurasikirwa bowel

Boka causative zvinhu rechipiri vari vawana kuvhiringidzika kushanda zvomudumbu maitiro nemudumbu, waimira sezvo pokutangira kuti chidzoke dambudziko. Mwana rectal prolapse (chii vanofanira vabereki kuita iyi, iti nyanzvi, saka tora matanho vako kurapwa mwana ari zvakasimba varumbidzwa) zvinowanzoitika nokuda kutyorwa kuri chair. Matambudziko munguva nechiito defecation muchimiro dzose kupatira - huru mashandiro ari kushanda chirwere. Kakawanda vachiedza uye kwenguva refu kuona poto kukanganisa ezvinhu nekunobuda netsvina sphincter.

Zvichakadai, kazhinji, uye zvimwe zvinhu zvingaita kuti kuwedzera nevezera ari intraperitoneal mhango, izvo chinokurwadzai rectal prolapse vana. The zvinokonzera ichi pathological chakajairika kazhinji vavete hysterical chikosoro bronchitis, kana nokuomerwa vanhurume (somuenzaniso, phimosis mune vakomana).

Uyezve, kuratidzwa ichi zvokurwara chakakomba, kazhinji anobatsira mutsindo basa mubatanidzwa zvinhu. Kazhinji, kuvapo imwe kana kupfuura pamusoro matambudziko, rectal prolapse ari mwana kunoitika zvishoma nezvishoma.

Zvinoumba Zviratidzo muvana

Zvakaipira chirwere ichi ndechokuti zviratidzo ayo wokutanga kwenguva refu anogona kuramba zvachose asingaoneki. Chikonzero ndechokuti kurasikirwa rectal mucosa. In vana, zvikaitika kakawanda mumwe-mativi nezvishoma. Panguva mabasa defecation aoma inowira urikanwi nzvimbo, uye pashure kwacho yakavigwa seri sphincter zvakare.

Panguva iyi, nomwana vabereki ungacherechedza akatsvuka munzvimbo nekunobuda netsvina nzvimbo, akafanana rosette. Izvi chaizvoizvo kuratidzwa kufunganya vanofanira kuonekwa vabereki. Kusvibisa horo staining anoshumirawo somutariri chiratidzo chakajeka kurasikirwa ura. Progressive chirwere dzinoratidzwa zvikuru zviratidzo. The maitiro inogona kunzi yakachekwa kana nyeredzi-zvakaumbwa buri pakati ine zvishoma rinokwanisa kucheneruka tint.

Zviratidzo mberi chirwere

Uyezve, nokuti rakaramba mataurire mumagaro sphincter nguva refu, zvakarurama kunokurumidziswa anorema ura, saka chero kuedza pamwe kurwadza nezvekufadza ari mwana. Rectal prolapse vakazoroorwa hworatidza pacharo hypotension musculature pamusoro pelvic pauriri, nokudaro ruramisa mashoko mumagaro Canal kunokurumidziswa musana chikamu anogona kare nyore, asi kamwe zvikaitika unozotevera kuwa pamusoro.

Kana zvokurwara achimhanya, inodonha-pasi chikamu kazhinji anowana chinokosha saizi, dzimwe nguva zvichiita yose muviri pakureba. Mumwe rectal prolapse nevana (mapikicha havagoni kuvapo yetsika zvikonzero) riri akasadzorwa Somuenzaniso kana iwe hotsira kana kukosora, pamwe shoma mumuviri nesimba. Kakawanda chaikosha ichi mufashoni kutwasanudza manually. Kusava nesimba kwokunze sphincter kunoitawo sembura pathological ezvinhu mwana, apo dambudziko guru riri fecal incontinence.

Panguva iyoyowo ndichengetedze contractility of sphincter tsandanyama zvinogona kukanganisa zvakaipa pamusoro pokumuka chirwere uye kukonzera matambudziko akadai ane kukanganisa pamusoro mucosa. Panyaya iyi mwana anoda kukurumidza kuvhiyiwa.

Sei kurapa kurasikirwa bowel?

nokukurumidza vabereki akatendeukira nyanzvi dambudziko iri mwana wako haagoni kurarama. Kakawanda, for nokupora akanaka chaizvo. Uyezve, mazano yokurapa zvakawanda kuchinja tichienzanisa mishonga varwere vakura. Panguva iyoyowo vanhu rinoreva hazvibviri kukunda rectal prolapse vana. Treatment zvinofanira kuitika chete pasi pokudzora nezvokurara, ekufambisa kushandisa zvimwe zvinodhaka uye maitirwe ezvinhu.

Somunhu mumwe nomumwe, zvichienderana zvekuchipatara zvinoratidza chirwere, ari mwana uye nguva refu nehosha, chiremba prescribes mumwe zvitatu kusiyaniswa kurapa:

• kuchinja mabatiro hurongwa;
• chinonzi sclerosing nzira;
• Kuvhiya.

kuchinja mabatiro

Wokutanga Ipfungwa pakurapa rectal prolapse ari mwana pasi 5 makore ndicho uye akakurumbira. At kurasikirwa mucosal ichi mhando kurapwa kunoratidzwa kakawanda uye vana vakura. The chikuru zvebasa kudzorerwa ichi matanho akaoma anofanira kunzi:

• Kudzikamiswa yezvakaita uye kubviswa chero kutyorwa rwecheya, pachituru;
• mangwanani pokugadzwa dzose intestinal nokuisa nzira;
• kusarudzwa kupfuura yakakodzera zvokudya panguva simba kuchinja.

Way kuzadzisa izvi zvinogoneka chete nokubatsira zvataidya mishonga. Kubvisa honzeri chirwere - yakakwirira abdominal kumanikidzwa - muchishandisa pakanzi optimally rakakodzera romugove redunhu anodiwa ruyamuro kwepasi kana runoenzanirana fastening. Pasina zvakanaka simba pamusoro chiremba anogona mishonga kushandiswa kwezvinodhaka yakananga.

Therapy pasina poto

Kamwe zvakarurama defecation hurumende chichamiswa zvinokosha kuponesa mwana kubva kugara uchida chisina zvachinobatsira. Kudzorera pelvic tsandanyama uye avo dzichipfekeka kubatana, mitemo iyo kunokonzera rectal prolapse muvana Komorowski yakarumbidza kurerutsa dzingangoitika mupfungwa uye munomimina. Kazhinji, pakurapa mwana unopiwa kushandisa potty kana chimbuzi, defecate anofanira bedzi ari supine kana zvimire chinzvimbo. No mutoro pamusoro horo - mumwe inokosha ezvinhu yokurapa ichi chirwere, uye ichi pfungwa kunoda kushivirira uye hanya pamusoro chikamu vabereki.

Kazhinji nokuti zvizere kupora muoti zvakafanana chiremba kwenguva inenge 3-4 mwedzi. Kubudirira kurapwa ichi anenge anovimbisa mugumisiro akakwana. Zvakanakira nzira iyi yokurapa zviri pachena: chero kunze kuvhiringidzwa mumuviri mumwe mwana vasipo, pane kuzvipira kupodzwa nokuda tsandanyama apore uye kupfupikisa fibers dzavo.

Zvisinei, kupora hazvirevi kuti mugumisiro rave kubudirira kamwe uye kuitazve mwana haana pangozi. Mumakore akatevera gore, zvinokosha kuti akuteerere mamiriro ake, uye kana kuzodzosera ruramisa prolapse mugaranhoko munzvimbo mumagaro Canal nokukurumidza sezvinobvira.

How kutwasanudza yako mwana prolapsed mugaranhoko?

Special kutarisirwa anofanira kuziva nuances reposition michina. Pasinei nezera, rectal prolapse ari mwana (2 years kana 6 years) zvinoda kukurumidza nyore evanhu. The chikuru ndechokuti nembudzana akanga akadzikama uye akarega sezvinobvira. Mwana areve nhema pamusoro musana wake. The kunokurumidziswa Chidimbu mugaranhoko zvaanofanira girisi mafuta, uye ipapo, pashure kupfeka magiravhusi, achitora zvigunwe ake maoko maviri uye pasina akasimba kuita, zvinyoronyoro uye zvinyoronyoro nzira mukati. Vanofanira kutanga kubva nechepakati mugove, nokuti zvakanaka pamupendero nzira akaita prolapsed ura nomuzvarirwo watopinda nekunobuda netsvina mugero. Kamwe kuderedza chaenga kuwana pachake mukati, mwana zvakakosha zvishoma nezvishoma kuti kutendeuka pamusoro dumbu rako uye chengeta magaro ako.

Sei sclerotherapy

In yakawanda yakaoma, yepamusoro zviitiko, kurapwa rinoitwa muchipatara uye kazhinji kuita chiremba. Sclerotherapy kazhinji kushanda nhasi, sezvo iri nzira wokuvhiya. The nzira iri kuunzwa anokosha nevasori, iro chiito inoendeswa kuzvimba paraproctium. Uyezve pane zvinotarisirwa muchitokisi rufu, izvo kuchatsiviwa scarring uye koukukutu munyama dzakapoteredza mugaranhoko. Izvi zvinobvumira kuti zvakasimba kugadzirisa epithelium dzavo uye pechiso ura.

Fungidzira yematambudziko kuoma dzimwe nhengo dzomuviri

Zvichakadai, vakawanda nenyanzvi mumunda chiremba wokuvhiya vasingafariri chaizvo mafungiro dzinoshandiswa kurapwa kwakadaro. Chikonzero ichi ndicho kakawanda yaitonga zvinodhaka, uyewo dzakakwirira pangozi yokuita yematambudziko yomunyika necrotic bowel rusvingo. Sclerotherapy anogona kutora nzvimbo chete kana kuchinja kurapwa Ipfungwa kwakanga zvachose kundikana, kana pane nouchapupu mukana wokuti kukanganisa.

nzira yechipiri inosanganisira Kuvhiya rectopexy - kubviswa muedzo-pasi mugove vachitevera nzira Zerenina - Kümmel.

Chero zvazvingava, chirwere ose, kusanganisira kurasikirwa bowel muvana zviri nyore kudzivirira pane mushonga. Kudzivirira kukura zvokurwara vanofanira kudzivisa chero ngozi. Zvikurukuru, regai kumanikidza mwana kugara kwenguva yakareba hari uye tora chakatanga kuitwa kuchangotanga kutyora chair.