Rectal prolapse: haddasawa, cututtuka, magani

Rectal prolapse yana fama da wani kananan yawan marasa lafiya, da matsalar ba na kowa. Duk da haka, akwai wani hali da wata karuwa da cutar a 'yan shekarun nan. Rectal prolapse (don haka ya kira wannan rashin lafiya) da kanta ne ba rai-barazanar, fãce a cikin lokuta na auka, amma har yanzu ba mai yawa cikas ga mãsu haƙuri. Saboda haka, kowa da kowa ya kamata a sanar, san bayyanar cututtuka da cutar, ya dauki dace matakan ga yin rigakafi da magani.

Rectal prolapse - menene wannan?

A wannan cuta ƙananan ɓangare na dubura, wanda shi ne dan kadan sama da dubura, mĩƙe ta, kuma ta zama m lokacin da matsa lamba da dama daga. Loss mafi sau da yawa ne ya sa ta mai rauni tsuliya sphincter, sakamakon incontinence iya zama gamsai da tumbi. Pictures da kuma hotuna na rectal prolapse nuna bayyanar cututtuka da cutar - dubura ne ƙananan ɓangare na da ganye da tashar.

Rashin lafiya ko da yaushe ya zo da jiki zafi a lokacin defecation, m rashin jin daɗi, halin da urinary sphincter (jini, gamsai). Rectal prolapse ne m duka biyu yara da kuma manya.

Karkashin pathological canje-canje ya auku mikewa ƙananan dubura (ta m zone), da bayyane rabo daga jawabin cewa ya kai har zuwa 20 cm a tsawon.

A cuta ne m, da wuya, ko da yake ba rai barazana. Symptomatology rage-rage ingancin rayuwa, wanda aka nuna a cikin psyche da marasa lafiya. A Proctologic cututtuka rectal prolapse yana da wani karamin yawan jimillar jerin ailments. Za a iya bincikar lafiya a kowane zamani, ko da a cikin yara. An lura da cewa a cikin maza da matsalar da aka yawanci gano. Doctors bukaci su dauki zama dole m matakan tsanani.

Rectal prolapse: Sanadin

Sanadin rectal prolapse ta kasu biyu kungiyoyin: masana'antu da kuma predisposing.

Na farko da kungiyar (samar da) suna da wadannan:

• yau da kullum ƙagauta dubura, kamar m maƙarƙashiya.
• Matsalolin a lokacin haihuwa, a lokacin da kafa perineal hawaye da kuma bacin rai tsokoki na kafafuwa.
• ayyukan da za'ayi a kan hanji.
• m jiki aiki a lokacin da murdede tsarin ne kullum siga, ta ƙara ciki-ciki matsa lamba;
• sacral kashi a kowace hanya ji rauni.
• a kan hanji mucosal ulcers suna kafa.

Akwai sauran Sanadin rectal prolapse. Hotuna da hotuna tabbatar da wanzuwar mutum sifofin. A cikin wadannan lokuta, akwai predisposing haddasawa:

• Pathology na pelvic tsokoki.
• sphincter yana low tsoka sautin;
• ya karu ciki matsa lamba;
• zurfafa a cikin dubura.
• mikewa tsokoki hanji.
• hanji elongation bryzzheyka.
• coccyx ne a tsaye.
• wuya ciki, wuya haihuwa.

Biyan musamman da hankali ga likita pathologies cewa taso dangane da wadanda ba na gargajiya jima'i fifiko. Sa factor na abin da ya faru na rectal prolapse za a iya tsaye m ruri daga cikin dubura. A sakamakon haka, akwai ba kawai zafi, amma kuma rectal prolapse.

Nau'in kuma saukarwa

Haka kuma cutar tana da zaɓuɓɓuka don su typology:

• Drop m matsawa saukar da gaban bango - a hernial embodiment. Faruwa a lokacin da rauni pelvic tsokoki, tare da karuwa a ciki matsa lamba. A mucous membrane daga cikin dubura da aka matse kuma cire yayin da a waje.
• Ciki mucosa dubura auku indentation na sigmoid ko dubura, bãbu fitarwa bayan - shi ne invaginated zaɓi.

Muhimmai da cutar sunadaran proctology ware daga rectal prolapse cuta mataki (har):

• Cika kananan mataki. A kan aiwatar da defecation auku kadan eversion na hanji. hanji kadai zo a karshen kan aiwatar da kujera zuwa ta asali matsayi.
• Subcompensated, zurfi mataki. Hanji da dama, kamar yadda a farkon harka, amma ya kõmo zuwa ta asali matsayi sannu a hankali yayin da akwai azaba mai syndromes, hemorrhage.
• Asma, m mataki. Rectal prolapse ba kawai a lokacin defecation, amma kuma ga wani ciki-ciki matsa lamba, irin ƙarfin lantarki, ta haka ne ba rage a Gut kadai. Sau da yawa bayyana zub da jini May fecal incontinence, gas. Sphincter ne na dogon lokaci a cikin wani annashuwa jihar.
• Decompensated zurfi, m mataki. Idan wani jiki aiki, a cikin wani wuri (a zaune, a tsaye) asarar faruwa hanji. Necrotic matakai masu tasowa a cikin mucosa, haddasa zub da jini, itching, zafi.

Alamun da kuma ãyõyinSa da cutar, da rikitarwa

A ci gaba da cuta na iya faruwa a jinkirin motsi, da kuma na iya faruwa ba zato ba tsammani. Mafi sau da yawa tasowa sannu a hankali prolapse. The kawai a lokacin defecation na iya faruwa a farko asarar hanji. Tare da ci gaban da cutar yana rage wani wuri cewa da dama a wani irin ƙarfin lantarki.

Kwatsam asara iya fararwa kwatsam Jump intraabdominal matsa lamba a lokacin tsanani jiki danniya. Tare da kaifi asara, a da karfi zafi, wanda zai iya sa a Jihar buga, har ma durkushe.

Alamun rectal prolapse:

• dubura taso kasashen waje jiki gabbai.
• m ƙarya ya bukaci da aikin defecation.
• m zafi a cikin dubura.
• wani yiwuwar dakile na tumbi da gas.

A asarar zub da jini ulcers bayyana, da suka ji rauni tasoshin. Idan ka fuskanci akalla wasu cututtuka na rectal prolapse, magani na jama'a magunguna ne mai wuya ya taimake ka. Nan da nan nemi sana'a taimakon likita. Lokacin da mubaya'a shiga tsakani na yiwu manifestations daga cikin matsalolin da urinary tsarin, akwai aka tauye dubura.

Hadari sakamakon rectal prolapse iya zama:

• hanji toshewa.
• peritonitis.

Na rigakafi da kariya na jiki a lokaci guda yana cin zarafi ba rage, mutumin da zama naƙasasshe. A juyayi tsarin ne a akai tashin hankali, da mãsu haƙuri ne m, sha daga apathy da neuroses.

bincikowa da

A ganewar asali rectal prolapse likita kamata karatu a daki-daki, ga likita tarihi da kuma bincika anorectal yankin. Ya kamata a lura cewa bayyanar cututtuka su ne a bayyane ne kawai a cikin m, saukarwa. Da farko, da cutar da aka ba visualized. Natuzhitsya haƙuri aka miƙa a cikin "squat" ko "a kan kujera." Lokacin da miki ganewar asali aka tabbatar. Yana iya amfani da dijital jarrabawa, wannan haƙuri ne a cikin Viewing kujera. A jarrabawa, likita bincika tsoka sautin da elasticity na dubura. Idan adadin ƙagauta dubura qara sharply, to, wannan ya nuna cutar.

Don sanin irin nisan da rectal prolapse, nada defekografiya. A lokacin hanya abunda aka kwaikwaya aikin defecation, yayin da radiographic images sanya ta shi likita zai ƙayyade tsanani daga aikin da ilimin Halittar Jiki munanan, sanin da m hanyoyin.

Anorectal manometry taimaka wajen kimanta aiki na tsokoki da cewa suna located a kusa da hanjinsu, kazalika don kimanta rawar da suka taka a aiwatar da defecation.

Kuma yi amfani da ganewar asali kayan aiki da hanyoyi kamar colonoscopy, sigmoidoscopy. Kowane Hanyar cikin ganewar asali taimaka don kammala hoton da cutar, to bayyana da matakai na cutar.

ra'ayin mazan jiya magani

Hanyoyin da magani daga rectal prolapse dogara ne a kan binciken Manuniya na ganewar asali. A likita dole ne sanin takamaiman likita matsala. Warkewa matakan za a iya raba biyu main yankunan: ra'ayin mazan jiya da kuma m.

Idan ganewar asali "rectal prolapse" magani da ra'ayin mazan jiya da hanyoyin da aka kubutar kawai a farkon matakai da cutar. Sau da yawa nada wani matashi ko tsakiyar-shekaru marasa lafiya. Babban ayyuka na magani zai kawar da Sanadin da ya kai ga ci gaban da prolapse. Wannan ya hada da:

• Ganewa da kuma lura da duk pathologies, wanda ake samu a cikin ciwon.
• Daidaita stool.
• Tabbata a kawar da maƙarƙashiya.
• Kebe da jiki ayyukan, dagawa wani nauyi, kaya.
• Jima'i rayuwa ya zama hadari (ware wani ruri na tsuliya nassi).

Domin da haƙuri, yana da muhimmanci sosai a zabi da hakkin bada, wanda zai iya za'ayi a kullum, da kuma Qarfafa tsokoki na pelvic bene da perineum.

Har ila yau a ra'ayin mazan jiya magani iya hada:

• sclerosing jamiái (allura rate).
• tausa dubura.
• Physiotherapy (ruri wutar lantarki).

Conservative magani hanyoyin iya taimaka a farkon matakai da cutar (kawai a 2/3 lokuta). Mafi sau da yawa, da mãsu haƙuri tiyata.

m magani

Hanyar daga m magani daga rectal prolapse wuya, da inganta kowace shekara. Yau, akwai game da hamsin da baki hanyoyin. Selection aka ƙaddara dangane da aiki. Dauke da fitar da wani aiki ya dogara da wadannan dalilai:

• da mataki na ci gaban da cutar.
• mutum sifofin.
• haƙuri da shekaru.
• kiwon lafiya.

Babban yankunan tiyata ne:

• Kau da drop-saukar rabo daga dubura.
• Cire daga wani shafa yankin na ciwon.
• Roba hadaddun matakan. Gudanar suturing dubura, da yiwuwar daidaitawa wasu daga cikin pelvic tsokoki, da hanji ducts.
• Hada mahara tiyata dabaru.

Modern proctology sau da yawa aikata Hanyar suturing dubura, yayin da shi ne kasa daga hankali. A haƙuri iya jure wa baki, da kuma dawo da daga tiyata rectal prolapse daukan wuri a cikin wani gajeren lokaci.

Akwai kuma wani ingantattun Hanyar zubar da jini magani daga prolapse - laparoscopy. A dawo da lokacin da aka ha ~ aka, da hadarin da rikitarwa da aka rage girmanta.

Ga masu rinjaye na sarrafa kintace sosai tabbatacce:

• Da kawar da cututtuka.
• Cikakken dawo.
• Inganta da ingancin rayuwa.
• Da kawar da m rauni.

Bayan tiyata yi na tsuliya sphincter ne a hankali samun koma al'ada, inganta sautin, ayyuka suna mayar. A takamaiman sakamakon da magani za a iya hukunta mai shekara daga baya.

rigakafin

M matakan rectal prolapse ne quite sauki. Saboda haka kamar yadda ba su kai ga wani pathological yanayin, kana bukatar ka ci dama: ci mafi kayan lambu, 'ya'yan itatuwa, da kayan lambu, fiber, kasa kunshe a cikin abinci (da zai fi dacewa ware) Semi-ƙãre kayayyakin, shan taba, salting. A general, abinci ya kamata taimako zuwa ga haske aiki da gastrointestinal fili (GI fili), da kuma gyara yi na defecation.

Dace mu bi da wani rectal cututtuka da za su iya kai wa ga prolapse. Tafiyar da jiki far, yin atisayen da ƙarfafa pelvic kasa tsokoki. Kamar yadda wani yaro Koyarwa yaranku su yadda ya kamata je bayan gida, ba ya tura wuya da kuma ba su zauna dogon a cikin tukunya.

Hattara da wani jiki obalodi, abu don wani karuwa a ciki-ciki matsa lamba.

A matsayin shirinku, proctology ba da shawarar tafiyar da wani siffofin tsuliya jima'i.

A cuta a cikin yara

Rectal prolapse a yara bayyana kanta mafi sau da yawa a cikin shekaru 1-4 shekaru. A boys, wannan Pathology faruwa akai akai (wani rabo biyu da daya). Prolapse auku saboda wani rikitarwa daga gastrointestinal cututtuka da na ciki matsa lamba ƙaruwa. Abubuwan da taimakawa ga prolapse daga cikin dubura:

• Atrophy na m nama, a sakamakon, matalauta kam na ciwon.
• Nakasar laxity na perineum.
• Tamowa, rickets.
• Maƙarƙashiya, zawo.
• Dysentery.
• Long tsaya a cikin tukunya.
• Sifofin.
• Wahala da basur.

Ya kamata ka kuma kula da kayyade predisposition, da kuma irin abinci, da cuce-cucen da yiwu degenerative canje-canje.

Harufan bayyanar cututtuka gani ba kawai wani yaro. Lokacin da aiki na defecation mucosa iya wriggle daga nassi, kuma nan da nan koma ga halitta matsayi. Don gane da matsalar, iyaye ya kamata duba dubura lokacin stool yaro, ko wani ja rosette, wanda da dama daga cikin dubura. nan da nan bukata mu je ga likita idan wata matsala da aka gano.

Idan magani ba samuwa, za a iya fara da ci gaban da cutar. Tare da ci gaban hypotension tsoka dubura fara fada a kowane stool. A cikin wadannan lokuta, shi zai daina iya da kansa rage bukatar yin shi da hannu. Tare da kara raya kasa na Pathology prolapse iya faruwa a wani yaro da wani ƙagauta, tari, tana kuka, dariya. Saboda da wani rauni daga cikin sphincter tsoka iya zama fecal incontinence. Ƙeta hanji iya barazana ba kawai kiwon lafiya amma kuma jaririn ta rayuwa, a wannan yanayin, ya taimaka kawai tiyata.

Jiyya na rectal prolapse a yara

Hanyar magani rectal prolapse a yara a farkon matakai ne bisa ra'ayin mazan jiya da kuma sclerotherapy. Da manufofin ra'ayin mazan jiya magani ne:

• Da kawar da maƙarƙashiya.
• Rage cin abinci far tare da hada fiber.
• Sabuntawa na gastrointestinal fili aiki.
• Defecate kawai kwance (a baya ko a gefe). Sitting da aka haramta.
• Asarar hanji iko.
• M kiwon lafiya na da dubura.
• A da kyau-zaba magani kwayoyi kamata kawar da kumburi da hanji mucosa.

Idan ra'ayin mazan jiya da hanyoyin kasa, koma ga sclerotherapy.

The m dogara ne a kan gabatarwar nama sclerosing wakili wanda zai localize a cikin dubura. A matsayin sakamako na daukan hotuna da miyagun ƙwayoyi, marasa lafiya atrophied nama za a maye gurbinsu da tabo da kuma a haɗa tsarin. The dubura aka sandararru. A dabara ake wuya amfani da, shi ne painfully jure yaro, iya, wani lokacin sa rikitarwa.

Ga masu rigakafin prolapse a yara daga farkon shekarun kamata saka idanu da ta dace abinci mai gina jiki, gusar maƙarƙashiya. Koyarwa yaro to sauri canja kansu, ba su zauna har tsawon wani lokaci a kan tukunyar.