Iyini Ukuhlinzwa Kwe-Rectal Prolapse? Inhloso, Inqubo & Ukululama

Ukuhlinzwa kwe-Rectal prolapse kuyinqubo yezokwelapha elungisa isimo lapho ingxenye ye-rectum yakho ishelela iphume ngembobo yakho yangasese. Lokhu kwenzeka lapho imisipha nezicubu ezivame ukubamba i-rectum yakho endaweni ziba buthakathaka noma zelulwe. Ngenkathi kuzwakala kukhathaza, lesi simo singelapheka, futhi ukuhlinzwa kungabuyisela ukusebenza okuvamile futhi kuthuthukise kakhulu izinga lempilo yakho.

Yini i-rectal prolapse?

I-Rectal prolapse yenzeka lapho i-rectum (ingxenye yokugcina yamathumbu akho amakhulu) ilahlekelwa ukusekelwa kwayo okuvamile futhi ishelele phansi ngembobo yangasese. Cabanga ngayo njengesokisi eliphenduke ngaphakathi. I-rectum ingase ishelelele ngaphandle kancane nje noma iphume ngaphandle komzimba wakho ngamasentimitha ambalwa.

Lesi simo sithinta abantu bayo yonke iminyaka, nakuba sivamile kubantu abadala, ikakhulukazi abesifazane abaneminyaka engaphezu kwengu-50. Izingane nazo zingathuthukisa i-rectal prolapse, kodwa ngokuvamile iyazixazulula yona ngokukhula kwazo. Lesi simo asiyingozi, kodwa singaba ngesingakhululeki futhi sithinte imisebenzi yakho yansuku zonke.

Kunezinhlobo ezahlukene ze-rectal prolapse. I-prolapse ephelele isho ukuthi ubukhulu be-rectal wall buphuma ngembobo yangasese. I-Partial prolapse ihilela kuphela ukufakwa ngaphakathi kwe-rectum. Abanye abantu bahlangabezana ne-internal prolapse, lapho i-rectum i-telescopes ngaphakathi kwayo kodwa ayiphumi embobeni yangasese.

Kungani kwenziwa ukuhlinzwa kwe-rectal prolapse?

Ukuhlinzwa kuba ngesidingekile lapho i-rectal prolapse ithinta kakhulu impilo yakho yansuku zonke noma ibangela izinkinga. Udokotela wakho uzoncoma ukuhlinzwa uma i-prolapse ingabuyi yona, ibangele ubuhlungu, noma iholele ezinkingeni zokuhamba kwamathumbu.

Izizathu eziyinhloko zokuhlinzwa zihlanganisa ukungakhululeki okuqhubekayo, ubunzima bokulawula ukunyakaza kwamathumbu, ukopha okuvela ezicutshini eziphumayo, noma uma ukuphuma kuvaleka futhi kungakwazi ukubuyiselwa ngaphakathi. Abanye abantu futhi bakhetha ukuhlinzwa ngoba lesi simo sithinta ukuzethemba kwabo kanye nekhono lokubamba iqhaza emisebenzini ejwayelekile.

Ukwelashwa okungekona ukuhlinzwa njengokuzivocavoca komgogodla wesisu, izinguquko zokudla, noma izithambisi zendle kungase kuqale kuzanywe, ikakhulukazi ezimweni ezithambile. Kodwa-ke, lezi zindlela azivamile ukunikeza isixazululo esihlala njalo sokuphuma kwamathumbu okuphelele. Ukuhlinzwa kunikeza indlela ethembeke kakhulu yokulungisa le nkinga futhi nokuyivimbela ukuthi ingabuyi.

Yini inqubo yokuhlinzwa kokuphuma kwamathumbu?

Ukuhlinzwa kokuphuma kwamathumbu kungase kwenziwe ngezindlela ezimbili eziyinhloko: ngesisu sakho noma ngendawo ezungeze imbobo yakho yangasese. Udokotela ohlinzayo wakho uzokhetha indlela engcono kakhulu ngokusekelwe eminyakeni yakho, impilo yonke, nobukhulu bokuphuma kwakho.

Ngesikhathi sokuhlinzwa kwesisu, udokotela ohlinzayo wakho wenza ukusikeka okuncane esiswini sakho futhi asebenzise amathuluzi akhethekile ukuphakamisa futhi aqinise i-rectum yakho ibuyele endaweni yayo efanele. Le ndlela ivame ukubandakanya amasu e-laparoscopic, asebenzisa amakhamera amancane namathuluzi afakwa ngokusebenzisa ukusikeka okuncane. Udokotela ohlinzayo angase anamathele i-rectum yakho endaweni yomgogodla noma asuse ingxenye yamathumbu amakhulu uma made kakhulu.

Indlela ye-perineal ihlanganisa ukusebenza ngendawo ezungeze imbobo yakho yangasese ngaphandle kokwenza ukusikeka esiswini sakho. Le ndlela ivame ukukhethwa ezigulini ezindala noma lezo ezineminye imibandela yezempilo eyenza ukuhlinzwa kwesisu kube yingozi. Udokotela ohlinzayo ususa izicubu eziphumayo futhi aqinise imisipha ezungeze imbobo yangasese.

Ukuhlinzwa okuningi kokuphuma kwamathumbu kuthatha phakathi kwehora elilodwa namahora amathathu. Uzothola i-anesthesia ejwayelekile, okusho ukuthi uzobe ulele ngokuphelele ngesikhathi senqubo. Indlela ethile udokotela ohlinzayo wakho ayisebenzisayo incike ezintweni ezinjengokwakheka komzimba wakho, uhlobo lokuphuma, nezidingo zakho zempilo.

Ungalungiselela kanjani ukuhlinzwa kwakho kwe-rectal prolapse?

Ukulungiselela ukuhlinzwa kwe-rectal prolapse kuhilela izinyathelo eziningana ezibalulekile ezisiza ukuqinisekisa umphumela ongcono kakhulu. Udokotela wakho ohlinzayo uzonikeza imiyalelo ethile, kodwa ukulungiselela kuvame ukuqala ezinsukwini ezimbalwa ngaphambi kwenqubo yakho.

Udokotela wakho cishe uzokucela ukuthi uhlanze amathumbu akho ngaphambi kokuhlinzwa usebenzisa isixazululo esikhethekile noma ama-enemas. Lesi sinyathelo sibalulekile ngoba sinciphisa ingozi yokutheleleka futhi sinikeze udokotela wakho ohlinzayo umbono ocacile wendawo yokuhlinzwa. Uzodinga futhi ukuyeka ukudla nokuphuza isikhathi esithile ngaphambi kokuhlinzwa, ngokuvamile kuqala phakathi kwamabili ngobusuku obandulela ukuhlinzwa.

Yazisa ithimba lakho lezempilo ngayo yonke imithi oyithathayo, okuhlanganisa nemithi etholakala ngaphandle kwekhawunta kanye nezithasiselo. Eminye imithi, ikakhulukazi ama-blood thinners, ingase idinge ukumiswa noma ukulungiswa ngaphambi kokuhlinzwa. Udokotela wakho angase futhi ancome ukuyeka izithasiselo ezithile ezingathinta ukuphuma kwegazi.

Lungiselela othile ukuthi akuqhubele ekhaya ngemva kokuhlinzwa futhi ahlale nawe ngosuku lokuqala noma ezimbili. Gcina ukudla okuthambile, okulula ukugaya kanye nanoma yiziphi izinto udokotela wakho azincomayo ukuze ululame. Ukuba nakho konke okulungile ngaphambili kuzokusiza ukuthi ugxile ekuphiliseni ngemva kwenqubo yakho.

Ungawafunda kanjani imiphumela yakho yokuhlinzwa kwe-rectal prolapse?

Impumelelo ngemva kokuhlinzwa kwe-rectal prolapse ilinganiswa ngokuthi inqubo ixazulula kahle kangakanani izimpawu zakho futhi ivimbela i-prolapse ukuthi ingabuyi. Abantu abaningi bathola ukuthuthuka okukhulu ekhwalithi yempilo yabo emasontweni ambalwa kuya ezinyangeni ngemva kokuhlinzwa.

Udokotela wakho ohlinzayo uzoqapha ukululama kwakho ngokuqokwa okulandelayo, ngokuvamile okuhlelelwe emasontweni ambalwa ngemva kokuhlinzwa, bese kuba ngezikhathi ezinde. Ngesikhathi salezi zivakashi, udokotela wakho uzohlola ukuthi indawo yokuhlinzwa iyaphola kahle nokuthi awutholi izinkinga.

Izimpawu zokuhlinzwa okuphumelelayo zihlanganisa ikhono lokuba nokuhamba kwamathumbu okuvamile, ukukhululeka ebuhlungwini noma ekuphathekeni kabi, kanye nokungabi khona kokuphuma ngaphandle okubonakalayo. Udokotela wakho uzohlola futhi ukuthi ubuyele yini ekulawuleni okujwayelekile kokuhamba kwamathumbu akho, nakuba lokhu kuthuthuka kungase kuthathe izinyanga eziningana.

Abanye abantu bahlangabezana nezinguquko zesikhashana emikhubeni yamathumbu ngemva kokuhlinzwa, njengokuhamba kwamathumbu kaningi noma izinguquko ekwakhekeni kwendle. Le miphumela ivame ukuthuthuka njengoba umzimba wakho uphola. Ithimba lakho lokunakekelwa kwezempilo lizokusiza ukuthi uqonde ukuthi yini ejwayelekile ngesikhathi sokululama nokuthi nini okufanele ufune ukunakekelwa okwengeziwe.

Ziyini izici eziyingozi zokuphuma ngaphandle kwamathumbu?

Ukuqonda izici eziyingozi zokuphuma ngaphandle kwamathumbu kungakusiza ukuthi uqaphele ukuthi kungani lesi simo sithuthuka nokuthi ubani ongase abe nethuba elikhulu lokusithola. Nakuba noma ubani engathuthukisa ukuphuma ngaphandle kwamathumbu, izici ezithile zikhuphula amathuba akho.

Ubudala buyinye yezici eziyingozi ezinkulu, ngoba lesi simo sivamile kakhulu kubantu abaneminyaka engaphezu kwengu-50. Abesifazane bathinteka kaningi kunamadoda, ikakhulukazi labo abaye baba nokukhulelwa okuningi noma ukubeletha okunzima. Ukwelulwa nokuba buthakathaka kwemisipha ye-pelvic ngesikhathi sokuzalwa kungaholela ekuphumeni ngaphandle kamuva empilweni.

Ukuqunjelwa okungapheli nokuzama ngesikhathi sokuhamba kwamathumbu kubeka ingcindezi eyengeziwe emgqeni futhi kunganciphisa izicubu ezisekelayo ngokuhamba kwesikhathi. Izimo ezibangela ukukhwehlela okuqhubekayo, njengesifo samaphaphu esingapheli, nazo zingakhuphula ingcindezi esiswini futhi zibe nomthelela ekuthuthukiseni ukuphuma ngaphandle.

Ezinye izici eziyingozi zihlanganisa ukuba nokuhlinzwa kwe-pelvic ngaphambilini, izimo ezithile zofuzo ezithinta izicubu ezixhumanisayo, nezinkinga zemizwa ezithinta imizwa elawula umgqomo. Abanye abantu bazalwa benezicubu ezixhumanisayo ezibuthakathaka ezenza ukuthi bathambekele ekuphumeni ngaphandle phakathi nempilo yabo.

Ziyini izinkinga ezingaba khona zokuhlinzwa kokuphuma ngaphandle kwamathumbu?

Ngenkathi ukuhlinzwa kwe-rectal prolapse ngokuvamile kuphephile futhi kuyasebenza, njenganoma yiluphi uhlobo lokuhlinzwa, kuletha ezinye izingozi. Ukuqonda lezi zinkinga ezingase zibe khona kungakusiza ukuthi wenze isinqumo esinolwazi futhi wazi ukuthi yini okufanele uyibheke ngesikhathi sokululama.

Izinkinga ezivamile ezingenzeka ngemva kokuhlinzwa zihlanganisa ukopha, ukutheleleka endaweni yokuhlinzwa, nobunzima besikhashana ngamathumbu. Abanye abantu bahlangabezana nezinguquko emikhubeni yabo yamathumbu, njengokwanda kwesidingo noma imvamisa, okuvame ukuthuthuka ngokuhamba kwesikhathi njengoba umzimba uzivumela.

Izinkinga ezingathi sína kodwa ezingavamile zingahlanganisa ukulimala kwezitho eziseduze, njengomchamo, imithambo yegazi, noma imizwa. Ezimweni ezingavamile, i-prolapse ingase ibuye, idinga ukuhlinzwa okwengeziwe. Abanye abantu bathuthukisa ukunamathela (izicubu ezinamanxeba) ezingabangela ukuvaleka kwamathumbu, nakuba lokhu kungavamile.

Izinkinga zomsebenzi wezocansi ngezinye izikhathi zingenzeka, ikakhulukazi ngezindlela zokuhlinzwa zesisu, ngenxa yokulimala okungenzeka kwemizwa. Nokho, odokotela abahlinzayo abanekhono banakekela kakhulu ukuvikela le mizwa ebalulekile ngesikhathi senqubo. Abantu abaningi balulama ngokugcwele ngaphandle kwanoma yiziphi izinkinga eziqhubekayo.

Ithimba lakho lokuhlinzwa lizokuqapha eduze ngesikhathi sokululama futhi linikeze imiyalelo ecacile mayelana nezimpawu zokuxwayisa okufanele uzibheke. Ukufuna ukunakekelwa kwezokwelapha okusheshayo nganoma yiziphi izimpawu ezikhathazayo kungasiza ekuvimbeleni izinkinga ezincane ukuthi zingabi izinkinga ezingathi sína.

Kufanele ngibone nini udokotela nge-rectal prolapse?

Kufanele ubone udokotela uma uqaphela noma yiziphi izicubu eziphuma emgodini wakho wangemuva, ikakhulukazi uma zingabuyi zodwa noma zibangela ubuhlungu. Ukuhlolwa nokuphathwa kwasekuqaleni kungavimbela isimo ukuthi singabi sibi futhi sithuthukise imiphumela yakho yesikhathi eside.

Hlela i-aphoyintimenti uma uhlangabezana nezinguquko eziqhubekayo emikhubeni yakho yamathumbu, njengobunzima bokulawula ukuhamba kwamathumbu, ukuphuma igazi ngesikhathi noma ngemva kokuhamba kwamathumbu, noma umuzwa wokuthi awukwazi ukuwakhumula ngokuphelele amathumbu akho. Lezi zimpawu zingase zikhombe ukuthi kukhona i-rectal prolapse noma esinye isimo esidinga ukunakekelwa kwezokwelapha.

Funana nosizo lwezokwelapha ngokushesha uma unobuhlungu obukhulu, ukuphuma igazi ngokweqile, noma uma izicubu eziprolapsi ziba mnyama, zibanda, noma zibuhlungu kakhulu. Lezi zimpawu zingase zikhombe ukuthi ukuhlinzekwa kwegazi ezicutshini kulimele, okudinga ukwelashwa ngokushesha ukuvimbela izinkinga ezinzima.

Ungazizwa unamahloni ngokuxoxa ngalezi zimpawu nomhlinzeki wakho wezempilo. I-Rectal prolapse yisimo esivamile sezokwelapha, futhi udokotela wakho unokuqeqeshwa nolwazi lokukusiza ukuthi uzizwe ukhululekile ngenkathi ebhekana nezinkinga zakho ngempumelelo.

Imibuzo evame ukubuzwa mayelana nokuhlinzwa kwe-rectal prolapse

Q.1 Ingabe ukuhlinzwa kwe-rectal prolapse kulungile ekuthuthukiseni izinga lempilo?

Yebo, ukuhlinzwa kwe-rectal prolapse kusebenza kahle kakhulu ekuthuthukiseni izinga lempilo kubantu abaningi. Ucwaningo lubonisa ukuthi ama-85-95% eziguli zithola ukuthuthuka okukhulu ezimpawini zazo ngemva kokuhlinzwa. Le nqubo ngokuvamile ixazulula i-prolapse ebonakalayo futhi isiza ukubuyisela ukusebenza kwamathumbu okuvamile.

Abantu abaningi babika ukuzizwa benethemba futhi bekhululekile ezimweni zomphakathi ngemva kokuhlinzwa. Amahloni nokukhathazeka okuhambisana nezimpawu zamathumbu ezingaqinisekile ngokuvamile kuyaxazululeka, okuvumela iziguli ukuthi zibuyele emisebenzini yazo ejwayelekile, imikhuba yokuzivocavoca, kanye nokuzibandakanya komphakathi ngaphandle kokukhathazeka.

Q.2 Ingabe ukuhlinzwa kwe-rectal prolapse kubangela izinkinga zamathumbu zesikhathi eside?

Ukuhlinzwa kwe-rectal prolapse ngokuvamile kuthuthukisa ukusebenza kwamathumbu kunokubangela izinkinga zesikhathi eside. Kodwa-ke, abanye abantu bangase bahlangabezane nezinguquko zesikhashana emikhubeni yamathumbu ezinyangeni zokuqala ngemva kokuhlinzwa njengoba umzimba wabo uzivumela ukulungisa.

Ngezikhathi ezithile, iziguli zingase zibe nezimpawu ezintsha njengokwanda kokuvama kwamathumbu noma ukugijima, kodwa lezi zinto zivame ukuba mnene futhi zithuthuke ngokuhamba kwesikhathi. Iningi labantu lithola ukuthi ukusebenza kwamathumbu abo kungcono ngemva kokuhlinzwa kunalokho okwakunjalo ngaphambi kokuhlinzwa, ngokuqiniswa kokulawula nokungakhululeki okuncane.

Q.3 Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa kwe-rectal prolapse?

Isikhathi sokululama siyahlukahluka kuye ngendlela yokuhlinzwa kanye nenqubo yakho yokuphola. Abantu abaningi bangakwazi ukubuyela emisebenzini elula phakathi kwamasonto angu-1-2 ngemva kokuhlinzwa, nakuba ukululama okuphelele kuvame ukuthatha amasonto angu-6-8. Izindlela zesisu zingase zidinge izikhathi zokululama ezinde kancane kunezindlela ze-perineal.

Kungenzeka udinga ukugwema ukuphakamisa izinto ezisindayo nemisebenzi eqinile amasonto angu-4-6 ukuze uvumele ukuphola okufanele. Abantu abaningi bangakwazi ukubuyela emsebenzini phakathi kwamasonto angu-2-4, kuye ngezidingo zomsebenzi wabo. Udokotela ohlinzayo uzohlinzeka ngemihlahlandlela ethile esekelwe esimweni sakho futhi aqaphe inqubekela phambili yakho ngesikhathi sokuqokwa okulandelayo.

Q.4 Ingabe i-rectal prolapse ingabuyela ngemva kokuhlinzwa?

I-Rectal prolapse ingabuyela ngemva kokuhlinzwa, kodwa lokhu kwenzeka kuphela cishe ku-2-5% wamacala uma ukuhlinzwa kwenziwa odokotela abahlinzayo abanolwazi. Ingozi yokuphindeka incike ezintweni ezinjengobuchwepheshe bokuhlinzwa obusetshenzisiwe, impilo yakho yonke, nokuthi ngabe izinto eziyingozi ezingaphansi ziyabhekwana yini.

Ukulandela imiyalelo kadokotela ohlinzayo ngemva kokuhlinzwa, ukugcina imikhuba emihle yamathumbu, nokubhekana nezinkinga ezinjengokuqina kwamathumbu okungapheli kungasiza ekunciphiseni ingozi yokuphindeka.

Q.5 Iyini izinga lempumelelo lokuhlinzwa kwe-rectal prolapse?

Ukuhlinzwa kwe-Rectal prolapse kunezinga elihle lempumelelo, lapho ama-90-95% eziguli ethola ukuxazululwa okuphelele kwe-prolapse yawo. Le nqubo ithathwa njengenye yezindlela zokwelapha eziphumelela kakhulu ekuhlinzweni kwe-colorectal, enamazinga aphezulu okwaneliseka kwesiguli kanye namazinga aphansi okuyinkimbinkimbi.

Impumelelo ayilinganiswa nje ngokulungisa ukuphuma kwesitho, kodwa futhi ngokuthuthukisa ukusebenza kwamathumbu, ukunciphisa ubuhlungu, nokuthuthukisa izinga lempilo. Iningi leziguli libika ukuthuthuka okukhulu kuzo zonke lezi zindawo ezinyangeni ezimbalwa ngemuva kokuhlinzwa, okwenza kube yindlela yokwelapha esebenza kahle kakhulu kulesi simo.