Thumbo prolapse: zimayambitsa, zizindikiro, chithandizo

Thumbo prolapse akuvutika ochepa odwala, vuto si wamba. Komabe, panali chizolowezi ponso matenda zisakuyenda bwino. Thumbo prolapse (wotchedwa matendawa) pakokha moyo pachiswe, kupatula mu milandu kugwa, koma amapereka zambiri anachitazi wodwalayo. Choncho, aliyense azidziwitsidwa, kudziwa zizindikiro za matenda, kukhwimitsa yake kuti kupewa ndi kuchiza.

Thumbo prolapse - ndi chiyani ichi?

Mu matenda mmunsi mwa rectum, ndilo pang'ono pamwamba chotulukira, ndipo anatambasula, ndipo makina Pamene mavuto imagwera kunja. Loss nthawi zambiri amayamba ndi ofooka kumatako sphincter, chifukwa incontinence kungakhale ntchofu ndi ndowe. Zithunzi ndi zithunzi za prolapse thumbo akusonyeza zizindikiro za matenda - pa rectum ndi mmunsi mwa masamba ake njira.

Matenda nthawi zonse kumabweretsa kuwawa pa defecation, maganizo kusapeza, yodziwika ndi sphincter mkodzo (magazi, mamina). Thumbo prolapse ndi owopsa kwa ana ndi akulu omwe.

Mu kusintha pathological zimachitika motsatizana m'munsi rectum (osachiritsika zone ake), gawo kuonekera woyankhula imene imafika mpaka 20 cm m'litali.

matenda ndi yotopetsa, zovuta, ngakhale kufa. Symptomatology amachepetsa khalidwe la moyo, lomwe kumaonekera psyche odwala. Mu matenda Proctologic thumbo prolapse ali ndi chiwerengero chochepa cha mndandanda okwana matenda. Kodi apezeke pa msinkhu wina uliwonse, ngakhale ana. Zinaonetsa kuti anthu vutoli zambiri wapezeka. Madokotala analimbikitsa kutenga zofunika zodzitetezera kwambiri.

Thumbo prolapse: Zoyambitsa

Zimayambitsa prolapse thumbo zimagawidwa m'magulu awiri: opanga ndi zinanso.

Gulu loyamba (kubala) ndi izi:

• zonse Yosefera ndi rectum, monga kudzimbidwa kawirikawiri;
• Zovuta pobereka, pamene anapanga misozi perineal ndi minofu maganizo a mafupa a chiuno ndi;
• ntchito ikuchitika pa intestine ya;
• lolemera ntchito thupi pamene dongosolo akulu zonse pano, kuthamanga kwapakati pa-m'mimba;
• sacral gawo mu njira iliyonse anavulala;
• pa matumbo zilonda mucosal anapanga.

Pali zinthu zina prolapse thumbo. Photos ndi zithunzi kutsimikizira kuli mbali anthu anatomical. Nthawi imeneyi, pali zinanso zomwe zimayambitsa:

• kudwala kwa minofu m'chiuno;
• sphincter ali otsika minofu kamvekedwe;
• kuthamanga m'mimba;
• kukulitsa mu rectum;
• anatambasula minofu intestine;
• matumbo elongation bryzzheyka;
• coccyx ndi ofukula;
• mimba kovuta, kubadwa kovuta.

Powasamalira makamaka pathologies zachipatala kuti okhudza zokonda atsopano kugonana. N'zothandiza chinthu cha zosayembekezereka wa prolapse thumbo akhoza kuyima chowawa kukondoweza kwa chotulukira lapansi. Chifukwa cha zimenezi, simuli ululu, komanso thumbo prolapse.

Mitundu ndi masiteji

Matendawa ali ndi njira zotsatirazi kuti kufanizitsa awo:

• Dontho anatsimikiza kuloza pansi kutsogolo khoma - ndi hernial chimake. Kumachitika pamene ofooka minofu m'chiuno, ndi kuwonjezeka mu kuthamanga m'mimba. Nembanemba mucous ya rectum ndi cholizira ndi yochotsa kunja.
• Mkati mucosa chotulukira amapezeka indentation wa sigmoid kapena rectum, palibe linanena bungwe kupitirira - ndi invaginated mwina.

Chikhazikitso cha njira matenda proctology olekanitsidwa thumbo siteji matenda prolapse (mlingo):

• Kulipidwa gawo laling'ono. Mu ndondomeko ya defecation limapezeka eversion pang'ono intestine. m'matumbo yekha amabwera pa mapeto a dongosolo la mpando ku malo ake apachiyambi.
• Subcompensated, chozama siteji. Intestine kugwa, monga mmene zinalili poyamba, koma akubwerera ku malo ake apachiyambi pang'onopang'ono pamene pali chowawa syndromes, kukha mwazi.
• Mphumu, siteji kwambiri. Thumbo prolapse osati pa defecation, komanso kuthamanga kwapakati pa-m'mimba, voteji iliyonse, osati kuchepetsa m'matumbo yekha. Kaŵirikaŵiri amawonekera magazi zavuta fecal incontinence, gasi. Sphincter ndi nthawi yaitali mu mkhalidwe omasuka.
• Decompensated kwambiri, siteji okhazikika. Ngati ntchito iliyonse thupi, mu malo aliwonse (pansi, aimirira) imfa kumachitika intestine. njira Necrotic osauka mucosa, ndi kuchititsa magazi, kuyabwa, kupweteka.

Zizindikiro ndi zizindikiro za matenda, mavuto

Kukula kwa matendawa angayambe zoyenda pang'onopang'ono, ndipo angayambe mwadzidzidzi. Nthawi zambiri akufotokozera pang'onopang'ono prolapse. The lokha pa defecation kumachitika poyamba imfa intestine. Ndi kupitirira matendawa ayenera kuchepetsa malo imene imagwera pa voteji iliyonse.

imfa yadzidzidzi lingachititse mwadzidzidzi kulumpha intraabdominal kuthamanga pa choopsa nkhawa thupi. Imfa lakuthwa, ululu amphamvu, yomwe INGATHE kuyambitsa chikhalidwe cha mantha, ndipo ngakhale kuti ligwe.

Zizindikiro za prolapse thumbo:

• chotulukira ukapezeka thupi yachilendo zotengeka;
• pafupipafupi onyenga limatilimbikitsa kuti mchitidwe wa defecation;
• kupweteka m'thupi mwa chotulukira ya;
• palibe kuthekera kwa containment wa ndowe ndi mpweya.

Pa imfa ya zilonda magazi uka, yovulala ziwiya. Ngati muli ndi zina zizindikiro za prolapse thumbo, chithandizo cha mankhwala wowerengeka ndi chodziwikiratu kuti akuthandizeni. Nthawi yomweyo kupempha thandizo dokotala. Pamene alowererepo belated wa mawonetseredwe zotheka mavuto ndi dongosolo la mkodzo, pali siudzalandilidwa ngathi lamulo la rectum.

zotsatira zowawa thumbo prolapse zingakhale:

• matumbo kutsekeka;
• peritonitis.

Chitetezo cha m'thupi la thupi pa nthawi yomweyo ali kwambiri yafupika, munthu amakhala olumala. Mantha dongosolo ndi mwa mavuto nthawi zonse, wodwalayo kukwiya amadwala mphwayi ndi neuroses.

diagnostics

Mu matenda a thumbo prolapse dokotala ayenera kuphunzira mwatsatanetsatane mbiri ya zachipatala kuti aone dera anorectal. Tikumbukenso kuti zizindikirozo akalipo yekha mu magawo patsogolo. Poyamba, matenda si visualized. Natuzhitsya wodwala kudzera "squat" kapena "pa mpando." Pamene matenda chilonda zikutsimikiziridwa. Thiabendazole angagwiritsidwe ntchito Kupenda digito, wodwala uyu ali mu mpando kuonerera. Kuzionetsetsa, dokotala amayankha minofu kamvekedwe ndi elasticity wa chotulukira lapansi. Ngati kuchuluka kwa Yosefera ndi rectum kumawonjezera zikuchepa, ndiye amasonyeza matenda.

Pofuna kudziwa mlingo wa prolapse thumbo, woikidwa defekografiya. Pa ndondomeko yoyerekeza kuchita defecation, pamene mafano radiographic ndi iye dokotala adzaona zovuta kuvutika zinchito ndi anatomical, kudziwa njira opaleshoni.

Anorectal manometry amathandiza kuti asa- kugwira ntchito kwa minofu kuti zili padziko matumbo, komanso kuti asa- udindo wawo mu ndondomeko ya defecation.

Ntchito mu njira matenda chida monga colonoscopy, sigmoidoscopy. Njira iliyonse mu matenda amathandiza kuti amalize chithunzi cha matenda, kulongosolerana magawo a matenda.

chithandizo ndiwofatsa

Njira ya chithandizo cha prolapse thumbo zachokera zizindikiro za matenda kafukufuku. dokotala ayenera kudziwa vuto yeniyeni zachipatala. miyeso achire akhoza kugawidwa mu magulu awiri aakulu: ndiwofatsa komanso opaleshoni.

Ngati matenda a "thumbo prolapse" mankhwala ndi njira ndiwofatsa yilungamitsidwa yekha mu magawo oyambirira a matenda. Nthawi zambiri ndikhale wamng'ono kapena wazaka zapakati odwala. Ntchito yaikulu ya mankhwala adzachotsa zimene zimayambitsa zomwe zinachititsa kuti chitukuko cha prolapse. Izi zikuphatikizapo:

• Kudziwika ndi mankhwala a pathologies zonse, zimene zimapezeka mu m'matumbo.
• Normalization wa chopondapo.
• Onetsetsani kuthetsa kudzimbidwa.
• Osati ntchito zonse thupi, kunyamula zitsulo aliyense, katundu.
• moyo kugonana akhale otetezedwa (kuti achotse kukondoweza aliyense wa ndimeyi kumatako).

Wodwalayo, ndikofunika kuti asankhe Zochita komwe idzachitika tsiku ndi tsiku, ndipo kumalimbitsa minofu ya pansi m'chiuno ndi perineum.

Komanso mankhwala ndiwofatsa angakhale m'gulu:

• wothandizila matenda (mlingo jekeseni);
• kutikita ya rectum;
• Physiotherapy (kukondoweza magetsi panopa).

Ndiwofatsa mankhwala njira kungathandize magawo oyambirira a matenda (okha 2/3 milandu). Nthawi zambiri, wodwala chofunika opaleshoni.

chithandizo opaleshoni

Njira mankhwala opaleshoni ya prolapse thumbo kobvuta ndi bwino chaka chilichonse. Masiku ano, pali za makumi asanu alowererepo njira. Kusankha anatsimikiza malingana ntchitoyo. Pogwira opareshoni kumatengera zifukwa zotsatirazi:

• mlingo wa Kukula kwa matendawa;
• munthu mbali anatomical;
• m'badwo wodwalayo;
• thanzi.

Madera waukulu wa opaleshoni ndi:

• Kuchotsa dontho la pansi gawo la rectum.
• Kuchotsedwa pa malo akhudzidwa ya m'matumbo.
• Pulasitiki zovuta miyeso. Unachitikira suturing ya rectum, n'zotheka kusintha zina minofu m'chiuno, matumbo ducts.
• Yonseyi njira angapo opaleshoni.

Modern proctology zambiri ankachita njira suturing ya rectum, ngakhale kuti ndi zochepa zoopsa. Wodwala mosavuta kulekerera alowererepo, ndi kuchira opaleshoni thumbo prolapse chikuchitika mu nthawi yochepa.

Komanso pali njira ya bwino ya chithandizo chopanda magazi a prolapse - laparoscopy. Nthawi pochira mofulumira, chiopsezo cha matenda oyamba ndi chabe.

Pakuti ambiri Zoneneratu opareshoni zabwino kwambiri:

• Kupha zizindikiro.
• Full kuchira.
• Kuwongolera moyo.
• Kupha kupwetekedwa maganizo.

Pambuyo pa opaleshoni ntchito ya sphincter kumatako pang'ono ndi pang'ono kubwerera mwakale, kuwongolera kamvekedwe, ntchito ndi kubwezeretsedwa. Zotsatira zenizeni za mankhwala akhoza adzaweruzidwa chaka chotsatira.

kupewa

Njira zoyezera thumbo prolapse ndi wosavuta. Kuti kuyambitsa chikhalidwe pathological, muyenera kudya bwino: kudya zamasamba zambiri, zipatso, masamba, CHIKWANGWANI, kupatula m'gulu chakudya (ndipo makamaka kukusalani) theka-yomalizidwa mankhwala, kusuta, salting. Ambiri, chakudya athandize kuwala ntchito kapepala kakuti m'mimba (GI thirakiti), kukonza kuchita defecation.

Panthawi yake kuchiza matenda aliwonse thumbo zimene zingachititse kuti prolapse. Muzichita mankhwala thupi, kuchita Zochita kuti kulimbikitsa m'chiuno pansi minofu. Ngakhale ndili mwana Phunzitsani ana anu bwino kupita ku chimbudzi, osati kukankhira molimbika ndiponso kuti motalika mu mphika.

Chenjerani zimamuchulukira zilizonse, kuwatsogolera ndi kuwonjezeka mu kuthamanga kwapakati pa-m'mimba.

Monga kukonzekereratu ndi, proctology ali osavomerezeka kuchita m'njira iliyonse ya kugonana kumatako.

The matenda ana

Thumbo prolapse ana kumaonekera zambiri mu zaka 1-4. Anyamata, kudwala izi zimachitika kawirikawiri (a chiŵerengero cha awiri wina). Prolapse kumachitika chifukwa mavuto alionse matenda m'mimba ndi ukuwonjezeka kuthamanga m'mimba. Zinthu zimene zimachititsa prolapse ya rectum:

• Manja mafuta minofu, chifukwa, osauka fixation ya m'matumbo.
• Kobadwa nako laxity wa perineum lapansi.
• Kutupikana, rickets.
• Kudzimbidwa, m'mimba.
• Kamwazi.
• Long kukhala mu mphika.
• mbali anatomical.
• Vuto la zotupa.

Muyeneranso kulabadira kumakhala kutengera za kumtundu, ndi mtundu wa chakudya, matenda ndi zotheka kusintha osachiritsika.

Zizindikiro koyamba anawona osati mwana. Pamene akuchita defecation mucosa akhoza wriggle mwa ndime ndipo pomwepo kubwerera ku malo achilengedwe. Kudziwa vuto, makolo ayenera kuyendera chotulukira pa chopondapo mwana, kaya ndi Rosette ofiira omwe ikutulukira kuchokera chotulukira lapansi. nthawi yomweyo kupita kwa dokotala pamene vutolo wapezeka.

Ngati mankhwala kulibe, akhoza kuyamba kudwala matendawa. Ndi chitukuko cha hypotension minofu rectum ayamba kugwa iliyonse chopondapo. Nthawi zimenezi, sadzathanso kuti paokha kuchepetsa kufunika kuchita izo pamanja. Ndi chitukuko winanso wa kudwala prolapse angayambe mwana ndi yofinyira aliyense, kutsokomola, kulira, kuseka. Chifukwa cha kufooka kwa minofu sphincter kungakhale fecal incontinence. Siudzalandilidwa ngathi lamulo intestine ankatha kuopseza osati thanzi komanso moyo wa mwanayo, mu nkhani iyi, amathandiza opaleshoni yekha.

Chithandizo cha thumbo prolapse ana

Njira mankhwala thumbo prolapse ana mu magawo oyambirira zochokera ndiwofatsa komanso sclerotherapy. Zolinga za chithandizo ndiwofatsa ndi:

• Kupha kudzimbidwa.
• Zakudya mankhwala ndi kulolerana wa CHIKWANGWANI.
• Kubwezeredwa kwa m'mimba ntchito thirakiti.
• Defecate yekha atagona (kumbuyo kapena kumbali). Wakhala ndikoletsedwa.
• Kuchepa kwa matumbo kulamulira.
• ukhondo okhwima chotulukira lapansi.
• A loyenera mankhwala mankhwala ayenera kuthetsa kutupa kwa mucosa matumbo.

Ngati njira ndiwofatsa ndithu, amachita sclerotherapy.

njira zachokera kumayambiriro wothandizila minofu matenda umene localize mu rectum. Chifukwa cha kukhudzana ndi mankhwala, odwala atrophied minofu adzakhala m'malo ndi chilonda ndi kulumikiza formations. The rectum ali dwi. njira sikawirikawiri ntchito, izo momvetsa analekerera mwana, nthawi zina amayambitsa mavuto.

Pakuti kupewa prolapse ana adakali aang'ono ayenera kuwunika zakudya yake kumatha kudzimbidwa. Phunzitsani mwana msanga kuthetsa okha, osati kukhala nthawi yaitali pa mphika.