Rectal prolapse kho

Rectal prolapse kho yog phais kho qhov ua pob paws. Qhov no yog qhov mob uas qhov kawg ntawm txoj hnyuv (hu ua lub qhov quav) lo tawm los ntawm lub qhov quav.

Rectal prolapse tuaj yeem yog ib nrab, koom nrog tsuas yog sab hauv ntawm txoj hnyuv (mucosa). Los yog, nws yuav tiav, cuam tshuam nrog tag nrho phab ntsa ntawm lub qhov quav.

Rau feem ntau ntawm cov neeg laus, kev phais yog siv los kho lub qhov quav vim tsis muaj lwm txoj kev kho tau zoo.

Cov menyuam yaus ntawm lub qhov ntswg prolapse tsis tas yuav tsum tau muaj kev phais mob, tshwj tsis yog lawv cov prolapse tsis zoo li sijhawm. Hauv cov menyuam mos, prolapse feem ntau ploj yam tsis tau kho.

Feem ntau cov kev phais mob rau txoj kev tso ntshav tawm ntawm lub qhov quav yog ua raws li kev siv tshuaj loog. Rau cov neeg laus lossis cov neeg mob hnyav dua, yuav tsum siv tshuaj pleev ib ce rau pob txha los yog txha caj qaum.

Muaj peb hom kev phais txhawm rau txhawm rau kho qhov quav ntawm lub qhov ncauj. Koj tus kws phais mob yuav txiav txim siab saib qhov twg zoo tshaj rau koj.

Rau cov neeg laus noj qab nyob zoo, kev ua kom mob plab muaj qhov zoo ua tiav. Thaum koj tab tom siv tshuaj loog, tus kws kho mob txiav phais hauv plab thiab tshem ib feem ntawm txoj hnyuv. Qhov quav yuav txuas nrog (sutured) rau ntawm daim ntaub uas nyob ib puag ncig nws thiaj li yuav tsis xaub thiab poob tawm los ntawm qhov quav. Qee zaum, cov ntaub ua kom me me tau muab qhwv ntawm lub qhov quav kom pab nws nyob hauv qhov chaw. Cov txheej txheem no tseem tuaj yeem ua nrog kev phais laparoscopic (tseem hu ua keyhole lossis telescopic phais).

Rau cov neeg laus lossis cov muaj lwm yam mob, txoj hau kev los ntawm qhov quav (txoj kev xav ua ke) yuav tsis muaj kev pheej hmoo. Nws kuj tseem tuaj yeem ua rau mob me ntsis thiab ua rau kom rov zoo dua. Tab sis nrog txoj hauv kev no, qhov kev tawm mus ntev yuav rov qab los (rov tshwm sim dua).

Ib qho ntawm kev phais mob mus rau hauv lub qhov quav yuav muaj kev tshem tawm ntawm lub qhov quav thiab txoj hnyuv tawm thiab tom qab ntawv ntxiv lub qhov quav mus rau cov ntaub so ntswg puag ncig. Txoj kev ua no tuaj yeem ua raws li dav dav, dav dav, lossis mob pob txha.

Cov neeg tsis muaj zog lossis cov neeg muaj mob yuav xav tau cov txheej txheem me dua uas ntxiv dag zog rau cov leeg nqaij. Cov txheej txheem no ua rau cov leeg ua ke nrog txoj hlua khi ntawm lub ntsej muag muag lossis ua ib txoj raj silicone. Cov hau kev no tsuas yog siv kho txhim kho luv luv thiab siv tau tsawg.

Kev phom sij ntawm cov tshuaj loog thiab kev phais mob suav nrog:

• Kev tsis haum tshuaj, teeb meem ua pa
• Los ntshav, ntshav txhaws, kis kab mob

Kev phom sij ntawm qhov kev phais mob suav nrog:

• Kab mob. Yog tias ib daim ntawm qhov quav lossis lub nyuv raug tshem tawm, txoj hnyuv xav tau txuas nrog. Tsawg tsawg zaus, qhov kev sib txuas no tuaj yeem xau, ua rau kis mob. Yuav muaj ntau cov txheej txheem ntxiv los kho tus mob.
• Cem quav muaj ntau heev, txawm hais tias neeg feem ntau tau cem quav ua ntej txoj kev phais mob.
• Nyob hauv qee leej neeg, kev tswj tus kheej (plob tsis so tswj) yuav mob ntau ntxiv.
• Rov qab los ntawm prolapse tom qab mob plab los yog perineal phais.

Thaum 2 lub lis piam ua ntej koj phais:

• Koj yuav tau hais kom tsum tsis txhob noj tshuaj uas ua rau koj cov ntshav txhaws nyuaj. Qee qhov ntawm no yog cov tshuaj aspirin, ibuprofen (Advil, Motrin), vitamin E, warfarin (Coumadin), clopidogrel (Plavix), ticlopidine (Ticlid), thiab apixaban (Eliquis).
• Nug koj tus kws saib xyuas kev noj qab haus huv seb koj yuav tsum tau noj cov tshuaj hnub twg hnub phais koj tus mob.
• Yog koj haus luam yeeb, sim nres. Nug koj tus kws khomob kom pab.
• Nco ntsoov qhia koj tus kws phais mob yog tias koj muaj mob ua ntej kev phais mob. Qhov no suav nrog kev mob khaub thuas, mob khaub thuas, herpes flare-up, teeb meem tso zis, lossis lwm yam mob.

Hnub ua ntej koj phais:

• Noj tshais me ntsis thiab noj su.
• Yuav kom koj hais kom haus dej ntshiab nkaus xwb xws li kua txiv, kua txiv ntshiab, thiab dej nyob rau yav tav su.
• Ua raws li cov lus qhia txog thaum twg kom txhob noj lossis haus.
• Tej zaum lawv yuav kom koj siv cov tshuaj uas yog tso quav lossis tshuaj rau plab kom tshem tau koj txoj hnyuv tawm. Yog tias muaj, ua raws nraim cov lus qhia no.

Hnub koj phais:

• Noj cov tshuaj uas koj tus kws kho mob hais kom koj nqa nrog lub pas dej me me.
• Nco ntsoov tuaj txog tsev kho mob kom ncav sijhawm.

Lub sijhawm koj nyob hauv tsev khomob ntev npaum li cas yog nyob ntawm tus txheej txheem. Rau txoj kev qhib plab nws yuav yog 5 txog 8 hnub. Koj yuav mus tsev sai dua yog tias koj tau phais mob laparoscopic. Qhov nyob twj ywm rau phais mob perineal yuav yog 2 rau 3 hnub.

Koj yuav tsum ua kom zoo nyob rau 4 txog 6 lub lim tiam.

Qhov phais feem ntau ua haujlwm zoo los kho kho cov mob prolapse. Cem quav thiab tus kheej tsis tuaj yeem yog qhov teeb meem rau qee tus neeg.

Tus mob hlaws pob tw; Txoj kev phais qhov quav prolapse

• Rectal prolapse kho - koob

Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Nyuv thiab qhov quav. Hauv: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Phau Ntawv Txog Kev phais mob: Txheej Txheem Qoob Loo ntawm Kev xyaum phais mob niaj hnub. 20 tus ed. Philadelphia, PA: Elsevier; 2017: chap 51.

Russ AJ, Delaney CP. Lub pob txha prolapse. Hauv: Fazio Lub Caij VW, Lub Koom Txoos JM, Delaney CP, Kiran RP, eds. Kev Kho Mob Tam Sim No nyob rau Colon thiab Rectal Kev Kho Mob. 3lawm ed. Philadelphia, PA: Elsevier; 2017: chap 22.