Hoʻoponopono hou i ka Rectal

ʻO ka hoʻoponopono ʻana ʻo Rectal prolaps kahi ʻoki e hoʻoponopono ai i kahi prolaps kūpono. ʻO kēia kahi kūlana kahi e pili ai ka hapa hope o ka ʻōpū (i kapa ʻia ʻo ka pololei) ma o ka anus.

Hoʻololi paha ka prolect Rectal, e hoʻopili ana i ka pale o loko o ka ʻōpū (mucosa). A i ʻole, piha paha ia, e pili ana i ka paia āpau o ka pololei.

No ka hapanui o nā mākua, hoʻohana ʻia ke ʻoki e hoʻomaikaʻi i ke kiko no ka mea ʻaʻohe lāʻau lapaʻau maikaʻi ʻē aʻe.

ʻAʻole pono nā keiki me ka prolap pono i ke kahakaha, ke ʻole ka hoʻomaikaʻi o kā lākou prolaps i ka hala o ka manawa. I nā pēpē, nalo pinepine ka prolaps me ka ʻole o ka lāʻau.

ʻO ka hapa nui o nā kaʻina hana no ka prolaps rectal e hana ʻia ma lalo o ka anesthesia ākea. No nā poʻe ʻelemakule a poʻe maʻi paha, e hoʻohana ʻia nā anesthesia epidural a i ʻole spinal.

ʻEkolu ʻano kumu o ke ʻoki e hoʻoponopono hou ai i ka prolaps. E hoʻoholo kāu kaukukuku i ka mea kūpono loa iā ʻoe.

No nā mākua olakino, ʻo kahi kaʻina ʻōpū ka manawa kūpono loa o ka kūleʻa. ʻOiai ʻoe ma lalo o ka anesthesia laulā, hana ke kauka i kahi ʻokiʻoki i loko o ka ʻōpū a hemo i kahi ʻāpana o ke kolona. Pākuʻi ʻia paha ka rectum (sutured) i nā mea a puni e ʻaʻole e paheʻe a hāʻule i waho o ka anus. I kekahi manawa, ʻāwili ʻia kahi ʻāpana palupalu a puni ka ʻaoʻao e kōkua iā ia e noho ma kahi. Hiki ke hana ʻia i kēia mau kaʻina hana me ke kahakaha laparoscopic (ʻike ʻia ʻo keyhole a i ʻole ke kelekona telescopic).

No nā mākua a i ʻole nā ​​mea me nā pilikia olakino ʻē aʻe, ʻoi aku ka liʻiliʻi o ka makaʻu ma ke anus (ke ʻano perineal). Hiki paha ke hōʻemi i ka ʻeha a alakaʻi i kahi ola pōkole. Akā me kēia ala, ʻoi aku ka hoʻi o ka prolaps (recur).

ʻO kekahi o nā hana ʻokiʻoki ma o ka anus e pili ana i ka hemo ʻana i ka rectum prolapsed a me ke kolona a laila suturing i ka pololei i nā nāʻaʻa puni. Hiki ke hana i kēia kaʻina hana ma lalo o ka laulā, epidural, a i ʻole ka anesthesia spinal.

Pono paha ka poʻe palupalu a maʻi paha i kahi kaʻina hana liʻiliʻi e hoʻokūpaʻa ai i nā mākala sphincter. Hoʻopuni kēia ʻenehana i nā mākala me ke kāʻei o ka hei palupalu a i ʻole ka paipu silicone. Hāʻawi kēia ala i kahi hoʻomaikaʻi pōkole wale nō a ʻaʻole hoʻohana pinepine ʻia.

Nā pilikia o ka anesthesia a me ke kahakaha ʻana ma:

• Nā hopena i nā lāʻau, nā pilikia hanu
• Kahe ʻana o ke kahe, ke koko, maʻi

ʻO nā pōʻino o kēia ʻoki ʻana:

• Maʻi kīnā. Inā hoʻoneʻe ʻia kahi ʻāpana o ke kīʻaha a kolona paha, pono e hoʻohui hou i ka ʻōpū. I nā hihia maʻamau, hiki ke hoʻokahe i kēia pilina, e hopena ana i ka maʻi. Pono hou ʻia nā kaʻina hana e mālama ai i ka maʻi.
• Kūleʻa ka paʻa paʻa, ʻoiai ka hapanui o ka poʻe i ka maʻi kōpī ma mua o ke ʻoki.
• I kekahi mau kānaka, hiki i ka incontinence (nalo ʻana o ka ʻōpū o ke ʻōpū) ke ʻoi aku ka hewa.
• Hoʻihoʻi o ka prolaps ma hope o ke kolo ʻana o ka ʻōpū a i ʻole perineal.

I loko o 2 mau pule ma mua o kou ʻoki kino:

• E noi ʻia paha ʻoe e haʻalele i ka lawe ʻana i nā lāʻau e paʻakikī ai ke kō ʻana o kou koko. ʻO kekahi o kēia mau aspirin, ibuprofen (Advil, Motrin), wikamina E, warfarin (Coumadin), clopidogrel (Plavix), ticlopidine (Ticlid), a me apixaban (Eliquis).
• E noi i kāu mea mālama ola i nā lāʻau e pono ai ʻoe e lawe i ka lā o kou ʻoki ʻana.
• Inā puhi ʻoe, hoʻāʻo e kū. E noi i kāu mea hāʻawi mai i kōkua.
• E pono e haʻi aku i kāu kauka inā loaʻa ʻoe i ka maʻi ma mua o kou ʻoki ʻana. Hoʻopili kēia i ke anuanu, ka maʻi palū, ka herpes flare-up, nā pilikia mimi, a i ʻole nā ​​maʻi ʻē aʻe.

ʻO ka lā ma mua o kou ʻoki ʻana:

• E ʻai i ka ʻaina kakahiaka māmā a me ka ʻaina awakea.
• ʻ toldlelo ʻia paha ʻoe e inu i nā wai wale nō e like me ka broth, wai momona, a me ka wai i ka ʻauinalā.
• E hāhai i nā ʻōkuhi e pili ana i ka wā e hōʻoki ai i ka ʻai a me ka inu ʻana
• ʻ belelo ʻia paha ʻoe e hoʻohana i nā enemas a i ʻole nā ​​laxatives e hoʻomaʻemaʻe i kou ʻōpū. Inā pēlā, e hāhai pono i kēlā mau ʻōlelo aʻo.

I ka lā o kou ʻoki kino:

• E lawe i nā lāʻau a kou mea hoʻolako i kauoha aku ai iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E hōʻea pono i ka haukapila i ka manawa kūpono.

Pehea kou lōʻihi e noho ai i ka haukapila e pili ana i ke kaʻina hana. No nā ʻōpū ʻōpū hāmama he 5 a 8 paha mau lā. E hoʻi koke ʻoe i ka home inā loaʻa iā ʻoe kahi ʻoki laparoscopic. ʻO ka noho no ke kahakaha perineal he 2 a 3 mau lā paha.

Pono ʻoe e hoʻōla piha i 4 a 6 mau pule.

Hana maikaʻi ke ʻōpala i ka hoʻoponopono hou ʻana i ka prolaps. Hiki i nā pilikia ka paʻa paʻa a me ka hoʻomau ʻole i mau pilikia no kekahi poʻe.

ʻOki kino prolect pono; ʻOki kino anal

• Hoʻoponopono hou prolect - kaʻina

Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Kolona a me ka pololei. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery: Ke kumu kumu olaola o ka hana ʻoki ʻana o kēia ao. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 51.

ʻO Russ AJ, Delaney CP. Hoʻolaha kūpono. I: Fazio ka Late VW, Church JM, Delaney CP, Kiran RP, eds. ʻO ka Therapy i kēia manawa ma Kolona a me nā ʻoki pono Rectal. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2017: chap 22.