Rectum: matenda zizindikiro. Zizindikiro za matenda akuluakulu a rectum

Matenda a rectum amuna ndi akazi - imodzi mwa nkhani zambiri, owonetsetsa kuti ndi othandizanso. Mwina onse chifukwa ambiri manyazi pofuna thandizo kwa katswiri.

The matenda oopsa kwambiri zingakhudze m'matumbo - khansara. Ngati mitundu ina ya zotupa, yodziwika asymptomatic iye. Choncho, m'pofunika kulabadira kusintha kulikonse mu rectum.

Rectum: matenda, zizindikiro, chithandizo

Rectum - m'chiuno limba kuti ndi mbali ya chitetezo cha m'mimba ndi lakonzedwa kuti kuchotsa kwa thupi la kukonzedwa zakudya (ndowe).

Rectum kumayamba mlingo wa chachitatu sacral msana komanso limatha ndi chotulukira lapansi. M'litali avareji 15-17 cm.

Thupi imakhala ya mucosa, submucosa ndi minofu wosanjikiza. Chifukwa nyumba imeneyi, mucosa akhoza ankatembenukira - kusonkhanitsa mu makutu kapena akulimbana malingana mopanikizana ya rectum.

Thupi waukulu ntchito - kayendedwe matumbo. Pamaziko a ntchito zake, rectum kwambiri atengeke zosiyanasiyana kuvulala ndi matenda.

Ena mwa matenda wamba - fractures, ndi tizilombo ting'onoting'ono, proctitis, zotupa, zilonda za m'mimba, matenda a khansa. Zizindikiro zomwezo za matenda thumbo anganene kuti matenda osiyanasiyana. Ngati matenda alionse muyenera yomweyo kufunsa dokotala. Amachita ndi mavuto mwachindunji proctologist intestine.

Tizilombo ting'onoting'ono mu rectum: Zizindikiro

Tizilombo ting'onoting'ono - chosaopsa zotupa pa epithelium ya m'matumbo. Fibrosing ndi kusiyanitsa adenomatous, villous ndi tizilombo ting'onoting'ono angapo wosanganiza mtundu.

• tizilombo ting'onoting'ono fibrous anapanga kwa minofu connective.
• Adenomatous - kuchokera m'mawere minofu (mtundu uwu ndi tizilombo ting'onoting'ono ndi owopsa chifukwa akhoza kungayambitse khansa).
• Villous tizilombo ting'onoting'ono - zophuka wa epithelium, omwe ambiri papillae, villi.
• Wosanganiza ndi tizilombo ting'onoting'ono - osakaniza mitundu m'mbuyomu.

Zimayambitsa waukulu matenda - Kwatha kutupa mankhwala mu rectum (matenda a m'matumbo, zotupa, enteritis).

Pamene pali tizilombo ting'onoting'ono mu rectum, matendawo akhoza zotsatirazi:

• Magazi pa defecation.
• Mpando chowawa, nthawi zina limodzi ndi magazi.
• Pambuyo kukhudzana ndi matenda achuluke kutentha ndi kuzizira.
• Kudzimbidwa (ngati tizilombo ting'onoting'ono ikuluikulu kukula kwake).
• Timatha za thupi china chotulukira lapansi.

Kumbukirani kuti nthawi wodwalayo kovuta kudziwa mapangidwe ndi tizilombo ting'onoting'ono, kapena kungoti kutukusira kwa rectum - zizindikiro monga akhoza otsutstvovat.

tizilombo ting'onoting'ono Chithandizo ndi opaleshoni. njira ina chabe osamveka ndi kupereka chithandizo okha kwa kanthawi.

tizilombo ting'onoting'ono Yekhayekha anachotsa electrocoagulation (cautery). Zochizira tizilombo ting'onoting'ono lalikulu ntchito transanal excision. Chithandizo tizilombo ting'onoting'ono, amene anayamba kusandulika zilonda, ikuchitika ndi kuchotsa gawo akhudzidwa ya m'matumbo.

Paraproctitis: Zizindikiro ndi Chithandizo

Zizindikiro za matenda m'matumbo mosiyana kwambiri, kapena kwina palimodzi. Mwachitsanzo, chizindikiro chachikulu kusonyeza paraproctitis (purulent kutupa rectum), - kumaliseche a mafinya mu chotulukira lapansi.

Chifukwa cha matenda - mapangidwe m'dera kumatako crypts microperforations (fistulas), chifukwa kudzimbidwa pafupipafupi, kutsekula m'mimba, zitsulo, hypothermia. Zoterezi abscess kapena anatsegula pa okha kapena ndi adokotala. Mu malo ake pali fistula (a abscess aakulu).

Zizindikiro - malaise, kufooka, mutu, kuwonjezereka pang'ono kutentha, kuzizira, zopweteka mu malo. Utachepa kudya. Iwo akhoza kuwona pokodza ndi chopondapo.

Pali njira zosiyanasiyana za abscess:

• Subcutaneous. Zizindikiro - redness, kutupa, kusindikiza kwa chotulukira, amene anatsagana ndi ululu komanso nkhawa.
• M'chiuno, thumbo. Zizindikiro - kufooka ndi kuledzera, mofanana ndi matenda kupuma. Zingakhalenso pokodza chowawa ndi chopondapo.
• Ishiorektalny. Zizindikiro - mapangidwe purulent kutupa kwa fossa ileal-thumbo, matako asymmetry, khungu redness.
• Submucosal. Zinthu zotupa suppurative pa Kakhungu mucous. Zizindikiro amafanana zizindikiro subcutaneous abscess.
• Pelviorektalny. The aakulu mawonekedwe. Zizindikiro - kuzizira, kutentha thupi, m'chiuno ndi m'mimba ululu.
• Necrotizing. Limodzi ndi imfa minofu - necrosis.

The njira yabwino kwambiri ya mankhwala - opaleshoni. Pa opaleshoni, kuchotsedwa osati abscess, komanso pinhole mkati. Pambuyo opaleshoni palibe zisadzachitikenso matendawa.

Zotupa: Zoyambitsa ndi Zizindikiro

Zotupa - ka kufutukuka venous mu rectum, ndilo aakulu ndi exacerbations nthawi.

Zizindikiro Direct matenda matumbo ofanana m'malo zosasangalatsa - kuyabwa, moto, ululu chopondapo, magazi, imfa ya mbali ya m'matumbo.

Chifukwa chachikulu cha matenda - moyo wongokhala pafupipafupi kudzimbidwa, mimba, zitsulo, mwadzidzidzi hypothermia.

Ngati nthendayo ananyalanyaza ndi sanalandire chithandizo, akhoza kukhala chiyambi cha mapangidwe ndi tizilombo ting'onoting'ono, magazi kuundana, khansa. Kotero musati kuvula kudzacheza kwa katswiri. Kugwiritsa ali otchuka chithandizo - makandulo, mafuta munali yaiwisi mbatata, Beets, kaloti, adyo, phula ndi uchi. Kukhazikika bwino tiyi mankhwala (tysyacheletnik, rowan), akupanga a kavalo mgoza.

Musanyalanyaze zizindikiro, pamene chofuna rectum. Matenda omwe zithunzi simudzaliona ku chipatala nthawi zonse, osati chabe "wovuta" koma nthawi zina moyo pachiswe.

Thrombosis haemorrhoid

Vuto ili ndi zotupa zikuchitika chifukwa cha matenda osasamalidwa. Panthawi yake matenda ndi mankhwala a zotupa mu magawo oyambirira kumathandiza chitukuko zina ndiponso musabise.

Komabe, pamene nthendayo ananyalanyaza, pali magazi kuundana, amene madigiri osiyanasiyana mwamphamvu:

Ine - mapangidwe kuundana kuti akuphwanya magazi mu mfundo za. Mbali yaikulu - maonekedwe pafupi chotulukira ndi Knobs kukula ang'onoang'ono.

II - njira yotupa kuyamba. Ululu umakhala wolimba, malungo, kutupa kwa khungu kumawonjezera chotulukira.

III - kufala kwa kutupa mu groin wa zotheka minofu necrosis.

Zizindikiro zazikulu za matenda a rectum, amene ayenera kutsatira:

• Kupweteka kwa chotulukira, perineum.
• Wamagazi chimbudzi.
• Kuyan'anila za kayendedwe matumbo (m'mimba, kudzimbidwa).
• zilakolako zonyenga mu chimbudzi.
• mipweya Incontinence ndi ndowe.

Kumene, matenda a rectum - nkhani yovuta, koma lifunika kuzithetsa. Inu simungakhoze tiyeni zinthu kutenga njira yawo. Apo ayi, musati kupewa mavuto thanzi, makamaka a zotupa zilonda.

Archoptosis

Thumbo prolapse - ndi Anayesetsa kunja zigawo zonse m'matumbo wapotalikira. Zimachitika mofanana nthawi zambiri ana, amuna ndi akazi. Mbali yoyamba izo chafotokozedwa thupi anatomical mwana lachiwiri - kugwira ntchito mwakhama, wachitatu - zimakhudza ndi mwana wake. matenda ambiri rectum mu akazi amagwirizana ndi kubereka.

Nthawi zina zimayambitsa matenda zingakhale choipa matako, akugwa, contusions kapena sacral msana.

Pali madigiri atatu a matenda:

1. M'matumbo imagwera pa matumbo kayendedwe, ndiye imakupatsani kuika.
2. Intestine imagwera pa defecation ndi yaikulu. Bwezani kumbuyo, inu mukhoza muyike pena.
3. Loss zidzachitika kutsokomola, kuseka, ndipo akhozanso kukopeka ndi incontinence fecal, mkodzo.

Zizindikiro za matenda colorectal mu milandu angayambe mwadzidzidzi kapena kuoneka "lomwe likutukuka". ntchofu Choncho nkotheka kapena magazi, kupweteka kwa m'mimba, ndi kudzimbidwa.

Chithandizo prolaksa (imfa m'matumbo) kwambiri efficiently ngati anachita opaleshoni. mankhwala ntchito monga njira zina.

khansa thumbo: chiopsezo gulu

Nthawi zambiri, matenda zimachokeradi pansi msinkhu. Nthawi zonse ali yoyamba njira yotupa mu thupi limene akhala ananyalanyaza osati ankachitira. Ndi mitundu yonse ya fistulae, fissures, ndi tizilombo ting'onoting'ono, zotupa.

chotupa The zambiri zopezeka amene ali fifite. chiopsezo gulu Amakhala ndi anthu:

1. Ndi kutengera za kumtundu.
2. Akudwala dysbiosis.
3. Tonga njira amangokhala moyo.
4. Ndi matenda a shuga kapena amene amadwala kunenepa.
5. Carcinogens nkhanza (fodya, mowa).
6. Amene ali ndi vuto precancerous.

Mwina palibe zoopsa kwambiri ndi zosasangalatsa chikhalidwe, pamene chofuna rectum. Zizindikiro akhale ofanana, koma mankhwala ndi osiyana.

Tiyenera kukumbukira kuti khansa ya m'matumbo kwa nthawi yaitali "atakhala" ali asymptomatic ndipo wapezeka yekha mu gawo metastatic. Choncho, anthu pangozi ayenera mwapadera kuti thupi ili.

Matenda a matenda a rectum

Matenda matenda proctology ntchito zida lalikulu njira zosiyanasiyana:

1. The ambiri molondola ndi odalirika - rectoscopy. Bwaloli wapadera chida oyamba proctoscope (chubu kuyatsa) mu rectum kuti akuya za makumi atatu masentimita. Izi zimathandizanso kudziwa wodwalayo njira zosiyanasiyana yotupa (zilonda, ndi tizilombo ting'onoting'ono, zotupa). ndondomeko amatenga pang'ono cha ululu, koma pafupifupi sabweretsa chisoni. Kugwiritsa proctoscope ndi imaperekanso chithandizo cha matenda a rectum (electrocoagulation).
2. Colonoscopy - kuphunzira rectum ntchito kafukufuku. Ndi ntchito zotupa pa. Contraindications - pachimake ululu, matenda, mtima ndi kulephera m'mapapo mwanga.
3. Biopsy - kuchotsa minofu kapena m'matumbo maselo kwa matenda zina pansi maso a.
4. Endorectal ultrasound (oyamba ndi kachipangizo wapadera).
5. Kuyezetsa magazi, mkodzo, ndowe.

Kudzera njira zosiyanasiyana za kufufuza za rectum kungakhale molondola kwambiri oterewa kutupa aliyense thupi la matenda ndi zotheka kusankha ndondomeko chithandizo chabwino.

Njira matenda proctological

Malinga zovuta za matenda mankhwala pogwiritsa ntchito njira zotsatirazi:

1. Mankhwala. Ntchito pokhapokha mu magawo koyamba matenda. Mothandizidwa ndi mankhwala akhoza kupweteka, kutupa (suppositories, mafuta).
2. Opaleshoni. The njira waukulu ndi opambana pafupifupi 100% ya milandu. Izo ntchito pa siteji iliyonse limodzi ndi mankhwala.
3. Cryosurgery. Mankhwala a zotupa ntchito otsika kutentha. njira ndi mphamvu m'madera osiyanasiyana mankhwala.
4. Laser mankhwala. Zotsatira za matendawa pa cheza mu atomu.
5. Hypothermia. Therapy ndi kutentha. Ntchito ndi kutentha kuchepetsa chipangizo - kuchokera madigiri -5 kuti +35. Hypothermia kawirikawiri amagwiritsidwa ntchito pambuyo opaleshoni, proctitis, fissures.

zakudya mankhwala

Pa matenda osiyanasiyana a rectum ndi azidya osiyana. Mwachitsanzo, ngati pali kudzimbidwa ndi ming'alu amalangiza zakudya nambala 3. Ndicho - kuti monga mu zakudya za matenthedwe ndi makina zikuchitika kuti Zimachititsa rectum. Zomera CHIKWANGWANI yosakongola - nyama, buledi, mazira (zovuta yophika, omelets), nsomba ndi mkaka, dzinthu ndi pasta, mafuta ndi masamba.

Zakudya matenda ya rectum kusintha malinga siteji ya matenda ndipo kwambiri. Mulimonsemo, muyenera kuti achotse mowa ndi enaake zakumwa, zonunkhira, mbale zokometsera, komanso zakudya zina zomwe zimabweretsa flatulence. Chakudya ayenera kukhala moyenera ndi fractional. Musaiwale za mavitamini (zipatso ndi masamba mu mawonekedwe awo zosaphika ndi mu mawonekedwe a madzi).

Pambuyo ntchito mu chotulukira pa tsiku kapena awiri ayenera njala kupewa defecation ndi moyenera, kumatako mkwiyo.

njira Traditional mankhwala

mankhwala ndi matenda thumbo othandiza kwambiri ngati mukudziwa momwe ntchito molondola. Izo ntchito monga mankhwala adjunctive. Anthu kudziwika kwa zikwi maphikidwe kuthetsa osati ululu komanso zizindikiro zina.

maphikidwe onse akhoza kugawidwa mu mitundu iwiri:

1. Pakuti ingestion. Decoctions wa tysyacheletnika, mabanga arum, elderberry, smartweed, nthula, nettle, chamomile.
2. Ntchito apakhungu - makandulo, mafuta, osambira, microclysters. Ntchito celandine ichi, mafuta nyanja buckthorn, camphor mafuta, calendula.

Mulimonsemo, musanagwiritse ntchito mankhwala mankhwala ayenera malangizo proctologist, kapena mankhwala kuwasamalira matenda, koma kuvulaza.

Pomaliza

Matenda ya rectum - nkhani wosakhwima akufunika thandizo chigamulochi. Yaitali kunyalanyaza zizindikiro zimabweretsa kutupa aakulu, amene ali ovuta mankhwala. Chotsatira choyipitsitsa cha matenda a aakulu ya rectum - ndi khansa kuti angasonyeze yekha mu gawo lachitatu kapena wachinayi pamene linanena bungwe alibe kusankha ...