Rectal kuongororwa: kugadzwa, kurovedza uye Implementation yacho muongororo

Rectal kuongororwa ndiyo chikamu fanira uchiongororwa pagore. Vazhinji varwere vakatakura bata ichi Anovhundutsira uye zvinoita vasundire kure pataishanyira nyanzvi, pasi chokumupomera kuti kushayikwa zvichemo kunoratidza woutano hwakanaka. Rectal kuongorora zviri mugaranhoko inoshandiswa Gynecology, proctology, urology, kuvhiyiwa uye kuona pamberi pathological ezvinhu vakavakidzana nhengo.

tsvakurudzo Forms

Shandisa digital kuongororwa nzira, uyewo paku, panguva raisanganisira rectal girazi uye rectoromanoscope. Finger nzira zvinoita kuti tikwanise kuongorora mamiriro ari pelvic nadzo vakadzi, prostate nevanhu uye abdominal zvomukati.

Rectal kuongororwa munwe nzira rinoitwa nguva dzose yokurapa kuongororwa, pakuonekwa abdominal marwadzo, zvirwere zviri nemudumbu uye dzokubereka nadzo. Nzira iyi inoshandiswa pamberi mumwe mudziyo rokuongorora kutarisa patency ari mugaranhoko, tichidzivisa mamwe matambudziko.

Instrumental kuongororwa rectal chiri kuitwa kuti kuongorora hurumende zvakananga turakiti, ari mugaranhoko. Kunoitawo kuti kuona pamberi kuzvimba, polyps uye namamota, mhingaidzo, strictures.

zvairatidza kuti

manipulations vakadaro kuitwa zvinotevera nyaya:

• colorectal zvokurwara (infiltration, kuvapo ulceration, constriction, compression neoplasms masvingo);
• pute - ane kuzvimba pelvic mafuta;
• peritonitis;
• tinyatsonzwisisa sphincter kunyatsoshanda;
• Pakusarudza pathologies of coccyx, uye Cooper Bartholin mumasero;
• zvirwere uye neoplasms kweprostate;
• anogumbura urongwa, kuvapo namamota vanhukadzi nhengo dzokubereka nadzo;
• nokuti chirwere zvinangwa.

Rectal kuongorora muna proctology

Pamberi kuchinja chiremba anoongorora horo. Hunodzorwa pamberi akatsvuka, maceration, kuzvimba, zvemamiriro zvinoyerera, kwokunze Mamota. Next, murwere akabata rimwe kiyi:

• kurutivi dzaro pamusoro mabvi kuti chipfuva chake;
• Belvedere mamiriro;
• avete gynecological cheya uye makumbo ake hwakakungwa pamabvi uye waitsimbirira dumbu rake.

Sei muitiro

Digital rectal kuongororwa hakurevi pre-pakurapa murwere. Zvakakwana kuti pashure wokupedzisira murwere aiva yokugezera chitsiko uye akabata utsanana kurapwa pasikarudzi uye nokunobuda netsvina nzvimbo. nzira, iyo algorithm riri sezvinotevera:

1. Murwere anotora rimwe postures (akumbirwa nyanzvi, izvozvo anochinja mukufamba kuchinja).
2. Chiremba anobata maoko ako uye kupfeka magiravhusi.
3. mafuta Vaseline rinoshandisirwa indekisi nomunwe uye munharaunda nekunobuda netsvina hwomukova.
4. Raitongwa akashambidzika kunonoka kufamba nomunwe hindgut rusvingo kuti kudzika 5 cm.
5. Panguva yokuongorora, chiremba anogona kukumbira kuti kunotadzisawo kana kwenyama sphincter.
6. Nomunwe ngavabude. On the tinotofanira hakufaniri chero zvemamiriro zvinoerera (madzihwa, ropa mitaro, pus).

Rectal ongororo nezvionioni

Funga kuita rectal kuongororwa vachishandisa mishonga zviridzwa. Pashure nomunwe nzira rectal girazi mushaya lubricated mafuta vaseline. Aiitirwa saizvozvo nekunobuda netsvina nharaunda.

Murwere anotora ibvi-kugokora chinzvimbo. Shaya vari kutarisirwa kupinda mugaranhoko pamusoro 8-10 cm uye zvishoma nezvishoma kukuvadza zvikaramba kufanana pokutsvaga ura mucosa. The ichocho rinoshandiswa kuti kusangana nekutsi kwemukadzi gynecological kuzviongorora vakadzi.

sigmoidoscopy

Nzira iyi endoscopic kuti diagnosing mamiriro ari sigmoid uye zvakananga ura. The Ongororo iri kuitwa pachishandiswa sigmoidoscopy. The mudziyo kutaurwa kupinda mugaranhoko, murwere ari ibvi-kugokora chinzvimbo. Tichibatsirwa ari chiedza Unit, inova chikamu midziyo, uye Manyiminya gadziriro anogona kuonekwa mucosa pamusoro masendimita 30.

Mufananidzo vakaongororwa nzvimbo unoratidzwa pamusoro tarisisa chidzitiro apo chiremba mubatsiri anogona kuongorora kuvapo kuzvimba, namamota, polyps uye dzimwe Mamota Kunetsana.

Zvairatidza kuti:

• Kuva akazvitsaurira pathological hunhu;
• chido wenhema defecate;
• Mamota;
• kusagadzikana mune rectal nzvimbo;
• vanofungidzirwa neoplasm;
• colitis.

Contraindications kuti sigmoidoscopy:

• peritonitis, chenjera nechisikirwo;
• chenjera kuzvimba mugaranhoko;
• mukuru guva nemamiriro yacho.

Zvikuru unyanzvi masangano

Proctologic Centre - mumwe unyanzvi chirwere uye kurapwa zvivako, rectal kuongororwa riri fanira kuti kuongorora varwere. Chero kurwara nacho uye dzokurapwa manipulations mimwe pakarepo mushure tinyatsonzwisisa mamiriro ari mugaranhoko.

Proctologic Center - urongwa vane unyanzvi kunge kusiyaniswa zvokurwara, kuvandudzwa Integrated kurapwa zvirongwa varwere mishonga, oparesheni uye physiotherapy kurapa.

Pano vari kuita zvinhu zvakadai:

• Mamota;
• kuzvimba mugaranhoko uye muura, faibha, anorectal nharaunda;
• kukundikana sphincters;
• Kubviswa miviri vatorwa;
• honye infestation;
• vachiberekwa anorectal zvokurwara;
• stricture uye Surgery of mugaranhoko;
• kunotevera;
• fistulas;
• neoplastic pezvakaitwa;
• prolapse of mugaranhoko.

Rectal yeprostate kudzidza

In munda urology prostate kuongororwa kubudikidza mugaranhoko kunotodiwa chiitiko vose varume kwemakore 40. Nzira iyi inobvumira kuti tizive kuvapo abnormalities yekare kare yemagwaro. Shandisa munwe nzira. Asati kuita chinangwa chacho anofanira kutsanangurira murwere nechirwere, kuitira kudzivisa mupfungwa uye kukunakira.

Rectal kuzviongorora prostate kuti vaongorore zvinotevera parameters:

• ukuru uye chimiro;
• arambe achirema uye elasticity;
• hasha nematunhu;
• lobular zamu symmetry;
• kuvapo kana kusavapo kurwadziwa;
• scarring, cysts, matombo pamusoro pemvura;
• mamiriro ari seminal vesicles;
• ari kufamba kenza;
• node raiva pedyo nebundu chinzvimbo, ukuru hwavo, mufambo, uye kunzwisisa.

Normal zvinotevera zviratidzi:

1. Iron ane mbiri zvakafanana, ichibata zvikamu akaparadzaniswa pedyo paburi.
2. Dimensions (cm) - 2.5-3.5 X 2.5-3.
3. The woita Maumbirwe muviri.
4. Kusavapo marwadzo pamusoro palpation.
5. contours Clear.
6. Zvakasimba-kwakavharwa nenyama kusachinja-chinja.
7. Smooth penyika.
8. The seminal vesicles havana palpated.

Rectal kuongorora muna Gynecology

In munda uyu mushonga rectal bvunzo kutakura gayinakorojisiti pane proctologist. Sei kuongorora vakadzi uye nei riripo, kunyatsotarisisa.

Survey nzira ichishandisa munwe zvinotevera nyaya:

• tinyatsonzwisisa kuti pelvic nhengo vakadzi vasina amborara;
• pamberi Surgery (musono masvingo) kana stenosis (aienda) ari nyinyo;
• sezvi- kuongorora kwakawanda bundu kana yakasimbiswa;
• pamberi anogumbura zvirwere, kuongorora mamiriro mwanda, faibha;
• pamwe parameters;
• sezvo bimanual ongororo rwakazara.

Sezvo kumonyanisa ichi Hazvidi chikamu proctologist sei kuongorora vakadzi uye mune zvimwe zviitiko zvinokosha kupedza kupinda gayinakorojisiti. Munguva nzira, unogona pachena kuongorora mamiriro ose cervix, kuvapo scarring, mvura mvura kuwanda. Mukuwedzera, nyanzvi anogona kuona pamberi Kumwe kuchinja kunotanga iri rinonyanya mugaranhoko kuti akabuda kuzorwa colour kubva gynecological zvirwere kana bundu compression.

Imwe ongororo revakadzi yokusununguka

Rectal kuongororwa anogona kushandiswa kuzodzosera vachiongorora mamiriro vakadzi yokusununguka. Unogona kuona ukuru remuromo dilatation, mharidzo yacho mwana, mamiriro ezvinhu membranes, dundira wayo kuvimbika, iyo nzvimbo mapfundo zvitubu mwana (chinhu ichi hachisi dzose nyaya).

Pamberi nzira mukadzi anofanira zviri wake dundira. Nhema pamusoro musana wako, makumbo hwakakungwa pamabvi uye sanganisa kurutivi. mai New anofanira kufema akadzikama zvachose, kuzorora tsandanyama. nzira dzakawanda dzinoshandiswa kuti kuongorora chirwere:

1. Finger - mumwe munwe, thickly akazorwa mafuta vaseline, zvinofungidzirwa anodiwa parameters.
2. Rectovaginal - indekisi munwe akaiswa mukati nyinyo, uye avhareji - iri mugaranhoko. ruoko Second amutsvaka nhengo dzokubereka nadzo dzevakadzi kuburikidza abdominal madziro.

Kuongorora Rectovaginal kunogona kuitwa nenzira dzakawanda. Dzimwe zvakafanira kuzozivisa indekisi minwe maoko vaviri - mumwe ari nyinyo, mumwe - iri mugaranhoko. Kuti kuongorora mamiriro vesico-uterine nzvimbo, unogona kusumwa kupinda nyinyo pamusoro thumbs, uye rectally - indekisi.

mhedziso

Rectal kuongororwa ndezvechokwadi uye anodzidzisa nzira nokuda chikuru kunyatsoongorora murwere. Nzira iyi ndiyo risingadhuri uye anobvumira kuti vawane mamwe mashoko pamusoro woutano murwere.