پرولاپس رکتوم یا افتادگی راست روده چیست؟

پرولاپس رکتوم یا بیرون زدگی به خروج قسمت انتهای روده بزرگ یا رکتوم ( پرولاپس کامل) و یا خروج مخاط ( پرولاپس ناکامل) از مقعد گفته می شود.این بیماری ناراحت کننده، به ندرت یک مشکل پزشکی است.ولی اثرات منفی بسیاری بر زندگی فرد دارد.میزان شیوع پرولاپس رکتوم کم است و بیشتر بزرگسالان را درگیر می کند، احتمال بروز این عارضه در زنان 6 برابر مردان است .پرولاپس اغلب در زنان بالای 50 سال و مردان بالای 40 سال مشاهده می شود.

دلیل بروز پرولاپس

هر عاملی که فشار داخل شکم را به شدت افزایش دهد و موجب آسیب به اعصاب تغذیه کننده عضلات کف لگن و یا آسیب اعصاب پودندال در نتیجه‌ ی کشش و فشار مکرر به هنگام دفع باشد، می تواند عامل ایجاد این مشکل باشد. برخی از رفتار ها و بیماری هایی که به این مشکل می انجامد به این شرح است :

• یبوست مزمن
• اسهال مزمن
• افزایش سن ( موجب تضعیف عضلات رکتوم می گردد.)
• آسیب به ناحیه مقعد
• زایمان واژینال
• هموروئید
• زور زدن هنگام دفع
• عفونت های انگلی مثل کرمک
• سندروم سیستیک فیروز
• رژیم غذایی فاقد پروتئین
• ضعیف بودن عضلات کف لگن
• اختلالات نورولوژیک
• کم کاری تیروئید مادرزادی
• هیسترکتومی (عمل برداشت رحم)

نشانه های پرولاپس

پرولاپس رکتوم معمولاً به دنبال اجابت مزاج ایجاد شده و معمولاً خود به خودی و یا توسط فشار دست بیمار کاهش می یابد. برخی از نشانه های پرولاپس رکتوم عبارتند از :

• خروج مدفوع و ادرار بدون اراده
• ترشح
• خونریزی از مقعد
• خارش و درد
• تورم و یا خروج توده از مقعد
• درد هنگام دفع مدفوع
• خروج مخاط از مقعد

عوارض پرولاپس

• یبوست : این مشکل از عوارض شایع پرولاپس رکتوم است که در حدود 30 الی 60 درصد مبتلایان به این عارضه ایجاد می گردد.
• بی اختیاری مدفوع : مهمترین عارضه ای که ناشی از پرولاپس رخ می دهد بی اختیاری در دفع مدفوع است. که حدود 50 الی 70 درصد از مبتلایان را درگیر می کند.
• انسداد مجرای خروجی
• تضعیف فعالیت عضلات کولون
• سندرم زخم منفرد رکتال

تشخیص پرولاپس

برای بررسی و تشخیص قطعی این بیماری نیاز به انجام سیستوپروکتوگرافی و کولونوسکوپی می باشد، به علاوه اگر بیمار همراه با پرولاپس، یبوست مزمن را تجربه نماید، لازم است تحت بررسی پروکتوگرافی مدفوع و Sitzmark قرار گیرد. سایر روش هایی که ممکن است برای تشخیص بیماری به کار رود شامل موارد زیر است:

• رکتوسکوپی
• سونوگرافی ماهیچه‌های مقعدی
• دفکوگرافی یا رادیولوژی مقعدی
• بیوپسی
• ادامه مطلب

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https://github.com/golyy/tablo/wiki/%D9%BE%DB%8C%D8%B4%DA%AF%DB%8C%D8%B1%DB%8C-%D8%A7%D8%B2-%D8%A7%D8%A8%D8%AA%D9%84%D8%A7-%D8%A8%D9%87-%D8%B4%D9%82%D8%A7%D9%82-%D8%AF%D8%B1-%DA%A9%D9%84%DB%8C%D9%86%DB%8C%DA%A9-%D9%86%D9%88%DB%8C%D9%86

https://github.com/golyy/tablo/wiki/%D9%85%D8%B2%D8%A7%DB%8C%D8%A7%DB%8C-%D8%AF%D8%B1%D9%85%D8%A7%D9%86-%DA%A9%DB%8C%D8%B3%D8%AA-%D9%85%D9%88%DB%8C%DB%8C-%D8%A8%D8%A7-%D9%84%DB%8C%D8%B2%D8%B1-%D9%86%D8%B3%D8%A8%D8%AA-%D8%A8%D9%87-%D8%B9%D9%85%D9%84-%D8%AC%D8%B1%D8%A7%D8%AD%DB%8C-%DA%A9%DB%8C%D8%B3%D8%AA-%D9%85%D9%88%DB%8C%DB%8C

https://www.smashwords.com/profile/view/novin70

https://www.provenexpert.com/nikan-tiam/

http://www.vidofa.com/video/0XULS26D0K64

http://www.vidofa.com/video/G28DF8DEY5LZ

http://www.vidofa.com/video/P7GGOS00BZ04

http://www.vidofa.com/video/D4K5WB06OFSI

http://www.vidofa.com/video/9J4JF9C07GD3

http://www.vidofa.com/video/2WE4Y0LJUPML

• http://www.cyclosport.org/23-Feb-2019/users-blogs/nikantnt.html

  http://www.cyclosport.org/forum/017830.html

  http://www.cyclosport.org/23-Feb-2019/users-blogs/jarah-clinic-hemorrhoids-treatment-hemorrhoid-fissure-hair-cysts-warts-and-laser-fistulas-by-a-specialist.html

  http://www.cyclosport.org/forum/017834.html

  https://www.tarfandestan.com/forum/blogs/600519/blog16257.html

  https://www.tarfandestan.com/forum/blogs/600519/blog16258.html

  https://www.tarfandestan.com/forum/blogs/576026/blog16259.html

  https://www.tarfandestan.com/forum/blogs/576026/blog16261.html

  https://www.tarfandestan.com/forum/blogs/600519/blog16260.html

  https://www.tarfandestan.com/forum/blogs/576026/blog16262.html

  https://www.tarfandestan.com/forum/blogs/600519/blog16263.html

  https://www.tarfandestan.com/forum/blogs/576026/blog16264.html

  http://www.vidofa.com/video/86HKUFI0M20E

  https://www.tarfandestan.com/forum/blogs/600519/blog16265.html

  https://www.tarfandestan.com/forum/blogs/600519/blog16266.html

  https://www.tarfandestan.com/forum/blogs/600519/blog16267.html

  https://www.tarfandestan.com/forum/blogs/576026/blog16268.html

  https://www.tarfandestan.com/forum/blogs/600519/blog16269.html

  https://www.tarfandestan.com/forum/blogs/576026/blog16270.html

  https://www.tarfandestan.com/forum/blogs/600519/blog16271.html

  http://www.vidofa.com/video/J50476TCRS8U

  http://www.vidofa.com/video/WKBFGN5UZ8N3

  https://www.tarfandestan.com/forum/thread185385.html#post911667

https://www.sheypoor.com/%D8%AA%D8%A7%D8%A8%D9%84%D9%88-%D8%B3%D8%A7%D8%B2%DB%8C-%D9%86%DB%8C%DA%A9%D8%A7%D9%86-%D8%AA%DB%8C%D8%A7%D9%85-142588154.html

http://vanaklaser.ir/crohn-bowel/

http://vanaklaser.ir/vaaft/

https://news.akhbarrasmi.com/news/139711243474310003/%D9%BE%D8%B1%D9%88%D9%84%D8%A7%D9%BE%D8%B3-%D8%B1%DA%A9%D8%AA%D9%88%D9%85-%DB%8C%D8%A7-%D8%A7%D9%81%D8%AA%D8%A7%D8%AF%DA%AF%DB%8C-%D8%B1%D8%A7%D8%B3%D8%AA-%D8%B1%D9%88%D8%AF%D9%87-%DA%86%DB%8C%D8%B3%D8%AA/

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http://photokade.niloblog.com/p/11/%D8%AF%D8%B1%D9%85%D8%A7%D9%86-%D8%A8%D9%88%D8%A7%D8%B3%DB%8C%D8%B1-%D9%87%D9%85%D9%88%D8%B1%D9%88%D8%A6%DB%8C%D8%AF-%D8%A7%D8%B3%D8%AA%D9%81%D8%A7%D8%AF%D9%87-%D9%84%DB%8C%D8%B2%D8%B1-%D9%85%D8%B2%D8%A7%DB%8C%D8%A7%DB%8C-%D8%B1%D9%88%D8%B4-%D9%87%D8%A7%DB%8C

http://photokade.niloblog.com/p/10/%D8%A8%D9%88%D8%A7%D8%B3%DB%8C%D8%B1-%D9%87%D9%85%D9%88%D8%B1%D9%88%D8%A6%DB%8C%D8%AF-%DA%86%DB%8C%D8%B3%D8%AA-%D8%B9%D9%84%D8%A7%D8%A6%D9%85-%D9%86%D8%B4%D8%A7%D9%86%D9%87-%D8%AF%D9%84%D8%A7%DB%8C%D9%84-%D8%A7%DB%8C%D8%AC%D8%A7%D8%AF-%D8%B1%D9%88%D8%B4-%D9%87%D8%A7%DB%8C

http://photokade.niloblog.com/p/9/%D8%A8%D9%87%D8%AA%D8%B1%DB%8C%D9%86-%DA%A9%D9%84%DB%8C%D9%86%DB%8C%DA%A9-%D9%87%D8%A7%DB%8C-%D8%AF%D8%B1%D9%85%D8%A7%D9%86-%D8%A8%D9%88%D8%A7%D8%B3%DB%8C%D8%B1-%D9%87%D9%85%D9%88%D8%B1%D9%88%D8%A6%DB%8C%D8%AF

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