Ama-hemorrhoids

Ama-hemorrhoids yimithambo evuvukile ku-anus noma engxenyeni engezansi ye-rectum.

Ama-hemorrhoids ajwayelekile kakhulu. Kubangelwa ingcindezi eyandayo endunu. Lokhu kungenzeka ngesikhathi sokukhulelwa noma sokubeletha, futhi ngenxa yokuqunjelwa. Ingcindezi ibangela ukuvuvukala kwemithambo nezicubu ezijwayelekile. Lesi sicubu singopha, imvamisa ngesikhathi sokuhamba kwamathumbu.

Ama-hemorrhoids angabangelwa:

• Ukuqina ngesikhathi sokuhamba kwamathumbu
• Ukuqunjelwa
• Ukuhlala isikhathi eside, ikakhulukazi endlini yangasese
• Izifo ezithile, njenge-cirrhosis

Ama-hemorrhoids angaba ngaphakathi noma ngaphandle komzimba.

• Ama-hemorrhoid angaphakathi avela ngaphakathi ngaphakathi kwe-anus, ekuqaleni kwe-rectum. Lapho zikhulu, zingawela ngaphandle (prolapse). Inkinga evame kakhulu ngama-hemorrhoids angaphakathi ukuphuma kwegazi ngesikhathi sokuhamba kwamathumbu.
• Ama-hemorrhoid angaphandle avela ngaphandle kwendunu. Kungaba nobunzima ekuhlanzeni indawo ngemuva kokuhamba kwamathumbu. Uma i-clot yegazi ifakwa ku-hemorrhoid yangaphandle, kungaba buhlungu kakhulu (i-thrombosed hemorrhoid yangaphandle).

Ama-hemorrhoid kaningi awabuhlungu, kepha uma i-clot yegazi iba, ingaba buhlungu kakhulu.

Izimpawu ezivamile zifaka:

• Igazi elibomvu elingenabuhlungu elivela engxenyeni
• Ukulunywa kwe-anal
• Ubuhlungu besisu noma ubuhlungu, ikakhulukazi ngenkathi uhleli
• Ubuhlungu ngesikhathi sokuhamba kwamathumbu
• Isigaxa esisodwa noma ngaphezulu sethenda elukhuni eduze kwendunu

Isikhathi esiningi, umhlinzeki wezokunakekelwa kwempilo angaxilonga ama-hemorrhoids ngokumane abheke indawo engunxande. Ama-hemorrhoid angaphandle angatholwa ngale ndlela.

Ukuhlolwa okungasiza ukuxilonga inkinga kufaka:

• Ukuhlolwa okuphelele
• I-Sigmoidoscopy
• I-Anoscopy

Ukwelashwa kwama-hemorrhoids kufaka:

• Ama-over-the-counter corticosteroid (ngokwesibonelo, ama-cortisone) okhilimu okusiza ukunciphisa ubuhlungu nokuvuvukala
• Okhilimu be-hemorrhoid abane-lidocaine ukusiza ukunciphisa izinhlungu
• Izithambisi zendle ukusiza ukunciphisa ukuhlunga nokuqunjelwa

Izinto ongazenza ukunciphisa ukulunywa zihlanganisa:

• Faka isicelo se-hazel endaweni nge-swab yekotini.
• Gqoka izingubo zangaphansi zikakotini.
• Gwema izicubu zangasese ngamakha noma ngemibala. Sebenzisa ama-baby wipe esikhundleni.
• Zama ukungaklwebhi indawo.

Izindawo zokugeza ze-Sitz zingakusiza uzizwe ungcono. Hlala emanzini afudumele imizuzu eyi-10 kuya kwengu-15.

Uma ama-hemorrhoids akho engabi ngcono ngokwelashwa kwasekhaya, ungadinga uhlobo oluthile lokwelashwa kwehhovisi ukunciphisa ama-hemorrhoids.

Uma ukwelashwa kwehhovisi kunganele, uhlobo oluthile lokuhlinzwa lungadingeka, njengokukhishwa kwama-hemorrhoids (hemorrhoidectomy). Lezi zinqubo zivame ukusetshenziselwa abantu abanegazi elibi kakhulu noma i-prolapse abangaphendulanga kolunye ukwelashwa.

Igazi ku-hemorrhoid lingakha amahlule. Lokhu kungadala ukuthi izicubu ezizungezile zife. Ukuhlinzwa kwesinye isikhathi kuyadingeka ukukhipha ama-hemorrhoids ngamahlule.

Ngokuvamile, ukuphuma kwegazi okukhulu kungenzeka futhi. Ukushoda kwe-iron anemia kungavela ekulahlekelweni igazi isikhathi eside.

Shayela umhlinzeki wakho uma:

• Izimpawu ze-hemorrhoid azithuthuki ngokwelashwa kwasekhaya.
• Unegazi elivela emaceleni. Umhlinzeki wakho angafuna ukubheka ezinye izimbangela ezimbi kakhulu zokopha.

Thola usizo lwezokwelapha ngokushesha uma:

• Ulahlekelwa yigazi eliningi
• Uyopha futhi uzizwa unesiyezi, unekhanda elikhanyayo, noma uqulekile

Ukuqunjelwa, ukuhluza ngesikhathi sokuhamba kwamathumbu, nokuhlala ethoyilethi isikhathi eside kukhulisa ubungozi bama-hemorrhoids. Ukuvimbela ukuqunjelwa kanye nama-hemorrhoids, kufanele:

• Phuza uketshezi oluningi.
• Yidla ukudla okune-fiber eningi yezithelo, imifino nezinhlamvu ezigcwele.
• Cabanga ukusebenzisa izithasiselo ze-fiber.
• Sebenzisa izitofoli ukuvikela ukuhlupheka.

Isigaxa esibucayi; Izinqwaba; Isigaxa ku-rectum; Ukuphuma kwegazi - ama-hemorrhoids; Igazi esitokisini - ama-hemorrhoids

• Ama-hemorrhoids
• Ukuhlinzwa kwehemorrhoid - uchungechunge

U-Abdelnaby A, Downs JM. Izifo ze-anorectum. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 129.

UBlumetti J, uCintron JR. Ukuphathwa kwama-hemorrhoids. Ku: UCameron JL, uCameron AM, ama-eds. Ukwelashwa Kwamanje. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2017: 271-277.

UZainea GG, uPfenninger JL. Ukwelashwa kwehhovisi kwama-hemorrhoids. Ku: Fowler GC, ed. Izinqubo zikaPfenninger noFowler zokuNakekela okuyisisekelo. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 87.