Ukuhlinzwa kwehemorrhoid: izinhlobo eziyisi-6 eziyinhloko nokwenziwa ngemuva kokuhlinzwa

-Delile

• Izindlela zokuhlinza ukususa ama-hemorrhoids
• 1. I-hemorrhoidectomy
• 2. Amasu nge-THD
• 3. Inqubo ye-PPH
• 4. I-lacquering enwebeka
• 5. I-Sclerotherapy
• 6. I-infrared coagulation
• Ukwahlukaniswa kwezinga lama-hemorrhoids angaphakathi
• Kwenziwa kanjani ukuhlinzwa
• Injani i-postoperative
• Siyini isikhathi sokutakula

Ukususa ama-hemorrhoids angaphakathi noma angaphandle, kungadingeka ukuthi kuhlinzwe, okukhonjiswa ezigulini okuthi, noma ngemuva kokuthola ukwelashwa ngemithi nokudla okwanele, zigcine izinhlungu, ukungakhululeki, ukulunywa nokopha, ikakhulukazi lapho kuphuma.

Kunezindlela eziningana zokususa ama-hemorrhoids, okuvame kakhulu ukuba yi-hemorrhoidectomy, okuyindlela yendabuko eyenziwa ngokusikwa. Ukululama kuthatha phakathi kweviki elilodwa kuya enyangeni e-1, lapho kudingeka ukuhlala esibhedlela cishe izinsuku ezimbili nokugcina inhlanzeko esifundeni esisondelene ngesikhathi sokululama.

Izindlela zokuhlinza ukususa ama-hemorrhoids

Amanye amasu okususa ama-hemorrhoids angaphakathi noma angaphandle angaba:

1. I-hemorrhoidectomy

I-hemorrhoidectomy ukuhlinzwa okuvame kakhulu futhi kufaka phakathi ukukhipha ama-hemorrhoids ngokusika. Ngalesi sizathu isetshenziswa kabanzi kuma-hemorrhoids angaphandle noma ebangeni langaphakathi 3 no-4.

2. Amasu nge-THD

Lokhu ukuhlinza okwenziwa ngaphandle kokusikeka, lapho udokotela esebenzisa umshini we-ultrasound ukukhomba imithwalo ehambisa igazi eya kuma-hemorrhoids. Lapho nje le mithambo seyitholakele, udokotela uzomisa ukuhamba kwegazi ngokuthunga umthambo, odala ukuthi i-hemorrhoid ibune futhi yome ngokuhamba kwesikhathi. Le ndlela ingasetshenziselwa ibanga lesi-2, 3 noma i-4 hemorrhoids.

3. Inqubo ye-PPH

Inqubo ye-PPH ivumela ama-hemorrhoids ukuthi alungiswe endaweni yawo yangempela, kusetshenziswa izibopho ezikhethekile ze-titanium. Le nqubo ayidingi ama-suture, inesikhathi sokululama ngokushesha futhi yenziwa kuma-hemorrhoids angaphakathi ebanga lesi-2 nelesi-3.

4. I-lacquering enwebeka

Lokhu ukwelashwa lapho kufakwa khona ibhande elincane lokunwebeka ezansi kwe-hemorrhoid, elizophazamisa ukuthuthwa kwegazi futhi libangele ukuthi kufe i-hemorrhoid, okujwayelekile ekwelashweni kwama-hemorrhoids ebanga lesi-2 nelesi-3.

5. I-Sclerotherapy

Kule ndlela, umkhiqizo obangela ukufa kwezicubu ufakwa emikhunjini yamathumbu, esetshenziselwa ukwelashwa kwama-hemorrhoids ebanga loku-1 nelesi-2. Funda kabanzi ngale nqubo.

Ngaphezu kwalokho, kunezinye izindlela ezingasetshenziswa ukukhipha ama-hemorrhoids, njenge-infrared coagulation, i-cryotherapy kanye ne-laser, isibonelo nokukhethwa kwendlela kuzoncika kohlobo nezinga lama-hemorrhoids ofuna ukuwelapha.

6. I-infrared coagulation

Lena inqubo engasetshenziswa ukwelapha ukopha kwangaphakathi kuma-hemorrhoids. Ngalokhu, udokotela usebenzisa idivaysi enelambu lefoni elifudumeza indawo futhi lenze isibazi ku-hemorrhoid, okwenza igazi liyeke ukudlula futhi, ngenxa yalokho, izicubu ze-hemorrhoid ziqina futhi zigcine seziwile.

I-infrared coagulation imvamisa iba nemiphumela emibi kakhulu futhi idala ukungakhululeki okuncane kakhulu.

Ukwahlukaniswa kwezinga lama-hemorrhoids angaphakathi

Ama-hemorrhoid angaphakathi yilawo akhula futhi ahlala ngaphakathi kwe-anus, futhi angethula amadigri ahlukene, njenge:

• Ibanga 1 - I-hemorrhoid etholakala ngaphakathi kwendunu, ngokukhuliswa okuncane kwemithambo;
• Ibanga 2 - I-hemorrhoid eshiya i-anus ngesikhathi sokuzikhandla bese ibuyela ngaphakathi ngaphakathi ngokuzenzekelayo;
• Ibanga lesi-3 - Ama-hemorrhoid aphuma endunu ngesikhathi sokuzikhipha nokuthi kuyadingeka ukuthi uphinde ungeniswe endunu ngesandla;
• Ibanga lesi-4 - Ihemorrhoid ekhula ngaphakathi endunu kodwa lokho ngenxa yokukhuliswa kwayo iphuma nge-anus, okungadala ukuthi i-rectal prolapse, okuwukuphuma kwengxenye yokugcina yamathumbu nge-anus.

Ama-hemorrhoid angaphandle yilezo ezingaphandle kwendunu, futhi lezi zingasuswa ngokuhlinzwa, ngoba zidala ukungakhululeki ikakhulukazi lapho uhleli futhi uzikhulula.

Kwenziwa kanjani ukuhlinzwa

Ezimweni eziningi, ukuhlinzwa okususa ama-hemorrhoids kwenziwa ngaphansi kwe-anesthesia ejwayelekile futhi kudinga ukuthi isiguli silaliswe esibhedlela cishe izinsuku ezimbili.

Ukususa ama-hemorrhoids, i-proctologist kumele ikhethe inqubo efaneleke kakhulu ecaleni ngalinye, ngoba ziyahlukahluka kuye ngohlobo lwe-hemorrhoid enalo isiguli.

Injani i-postoperative

Yize ukuhlinzwa kungabangeli ubuhlungu, esikhathini sangemva kokuhlinzwa kuyinto ejwayelekile ukuthi isiguli sizwe ubuhlungu esifundeni se-perineal, ikakhulukazi lapho sihleli nalapho siphuma okokuqala ngemuva kokuhlinzwa, njengoba lesi sifunda sizwela kakhulu. Ngale ndlela, udokotela uvame ukukhombisa:

• Ukusetshenziswa kwama-analgesics ukulawula ubuhlungu nokungaphatheki kahle, njenge-paracetamol njalo emahoreni ayi-8;
• Ukusetshenziswa kwama-laxatives ukwenza indle ithambe futhi kube lula ukuyikhipha;
• Ukwenza ukugeza okubandayo kwamanzi e-sitz imizuzu engama-20, inani lezikhathi ezidingekayo ukunciphisa ukungakhululeki;
• Gwema ukusebenzisa iphepha langasese, ukugeza indawo yangasese ngemuva kokukhishwa ngamanzi afudumele nensipho emnene;
• Sebenzisa amafutha aqondiswa udokotela, amahlandla ama-2 ngosuku, ukusiza ukwelapha indawo.

Ngemuva kokuhlinzwa, kunconywa ukuthi usebenzise umcamelo oyindilinga omile ukuze uhlale, ukunciphisa ingozi yokuphuma kwegazi nokunciphisa izinhlungu. Ngaphezu kwalokho, phakathi nenyanga yokuqala ngemuva kokuhlinzwa, kufanele kukhethwe ukudla okune-fiber eningi nokuphuza amanzi amaningi, ukuze indle ithambe futhi kube lula ukuyikhipha.

Imvamisa, isiguli akudingeki ukuthi sisuse umthungo futhi, ngemuva kokuphulukiswa ngokuphelele, azikho izibazi.

Bheka kule vidiyo elandelayo ukuthi ukudla kufanele kube kanjani ukwenza lula ukuhamba kwamathumbu nokuvimbela ama-hemorrhoids:

Siyini isikhathi sokutakula

Ukululama ekuhlinzweni kwesisu kuncike ohlotsheni nasezingeni le-hemorrhoid kanye nendlela yokuhlinza eyenziwe, futhi ingahluka phakathi kwesonto elilodwa nenyanga e-1, ukuze isiguli sikwazi ukuqhubeka nemisebenzi yaso yansuku zonke.

Kujwayelekile ukuthi phakathi nesonto lokuqala ngemuva kokuhlinzwa, isiguli silahlekelwa yigazi elincane endaweni yangasese, kodwa-ke, uma lokhu kuphuma kwegazi kunzima kakhulu kunconywa ukuya esibhedlela ukuyobheka ukuthi ngabe ululama kahle yini.