Ukuhlinzwa Kwehemorrhoid

-Delile

• Izinkinga zama-hemorrhoids
• Izimpawu zama-hemorrhoids
• Ukuhlinzwa ngaphandle kokubulala izinzwa
• Ibhendi
• I-Sclerotherapy
• Ukwelashwa kwe-Coagulation
• Umthambo we-hemorrhoidal ligation
• Ukuhlinzwa nge-anesthetic
• I-hemorrhoidectomy
• I-hemorrhoidopexy
• Ukunakekelwa ngemuva

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Ama-hemorrhoids yimithambo evuvukile engaba ngaphakathi, okusho ukuthi ingaphakathi kwe-rectum. Noma bangaba bangaphandle, okusho ukuthi bangaphandle kwe-rectum.

Iningi lama-hemorrhoidal flare-ups liyeka ukulimaza kungakapheli amasonto amabili ngaphandle kokwelashwa. Ukudla ukudla okune-fiber ephezulu nokuphuza izingilazi zamanzi eziyi-8 kuya kwezingu-10 ngosuku kungakusiza ukuphatha izimpawu ngokukhuthaza ukunyakaza kwamathumbu okuthambile nokujwayelekile.

Kungase kudingeke futhi ukuthi usebenzise izithambisi zendle ukuze unciphise ukuhluzeka ngesikhathi sokuhamba kwamathumbu, njengoba ukucindezela kwenza ama-hemorrhoids abhebhetheke. Udokotela wakho angancoma ukugcotshwa kwama-topical the counter ukuze unciphise ukulunywa ngezikhathi ezithile, ubuhlungu, noma ukuvuvukala.

Izinkinga zama-hemorrhoids

Kwesinye isikhathi, ama-hemorrhoids angaholela kwezinye izinkinga.

Ama-hemorrhoid angaphandle angavela amahlule egazi abuhlungu. Uma lokhu kwenzeka, babizwa ngama-thrombosed hemorrhoids.

Ama-hemorrhoid angaphakathi angaqhuma, okusho ukuthi yehla nge-rectum kanye ne-bulge kusuka endunu.

Ama-hemorrhoid angaphandle noma aqhekekile angacasulwa noma atheleleke futhi kungadinga ukuhlinzwa. I-American Society of Colon and Rectal Surgeons ilinganisela ukuthi angaphansi kwamaphesenti ayishumi amacala we-hemorrhoid adinga ukuhlinzwa.

Izimpawu zama-hemorrhoids

Ama-hemorrhoids angaphakathi ngokuvamile abanga ukungaphatheki kahle. Bangopha ngaphandle kobuhlungu ngemuva kokuhamba kwamathumbu. Ziba yinkinga uma zopha kakhulu noma zigxuma kakhulu. Kuyinto ejwayelekile ukubona igazi ngemuva kokunyakaza kwamathumbu lapho une-hemorrhoid.

Ama-hemorrhoid angaphandle nawo angopha ngemuva kokuhamba kwamathumbu. Ngoba baveziwe, bavame ukucasuka futhi bangaluma noma babe buhlungu.

Enye inkinga ejwayelekile yama-hemorrhoid angaphandle ukwakheka kwamahlule egazi ngaphakathi komkhumbi, noma i-hemorrhoid eqhuqiwe. Ngenkathi lawa mahlule angavame ukubeka impilo engozini, angadala ubuhlungu obukhulu, obukhulu.

Ukwelashwa okufanele kwala ma-hemorrhoids anjenge-thrombosed kuqukethe inqubo "yokusika nokuhambisa amanzi". Udokotela ohlinzayo noma udokotela osegumbini lezimo eziphuthumayo angenza le nqubo.

Ukuhlinzwa ngaphandle kokubulala izinzwa

Ezinye izinhlobo zokuhlinzwa kwe-hemorrhoid zingenziwa ehhovisi likadokotela wakho ngaphandle kokubulala izinzwa.

Ibhendi

I-Banding inqubo yehhovisi esetshenziselwa ukwelapha ama-hemorrhoids angaphakathi. Ebizwa nangokuthi i-rubber band ligation, le nqubo ifaka phakathi ukusebenzisa ibhande eliqinile elizungeze isisekelo se-hemorrhoid ukunqamula ukunikezwa kwegazi.

Ukubopha ibhendi ngokuvamile kudinga izinqubo ezimbili noma ngaphezulu ezenzeka cishe izinyanga ezimbili zihlukene. Akubuhlungu, kepha ungazizwa ucindezelekile noma ungakhululekile.

I-banding ayinconywa kulabo abathatha izinciphisi zegazi ngenxa yengozi enkulu yezinkinga zokopha.

I-Sclerotherapy

Le nqubo ifaka ukujova ikhemikhali ku-hemorrhoid. Ikhemikhali ibangela ukuthi i-hemorrhoid inciphe futhi iyimise ekuphumeni kwegazi. Iningi labantu lizwa ubuhlungu obuncane noma abukho nhlobo ngokudutshulwa.

I-Sclerotherapy yenziwa ehhovisi likadokotela. Zimbalwa izingozi ezaziwayo. Lokhu kungaba yindlela engcono uma uthatha izinciphisi zegazi ngoba isikhumba sakho asisikwe sivuleke.

I-Sclerotherapy ivame ukuba nezinga lokuphumelela elihle kakhulu lama-hemorrhoids amancane, angaphakathi.

Ukwelashwa kwe-Coagulation

Ukwelashwa kwe-coagulation kubizwa nangokuthi i-infrared photocoagulation. Le ndlela yokwelashwa isebenzisa ukukhanya kwe-infrared, ukushisa, noma amakhaza amakhulu ukwenza i-hemorrhoid ihlehle futhi inciphise. Olunye uhlobo lwenqubo olwenziwa ehhovisi likadokotela wakho, futhi luvame ukwenziwa kanye ne-anoscopy.

I-anoscopy inqubo yokubona lapho kufakwa khona ububanzi ngamasentimitha ambalwa ku-rectum yakho. Ububanzi buvumela udokotela ukuthi abone. Iningi labantu libhekana nokungakhululeki okuncane noma ukucindezela ngesikhathi sokwelashwa.

Umthambo we-hemorrhoidal ligation

I-hemorrhoidal artery ligation (HAL), eyaziwa nangokuthi i-transanal hemorrhoidal dearterialization (THD), kungenye indlela yokususa i-hemorrhoid. Le ndlela ithola imithambo yegazi ebangela i-hemorrhoid isebenzisa i-ultrasound bese ihlanganisa, noma ivale leyo mithambo yegazi. Kusebenza kangcono kunokubopha ibhande lenjoloba, kodwa futhi kubiza kakhulu futhi kubangela ubuhlungu obuhlala isikhathi eside. Ngokuya ngohlobo lwe-hemorrhoid, kuyindlela ongakhetha ngayo uma ibhande lokuqala lenjoloba lihluleka.

Ukuhlinzwa nge-anesthetic

Ezinye izinhlobo zokuhlinzwa zidinga ukwenziwa esibhedlela.

I-hemorrhoidectomy

I-hemorrhoidectomy isetshenziselwa ama-hemorrhoid amakhulu angaphandle kanye nama-hemorrhoids angaphakathi aqhume noma adala izinkinga futhi angaphenduli ekuphathweni kwezindlela zokuhlinza.

Le nqubo ivame ukwenzeka esibhedlela. Wena nodokotela wakho ohlinzayo nizonquma nge-anesthesia engcono kakhulu enizoyisebenzisa ngesikhathi sokuhlinzwa. Izinketho zifaka:

• i-anesthesia ejwayelekile, ekubeka ebuthongweni obukhulu phakathi nokuhlinzwa
• i-anesthesia yesifunda, efaka imishanguzo eyenza umzimba wakho ube ndikindiki kusukela okhalweni uye phansi lapho uhanjiswa ngokudutshulwa emhlane wakho
• i-anesthesia yendawo, ethambisa i-anus ne-rectum yakho kuphela

Unganikezwa futhi isidambisi sokukusiza uphumule ngesikhathi senqubo uma uthola i-anesthesia yendawo noma yesifunda.

Lapho i-anesthesia iqala ukusebenza, udokotela wakho ohlinzayo uzokhipha ama-hemorrhoids amakhulu. Lapho umsebenzi usuphelile, uzothathwa uyiswe egumbini lokutakula isikhathi esifushane sokubhekwa. Lapho iqembu lezokwelapha selinesiqiniseko sokuthi izimpawu zakho ezibalulekile zizinzile, uzokwazi ukubuyela ekhaya.

Ubuhlungu nokutheleleka yizingozi ezivame kakhulu ezihambisana nalolu hlobo lokuhlinzwa.

I-hemorrhoidopexy

I-hemorrhoidopexy kwesinye isikhathi ibizwa ngokuthi yi-stapling. Imvamisa iphathwa njengokuhlinzwa kosuku olufanayo esibhedlela, futhi kudinga i-anesthesia ejwayelekile, yesifunda, noma yendawo.

I-stapling isetshenziselwa ukwelapha ama-hemorrhoids aqhekekile. Isisekelo sokuhlinza silungisa ama-hemorrhoid aqhekekile abuyele endaweni yawo ngaphakathi kwe-rectum yakho futhi anciphise ukunikezwa kwegazi ukuze izicubu zinciphe futhi ziphinde zibuyiselwe.

Ukubophela kabusha okuyisitaphutha kuthatha isikhathi esincane futhi kubuhlungu kakhulu kunokululama okuvela kwi-hemorrhoidectomy.

Ukunakekelwa ngemuva

Ungalindela ubuhlungu be-rectal kanye ne-anal ngemuva kokuhlinzwa kwe-hemorrhoid. Udokotela wakho mhlawumbe uzokunika i-painkiller ukuze unciphise ukungakhululeki.

Ungasiza ekululameni kwakho ngoku:

• ukudla ukudla okunefayibha ephezulu
• ukuhlala unamanzi okuphuza izingilazi zamanzi eziyi-8 kuya kwezingu-10 ngosuku
• usebenzisa i-stool softener ngakho-ke ngeke kudingeke ucindezele ngesikhathi sokuhamba kwamathumbu

Gwema noma yimiphi imisebenzi ebandakanya ukuphakamisa okunzima noma ukudonsa.

Abanye abantu bathola ukuthi ama-sitz baths asiza ekunciphiseni ukungakhululeki kwe-posturgical. Ukugeza kwe-sitz kuhilela ukufaka indawo yangasese kumasentimitha ambalwa amanzi anosawoti afudumele izikhathi eziningana ngosuku.

Yize izikhathi zokululama ngazinye ziyahlukahluka, abantu abaningi bangalindela ukuthola ukululama okugcwele ezinsukwini ezingaba yishumi kuya kweziyishumi nane. Izinkinga azivamile, kodwa ngicela ufune usizo lwezokwelapha uma unemfiva, ungakwazi ukuchama, unezinhlungu ngokuchama, noma uzizwe unesiyezi.

Uma ulandela udokotela wakho, mhlawumbe bazoncoma:

• izinguquko zokudla, njengokudla ukudla okune-fiber eningi nokuhlala unamanzi amaningi
• ukwenza izinguquko endleleni yokuphila, njengokunciphisa isisindo
• ukwamukela uhlelo lokuzivocavoca njalo

Lezi zinguquko zizonciphisa amathuba okuthi ama-hemorrhoid aphindaphinde.