Iimpawu

Iihemorrhoids yimithambo edumbileyo kwi-anus okanye kwinxalenye esezantsi ye-rectum.

Iimpawu ziqheleke kakhulu. Zibangelwa kukunyuka koxinzelelo kwi-anus. Oku kunokwenzeka ngexesha lokukhulelwa okanye lokubeleka, kwaye ngenxa yokuqhinwa. Uxinzelelo lubangela ukuba iimithambo eziqhelekileyo zangasese kunye nezicubu zidumbe. Esi sihlunu sinokuopha, rhoqo ngexesha lokuhamba kwamathumbu.

Iimvumba zingabangelwa ngu:

• Ukucoca ngexesha lokuhamba kwamathumbu
• Ukuqunjelwa
• Ukuhlala ixesha elide, ngakumbi kwindlu yangasese
• Izifo ezithile, ezinjenge-cirrhosis

Iimvumba zingaphakathi okanye ngaphandle komzimba.

• Iimpawu zangaphakathi zangaphakathi zenzeka ngaphakathi ngaphakathi kwe-anus, ekuqaleni kwe-rectum. Xa zikhulu, zingawela ngaphandle (ziphume). Eyona ngxaki ixhaphakileyo ngama-hemorrhoids angaphakathi kukopha ngexesha lokuhamba kwamathumbu.
• Iimvumba zangaphandle zivela ngaphandle komphanda. Banokubangela ubunzima ekucoceni indawo emva kokuhamba kwamathumbu. Ukuba i-clot yegazi ifom kwi-hemorrhoid yangaphandle, ingaba buhlungu kakhulu (i-thrombosed external hemorrhoid).

Ihemorrhoids zihlala zingabi buhlungu, kodwa ukuba ifom yegazi yenzeka, kunokuba buhlungu kakhulu.

Iimpawu eziqhelekileyo zibandakanya:

• Igazi elibomvu elingenasiphelo eline-rectum
• Ukurhawuzelela ezimpundu
• I-anal ache okanye iintlungu, ngakumbi xa uhleli
• Ubuhlungu ngexesha lokuhamba kwamathumbu
• Isigaxa esinye okanye nangaphezulu esiqinileyo kufutshane ne-anus

Uninzi lwexesha, umboneleli wokhathalelo lwempilo unokuchonga ii-hemorrhoids ngokujonga nje indawo eyi-rectal. Iimpawu zangaphandle zihlala zifumaneka ngale ndlela.

Uvavanyo olunokunceda ukufumanisa ingxaki lubandakanya:

• Uvavanyo oluqokelelweyo
• Isigmoidoscopy
• Anoscopy

Unyango lwe-hemorrhoids lubandakanya:

• I-corticosteroid engaphezulu kwekhawuntare (umzekelo, icortisone) iikhrim zokunceda ukunciphisa iintlungu kunye nokudumba
• Iikhrim zehemorrhoid ezine-lidocaine yokunceda ukunciphisa iintlungu
• Izithambisi zesitulo ukunceda ukunciphisa ukuxinana kunye nokuqunjelwa

Izinto onokuzenza ukunciphisa ukurhawuzelela zibandakanya:

• Faka isicelo sobugqwirha kuloo ndawo nge swab yomqhaphu.
• Nxiba iimpahla zangaphantsi zomqhaphu.
• Kulumkele izihlunu zangasese ngeziqholo okanye imibala. Sebenzisa usula usana endaweni yoko.
• Zama ukuba ungayikrwemli indawo.

Iibhafu zeSitz zinokukunceda uzive ungcono. Hlala emanzini afudumeleyo imizuzu eli-10 ukuya kweli-15.

Ukuba ii-hemorrhoids zakho azibangcono kunyango lwasekhaya, unokufuna uhlobo oluthile lonyango lweofisi ukunciphisa amahemorrhoids.

Ukuba unyango lweofisi alonelanga, olunye uhlobo lotyando lunokufuneka, njengokukhutshwa kwehemorrhoids (hemorrhoidectomy). Ezi nkqubo zisetyenziselwa abantu abaphuma kakhulu egazini okanye abagqithisileyo abangaphendulanga kolunye unyango.

Igazi kwi-hemorrhoid lingenza amahlwili. Oku kunokubangela ukuba izihlunu ezijikelezileyo zife. Utyando ngamanye amaxesha luyafuneka ukususa iihemorrhoids ngamahlwili.

Ngokuqhelekileyo, ukuphuma kwegazi kakhulu kunokuthi kwenzeke. Ukunqongophala kwe-iron anemia kunokubangela ukulahleka kwegazi ixesha elide.

Biza umnikezeli wakho ukuba:

• Iimpawu zehemorrhoid aziphucuki kunyango lwasekhaya.
• Uphuma emacaleni. Umboneleli wakho unokufuna ukukhangela ezinye izizathu ezibaluleke ngakumbi zokopha.

Fumana uncedo lwezonyango kwangoko ukuba:

• Ulahlekelwa ligazi elininzi
• Uyopha kwaye uziva unesiyezi, unentloko elula, okanye utyhafile

Ukuqunjelwa, ukuxina ngexesha lokuhamba kwamathumbu, kunye nokuhlala kwindlu yangasese kukude kakhulu kuphakamisa umngcipheko wakho weemiphunga. Ukuthintela ukuqhina kunye nehemorrhoids, kuya kufuneka:

• Sela amanzi amaninzi.
• Yitya ukutya okuneswekile eninzi yeziqhamo, imifuno, kunye neenkozo ezipheleleyo.
• Cinga ukusebenzisa izongezo zefayibha.
• Sebenzisa iisetofoli ukuthintela ukuxinana.

Isigaqa esibonakalayo; Imfumba; Ukuxhamla kwi-rectum; Ukopha okubonakalayo - hemorrhoids; Igazi esitulweni - hemorrhoids

• Iimpawu
• Utyando lwehemorrhoid - uthotho

U-Abdelnaby A, Downs JM. Izifo ze-anorectum. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 129.

UBlumetti J, uCintron JR. Ulawulo lweemvumba. Ku: UCameron JL, uCameron AM, ii-eds. Unyango lwangoku lonyango. Umhla we-12. IPhiladelphia, PA: Elsevier; Ngo-2017: 271-277.

UZainea GG, uPfenninger JL. Unyango lweofisi ye-hemorrhoids. Ku: Fowler GC, ed. Iinkqubo zikaPfenninger kunye neFowler zoKhathalelo oluSisiseko. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2020: isahl. 87.