Utyando lwehemorrhoid

Umxholo

• Iingxaki ze-hemorrhoids
• Iimpawu hemorrhoids
• Ugqirha ngaphandle kokubulala iintlungu
• Ibhendi
• Sclerotherapy
• Unyango lwe-Coagulation
• Umthambo wehemorrhoidal ligation
• Ugqirha nge-anesthetic
• IHemorrhoidectomy
• Ihemorrhoidopexy
• Emva kokhathalelo

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Iihemorrhoids yimithambo edumbileyo enokuba ngaphakathi, okuthetha ukuba zingaphakathi kwirektamu. Okanye banokuba bangaphandle, oko kuthetha ukuba bangaphandle kwe-rectum.

Uninzi lwe-hemorrhoidal flare-ups luyeka ukulimaza kwiiveki ezimbini ngaphandle konyango. Ukutya ukutya okunesinga eliphezulu kunye nokusela iiglasi zamanzi ezi-8 ukuya kwezi-10 ngosuku kunokukunceda ulawule iimpawu ngokukhuthaza ukuthamba nokuhamba rhoqo kwamathumbu.

Kuya kufuneka ukuba usebenzise izitulo zokuthambisa ukunciphisa uxinzelelo ngexesha lokuhamba kwamathumbu, njengoko ukuxina kwenza iihemorrhoids zibi ngakumbi. Ugqirha wakho unokuncoma ii-ointments ze-topical zokunciphisa ukuthambisa, iintlungu, okanye ukudumba.

Iingxaki ze-hemorrhoids

Ngamanye amaxesha, ii-hemorrhoids zingakhokelela kwezinye iingxaki.

Iimvumba zangaphandle zinokuvela amahlwili egazi abuhlungu. Ukuba oku kuyenzeka, kuthiwa ziihemorrhoids ezinethrombosed.

Iimpawu zangaphakathi zingaphuma, oko kuthetha ukuba ziyehla kwi-rectum kunye ne-bulge kwi-anus.

Iimpawu zangaphandle okanye ezikhutshiweyo ezinokubakho zinokucaphuka okanye zosulele kwaye zingafuna utyando. I-American Society of Colon and Rectal Surgeons iqikelela ukuba ngaphantsi kwe-10% yamatyala e-hemorrhoid afuna utyando.

Iimpawu hemorrhoids

Iimvumba zangaphakathi zihlala zibangela ukungathandeki. Basenokuphuma ngaphandle kobuhlungu emva kokuhamba kwamathumbu. Baye babe yingxaki ukuba bopha kakhulu okanye baphume ngamandla. Kuqhelekile ukubona igazi emva kokuhamba kwamathumbu xa une-hemorrhoid.

Iimvumba zangaphandle nazo ziyopha emva kokuhamba kwamathumbu. Ngenxa yokuba bevezwa, bahlala becaphuka kwaye banokurhawuzelela okanye babe buhlungu.

Esinye isiqhelo esiqhelekileyo sesifo sangaphandle sokwakheka kwegazi ngaphakathi kwinqanawa, okanye i-thrombosed hemorrhoid. Ngelixa la mahlule engaqhelekanga ekusongeleni ubomi, anokubangela iintlungu ezibukhali, ezibukhali.

Unyango olufanelekileyo lwezi hemorrhoids zine "incision and drainage" inkqubo. Ugqirha okanye ugqirha kwigumbi likaxakeka angenza le nkqubo.

Ugqirha ngaphandle kokubulala iintlungu

Ezinye iintlobo zotyando lwe-hemorrhoid zinokwenziwa kwiofisi kagqirha wakho ngaphandle kwe-anesthetic.

Ibhendi

Ibhendi yinkqubo yeofisi esetyenziselwa ukunyanga ii-hemorrhoids zangaphakathi. Ikwabizwa ngokuba yi-rubber band ligation, le nkqubo ibandakanya ukusebenzisa ibhanti eqinileyo ejikeleze isiseko se-hemorrhoid ukunqumamisa ukunikezelwa kwegazi.

Ibhendi ihlala ifuna iinkqubo ezimbini nangaphezulu ezenzeka malunga neenyanga ezimbini ngokwahlukana. Akubuhlungu, kodwa unokuziva uxinzelelo okanye ungonwabanga.

I-Banding ayikhuthazwa kwabo bathatha abacoci gazi ngenxa yomngcipheko omkhulu weengxaki zokopha.

Sclerotherapy

Le nkqubo ibandakanya ukutofa imichiza kwihemorrhoid. Iikhemikhali ibangela ukuba i-hemorrhoid inciphe kwaye iyeke ukopha. Uninzi lwabantu lufumana iintlungu ezincinci okanye akukho buhlungu ngokudubula.

I-Sclerotherapy yenziwa kwiofisi kagqirha. Zimbalwa iingozi ezaziwayo. Oku kunokuba yinto ebhetele ukuba uthatha abacoci gazi ngenxa yokuba ulusu lwakho alusikwe.

I-Sclerotherapy ihlala ineyona mpu melelo yempumelelo yamancinci, angaphakathi ehemorrhoids.

Unyango lwe-Coagulation

Unyango lwe-Coagulation lukwabizwa ngokuba yi-infrared photocoagulation. Olu nyango lusebenzisa ukukhanya kwe-infrared, ubushushu, okanye ukubanda kakhulu ukwenza i-hemorrhoid irhoxe kwaye inciphe. Olunye uhlobo lwenkqubo olwenziwa kwi-ofisi kagqirha wakho, kwaye iqhele ukwenziwa kunye ne-anoscopy.

I-anoscopy yinkqubo yokuboniswa apho kufakwa khona isithuba kwi-intshi yakho kwi-rectum yakho. Ubungakanani buvumela ugqirha ukuba abone. Uninzi lwabantu lufumana ukungahambi kakuhle okanye ukuphamba ngexesha lonyango.

Umthambo wehemorrhoidal ligation

I-hemorrhoidal artery ligation (HAL), ekwabizwa ngokuba yi-transanal hemorrhoidal dearterialization (THD), lolunye ukhetho lokususa i-hemorrhoid. Le ndlela ibeka imithambo yegazi ebangela i-hemorrhoid isebenzisa i-ultrasound kunye ne-ligates, okanye ivale, loo mithambo yegazi. Iyasebenza ngakumbi kunebhendi yerabha, kodwa ikwabiza ngaphezulu kwaye ikhokelela kwintlungu ehlala ixesha elide. Kuxhomekeka kuhlobo lwehemorrhoid, lukhetho ukuba ukubopha ibhendi yerabha yokuqala kuyasilela.

Ugqirha nge-anesthetic

Ezinye iintlobo zotyando kufuneka zenziwe esibhedlele.

IHemorrhoidectomy

I-hemorrhoidectomy isetyenziselwa i-hemorrhoids enkulu yangaphandle kunye ne-hemorrhoids yangaphakathi eye yaphuma okanye ibangela iingxaki kwaye ingaphenduli kulawulo lwe-nonsurgical.

Le nkqubo ihlala isenzeka esibhedlele. Wena kunye nogqirha wakho uya kuthatha isigqibo malunga ne-anesthesia efanelekileyo yokusebenzisa ngexesha lotyando. Ukukhetha kubandakanya:

• I-anesthesia ngokubanzi, ekubeka ebuthongweni obunzulu kulo lonke utyando
• i-anesthesia yengingqi, ebandakanya amayeza abamba umzimba wakho ukusuka esinqeni ukuhla ngokudutyulwa emqolo
• I-anesthesia yendawo, ephelisa i-anus yakho kunye ne-rectum kuphela

Unokunikwa i-sedative ukukunceda uphumle ngexesha lenkqubo ukuba ufumana i-anesthesia yendawo okanye yengingqi.

Emva kokuba i-anesthesia iqale ukusebenza, ugqirha wakho uya kunqumla ama-hemorrhoids amakhulu. Xa umsebenzi ugqityiwe, uya kusiwa kwigumbi lokubuyisela ixesha elifutshane lokujonga. Nje ukuba iqela lezonyango liqiniseke ukuba iimpawu zakho ezibalulekileyo zizinzile, uya kuba nakho ukubuyela ekhaya.

Ubuhlungu kunye nosulelo zezona mngcipheko uqhelekileyo unxulumene nolu hlobo lotyando.

Ihemorrhoidopexy

Ngamanye amaxesha iHemorrhoidopexy ibizwa ngokuba yi-stapling. Ihlala iphathwa njengotyando losuku olunye esibhedlele, kwaye ifuna ianesthesia ngokubanzi, yengingqi, okanye yendawo.

Stapling is used to treat prolapsed hemorrhoids. Ukutya okutyayo kulungisa i-hemorrhoid eqhekezayo ibuyele endaweni ngaphakathi kwirektamu yakho kwaye kusike ukunikezelwa kwegazi ukuze izicubu zinciphise kwaye ziphinde zibuyiselwe.

Ukubuyisela kwakhona kwisitokhwe kuthatha ixesha elincinci kwaye kubuhlungu kancinci kunokufumana kwakhona kwi-hemorrhoidectomy.

Emva kokhathalelo

Ungalindela ukuba buhlungu kunye neentlungu zangasemva emva kotyando lwehemorrhoid. Ugqirha wakho uya kuthi amisele i-painkiller ukunciphisa ukungonwabi.

Unokunceda ekubuyiseni kwakho ngoku:

• ukutya ukutya okunesinga eliphezulu
• ukuhlala amanzi ngamanzi ngokusela iiglasi eziyi-8 ukuya kwezi-10 zamanzi ngosuku
• usebenzisa i-stool softener ngoko akuyi kufuneka uxinzelele ngexesha lokuhamba kwamathumbu

Gwema nayiphi na imisebenzi ebandakanya ukuphakamisa okunzima okanye ukutsala.

Abanye abantu bafumanisa ukuba indawo yokuhlambela i-sitz inceda ekunciphiseni ukungathandeki emva kokuhlinzwa. Ibhafu ye-sitz ibandakanya ukufunxa indawo eyimpundu kwiisentimitha ezimbalwa zamanzi afudumeleyo anetyuwa amaxesha amaninzi ngemini.

Nangona amaxesha okuphulukana ngamanye ahluka, abantu abaninzi banokulindela ukubuyiselwa ngokupheleleyo kwiintsuku ezili-10 ukuya kwezi-14. Iingxaki zinqabile, kodwa nceda ufune uncedo lonyango ukuba unefiva, awukwazi ukuchama, uneentlungu xa uchama, okanye uziva unesiyezi.

Xa ulandela ugqirha wakho, baya kukucebisa:

• utshintsho ekutyeni, njengokutya ukutya okunefayibha eninzi kunye nokuhlala unamanzi amaninzi
• ukwenza utshintsho kwindlela yokuphila, njengokunciphisa umzimba
• ukwamkela inkqubo yokuthamba rhoqo

Olu hlengahlengiso luya kunciphisa ukubakho kweempawu eziphindaphindayo.