Kuchokera Kuchokera Kwawo kupita ku Njira Zopangira Opaleshoni
Mafupa amatha kukhala gwero la kupweteka kosalekeza kwa ena komanso chifukwa cha ululu wopweteka mwa ena. Cholinga cha mankhwala ndi katatu: kuchepetsa zizindikiro zomwe zimakhalapo; kuti athetse kuwonjezereka kwa chovulalacho, ndi kuthetsa chifukwa choyambitsa. Izi zimachitika kawirikawiri ndi zakudya zowonjezera, zowonongeka, ndi mankhwala oposa am'mutu.
Komabe, pa milandu yovuta, njira zopaleshoni ndi zopanda opaleshoni zingagwiritsidwe ntchito kuchotsa mimba.
Zothetsera Pakhomo ndi Moyo Wamoyo
Mibadwo yakhala ikugwiritsa ntchito njira zowonetsera kunyumba kuti zichepetse kutentha kwa magazi ndikuziletsa kuti zisabwerere. Ena amachiza mwachindunji magazi, pamene ena akuwongolera kuchepa kwa matumbo omwe nthawi zambiri amakhala pamtima wa vutoli.
Njira zotsatilazi zingapereke chithandizo chachikulu cha zizindikiro zoopsa m'mimba:
- Mitambo yachitsulo ikhoza kuthetsa kutupa kwapakati ndi ululu, koma sayenera kuikidwa mwachindunji pa khungu kapena kumanzere kwa nthawi yaitali kuposa maminiti khumi.
- Malo osambira , omwe munthu amakhala mu kabedi la madzi otentha kwa mphindi 10 mpaka 20, angathandize kuchepetsa kuyabwa ndi kukwiya. Mankhwala a Epsom kapena soda amawonjezeredwa kuti athetse kuchepa.
- Mphungu ikhoza kuchepetsa kutaya mwazi ndi kupewa matenda pogwiritsa ntchito astringent. Mukhoza kuchibaya pang'onopang'ono ndi mpira wa thonje kapena kuwonjezerapo supuni zing'onozing'ono kuti muzisamba.
- Mafuta a Aloe vera , mafuta a vitamini E, ndi mafuta a kokonati ndi mankhwala achilengedwe omwe angathandize kuchepetsa ndi kuchepetsa mphuno zazing'ono zakunja. Pewani mavitamini kapena mavitamini omwe muli ndi mankhwalawa ndipo musankhe mafuta oyeretsedwa.
Mankhwala abwino a ukhondo ndi oyeneranso kuti asapitirire kuvulazidwa ndi matenda. Izi zingaphatikizepo botolo la ulimi wothirira madzi kuti apindule madzi ofunda pamtunda pambuyo pa kuyendayenda kwa mwanayo komanso mwanayo atayamwa kuti awononge bwinobwino malowa.
Zakudya
Chakudya chokhala ndi fiber chosakanizidwa chingathandize kuthetsa kudzimbidwa ndikuletsa kutaya magazi kuti asabwerere. Pochepetsa zofewa, zifuwa zidzatha kuchiza ndi kupweteka pang'ono komanso magazi.
Muyenera kuyesetsa kudya pakati pa 25 ndi 30 magalamu a fiber tsiku lililonse. Maziko abwino ndi awa:
- Nyemba ndi nyemba
- Chipatso chouma
- Zomera zatsopano, kuphatikizapo amadyera, nandolo, ndi nyemba zobiriwira
- Zipatso (pewani nthochi, zomwe zingakhale zomangirira)
- Sakanizani madzi
- Mbewu zonse, kuphatikizapo balere, bran, bulauni mpunga, ndi mkate wonse wa tirigu
Zida zowonjezera mavitamini zomwe zimakhala ndi psyllium, methylcellulose, inulini, calcium polycarbophil, kapena dextrin ya tirigu zingathandizenso.
Mankhwala OTC ndi Malemba
Pogwiritsa ntchito chithandizo cha kupweteka, mankhwala osokoneza bongo omwe alibe antisteroidal (NSAIDs) monga Aleve (naproxen) kapena Advil (ibuprofen) amathandiza kwambiri kuchepetsa kupweteka, kutupa, ndi kuphulika kwa mafinya ochepa.
Zikondwerero za Hemorrhoid
Ngakhale kuti NSAID ndi zabwino, kuteteza mzere woyamba kutsutsana ndi kupweteka kwa magazi ndi kutupa, zomwezo sizingakhoze kunenedwa pamakonzedwe apamwamba komanso okhudzidwa kuti azitsatiridwa. Kupenda kwa 2012 kotchedwa World Journal of Gastroenterology kunatsimikizira kuti mphamvu za mankhwalawa zakhalabe zosavomerezeka.
Izi zikuphatikizapo topical corticosteroids , yomwe ilipo ponseponse komanso pa mankhwala.
Mwa mankhwala omwe angathandize:
- Kukonzekera-H , opangidwa ndi mafuta a shark (a vasodilator), ndi mafuta opangira mavitamini omwe amapezeka pamtengowu omwe angathandize kuchepetsa kutuluka kwa magazi ndi kupweteka pa nthawi yachisokonezo.
- Mafuta a rectogeic , opangidwa ndi 0,2 peresenti ya glyceryl trinitrate (nitroglycerin), amapezeka mwa mankhwalawa ndipo amachepetsa ululu ndi zowawa za m'mimba. Mutu ndi wamba.
Stool Softeners
Monga momwe dzina lawo likusonyezera, zitsulo zochepetsera ndizopangidwira kwambiri (OTC) zomwe zimachepetsa zolimba zolimba ndikuthandizira kuthetsa kudzimbidwa.
M'malo mochititsa kuti thupi likhale lopweteketsa ngati mankhwala otupa , omwe amawotchera m'madzi (amadzimadzi amadzimadzi amadzimadzi amodzimodzi) amagwira ntchito pochepetsa madzi m'matumbo, motero amawonjezera kuchuluka kwa madzi m'thumba. Chotsatira ichi ndi chochepetsetsa, chosavuta kupita kudutsa.
Zosungiramo zidole zimaphatikizapo mankhwala othandizira, docusate sodium, ndipo zimaperekedwa pansi pa mayina osiyanasiyana monga Colace, Correctol, Diocto, Doxinate, Dulcoase, Ex-Lax Stool Softener, Fleet Sof-Lax, Modane Soft, Phillips 'Stool Softener, ndi Surfak.
Monga ndi zakudya zowonjezera zowonjezera, ogwiritsira ntchito zidole amatenga masiku osachepera kuti zotsatirazo zisamveke.
Ndondomeko Zapadera
Kawirikawiri, njira yowonongeka iyenera kupereka chithandizo chokwanira cha masepa ochepetsa thupi. Ngati alephera kuchita zimenezi, zingakhale zovuta zowonjezereka kuti zithetse kapena kuchotsa zonsezi.
Njira Zopanda Opaleshoni
Pokhapokha ngati magazi ali oopsa komanso akuyambitsa kupweteka, opaleshoni sichimangotchulidwa nthawi yomweyo. M'malo mwake, dokotala akhoza kupereka njira imodzi mwa njira zing'onozing'ono zomwe zingathe kuchitidwa ku ofesi yake. Mwa iwo:
- Mpira wothandizira: Gulu la mphira limayikidwa kuzungulira magazi, kuchepetsa kuthamanga kwa magazi ndikupangitsa kuti magazi asinthe, nthawi zambiri mkati mwa masiku.
- Sclerotherapy: Wothandizira (wovuta) wodwala amalowetsedwa mu mpweya wamoto , kuchititsa khoma la mitsempha kugwa ndi kuphulika.
- Kuwombera m'mimba: Mng'oma wambiri wa kuwala kwagwiritsidwa ntchito kuwononga minofu mkati mwa ngalande ya anal kuti athetse magazi kuthamanga kwa magazi.
Malingana ndi ndondomeko ya ndondomeko yanu, zambiri mwa njirazi zimayikidwa ndi inshuwalansi ya umoyo.
Opaleshoni
Kuchita opaleshoni kumangokhala milandu yowopsya kwambiri, kuphatikizapo ziwalo zowonongeka zomwe zakhala zikupweteka (zodzazidwa ndi magazi) kapena zomwe zafalikira (zinatuluka kunja kwa ngalande ya ana) ndipo zikuyambitsa kupweteka kwakukulu, kosalekeza. Nthawi zambiri, izi zimatha kuchepetsa kupha magazi ndipo zimayambitsa imfa ndi chitukuko cha nthendayi .
Ngati njira zina zochiritsira zatha, dokotala wanu angakulangize chimodzi mwa njira zingapo zopaleshoni:
- Hemorrhoidectomy yokhayokha ndi mtundu wa opaleshoni yomwe imagwiritsidwa ntchito pa milandu yovuta. Kawirikawiri amachitidwa pansi pa anesthesia ndipo amafunika kusamala kupeĊµa kuwonongeka kwa mitsempha ya sphincter yomwe imachotsedwa. Pamene opaleshoniyi ikugwira bwino popewera kupuma kwa magazi, ikhoza kuyambitsa kupweteka kwapambuyo kwapadera ndipo kawirikawiri imafuna masabata awiri kapena anayi kuti ayambirenso.
- Mankhwala osokoneza bongo ndi osiyana ndi odwala omwe amachititsa kuti magazi asapangidwe. Zimaphatikizapo kugwiritsa ntchito chipangizo chozungulira chomwe chimapangitsa kuti magazi asatuluke m'malo ake oyambirira pamene akudula magazi. Ngakhale kuti kupweteka kwapambuyo kumakhala kocheperachepera ndipo nthawi yobwezeretsa yayifupi, kubwereza magazi kumatheka. Mankhwala osokoneza bongo angapo angagwiritsidwe ntchito.
- Mitsempha yotsekemera yowonongeka kwambiri ndi njira yowonongeka yomwe imagwiritsa ntchito ultrasound kuti ipeze magazi ozungulira. Mitsuko yamagazi imamangirizidwa, ndipo minofu yowonongeka imagwedezeka mmbuyo. Palibe kuchotsedwa kwa minofu. Malo am'deralo , am'deralo, kapena achimake angagwiritsidwe ntchito.
Zopindulitsa za njirazi zikhoza kusiyana koma kawirikawiri zimachokera pa $ 3,000 mpaka zoposa $ 5,000. Malingana ndi momwe matenda anu amagwiritsira ntchito, inshuwaransi ikhoza kubisala zina mwazofunikira za opaleshoniyi.
> Zotsatira:
> Lohsiriwaat, V. "Mafupa: Kuchokera kuchipatala kupita kuchipatala." World J Gastroenterol. 2012; 18 (7): 2009-17. DOI: 10.3748 / wjg.v18.2009.
> Lohsiriwat, V. "Kuchiza kwa ziwalo: Maganizo a coloproctologist." World J Gastroenterol. 2015; 21 (31): 9245-52. DOI: 10.3748 / wjg.v21.i31.9245.
> Sun, Z. ndi Migaly, J. "Kukambirana za Matenda a Hemorrhoid: Kuwonetsera ndi Kulamulira . 2016; 29 (1): 22-29. DOI: 10.1055 / s-0035-1568144.