Matenda otentha ndi amodzi omwe amachititsa kuti mitsempha yotupa ndi yotupa ikhale mu rectum kapena anus. Malingana ndi malo awo, nthawi zambiri zimabweretsa mavuto osaneneka, kupweteka, kuyamwa, ndi kutuluka magazi. Ngakhale nthawi zina zimayambitsa kupweteka pa nthawi ya matumbo, zimbudzi zimagwirizananso ndi kunenepa kwambiri, mimba, ndi zina.
Zakudya zapamwamba kwambiri ndi zosavuta (OTC) chochepetsera chithandizo chochepetsera chithandizo chingathandize kuchepetsa kugwedeza, komanso zokometsetsa zadothi zingakonzedwe ndi dokotala wanu. Komabe, nthawi zina, njira monga sclerotherapy kapena hemorrhoidectomy ingakonzedwe, ngakhale kuti izi sizikupezeka masiku ano.
Zizindikiro
Zizindikiro za mitsempha zikhoza kukhala zovuta kwambiri kuchokera ku zofatsa mpaka zofooketsa. Zizindikiro zomwe zimakhalapo zimakhudzana kwambiri ndi chifuwa chachikulu (pakhungu pozungulira anus) kapena mkati (mkati mwa rectum).
Matenda a kunja amatha kudziwika ndi mtanda pamwamba pa anus. Izi zimakhala zovuta kwambiri chifukwa pali mapeto a mderalo m'deralo. Kupweteka kwa ululu, kunyowa, kukoma mtima pamene ukupukuta, pakati pa zizindikiro zina, zikhoza kuchitika. Kupweteka kungakhale koopsa kwambiri ngati chifuwa chimatha.
Mitsempha ya mkati imakhala yopweteka ndipo imakhala yosadziwika popanda zizindikiro zooneka.
Ululu ukhoza kuchitika, komabe, ngati mphutsi imayamba kuphulika (kubwerera) kuchokera mumtsinje wa anal, ngakhale izi si zachilendo. Ngati chifuwacho chimaikidwa kunja kwa ngalande ya anal, kupweteka kumakhala kovuta kwambiri, makamaka ngati kupweteka. Nthawi zambiri, ziwalo zoterezi zimafuna chisamaliro chapadera.
Zimayambitsa
Matendawa amakhudza kwambiri anthu achikulire a zaka zapakati pa makumi asanu ndi awiri mphambu zisanu ndi zisanu ndi zisanu ndi zisanu ndi zisanu ndi zisanu ndi zisanu ndi zisanu ndi zisanu ndi ziwiri (65) ndipo nthawi zambiri amakhala okhudzidwa ndi mavuto a kayendedwe ka m'mimba, kuphatikizapo kutsekula m'mimba , kutayika m'mimba, komanso kukhala nthawi yayitali pa chimbuzi.
Zonsezi zikhoza kupanikizika pa mitsempha yomwe imatulutsa magazi kuchokera kumtunda ndi phulusa, yomwe ili mkati mwa ngalande ya anal yomwe imadziwika kuti chimphepo chamoto. Kuwonjezeka kwotsatizana kwa kuthamanga kwa magazi mu mitsempha iyi kungawachititse kuti atuluke m'mitumbo ndi minofu yolumikizidwa kuti ikhalepo m'malo mwake, zomwe zimapangitsa kuti pakhale mpweya wamagazi.
Anthu ena ali pa chiopsezo chachikulu cha mimba, kuphatikizapo iwo omwe amadya zakudya zochepa, ochepa kapena oyembekezera, omwe ali ndi matenda opatsirana (IBD) , ndi omwe ali ndi zibowo / zolimba. Genetics ingathandizenso.
Kudziwa
Chifukwa zizindikiro za mitsempha zimakhala zofanana ndi zina zamankhwala (kuphatikizapo ziphuphu za anal, IBD, ndi khansa yoyipa), ndikofunika kuti ayesedwe ndi dokotala. Izi ndizowona makamaka ngati pali magazi, kupweteka kwambiri, kapena kuwonjezereka kwa zizindikiro ngakhale kuti akuchiritsidwa.
Mafupa amatha kupezeka ndi maonekedwe a chigawo cha ana komanso chachilendo.
Nthawi zina, kuyerekezera kwapadera kwapadera , kuyesedwa mkati ndi kuchuluka, kapena kuyesedwa kwa labu kapena kujambula kungakhale kofunikira.
Chithandizo
Ambiri omwe amapezeka m'mimba amodzi amatha kupindula ndi mankhwala oyenera , monga o-over-the-counter (OTC) kapena olemba mankhwala ogwiritsira ntchito mankhwala osungiramo mankhwala. Mafuta a OTC (Preparation-H, Rectogesic) angakhale othandiza, koma ena ali ndi corticosteroid ndipo ayenera kugwiritsidwa ntchito pokhapokha ngati akulimbikitsidwa ndi dokotala wanu. Ngati zizindikiro zili zovuta ndipo sakulephera kuyankha njirazi, zina, zowonjezera zowonjezera zingayambidwe.
Njira zopanda opaleshoni zowononga magazi kapena kuchepetsa magazi ake zikuphatikizapo mphira band ligation, sclerotherapy, ndi infrared coagulation.
Kuchita opaleshoni kuchotsa, kupatsanso malo, ndi / kapena kupweteka magazi (kapena magazi ake) kumasungira milandu yambiri yomwe ululu umakhala wosasunthika ndikusokoneza ubwino wa moyo. Hemorrhoidectomy yokhayokha (yosawerengeka), yomwe imaphatikizidwa ndi hemorrhoidopexy, ndi doppler yomwe imatsogoleredwa ndi mitsempha yotsekemera ya magazi imatha kuganiziridwa.
Kulimbana
Ngakhale vuto lochepa kwambiri la mafinya amatha kupweteka moyo wanu mwa kukupweteketsani pakapita pamatumbo, pamene mukukhala kuntchito, kapena poyesera kugona usiku. Izi ndizowona makamaka ngati mukuvutika nthawi zambiri.
Kuti mupirire bwino , muyenera kupeza njira zopitirira mankhwala omwe angakuthandizeni kuti mupeze mwamsanga. Zina mwazinthu zothandiza kwambiri ndi monga kusungunuka, kupewa sopo, kukwiya, kupuma, komanso kusagwiritsira ntchito nthawi yambiri.
Mawu Ochokera
Ngakhale kuti matenda ambiri amagazi ndi osavuta komanso amachiritsidwa mosavuta kunyumba, chithandizo chachipatala chiyenera kufunidwa ngati magazi amagazi ndi ofiira kwambiri, ngati zivomezi zimakhalapo, kapena ngati pali kupweteka kwa m'mimba kapena kulemera kwa thupi. Izi zikhoza kukhala zizindikiro za khansa yofiira yomwe mafinya amatha kukhala chizindikiro.
Malamulo omwewo amagwiritsidwa ntchito ngati mitsempha yanu imakhala yovuta kapena ikulephera kusintha ngakhale mukuchiritsidwa. Onaninso dokotala wanu ndikupempha kuti mutumize ku proctologist kapena gastroenterologist ngati mukuganiza kuti ndi nthawi yowonjezera chithandizo. Palibe chifukwa chovutikira mwa chete.
Zotsatira:
American Society of Colon & Rectal Surgeons. Mafupa. FASCRS.org. 2015.
Bharucha AE. Mafupa. Zokonza Zowonongeka Zokhudza National Digestive Nov 2010.
FamilyDoctor.org. Mafupa. American Academy of Family Physicians. March 2014.