Ama-hemorrhoids, ngokuqhelekileyo abizwa ngokuba yimibhobho, angabangelwa ukunyanyiswa ngexesha lokunyuka kwezilwanyana okanye ngeemeko ezinjengokukhulelwa okanye ukukhuluphala, okwenza uxinzelelo olungapheliyo kwisisu esiswini. Ngokwenza njalo, iimvumba ezijikelezayo kunye neenxa zonke ze-anus zingaqala ukunweba kwaye zivule ngokungaqhelekanga, ezibangela intlungu, ukutsha, kunye nokutsha.
Njengoko kuphazamiseka njengokuba izibilini zikhona, kwenzululwazi ayinakunyaniseka ngokupheleleyo ukuba kutheni abanye abantu bephuhlise kwaye abanye abayifumani.
Oko sikuyazi kukuba kukho izinto ezithile ezinokunyusa umngcipheko womntu. Ezinye zezo (ezifana nokuthambekela kokutshatyalaliswa) ziguqulwa, ngelixa ezinye (ezifana nemfuza kunye nobudala) azikho.
Izizathu eziqhelekileyo
Ama-hemorrhoids aya kubachaphazela abantu abathathu kubo bonke abantu abane ngexesha elinye okanye kwelinye ebomini babo. Nangona abantu abadala abaneminyaka engama-45 no-65 basengozini enkulu, izibilini ziyakuthintela abantu abaselula kakhulu, kaninzi bengenasicaciso.
Ama-hemorrhoids aqhelekileyo anxulumene neengxaki zentshukumo yokuhamba, kuquka:
- Ukuqhaqhozela okanye ukuhanjiswa
- Ukuhlenga ngexesha lokuhamba
- Ukuhlala ixesha elide kwindlu yangasese
Naliphi na le miqathango inokuchaphazela imilambo yegazi ebizwa ngokuba yindawo yokuthi i-hemorrhoid cushion . Esi sisakhiwo sangaphakathi somngxube omdala oqulathwe ngamathambo afanelekileyo, imisipha epholileyo, kunye nemithambo yegazi ebizwa ngokuba yi-sinusoids.
Ukuhlambulula naluphi na uhlobo kungabangela ukunyuka ngokukhawuleza kwimixinzelelo yegazi kwi-cushion ye-hemorrhoid.
Oku, kunokubangela ukuba inqanawa isuke kwiimisipha kunye nemigqa efuna ukuyibeka kwindawo.
Uhudo olungapheliyo okanye ukutyunjwa kungenza izinto zibe zibi nakakhulu ngokubangela ukuvuvukala okuqhubekayo kwezicubu ezinobungozi kunye nezilwanyana (anorectal). Ukuhlala kwindlu yangasese kuphucula kuphela ingxaki ngokusula iindonga zemithambo yegazi kangangokuba ziqala ukukhupha kwaye zihluthe.
Oku kuya kwenzeka xa unomnxeba omkhulu.
Izinto zokuPhila kweengozi
Nangona iingxaki zentshukumo yokuhamba kwezilwanyana zizona zizathu eziqhelekileyo zezibilini, kukho izinto ezithile zokuphila ezinokunyusa umngcipheko womntu ngokuthe ngqo nangokungaqondile.
Ukungasebenzi kwamanzi
Ukucinywa kwamanzi okanye ukusela ngaphantsi kweesibhozo ezisibhozo zamanzi ngosuku (malunga nesiqingatha segolon) kunokuncedisa ekuqotheni, ngoko ke, ukuphuhliswa kwamathambo.
Ukutya okuNcinci
I-fiber dietary ibalulekile kwimpilo yokutya, kwaye abaninzi abantu abafumani ngokwaneleyo. Izidlo ezincinci (kunye nama-gram angama-25 ukuya kuma-30 e-fiber ngosuku) lunokunyusa kakhulu umngcipheko wokuqhawulwa.
Ngokutsho kwesikhokelo esivela kwiSizwe soSifo seSwebe kunye neSifo seNtsholongwane kunye neNtsholongwane zeNtsholongwane (NKNKD), ukutya okutyebileyo kokutya okulandelayo kunokunyusa kakhulu umngcipheko wokuqhaqha:
- Ushizi
- Chips
- Ukutya okukhawulezayo
- I-ice cream
- Ukutya okulungiselelwe, kubandakanywa ukutya okunqabileyo kunye nokutya okutya
- Ukutya okucwangcisiweyo
- Inyama ebomvu
Ngokwahlukileyo, ukunyuswa kokwanda kwefayibhile engabikhoyo kunokunceda ukubuyisela umsebenzi oqhelekileyo wesilwanyana.
Ukungabikho komsebenzi rhoqo
Ukungasebenzi kwaye ukungabikho kokuzivocavoca rhoqo kunokubangela ukulahlekelwa ngokubanzi kweetoni (kuquka iimpawu zezilwanyana) ngelixa zichaphazela isiswini somzimba esisisigxina (ngokuqhelekileyo kubangele ukutshintshwa kwesisu kunye nokuqhaqha).
Izizathu Zonyango
Ama-hemorrhoids ayimpawu eqhelekileyo kwiimeko ezininzi zempilo, ezinye izinto ezinzulu kunye nezinye ezingabalulekanga. Ezi ziquka:
- Ukulimala koluhlaza, njengokwabelana ngesondo
- Ama-Ascites (ukuqokelela umkhuhlane kwisisu esiswini, ngokuqhelekileyo kubonwe kwisifo esiphezulu sesibindi)
- Izifo ezithintekayo zezifo (IBD) , ezifana nesifo sikaCrohn kunye nesifo sezilonda zesilonda
- Ukunyanya ubukhulu: Ukugqithisa kwesisu esiswini kunye nokunyaniseka kukubeka uxinzelelo kwimisipha yomgangatho weplavic kwaye, ngokufanayo, i-cushion ye-hemorrhoid.
- Prolapse ephezulu
Ngenxa yokuba ezininzi zeemeko zibi kakhulu kwaye / okanye zonyango, kubalulekile ukuba ungayigxina nayiphi na isisu esibi okanye siphumelele ukuphucula.
Nangona i-hemorrhoids ingase ihlaziye ngezinye izihlandlo, kufuneka ubone ugqirha ukuba ukuphuma kwegazi kuqhubeka kwaye kuhamba kunye nentlungu yesisu, ukuguquka kwimizimba yesisu, izitofu zamanzi kunye nokulahlekelwa kwesisindo esingachazwanga. Oku kungaba ngumqondiso wekolon okanye umhlaza wesibeletho , zombini ezo zifuna ukunakwa kwangoku.
Okufanayo kuya kwirhudo engapheliyo kunye nokuqhaqha. Kwakungafanele kuthathwa njengento eqhelekileyo, kwaye kufuneka kuthathwe amanyathelo okufumanisa nayiphi na isizathu esibangela ukuba (i- lactose okanye ukunyamezelana kwe-gluten ) okungachaza okanye ukufaka isandla kwiimeko.
Ukukhulelwa
Ama-hemorrhoids ayenzeka ngokufanayo ngexesha lokukhulelwa. Nangona uxinzelelo olwenziwa ngumzimba wengane lunokubangela ukuphuhliswa kwawo, utshintsho lwama-hormone lungabangela ukuba imivenge yegazi ikhule ngokugqithiseleyo.
Ngexesha lokukhulelwa ngokwalo, ukwanda okwenyuka kwesibeleko kunokufaka uxinzelelo kwi- downena vena cava , isitya esikhulu ngakwesokunene somzimba ofumana igazi kwizitho ezingaphantsi. Ukwenza njalo kukuphazamisa ukuhamba kwegazi entliziyweni kwaye kubangele nayiphi na iinqanawa ezingaphantsi kwesibeletho ukuba zihluthwe, kubandakanywa nesikhonyane somzimba.
Ukuzalwa komntwana kunokubeka ubunzima obongezelelekileyo ngamandla amakhulu okulwa, okukhokelela ekuphuhlisweni kwezibilini emva kokunikezelwa.
Kulinganiselwa ukuba amaninzi angama-35 ekhulwini kwabasetyhini aya kuhlakulela izidumbu zesikhumba ngexesha lokukhulelwa kwakhe. Umngcipheko uvame ukunyuka ngokuzalwa ngamnye emva koko.
Genetics
I-Genetics nayo inokudlala indima ekuphuhliseni izibilini. Omnye umzekelo unengxaki ezuzwa njenge- Ehlers-Danlos syndrome (i-EDS) apho ukungabikho komgogeni kunokukhokelela ekudakaleni kwamathambo e-pelvic. Ama-hemorrhoids ayimpawu eziqhelekileyo ze-EDS kwaye ngamanye amaxesha ibonisa ukuxhamla okunzulu okubizwa ngokuba yi- proctal prolapse apho ibilwelwe ihla okanye ingaphumi ngokupheleleyo emzimbeni.
Esinye isiphene esichazwe ngokuqhelekileyo kukuba ukungabikho kwamagqabha ngaphakathi kweemvumba ezithintekayo, ezinokubangela ukuba uxinzelelo lwe-vascular and influence.
> Imithombo:
> Ilanga, iZ. kunye neMigaly, J. "Ukuhlaziywa kwezifo ze-Hemorrhoid: Ukunikezwa noLawulo." I-Clin Colon Rectal Surg. 2016; 29 (1): 22-29. INGXELO: 10.1055 / s-0035-1568144.
> Isizwe seSizwe soSifo sikashukela kunye neeNtsholongwane zeNtsholongwane kunye neNtsholongwane (i-NDDKD). "Ukutya, Ukutya, kunye Nondlo yeziHemorrhoids: Ndiyintoni na ukuba ndiyidle ukuba ndiba negazi?" UBetdada, eMaryne; Oktobha 2016.