Ukusuka kwiiNkobe zaseKhaya ukuya kwiNkqubo ePhakamileyo yokuPhepha
Ama-hemorrhoids angaba ngumthombo wokugqithisa okungapheliyo kwabanye kunye nezizathu zokubandezeleka kwabanye. Injongo yonyango iphindwe kathathu: ukunciphisa iimpawu ezikhoyo; ukuthintela ukuqhubeka kongeza kokulimala, nokulungisa isisombululo esisisiseko. Oku kudlalwa ngokutya okuphezulu-fiber, softerers, kunye ne-counter-counter-counterpiical medication.
Kwiimeko ezinzima, nangona kunjalo, iinkqubo zokugqirha kunye nokungaxilwanga zingasetyenziselwa ukususa i-hemorrhoid.
IziPhulo zaseKhaya kunye nokuPhila
Izizukulwana ziye zasetyenziselwa ukwelapha izibilini kunye nokuzikhusela ukuba zingabuyi. Abanye baphatha ngokugqithiseleyo i-hemorrhoid, ngelixa ezinye zijoliswe ekunciphiseni izitenxo zesilonda esoloko zisentliziyweni yeengxaki.
Ezi ndlela zilandelayo ziyakwenza uncedo olunzulu lweempawu ezivuthayo:
- Iipakethi ze-Ice ziyakunciphisa ukuvuvukala kwendawo kunye neentlungu, kodwa akufanele zifakwe ngokuthe ngqo kwesikhumba okanye zikhohlo kwixesha elide ngaphezu kwemizuzu eyi-10.
- Indawo yokuhlambela , apho umntu ehlala kwisibhakabhaka samanzi afudumele imizuzu engama-10 ukuya kwe-20, unokunceda ukunciphisa ukutshabalalisa nokucaphukisa. I-Epsom isalts okanye i-soda yokubhaka ivame ukudibaniswa ukunceda ukunciphisa ukuvuvukala.
- Ihavu lombhebhe l lingahle linciphise ukuphuma kwegazi kwaye luthintele usuleleko ngokusebenza njenge-astringent. Unokuyibamba ngobumnene ngebhola yekotoni okanye udibanise iipunipoli ezimbalwa kwindawo yokuhlamba.
- I-Aloe vera gel , ioli ye-vitamin E, kunye neoli yekokcoti yindlela yokwenza imvelo engabancedisa kunye nokunciphisa ama-hemorrhoids amancinci angaphandle. Gwema ama-creams okanye i-lotions eziqulethe ezi mveliso kwaye ukhethe endaweni yeoli ecocekileyo.
Ukucoceka kobungqina obuhle kubalulekile ekukhuseleni ukulimala kunye nokusuleleka. Oku kungabandakanya ibhotile yokunkcenkceshela yexesha lokunciphisa amanzi afudumele kwi-anus emva kwentshukumo yesisu kunye neentsholongwane ezilahlayo zonyango ukuba zenzeke ngokucacileyo indawo leyo ihlambulukile.
Ukutya
Ukutya okucebileyo kwi-fiber engabikhoyo kunokunceda ukhulule ukuzitywa kunye nokukhusela i-hemorrhoids ekubuyeni. Ngokunciphisa ngobumnene izitulo, izibilini ziya kukwazi ukuphulukisa ngeentlungu ezingaphantsi kunye nokuphuma kwamanzi.
Kufanele ujonge ukutya phakathi kwama-25 no-30 amagremu e-fiber nsuku zonke. Imithombo ephambili ibandakanya:
- Ubhontshisi kunye nemigqabi
- Isiqhamo esomileyo
- Imifuno emitsha, kuquka imifino, iifolo, kunye nobhontshisi obuluhlaza
- Iziqhamo ezintsha (ugweme amabhanana, enokuthi ubophe)
- Ijusi yomthamo
- Iintlobo zonke, kuquka ibhali, ibhanki, irayisi e-brown kunye nesonka esipheleleyo
Izithako ze-Fiber eziqukethe i-psyllium, i-methylcellulose, i-inulin, i-polycibophil ye-calcium, okanye i-dextrin yengqolowa inokukunceda.
I-OTC Therapies neMigqaliselo
Ngokweentlungu zokhuseleko, izidakamizwa ezingabhubhisiyo (non-steroidal anti-inflammatory drugs) (i-NSAID) ezifana ne-Aleve (naproxen) okanye i-Advil (ibuprofen) iphumelela kakhulu ekunciphiseni intlungu, ukuvuvukala kunye nokubomvu kwamathumbu okumodareyitha.
Iimpawu zeHemorrhoid
Ngelixa i-NSAID ikulungileyo, ukukhusela kokuqala ngokubhekiselele kwintlungu kunye nokuvuvukala, okufanayo akunakutsholwa kumalungiselelo amanqaku aphezulu kunye nesilondolozo esisetyenziselwa ukunyanga i-hemorrhoids. Ukuhlaziywa kwe-2012 epapashwe kwiWorld Journal of Gastroenterology kugqiba ukuba ukusetyenziswa kwezi mveliso kuhlala kungenakuvuthwa.
Oku kubandakanya i -corticosteroids yama-topic , ayifumaneka kabini kwi-counter kunye ne-odokotela.
Phakathi kwamachiza anokunceda:
- Ukulungiselela-H , eyenziwe ngeoli ye-shark yesibindi (i-vasodilator yemvelo), i-oilicic ointment etholakalayo kwi-counter enganceda ukunciphisa ukuphuma kwegazi kunye nentlungu ngexesha lokuxhatshazwa.
- I-rectogeic ointment , eyenziwe nge-0.2% ye-glyceryl trinitrate (nitroglycerin), ifumaneka ngumrhumo kwaye inokunciphisa intlungu kunye nokuphazamiseka kwamathunga amancinci. Intloko yinto echaphazelekayo yecala.
Stool Softeners
Njengoko igama labo libonisa, i- stool soften zizinto ezingaphezulu kwe-counter (i-OTC) ezithintela izitishi ezinzima kwaye zinceda ukukhulula.
Esikhundleni sokunciphisa intshukumo yokuhamba njenge- laxative eshukumisayo , i-stool softeners (eyaziwa ngokuba yi-laxatives emollient) isebenza ngokunciphisa ukuxutywa kwamanzi emathumbu, ngaloo ndlela kwandisa umthamo wamanzi kwisihlalo. Esi siphumo sisisitye, esilula-ukudlula.
I-softol izithenxo ziqulethe isithako esisebenzayo, i-docusate sodium, kwaye zinikezwa phantsi kwamagama ahlukeneyo e-brand kuquka i-Colace, Correctol, i-Diocto, i-Doxinate, i-Dulcoease, i-Ex-Lax Stool Softener, i-Fleet Sof-Lax, i-Modane Soft, i-Phillips 'Stool Softener kunye ne-Surfak.
Njengokutya okucebileyo kwefayili, izitampu zincinci zithatha ubuncinane iintsuku ezimbalwa ngaphambi kokuba imiphumo ibonakale.
Iinkqubo zeengcali
Ngokuqhelekileyo, indlela yokulondoloza imele ifanele ibonelele ngokukhululeka kokunciphisa umzimba. Ukuba behluleka ukwenza njalo, kungenelela ngoncedo oluneentlanzi ukuze uhlehlise okanye ususe ngokupheleleyo isisu.
Iinkqubo ezingenziNzululwazi
Ngaphandle kokuba i-hemorrhoid ilukhuni kwaye ibangela ukukhubaza intlungu, utyando alukholiswanga ngoko nangoko. Endaweni yoko, ugqirha unokubonisa enye yeenkqubo ezincinci ezingenakunokuthi zenziwe kwiofisi yakhe. Phakathi kwabo:
- Ibhande le-Rubber ligation: Ibhendi ye-rubber ifakwe kumjikelezo we-hemorrhoid, ukunqumla ukuhamba kwegazi kunye nokubangela ukuba i-hemorrhoid ihlehlise, ngokuqhelekileyo kwiintsuku.
- I-Sclerotherapy: I- agent ye-sclerosing (inzima) ijojowe kwi-hemorrhoid, ebangela ukuba udonga lwamanzi ludibane kwaye lukhule.
- I-coagulation ephazamisayo: Ubume obunzulu bokukhanya kwe-infrared kusetyenziselwa ukutshabalalisa izicubu ngaphakathi kwinqanawa elidala ukuze kunqunywe ukuphuma kwegazi kwi-hemorrhoid yangaphakathi.
Ngokuxhomekeke kwimigaqo yomgaqo-nkqubo wakho, ininzi yale nkqubo ifunyenwe yinshuwalense yezempilo.
Ukuhlinzwa
Utyando lugcinwe kuphela kwiimeko ezinzima kakhulu, kubandakanywa izibilini eziye zaphazamiseka (ezizaliswe ngegazi) okanye ezo ziye zatshatyalaliswa (zaphuma ngaphaya komsele wamanzi) kwaye zibangela iintlungu ezinzima, ezingapheliyo. Kwiimeko ezinqabileyo, le miqathango inokukhupha ngamandla ukunikezelwa kwegazi kwaye iholele ekufeni kokufa kunye nokuphuhliswa kwesibhedlele .
Ukuba zonke ezinye iindlela zonyango zihlulekile, ugqirha wakho unokuncoma enye yeendlela zokutyanda:
- I-hemorrhoidectomy ye-excisional yindlela yokuhlinzwa eyenziwa kuphela kwiimeko ezinzima. Ngokuqhelekileyo lwenziwa phantsi kwe-anesthesia jikelele kwaye idinga ukunakekelwa ukukhusela umonakalo kwisisipha se-sphincter esisiseko njengoko isuswe. Ngexesha lo msebenzi usebenza kakuhle ekuthintela ukuphindaphinda kwegazi, kunokubangela intlungu ebalulekileyo emva kokusasazeka kwaye ngokuqhelekileyo kudinga iiveki ezimbini ukuya kwezine ukuba ziphinde zibuye.
- I-stemled hemorrhoidopexy yinto ehlukile kwi-hemorrhoidectomy. Iquka ukusetyenziswa kwesicatshulwa esicetywayo esenza i-hemorrhoid ehamba phambili kwisithuba sayo sokuqala ngelixa igawula igazi. Nangona ubuhlungu be-post-operative buba yinto encinane kwaye ixesha lokubuyisela lifutshane, ukuphindaphinda kwe-hemorrhoid kunokwenzeka. I -anesthetic jikelele okanye yesithili ingasetyenziswa.
- Umthambo we-hemorrhoid okhokelwa yi-Doppler yinkqubo yindlela encinci ye-invasive apho i-ultrasound isetyenziselwa ukufumana ukuhamba kwegazi. Isitya segazi sibophelelwe, kunye nezicubu ezitshatyalaliswayo zixutywa kwakhona. Akukho kususwa kweethambo. I-anesthetic yendawo , yesithili, okanye ye-anesthetic jikelele ingasetyenziswa.
Iindleko zale nkqubo ziyakwazi ukuhluka kodwa ngokubanzi zivela kwi-3,000 ukuya kwii-5,000 zamaRandi. Ngokuxhomekeke kwi-diagnostic kunye nemigaqo yomgaqo-nkqubo wakho, i-inshorensi inokuthi ihlanganise ezinye iindleko zokuhlinzwa.
> Imithombo:
> ULohsiriwaat, V. "Iimvumba: Ezivela kwi-pathophysiology eyisiseko ukuya kulawulo lwezonyango." Ihlabathi J Gastroenterol. 2012; 18 (7): 2009-17. INGXELO: 10.3748 / wjg.v18.2009.
> ULohsiriwat, V. "Ukunyangwa kwama-hemorrhoids: Umbono we-coloproctologist." Ihlabathi J Gastroenterol. 2015; 21 (31): 9245-52. INGXELO: 10.3748 / wjg.v21.i31.9245.
> 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.