Kusuka Ezilweni Zasekhaya Kuya Emasu Okuhlinzeka Okuthuthukisiwe
Ama-hemorrhoids angabangela ukuhlukumeza okungapheli kwabanye futhi imbangela yokuhlukumeza abanye. Inhloso yokwelashwa iphindwe kathathu: ukwehlisa izimpawu ngokushesha; ukuvimbela ukuqhubeka kakhudlwana kokulimala, nokuxazulula imbangela eyimbangela. Lokhu kuvame ukufezwa ngokudla okuphezulu-fiber, abathintekayo bezitofu, kanye nemithi eminingi engaphezulu.
Ezimweni ezinzima, noma kunjalo, izinqubo zokuhlinzeka nokuhlinzekwa ezingasetshenziswa zingasetshenziswa ukususa i-hemorrhoid.
Amakhambi asekhaya kanye nendlela yokuphila
Izizukulwane zisebenzise izindlela zokwelapha ekhaya ukuze zinciphise ama-hemorrhoids futhi zivimbele ukuba zingabuyeli. Abanye baphatha ngqo i-hemorrhoid, kanti ezinye zihloswe ukunciphisa ukungalungi kwamathumbu okuvame ukuba enhliziyweni yenkinga.
Lezi zixazululo ezilandelayo zinganikeza ukukhululeka okuphawulekayo kwezibonakaliso ezinzima ze-hemorrhoid:
- Amaphakethe e-Ice anganciphisa ukuvuvukala kwendawo kanye nobuhlungu, kodwa akufanele neze kubekwa ngqo esikhumbeni noma kwesokunxele isikhathi eside kunamaminithi angu-10.
- I-sitz bath , lapho umuntu ehlala khona emgodini wamanzi afudumele imizuzu engu-10 kuya kwezingu-20, angasiza ukunciphisa ukutshaya nokucasula. I-Epsom usawoti noma i-baking soda ivame ukungezwa ukuze kusize ukunciphisa ukuvuvukala.
- Udoyi l kungase kunciphise ukuphuma kwegazi futhi kuvimbele ukutheleleka ngokusebenza njenge-astringent. Ungayifaka ngobumnene ngebhola likotini noma wengeze ezimbalwa wezipuni endaweni yokugeza e-sitz.
- I-Aloe vera gel , amafutha e-vitamin E, namafutha kakhukhunathi ngamakhambi angokwemvelo angasiza futhi aqede ama-hemorrhoids angaphandle angaphandle. Gwema ama-creams noma ama-lotions aqukethe le mikhiqizo bese ukhetha amafutha ahlanzekile ahlanzekile.
Ukuhlanzeka okuhlanzekile kubalulekile nokugwema ukulimala nokutheleleka okuqhubekayo. Lokhu kungabandakanya ibhodlela lokunisela i-perianal ukucwilisa amanzi afudumele kwi-anus emva kokunyakaza kwamathumba kanye nezingane ezilahlayo ezigcobayo ukuze zenze kahle ukuthi indawo ihlanzekile.
Ukudla
Ukudla okunezintambo ezingenayo i-insuluble kungasiza ekunciphiseni ukuqotshwa nokuvimbela ama-hemorrhoids ekubuyiseni. Ngokunciphisa izithambile ngobumnene, ama-hemorrhoids azokwazi ukuphulukisa kangcono ubuhlungu obukhulu nokuphuza.
Kufanele uhlose ukudla phakathi kuka-25 no-30 amagremu we-fibre nsuku zonke. Imithombo evelele ihlanganisa:
- Ubhontshisi namaqabunga
- Izithelo ezomile
- Imifino emisha, kuhlanganise imifino, i-peas, nobhontshisi obuluhlaza
- Izithelo ezintsha (gwema ubhanana, okungase kubophe)
- Juba umuthi
- Izinhlamvu zonke, kubandakanya ibhali, ibhanki, ilayisi elibomvu, nesinkwa esiphelele
Ama-fibre supplements aqukethe i-psyllium, i-methylcellulose, i-inulin, i-calcium polycarbophil, noma ukolweni we-dextrin nayo ingasiza.
I-OTC Therapees and Prescriptions
Mayelana nokuphumula kobuhlungu, izidakamizwa ezingezona ukuvuvukala (nonsteroidal anti-inflammatory drugs) (i-NSAID) njenge-Aleve (naproxen) noma i-Advil (ibuprofen) iphumelela kakhulu ekunciphiseni ubuhlungu, ukuvuvukala nokubomvu kwamathumbu ama-mildem to moderate.
I-Hemorrhoid Creams
Ngenkathi ama-NSAID enhle, ukuvikela kokuqala kokumelene nobuhlungu be-hemorrhoid nokuvuvukala, okufanayo akukwazi ukusho ukulungiselela okuningi okwenziwe ngama-topical and suppository okusetshenziselwa ukuphatha ama-hemorrhoids. Ukubuyekezwa kuka-2012 okushicilelwe kuyi- World Journal of Gastroenterology kwaphetha ngokuthi ukusebenza kwalo mkhiqizo kuhlale kungavinjelwe.
Lokhu kubandakanya i-corticosteroids yama-topical , etholakalayo kokubili phezu kwe-counter kanye ne-odokotela.
Phakathi kwemithi engasiza:
- Ukulungiselela-H , okwenziwe ngamafutha e-shark (i-vasodilator yemvelo), i-ointment yama-topical etholakalayo phezu kwe-counter engasiza ekunciphiseni ukuphuma kwegazi kanye nobuhlungu ngesikhathi sokuhlukunyezwa.
- Amafutha okubuyisela , okwenziwe nge-0,2% we-glyceryl trinitrate (nitroglycerin), atholakala nge-odokotela futhi anganciphisa ubuhlungu nokungahambi kahle kwamathumbu ama-mildem to moderate. Ikhanda liwumphumela ovamile ohlangothini.
Stool Softeners
Njengoba igama labo liphakamisa, izithameli zesitoreji ziyi-over-the-counter (i-OTC) imikhiqizo ethobisa izitobhi ezinzima futhi isiza ukukhulula ukuqotshwa.
Esikhundleni sokunciphisa ukunyakaza kwamathumbu njengendlela yokuvuselela i-laxative , i-stool softeners (futhi eyaziwayo emillient laxatives) isebenza ngokunciphisa ukumuncwa kwamanzi emathunjini, ngaleyo ndlela yandisa umthamo wamanzi esitokisini. Lo mphumela uyisitoreji esincane, esilula kalula.
Abanikezeli bezitofu baqukethe isithako esisebenzayo, i-docusate sodium, futhi banikezwa ngaphansi kwamagama ahlukahlukene we-brand ahlanganisa Colace, Correctol, Diocto, Doxinate, Dulcoease, Ex-Lax Stool Softener, i-Fleet Sof-Lax, i-Modane Soft, i-Phillips 'Stool Softener, ne-Surfak.
Njengokudla okunomsoco we-fiber, izithambile ezithambile zithatha okungenani izinsuku ezimbalwa ngaphambi kokuba imiphumela izwakale.
Izinqubo ezikhethekile
Ngokuvamile, indlela yokuzimela kufanele ihlinzekele ngokukhululeka okukhulu kwamaprotheni amancane. Uma behluleka ukwenza kanjalo, kungase kudingeke ukungenelela okunomthelela okwedlulele ukusikaza noma ukususa ngokuphelele isisu.
Izinqubo ezingezona zokuhlinzwa
Ngaphandle kokuthi isifo senhliziyo sinzima futhi sibangela ubuhlungu obukhubaza, ukuhlinzwa akuphakanyiswa ngokushesha. Esikhundleni salokho, udokotela angase akhombise enye yezinqubo ezimbalwa ezingenasidingo ezingahle zenziwe ehhovisi lakhe. Phakathi kwazo:
- Ibhande le-Rubber ligation: Ibhande le-rubber libekwe nxazonke ze-hemorrhoid, ichithe ukugeleza kwegazi futhi kubangele ukuthi i-hemorrhoid ihlehlise, ngokuvamile phakathi kwezinsuku.
- I-sclerotherapy: I-agent e-sclerosing (ekhuni) ijojwe ku-hemorrhoid, okwenza udonga lwe-vein luwele futhi lukhule.
- I-coagulation engathintekile: I-boram eqondile yokukhanya kwe-infrared isetshenziselwa ukubhubhisa izicubu ngaphakathi komsele wamanzi ukuze kunqunywe ukugeleza kwegazi kuya ku-hemorrhoid yangaphakathi.
Ngokuya ngemigomo yenqubomgomo yakho, iningi lalezi zinqubo zihlanganiswa nomshuwalense wezempilo.
Ukuhlinzwa
Ukwelashwa kugcinwe kuphela ezimweni ezinzima kunazo zonke, kufaka phakathi ama-hemorrhoids aphethwe yi-thrombosed (agcwele igazi) noma lawo asele phambili (aphuma ngaphandle komsele wamanzi) futhi abangela ubuhlungu obunzima, obungapheli. Ezimweni ezingavamile, lezi zimo zingalimaza kakhulu ukunikezwa kwegazi futhi ziholele ekufeni nasekufuseni kwezingulube.
Uma zonke ezinye izinketho zokwelapha ziye zahluleka, udokotela wakho angancoma enye yezinqubo eziningi zokuhlinzwa:
- I-hemorrhoidectomy engavamile yindlela yokuhlinza esetshenziswa kuphela ezimweni ezinzima. Ngokuvamile kwenziwa ngaphansi kwe-anesthesia ejwayelekile futhi idinga ukunakekelwa ukugwema umonakalo kumsiphazo we-sphincter ongaphansi njengoba isuswe isisu. Ngenkathi ukusebenza kusebenza ekuvinjeni ukuphindaphinda kwesisu, kungabangela ubuhlungu obukhulu bokuthutha futhi ngokuvamile kudinga amasonto amabili kuya kwamane ukuba alulame.
- I-hemorrhoidopexy ebizwa ngokuthi i-hemorrhoidopexy iyindlela ehlukile ye-hemorrhoidectomy evamile. Kuhilela ukusetshenziswa kwedivaysi yesikhombisa ebeka isikhala esiphezulu se-hemorrhoid emuva endaweni yaso yokuqala ngenkathi inqamula ukunikezwa kwegazi. Ngenkathi ubuhlungu be-post-opera buba buthakathaka futhi isikhathi sokutakula sisifushane, ukuphindaphinda kwesisu kunokwenzeka. Isifo esincane somzimba noma isifunda singasetshenziswa.
- Umthambo we-hemorrhoid ojikelezayo owenziwe nge- Doppler yindlela encane yokuhlasela lapho i-ultrasound isetshenziselwa ukuthola ukugeleza kwegazi okuphambene. Isitsha segazi siboshwe, futhi izicubu ezishisiwe zibuyiselwa emuva endaweni. Akukho ukususwa kwezicubu. Ukusetshenziswa kwesinye isizinda esendaweni , esifundeni, noma esijwayelekile kungasetshenziswa.
Izindleko zalezi zinqubo zingashintsha kodwa ngokuvamile ziya kusuka ku-$ 3,000 ukuya ngaphezulu kuka-$ 5,000. Kuye ngokuxilongwa kanye nemigomo yenqubomgomo yakho, umshuwalensi ungase uhlanganise ezinye zezindleko zokuhlinzwa.
> Imithombo:
> Lohsiriwaat, V. "Ama-hemorrhoids: Kusukela ku-pathophysiology eyisisekelo kuya ekuphathweni kwemitholampilo." I- World J Gastroenterol. 2012; 18 (7): 2009-17. I-DOI: 10.3748 / wjg.v18.2009.
> Lohsiriwat, V. "Ukwelashwa kwama-hemorrhoids: Umbono we-coloproctologist." World J Gastroenterol. 2015; 21 (31): 9245-52. I-DOI: 10.3748 / wjg.v21.i31.9245.
> Sun, Z. noMigaly, J. "Ukubuyekezwa kwezifo zeHemorrhoid: Ukunikezwa nokuPhathwa." Ukwelashwa kwe-Clin Colon Rectal Surg. 2016; 29 (1): 22-29. I-DOI: 10.1055 / s-0035-1568144.