Ukuhlolwa ngokomzimba kuvame ukwenza ukuhlolwa kwesifo somzimba
Ama-hemorrhoids angase abe namahloni okubhekana nawo, yingakho abantu abaningi bezama ukuzihlola futhi bagweme ukubona udokotela . Kodwa-ke, kubalulekile ukubona udokotela ukuze uthole ukuxilongwa nokuphathwa okufanele. Ama-hemorrhoids angaba nezimpawu ezifana nezinye, izimo ezimbi kakhulu, futhi lezo kufanele zikhishwe ngaphambi kokucabanga ukuthi izimpawu zivela e-hemorrhoid.
Ezimweni eziningi, ama-hemorrhoids angatholakala kalula ngomlando nokuhlolwa ngokomzimba.
Ukuhlola Ukuhlola / Ukuhlolwa Kwekhaya
Kunezinhlobo ezimbili zama-hemorrhoids: ngaphakathi nangaphandle. Ama-hemorrhoids angaphakathi angaphansi kwe-rectum futhi ayibonakali ngokubuka endaweni ngaphandle kokuthi aphenduke (slip ngaphandle kwe- anus ). Ama-hemorrhoids angaphandle angaphansi kwe-anus futhi angabonakala noma azizwe.
Kodwa-ke, ngaphandle kokuthi ama-hemorrhoids abe yinkinga esikhathini esidlule, iningi labantu ngeke lazi ukuthi i-bump noma i-bump abazizwayo noma ukubona kuyi-hemorrhoid ngempela.
Izivivinyo zomzimba
Ezimweni eziningi, i-hemorrhoid izotholakala ukuthi ihlolwa ngokuvivinya umzimba okubandakanya ukubuka ngaphandle kwe-anus noma ukuhlolwa kwe-rectal. Kungase kube nezimo ezithile, noma kunjalo, lapho ubona khona ngaphakathi emgodini omdala okudingekayo ukuze uhlolisise ama-hemorrhoids angaphakathi.
Ukuhlola okulinganayo
Ukuhlolwa kwe-rectal kuyindlela ejwayelekile yokuthola ukuthi izifo zitholakala kanjani, nakuba abantu abaningi bangase bakhathazeke ngokuba nokuhlolwa lokhu ngenxa yezinhlamba ezingaba khona.
Kodwa-ke, odokotela benza lezi zivivinyo njalo futhi bazosebenza ukuqinisekisa ukuthi iziguli zizwa zikhululekile ngangokunokwenzeka.
Ngenxa yalolu vavanyo, iziguli zicelwa ukuba zisuse izingubo zazo kusukela okhalweni phansi bese zishintsha zibe yisambatho sasesibhedlela, noma zinikezwa iphepha lokushicilela iphepha ukuze limboze kuze kufike ukuhlolwa.
Ngezandla ezigqamile, udokotela uzohlola i-anus ne-perianal endaweni, okuyinto isikhumba esizungeze i-anus.
Kungadingeka futhi ukufaka umunwe ngaphakathi kwe-anus. Lokhu kwenziwa ukuze uzizwe izakhiwo ngaphakathi futhi unqume ukuthi zikhona yini izimpande zangaphakathi. Kodwa-ke, kungenzeka ukuthi akunakwenzeka njalo ukuzwa ama-hemorrhoids wangaphakathi ngomunwe, ngakho-ke i-rectal ayiyona into ecacile njalo. Ngaphezu kwalokho, udokotela uzokwazi ukubona uma i-blood noma i-mucus iphuma egulini, okuzosiza ekwenzeni ukuxilongwa.
Ukuhlolwa kwe-rectal kungase kungakhathazeki okwesikhashana noma ezimbili, kodwa kwenziwa masinyane futhi akufanele kubangele ubuhlungu obukhulu.
I-Anoscopy
Kwezinye izimo udokotela angasebenzisa idivayisi ebizwa ngokuthi i-anoscope ukuze ibuke ngaphakathi kwe-rectum. I-Ancopecope iyishubhu elifushane, elincanyana elinokukhanya kulo okungafakwa ngaphakathi kwe-rectum. Ngokusebenzisa le divayisi, udokotela angabheka ngokugcwele izakhiwo zangaphakathi futhi abone ukuthi kukhona isifo segazi noma uma kukhona enye incazelo yezimpawu.
I-anonymicy ingabangela ukukhululeka okufushane, kodwa hhayi ubuhlungu, futhi sekuphelile eminithi noma emibili.
Ukuhlonza okuhlukile
Uma i-hemorrhoid ibangela ubuhlungu nokuphuma kwegazi, kungase kudingekile ukulawula ezinye izimo ezingabangela izimpawu ezifanayo.
Lokhu kuyiqiniso ngokukhethekile kubantu abaneminyaka engaphezu kwengu-50, ngoba ama-polyps emgqeni wekoloni nombala ongangqamuzana nawo angabangela ukuphuma kwegazi, futhi avame kakhulu kule nkathi yobudala.
I-Anal Fissure
I- fissure eliyindilinga iyinyembezi emgodini womsele wamanzi. Kubangela ubuhlungu, ikakhulukazi ngesikhathi sokunyakaza kwesisu, nokuphuma kwegazi. Izinhlanzi eziningi eziguqayo zelapha ngokwabo ukwelashwa ekhaya.
I-Anal Fistula
I- fistula engumdala ixhumano olungavamile phakathi kwesikhumba kanye ne-perianal isikhumba. Kungaba buhlungu futhi kuvame ukuqala njenge- abscess , okuyiqoqo le-pus ngaphansi kwesikhumba. Ngesikhathi sokuhlolwa kwe-rectal, udokotela uzokwazi ukubona ukuthi kukhona yini i-fistula ekhona.
Ama-polyps
Ama-polyps athandwa kakhulu kolononi kubantu abangaphezu kweminyaka engama-50, kepha angenzeka nakancane nabantu abasha. Ama-Polyps ngokuvamile awaboni izimpawu futhi atholakale ngesikhathi se-colonoscopy, kodwa angabangela nokuphuma kwegazi. Udokotela angase anqume ukwenza ukuhlolwa okuningi (njenge-colonoscopy noma i-sigmoidoscopy, ukuhlolwa kwamathumbu amakhulu) ukuqinisekisa ukuthi noma yikuphi ukuphuma kwegazi kuvela ku-hemorrhoid futhi akuveli kwipolpikhi engavamile.
Isifo sesifo sofuba (IBD)
I-IBD, isifo sikaCrohn , i- ulcerative colitis , kanye nesifo socansi esingapheli singabangela nokuphuma kwegazi emgodleni wokugaya futhi kungahle kuhlotshaniswe nama-hemorrhoids. Uma kunezinye izimpawu ezikhona ngokuphuma kwegazi, njengesifo sohudo noma ubuhlungu besisu , udokotela anganquma ukwenza ezinye izivivinyo ukuze akhiphe i-IBD njengesizathu esiyinhloko sokuphuma kwegazi.
> Umthombo:
> Mott T, uLatimer K, Edwards C. "Ama-Hemorrhoids: Izinkinga zokuxilonga kanye nokwelashwa." Am Fam Physician 2018; 97: 172-179.