Ama-hemorrhoids, okuthiwa yizinqwaba, angabangelwa ukunyakaza ngesikhathi sokunyakaza kwamathumba noma ngezimo ezifana nokukhulelwa noma ukukhuluphala, okufaka ukucindezela okungadingekile kwesisu esingaphansi. Ngokwenza kanjalo, imithanjeni engaphakathi nangaphakathi i-anus ingase iqale ukwelula futhi ivule ngokungavamile, ibangele ubuhlungu, ukushisa, nokukhwabanisa.
Njengoba kuphazamiseka njengama-hemorrhoids kungaba, ngisho ososayensi abaqiniseki ngokuphelele ukuthi kungani abanye abantu bebahlakulela futhi abanye abakwenzi.
Lokho esikwaziyo ukuthi kunezici ezithile ezingandisa ingozi yomuntu. Ezinye zalezi (njengokuthambekela kokuqotshwa) ziguquguquka, kanti ezinye (ezifana nezakhi zofuzo nobudala) azikho.
Izimbangela ezivamile
Ama-hemorrhoids azophazamisa abantu abathathu kwababili ngesikhathi esisodwa ekuphileni kwabo. Ngesikhathi abantu abadala abaneminyaka engama-45 no-65 besengozini enkulu, ama-hemorrhoids angathinta abantu abancane kakhulu, ngokuvamile bengenakho incazelo.
Ama-hemorrhoids avame ukuhambisana nezinkinga zokunyakaza kwamathumbu, kuhlanganise:
- Ukuqotshwa okungapheli noma isifo sohudo
- Ukuhlanza ngesikhathi sokuhamba kwamathumbu
- Ukuhlala isikhathi eside endlini yangasese
Noma yimuphi wale mibandela ingathinta imithwalo yegazi esekwenzeni okuthiwa i- hemorrhoid cushion . Lesi isakhiwo sangaphakathi somsele wamanzi ohlanganisa izicubu ezixhumeneyo, imisipha epholile, nemithambo yegazi eyaziwa njenge-sinusoids.
Ukuhlukunyezwa kwanoma yiluphi uhlobo kungabangela ukukhuphuka ngokungazelelwe kokucindezelwa kwegazi emthonjeni we-hemorrhoid.
Lokhu, nakho, kungabangela ukuthi isitsha sisuke emisipha kanye nemigqa ehlose ukuyibeka endaweni.
Uhudo olungapheli noma ukuqothulwa kungenza izinto zibe zimbi nakakhulu ngokubangela ukuvuvukala okuqhubekayo kwamathishu anesibindi kanye nama-rectal (anorectal). Ukuhlala endlini yangasese kukhulisa kuphela inkinga ngokwelula izindonga zemithambo yegazi kangangokuthi ziqala ukukhuphuka nokukhuphula.
Okufanayo kungenzeka uma une-sneeze enkulu.
Izindlela Zengozi Yokuphila
Ngenkathi izinkinga zokunyakaza kwamathumbu yizimbangela ezivame kakhulu zezidumbu, kunezici ezithile zokuphila ezingakhuphula ingozi yomuntu ngokuqondile nangokungaqondile.
Ukunyuka kwamanzi
Ukuphuza amanzi noma ukuphuza okungaphansi kwezigesi eziyisishiyagalombili zamanzi ngosuku (cishe isigamu segaloni) kungasiza ekuqotheni futhi ngenxa yalokho, ukuthuthukiswa kwama-hemorrhoids.
Ukudla okuphansi kwe-Fiber
I-fiber yokudla ibalulekile ekuguleni kwempilo, futhi abantu abaningi abatholi ngokwanele. Ukudla okuphansi kwe-fiber (okungaphansi kuka-25 kuya ku-30 amagremu we-fiber ngosuku) kungandisa kakhulu ingozi yokuqothulwa.
Ngokweziqondiso ezivela ku-National Institute of Diabetes and Digestive and Kidney Disorders (NKNKD), ukudla okucebile kokudla okulandelayo kungandisa kakhulu ingozi yokuqothulwa:
- Ushizi
- Ama-Chips
- Ukudla okusheshayo
- Ukhilimu oyiqhwa
- Ukudla okulungiselelwe, kuhlanganise nokudla okubandayo nokudla okulula
- Ukudla okusetshenzisiwe
- inyama ebomvu
Ngokuphambene nalokho, ukungena okukhudlwana kwe-fiber okungenasifo kungasiza ukubuyisela umsebenzi ojwayelekile wesilonda.
Ukuntuleka komsebenzi ojwayelekile
Ukungasebenzi ngokomzimba nokungabikho kokuzivocavoca umzimba kungabangela ukulahlekelwa ngokujwayelekile kwezwi lomzimba (kufaka phakathi imisipha ye-anorectal) ngenkathi kuphazamisa ukukhulelwa komzimba (okuvame ukubangelwa ukuqhutshwa kwesifo sohudo nokuqothulwa).
Izimbangela Zezokwelapha
Ama-hemorrhoids ayingxenye evamile ezimweni eziningi zempilo, okunye okubi nakakhulu okungekho okukhulu kakhulu. Lokhu kufaka:
- Ukulimala okulinganayo, okufana nokulala kocansi
- Ama-Ascite (ukuqoqwa kohlobo olusetshenziselwa uketshezi lwesisu, okuvame ukubonakala esibhedlela sesibindi esiphezulu)
- Izifo zesifo sofuba (IBD) , njenge-Crohn's disease kanye nesifo sofuba esiswini
- Ukukhuluphala ngokweqile: Ukugqama ngokweqile kwesisu nesisindo kubeka ukucindezeleka emisipha yomgogodla wegazi futhi, futhi futhi, umkhuhlane we-hemorrhoid.
- I-prolapse ejwayelekile
Ngenxa yokuthi eziningi zalezi zimo ziyingozi futhi / noma ziphathwe, kubalulekile ukungabi nandaba nanoma yisiphi isisu esibuhlungu noma esingaphumeleli.
Ngenkathi ama-hemorrhoids angase aphuze ngezinye izikhathi, kufanele ubone udokotela uma ukuphuma kwegazi kuqhubeka futhi kuhambisana nobuhlungu besisu, izinguquko emisebenzini yezinyosi, izitofu ezigazini kanye nokulahlekelwa kwesisindo esingachaziwe. Lokhu kungase kube uphawu lwekolon noma umdlavuza wama-rectal , kokubili okudinga ukunakwa ngokushesha.
Okufanayo kuya kuhudo olungapheli nokuqothulwa. Futhi akufanele kuthathwe njengokujwayelekile, futhi izinyathelo kufanele zithathwe ukuze zibone noma yiziphi izimbangela eziyimbangela (njengokungabekezelelani kwe- lactose noma i- gluten ) engachaza noma ifake isandla esimweni.
Ukukhulelwa
Ama-hemorrhoids nawo ajwayelekile ngesikhathi sokukhulelwa. Ngenkathi ukucindezeleka okubangelwa isisindo somntwana kungasiza ekuthuthukiseni kwabo, izinguquko ze-hormone nazo zingabangela ukuthi imithwalo yegazi ikhule ngokweqile.
Ngesikhathi sokukhulelwa ngokwayo, usayizi okhulayo wesibeletho ungafaka ingcindezi ku- inferior vena cava , isitsha esikhulu ngakwesokudla komzimba othola igazi emlenzeni ophansi. Ukwenza kanjalo kungavimbela ukugeleza kwegazi emuva enhliziyweni futhi kubangele noma yiziphi izitsha ezingaphansi kwesibeletho ukuba zihlanza, kuhlanganise nalabo abathintekayo.
Ukubeletha kungabangela ukuqhuma okuqhubekayo yi-force enkulu yezinsizakalo zomsebenzi, okuholela ekuthuthukiseni kwama-hemorrhoids ngemuva kokubeletha.
Kucatshangwa ukuthi abesifazane abangamaphesenti angama-35 abazokwakha ama-hemorrhoids ngenkathi ekhulelwe. Ingozi ngokuvamile iyanda ngokuzalwa okulandelayo.
I-Genetics
I-Genetics ingabamba iqhaza ekuthuthukiseni ama-hemorrhoids. Esinye isibonelo esinjalo yi-disorder ezuzwe njenge- Ehlers-Danlos syndrome (i-EDS) lapho ukungabi khona kwe-collagen kungabangela ukukhubazeka kwamathambo e-pelvic. Ama-hemorrhoids ayimpawu evamile ye-EDS futhi ngezinye izikhathi zifanekisela ukucindezeleka okungathí sina okubizwa ngokuthi i- proctal prolapse lapho isilonda sishaya khona noma siphume ngokuphelele emzimbeni.
Esinye isiphambeko esivame ukubonakala ukuthi ukungabi khona kwamagagasi ngaphakathi kwemithanjeni ye-hemorrhoidal, okungaholela ekucindezeleni ngokweqile kwe-vascular nokuvuvukala.
> Imithombo:
> 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.
> Isikhungo Sikazwelonke Sesifo Sikashukela kanye Nezinkinga Zokugaya Nezinso (i-NDDKD). "Ukudla, Ukudla, Nokudla KwamaHemorrhoids: Yini okufanele ngiyidle uma nginezinyosi?" UBethesda, eMaryne; Okthoba 2016.